Wednesday, May 21, 2008

The endocrinologist cares, he really does...

I spoke to another one of the endocrinologist’s nurses last evening. She called me. It was nice of her to call and admit that they had lost track of me and wanted my TSH to be checked by him and not my primary care physician. I said that was find and she said they would send me lab papers. She even apologized.

The endocrinologist’s nurse called back and said that the endocrinologist usually sees patients a year after their total thyroidectomy. If the patient had thyroid cancer, he likes to do an ultrasound a year after the total thyroidectomy. Since I had the thyroid cancer and the total thyroidectomy, she wanted to schedule me for the ultrasound. Well we schedule that up for August. We discussed taking the synthroid at night, TSH levels actually needing to possibly go lower that they should for a person who had thyroid cancer and the total thyroidectomy. The levels need to be lower than the 1.5 to 4.5 range that they recommend. The optimum TSH level for someone who had a total thyroidectomy because of cancer is right at 1. She explained that sometimes the synthroid will take the patient lower than the optimum TSH into the hyperthyroid instead of hypothyroid and then the endocrinologist with lower the micrograms of synthroid.

I felt good after speaking to her, I certainly felt a lot better about the endocrinologist and his office in general. They say online if you don’t feel a good rapport with your endocrinologist, you should find a new one. Well, there is only one endocrinology office in the town I live in, so I’d like to make it work so I’m not traveling 45 minutes or something to the doctor when I can just go 10 minutes away. So I feel a renewed faith that the endocrinologist knows what is going on and what he is doing, and cares about what happens to me...

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