Question:
Duckie, Don’t really understand it all, but sorry you have this. Keep us posted on the follow-up. debbie m. http://www.angelfire.com/ga2/angels1/
– Hide quoted text — Show quoted text -> Well, wish for something and sometimes those wishes come true. > Let’s just say that they found three things: inflammation of the > thyroid, cysts, and nodule. > Want to see a PCP freak out — then you should have been in the office > with me today. hehehe She kept saying that with my blood labs, there > was no way all this could be going on. Now where have I heard that > before. She also said having a normal TSH and a low T4 was VERY unusual. > I am sure someone on this group has had just that happen too. Are the > ones on this group that hang around the ones that have everything > unusual, worse than unusual, different, non responsive,…… Or are we > just lucky. > I have been worked in for a Friday appointment with the endocrinologist. > In the mean time here is the paper work results from the ultrasound. > Ultrasound of the thyroid and doppler: > Findings: > Regarding the right thyroid lobe, it is heterogeneous and abnormally > vascular and has a complex cyst in the lower pole measuring 1.3 cm in > length X 1.2 cm across with a depth of 1.1 cm with no vascularity to the > solid part within it. This complex cyst is a larger solid mass, very > vascular measuring 1.5 cm in length and heterogeneous with no anechoic > or shadowing areas with. On transverse view, it measures 1.3 cm across > with length of 1.1 cm. There are two tiny anechoic areas within this > heterogeneous mass but no shadowing foci. > Regarding the left thyroid lobe, it is abnormally vascular in general, > matches the right lobe, and has solid nodule of the lower pole .5 cm in > length X .7 cm across with depth of .5 cm with some increased > vascularity to this nodule. There is also complex cyst if the left pole > of this left thyroid lobe with length measurement of 1 cm and transverse > dimension of 1 with a depth of .6 cm. There is no vascularity to this > complex cyst. The echogenic area in this cyst is not vascular. > Impression: > You are screwed. opps sorry editorial comment there > 1. Bilateral hyperemia of the thyroid lobe consistent with inflammatory > change with complex cysts bilaterally but also a large solid nodule, > very heterogeneous of the right thyroid lobe, and a small hypoechoic, > more clearly defined solid nodule in the left lower pole, question > adenoma for the small one. > Need follow-up of the larger very vascular mass. [no kidding] > Duckie > — > _(‘> > (_<_) > _ > _(‘< -quack > (_<_) > _ > __(‘< *QUACK!* > <_{__) > _(‘< "|,,|_" > (_<_) > _(‘< "AFLAC!" > (_<_)
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Call me when you get back from the Endo tomorrow, OK? Char "Remember, I’m pulling for ya’. We’re all in this together." Red Green
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Yes Mama. 
Duckie > Call me when you get back from the Endo tomorrow, OK? > Char > "Remember, I’m pulling for ya’. > We’re all in this together." Red Green
– _(‘> (_<_) _ _(‘< -quack (_<_) _ __(‘< *QUACK!* <_{__) _(‘< "|,,|_" (_<_) _(‘< "AFLAC!" (_<_)
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Ask your RD to do it. Duckie – Hide quoted text — Show quoted text – > Hmmmmmmm, Carol, that is very interesting to hear! My TSH has always > come back in the normal range, but I have a multinodular thyroid as > well. I had thyroid biopsies done about a year ago after an ultrasound > of the thyroid showed lots of nodules and some of them rather large. > The radiologist is the one who did the biopsies (8 in all! yuk!) under > the guidance of the ultrasound. My pcp and endo both said that as long > as the biopsies were non-cancerous and the TSH was normal, that there > wasn’t anything to worry about. Now I am reading of your guys’ > symptoms and that you both had normal TSH and it makes me wonder. > Don’t know though if I can talk either one into doing the t4 test just > for the heck of it! > Interesting though following this thread!!! > Donna G
– _(‘> (_<_) _ _(‘< -quack (_<_) _ __(‘< *QUACK!* <_{__) _(‘< "|,,|_" (_<_) _(‘< "AFLAC!" (_<_)
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Yep she mention the biopsy possibility. She was so worried and upset — probably because she and the endo had done the TSH [wish I knew whether they had done the T4 before] and since that was normal, I must be okay. Obviously since the ultrasound was abnormal to say the least, there was stuff going on that blood labs just didn’t show them. It was my RD that ordered the full thyroid set. I just love that man. Less than 24 till I see the endo now. I went to my sewing circle today and just those three hours out — I am exhausted. Duckie
