Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Hi Caroline, I am so sorry you are feeling so terrible and now have your dr. treat you this way. It is not acceptable for him to do that, you could either tell him you want some answers to your questions, that your not controlling but it is YOUR body or you could find another endo, one who truely has some knowledge of this disease and its symptoms, one who will take the time to sit down with you and help with all of this. There are good endos out there that don't give lip service to though of us with GD...I doubted it for a long time, but now I have one I truly like, who takes time, will return my long distance calls to answer questions etc...just something to consider. When were you diagnosed again, brain farts this morning, and are you on ATD's? Take care, Jody _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. Share information about yourself, create your own public profile at http://profiles.msn.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Hi Caroline, I am so sorry you are feeling so terrible and now have your dr. treat you this way. It is not acceptable for him to do that, you could either tell him you want some answers to your questions, that your not controlling but it is YOUR body or you could find another endo, one who truely has some knowledge of this disease and its symptoms, one who will take the time to sit down with you and help with all of this. There are good endos out there that don't give lip service to though of us with GD...I doubted it for a long time, but now I have one I truly like, who takes time, will return my long distance calls to answer questions etc...just something to consider. When were you diagnosed again, brain farts this morning, and are you on ATD's? Take care, Jody _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. Share information about yourself, create your own public profile at http://profiles.msn.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Dear Caroline, I am sure that your doctor should and will do labs closer to your surgery. And you should keep a very complete log of any symptoms. Take your pulse in the am before you arise and then again after you have moved around. Be sure that you aren't taking seafood supplements ( kelp) or iodized vitamins etc. Relaxation and any gentle walking or stretching you can do would help calm things down. Drink lots of water too. I don't know your history, just what was in this post, but that is a very high resting pulse. Did youtell the doctor that? I don't know why you call your post a raving, you sound sane and rightly seeking to give the doc info he needs to properly determine your treatment. " Control freAK " ? THAT IS WHEN FOLKS TRY TO MONKEY IN OTHER PEOples lives...not when they pay attention to their health and seek input. And evenif you were a CF, CF's need blood work done too. And 2nd opinions can be very comforting and supportive... and definitely what you need right now is some medical support. best to you...don't internalize your doc's lack of grace, maybe he was having a bad day too. Jeannette Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Dear Caroline, I am sure that your doctor should and will do labs closer to your surgery. And you should keep a very complete log of any symptoms. Take your pulse in the am before you arise and then again after you have moved around. Be sure that you aren't taking seafood supplements ( kelp) or iodized vitamins etc. Relaxation and any gentle walking or stretching you can do would help calm things down. Drink lots of water too. I don't know your history, just what was in this post, but that is a very high resting pulse. Did youtell the doctor that? I don't know why you call your post a raving, you sound sane and rightly seeking to give the doc info he needs to properly determine your treatment. " Control freAK " ? THAT IS WHEN FOLKS TRY TO MONKEY IN OTHER PEOples lives...not when they pay attention to their health and seek input. And evenif you were a CF, CF's need blood work done too. And 2nd opinions can be very comforting and supportive... and definitely what you need right now is some medical support. best to you...don't internalize your doc's lack of grace, maybe he was having a bad day too. Jeannette Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Caroline, good luck. One question that I hope won't upset you: is this the endo or the surgeon? Not being in the US you may stand a better chance of finding a skilled surgeon but one has to be careful. Also, a question for the audience - does anyone know if there's a recommended preparatory protocol for surgery? For example, before RAI it's important for the patient to be on beta-blockers and/or ATD's to reduce the risk of thyroid storm (even if not all endos will do this). Fay Young ________________________________________________________________ YOU'RE PAYING TOO MUCH FOR THE INTERNET! Juno now offers FREE Internet Access! Try it today - there's no risk! For your FREE software, visit: http://dl.www.juno.com/get/tagj. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Caroline, good luck. One question that I hope won't upset you: is this the endo or the surgeon? Not being in the US you may stand a better chance of finding a skilled surgeon but one has to be careful. Also, a question for the audience - does anyone know if there's a recommended preparatory protocol for surgery? For example, before RAI it's important for the patient to be on beta-blockers and/or ATD's to reduce the risk of thyroid storm (even if not all endos will do this). Fay Young ________________________________________________________________ YOU'RE PAYING TOO MUCH FOR THE INTERNET! Juno now offers FREE Internet Access! Try it today - there's no risk! For your FREE software, visit: http://dl.www.juno.com/get/tagj. