Showing posts with label reserve t3. Show all posts
Showing posts with label reserve t3. Show all posts

Friday, April 26, 2013

Bad News/Good News

I know it's been awhile again that I posted on here since I've been busy with school and trying to figure out my job stuff.  I had left my one job due to lack of hours and also lack of understanding my health issues by some of my supervisors, which caused my anxiety to get bad.  I went back to a job I had one and a half years ago and loved working there, I was so excited to work there again.  I guess, I never realized the job was actually harder than I thought.  For those that don't know, it's a sales associate job at a department store, doesn't seem hard I know, but it is on the body.  I was crying after being up on my feet for two to three hours with no break (you get a break if you work five hours) and my arms were hurting from lifting so many clothes.  I started this job at the beginning of the month and it makes me so depressed that I had to leave so soon.  Sadly since I had to end up job without a two weeks notice (there was no way I could handle it for another two weeks, especially with the eight hour shifts), they will not hire me based on company policy even though it's because of a health issue.  I actually broke down crying when I was telling them, but it's out of HR's hand because it's the company policy.

The plan is to go jobless for awhile until my health gets better, which hopefully will once I see my new Endocrinologist and I start (hopefully again) getting better treatment.  I am pretty sure that my adrenal is one of the reasons my reverse T3 is so high, so that needs to be taken care of so the medication can work for me. 

The 24th of April was my 28th birthday, which was pretty depressing for me not only because I was working, but because where I am in life.  I'm not married though I do have a boyfriend, I don't have kids nor one on the way, I don't have a degree as I just started college last year, I don't have a car or a place of my own, and so on... and yet I'm close to being 30 years old.  On top of that I don't know if I still have cancer, I still don't have my old life back or close to and I continue to keep getting worse. 

Okay... some good news, so far I am still make straight A's in school and running for Publicity Director for Phi Theta Kappa.  When I filled out FAFSA I said I wanted to apply for work-study, so hopefully I can get that in hopes to be able to pay my bills.  I have my school reunion on June 1st in Austin, TX that I plan to go to and at the same time visit friends and family.  I'm going to try posting on here more often now that I am jobless, but also work on comic and game idea outlining and scripting, so I can get closer to actually start working on the final product.

That is all for now...

Saturday, March 9, 2013

Do Your Research!!!!

Today I am STRESSING to do your own research on thyroid issues, diseases, and cancer since your doctor may not think of things like you might have Hashimoto's, hyperthyroid, and such.  Also if you go to a pcp/family doctor to get thyroid testing done since it's cheaper than going to an ENT or endocrinologist... you know which tests to ask for.  Due to the changes in late 2012, doctors now think that TSH only testing is the best route to go before testing other thyroid tests.  This is WRONG!  There are MANY people that have a TSH that shows up fine, but their Free T4 and Free T3 are not fine at all.  The TSH test is more of a pituitary gland test and the thyroid patient community is trying to get doctors to view it as such.  Now I'm not saying the test isn't important, it just shouldn't be done alone.  The TSH test shows how the pituitary gland is reacting to the thyroid's hormone production... TSH will be high if the pituitary thinks the thyroid isn't producing enough and yelling at it to make more (hypothyroid), but if it's low, the pituitary gland thinks there is too much (hyperthyroid).  The problem is... this is what the pituitary thinks and what if the pituitary gland is messed up or misreading the production level?  That's why TSH alone isn't good, you need Free T4 and Free T3 tests to be able to COMPARE all of the results.

You can ASK your doctor to do more tests and tell them why you are asking for them.  If you have a great doctor they will listen to you, but if they dismiss you and you really want those tests, demand it.  Remember the doctor is hired by you, their job is to make you healthier and treat you... You are paying them for this service.  Let's put it this way... You hire someone to take care of your plants and lawn... and you notice the plants are dying and the grass doesn't look good, you wouldn't just sit there and let it continue to happen, you would go and talk to the service provider and ask what's going on or fire them because they aren't treating it properly, they aren't keeping it healthy or treating it right.  They aren't providing the service that you hired them for, so why would you allow this to happen to your body when you can prevent it by the right treatments and tests that you want?

Also to state... if you take the TSH test separately and then find out after those results that they want to do the Free T3 and Free T4.  This will make you pay for the blood drawing fee twice, so to save some money might as well do it at the same time since you don't have to pay the extra fee for blood drawing.  Also make sure that the T3 and F4 say Free... not Total.  If it doesn't say Free on the paper order, they are asking for Total.  Total results are affected by proteins in your body, which can give an incorrect result.  It could make someone have normal results when it's either truly low or high and vice versa. 

