Against my Doctors orders I made an appointment with the Endo and I went yesterday. A little background is that I went to my doctor complaining about my difficulty swallowing and the feeling like my neck is being squished. I also have gained 60 pounds in 2 years, I have extremely dry and thick skin, total chronic fatigue even though I sleep 8 - 9 hours a night I feel like I don't sleep at all, my hair is thinning and extreme concentration and memory issues.
My TSH level was 1.1 - (.3 - 3.0)
T4 - 1.1 out of (.1 - 1.7)
I was sent for an ultrasound and they found a goiter:
The sizes are 6.9cm x 3.1cm x 1.9cm (R) 5.6cm x 2.5cm x 1.9cm (l)
My doctor told me that I didn't need to go to the Endo but I made an appointment anyway. When I was at my appointment he did a thorough checkup and confirmed that I had hashimotos but there was no reason to put me on any medicine since all my labs were normal. I asked about the FT3 test and he said the T4 was more accurate. He did order an antibody test and another TSh test just to see if anything has changed in a month and he told me that I need to come back in two months for more blood work and another ultrasound. In the meantime he told me that I should have a sleep study done and the bulk of my symptoms were related to sleep apnea. I explained that my Mother and my father's mother also had thyroid issues, my mother had nodules and my grandmother had a goiter removed but he still said since the levels were normal he was taking a wait and see approach. He told me that I need to follow a 1200 calorie diet that this is the best way to lose the weight and a more rigorous exercise program. When you can't even stay awake to drive home I am lucky I have the energy to make dinner and eat it. He stated that I wasn't eating enough and I need to try and get my calories up. As far as the swallowing goes I was told that I have reflux and the ENT put me on medicine and that seemed to clear up the choking and swallowing issues.
I have been to an internal medicine doctor, the ENT I got referred to and now the Endo. I am so frustrated!!
I don't know what to do, do I just wait the two months and see what happens? I am at a loss
Thanks any advice will be greatly appreciated!!
Tired and depressed in NC