Guest guest Posted August 5, 2004 Report Share Posted August 5, 2004 She sounds good. Does she see strictly pituitary patients?Janie Skipper wrote: Well I saw Dr. Yomma Monla for the first time today. She is located on Long Point next the Spring Branch Hospital. So far I am impressed. I like her. She did renew my Armour without batting an eye or any negatives comments. No problems there. I do not know if she will RX it right off the bat or not, or will if asked.She does know alot about the pituitary function, thyroid, diabetes. She seems to be well informed, knowledgeable all around, just not a one trick pony.When I gave her my prior labs just the last 6 months and then told her about my suppressed TSH for the last 2+ years and the prior endo's (you know who) saying I was hyper based on that even though my meds have been adjusted repeatedly and the other thyroid hormones will change but the TSH will never change, she says that is because you have (and this is where my poor ol' memory rears it's ugly head) Central Hypo - either Thyroidism or Pituitarism. I can't remember which - as I have that dang pituitary tumor and pituitary problems it could be Hypopituitarism. ???Anyway - she didn't buy the hyperthyroidism bit as I have NO symptoms for it and no other labs to support it either. She asked a bunch of questions relating to pituitary and thyroid. Took history. Did an exam, and during the exam, she'd doing something and then check my neck/thyroid area - then check something and then check the thyroid again, she must have check the thyroid 4 or five times. She checked the whole neck/shoulder area each time she did it. She commented once - you can really feel that thyroid. She did several tests that no one has done before - testing the strength of my legs, etc. I am a WIMP!!! I have a MRI schedule for Saturday to check the status of the Pituitary tumor - hopefully it's size will be stable - any signs of growth - and it will be surgery, recovery time from that from what I hear is 2-6 weeks on average and the potential side effects are NASTY Bad.I have a FNA for Tuesday - she did discuss that fact that I have a prior non-diagnosiatic (sp?) FNA and anything less than 100% benign and we will need to discuss surgery to remove the thyroid as I have a documented slow growth nodule and it will not be safe to leave it in. Does she not have her stuff together or what? Someone else was always sitting on their duff, but she seems to know what's what. I told her I have no problem what so ever with surgery, I am now experiencing pain and difficulty swallowing, it would not bother in the least to have it removed.I see her again on the 16th to go over all the results.Oh I have to do the 24 hr urine - Yuck I hate doing that - it's a pain in the _______. But it is part of the full pituitary work up. Janie__________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2004 Report Share Posted August 5, 2004 Janie I believe it's called by both names? Central Hypothyroidism and Hypopituitarism. Or is the Hypopituitarism having to do with ALL the substances of the pituitary being dwarfed? Somewhere in the back of my mind, it is the latter, I believe. And, unless you are actually lacking in the pituitary making all the substances that it normally makes, you would have the Central Hypothyroidism, where the pituitary is ONLY lacking in making TSH. In other words, your thyroid simply got lousy from nothing to stimulate it to make hormone that it could have otherwise made? Didn't you say that you do NOT have Hashi's? Visit with new Endo > Well I saw Dr. Yomma Monla for the first time today. She is located on > Long Point next the Spring Branch Hospital. > > So far I am impressed. I like her. She did renew my Armour without > batting an eye or any negatives comments. No problems there. I do not > know if she will RX it right off the bat or not, or will if asked. > > She does know alot about the pituitary function, thyroid, diabetes. She > seems to be well informed, knowledgeable all around, just not a one > trick pony. > > When I gave her my prior labs just the last 6 months and then told her > about my suppressed TSH for the last 2+ years and the prior endo's (you > know who) saying I was hyper based on that even though my meds have been > adjusted repeatedly and the other thyroid hormones will change but the > TSH will never change, she says that is because you have (and this is > where my poor ol' memory rears it's ugly head) Central Hypo - either > Thyroidism or Pituitarism. I can't remember which - as I have that dang > pituitary tumor and pituitary problems it could be Hypopituitarism. ??? > > Anyway - she didn't buy the hyperthyroidism bit as I have NO symptoms > for it and no other labs to support it either. She asked a bunch of > questions relating to pituitary and thyroid. Took history. Did an > exam, and during the exam, she'd doing something and then check my > neck/thyroid area - then check