COULD THIS HAVE BEEN AVOIDED

[tkelly28]

I HAD AN INFECTION, BLOOD WORK WAS DONE, TSH WAS 0.05 ON 11-27-06. SECOND INFECTION MORE BLOOD WORK TSH 0.04 ON 01-08-07 SYMPTONS CHEST,LEG,BACK PAIN, LEVOXL REDUCED TO .100 ON 1-16-07 FRM .125.1-22-07 ER ADMITTED TO HOSP IATROGENIC HYPERTHYROID,COULD THIS HAVE BEEN AVOIDED.


GRAVES 2000 POST OBILATION HYPOTHYROID,EMPTY SELLA SYNDROME 2001,DIABETES INSIPIDUS,GASTRIC BYPASS 2004,FIBROMYALGIA 2007,

[Jenipeni]

IATROGENIC means;
induced inadvertently by a physician or surgeon or by medical treatment or diagnostic procedures

I'm assuming that the problem you're talking about being avoided is the hyperthyroidism?  TSH - 0.05 and 0.04???

After you had your ablation for Graves disease in 2000 was their any thyroid function left?  *IF* so..It could just be the Graves disease becoming more active.

Because they've used the term 'Iatrogenic' I'm assuming that they are blaming it on too high a dose of your levoxyl.  Dosing is very difficult - especially if you have a partially function thyroid gland after ablation.  Getting the dosage right is the scourge of thyroid patient's lives - as you'd know.  It is not an exact science so unfortunately these things happen sometimes - little concillation for you though, sorry.

..... although on the other hand....

Was the infection you spoke of aquired in hospital or through medical treatment?  I ask because if there is an outside chance if there is still function in your thyroid gland that an infection getting into the gland itself could have jump started higher function resulting in hyperthyroidism ie. your low TSH
Not very likely though, but not impossible.

Could this have been avoided?  I daresay that all was done to try and avoid a situation such as this ie, regular blood testing and dosage adjustment of your levoxyl.  Sometimes no one can predict why/when these sort of things happen.  I'm really sorry it happened to you - looks like you've had enough to deal with over the years.  

Just my personal opinion.  Others may have a different take, hopefully you'll get more replies.

[tkelly28]

THEY SD MY THYROID WAS CMPTLY DSTRYD, THE INFECTION WAS CELLULITIS, MY WEIGHT HAD DRPPD DOWN TO 100LBS I  WAS 129LBS IN 3-2006 AND IN 10-2006 ? BUT NOT 100LBS. MY ? IS IF LEVOXYL WAS LOWERED SOONER WOULD MY GRAVES HAD RE-ACTIVATED. 01-22-07 TSH 0.01 LEVOXYL .075 NOW.088

[tkelly28]

MSG ABV

[Jenipeni]

I'm finding it difficult to read your posts because they are in CAPS - maybe you didn't know but in online terms it also means you are shouting.  Could you please turn CAPS LOCK OFF?

If Levoxyl was lowered sooner would your Graves have not re-activated?

No one can really say with 100% certainty but it is highly highly unlikely - as there are many reasons why this may have happened.  I don't personally have Graves but I have read many other people's posts who have had their Graves come up again even years after ablation, as in your case.  

It's more than likely that the Graves was stirring up by itself anyway.  

Dosage will always be adjusted to the current TSH level - no one can anticipate which direction the TSH will go in the future.  

If I had to say yes or no about the above question regarding lowering Levoxyl sooner - I would say NO I don't think it would have many any difference.  BUT that is just my personal opinion.