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Caroline: Fay's got some good points - I had the same questions when I read your post. If I were in your place, I know I would feel much better for having run blood tests again. I have not had a thyroidectomy, but have had a tumor removed from my neck. My mother and one sister have had thyroidectomies. Without going into specifics, please be very very sure that you have a surgeon who has done this many times successfully. There's a lot going on around the thyroid, such as the parathyroid and your facial nerves, so don't take any chances! I hope everything goes smoothly and successfully from now on. At 10:55 AM 09/26/2000 -0400, you wrote: >Caroline, good luck. One question that I hope won't upset you: is this >the endo or the surgeon? Not being in the US you may stand a better >chance of finding a skilled surgeon but one has to be careful. >Also, a question for the audience - does anyone know if there's a >recommended preparatory protocol for surgery? For example, before RAI >it's important for the patient to be on beta-blockers and/or ATD's to >reduce the risk of thyroid storm (even if not all endos will do this). >Fay Young >________________________________________________________________ >YOU'RE PAYING TOO MUCH FOR THE INTERNET! >Juno now offers FREE Internet Access! >Try it today - there's no risk! For your FREE software, visit: >http://dl.www.juno.com/get/tagj. > > >------------------------------------- >The Graves' list is intended for informational purposes only and is not intended to replace expert medical care. >Please consult your doctor before changing or trying new treatments. >---------------------------------------- > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 > Caroline, good luck. One question that I hope won't upset you: is this > the endo or the surgeon? Not being in the US you may stand a better > chance of finding a skilled surgeon but one has to be careful. > Also, a question for the audience - does anyone know if there's a > recommended preparatory protocol for surgery? For example, before RAI > it's important for the patient to be on beta-blockers and/or ATD's to > reduce the risk of thyroid storm (even if not all endos will do this). > Fay Young First: It is ABSOLUTELY ESSENTIAL you're EUthyroid (normal hormone readings) prior surgery. Second: In almost all cases LUGOL (iodine containing drops) are given for 10 days or a week, right before surgery, ir order to harden the gland and make it easier for the surgeon to handle, and also to avoid excessive bleeding as the thyroid is a very vascularized gland. A. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 > Caroline, good luck. One question that I hope won't upset you: is this > the endo or the surgeon? Not being in the US you may stand a better > chance of finding a skilled surgeon but one has to be careful. > Also, a question for the audience - does anyone know if there's a > recommended preparatory protocol for surgery? For example, before RAI > it's important for the patient to be on beta-blockers and/or ATD's to > reduce the risk of thyroid storm (even if not all endos will do this). > Fay Young First: It is ABSOLUTELY ESSENTIAL you're EUthyroid (normal hormone readings) prior surgery. Second: In almost all cases LUGOL (iodine containing drops) are given for 10 days or a week, right before surgery, ir order to harden the gland and make it easier for the surgeon to handle, and also to avoid excessive bleeding as the thyroid is a very vascularized gland. A. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Caroline, Call the drs. office and talk to the receptionist...ask her to give your phone number and/or your e-mail address to some of his other GD patients. Maybe you can start your own support group given the number of people there with GD...it would also give you an opprotunity to talk with others about your dr to see if they are having the same feelings. I have read all of the other posts, and I have to agree, I wouldn't have the surgery until your symptoms are calmed down to a manageable level. I'm not sure if postponing it before you get some contacts from the drs. office or not If you do, they may not help you get connected with other GDers but then you could come back with 'talking with others may help me to understand what is going on and calm me down to the treatment I need'...I know with the surgeon who does all the thyroid surgeries here, he has passed my name and number on to a few of his GD patients, though he wouldn't give me their info, which is understandable, can't do that without permission. I do understand the confusion part, Caroline, we all do, I am getting to a point where I can deal with it a bit better, but in the beginning when I couldn't think of a word for an object I was looking at I would just cry...it does get better. But while you are in this condition, it is definately not the time to be making life-long decisions, your mind just isn't thinking properly...yet, but it will get better I don't remember when you were diagnosed...has it been just recently? *HUGZ* and prayers for you. Jody _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. Share information about yourself, create your own public profile at http://profiles.msn.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Hi Jody Thanks for the time you take to help me. I agree the attitude is not acceptable. I feel somewhat stuck though. I haven't found any support groups in Australia to get info on a more 'user friendly' endo and the one I have has got a decent reputation in the area I live in. He has about 50 to 60 GD patients (he tells me) and that's not bad given I estimate there to be about 350 in all of Sydney. Tomorrow I'm going to see the naturopathic physician I saw in June, who has helped my symptoms with homeopathic meds. I've rested this morning and I'm off the work shortly, so I hope to feel better today. I'm have GD and multi nodule goitre and am on PTU (50mg X 2 per day) + Thyroxin (T4) because my bloods 1 month ago showed me to be hypo. I stopped the thyroxin 1 week ago when I felt hyper. I felt so confused last night that I thought I better take it again as the endo felt I was not hyper. I really don't know what to do right now. I'll pray about for awhile and try to settle myself down. The answers usually come sooner or later. Take Care Caroline Jody Spitale wrote: > Hi Caroline, > I am so sorry you are feeling so terrible and now have your dr. treat you > this way. It is not acceptable for him to do that, you could either tell > him you want some answers to your questions, that your not controlling but > it is YOUR body