[Anonymous February 5, 1997 at 5:29 pm Post count: 93172]

#1057022

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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