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in reply to: Eye plugs????? #1073089
Hi Cathy,
Yes, these are actually VERY common! It can help a lot ~ some people find them uncomfortable, so I think usually the first ones are "dissolving" so you can see if you like them. If you do, after they’ve dissolved you can either have permanent plugs put in or have the ducts cauterized shut. It helps the moisture to stay ON the eyes, rather than draining away.
I hope they give you some relief!
in reply to: I don’t know what to do?? Please..need advice. #1073101Your treatment is YOUR choice.
I can tell you that you have no extra risk of developing cancer from taking RAI. There’s also no guarantee that you’ll gain weight. You may bring back some of the weight that was lost through hyperthyroidism, but that’s returning your muscle mass, which is weight you WANT. When we lose muscle mass due to hyperthyroidism, we are at risk because muscle mass eats calories even at rest, and when you lose that muscle, you can’t eat as many calories without gaining. When the muscle mass returns, it is "baby flabby" muscle mass, so it takes careful conditioning to build it up without hurting yourself. Everything in moderation, and you’ll be fine.
The percentage of patients who achieve remission after their first course of ATDs is around 40%. If you’re in that 40%, great. Traditional wisdom says you must be on the ATDs for up to two years before attempting remission. If you have found a dose that keeps your levels normal and you feel well, no harm in continuing to take it for now, and even if remission is not achieved eventually, long term ATDs ARE an option. Typically a maintenance dose is extremely small. Many doctors will advise against it, for various reasons. Their opinions can be valuable, but they are something for you to consider. They are not the "boss of us."
If you end up needing RAI, it may be far enough in the future that your kids will be older and you can use the "six foot rule" we use with adults for the first two days, and that would be all you’d need to do. The issue is that small children don’t understand why they’d have to stay a distance away from you, so it’s better for them emotionally just not to have you in the vicinity, rather than "pushing them away" for their own good. Still, if you need it, having a Mom who is healthy is WAY worth the five days, and there are things you can do to remain in touch. You can still call them multiple times in a day, you can write them notes and send fun activities to their caregivers, so they know you’re thinking of them, you’re near, and you’re okay. In the alternative, you could have surgery to remove your thyroid. You’d still have to be away from home at least for one overnight in the hospital, and you’d be restricted as to lifting anything for a while, so restrictions exist for either solution.
I hope that helps!
in reply to: Life insurance and Graves #1073159If you have continuous coverage between the two health insurance companies, my understanding is that they can’t refuse you for a pre-existing condition. It’s only after a period of NO health insurance that they can use it as an excuse.
in reply to: weight gain Pills Forever? #1073134Hi Cyndie,
Just one comment to add to Cathy’s post ~ the point of RAI treatment is to destroy your thyroid, so everyone who has a successful RAI treatment must take thyroid hormone replacement after the thyroid dies off. The advantage to thyroid hormone replacement is that it is not a pharmaceutical in the sense that you are thinking. It is chemically identical to the thyroid hormone our body would produce on its own, so it doesn’t require "processing" through the liver. It just replaces the hormone the thyroid was providing beforehand. The only side effects come from taking too little, which would result in hypothyroid symptoms, or taking too much, which would result in hyperthyroid symptoms. Once we’ve got the right dose dialed in, there are no other issues with taking long term thyroid hormone replacement. (Rarely, a patient is allergic to the fillers in the pill. For those patients, there is one brand made with no dyes and no fillers.)
in reply to: Graves disease in Males #1073282Hyperthyroidism typically takes at least six weeks to abate, after you start taking the meds. It takes at least that long just for the excess thyroid hormone to be flushed from our system that was there when we started taking the meds.
Unfortunately, this is a LONG path you’ve started down. Each step takes a while. Patience should become your best friend right now.
In addition to that, the Inderal you’re taking should NEVER be stopped "cold turkey." Stop taking it only under a doctor’s orders, and follow instructions to wean yourself off the medication. It’s precisely because withdrawing the medication too rapidly can cause the effects you experienced (a fresh, more intense set of symptoms you’ve been controlling).
Depending on how long you’ve been sick prior to diagnosis, it may take a while for you to begin feeling "back to yourself." We are all so used to diseases that we can "conquer" within a couple of weeks (at the most!), but this one is not like that at all.
I remember when I was first diagnosed, my Dad sent a message ~ "I hear you’re in for a long haul on this one." I had NO idea how accurate he was. Don’t get discouraged ~ once you’re on the road to health, it gets better all the time, but absolutely by BABY steps. Look for tiny improvements, not "well." Not this quickly.
