Jack
01.09.2004, 19:30
Dear Galina Afanasevna!
I ask your advice or council here on what question:
To my wife 16.12.2004 operation on a subtotal resection of a thyroid gland has been made. Indications to operation - a hyperthyroidism which 2 years unsuccessfully treated tablets.
After operation the doctor has appointed or nominated replacing dose of a L-thyroxine of 50 mkg, with the reference to pass to 100 mkg in 2 weeks. The status was good, a dose have increased only in a month after visiting the doctor and its or his demand.
The first analyses have handed over 12.01.05 (TTG - 0,82 - the doctor very much was surprised, has told or said, what is it, probably, a mistake or an error; 8,2 - more should resemble the truth)
Following analyses 15.02.05: TTG - 8,53, 3 - 1,42; 4 - 0,79
21.03.05: TTG - 4,43
Since this moment the status has started to worsen - the general or common malaise, some signs of a former thyrotoxicosis (an intimate or a cardiac arrhythmia). Have decided to lower a dose up to 75 mkg as dynamics or changes of depression TTG has seemed sharp. There were first signs of depression, an agoraphobia, panic statuses which have now amplified up to critical statuses.
Last analysis have handed over 21.04.05: TTG - 15,0; 3 - 2,51; 4 - 0,74
The status has already compelled or forced to address to the expert to the psychiatrist and the alternative endocrinologist. And here we have received absolutely different two opinions:
1. The endocrinologist - typical gipotiroz, is probably connected with use of a counterfeit L-thyroxine or a low dose (though it is complex or difficult to explain such sharp change of the analysis). Has registered Eutiroks 100 and Thyreocombum (1/2 tablets), has told or said to not worry and wait - with an establishment of a normal level of hormones, the mental status itself will quickly return to the norm or rate, any antidepressants to not drink, money for the psychotherapist have spent in vain.
2. The psychotherapist - the typical alienation caused or called by hormonal problems. It is necessary to accept urgently medical preparations (has registered Paksil), to visit or attend the expert, simultaneously restoring a normal hormonal level.
Now we operate or work under the first script, has passed or has taken place 2 weeks, but the status has not improved, even on the contrary.
I ask your advice or council - whether there is a certain technique at treatment of such combination of signs, i.e. who from physicians of the rights? Now, in a boundary situation, on a joint of two areas of medicine, everyone pulls a blanket on itself(himself) and tries to treat in the ways, but result it is not so visible.
In advance I thank.
I ask your advice or council here on what question:
To my wife 16.12.2004 operation on a subtotal resection of a thyroid gland has been made. Indications to operation - a hyperthyroidism which 2 years unsuccessfully treated tablets.
After operation the doctor has appointed or nominated replacing dose of a L-thyroxine of 50 mkg, with the reference to pass to 100 mkg in 2 weeks. The status was good, a dose have increased only in a month after visiting the doctor and its or his demand.
The first analyses have handed over 12.01.05 (TTG - 0,82 - the doctor very much was surprised, has told or said, what is it, probably, a mistake or an error; 8,2 - more should resemble the truth)
Following analyses 15.02.05: TTG - 8,53, 3 - 1,42; 4 - 0,79
21.03.05: TTG - 4,43
Since this moment the status has started to worsen - the general or common malaise, some signs of a former thyrotoxicosis (an intimate or a cardiac arrhythmia). Have decided to lower a dose up to 75 mkg as dynamics or changes of depression TTG has seemed sharp. There were first signs of depression, an agoraphobia, panic statuses which have now amplified up to critical statuses.
Last analysis have handed over 21.04.05: TTG - 15,0; 3 - 2,51; 4 - 0,74
The status has already compelled or forced to address to the expert to the psychiatrist and the alternative endocrinologist. And here we have received absolutely different two opinions:
1. The endocrinologist - typical gipotiroz, is probably connected with use of a counterfeit L-thyroxine or a low dose (though it is complex or difficult to explain such sharp change of the analysis). Has registered Eutiroks 100 and Thyreocombum (1/2 tablets), has told or said to not worry and wait - with an establishment of a normal level of hormones, the mental status itself will quickly return to the norm or rate, any antidepressants to not drink, money for the psychotherapist have spent in vain.
2. The psychotherapist - the typical alienation caused or called by hormonal problems. It is necessary to accept urgently medical preparations (has registered Paksil), to visit or attend the expert, simultaneously restoring a normal hormonal level.
Now we operate or work under the first script, has passed or has taken place 2 weeks, but the status has not improved, even on the contrary.
I ask your advice or council - whether there is a certain technique at treatment of such combination of signs, i.e. who from physicians of the rights? Now, in a boundary situation, on a joint of two areas of medicine, everyone pulls a blanket on itself(himself) and tries to treat in the ways, but result it is not so visible.
In advance I thank.