Hi Doctor,
I’ve written to you a few times over the past few months, and I appreciate your calm, thoughtful responses. So now that I have a
littleLittle noses decongestant
Little tummys more information, I’d like to put my case to you again.
I've been taking
lithiumLithium
Lithium carbonate
Lithium citrate since 1993. Last spring, my
primaryPrimary amyloidosis
Primary biliary cirrhosis
Primary hyperparathyroidism
Primary insomnia
Primary lymphoma of the brain care physician discovered that I was
hypothyroidHypothyroidism
Hypothyroidism - primary
Hypothyroidism - secondary
Neonatal hypothyroidism
Primary and secondary hypothyroidism. He prescribed
Synthroid. A few months later, my psychiatrist ordered a
routineRoutine sputum culture electrocardiogram, which revealed some PVCs. I'd never had these before, so I consulted a cardiologist. He ordered an echocardiogram, a Holter monitor, and a stress test. The stress test picked up some benign ventricular tachycardias. Now the cardiologist is thinking, possibly, of performing a catheter ablation on my heart. But he’s convinced there’s no present danger, so he’s in no hurry about this.
My response is “Whoa!” Wouldn’t it be easier just to adjust or switch the lithium and/or levothyroxine treatments so that we avoid the preconditions for symptomatic VTs? Of course, that chain of cause, effect, and treatment is just my guess. What I'd really like is for the cardiologist, the internist, and the psychiatrist to have a 15-minute conference call to straighten this all out!
Thanks.