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I haven’t visited in a while. My daughter is 15, diagnosed in April 99. Doc wants to do RAI but her eyes are terrible now. Very puffy, bulgy, and red. Won’t RAI make it worse?? He says we’ll treat her with prednisone. Isn’t that temporary?? And what do I need to do after she has RAI, as far as the bathroom etc. Doc says no big deal, just be careful. What does that mean??
We went for a CAT scan on her orbits 4 months ago, we have to go again for a comparison, then we’ll make the final decision on RAI. I called an orbit specialist but he won’t see her until AFTER the thyroid is treated. What a nightmare. Any imput would really help. Thanks.
From a study that appeared in the New England Journal of Medicine about two years ago, in January, it appears that taking prednisone at the time of RAI will prevent the RAI from causing any worsening in the condition of the eyes, due to TED. The way the study was structured, they noticed that 15% of patients had a TEMPORARY worsening of TED after RAI, but that administering prednisone along with the RAI completely eliminated the temporary worsening.
As far as other matters, you could probably benefit by getting a copy of one of the books recommended on the National Graves’ Disease Foundation’s list of recommended reading. Both THE THYROID SOURCEBOOK by Sara Rosenthal, and YOUR THYROID: A Home Reference by Drs. Cooper, Ridgway and Wood have chapters in them that explain things, in understandable language. These books have been available through online bookstores, in large bookstores (like B&N; or Borders), and probably are available in your neighborhood library. It doesn’t sound like your doctor takes a lot of time to explain things, and these books might help. You could also quietly insist that the doctor answer your questions. Whichever would make you feel better. But you do need to get the answers to your questions. I can only imagine how stressful this time is for you. It was hard enough for me to make treatment decisions about myself, but if it were my child, I would have been even more stressed. Anyway, these books helped me a lot, and perhaps they would help you.
Wishing you luck,
Bobbi — NGDF Asst. Online Facilitator
Bobbi@ngdf.orgHi Karen, I had RAI Jan18, I have moderate eye involvement. My endo gave me prednisone for a couple of weeks before, during and about a month after RAI. My eye involvement didn’t get worse, if anything it got a little better. Keith
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