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Old 06-16-2005, 04:48 PM   #1
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Home from 2nd surgery....prescribed Cytomel

Hi, I had my second surgery Tuesday morning to take out the other half of my thyroid after a 5.5 cm and 1.2 cm nodule were removed from the right side that turned out to be malignent. I don't have the pathology report back from the other lobe yet, so I'm not sure if it contained cancer or not.

The recovery from the surgery went well...I basically slept a lot from the anestia (sp?) and the sore throat feeling only lasted a day. I still have a lot of tightness in the incision area, but the pain is minimal and I'm only taking Tylenol. I was just discharged from the hospital a few hours ago and have a question about the the medication I was prescribed. Since the surgery, I asked two separate doctors if I should be prescribed hormone replacement for my thyroid. They both said they ususally wait until after the RAI treatment for the cancer before prescribing anything.

Meanwhile, when the nurse was discharging me she gave me a prescription for 25mcg of Cytomel and said my previous endocronologist from another hospital was contacted and he wants me to take that and then follow-up with him. I had no intention of going back to that doctor however and now I'm not sure if I should take the medication since the other two doctors said I shouldn't.

Although I plan on calling the hospital that performed the surgery tomorrow to inquire further about this, I was wondering if anyone has any information about the ususal protocol for thyroid cancer. Does a person start taking medication before receiving RAI treatment? I find it so annoying when different doctors have different theories and use their own philosophy of treatment. Any information would be appreciated.

Well, thanks for allowing me to vent. I'm happy to be home and looking forward to moving on with my life!

Elaine

 
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Old 06-16-2005, 05:21 PM   #2
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Re: Home from 2nd surgery....prescribed Cytomel

Hi-

I had my thyroid removed in May and was prescribed cytomel. They prescribe that right after because if you do need the RAI, it is one that leaves your system rather quickly. I had to stop taking it on the 12th because I have to do the RAI on the 27th and they say your body needs to be free of the thyroid hormone. I feel ok so far but they say I will definitely notice the difference has I will become hypo and have all the side effects.
I would take the medicine until your follow up. It isn't too bad except for when they first prescribed it, I was taking too much and it made me hyper for a couple of days-couldn't sleep, real jittery, etc...

Let me know if you have other questions.

Mander

 
Old 06-16-2005, 05:38 PM   #3
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Re: Home from 2nd surgery....prescribed Cytomel

Yup...they're giving you the cytomel in case you need RAI for ewhich you need to be hypo to get a good absorption and the T3 in Cytomel will leave fast if you need the RAI. I am sure if there's no cancer and you don't need the RAI they will get you some Synthroid or something for the long haul.

 
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