Please note I am posting this as a purely hypothetical issue. Given elderly patients can be very non-compliant or confused, and then the bloodwork says that an increase from 2 grain to 3 grain is what is needed. So here we go,
except that it is easy to forget that we don't know how much or even if the patient was taking the medicine, let alone for how long. Is it safe to go from 0mg to 180mg (3 grains) Armour thyroid (not synthetic)? I thought things were supposed to be very incremental to keep things like cardiac function optimum. That's kinda important for the patient also. Hypothetically speaking, we want to keep the patient in good health or return them to better health vs. any less favorable outcomes. Hypothetically speaking, it should not be an extremely concerned & worried child, an unconcerned spouse, an oblivious patient, and a PCP who may not have understood the non-compliance problem adequately in the first place. So if any of you kind MD's wish to join me in this sticky-wicket, God Bless You. A kind endocrinologist would be extremely welcome. Additionally, how long can the non-compliance thing go on, before there are even bigger fish to worry about? Please feel free to email me privately as this is a sticky-wicket. Blessings.