or you could find another endo, one who truely has some > knowledge of this disease and its symptoms, one who will take the time to > sit down with you and help with all of this. > There are good endos out there that don't give lip service to though of us > with GD...I doubted it for a long time, but now I have one I truly like, who > takes time, will return my long distance calls to answer questions > etc...just something to consider. > > When were you diagnosed again, brain farts this morning, and are you on > ATD's? > > Take care, > Jody > _________________________________________________________________________ > Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. > > Share information about yourself, create your own public profile at > http://profiles.msn.com. > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Dear Jeanette Thanks for the help. My endo doesn't plan to see me again until the night before surgery in hospital and my surgeon hasn't told me to see him again also. I find this very confusing. I will call the surgeon and try to get another appointment before surgery. I have never kept a journal of my symptoms - I can see the sense in this and will start straight away - thanks for the tip. I don't take supplements, I do usually drink lots of water and I don't get much exercise or proper relaxation - so will try to fix that. I did tell the endo the pulse rate - he says I was anxious! I'm unsure if I can get a second opinion before the surgery. I do know a very good physician and I can speak to him about it all. Will keep you posted - thanks again Caroline Xenoi@... wrote: > Dear Caroline, > > I am sure that your doctor should and will do labs closer to your surgery. And you should keep a very complete log of any symptoms. Take your pulse in the am before you arise and then again after you have moved around. > > Be sure that you aren't taking seafood supplements ( kelp) or iodized vitamins etc. > > Relaxation and any gentle walking or stretching you can do would help calm things down. > > Drink lots of water too. > > I don't know your history, just what was in this post, but that is a very high resting pulse. Did youtell the doctor that? > > I don't know why you call your post a raving, you sound sane and rightly seeking to give the doc info he needs to properly determine your treatment. > > " Control freAK " ? THAT IS WHEN FOLKS TRY TO MONKEY IN OTHER PEOples lives...not when they pay attention to their health and seek input. And evenif you were a CF, CF's need blood work done too. > > And 2nd opinions can be very comforting and supportive... and definitely what you need right now is some medical support. > > best to you...don't internalize your doc's lack of grace, maybe he was having a bad day too. > > Jeannette > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Thanks Fay It was my endo. The surgeon tells me he has been doing thyroid surgery for about 30 years and he currently does 2 or 3 per week (we don't have a huge population in Sydney). He says he not had serious complications. I know I have to euthyroid before surgery because of the risk - I suspect I am not at present, so I'll have to get it sorted out. I don't know of any other protocols. Thanks again Caroline hkfjhsf Young wrote: > Caroline, good luck. One question that I hope won't upset you: is this > the endo or the surgeon? Not being in the US you may stand a better > chance of finding a skilled surgeon but one has to be careful. > Also, a question for the audience - does anyone know if there's a > recommended preparatory protocol for surgery? For example, before RAI > it's important for the patient to be on beta-blockers and/or ATD's to > reduce the risk of thyroid storm (even if not all endos will do this). > Fay Young > ________________________________________________________________ > YOU'RE PAYING TOO MUCH FOR THE INTERNET! > Juno now offers FREE Internet Access! > Try it today - there's no risk! For your FREE software, visit: > http://dl.www.juno.com/get/tagj. > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Dear I certainly will get the bloods done - somehow. As I answered to Fay, the surgeon appears to know what he is doing. I hope you sister and mother are doing OK. Thanks for your wishes. Caroline Shen wrote: > Caroline: > > Fay's got some good points - I had the same questions when I read your > post. If I were in your place, I know I would feel much better for having > run blood tests again. > > I have not had a thyroidectomy, but have had a tumor removed from my neck. > My mother and one sister have had thyroidectomies. Without going into > specifics, please be very very sure that you have a surgeon who has done > this many times successfully. There's a lot going on around the thyroid, > such as the parathyroid and your facial nerves, so don't take any chances! > > I hope everything goes smoothly and successfully from now on. > > At 10:55 AM 09/26/2000 -0400, you wrote: > >Caroline, good luck. One question that I hope won't upset you: is this > >the endo or the surgeon? Not being in the US you may stand a better > >chance of finding a skilled surgeon but one has to be careful. > >Also, a question for the audience - does anyone know if there's a > >recommended preparatory protocol for surgery? For example, before RAI > >it's important for the patient to be on beta-blockers and/or ATD's to > >reduce the risk of thyroid storm (even if not all endos will do this). > >Fay Young > >________________________________________________________________ > >YOU'RE PAYING TOO MUCH FOR THE INTERNET! > >Juno now offers FREE Internet Access! > >Try it today - there's no risk! For your FREE software, visit: > >http://dl.www.juno.com/get/tagj. > > > > > >------------------------------------- > >The Graves' list is intended for informational purposes only and is not > intended to replace expert medical care. > >Please consult your doctor before changing or trying new treatments. > >---------------------------------------- > > > > > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Dear Yes I know I have to be euthyroid - I'm sure that's why I got so upest with the endo being dismissive towards me. Gee it isn't him on the table! Nor the endo or the surgeon have meantion the