…… – Hide quoted text — Show quoted text -> Did your PCP mention anything about the possibility of the endo > ordering a biopsy? I would bet you’ll have to have one. Although I > don’t think the endo’s do them..I think an ENT doc does the biopsies. > I haven’t had to have one because the synthroid shrunk my nodules or > at least I think it did…it certainly alleviated all the crappy stuff > I had going on! > Keep us posted and good luck at the endo appointment! I really like > my endo…have to have him repeat a lot of things cuz I have trouble > understanding him at times, but he’s always nice about it. He’s very > knowledgeable about everything…a lot more than most docs. When I go > there now, the first thing he asks me is how my RA is doing. I think > that’s funny considering he’s not treating me for that! > Carol
– _(‘> (_<_) _ _(‘< -quack (_<_) _ __(‘< *QUACK!* <_{__) _(‘< "|,,|_" (_<_) _(‘< "AFLAC!" (_<_)
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Hmmmmmmm, Carol, that is very interesting to hear! My TSH has always come back in the normal range, but I have a multinodular thyroid as well. I had thyroid biopsies done about a year ago after an ultrasound of the thyroid showed lots of nodules and some of them rather large. The radiologist is the one who did the biopsies (8 in all! yuk!) under the guidance of the ultrasound. My pcp and endo both said that as long as the biopsies were non-cancerous and the TSH was normal, that there wasn’t anything to worry about. Now I am reading of your guys’ symptoms and that you both had normal TSH and it makes me wonder. Don’t know though if I can talk either one into doing the t4 test just for the heck of it! Interesting though following this thread!!! Donna G
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My endo says that if you are having symptoms of hypothyroidism and you have the nodules, you should be treated…even if your TSH is within normal values. He says that what is normal thyroid functioning for one person, may be underactive for another. In other words, some people feel better when their TSH counts are closer to the hyper range. If yours are pretty close to the hypo range (which is a higher number on a TSH) and your T4 is low, that is indicative of hypothyroidism. And I’ll tell you, Donna!! The synthroid made a huge difference for me!! I thanked my endo over and over and over again for helping me. Geezopeet…I felt like total crap!! Are you seeing an endocronologist on a regular basis? You should be having T4 and T3 counts done, along with the TSH. I have thyroid tests done about twice a year to monitor my counts….he orders a TSH and the other two. Also, has anyone ever done a test…can’t remember the name of it….for they autoimmune thyroid diseases…Hashimoto’s. Grave’s Disease is the hyper version. I think I remember reading that people with Hashimotos will sometimes test within the normal ranges on a TSH. I had the test, but mine came out negative for Hashi’s. An untreated underactive thyriod can lead to big problems. People don’t realize how important that thyroid gland is. Hey, wanna come to Sandusky and see my endocronologist? heehee! He’s really nice. Carol
– Hide quoted text — Show quoted text -> Hmmmmmmm, Carol, that is very interesting to hear! My TSH has always > come back in the normal range, but I have a multinodular thyroid as > well. I had thyroid biopsies done about a year ago after an ultrasound > of the thyroid showed lots of nodules and some of them rather large. > The radiologist is the one who did the biopsies (8 in all! yuk!) under > the guidance of the ultrasound. My pcp and endo both said that as long > as the biopsies were non-cancerous and the TSH was normal, that there > wasn’t anything to worry about. Now I am reading of your guys’ > symptoms and that you both had normal TSH and it makes me wonder. > Don’t know though if I can talk either one into doing the t4 test just > for the heck of it! > Interesting though following this thread!!! > Donna G
