#complications of hyperthyroidism

[hopkinrx]

Hyperthyroidism: Its Important Symptoms, Causes, Treatment And Lifestyle

Hyperthyroidism: Symptoms, Causes, Treatment And LifestyleIntroductionFunction Of Thyroid GlandWhat is Hyperthyroidism?Causes of HyperthyroidismSymptoms Of Hyperthyroidism Physical Manifestations Emotional RollercoasterDiagnosis Of HyperthyroidismTreatment Options: Bringing Harmony Back Medications Radioactive Iodine Therapy Surgical InterventionEmbracing a New Rhythm: Living with…

[millerflintstone]

The elementary school on the way home has an LED sign with date information for parents and students. They had something up with today's date that I saw on the way back from the store last weekend. It's an automatic thought that February 23rd is my sister's birthday and I felt caught off guard.

Today would have been my sister's 60th birthday. I both can and can't believe it's been 4.5 years since she died of a sudden heart attack, most likely from untreated hyperthyroidism.

I have a longer post in drafts that I don't know if I'll share. She had a troubled life and we had our share of highs and lows together. Grief is complicated. She is the main person who helped shape who I am in many good ways. She's also someone who let me down repeatedly. I think I'll always be sad that we never got to have a close relationship as adults where we were independent equals.

But today I'm remembering the good times. U2 was her favorite band. She loved them before they became humongous. So here's U2's Live Aid performance of Bad off of their album, The Unforgettable Fire. 12- 15 year old me LOVED mocking Bono's onstage and video antics to make my sister laugh. We got to see them three times in concert. Fantastic shows and memories

[aressida]

Old entry: "Ask yourself if a drug with 32 pages of side effects is right for you?" - Aressida. 7.3.22.

I think it was March the 1st that the documents Pfizer was forced to release, court-ordered, and it is quite a list.

You have to see that there is some serious disorders in there. Come on! I mean imagine the complications… Seeing these 9 pages are the supplement of the reactions.

I did not have the time to work out in my spare time towards with how to share the whole study. Understand the terminology and all. It is all criminal, that list.

Here are a few of the common side effects: From Addison’s disease, Anaphylactic shock, Arthritis, Asthma, Asymptomatic COVID-19, Crohn’s disease, Epilepsy, Facial paralysis, Fibromyalgia, Foetal distress syndrome, Foreign body embolism, Genital herpes, Hepatitis, Hyperthyroidism, Inflammatory bowel disease, Jugular vein embolism, Lung abscess, Lupus, Meningitis, MERS-CoV test positive, Migraine-triggered seizure, Multiple organ dysfunction syndrome, Multiple sclerosis, Multisystem inflammatory syndrome in children, Pneumonia, Stiff leg syndrome, Stiff person syndrome, Stillbirth, Sudden heart attack, Sudden respiratory failure, Type 1 diabetes, Uterine rupture, Viral Bronchitis… And much more.

This does not mean everyone will have these reactions, but the vast majority of test subjects have experienced one or more. There are thousands of diseases, conditions, causes of death etc, on the nine pages. This is what Pfizer wanted kept under wraps for 75 years: the ‘safe and effective vaccine’.

Most people do not want to read it and probably rather follow the ‘science’ emitted out by their television than the science Pfizer just reluctantly released. Seriously, take a look at how credible you believe the vaccine and boosters to be… To whoever takes the vaccine and boosters, you are killing yourself or letting the Government kill you. Like the insurance… They will not pay because people who took the jab participated in experiment.

They have no clue what they chose to have done.

[bonefall]

do you have clanmew names for the color coughs, herbs, or other cleric stuff?

Here's a shotgun spray of some different terms;

Cleric = Shomgorrl = "Moon-Rank"

Healing/Consecration = Shahafe/Shahaf/Shaha (To heal denotes a sharing of holiness)

Mending = Peekooreen/Peekooree/Peekoor (This is explicitly about fixing things, and has a complicated history. It can be used as an insult for an atheist Cleric but Mothwing leans into it.)

Ailments (Sickness = "Mwrlrru")

Color Cough = Paliu Hakufg

Whitecough = Hakufg Osk

Greencough = Hakufg Holro (Named for the way that the gag reflex is often triggered, causing vomiting)

Yellowcough = Hakufg Awreen (Aggressive strain of yellowcough named for its pale yellow phlegm, lungwort is not a 'cure' but needed to prevent lung damage which may kill even after the illness clears)

Infection = Mweprrich

Pain = Nach

Convulsioning = Bufusqiku/Bufusqik/Bufusqi

Absence Seizure = Sikukbkbkee (Comes from a phrase related to 'being swarmed by daydreams' as if they are bees)

Epilepsy = Mwiskyarag (Comes from a term meaning 'loss of control')

Diabetes = Mwyyrlruru (bad liver)

Flea = Ombik

Flea infestation = Ombikarra

Joint pain = Nachwach

Healing items

Leech (Hirudo medicinalis) = Ssufrru

Cobweb (Fluffy, messy, made by a cobweb spider) = Feep

Web (Flat, neat, made by most spiders) = Yyb

Splint = Chakurenp

Salt = Rraash (Loanword from BloodClan Townmew)

Flea bath = Ombikslof (Flea pool)

Medicinal Plant/"Herb" = Sheworp

(NOTE: A culinary herb I will always translate as spice regardless of the proper culinary terms for them, because Clanmew uses the word "herb" to describe a plant used for a medicinal purpose.)