drops to me. I will discuss with the surgeon ASAP. Thanks again Caroline " A. " wrote: > > > Caroline, good luck. One question that I hope won't upset you: is > this > > the endo or the surgeon? Not being in the US you may stand a better > > chance of finding a skilled surgeon but one has to be careful. > > Also, a question for the audience - does anyone know if there's a > > recommended preparatory protocol for surgery? For example, before > RAI > > it's important for the patient to be on beta-blockers and/or ATD's > to > > reduce the risk of thyroid storm (even if not all endos will do > this). > > Fay Young > > First: It is ABSOLUTELY ESSENTIAL you're EUthyroid (normal hormone > readings) prior surgery. > > Second: In almost all cases LUGOL (iodine containing drops) are given > for 10 days or a week, right before surgery, ir order to harden the > gland and make it easier for the surgeon to handle, and also to avoid > excessive bleeding as the thyroid is a very vascularized gland. > > A. > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 26, 2000 Report Share Posted September 26, 2000 Caroline, I've read all these posts, and I have only one piece of advice to add: Don't rush into the surgery if you are feeling uncomfortable about things. If they need to reschedule, and they are inconvenienced by that, it's their problem, not yours. Take the time to sort it all out, demand answers to all the questions, make sure you don't get railroaded for some doctor's convenience! In the long run, waiting a few days, weeks or even months, until you are absolutely sure of what's going on and have confidence that you are making the right decision, is not going to cause you any harm. Rushing into surgery if you are uneasy and maybe influenced negatively by the fluctuations of your thyroid may very well be harmful. Anyway, from what I'm reading here, you shouldn't have the surgery at all if your thyroid is so unstable right now. TerryP > > Reply-To: graves_supportegroups > Date: Wed, 27 Sep 2000 11:49:02 +1000 > To: graves_supportegroups > Subject: Re: Wouldn't you know it..(long) > > Hi Jody > > Thanks for the time you take to help me. I agree the attitude is not > acceptable. I feel > somewhat stuck though. I haven't found any support groups in Australia to get > info > on a more 'user friendly' endo and the one I have has got a decent reputation > in the > area I live in. He has about 50 to 60 GD patients (he tells me) and that's not > bad given > I estimate there to be about 350 in all of Sydney. > > Tomorrow I'm going to see the naturopathic physician I saw in June, who has > helped my > symptoms with homeopathic meds. I've rested this morning and I'm off the work > shortly, > so I hope to feel better today. > > I'm have GD and multi nodule goitre and am on PTU (50mg X 2 per day) + > Thyroxin > (T4) because my bloods 1 month ago showed me to be hypo. I stopped the > thyroxin > 1 week ago when I felt hyper. I felt so confused last night that I thought I > better take it > again as the endo felt I was not hyper. > > I really don't know what to do right now. I'll pray about for awhile and try > to settle myself > down. The answers usually come sooner or later. > > Take Care > Caroline > > Jody Spitale wrote: > >> Hi Caroline, >> I am so sorry you are feeling so terrible and now have your dr. treat you >> this way. It is not acceptable for him to do that, you could either tell >> him you want some answers to your questions, that your not controlling but >> it is YOUR body or you could find another endo, one who truely has some >> knowledge of this disease and its symptoms, one who will take the time to >> sit down with you and help with all of this. >> There are good endos out there that don't give lip service to though of us >> with GD...I doubted it for a long time, but now I have one I truly like, who >> takes time, will return my long distance calls to answer questions >> etc...just something to consider. >> >> When were you diagnosed again, brain farts this morning, and are you on >> ATD's? >> >> Take care, >> Jody >> _________________________________________________________________________ >> Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. >> >> Share information about yourself, create your own public profile at >> http://profiles.msn.com. >> >> >> ------------------------------------- >> The Graves' list is intended for informational purposes only and is not >> intended to replace expert medical care. >> Please consult your doctor before changing or trying new treatments. >> ---------------------------------------- > > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not > intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2000 Report Share Posted September 27, 2000 Hi Caroline, I just read your reply to Terry. There is nothing at all you can do to hurry *all of this up*. It is going to take time, even after surgery it will take time to get you on the right dosage of TRH. I know you want to have a baby or two, and I believe some women in this group have gotten pregnant and successfully had a child while on one of the ATD's, I'm sorry I don't remember if it was the TAP or PTU. The amount of PTU you are on doesn't seem high from all I have read in posts. In the beginning, some have been on 6 or more a day and gotten it cut back as symptoms began to lessen. I really think maybe a second opinion is needed for you, Caroline. You said in one of your posts that there were 350 or so GD patients in Sydney and your dr. had 50-60 of them? If that is so, then there must be someone else that you can get a second opinion from before doing something that will be permanent...it is your decision, and no matter which way you choose, we will all be here for you. Take care, Jody _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. Share information about yourself, create your own public profile at http://profiles.msn.com. