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  • PattiMeg
    Participant
    Post count: 42

    Hi Ken,
    I am not trained to interpret lab results but I live in Rochester NY and have the names of 2-3 really good endos if you want a referral. I can’t imagine that there aren’t some good endos in Buffalo. Hopefully other folks online will respond. If you want the Rochester names email me at patriciamegerle@frontiernet.net

    Kjkerr241
    Participant
    Post count: 4

    As mentioned previously I am recently diagnosed and concerned about getting proper informed care. I think I have a great MD but I heard him outside the door consulting with another MD about what to give me and other such questions. It was apparent that he was not experienced nor up to date on Graves.
    Here are the numbers…. t4,free,calculated. 6.68 ref rnge 1.4-3.8 …..t4,total 17.0 mcg/l flag H ref range 4.5-12.0’…t3uptake 39.3 % flag H ref range 22.0-35.0.. Tsh,3rd gen <0.01 mIU/l flag L ref range 0.40-4.50
    I was put on propranolol 40mg 2xdaily and methimazole 20mg 3xdaily with a thyroid scan and blood test before the next visit in 9 weeks(kinda long)
    I am hoping to find an endo in the Buffalo, NY area and be seen before May. My scan is tomorrow/wednesday.
    Anyone have a referral for Buffalo…or advice based on my numbers above….I could use help interpreting their meaning.

    Ken
    43

    Kimberly
    Keymaster
    Post count: 4294

    Hello – Here are a couple of referral sites for endocrinologists:

    http://www.aace.com/ and http://www.thyroid.org/.

    On the AACE site, you might have to scroll down a bit to see the “Find an Endocrinologist” link on the left-hand side of the screen. Be sure and select the specialty “thyroid dysfunction” when doing a search on this site.

    On the thyroid.org site, move your cursor over where it says “Public & Patients” (towards the top center of the screen) and then click on “Find a Specialist.” All of the doctors on this site have expertise in thyroid issues.

    We aren’t medical professionals here so we can’t interpret your labs, but in general an above normal T3 and T4, along with below normal TSH is indicative of hyperthyroidism. It’s helpful to monitor your labs over time and note whether they are moving closer to the “normal” range.

    Keep in mind that some patients respond FAST to the methimazole. (I was one). With your next scheduled visit 9 weeks out, definitely keep an eye out for hypO symptoms. Every patient is a little different, but common symptoms include fatigue, joint pain, weight gain, constipation, dry skin, cold intolerance, and slow pulse. If you start feeling these symptoms come on, definitely ask for a new set of labs ASAP. As your levels start moving in to the “normal” range, it’s common for the dose of methimazole to be reduced to keep you from becoming hypO.

    Kjkerr241
    Participant
    Post count: 4

    Thanks for the great advice. I have already acted on most of the suggestions, so please know that they are not for nothing!

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