To give you an example (of myself)... in January I saw my endocrinologist for the first time and had done a TON of research including why my three different dosages of synthroid weren't working and all felt the same.  Along with why was I still having hypothyroid symptoms while I was supposedly hyperthyroid and so on.  When she was going off what tests she wanted to do she didn't list anything about T3 even though I complained about still being weak, tired, and blah blah blah.  I asked about doing the Free T3 and Reverse T3 tests and right away she said no to Armour, which was odd since I never asked about it, and said cancer patients don't need T3.  This isn't true and I know this based on my research and talking to other thyroid cancer patients, so that was my red flag.  After I restated that all three dosage of synthroid all have felt the same, she gave me a very small dosage of T3 medication, but still refused to do the blood tests... which was my other red flag.  The problem is depending how much of your T4 is converting into T3 and how much is being absorbed factors into the T3 dosage, but to find this out Free T3 and Reverse T3 are important tests that need to be done and done together.  Your Reverse T3 and Free T3 have to be compared.  Luckily my PCP is nice and listens to me because she gave me these tests among others that I wanted.  It turns out my Reverse T3 is very high, but my T3 is in the normal range.  

What does this mean for me?  My body isn't absorbing T3 at all... it may be converting, but it's not absorbing.  Now my TSH is very low (.020) and my T4 is normal as well, so based on the TSH, T4, and T3, a doctor could say I'm hyperthyroid or normal, but with the results from Reverse T3, I'm hypothyroid.  The pituitary gland is probably reading the T4 levels I have been taking (synthroid) and not understanding that the T3 isn't being absorbed, which is why my ENT thinks I'm hyperthyroid.

If you have a family member that has a thyroid related auto-immune disease... I would ask for those tests as well since you never know.  Also if you already have an auto-immune disease (other than the thyroid ones) and have thyroid issues (or suspecting to have a thyroid issue), you might have a thyroid related auto-immune disease as well since it has been found that people with an auto-immune disease tend to or have a high chance of having multiple types.  Hashimoto's, one of the thyroid related auto-immune diseases, is usually viewed as a hypothyroid disease, but it can make you feel normal the one minute, hyperthyroid the next, and then hypothyroid.  It's random and it can be in any order.

For tests that you can take for thyroid issues:

TSH, Free T3, and Free T4 - These are your basic tests and I would never do TSH only.

Reverse T3 - If you have been taking T4 only medication and find that it's not helping... I would ask for Reverse T3 and Free T3 and see what's going on there.  Your body might not be converting or absorbing T3.

Thyroid peroxidase antibody (TPOAb) - This is present in both Hashimoto's (usually hypothyroid) and Graves (hyperthyroid) diseases.  I would do this if you think you have a thyroid auto-immune disease or have someone in the family that has one.  I had this done personally because my aunt has Hashimoto's.  TPOAb has been linked to miscarriages, premature deliveries, and reproductive difficulties.

Thyroglobulin antibody (TgAb) - This is a Hashimoto's test to see if you have it.

Thyroid stimulating hormone receptor antibody, Thyroid Stimulating Immunoglobulin (TRAb, TSHR Ab, TSI) - These are tests for Graves disease, again to see if you have it.

There are other tests you can take to help with the thyroid care, some of them are vitamin related tests like B12 and Iron.  There seems to be a connection with B12 and thyroid issues, some thyroid patients can't absorb B12 and have to take a shot for it.  There's a list of other thyroid important tests that are listed on Stop the Thyroid Madness and on other sites as well.

The main purpose of this post is to research... don't have the mindset of your doctor knows all because they have went to school and been in the field for blah blah blah years as doctors are human too and can overlook things.  Also sometimes doctors can place their bias opinions into play when it comes to your treatment and medication stuff.  This is an issue when it comes to natural thyroid medication like Armour... remember most hospitals and doctor offices are funded and supported by large pharmaceutical companies like Abbott Laboratories (creators of Synthroid).  Not all doctors, but a lot get incorrect information about natural thyroid medication and stick to the T4-only medication like Synthroid for their patients.  If your doctor keeps adjusting your medication and it's never seems to make you feel even a little bit better... your body might not even be absorbing the medication right.  If this is going on, changing to another brand can help since (another example) Synthroid and Levothyroxine are the same type of medication (synthetic thyroid), their fillers are different which can affect if the body absorbs it correctly.  Some people have good results with Synthroid, but bad results with Levo.  Sometimes a T4-only route might not be working for you as well... so there's that too.  If you tried synthetics and they don't work well for you, you might need to try natural thyroid medication (many think this works best, but may not be for everyone).

