Viewing 5 posts - 1 through 5 (of 5 total)
  • Author
    Posts
  • green123
    Participant
    Post count: 15

    Hi all,

    Just wanted to get your thoughts on whether your doctor required euthyroid prior to thyroidectomy, meaning in range t4 free etc?

    I have heard people say that some surgeons require this, while others do not quite focus on the labs.

    What is your experience? Thanks!

    Kimberly
    Keymaster
    Post count: 4294

    Hello – Hopefully, you will hear from others who have had a thyroidectomy.

    The preference before doing *any* surgery is to get thyroid hormone levels stabilized in order to minimize the risk of thyroid storm. If that isn’t possible, there are additional steps (such as administration of beta blockers and potassium iodide) that can be taken if needed to reduce this risk.

    snelsen
    Participant
    Post count: 1909

    My experience the same as Kimberly described.
    Shirley

    emmtee
    Participant
    Post count: 148

    When I was first diagnosed, I was interested in thyroidectomy, but it took me a really long time (like, a year) before I was ever euthyroid for two or more blood tests in a row. That’s one of the reasons I ended up staying on methimazole for four years. (My TSH never did get into the normal range). I finally got a thyroidectomy last fall due to a large nodule, and by that time I had been euthyroid for a few years.

    The only time I’ve heard of someone having a thyroidectomy when she was still hyperthyroid, it was someone who was unable to take either of the ATDs and didn’t have a choice. Her doctors were able to give her something to mitigate the risk, but this is certainly not ideal.

    This is purely anecdotal, but I actually had emergency abdominal surgery a year before I was diagnosed with Graves’ but at a time when I had just started exhibiting symptoms (tremors). It took a little longer than expected to heal from that surgery, and six months later I had a follow-up surgery. At the time of the second surgery, I was still having tremors and had lost a lot of weight, but it was still six months before my official Graves’ diagnosis. It took a full year for me to heal from that second surgery. I started going to a special wound clinic at about the same time that I was diagnosed with Graves’. I really believe that Graves’ impeded my body’s ability to grow new tissue.

    When I was euthyroid and had my thyroidectomy last fall, I had no issues with healing at all.

    Liz1967
    Participant
    Post count: 305

    My Methimazole dose was increased to get my FT4 into the low range, I believe even slightly below normal, in the six weeks prior to surgery. TSH was never going to get in the normal range so that was not considered.

Viewing 5 posts - 1 through 5 (of 5 total)
  • You must be logged in to reply to this topic.