Discussions that mention trental

Thyroid Disorders board


im going to nursing school right now, and I work in a hospital in surgucal recovery unit. I had two patients tonight who had thyroidectomys.
One with graves and the other had a TT, whith hypothyroidism.
I always like the thyroid patients and ask them questions and try to empathize with them, because of my own problems.
I find it ironic tho, because they always seem to be very igorant about thyroids and symptoms, and Im the one who cares and is trying to be supporative and they are kinda clueless.

Both patients wanted to go outside to smoke ciggarettes, take their IV poles with them and everything. After getting your thyorid just remmoved 2 hours
It can seem somtimes to me like most patients arent educated as you and i are and they dont take care of their health, so the tendancy is to blame and dismiss the patient and their concerns and send them on their way.

The nurse or office person sounds pretty frusterated. Its crappy to feel like your bothering someone, when what you need is just validation and some good advice or answers to your questions, she should be able to do that.

Eyes and Graves disease,,, everyone knows that, I think you could walk up to someone on the street and they would know about it....I would just laugh, its obvious she doesnt want to be there and thats not your fault.

Not all the nurses know about stuff, science and disease, and not all doctors either, they are kind of robotic prescription writing machines, and they see like 40 people a day, for years and years, it becomes easy to treat pepople like they are the problems, not like a person but like a problem. Health care people become Dehumanized and desensitized, but not all of us, some actually have empathy and kindness. But the older nurses do loose that warm and fuzzy coating, after being **** on so many times and dealing with sickness and ******* doctors for years, and husbands that dont appretiate them and its a hard job. who knows whats going on in her life anyway, maybe she has a thyroid problem! or menapause.

(thyroid eye disease, thyroid ophthalmopathy), hurts like a *****! The common treatments are prednisone, other glucocoritocids, eye drops, sunglasses, occlusive dessing with steroids, some experimental new treatments like IVIG to lower anitibodies and Trental and drug that is used to treat intermittant claudcation, but has a side effect of reducing the secretion of gag (glycosaminoglycans) in the eyeball. etc.
Usually the TED goes away gradually on its own once the thyroid problem is corrected, and it is known that RAI makes TED worse after you drink the radioactive iodine. Thats because the antibodies skyrocket and your body has receptors in the orbit of the eyeball aparantly, that attract these mucoproteins that cause that accumulate and attach to antibodies and cause the eyeball, one or both to protrude and hurt like hell.


Heres a few abstracts I found for you on Pub med,

Thyroid orbitopathy is most prevalent in women aged 40-50 years and is usually associated with thyroid dysfunction. Clinical manifestations include soft tissue signs, lid retraction, lid lag, proptosis, restrictive myopathy, corneal exposure and optic neuropathy. Thyroid function tests are essential, while thyroid antibodies and imaging to demonstrate extraocular muscle enlargement may also aid diagnosis. Correction of thyroid dysfunction and supportive measures are necessary in all cases. Immunosuppression is reserved for moderate to severe active orbitopathy and rehabilitative surgery is generally used once the disease is quiescent. A good visual and cosmetic outcome requires close cooperation between the general practitioner, endocrinologist and ophthalmologist.

---Thyroid eye disease (TED) is the most frequent extrathyroidal manifestation of Graves' disease. In most instances it is mild and non-progressive, but in 3%-5% of cases it is severe. Non-severe TED requires only supportive measures, such as eye ointments, sunglasses and prisms. By contrast, severe TED requires aggressive treatment, either medical (high-dose glucocorticoids, orbital radiotherapy) or surgical (orbital decompression). The choice of treatment relies on the assessment of both TED severity and activity. Removal of controllable risk factors, especially cigarette smoking, is important to improve the course and the therapeutic outcome. A coordinated approach to the treatment of hyperthyroidism and TED is also required. Novel promising treatments, to be verified in large series of patients, include somatostatin analogues and cytokine antagonists.

go on pubmed yourself and be proactive, dont wait for a doctor or nurse to tell you what to do, be your own scientist!








Christina