If you think you aren't getting the right treatments or not doing all of the proper testing... fight!  Don't just sit there!  Talk to your doctor and if they don't listen... find a new doctor or get a second opinion.  You can go to your family doctor/pcp for blood work to be done if your ENT or Endocrinologist won't... it's usually easier to do this anyways.  I'm sure you don't want to feel like crap for 10, 20, or even 50 years from now... I know I don't.

To me, thyroid related research is a class assignment for me... it's a lifetime assignment that I must do to be able to make sure I get healthier and have close to a normal life again.  I believe if I have not done my research and was not persistent on getting all of my blood work done that I will forever be stuck with feeling like crap for the rest of my life.  Well, maybe not, I might have found a doctor that would test for Reverse T3 (though that is rare by what I have heard) or my TSH, Free T4, and Free T3 will eventually reflect the hypothyroid status.  I now have hope that I will get better treatment and possibly be close to being my normal self again.  Though I still have to worry if my doctors will listen to this Reverse T3 issue or if they will they just ignore it.

I will stress this right now... do your research on thyroid specialist sites as I have found sites that are medical sites that don't specialize in thyroid stuff don't giving the WHOLE story on thyroid related issues.  You might want to check out thyroid disease and cancer groups on facebook to find some good sites on this subject.

Sunday, February 3, 2013

Rant

So it's been a month since I last posted in my blog and sorry about that.  On January 7th, I started up my spring semester and this time I think I over did it with my classes as I have four classes with each having three credit hours.  My classes for this semester are Cultural Anthropology, Foundation of Business, English 2, and Computer Concepts and Applications.  Lately I haven't had much me time, especially since last week and this week I'm visiting family while I have a lot of homework.  I should be reading right now, but figured I let people know that read this that I am still here and alive. 

So... what's been going on with my health lately?  Last month I went to see my Endocrinologist for the first time and also went to my ENT to see my results from my blood work.  My TSH was at .026, so my ENT lowered my synthroid to 150 mcg and the chest pains have lessen, but I'm still having breathing issues and I can't take deep breaths without it hurting.  My Thyroglobulin went from .4 in November to .5 in December, which isn't a huge worry since sometimes they will miss thyroid tissues that try to rebuild and also I swear I have a thyroglossal duct cyst under my chin, which might be making the numbers go up.  I got a copy of my pathology report from my surgery and turns out they don't know exactly what kind of cancer I had, but narrowed it down to four rare and uncommon types with one of them being Tall-cell thyroid cancer.  Tall-cell doesn't always react to Radioactive Iodine (RAI) treatment, which isn't good, of course, but because there's a chance of it my Endo wants me to have RAI (though she kept saying my numbers are good).  I was told I didn't need to worry about my thyroglobulin numbers until they hit 1 or 2, so I'm not doing RAI until that happens.

Oh... and one thing that pissed me off about my Endo... She was talking about doing TSH and Free T4 tests on me and I asked her about Free T3 and Reverse T3 testing.  Her answer to T3 was that cancer patients don't need T3.  WTF!?  I had to explain to her that 125, 175, and 150 of the synthroid were doing nothing for me and they all felt the same.  She was surprised and gave me a small dosage, 5 mcg, of Cytomel, which I'm supposed to take once a day, and still wouldn't do a blood test.  The problem with T3 medication is that it only lasts you for four hours a day and then after that, you are just relying on your body.  I can feel the difference when my body has the T3 medication in it, especially at the two hour mark, but once it's gone I feel horrible.  I know the 5 mcg is too low for me since there isn't as big of a difference between how I'm now normally am and when I have the medication.  Also when I brought up T3 right away she said she wouldn't put me on Armour... so red flag there, so I'm going to be looking for a new Endo and when I talk to the front desk my first question is 'are they known for giving out Armour or do they refuse to give people that?'