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Carol, No, I am not seeing an endocrinologist with any regularity at all! I did not care for the one I saw and she seemed like she just never really cared. She only tested for the TSH and said everything is fine, she then ordered the thyroid ultrasound and the biopsies and when that showed no cancer, she basically said I don’t really need to see you any more unless there is a problem. No, have not had any tests for the hashimotos thyroid. I truly have only had the TSH because that’s what the endo here said is all that is needed and that there wasn’t a need for anything else and that there was no problems with my thyroid other than I have a ton of nodules. Well, I think there is a problem, but my pcp also only goes by the TSH also, so there you have it. Don’t laugh Carol, I may very well take you up on your offer to come see your endo. Sandusky really isn’t that far of a drive for me, especially if I only had to do it a couple of times a year, and it might be worth it just to have the full thyroid workup done. Besides, it would give me a good excuse to come meet up with you! LOLOL! Donna G
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lol — good luck tomorrow Bruce. Duckie – Hide quoted text — Show quoted text – > Well I get to see my PCP tomorrow; can’t wait to see if he got the letter > from the Rheumy yet. Will be interesting to see if he offers me my pain > medication or if I have to ask for it, This guy is a gem but I may have to > polish him a bit tomorrow or threaten to sick my Rheumy on Him…….that he > would not like! She’s vicious. > Bruce
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(((((((((((((((((((((((hugs))))))))))))))))))))) and love. keeping you in my prayers. kate
No – I can’t apparently. All I wished for was a simple problem. Figures. I will take those prayers. Friday seems a long way off. Duckie > Good lord, girl!! Cant you do ANYTHING simply? > Prayers coming that these are all benign conditions, and that an extra pill a > day, will take care of the problems. > Please let us know what the Endocrinologist says, ASAP. > Char > "Remember, I’m pulling for ya’. > We’re all in this together." Red Green
– _(‘> (_<_) _ _(‘< -quack (_<_) _ __(‘< *QUACK!* <_{__) _(‘< "|,,|_" (_<_) _(‘< "AFLAC!" (_<_)
Response:
That was me who had a normal TSH and low T4!!! And I am usually kinda strange when it comes to my medical stuff! (even had shingles when I was 10 years old!…that’s weird!) I can’t remember exactly what my thyroid ultrasound showed…other than the final diagnosis was "a multinodular goiter". I don’t remember my report being as wordy as yours is. I will tell you though, that a neurologist is the doc who told me my thyroid tests were abnormal because the ratio was off…whatever that meant. (My PCP didn’t think anything was abnormal because the TSH is supposedly a much more accurate test than the T4 of thyroid function) My PCP started me on synthroid immediately after talking with the neurologist and then I had the ultrasound…after that I was referred to the endo. My PCP was also shocked by the ultrasound results and even told me to sit down when he called to tell me. Did your PCP mention anything about the possibility of the endo ordering a biopsy? I would bet you’ll have to have one. Although I don’t think the endo’s do them..I think an ENT doc does the biopsies. I haven’t had to have one because the synthroid shrunk my nodules or at least I think it did…it certainly alleviated all the crappy stuff I had going on! Keep us posted and good luck at the endo appointment! I really like my endo…have to have him repeat a lot of things cuz I have trouble understanding him at times, but he’s always nice about it. He’s very knowledgeable about everything…a lot more than most docs. When I go there now, the first thing he asks me is how my RA is doing. I think that’s funny considering he’s not treating me for that! Carol
– Hide quoted text — Show quoted text -> Well, wish for something and sometimes those wishes come true. > Let’s just say that they found three things: inflammation of the > thyroid, cysts, and nodule. > Want to see a PCP freak out — then you should have been in the office > with me today. hehehe She kept saying that with my blood labs, there > was no way all this could be going on. Now where have I heard that > before. She also said having a normal TSH and a low T4 was VERY unusual. > I am sure someone on this group has had just that happen too. Are the > ones on this group that hang around the ones that have everything > unusual, worse than unusual, different, non responsive,…… Or are we > just lucky. > I have been worked