Guest guest Posted May 9, 2006 Report Share Posted May 9, 2006 Vivian will Rx Armour. She is on our list. (So will the "Big A" and the "Big P", but they would keep you undermedicated.) (My doc in Lubbock does his own fnas, so does not need to refer for that.) Has your TSH been kept suppressed to try to shrink the nodules? Suppression is the only non-surgical treatment for small nodules. Most (but not all) endos know that. How large are they? You might ask for a referral to someone at MD , such as Nicolas Sarlis, and just be insistent about staying on Armour. Sarlis prefers Cytomel plus $ynthroid, but will reluctantly Rx Armour. Kate Guynn wrote: I just got back from my ultrasound. I won't know anything until late tomorrow or Wednesday. However it "looks" like at least two of my nodules have grown in the past year. They are going to give my doctor the report by tomorrow afternoon. I have "a feeling" that if it has grown she will want me to go to an Endo for an FNA etc. I roll my eyes and groan at the thought of having to deal with someone that will probably not like me on Armour and a TSH suppressed. With that said any suggestions on Endos, Jan? My next to oldest sister is a nine year ThyCa survivor. I'm not worried but I just want to do what is right for me and that can be different that what the doctors think is right.Kate Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2¢/min or less. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2006 Report Share Posted May 9, 2006 My TSH has been suppressed for over a year. Last year I had four that where all under 1 cm. The two that I saw looked larger and the tech wouldn't give info other than yes that was a nodule. I could be wrong. But you know when you have a feeling. I don't know maybe it's just that I feel crappy today. I don't think my GP will do an FNA. If it comes to that maybe I just need to look for another GP that would do it. I guess I assumed that only Endos or Certain Pathologist did FNA's. I should know more by Wednesday. BTW I don't have to have a referral, I'm PPO. However I don't know if MD is on our list. We are on Memorial Hermann Freedom of Choice. Thanks Jan! Kate At 06:46 PM 5/8/2006, you wrote: >Vivian will Rx Armour. She is on our list. (So will the " Big A " >and the " Big P " , but they would keep you undermedicated.) > >(My doc in Lubbock does his own fnas, so does not need to refer for that.) > >Has your TSH been kept suppressed to try to shrink the nodules? >Suppression is the only non-surgical treatment for small nodules. Most >(but not all) endos know that. How large are they? > >You might ask for a referral to someone at MD , such as Nicolas >Sarlis, and just be insistent about staying on Armour. Sarlis prefers >Cytomel plus $ynthroid, but will reluctantly Rx Armour. > > >Kate Guynn wrote: >I just got back from my ultrasound. I won't know anything until late >tomorrow or Wednesday. However it " looks " like at least two of my nodules >have grown in the past year. They are going to give my doctor the report >by tomorrow afternoon. I have " a feeling " that if it has grown she will >want me to go to an Endo for an FNA etc. I roll my eyes and groan at the >thought of having to deal with someone that will probably not like me on >Armour and a TSH suppressed. With that said any suggestions on Endos, >Jan? My next to oldest sister is a nine year ThyCa survivor. I'm not >worried but I just want to do what is right for me and that can be >different that what the doctors think is right. > >Kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2006 Report Share Posted May 9, 2006 They are both on the list, so I would just need to call to verify that they really do take our insurance. Kate At 06:46 PM 5/8/2006, you wrote: >Vivian will Rx Armour. She is on our list. (So will the " Big A " >and the " Big P " , but they would keep you undermedicated.) > >(My doc in Lubbock does his own fnas, so does not need to refer for that.) > >Has your TSH been kept suppressed to try to shrink the nodules? >Suppression is the only non-surgical treatment for small nodules. Most >(but not all) endos know that. How large are they? > >You might ask for a referral to someone at MD , such as Nicolas >Sarlis, and just be insistent about staying on Armour. Sarlis prefers >Cytomel plus $ynthroid, but will reluctantly Rx Armour. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2006 Report Share Posted May 12, 2006 I just got a call back from the Dr office. 