Thank you. I spoke with the endo yesterday. I called and raised a fuss so the nurse had him paged. Although I am a new patient, he had me fax the copy of my u/s and called me back, sayiing the same thing. He also said that the tsh elevation, while on the 137mcg of synthroid, could be caused by something else. The HepC treatment has not been all that horrible for me, generally. But then, I haven't felt well for longer than a couple of years anyway. I only new that in the last couple of months, this was definitely different, scary, and life altering. Much more than the Hep C or tx for it has been.!
I should also say that Thyroid disease runs in my mother's family, although that is just coming to light.
About 7 years ago, I was returning to a job I was laid off from, and had to undergo the usual physical, which included labs. By the time I got home, my PCP had called. The company phoned him with results, and my thyroid leves were off at that time. I was asympotmatic, and it must not have been seriously off because I was put on the lowest dose of synthroid for about a year or so. I was having arrythmias, so with the frequent labs showing a stable tsh, I was able to go off of it. It has been maybe 5.5 yrs? I have had other things go on in this time frame, but have attributed them to: menopause, hepc symptoms, Fybromialia(dx about 6 yrs ago), stress, and weight issues. The symptoms overlap so much. I lead a much more active and vital life than what it looks like on paper though. I want to get a handle on all of this. My kids are grown and well, my husband survived a liver tx and was blessed with a negative on genetic testing for Huntington's(a real killer in his family). I just want to find a simple, permanent way to treat cerain things, both holistically, naturally and medically, so that I can enjoy this time in my life. Kind of hard when these hits come out of no where. Thank you for listening
Go back on meds now -- no need for a scan in this case to evaluate the nodules. Insist on staying on thyroid meds until the endo appointment -- usually I would treat with meds until TSH around 1 and re-eval the "nodules" -- most likely they are pseudo nodules in the setting of autoimmune thyroid disease brought on by the interferon. They may be real nodules and the endocrinologist should look at the ultrasound to see if they need biospy. But certainly you DO NOT NEED A NUCLEAR SCAN at this point.
4-6mm is small -- watch these -- don't biopsy usually.
Heterogeneous is typicall in autoimmune thyroid disease....