in for a Friday appointment with the endocrinologist. > In the mean time here is the paper work results from the ultrasound. > Ultrasound of the thyroid and doppler: > Findings: > Regarding the right thyroid lobe, it is heterogeneous and abnormally > vascular and has a complex cyst in the lower pole measuring 1.3 cm in > length X 1.2 cm across with a depth of 1.1 cm with no vascularity to the > solid part within it. This complex cyst is a larger solid mass, very > vascular measuring 1.5 cm in length and heterogeneous with no anechoic > or shadowing areas with. On transverse view, it measures 1.3 cm across > with length of 1.1 cm. There are two tiny anechoic areas within this > heterogeneous mass but no shadowing foci. > Regarding the left thyroid lobe, it is abnormally vascular in general, > matches the right lobe, and has solid nodule of the lower pole .5 cm in > length X .7 cm across with depth of .5 cm with some increased > vascularity to this nodule. There is also complex cyst if the left pole > of this left thyroid lobe with length measurement of 1 cm and transverse > dimension of 1 with a depth of .6 cm. There is no vascularity to this > complex cyst. The echogenic area in this cyst is not vascular. > Impression: > You are screwed. opps sorry editorial comment there > 1. Bilateral hyperemia of the thyroid lobe consistent with inflammatory > change with complex cysts bilaterally but also a large solid nodule, > very heterogeneous of the right thyroid lobe, and a small hypoechoic, > more clearly defined solid nodule in the left lower pole, question > adenoma for the small one. > Need follow-up of the larger very vascular mass. [no kidding] > Duckie > — > _(‘> > (_<_) > _ > _(‘< -quack > (_<_) > _ > __(‘< *QUACK!* > <_{__) > _(‘< "|,,|_" > (_<_) > _(‘< "AFLAC!" > (_<_)
Response:
Well I get to see my PCP tomorrow; can’t wait to see if he got the letter from the Rheumy yet. Will be interesting to see if he offers me my pain medication or if I have to ask for it, This guy is a gem but I may have to polish him a bit tomorrow or threaten to sick my Rheumy on Him…….that he would not like! She’s vicious. Bruce — Success is not in never falling, but in rising every time you fall
– Hide quoted text — Show quoted text -> I don’t understand it either and it took me half an hour to type it in. > LOL Friday can’t come soon enough. > Duckie > Duckie, > Don’t really understand it all, but sorry you have this. Keep us posted on > the follow-up. > debbie m. > http://www.angelfire.com/ga2/angels1/
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Duckie, Good luck at your appointment on friday. Hope they can sort it all out for you quickly and get you to feeling better as far as the thyroid stuff goes!!! Keep us posted on how it all works out! Donna G
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Good luck to you tomorrow Bruce!!! Really keeping my fingers crossed for you. Let us know how it goes! Donna G
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I don’t understand it either and it took me half an hour to type it in. LOL Friday can’t come soon enough. Duckie – Hide quoted text — Show quoted text – > Duckie, > Don’t really understand it all, but sorry you have this. Keep us posted on > the follow-up. > debbie m. > http://www.angelfire.com/ga2/angels1/
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Good lord, girl!! Cant you do ANYTHING simply? Prayers coming that these are all benign conditions, and that an extra pill a day, will take care of the problems. Please let us know what the Endocrinologist says, ASAP. Char "Remember, I’m pulling for ya’. We’re all in this together." Red Green
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No – I can’t apparently. All I wished for was a simple problem. Figures. I will take those prayers. Friday seems a long way off. Duckie > Good lord, girl!! Cant you do ANYTHING simply? > Prayers coming that these are all benign conditions, and that an extra pill a > day, will take care of the problems. > Please let us know what the Endocrinologist says, ASAP. > Char > "Remember, I’m pulling for ya’. > We’re all in this together." Red Green
– _(‘> (_<_) _ _(‘< -quack (_<_) _ __(‘< *QUACK!* <_{__) _(‘< "|,,|_" (_<_) _(‘< "AFLAC!" (_<_)
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>Want to see a PCP freak out — then you should have been in the office >with me today. hehehe She kept saying that with my blood labs, there >was no way all this could be going on.