Let us know how it’s progressing for you!
in reply to: tsh level? #1073143Please just look at your own test results for normal ranges ~ each lab has their own, and they can vary widely.
in reply to: tsh level? #1073140Yoiks! Sounds like you have several things going on at once. First, as far as your test results go, we can’t evaluate them for you because different labs use different processes and thus have difference reference ranges of "normal" at the end. If you have a copy of the results, it should indicate whether your results fall inside or outside the reference range of normal at that lab. If the TSH is low (compared to the normal range), it would indicate that you are hyperthyroid. TSH has an inverse relationship to our thyroid hormone levels ~ it is excreted by the pituitary gland in response to the thyroid hormone levels detected in the bloodstream. When the pituitary gland senses too much thyroid hormone in the blood, it reduces the amount of TSH (thyroid stimulating hormone) that it excretes, instructing the thyroid to reduce the release of thyroid hormone. With Graves’ Disease, the antibodies mimic TSH, so the thyroid responds as if it is being asked to increase the release of thyroid hormone, and then the TSH from the pituitary gland typically lowers until it’s nearly undetectable, while the thyroid is overproducing thyroid hormone.
You need a careful examination by an endocrinologist, to sort out everything that’s going on right now. I’m not sure the rash is related to GD, but anything’s possible. The nodule is not typical for Graves’ (did you say NON-benign?), so that’s something separate to address as well. Nodules can render you hyperthyroid without having Graves’, so the possibility exists that you do NOT have Graves’. Still, something needs to be done to address your hyperthyroidism, if you are currently hyperthyroid. Anti-thyroid drugs (ATDs), either methimazole or PTU, can help to bring your levels down while you investigate the cause.
Now that you have insurance, you should investigate this to your satisfaction. Please let us know how things turn out!
in reply to: Eye Problem Post RAI? #1073231He will. I know it seems like a long way off, but just think about it this way: let’s say he has a lifetime of 80 years. This period of time will be a mere speck in that long period of time, something that happened to him "way back."
You are both closer than ever to realizing a bit of normalcy. Hang in there, it’s coming! I know you’ve heard that before, and it’s hard to get on board when you’ve seen things go sideways time after time. The bottom line is that SOMETHING will work to bring him back to thyroid health. My bet is that THIS is working, and you won’t have to worry about the "next thing."
I know the eye symptoms are an awful thing to deal with ~ it’s all about how we perceive ourselves, how others see us, how confident we feel at "facing" the world ~ and that’s scary to contemplate for both of you. Try to focus on the next step, just the next step. We can deal with it if we face it one step at a time.
in reply to: Eye Problem Post RAI? #1073229You may not be doing him any favors by hiding how you feel, FYI. If he can see that you are just as frustrated as he is, at least he’s not alone feeling that way. Show him you’re frustrated, but you’ll still hope for the best and try to get through the day. Then he can copy you. Just a thought.
” title=”Wink” /> It’s hard for someone to think they’re the only one losing their grip.
One more thing ~ he’ll get those things you want him to have. He’ll just get them later on.
in reply to: A Question and a comment #1073187Actually, if you are well cared-for by your general practitioner, there’s no reason an endocrinologist would be better for you. There are good and bad doctors in every field. Some general practitioners are simply interested in helping their patients, and so they learn right alongside us, and they can be some of the most helpful doctors around. Others have already been through this with other patients as well, so in that respect, they may even have more experience than some endos. Some endocrinologists have never treated a Graves’ patient and will be just as clueless as clueless gets. The important thing is getting the proper care, and for that, many people rely on their general practitioners. No harm in consulting an endocrinologist, but it’s really your choice as to who manages the overall care, as long as you’re being treated and things are working out (levels are improving, etc.).
And as to your comment, BOY do I know how you feel! I remember feeling like I must’ve secretly turned 110 years old on my last birthday, trying to get out of my car. I also well remember handily dismissing ALL of my symptoms, until I woke up one morning and all the tissues around and on top of my eyes were swollen like crazy. It’s really common for us to dismiss things ~ we don’t want to be sick, after all.
” title=”Very Happy” /> It’s also very human not to complain about every little symptom. For a little while, you’ll need to be extra vigilant, and maybe even take the arm of a friend when things may be dicey. You don’t want to hurt yourself, if you can help it. No need to make a big deal out of it, but I know it’s tough to just brush it off. Just take care.
We’re so glad you found us. Stick around, we’ll help at every turn.
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in reply to: Graves Disease 27 years ago and questions #1073195This is certainly the appropriate board for you, welcome!
We can help with everything a GD patient goes through, and managing your levels after removal of the thyroid is definitely one of those things!!
The elevated liver enzymes would not be related to the replacement hormone, because it is chemically identical to our own thyroid hormone and doesn’t need to be processed through the liver. Your doctor would be the best source to figure out what you’ve been taking, if anything, that has led to liver trouble. Even taking ibuprofen every day can do that, long term, so make sure you get a comprehensive answer (not just a brush off). You need to know the cause, and you need to know what you can do to bring those enzyme levels back into normal range.