something and then check the thyroid > again, she must have check the thyroid 4 or five times. She checked > the whole neck/shoulder area each time she did it. She commented once - > you can really feel that thyroid. > > She did several tests that no one has done before - testing the strength > of my legs, etc. I am a WIMP!!! > > I have a MRI schedule for Saturday to check the status of the Pituitary > tumor - hopefully it's size will be stable - any signs of growth - and > it will be surgery, recovery time from that from what I hear is 2-6 > weeks on average and the potential side effects are NASTY Bad. > > I have a FNA for Tuesday - she did discuss that fact that I have a prior > non-diagnosiatic (sp?) FNA and anything less than 100% benign and we > will need to discuss surgery to remove the thyroid as I have a > documented slow growth nodule and it will not be safe to leave it in. > Does she not have her stuff together or what? Someone else was always > sitting on their duff, but she seems to know what's what. I told her I > have no problem what so ever with surgery, I am now experiencing pain > and difficulty swallowing, it would not bother in the least to have it > removed. > > I see her again on the 16th to go over all the results. > > Oh I have to do the 24 hr urine - Yuck I hate doing that - it's a pain > in the _______. But it is part of the full pituitary work up. > > Janie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2004 Report Share Posted August 5, 2004 Janie I believe it's called by both names? Central Hypothyroidism and Hypopituitarism. Or is the Hypopituitarism having to do with ALL the substances of the pituitary being dwarfed? Somewhere in the back of my mind, it is the latter, I believe. And, unless you are actually lacking in the pituitary making all the substances that it normally makes, you would have the Central Hypothyroidism, where the pituitary is ONLY lacking in making TSH. In other words, your thyroid simply got lousy from nothing to stimulate it to make hormone that it could have otherwise made? Didn't you say that you do NOT have Hashi's? Visit with new Endo > Well I saw Dr. Yomma Monla for the first time today. She is located on > Long Point next the Spring Branch Hospital. > > So far I am impressed. I like her. She did renew my Armour without > batting an eye or any negatives comments. No problems there. I do not > know if she will RX it right off the bat or not, or will if asked. > > She does know alot about the pituitary function, thyroid, diabetes. She > seems to be well informed, knowledgeable all around, just not a one > trick pony. > > When I gave her my prior labs just the last 6 months and then told her > about my suppressed TSH for the last 2+ years and the prior endo's (you > know who) saying I was hyper based on that even though my meds have been > adjusted repeatedly and the other thyroid hormones will change but the > TSH will never change, she says that is because you have (and this is > where my poor ol' memory rears it's ugly head) Central Hypo - either > Thyroidism or Pituitarism. I can't remember which - as I have that dang > pituitary tumor and pituitary problems it could be Hypopituitarism. ??? > > Anyway - she didn't buy the hyperthyroidism bit as I have NO symptoms > for it and no other labs to support it either. She asked a bunch of > questions relating to pituitary and thyroid. Took history. Did an > exam, and during the exam, she'd doing something and then check my > neck/thyroid area - then check something and then check the thyroid > again, she must have check the thyroid 4 or five times. She checked > the whole neck/shoulder area each time she did it. She commented once - > you can really feel that thyroid. > > She did several tests that no one has done before - testing the strength > of my legs, etc. I am a WIMP!!! > > I have a MRI schedule for Saturday to check the status of the Pituitary > tumor - hopefully it's size will be stable - any signs of growth - and > it will be surgery, recovery time from that from what I hear is 2-6 > weeks on average and the potential side effects are NASTY Bad. > > I have a FNA for Tuesday - she did discuss that fact that I have a prior > non-diagnosiatic (sp?) FNA and anything less than 100% benign and we > will need to discuss surgery to remove the thyroid as I have a > documented slow growth nodule and it will not be safe to leave it in. > Does she not have her stuff together or what? Someone else was always > sitting on their duff, but she seems to know what's what. I told her I > have no problem what so ever with surgery, I am now experiencing pain > and difficulty swallowing, it would not bother in the least to have it > removed. > > I see her again on the 16th to go over all the results. > > Oh I have to do the 24 hr urine - Yuck I hate doing that - it's a pain > in the _______. But it is part of the full pituitary work up. > > Janie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2004 