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  • Anonymous
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    HI, now I am getting behind in entries, the folks I have e-mailed
    from old posts have been great in their responses. Thank you all.
    SELF REPORTED GRAVE’S DISEASE DATA
    NAME (THIS WON’T BE USED WHEN REPORT IS SHARED)
    CODE # (WILL BE ASSIGNED TO YOU)
    SEX/CURRENT AGE
    LOCALE (COUNTRY OR IF USA GIVE ME STATE AND HOW TO ABBREVIATE IT)
    ONSET AGE/YEAR (EXAMPLE 36/85)

    SYMPTOMS WHILE HYPER;(LIST THEM…Rapid Pulse,Tremors,HyperBowels,
    Mood Swings,Depression Etc…)
    WEIGHT WHILE HYPER ( Gain or Loss? EX: G 23 or L 35 )

    TREATMENTS W/DATES.. ( RAI 87 OR PTU 18MO OR SUBTOTAL OR TOTAL THYROIDECTOMY & DATES)
    RAI (YES OR NO) (THIS FIELD WILL BE USED TO SORT THE DATA EASILY)

    EYE SYMPTOMS…YES OR NO & then DESCRIBE using WERNER CLASSIFICATION as below
    CLASS I Elevation or retraction of upper eyelids, dryness and irritation
    ( due to hyper state itself).
    CLASS II Soft Tissue Involvement, swelling of eyelids.
    CLASS III Proptosis, extophthalmos or bulging.
    CLASS IV Double Vision Diplopia
    CLASS V Exposed Cornea
    CLASS VI Optic Nerve Damage

    Re: EYE Symptoms Date of occurance of each class….. PRETX or POSTTX OR BOTH?
    EVER HYPO ? When ? HOW LONG ?
    OTHER DISEASES ? OR notes ? ( I’LL put in notes to explain unusual data)
    POST TREATMENT SYMPTOMS……..LIST THEM…………How are you doing now?

    THANK YOU , Jeannette in California

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