Am I getting the best treatment/help from my doctor?

[Sandra1126]

The now "real" problem
I got pregnant in March of 2012- blood work and exam from my PCP was perfect 2 months prior to me conceiving!
When I went for the first round of blood work for my pregnancy and they said I had hyperthyroidism. I do not have any of those lab results with me. But I started getting heart palpitations- over 100 sometimes over 120. My blood pressure was elevated by the end of the first trimester. I saw all sorts of specilist. Endocrinologist, Cardiologist, and a maternal and fetal medicine doctor. I was put on metoprolol. I got preeclampsia and had my baby early. Everything is fine. I'm still having symptoms now 5 months later. Severe hot flashes, head aches, throat feels slightly constricted, loosing my hair(about a month now), not sleeping(not due to the baby) and its really effecting my life. But my blood work is coming back normal. I'm on anit-thyroid medication and blood pressure meds. I had to beg to get an ultrasound. And they said it hasn't significantly changed its now: Left Lobe: 5.6 X 2.2 X 2.1cm mass is 3.1 X 1.7 X2.3 cm isthmus is 3mm. I had to then again beg to have another FNA biopsy done which I should get done this week. I will post my history after this, there wasnt enough space. Please let me know what you think. I have a family history of thyroid cancer on both sides and I know something is not right with me. I don't feel right and think I should 5 months after delivery. Thank you.

[Mark Lupo, M.D.]

A repeat FNA is reasonable, but the nodule does not likely explain the overall symptoms (unless this is a "hot nodule" which would not likely need repeat FNA and could cause hyperthyroidism).

Would need to correlate w/ TSH/T4 levels and medication to see if thyroid hormone status is balanced.  You mentioned "anti-thyroid" drugs but did not give detail on this or the reason for presumed hyperthyroidism.  If you have questions, a second opin from another endocrinologist may be appropriate.

[Sandra1126]

Most bothersome symptom is mood swings.... they are normally accompanied my the hot flashes. And come out of nowhere with no cause. Sorry about all the added information, I'm just really concerned.

[Sandra1126]

I feel as if my symptoms are being ignored. I was diagnosed with a thyroid nodule in early 2008 as part of an exam.
The "history"

They sent me for a thyroid ultrasound and the results were- Right lobe measuring 4.7 X 1.3 X 1.4cm and the left lobe measuring 5.3 X 1.5 X 1.9cm. Isthmus measured 3mm. There is a complex mass in the lower pole of the left lobe of the thyroid gland measuring 2.7 X 1.5 X 2.4cm. This contains both solid components as well as areas of sonolucency. They suggested a FNA biopsy. I did the biopsy and the results were 2.7cm  predominantly cystic nodule with internal echogenic debris. It was benign.
I was happy and didn't think much about it. Until I started gaining some weight a year later. So I had another ultrasound done. The results were: 2.8cm complex predominately cystic nodule which was unchanged from the last exam. Lobe measured 5.9 X 1.3 X 1.7 cm. Isthmus measured 0.24cm. Right lobe was 4.2 X 1.2 X 1.5cm.
My PCP did another ultrasound in 2010- Right lobe measured: 4.2 X 1.1 X 1.5cm and was homogeneous in echotexture. Left Lobe: enlarged. measuring 5.5 X 1.3 X 2.1 cm and contained a large dominant mass in the lower pole which is of mixed echogenicity but contains some cystic components. It measured 2.9 X 1.3 X 2.1 cm. It demonstrates predominantly peripheral flow but there is some flow noted centrally. And he repeats in his report 3 times that it has been previously biopsied and benign tissue was obtained.