I see my ENT in March, so I'll be asking him to do a Free T3 and Reverse T3 blood test and if he won't I will go to my PCP since I know she'll do it for me.  Oh speaking of blood tests... I've been trying to get my mom and sister to check out their thyroids since they have a lot of signs and issues that can be related to the thyroid.  Well my sister goes to see her doctor, but I guess, she saw the nurse practitioner instead... my sister asked about checking her thyroid and the NP just gave her a request for the lab to do TSH.  I got angry.  I think I was yelling about it outside of the building over it.  TSH alone does crap to see if there is a thyroid issue and that's basic common sense for doctors even my PCP and her nurse know that.  The results from TSH, Free T3, and Free T4 are compared to find out for sure what's wrong with a patient or if they need more testing done for like auto-immune diseases.  Justin understood why I was so angry, but my mom and sister were like 'If something shows up on the TSH test they will probably do more testing'... I kept trying to explain to them that's not how it works since TSH is NOT checking the thyroid, but the pituitary gland and its reactions to the how much of your hormones the thyroid is producing and even this test alone can show things are okay when they aren't.

Okay.. I think that's enough for today as I really, really need to do school work.

Sunday, December 9, 2012

Awareness and Research

Currently I've been dealing with a lot: catching up in school, more health issues, waiting to go back to work, Thanksgiving, Christmas, and medication reactions.  It's hasn't been fun for the most part, but the fiance does make it nice at times.  This matters a lot to me and probably other cancer patients, to have someone there by their side through all of this.  Some people are lucky and have family, friends and/or an SO near them to help them out, but if you have a friend that has cancer (or any diseases for that matter) that seems to be dealing with it on their own, be there for them in any way, you can even at least be a shoulder to cry on.  It will help them a lot.

Anyways, I've been dealing with feeling weak in my muscles (mainly my legs), I walk slower now, I can't deal with the cold, my hip hurts, I'm having chest pains, head pains, right side of my neck is swollen, I'm having issues breathing, overly emotional at times because of medication, and anxiety.  I had an x-ray on my hip due to the pain and issues with laying down at times, but the x-ray came back that nothing was wrong.  I also did blood tests to see if I'm anemic still and if I'm having issues with B12, which could explain a lot of the pains and muscle weakness and I'm waiting on those results.  If those come back normal then something needs to be done with my medication.  I already got adjusted from 125 to 175, but the problem with Synthroid is that it's only a T4 medication and if your body can't make T4 to T3 then you need to take something else on top of Synthroid or switch to something like Armour which is a T4/T3 combo.  I'm waiting to see my Endocrinologist next month to ask for blood tests on Free T4, Free T3, and Reverse T3 instead of the TSH test. This would help adjust your medications better and this would let your doctor see if your body is having issues with T4 converting into T3. 

Some people on the Facebook pages on Thyroid diseases and cancer that I read have said it's been hard to find doctors that will look into T3 issues or prescribe Armour to their patients due to these doctors being misinformed.  One person said they had to switch to five to six different doctors until someone listened to them that Synthroid didn't work for them and wanted to try Armour.  The main problem is there isn't a lot of research going on Thyroid diseases and issues or at least it doesn't seem as some doctors are just playing guessing games with the patients' diagnoses and medication, not all doctors, but what I've heard from others it has happened.  I've heard of people that never get back to close to being their normal self after cancer and this has been going on for 10 to 30 years for some of them. 

I think the reason there isn't as much research is because there is a "cure" for thyroid cancer and some of the other diseases and illnesses like hypothyroidism and hyperthyroidism.  Though with so many people still having issues and going years to doctors in hopes to one day feel normal at least for awhile... we need to continue this research and find a better solution.  Also with more people developing thyroid cancer, we need to figure out why it's on the rise... what has changed to cause this?  It can't be always genetics since it seems more people are becoming the first one in the family to get it like myself.  There needs to be also more awareness for this cancer and also the other diseases and illnesses that can come from the gland.

I have learned throughout all of this that I have to do my own research and look to other people that have already experienced this and have been for years to see what I need to do.  I guess, some people do this anyways, but I'm used to doctors knowing what they are talking about.  The research has helped me a lot with my family doctor and she listens to me when I request medication like a muscle relaxer for my neck or blood tests to see if my anemia has gotten worse or if I have an issue with B12.

To the people that never have checked their thyroid or their children's, if you see signs of hypothyroidism or hyperthyroidism, which there is a long list since the thyroid affects a lot of systems in your body... get your blood tested for Free T4, Free T3, Reverse T3, and TSH.  It might explain some issues that you have been having and nothing seems to make it better.  Also doesn't hurt to get your thyroid checked every once in awhile since Thyroid cancer doesn't always show signs and symptoms.

Oh and also... I posted a video on youtube: My Dealing with Thyroid Cancer