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2000 Report Share Posted September 27, 2000 Thanks Terry I do feel uneasy and a bit rushed. I'm a bit to blame though. I want to try to have a baby as soon as possible. I got remarried last year and we planned to have a couple of babies. I had two miscarriages, then found out I had was hyper with GD (I do have a 17 year old son who is great and I feel fortunate to have him - even when he does the male teenage thing!). I'm over 39 years old and feel the time ticking on. My endo is very concerned that I don't fall pregnant on PTU, or at least on the amount I seem to need (100mg at present, which I don't think is enough). Of course we are being careful (who actually feels like *it* anyway!). So, I guess I'm in a bit of a hurry to get it all fixed up. I am coming to feel that I need to have a bit more patience. I have carefully considered all the options and I do believe that surgery is the right one - but I'm feeling hyper right now and I don't to put myself at risk. I'll get the bloods done ASAP and hopefully this will help me to sort it out. I'll also let the endo know how I felt/feel. Thanks again Caroline Terry ding wrote: > Caroline, > > I've read all these posts, and I have only one piece of advice to add: Don't > rush into the surgery if you are feeling uncomfortable about things. If they > need to reschedule, and they are inconvenienced by that, it's their problem, > not yours. > > Take the time to sort it all out, demand answers to all the questions, make > sure you don't get railroaded for some doctor's convenience! In the long > run, waiting a few days, weeks or even months, until you are absolutely sure > of what's going on and have confidence that you are making the right > decision, is not going to cause you any harm. Rushing into surgery if you > are uneasy and maybe influenced negatively by the fluctuations of your > thyroid may very well be harmful. Anyway, from what I'm reading here, you > shouldn't have the surgery at all if your thyroid is so unstable right now. > > TerryP > > > > > Reply-To: graves_supportegroups > > Date: Wed, 27 Sep 2000 11:49:02 +1000 > > To: graves_supportegroups > > Subject: Re: Wouldn't you know it..(long) > > > > Hi Jody > > > > Thanks for the time you take to help me. I agree the attitude is not > > acceptable. I feel > > somewhat stuck though. I haven't found any support groups in Australia to get > > info > > on a more 'user friendly' endo and the one I have has got a decent reputation > > in the > > area I live in. He has about 50 to 60 GD patients (he tells me) and that's not > > bad given > > I estimate there to be about 350 in all of Sydney. > > > > Tomorrow I'm going to see the naturopathic physician I saw in June, who has > > helped my > > symptoms with homeopathic meds. I've rested this morning and I'm off the work > > shortly, > > so I hope to feel better today. > > > > I'm have GD and multi nodule goitre and am on PTU (50mg X 2 per day) + > > Thyroxin > > (T4) because my bloods 1 month ago showed me to be hypo. I stopped the > > thyroxin > > 1 week ago when I felt hyper. I felt so confused last night that I thought I > > better take it > > again as the endo felt I was not hyper. > > > > I really don't know what to do right now. I'll pray about for awhile and try > > to settle myself > > down. The answers usually come sooner or later. > > > > Take Care > > Caroline > > > > Jody Spitale wrote: > > > >> Hi Caroline, > >> I am so sorry you are feeling so terrible and now have your dr. treat you > >> this way. It is not acceptable for him to do that, you could either tell > >> him you want some answers to your questions, that your not controlling but > >> it is YOUR body or you could find another endo, one who truely has some > >> knowledge of this disease and its symptoms, one who will take the time to > >> sit down with you and help with all of this. > >> There are good endos out there that don't give lip service to though of us > >> with GD...I doubted it for a long time, but now I have one I truly like, who > >> takes time, will return my long distance calls to answer questions > >> etc...just something to consider. > >> > >> When were you diagnosed again, brain farts this morning, and are you on > >> ATD's? > >> > >> Take care, > >> Jody > >> _________________________________________________________________________ > >> Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. > >> > >> Share information about yourself, create your own public profile at > >> http://profiles.msn.com. > >> > >> > >> ------------------------------------- > >> The Graves' list is intended for informational purposes only and is not > >> intended to replace expert medical care. > >> Please consult your doctor before changing or trying new treatments. > >> ---------------------------------------- > > > > > > > > ------------------------------------- > > The Graves' list is intended for informational purposes only and is not > > intended to replace expert medical care. > > Please consult your doctor before changing or trying new treatments. > > ---------------------------------------- > > > > > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2000 Report Share Posted September 27, 2000 Thanks so much Jody I will ask the receptionist. I don't feel up to organising a support group right now - I just don't have the emotional, mental or physical energy to do that. But I will see if I can get some contact with others through the Drs office. I think once I feel better I will definately think more about the support group. I was diagnosed in late May 2000. I was really sick by then - BP 170/120, pulse - 120 to 130, hair falling out, very high temperature, sweats, tremours of my hands, palpatations, not sleeping, eating everything in sight and more etc, etc, etc. I got better quickly with PTU (300mg) + beta blockers + homeopathic meds + rest. My current symptoms are the same, except milder. I really appreciate the *HUGZ* and prayers. They are what is getting me through right now. By the way, how is your brother in law doing now? I hope he is comfortable and recovering. I also pray for you and your family. Caroline Jody Spitale wrote: > Caroline, > > Call the drs. office and talk to the receptionist...ask her to give your > phone number and/or your e-mail address to some of his other GD patients. > Maybe you can start your own support group given the number of people there > with GD...it would also give you an opprotunity to talk with others about > your dr to see if they are having the same feelings. > > I have read all of the other