question from mandy

[mandy680]

hello Doc, one month back i was diagnosed with hyperthyroidism and got my ultrasound done. my endocrinologist tole me i have multinodular goiter and grave's disease. he said he will do my another ultrasound in 6 months and my labs TSH, T4 and antibodies in 1 month. after one month of treatment after diagnosis i had improved TSH and T4. i am feeling that is it ok to wait that long to chk my nodules. i am worried about their malignancy.Thanks

[Smilerdeb]

A Doctor cannot diagnose Graves Disease without doing TSI (antibody testing) first yet many tend to do this.
Ask for all labs to be done NOW and if you are hyper, then you need to go on anti-thyroid meds as in one months time...your levels will be over the top and you will know it with the symptoms you get.
By leaving you a month with no labs and no meds, he is putting you at risk.
The sooner the labs are done and anti-thyroid meds given (if needed) then the sooner you can deal with this and get back on the road to wellness.
Just call the surgery and ask him to print out a lab sheet with:
FREE T4
TSH
FREE T3
TSI (graves antibody test),

As for the nodules...size is one factor when it comes to removal.

[mandy680]

all the nodules are in milimeters but those are solid nodules.that is my concern.

[Super_sally888]

Hi,  

6 month monitoring of the nodules should be fine if there was nothing of concern noted during the first monitoring.

How big are the nodules?