Yucky, double yuck! What is she proposing to do about it? maybe it is time to visit an endrocrinologist (sp?) I have an under – over active thyroid but it has been pretty consistent lately. Why did they want you to go through an ultra sound? Visit my website: http://www.mzuschlag.com
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She trotted down the hallway and got on her knees with the endocrinologist begging to work me in this week. They have and it is Friday. They sent me to ultrasound because the T4 came back low even though TSH was normal. And because I whined to my RD that I had a sort of lump thing going on and turtlenecks were annoying it. He ordered the blood labs. I think the PCP saw the results of those and ordered the ultrasound. Updates to follow. Duckie – Hide quoted text — Show quoted text ->Want to see a PCP freak out — then you should have been in the office >with me today. hehehe She kept saying that with my blood labs, there >was no way all this could be going on. > Yucky, double yuck! What is she proposing to do about it? maybe it > is time to visit an endrocrinologist (sp?) I have an under – over > active thyroid but it has been pretty consistent lately. Why did they > want you to go through an ultra sound? > Visit my website: > http://www.mzuschlag.com
– _(‘> (_<_) _ _(‘< -quack (_<_) _ __(‘< *QUACK!* <_{__) _(‘< "|,,|_" (_<_) _(‘< "AFLAC!" (_<_)
Response:
Well, wish for something and sometimes those wishes come true. Let’s just say that they found three things: inflammation of the thyroid, cysts, and nodule. Want to see a PCP freak out — then you should have been in the office with me today. hehehe She kept saying that with my blood labs, there was no way all this could be going on. Now where have I heard that before. She also said having a normal TSH and a low T4 was VERY unusual. I am sure someone on this group has had just that happen too. Are the ones on this group that hang around the ones that have everything unusual, worse than unusual, different, non responsive,…… Or are we just lucky. I have been worked in for a Friday appointment with the endocrinologist. In the mean time here is the paper work results from the ultrasound. Ultrasound of the thyroid and doppler: Findings: Regarding the right thyroid lobe, it is heterogeneous and abnormally vascular and has a complex cyst in the lower pole measuring 1.3 cm in length X 1.2 cm across with a depth of 1.1 cm with no vascularity to the solid part within it. This complex cyst is a larger solid mass, very vascular measuring 1.5 cm in length and heterogeneous with no anechoic or shadowing areas with. On transverse view, it measures 1.3 cm across with length of 1.1 cm. There are two tiny anechoic areas within this heterogeneous mass but no shadowing foci. Regarding the left thyroid lobe, it is abnormally vascular in general, matches the right lobe, and has solid nodule of the lower pole .5 cm in length X .7 cm across with depth of .5 cm with some increased vascularity to this nodule. There is also complex cyst if the left pole of this left thyroid lobe with length measurement of 1 cm and transverse dimension of 1 with a depth of .6 cm. There is no vascularity to this complex cyst. The echogenic area in this cyst is not vascular. Impression: You are screwed. opps sorry editorial comment there 1. Bilateral hyperemia of the thyroid lobe consistent with inflammatory change with complex cysts bilaterally but also a large solid nodule, very heterogeneous of the right thyroid lobe, and a small hypoechoic, more clearly defined solid nodule in the left lower pole, question adenoma for the small one. Need follow-up of the larger very vascular mass. [no kidding] Duckie — _(‘> (_<_) _ _(‘< -quack (_<_) _ __(‘< *QUACK!* <_{__) _(‘< "|,,|_" (_<_) _(‘< "AFLAC!" (_<_)