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Follow the Yellow Brick Road...

May 29, 2008 - 1 comments

I need to be positive not just for myself, but for all around me...hense the Yellow Brick Road title.  The quest to find our way.

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517152 tn?1212368531
by moojy, May 29, 2008
I am a 56 year-old female.  Aside for a complete hysterectomy in 1982, I’ve been in great health.   A few years ago I was told I had an enlarged thyroid and was told not to worry about it.  
In the past few years I’ve been experiencing heat intolerance, fatigue, reduced memory and mental sharpness, trouble focusing on tasks to completion, low sexual desire, hair loss, brittle nails, hunger, irritability and insomnia.  I also found my blood pressure was high and I was put on high blood pressure meds.  In July 2007 I had a free T4 of 1.08 and TSH of 5.3.  Antibody tested high.  

My 2007 ultrasound found nodular thyroid.  There was a nodule in the right mid and lower pole measuring 2.8 x 3.1 x 2.3 cm and the left mid pole nodule measuring 3.3 x 1.4 x 2.4 cm.   The left dominant nodule appears to be non-functioning.  The right dominant nodule appears to be functioning normally.  Neither of the nodules is a “hot” nodule.

I was sent for a biopsy.  The first biopsy did not show any thyroid tissue at all.  I was sent to another place to have another biopsy done.  The biopsy showed fibrofatty tissue and skeletal muscle…no thyroid components identified.  Nothing else.

Despite having 2 biopsies done, neither biopsy showed enough cell matter for the pathologist to render an opinion.  I had to wonder how could they do a thyroid biopsy and not get any thyroid tissue?  Is this common?

Since nothing was found, this Dr. felt I didn’t need any medication and told me to come back in 6 months.   I was very disappointed because I was still feeling miserable.   When I tried again to contact his office, I was told he is rarely in his office, as he prefers doing speaking engagements instead of seeing patients.  (sigh)

So I recently found another Dr. who sent me for blood work.   Here are the 2008 results:

Thyroid Stimulating Immunoglob    218
(T4) Free, Direct, S                          1.03
TSH                                                  6.578
(T3)                                                 185
Thyroid Peroxidase (TPO) Ab        381
Antithyroglobulin Ab                      8250

After he got my results, the nurse called saying he wanted me on medication immediately. I was given 50000IU Vitamin D weekly and 50mcg Levothyroxin daily.   I have another ultrasound sound next week and it will be another week or two before I get in to see the Dr. for all of his results.

I’ve noticed that my 5’9” posture has also changed.  I have a slight "hump" on the back of my neck. I had no idea this was related.  I thought I was just growing another appendage.  And although I was not aware of it, my husband kept telling me that I also lean forward quite a bit when would speak.  

I have no idea what all of this means.  I have to wait weeks until I go in to have it explained.  


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