2 of my nodules are enlarged to 3-4cm, she wants me to see an Endo. It's Friday so I'm hitting voice mail central. I have left messages with both Dr and Dr Sarlis. I don't know if Dr Sarlis will see me w/o a cancer diagnosis. So the waiting begins! Kate At 06:46 PM 5/8/2006, you wrote: >Vivian will Rx Armour. She is on our list. (So will the " Big A " >and the " Big P " , but they would keep you undermedicated.) > >(My doc in Lubbock does his own fnas, so does not need to refer for that.) > >Has your TSH been kept suppressed to try to shrink the nodules? >Suppression is the only non-surgical treatment for small nodules. Most >(but not all) endos know that. How large are they? > >You might ask for a referral to someone at MD , such as Nicolas >Sarlis, and just be insistent about staying on Armour. Sarlis prefers >Cytomel plus $ynthroid, but will reluctantly Rx Armour. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2006 Report Share Posted May 12, 2006 He should be willing to see you. There may be a waiting list however. With nodules that large (read "pingpong ball"), I would skip the fna and go directly to surgery. Kate Guynn wrote: I just got a call back from the Dr office. 2 of my nodules are enlarged to 3-4cm, she wants me to see an Endo. It's Friday so I'm hitting voice mail central. I have left messages with both Dr and Dr Sarlis. I don't know if Dr Sarlis will see me w/o a cancer diagnosis.So the waiting begins!KateAt 06:46 PM 5/8/2006, you wrote:>Vivian will Rx Armour. She is on our list. (So will the "Big A" >and the "Big P", but they would keep you undermedicated.)>>(My doc in Lubbock does his own fnas, so does not need to refer for that.)>>Has your TSH been kept suppressed to try to shrink the nodules? >Suppression is the only non-surgical treatment for small nodules. Most >(but not all) endos know that. How large are they?>>You might ask for a referral to someone at MD , such as Nicolas >Sarlis, and just be insistent about staying on Armour. Sarlis prefers >Cytomel plus $ynthroid, but will reluctantly Rx Armour. Love cheap thrills? Enjoy PC-to-Phone calls to 30+ countries for just 2¢/min with Yahoo! Messenger with Voice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2006 Report Share Posted May 12, 2006 Maybe I misunderstood her, maybe it was 3-4mm. Aren't they normally measured in cm? Jan do you have suggested websites? Thanks! Kate At 02:03 PM 5/12/2006, you wrote: >He should be willing to see you. There may be a waiting list however. > >With nodules that large (read " pingpong ball " ), I would skip the fna and >go directly to surgery. > > >Kate Guynn wrote: >I just got a call back from the Dr office. 2 of my nodules are enlarged to >3-4cm, she wants me to see an Endo. It's Friday so I'm hitting voice mail >central. I have left messages with both Dr and Dr Sarlis. I >don't know if Dr Sarlis will see me w/o a cancer diagnosis. > >So the waiting begins! > >Kate > >At 06:46 PM 5/8/2006, you wrote: > >Vivian will Rx Armour. She is on our list. (So will the " Big A " > >and the " Big P " , but they would keep you undermedicated.) > > > >(My doc in Lubbock does his own fnas, so does not need to refer for that.) > > > >Has your TSH been kept suppressed to try to shrink the nodules? > >Suppression is the only non-surgical treatment for small nodules. Most > >(but not all) endos know that. How large are they? > > > >You might ask for a referral to someone at MD , such as Nicolas > >Sarlis, and just be insistent about staying on Armour. Sarlis prefers > >Cytomel plus $ynthroid, but will reluctantly Rx Armour. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2006 Report Share Posted May 12, 2006 Got received a letter from Dr. Sarlis saying that he will be leaving MD . Not sure when, but I received the letter a few weeks ago. boo hoo. Just when I thought things were going well for me! Lynn At 02:03 PM 5/12/2006, you wrote: He should be willing to see you. There may be a waiting list however. With nodules that large (read " pingpong ball " ), I would skip the fna and go directly to surgery. Kate Guynn wrote: I just got a call back from the Dr office. 2 of my nodules are enlarged to 3-4cm, she wants me to see an Endo. It's Friday so I'm hitting voice mail central. I have left messages with both Dr and Dr Sarlis. I don't know if Dr Sarlis will see me w/o a cancer diagnosis. So the waiting begins! Kate At 06:46 PM 5/8/2006, you wrote: >Vivian will Rx Armour. She is on our list. (So will the " Big A " >and the " Big P " , but they would keep you undermedicated.) > >(My doc in Lubbock does his own fnas, so does not need to refer for that.) > >Has your TSH been kept suppressed to try to shrink the nodules? >Suppression is the only non-surgical treatment for small nodules. Most >(but not all) endos know that. How large are they? > >You might ask for a referral to someone at MD , such as Nicolas >Sarlis, and just be insistent about staying on Armour. Sarlis prefers >Cytomel plus $ynthroid, but will reluctantly Rx Armour. Love cheap thrills? Enjoy PC-to-Phone calls to 30+ countries for just 2¢/min with Yahoo! Messenger with Voice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2006 Report Share Posted May 12, 2006 Uhhhh! Sorry to hear that. Kate At 02:18 PM 5/12/2006, you wrote: >Got received a letter from Dr. Sarlis saying that he will be leaving MD >. >Not sure when, but I received the letter a few weeks ago. boo hoo. >Just when I thought things were going well for me! >Lynn > > > >At 02:03 PM 5/12/2006, you wrote: >>He should be willing to see you. There may be a waiting list however. >> >>With nodules that large (read " pingpong ball " ), I would skip the fna and >>go directly to surgery. >> >> >>Kate Guynn wrote: >>I just got a call back from the Dr office. 