Wednesday, April 18, 2012

ENDO appt - 4/18/12

All clear. No changes to my neck (ultrasound results), undetectable Tg levels, TSH and FT4 are fine.

Said the only other option, for meds is Armour, but didn't think we needed to go there yet. Now, I was surprised he is Ok to prescribe it because most Endo's won't.

I did mention my weight gain issue. I said I am having a hard time getting exercise in - no running, no climbing, no yoga or pilates. He said weight gain is a hard one, because there could be so many other factors like the exercise routine issue I have. I guess that means if I am still having problems even after I start working out regularly again, then he might try the dosage change.

He renewed my Levoxyl prescription and said to come back in 6 months. No ultrasound for that one (keep that as an annual check), but have blood work done before that appt. Cool.

I also asked if he could tell me the results of my MRI. He said they found a (or was that a couple of) small tears in my rotator cuff, nothing PT can't fix, he says. I also mentioned being sick a lot lately, and my eye thing this past weekend. How did it happen, he asked. I guess just the constant eye dabbing and doing so with dirty hands. He said it looked like it cleared up.

Ok. Not too bad of an appt. Didn't feel like anything was being overlooked. He still seemed a butt rushed, but I didn't have any pressing questions, so I am Ok with it this time.

Tuesday, April 10, 2012

Neck ultrasound - 4/10/12

Not so sure I am satisfied with my neck ultrasound this afternoon. First of all, I requested that the same person that did my last two do it this time - that didn't happen.

Then, this tech's idea of an ultrasound was placing the wand thing at three different places along the base of my neck. And she was going to stop there! Holy smokes. So I said to her, "Aren't you going to get the back and sides?" as she was starting to wipe up my neck. She replied, "Oh sure, if you want." "Yes, please, since that is how it was done the last two times."So once again, she put the wand thing below my ears on each side. Whatever. At least she did more than she had planned to do. I kept on thinking to myself, 'I think I want to ask my primary doc to order a full/careful neck ultrasound because I am not happy with the one done today', or 'I wonder if my second opinion Endo does her own neck ultrasounds, and if so, would she do one for me?'

Well, at least the tech was personable.

Monday, April 9, 2012

This will be a busy week

The only day I don't have an afternoon appt this coming week is tomorrow, 4/9/12. I managed to get everything scheduled for this week without having to cancel a single appt for overlap. All these appts could not come at a better time as I have not been feeling.....right lately.

Tuesday afternoon I have my annual mammogram and neck ultrasound. I missed my mammogram last year. My primary care doc said I should get it done annually, not that she thinks I have anything to worry about, but I might as well since it is covered by my insurance, but most of all, early detection is the way to go. Not too worried about my neck ultrasound since I have not felt anything in my neck, and I have not had the weird feeling along my scar in the past month.

Wednesday afternoon is my MRI. Finally. Just a little concerned that they will only look at my shoulder and not at my arm, where the pain is coming from. Hopefully I get at least one climbing session in before the MRI so I can irritate whatever it is that is injured so it will show up nice and clear. Well, I'm sure that isn't how these things work, but to me at least, I hope they find something good to explain the pain I've been having. Honestly, I don't think it is a labral (labrum) tear because that is not the type of pain I feel in my arm. If it is, then I have to have surgery to correct it. If it isn't, then I don't know. But my copay is around $103, so it better be good. Need to remember to get my labs done for my ENDO appt next week. If anything is of concern for my ThyCa, this is where it will show up.

Thursday afternoon I get my permanent bridge installed. Every now and then my temporary bridge feels like it is coming off. I remember how sensitive my gums where in that area when it came off the day of my mom's surgery, so I really hope it stays intact until this appt.

Friday afternoon, finally, is my acupuncture appt. I have managed to not get a regular exercise routine going, so not only have I gained back more weight, I also still feel really sluggish. I spent this entire weekend almost exclusively in my pj's and eating while watching TV. I am a mess. I did manage to get at least seven hours of sleep each night, well, after going to sleep between 3-4am. I need her to give me needles for relaxation, appetite control, and energy. Or, then again, maybe my period is coming.

Anyway, at least it is a week when I don't have to take my mom to one of her appts. It will just be a week that I have to deal with my own.

Saturday, March 17, 2012

Rough week for parts of my head

Lots of stuff going on, but this week in particular has been really bad for my head.

Monday, I went to my dentist because of considerable pain in my upper right jaw the week before, and I had noticed last weekend that the tooth that was causing all the pain was loose. First my dentist says, "Ok, I need to replace the crown on that tooth as well as the one next to it." The right side of my mouth is numbed. About 15 minutes later the drilling starts. Next thing I know, he is telling me, "I am sorry, Florida, one of the roots of that tooth is broken....I will have to extract it." Ugh. Then he says, "I need to put a bridge in." Huh?!? The only thing I could say in reply was, "I don't think I've had one of those before, what does that mean?" "No, you have not. Let me show you...." So I have a lovely temporary bridge in there now, and an appt in two weeks to have the bridge set. And why is this all happening? Because my teeth are shifting. Why are my teeth shifting? Because I still grind, but probably more so whenever I take a nap and I don't have my night guard in. Crud.