posts, and I have to agree, I wouldn't have the > surgery until your symptoms are calmed down to a manageable level. I'm not > sure if postponing it before you get some contacts from the drs. office or > not If you do, they may not help you get connected with other GDers but > then you could come back with 'talking with others may help me to understand > what is going on and calm me down to the treatment I need'...I know with the > surgeon who does all the thyroid surgeries here, he has passed my name and > number on to a few of his GD patients, though he wouldn't give me their > info, which is understandable, can't do that without permission. > > I do understand the confusion part, Caroline, we all do, I am getting to a > point where I can deal with it a bit better, but in the beginning when I > couldn't think of a word for an object I was looking at I would just > cry...it does get better. But while you are in this condition, it is > definately not the time to be making life-long decisions, your mind just > isn't thinking properly...yet, but it will get better > > I don't remember when you were diagnosed...has it been just recently? > *HUGZ* and prayers for you. > Jody > _________________________________________________________________________ > Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. > > Share information about yourself, create your own public profile at > http://profiles.msn.com. > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2000 Report Share Posted September 27, 2000 Caroline: 100mg of PTU is a maintenance dosage, and is considered very low. If your symptoms are so severe, I wonder why you are not taking a higher dosage to calm everything down. Did the endo say not to? The beta blockers can calm your heart down but you have to lower the hormones so that it doesn't keep happening (high metabolism). Good luck. At 11:15 PM 09/27/2000 +1000, you wrote: My endo is very concerned that I don't >fall pregnant on PTU, or at least on the amount I seem to need (100mg at present, which I don't think is enough). Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2000 Report Share Posted September 27, 2000 Hi Debbie, I too got pregnant while on PTU. I was on only 200 then down to 100 mgs though. I was surprised that you were on high doses. I was told that anything above 450 mg could have an effect on the fetus. I am presuming your GD was serious to warrant this. I react so well to the PTU that never required more that 400 mgs a day even when terribly hyper. I felt like a pin cushion while pregnant. Got bloodwork every month and had several sonograms. My baby was totally fine.. Thank God all worked out well for you also. With careful watching all is usually alright. Hope this is some reassurance for anyone wanting to have a baby with GD....... I. Re: Wouldn't you know it..(long) > >> > > >> > Hi Jody > >> > > >> > Thanks for the time you take to help me. I agree the attitude is not > >> > acceptable. I feel > >> > somewhat stuck though. I haven't found any support groups in Australia to > get > >> > info > >> > on a more 'user friendly' endo and the one I have has got a decent > reputation > >> > in the > >> > area I live in. He has about 50 to 60 GD patients (he tells me) and that's > not > >> > bad given > >> > I estimate there to be about 350 in all of Sydney. > >> > > >> > Tomorrow I'm going to see the naturopathic physician I saw in June, who has > >> > helped my > >> > symptoms with homeopathic meds. I've rested this morning and I'm off the > work > >> > shortly, > >> > so I hope to feel better today. > >> > > >> > I'm have GD and multi nodule goitre and am on PTU (50mg X 2 per day) + > >> > Thyroxin > >> > (T4) because my bloods 1 month ago showed me to be hypo. I stopped the > >> > thyroxin > >> > 1 week ago when I felt hyper. I felt so confused last night that I thought > I > >> > better take it > >> > again as the endo felt I was not hyper. > >> > > >> > I really don't know what to do right now. I'll pray about for awhile and > try > >> > to settle myself > >> > down. The answers usually come sooner or later. > >> > > >> > Take Care > >> > Caroline > >> > > >> > Jody Spitale wrote: > >> > > >> >> Hi Caroline, > >> >> I am so sorry you are feeling so terrible and now have your dr. treat you > >> >> this way. It is not acceptable for him to do that, you could either tell > >> >> him you want some answers to your questions, that your not controlling but > >> >> it is YOUR body or you could find another endo, one who truely has some > >> >> knowledge of this disease and its symptoms, one who will take the time to > >> >> sit down with you and help with all of this. > >> >> There are good endos out there that don't give lip service to though of us > >> >> with GD...I doubted it for a long time, but now I have one I truly like, > who > >> >> takes time, will return my long distance calls to answer questions > >> >> etc...just something to consider. > >> >> > >> >> When were you diagnosed again, brain farts this morning, and are you on > >> >> ATD's? > >> >> > >> >> Take care, > >> >> Jody > >> >> _________________________________________________________________________ > >> >> Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. > >> >> > >> >> Share information about yourself, create your own public profile at > >> >> http://profiles.msn.com. > >> >> > >> >> > >> >> ------------------------------------- > >> >> The Graves' list is intended for informational purposes only and is not > >> >> intended to replace expert medical care. > >> >> Please consult your doctor before changing or trying new treatments. > >> >> ---------------------------------------- > >> > > >> > > >> > > >> > ------------------------------------- > >> > The Graves' list is intended for informational purposes only and is not > >> > intended to replace expert medical care. > >> > Please consult your doctor before changing or trying new treatments. > >> > ---------------------------------------- > >> > > >> > > >> > >> > >> ------------------------------------- > >> The Graves' list is intended for informational purposes only and is not > > intended to replace expert medical care. > >> Please consult your doctor before changing or trying new