Report Share Posted August 5, 2004 No I also have Hashi, fun huh. Central Hypothyroidism, Hashimoto's, Pituitary tumor, my Prolactin level is also whacky - but it hasn't been determine if it's due to the tumor or a side effect of the thyroid problem as it isn't sky high. Another reason I ditched you know who. I feel I will find this question out now. My other hormones - in the past - the ones that have been tested that is - run just below the mid line. I haven't to my knowledge had a full panel. Dr. Vance probably did several back when it was first found, but I was ignorant then and never asked questions. I have no clue what was what or what she found out other then the tumor and it made me infertile. She did put me on Bromocriptine (sp?) for 14 months for it. That stuff made me sick as a dog the whole time. She did blood work on average every 10-15 days that 14 month period. Then we moved. The tumor does secrete the Alpha-Sub unit. This could indicate it's a non-functioning tumor, but if it also secrete FSHb and LHb then it's a Gondular Tumor - secreting FSH and LH periodically. That was never tested for. I feel she will be one to test and eliminate one by one. Depending on the type - symptoms - then treatment varies. With most though, if there are symptoms present - then surgery is highly possible. Don't know how I feel about that. I don't mind thyroid surgery - but that is a different kettle of fish. Janie Re: Visit with new Endo JanieI believe it's called by both names? Central Hypothyroidism andHypopituitarism. Or is the Hypopituitarism having to do with ALL thesubstances of the pituitary being dwarfed? Somewhere in the back of mymind, it is the latter, I believe. And, unless you are actually lacking inthe pituitary making all the substances that it normally makes, you wouldhave the Central Hypothyroidism, where the pituitary is ONLY lacking inmaking TSH. In other words, your thyroid simply got lousy from nothing tostimulate it to make hormone that it could have otherwise made? Didn't yousay that you do NOT have Hashi's? Visit with new Endo> Well I saw Dr. Yomma Monla for the first time today. She is located on> Long Point next the Spring Branch Hospital.>> So far I am impressed. I like her. She did renew my Armour without> batting an eye or any negatives comments. No problems there. I do not> know if she will RX it right off the bat or not, or will if asked.>> She does know alot about the pituitary function, thyroid, diabetes. She> seems to be well informed, knowledgeable all around, just not a one> trick pony.>> When I gave her my prior labs just the last 6 months and then told her> about my suppressed TSH for the last 2+ years and the prior endo's (you> know who) saying I was hyper based on that even though my meds have been> adjusted repeatedly and the other thyroid hormones will change but the> TSH will never change, she says that is because you have (and this is> where my poor ol' memory rears it's ugly head) Central Hypo - either> Thyroidism or Pituitarism. I can't remember which - as I have that dang> pituitary tumor and pituitary problems it could be Hypopituitarism. ???>> Anyway - she didn't buy the hyperthyroidism bit as I have NO symptoms> for it and no other labs to support it either. She asked a bunch of> questions relating to pituitary and thyroid. Took history. Did an> exam, and during the exam, she'd doing something and then check my> neck/thyroid area - then check something and then check the thyroid> again, she must have check the thyroid 4 or five times. She checked> the whole neck/shoulder area each time she did it. She commented once -> you can really feel that thyroid.>> She did several tests that no one has done before - testing the strength> of my legs, etc. I am a WIMP!!!>> I have a MRI schedule for Saturday to check the status of the Pituitary> tumor - hopefully it's size will be stable - any signs of growth - and> it will be surgery, recovery time from that from what I hear is 2-6> weeks on average and the potential side effects are NASTY Bad.>> I have a FNA for Tuesday - she did discuss that fact that I have a prior> non-diagnosiatic (sp?) FNA and anything less than 100% benign and we> will need to discuss surgery to remove the thyroid as I have a> documented slow growth nodule and it will not be safe to leave it in.> Does she not have her stuff together or what? Someone else was always> sitting on their duff, but she seems to know what's what. I told her I> have no problem what so ever with surgery, I am now experiencing pain> and difficulty swallowing, it would not bother in the least to have it> removed.>> I see her again on the 16th to go over all the results.>> Oh I have to do the 24 hr urine - Yuck I hate doing that - it's a pain> in the _______. But it is part of the full pituitary work up.>> Janie Quote Link to comment Share on other sites More sharing options...
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