Now, as far as your thyroid hormone replacement ~ it’s possible that your "normal point" is somewhere other than it has been. That can be a tiny bit time consuming to find, but it is SO worth it. Start by having your blood levels tested, then keep a symptom diary for a month or two, have your blood levels tested one more time, and go to your endo (or GP, whomever is managing your dose) armed with all of the info. Be VERY specific in your symptom diary. Doctors have trouble hearing "I’m tired all the time," but they will eat up empirical data indicating that you fall asleep at or before 9pm every night, and still don’t feel rested until 10am, if you know what I mean. They run on specifics, and we typically walk in with generalities. WE know that we’re tired all the time and it’s not normal for us, but they hear us say we’re "tired all the time" and they don’t really know what to do with that. Once you’ve got something for them to look at (we have a symptom diary as one of our bulletins, so ask Nancy if you’d like one), see if the two of you together can discuss changing your replacement hormone, just by one dose level, to see how you feel. You’ll need to stay on that dose for at least six weeks before you have your blood tested again, because it takes that long before your bloodstream fully adjusts. In the first couple of weeks after changing, you may feel hyper one day, hypo the next. That’s completely normal. It’s all part of the adjustment. Wait out the six weeks and see where you stand then, and continue to keep the symptom diary throughout. Together, you and your doctor can find your normal point, and that will mean you can feel better from then on!! Now, if one dose leaves you slightly hypo-feeling, and the next dose level leaves you slightly hyper-feeling, you can take the two on alternating days. Replacement hormone builds up slowly in your system, so it wouldn’t mean that you’d feel low one day, high the next. It’d even out and you’d feel just right, Goldilocks.
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I hope this helps. Keep asking any questions you have, you are in the right place!
in reply to: Hair loss – I’m scared #1073246Yep, you are NOT alone!
” title=”Very Happy” /> If there’s any way you can get some help from outside, that may be a solution for now. I know you don’t want to feel like this (well, no one does), and you don’t want your house to be a mess, but the solution is definitely not to suck it up and do it anyway. That will only make you feel worse, it adds to the resentment you feel about doing everything, and it wears you out so you have little time or patience for your husband or kids.
Do you have women friends? Neighbors, parents of your kids’ friends? Can you have a "clean my house with me" party once a week? Provide something for everyone to eat & drink, and split up the work among many hands. You could do your part, they could give you a hand, the house would be nice, and you wouldn’t be worn out. If that’s not an option, look toward a cleaning person ~ not every day, or even every week, if that’s too much for your budget, but maybe once a month for the really hard stuff. You need to reach out and get some real help from those around you now, because there are two parts to what you’re feeling right now. The first part is the exhaustion, the depression, the sadness, the frustration. The second part is the resentment you feel toward the disease (your body is letting you down, how dare it!), toward your family for needing, toward your husband for not helping, etc. etc. etc. BOTH issues need to be addressed in some way that helps, rather than putting you in an escalating state of upset.
Naturally, in the back of our mind we know that we love our family, our body can’t help this, we are expecting too much from ourselves, and we need to calm down over the whole thing. Unfortunately, this is largely chemical. It’s not as easy as just saying "I understand." We’re GOING to feel badly. We’re GOING to get angry. This is TOUGH. Sometimes knowing that is helpful. Sometimes not. It’s tough to be balanced when you feel as if so much is going wrong.
Anything that can put your mind back toward the positive will be a good thing. Get the old gratitude journal out. Write down five things you’re grateful for every morning. Try to make sure you build in to your day some things JUST for you, and don’t feel guilty about that. (And if that thing is wiping down the counters with bleach because no one else does it right, that’s okay too!)
Above all, remember that you didn’t put yourself here, no one is saying you want to be in this condition, but indeed, here you are. There’s no shortcut to wellness, sorry about that. You’ll have to take every step of it yourself. But you WILL get there, things will start looking up. One day you’ll turn around and realize you’ve been feeling okay for quite a few days. One day even further down the road you’ll be telling someone about this period in your life and find that you’ve really, truly recovered. That day IS in your future.
in reply to: Teeth problems #1073213Well, that’s a choice for you to make ~ the dose of PTU is supposed to be constantly evaluated against lab tests, it typically comes way down within the first couple of months, because once the PTU is effective and managing your levels, you don’t need as much to keep the levels normal, and too much will make you hypo, another kind of misery. I hope you are able to get some kind of consistent care. Your body can’t really heal until the levels are normal, and stable.
in reply to: Teeth problems #1073211Are you taking some kind of ATD regularly at least? Graves’ is VERY dangerous, left untreated, and leads to more and more problems, the longer it is unmanaged. The meds can be provided free through government programs (different states have different systems), but you need something to keep you safe.
Under these circumstances, it is possible that your teeth are being eaten away through the hyperthyroidism. Please find out what you can do to get help. There are people here who may be able to point you to some good resources. I’m not an expert, and I don’t want to lead you astray, but I know there are programs you could take advantage of.
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