treatments. > >> ---------------------------------------- > > > > > > > > ------------------------------------- > > The Graves' list is intended for informational purposes only and is not > > intended to replace expert medical care. > > Please consult your doctor before changing or trying new treatments. > > ---------------------------------------- > > > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2000 Report Share Posted September 27, 2000 Caroline, I became pregnant on TAP, they immediately put me o PTU saying it was better for you then the TAP. When I started on the PTU during my pregnancy they started me on a dosage of 600 mg. per day, gradually within a couple of months I was on a dosage of 50 mg. per day. This was all during my pregnancy. The doctor who had me on the TAP also had me on cytomel, which was considered an old method of treating GD. I never did see any change on it. Before becoming pregnant I switched doctors, he immediately put me on Atenonol (spelling not correct), within 24 hrs. my heart rate dropped to 74. After years of being 120-140. They kept a close watch on me during my pregnancy and tested the baby after birth for thyroid disease. My baby was born the most beautiful thing in the world. After over 5 yrs. from being diagnosed I am in remission at this time. I was on a maintenance of 50 mg. for over 2-1/2 yrs. I still have up and down days, but most I feel fine. It took me a long time to realize there were things that somedays I couldn't do, and when tired to rest, and most important control the stress. And that I have managed only in recent months, and with Gods help I am learning. I feel my biggest mistake was not changing doctors when I saw no progress, I went to that doctor for over 5 yrs. and became sicker and sicker as the months went by. He was not an endo and said I really didn't need one, but he was a QUACK, the second doctor was a D.O. I now go to an endo. Now if I am not 100% comfortable, I change doctors. It only took me years to realize he was being paid by me and I should feel comfortable, not just trust his knowledge. We are all in this together, I pray you have better days ahead. Debbie ---------- > >To: graves_supportegroups >Subject: Re: Wouldn't you know it..(long) >Date: Wed, Sep 27, 2000, 6:15 AM > > Thanks Terry > > I do feel uneasy and a bit rushed. I'm a bit to blame though. I want to try > to have a baby as soon as possible. I > got remarried last year and we planned to have a couple of babies. I had > two miscarriages, then found out I had was > hyper with GD (I do have a 17 year old son who is great and I feel > fortunate to have him - even when he does the > male teenage thing!). I'm over 39 years old and feel the time ticking on. > My endo is very concerned that I don't > fall pregnant on PTU, or at least on the amount I seem to need (100mg at > present, which I don't think is enough). Of > course we are being careful (who actually feels like *it* anyway!). > > So, I guess I'm in a bit of a hurry to get it all fixed up. I am coming to > feel that I need to have a bit more > patience. I have carefully considered all the options and I do believe that > surgery is the right one - but I'm > feeling hyper right now and I don't to put myself at risk. > > I'll get the bloods done ASAP and hopefully this will help me to sort it > out. I'll also let the endo know how I > felt/feel. > > Thanks again > Caroline > > Terry ding wrote: > >> Caroline, >> >> I've read all these posts, and I have only one piece of advice to add: Don't >> rush into the surgery if you are feeling uncomfortable about things. If they >> need to reschedule, and they are inconvenienced by that, it's their problem, >> not yours. >> >> Take the time to sort it all out, demand answers to all the questions, make >> sure you don't get railroaded for some doctor's convenience! In the long >> run, waiting a few days, weeks or even months, until you are absolutely sure >> of what's going on and have confidence that you are making the right >> decision, is not going to cause you any harm. Rushing into surgery if you >> are uneasy and maybe influenced negatively by the fluctuations of your >> thyroid may very well be harmful. Anyway, from what I'm reading here, you >> shouldn't have the surgery at all if your thyroid is so unstable right now. >> >> TerryP >> >> > >> > Reply-To: graves_supportegroups >> > Date: Wed, 27 Sep 2000 11:49:02 +1000 >> > To: graves_supportegroups >> > Subject: Re: Wouldn't you know it..(long) >> > >> > Hi Jody >> > >> > Thanks for the time you take to help me. I agree the attitude is not >> > acceptable. I feel >> > somewhat stuck though. I haven't found any support groups in Australia to get >> > info >> > on a more 'user friendly' endo and the one I have has got a decent reputation >> > in the >> > area I live in. He has about 50 to 60 GD patients (he tells me) and that's not >> > bad given >> > I estimate there to be about 350 in all of Sydney. >> > >> > Tomorrow I'm going to see the naturopathic physician I saw in June, who has >> > helped my >> > symptoms with homeopathic meds. I've rested this morning and I'm off the work >> > shortly, >> > so I hope to feel better today. >> > >> > I'm have GD and multi nodule goitre and am on PTU (50mg X 2 per day) + >> > Thyroxin >> > (T4) because my bloods 1 month ago showed me to be hypo. I stopped the >> > thyroxin >> > 1 week ago when I felt hyper. I felt so confused last night that I thought I >> > better take it >> > again as the endo felt I was not hyper. >> > >> > I really don't know what to do right now. I'll pray about for awhile and try >> > to settle myself >> > down. The answers usually come sooner or later. >> > >> > Take Care >> > Caroline >> > >> > Jody Spitale wrote: >> > >> >> Hi Caroline, >> >> I am so sorry you are feeling so terrible and now have your dr. treat you >> >> this way. It is not acceptable for him to do that, you could either tell >> >> him you want some answers to your questions, that your not controlling but >> >> it is YOUR body or you could find another endo, one who truely has some >> >> knowledge of this disease and its symptoms, one who will take the time to >> >> sit down with you and help with all of this. >> >> There are good endos out there that don't give lip