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Old 09-07-2004, 10:06 AM   #1
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First appointment with Endo

I just returned from my first appointment with my Endo and I'm somewhat relieved. Two GPs informed me that I was absolutely normal (TSH of 4.3 FT4 of 12) and no specialist would treat me - my symptoms were psycho somatic and not at all related to thyroid function.

This doctor had me fill out a detailed family history and list all of my symptoms along with a chronology of when they first appeared. She listened to me and told me at the end that the descision on whether to treat should be taken in conjuction with symptoms and results with the understanding that the goal should be preventative medicine - if you can treat now, before full blow hypothyroidism develops w/o harm to the patient then you should do so. She even said that she had had this discussion (i.e. arguement) with her colleauges at a recent endocrinology convention.

She gave me a lab requisition for a full panel of tests, one of which I am not sure of, others I know are the right ones. She also asked me to keep a journal of my weight in the am and in the pm (she's looking for water retention / bloat) and to write down what I eat - this is no problem I've been doing it for years. She wants to see me in about 10 days once all the tests come back and she will commence treatement at that time. I really was expecting the worst; this was a welcome relief.

She has asked for TSH, FT4, FT3 and antibodies. She also asked for fasting glucose, creatinine, potassium, cholesterol and triglycerides, serum insulin and serum cortisol. I am to give them a fasting (no water) urine sample - something about S. Osmolality (sp) - I cannot read her writting here.

It looks to me like she is covering all the bases - does anyone have any input on what the she's looking for with the last one? (osmolality).

While I was hoping to be taking something by now I am relieved that I found someone to listen to me.

Thanks for all your support and help the past few months.
Nat
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Old 09-07-2004, 12:42 PM   #2
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Re: First appointment with Endo

Congratulations! You must be so excited!
She sounds very promising... I think you'll get some help there.

Tell us (again, if you already have) how you found her. Whatever method you used might help someone else find a doctor.

(Don't have a clue about that urine test... sorry. Try looking at labtestsonline.org for an explanation.)

 
Old 09-07-2004, 01:18 PM   #3
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Re: First appointment with Endo

I found her by accident! A friend of a friend was recently diagnosed and treated by her for hypoT, I decided I wanted a referal to an Endo after the fiasco with my first GP and asked around. Her name came up and when I looked up her address it was right downstairs from my Dr's office. I did a little online googling and found some articles she had written on HRT and the complications of HypoT with Diabetes and liked the way she sounded - she definitely advocated 'listening to the patient'.

I also have the name of a local GP who prescribes Thyroid here in Ottawa from some advice in another post - I talked to a pharmasist. So if this Dr is dead set against a trial of the natural product I can take my results to the one I know prescribes it

Nat

p.s. thanks for the link/suggestion Midwest1 - I should have thought of that!
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