Guest guest Posted January 1, 2002 Report Share Posted January 1, 2002 I don't understand this... Regarding lung mets in differentiated thyroid cancer: The early (pre-radiographic) scintigraphic diagnosis and I-131 therapy of lung mets appears to be the most important element in obtaining both a significant improvement in survival rate and a prolonged disease free time interval in these patients. In patients with a negative CXR, but positive I-131 scans, there was a 10 year survival rate of 96% and a complete disease remission rate of 80% following I-131 therapy. In patients with both a positive CXR and a positive I-131 scan, the 10 year survival rate was significantly lower (40%) and complete remission was rarely achieved (4%). Patients with a positive CXR, but a negative I-131 scan had the worst prognosis with a 10 year survival rate of only 10% and no complete remissions. It should be pointed out that the micronodular pattern (miliary) of lung mets was invariably related to good I-131 uptake and a better prognosis, while macronodular (over 0.5 cm) mets frequently sh owed poor uptake and had an associated worse prognosis. (Fatal outcome was almost always observed in patients with macronodular mets and no I-131 accumulation). In summary: The presence of iodine concentrating pulmonary mets with a negative CXR appears not to influence mortality, however, non-concentrating micro- or macronodular mets do increase mortality risk. Overall, men have a higher incidence of pulmonary mets. What does this mean? Can someone decipher this for me? I don't understand so much of this. Bergeron(age 24,Tampa FL) elizabetholson0@... that last 0 is a zero pap. thyca 11/00 (both lobes and lymph nodes) tt 12/00, RAI 175mCi 1/01 one year later TSH 73 TG was 38.2 48 hr scan came back clean 72 hr clean as well 204 mCi on Dec 17, 2001 scan 9 days later showed activity in the chest awaiting more scans to find out specifically where it is -- On Wed, 02 Jan 2002 00:12:00 gbambach64 wrote: >Sonu Mitts: >The federal act is called " Health Insurance Portability and >Accountability Act of 1996 " and you can read more detail about it on >these sites: >http://www.hcfa.gov/hipaa/hipaahm.htm >http://www.insure.com/health/hipaa.html > > >I became aware of this due to a co-worker of mine having 2 autistic >children and mentioning that before this law, he would lose insurance >coverage for his children if he left our company to work at another >company. Once this law was enacted, he indicated that he would be >able to work for another company without risk of losing coverage for >his boys' pre-exisiting condition. > >I've not read a lot about it -- so please do your own detailed >investigation about what it allows and disallows. Since it's a >federal law, I'm not sure how much power individual states have to >craft their own rules or laws about this issue. > >Gwynne Bambach - Michigan > > > > >> > , >> > >> > Your new employer in Colorado should offer you one or more >medical >> > plans to enroll in which you stay in usually from Jan thru Dec. >> > Then, in October of 2002, you might be allowed to make changes >> > (switch plans, change coverage, etc) that will take effect in >2003 >> > calendar year. >> > >> > Plans vary for what types of medical treatment is covered and how >> > much of expense is covered (full, partial, or none). You will >> > usually bear some part of the expenses (i.e., monthly deduction >> from >> > paycheck, a co-pay for office visits and/or perscriptions). >> > >> > Your treatment for thyca follow up will be covered within >whichever >> > plan you select since we now have a law that forbids insurance >> > companies from denying a person coverage for pre-exisiting >> > conditions. >> > >> > My suggestions to you would be to review all the medical plans >> > offered to see how the differ and hopefully you can pick the one >> that >> > best suits your needs. Having thyca, I would look for one that >> > covers 80% or more of in-patient and out-patient hospital costs, >> low >> > office visit co-pay (mine is $10.00 per visit) and low >perscription >> > co-pay (mine is $5.00 for each perscription). >> > >> > Some plans require you to go to specific doctors that are " in the >> > plan " others let you choose your own doctor. You may want to ask >> > your co-workers for their opinions. >> > >> > I belong to an HMO (health maintenance organization) and must go >to >> > specific hosptials, clinics, and doctors. I enrolled in my HMO >> more >> > than 14 years ago and I've been extremely pleased with every >aspect >> > of it. For the first 13 years I only needed to be doctored for >> > colds, flu, and annual exams; then this year I dealt with the >> entire >> > thyca issue of surgery, RAI, follow-up, etc. I didn't pay for >> > anything other than office visits and perscription co-pays and I >> > NEVER have to deal with any billing issues or reimbursement >> issues. >> > I feel that the time and aggrevation saved in not having to fight >> > with an insurance company is worth A LOT more than I'm paying >each >> > monht for family medical coverage ($74.00) >> > >> > Good Luck! I hope this helps you. >> > >> > Gwynne Bambach - Michigan >> > Pap w fol var, tumor 1.7cm, lymph node mets >> > DX 12/21/00 (age 36) >> > TT 1/5/01 >> > RAI 4/11/01 101.5 mCi >> > (delayed 3 months due to iodine from previous CT scan) >> > 2nd RAI – upcoming 4/2002 > > -- Click here for your very own create-a-date adventure from MatchMaker Go to http://ecard.matchmaker.com/dating.html Quote Link to comment Share on other sites More sharing options...
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