2 of my nodules are enlarged to >>3-4cm, she wants me to see an Endo. It's Friday so I'm hitting voice mail >>central. I have left messages with both Dr and Dr Sarlis. I >>don't know if Dr Sarlis will see me w/o a cancer diagnosis. >>So the waiting begins! >>Kate >>At 06:46 PM 5/8/2006, you wrote: >> >Vivian will Rx Armour. She is on our list. (So will the " Big A " >> >and the " Big P " , but they would keep you undermedicated.) >> > >> >(My doc in Lubbock does his own fnas, so does not need to refer for that.) >> > >> >Has your TSH been kept suppressed to try to shrink the nodules? >> >Suppression is the only non-surgical treatment for small nodules. Most >> >(but not all) endos know that. How large are they? >> > >> >You might ask for a referral to someone at MD , such as Nicolas >> >Sarlis, and just be insistent about staying on Armour. Sarlis prefers >> >Cytomel plus $ynthroid, but will reluctantly Rx Armour. >> >> >>Love cheap thrills? Enjoy PC-to-Phone >><http://us.rd.yahoo.com/mail_us/taglines/postman9/*http://us.rd.yahoo.com/evt=\ 39666/*http://messenger.yahoo.com/>calls >>to 30+ countries for just 2¢/min with Yahoo! Messenger with Voice. >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2006 Report Share Posted May 12, 2006 They are usually measured in mm if they are small and cm if they are over 1 cm. FNAs are generally not done on anything much smaller than 1 cm. Nodules of 3-4 mm would not be of any note. You most likely have pingpong balls.Kate Guynn wrote: Maybe I misunderstood her, maybe it was 3-4mm. Aren't they normally measured in cm?Jan do you have suggested websites?Thanks!KateAt 02:03 PM 5/12/2006, you wrote:>He should be willing to see you. There may be a waiting list however.>>With nodules that large (read "pingpong ball"), I would skip the fna and >go directly to surgery.>>>Kate Guynn wrote:>I just got a call back from the Dr office. 2 of my nodules are enlarged to>3-4cm, she wants me to see an Endo. It's Friday so I'm hitting voice mail>central. I have left messages with both Dr and Dr Sarlis. I>don't know if Dr Sarlis will see me w/o a cancer diagnosis.>>So the waiting begins!>>Kate>>At 06:46 PM 5/8/2006, you wrote:> >Vivian will Rx Armour. She is on our list. (So will the "Big A"> >and the "Big P", but they would keep you undermedicated.)> >> >(My doc in Lubbock does his own fnas, so does not need to refer for that.)> >> >Has your TSH been kept suppressed to try to shrink the nodules?> >Suppression is the only non-surgical treatment for small nodules. Most> >(but not all) endos know that. How large are they?> >> >You might ask for a referral to someone at MD , such as Nicolas> >Sarlis, and just be insistent about staying on Armour. Sarlis prefers> >Cytomel plus $ynthroid, but will reluctantly Rx Armour. Yahoo! Mail goes everywhere you do. Get it on your phone. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2006 Report Share Posted May 12, 2006 Crap!!! Dr R's office just called, they don't take my insurance. And the date was July 25th. That is nuts, two months! Any suggestions? Should I just try to get in with anyone at MD ? Right now I don't know if they will take my insurance. Kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 12, 2006 Report Share Posted May 12, 2006 Ok, I called my insurance they verified that MD IS in our network. I can go without referral to any MD Doctor! She documented the phone call in their computer system as we spoke! Kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 13, 2006 Report Share Posted May 13, 2006 You might try MD . But I don't have any other names for you.Kate Guynn wrote: Crap!!! Dr R's office just called, they don't take my insurance. And the date was July 25th. That is nuts, two months! Any suggestions? Should I just try to get in with anyone at MD ? Right now I don't know if they will take my insurance.Kate New Yahoo! Messenger with Voice. Call regular phones from your PC and save big. Quote Link to comment Share on other sites More sharing options...
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