service to though of us >> >> with GD...I doubted it for a long time, but now I have one I truly like, who >> >> takes time, will return my long distance calls to answer questions >> >> etc...just something to consider. >> >> >> >> When were you diagnosed again, brain farts this morning, and are you on >> >> ATD's? >> >> >> >> Take care, >> >> Jody >> >> _________________________________________________________________________ >> >> Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. >> >> >> >> Share information about yourself, create your own public profile at >> >> http://profiles.msn.com. >> >> >> >> >> >> ------------------------------------- >> >> The Graves' list is intended for informational purposes only and is not >> >> intended to replace expert medical care. >> >> Please consult your doctor before changing or trying new treatments. >> >> ---------------------------------------- >> > >> > >> > >> > ------------------------------------- >> > The Graves' list is intended for informational purposes only and is not >> > intended to replace expert medical care. >> > Please consult your doctor before changing or trying new treatments. >> > ---------------------------------------- >> > >> > >> >> >> ------------------------------------- >> The Graves' list is intended for informational purposes only and is not > intended to replace expert medical care. >> Please consult your doctor before changing or trying new treatments. >> ---------------------------------------- > > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not > intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2000 Report Share Posted September 27, 2000 Hi , Years ago, docs thought that we'd just come out of all this Graves' stuff with a normal pituitary-thyroid-hypothalamic response. But years of watching people like us have shown that, after being suppressed for a long time, the hypothalamus in our brain no longer responds to our normal thyroid hormone levels. They're starting to call normal thyroid hormone levels and suppressed TSH " subclinical hyperthyroidism " and it's recommended that our thyroid levels be watched since they really don't know what to make of us. Despite all that's known about thyroid function, there's still much that is unknown. And this is also why many endos recommend using FT4 rather than TSH for assessing true thyroid status. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2000 Report Share Posted September 27, 2000 Hi , my hypothalamic connections quit long ago. But I still remember the thought of the day and had to chuckle at that. Hope that cat is behaving. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 27, 2000 Report Share Posted September 27, 2000 Hi there Jody I'm taking a sicky from work today. I woke up this morning and it was just too much. I want to rest and try to clear the head of the *cobwebs*. I'm going to try to see my endo again. I'll discuss with him a second opinion (if he isn't receptive, I'll go to the GP for a referral). I was on 9 PTU tabs + 2 beta blockers per day for the first month (June) then slowly reduced to now 2 (which I'm sure isn't holding me). The literature I have read in the MIMS (a comprehensive drug prescribing guide), says that PTU is the drug of choice in pregnancy - but still it can cause congenital defects at doses higher than 50mg (1 tab) and even so needs close medical supervision. Whilst I have read, and been encouraged by, the posts from others who have had successful pregnancies on PTU with GD, I'm concerned at the risk, given my age also increases the risk. I haven't mentioned that my goitre causes me problems with trying get clear breathing and if I'm not careful I easily choke even on my own spit (sorry, a bit gross, I know). I think the major concern for me right now is my endo's refusal to do the bloods and his patronising of me last time I saw him. I have been a psychiatric nurse for 20 years and I know about anxiety and stress - my symptoms are not just anxiety and my questions are not being a control freak. I have found it difficult to fully assert myself with the endo. I think because of the huge shock being hyper and getting GD is to me. I found it daunting being on the 'other side of the table' and the brain seemed to do flip flops most of the time. I certainly better understand the position of the patient and how it feels to have a situation where you know there is an imbalance of power and you have difficulty addressing it. Hope you are having a good day. I'm not as *crazy* as I felt a couple of days ago. God Bless Caroline Jody Spitale wrote: > Hi Caroline, > I just read your reply to Terry. There is nothing at all you can do to > hurry *all of this up*. It is going to take time, even after surgery it > will take time to get you on the right dosage of TRH. I know you want to > have a baby or two, and I believe some women in this group have gotten > pregnant and successfully had a child while on one of the ATD's, I'm sorry I > don't remember if it was the TAP or PTU. The amount of PTU you are on > doesn't seem high from all I have read in posts. In the beginning, some > have been on 6 or more a day and gotten it cut back as symptoms began to > lessen. > > I really think maybe a second opinion is needed for you, Caroline. You said > in one of your posts that there were 350 or so GD patients in Sydney and > your dr. had 50-60 of them? If that is so, then there must be someone else > that you can get a second opinion from before doing something that will be > permanent...it is your decision, and no matter which way you choose, we will > all be here for you. > Take care, > Jody > _________________________________________________________________________ > Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. > > Share information about yourself, create your own public profile at > http://profiles.msn.com. > > > ------------------------------------- > The Graves' list is intended for informational purposes only and is not intended to replace expert medical care. > Please consult your doctor before changing or trying new treatments. > ---------------------------------------- Quote Link to comment Share on other sites More sharing options...
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