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Old 05-07-2002, 07:02 PM   #1
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Join Date: Mar 2002
Location: B.C. Canada
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bwwcdnmom HB User
More Results

Hello All:

Well I'm still patiently waitng for my appointment with an Internist.Hopefully this will be soon, but in the meantime I have received copies of my results to date. Aside from my thyroid cyst, my tests results seem fairly normal with a few exceptions.
I have read my ultrasound scan and surprisingly found out not only do I have a 20x28x18mm comples cyst with multiple septations on my right thyroid, I also have a small 3 to 4 mm nodule in the mid pole of the left lobe of the thyroid.
The larger cyst was FNA and suposedly collapsed after 4 millilitres were aspirated, yet 2 days later due to pain, I had another ultra sound done and it was noted to be of the same size(fast fill I would say). A few Hurthle cells and pigmented macrophages were found, but the specimen was of boderline adequacy.
I have posted my TSH & Free T4 results here in other posts.
My last blood work was checked for amirad of things.The only flagged result was my Neutrophils at 7.89 (1.8 - 7.7 lab range)3 months ago this result was 10.11, but no one mentioned anything about it.
Anyone else with any info on what this could indicate?
my FSH is 3 IU/L and LH is 3 IU/L.
My DHEA-SO4 is 4.0 reference mmol/L with a normal female being 2.2 - 9.2 umol/L. was this a typo on the labs behalf being the mmol and the umol?
Any help on this would be appreciated, my doctor seems to not want to make any assumptions, and has only said that I appear to be both Hypo and Hyper with the same blood work.
Jan 28 Feb 01 Apr 02 Apr 23
TSH 0.248 0.388 0.412 0.428
Free T4 17 12 13 13
Reference for TSH is .40 -5.00 mu/L
Reference for FreeT4 is 9-24 pmol/L
Lordy these are difficult measures, I wish there was a universal base for everyone, not just lab to lab
My only real symptoms right now are tiredness, moods of extreme laughter, and the last 4 days the feeling of an earache(which I have never had before ..ever), and am wondering if I should see my doctor or if it will just go away. It's not on the same side as my larger cyst.
Thank you all for having this site to post to.

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Old 05-07-2002, 08:54 PM   #2
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Location: Brooklyn, NY
Posts: 190
ArtfulD HB UserArtfulD HB User
Re: More Results

Wow, bwwcdnmom, much information. Are you really waiting for an Internist or an Endocrinologist appointment? I hope you can see an Endo, but it sounds like your current doc is doing a thorough initial evaluation. I'll do my best to answer some of your questions, but I'm gonna need help.

Neutrophils are a type of white blood cell, so elevated values are possibly an indication of infection, injury, or immune response. Since the value is coming back down to normal, perhaps this means your body has done its work against whatever it was fighting.

The reference point of your DHEA "mmol" vs "umol" is a metric conversion difference: "mmol" is millimole (1/1,000) and "umol" is micromole (1/1,000,000). So 1 mmol is equal to 1,000 umols. Am I correct in seeing that they list your DHEA-SO4 value as follows:

4.0 mmol/L (Normal = 2.2 - 9.2 umol/L)

because the conversion factor would have your value as 0.004 umol/L

Looks like they haven't checked you for thyroid antibodies yet. Antibodies are frequently associated with simultaneous hypo and hyper symptoms yet normal thyroid blood levels (at least in the early stages).

I will leave the rest of the interpretation to others...

wish I could have mood swings that included moments of extreme laughter.

Old 05-07-2002, 09:16 PM   #3
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bwwcdnmom HB User
Re: More Results

Thanks ArtfulD
Yes I am to see an Internist first. More than llely because of all my different results, or just B.C. medical politics...who knows.
As for my DHEA-SO4 it reads on my chart as follows:

Test Result Flag Reference
DHEA-SO4 4.0 mmol/L

Normal Female 2.2 - 9.2 umol/L
Postmenopausal 0.3 - 1.7
Prepubertal 0.3 - 1.6
This is exactly as how it reads on my copy from the lab. Maybe I am reading it wrong.
Yes, the laughter moments are nice, makes the whole office smile, but I then turn to almost depressed levels. So all has it's pros and cons.
Thank you again ArtfulD, I have to say, just your replies to all in here, gives us all a lift. Just the fact that you acknowledge us is so helpful.
Placing that Guardian Angel on your shoulder. *Smiles*

Old 05-08-2002, 09:57 AM   #4
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Location: Brooklyn, NY
Posts: 190
ArtfulD HB UserArtfulD HB User
Re: More Results

Thank you for the kind words; you're making me blush. <IMG SRC="">

There are such great people on this Board. I've received much help and support myself, and I know how scary the process can be. So I feel it's my turn to give back and try to make sure that all messages have quick responses (although there are often others who are much better versed at the specific questions than I). I figure that, even if I'm not knowledgeable enough to answer properly, at least the message posts to the top of the list for others to review and comment.

We are fortunate that there are many caring people on this Board keeping watch on all the messages to ensure rapid responses.

Old 05-16-2002, 10:24 AM   #5
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Join Date: Mar 2002
Location: B.C. Canada
Posts: 41
bwwcdnmom HB User
Re: More Results

How long have any of you waited to hear of your apointment dates witha specialist? I understand i may not get in right away, but it's been 2 1 2 weeks since my doc sent the letter for a consult. Thinking I will call this morning to find out why I haven't heard anything yet

Old 05-19-2002, 03:21 PM   #6
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Location: B.C. Canada
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bwwcdnmom HB User
Re: More Results

Well , I have my appt with an Internist June 20th.
I called his office directly. Apparently my referral sat here at the local hospital, and they wait for this Internist to make an appt to come here, then schedule all those on the list with him. Turns out that could have been a 1 - 2 - 4 month wait.
All I had to do was call the hospital here and have them fax my referral to his office. Only a 1 hour drive for me.
Still a wait, but at least I have an appt date now.

Old 05-21-2002, 11:36 AM   #7
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Re: More Results

Glad you were persistent. Unfortunately, it can take weeks to months to finally see an Endo (or any specialist for that matter). Let us know how it turns out.<p>[This message has been edited by ArtfulD (edited 05-21-2002).]

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