Thursday, I had an appt with the eye doc I saw earlier this month about my teary left eye. All the doc said at that appt was "I need to go in and find out where the blockages are in both of your eyes." I'm thinking to myself, "Sure, that's what the guy I was referred to last January did, so this should be a breeze." But when I left his PA gave me a sheet of paper titled "Eye Surgery". So, I was a bit confused what was going to happen because the only other thing he said was "Yes, you can drive yourself home, although there might be a little discomfort after the procedure." Hmph. So Thursday, they called me back 45 minutes after my appt time - he was doing the same procedure on someone else right before me. Anyway, I am sitting there in this bigger than usual exam chair, and the PA hands me the consent form for a '4 lid punctoplasty'. Didn't even know this thing had a name, but now this is starting to sound serious. She leans the chair back and starts to explain that my eyes will be closed the whole time, she'll swab on an anesthetic, then he'll inject more and start the procedure. Before he starts, my eye doc tells me I might have bruising at the areas where he injected the anesthetic - Yes, I do have that today, and now the green goo coming out of my left eye today is starting to cloud my vision.

The results were, my cannicula on the left side are clear, however my left tear duct is completely blocked. The right side is completely clear, but if there were any kind of blockage, he just cleared it out for me. Super. The recommendation, of course, is to have a DCR done, same procedure the eye doc last year recommended. But this eye doc at least explained it a little less violently: "I will drill a hole in the bone on the left side of your nose close to the inner corner of your left eye...a passage way will be made so your tears will be re-routed...a tube will be left in there for three months...a string will keep the opening open at the top...I will use stitches that dissolve to cover the area where the incision in your nose bone is made." Ok, not happy he also breaks the bone and doesn't go through the nose. So I ask if there are any problems with this tube that will be stuck in my nose for three months. "No, it will not be visible (in my nostril?), but it needs to stay there so the new opening will not heal itself closed." "Will I be able to feel it?, like will it be itchy?" "No, most people can feel it for the first week, but not so much after that. I did have one case where it made the patient sneeze all the time, so it had to be removed a few weeks earlier." Interesting. "Am I going to look like I was punched in my left eye for two weeks?" "No, most people look fine the following week when they come back for their post-op appt., and the procedure is done on a Thursday, so you have the whole weekend to relax, and you could work from home the next day." The surgery takes 40 minutes!, and is done as an outpatient procedure. I will need someone to drive me home afterward, and I should not do anything too strenuous the rest of that day. I will be able to wear my glasses and contacts - the pads from my eyeglasses won't hit that area (not sure if he is accounting for the Asian nose or not), and the string in the inner corner of my eye will not be bothered by my contact lenses. "You can think about it and let us know." Are you kidding me? "No need to, I'll take your first open date, I want this thing fixed already. I am so tired of having to blot my left, teary, eye." So my appt is on May 10. Oddly enough, that date is the week between my two thyroid surgery two years ago.

Now we start the weekend before my mom's lung surgery. The mass on her left lung is almost 100% cancer based on the CT and PET scans. Luckily, the two lymph nodes involved can be removed with the upper left lobe. My mom seems to be at peace with all of this. She too understands that things happen for a reason, something I had to accept myself when I found out that my FNA had what looked like hurthle cells. I was hoping I would never have to accept a member of my own family into my 'cancer club', but I am no longer alone in this club of certain unpleasantness. I at least know what she is going through - the feelings, the anxiety, all the 'what ifs' that go through your mind every single day because I have been there. So the rough week for parts of my head is to be followed by a rough week for my heart as I have to see my mom begin her own cancer journey on Monday morning.

Tuesday, March 6, 2012

Thyroid plays a part in episode of 'New Girl' 3/6/12

I like watching the Fox tv series 'New Girl', so I was pleasantly surprised to see the episode that aired this evening covers a thyroid issue of one of the characters. Funny thing is he is at an OB doc who points out the lump on his neck, and a lot of ThyCans are at their Gyn doc when their nodule is discovered.

Here is a review of the episode:
http://m.tvfanatic.com/2012/03/new-girl-review-skinny-dipping-and-nick-millers-sad-song/

Friday, March 2, 2012

Catching up with my meds

I ran out of Levoxyl Monday morning. When I tried to refill my prescription late Monday night, I was told my prescription expired, so I couldn't get a refill since I needed a new prescription.

Luckily, I can go without taking my daily Levoxyl dose, so long as I take the missed doses sometime during the week. I was not able to pick up my new prescription until last night, so this morning I need to take the three missed doses, plus my regular morning doses (Levoxyl + T3) for this morning. Bottoms up!...


Thursday, March 1, 2012

Poke my left eye some more, please...

Today, was my appointment with the eye doc my Endo referred me to. He seemed pretty nice. Said that there is a breast cancer drug that is notorious for blocking tear ducts, so my eye wasn't the first he had seen that was blocked up as a result of cancer treatment. He also seemed to know the eye surgeon I saw last January.

He did a test to make sure my eyes were making enough tears, that they were not in fact dry. He put these strips of paper close to the outer corners of my eyes. Didn't feel too bad. The right side felt like it was making more tears than the left side. I passed the tear making test.

Next he looked at my tear ducts, and under my lids, etc. He said there is a hole that leads into the punctum, that pocket looking thing at the inner corner of your eye, but he needs to find out where exactly the blockage is. So I get to go back in two weeks and have "eye surgery" done. Well, at least that is what it said on the sheet I was given, to prepare for the procedure.

He will numb my eyes (well, he didn't really poke around too much with my right eye, so not sure if it will be poked like the left side), then will send in a scope to see how far he can go down the tear duct, or if the tear duct is closed and he can make a loop through the canulas (sp?). Sounds exciting, right? Hopefully he does a much better job of numbing my eyes than the eye doc from last year.

So, depending on what he finds, that will dictate my treatment. Fix my eye, please!