Poppy (Papaver somniferum) = Liafi

Mullein (Verbascum thapsus) = Choohi (Replaces lungwort as the herb used for respiratory conditions)

Chamomile (Matricaria chamomilla) = Gomgon (DANGEROUS IF NOT ADMINISTERED BY TRAINED CLERIC)

Valerian (Valeriana officinalis) = Eyafyan

Horehound (Lycopus Europaeus) = Esapio (For MTF warriors; sudden stoppage of this treatment can result in hyperthyroidism)

Scots Pine Pollen (Pinus sylvestris) = Besposfer (For FTM warriors)

Rosemary (Salvia rosmarinus) = Meegrreh (For all transgender warriors as a hormone suppressant)

Comfrey (Symphytum officinale) = Babfrech (DANGEROUS IF NOT ADMINISTERED BY TRAINED CLERIC)

Catmint (Nepeta × faassenii) = Hahrr (This plant is a sterile hybrid and this is why it grows primarily in human gardens)

Fennel (Foeniculum vulgare) = Gosh (Used for practically everything, but especially stomach and dental issues)

Stinging Nettle (Urtica dioica) = Kinyyr (Must be processed first; used to treat burns and inflammation)

[uncloseted]

I'm not body shaming when I ask this but do you think ariana grande is suffering from some form of eating disorder? She's clapped back last year saying she's at the healthiest she's ever been but it's hard to deny her weight loss has visually aged her and she has signs of someone suffering an ed (e.g. how the skin sits around her mouth and neck). Again no hate and good for her if she really is at her healthiest but visually it's showing the opposite

So first things first I want to say that I have a really soft spot for Ariana. I don't really listen to her music or anything, and I know she's been ✨problematic✨, but I've liked her ever since her Victorious days and I think she's really talented. So nothing I'm about to say is coming from the position of being a hater. I also want to be clear that I think other people's health statuses aren't really our business, whether that's neurological/"mental" health or something else, and I don't think artists are obligated to tell their fans about their health struggles. Health is something that's so personal and so emotionally complicated, and I think if people do talk about it, it should be on their own terms when they're ready to do so.

In terms of her appearance, I think that the bleach blonde hair with no eyebrows that she has for her role as Glinda in Wicked probably isn't helping the perception that she looks old. She also (reportedly) stopped getting Botox and fillers around 2018, which may be contributing to her looking older than other celebrities who get those kinds of treatments.

All that said- and I'm trying to tread carefully now- I think it's apparent that she's lost weight over the past year or so, whether intentionally or not, and I wouldn't be surprised if an eating disorder is the cause of her weight loss. I think the insistence that she's the "healthiest she's ever been" suggests that the weight loss she experienced isn't caused by another health issue (like hyperthyroidism or cancer), so it seems like a neurological health issue like an eating disorder would be the most likely cause.

And that kind of makes sense. Ariana Grande has a collection of traits that are common risk factors for developing an eating disorder. She's incredibly driven and probably a bit of a perfectionist, she's been in the public eye since she was 16 and has constantly heard comments on her body throughout that time, being petite is part of her brand, she has hypoglycemia, she's vegan, and she's been through quite a bit of trauma. It makes sense to me that all those things combined could lead someone to develop a restrictive eating disorder. I think very few women who are in the public eye like that have a normal relationship with food. In the video where she's addressing the concerns about her weight, she even has a little pop up that says, "you have talked a lot about [my body] over the past decade or longer so I'd like to join in this time." Plus, the whole donut licking, "I hate Americans" controversy she had has always seemed to me like a product of disordered eating, although that's pure speculation.

In terms of claiming that she's the "healthiest [she's] ever been" I know I've heard that same kind of defense of weight loss from people whose eating disorders manifest as being obsessive about eating healthily- a lot of the time for people who are vegan. She mentions in the TikTok that at her previous weight, she was "on antidepressants and eating poorly", so she may truly believe that she's the healthiest she's ever been due to her diet being the "cleanest" it's ever been and no longer taking medication. She may not be able to see that her weight loss is potentially dangerous to her health. In that same TikTok, she says that, "you never know what someone is going through, so even if you're coming from a loving or caring place, that person is probably working on it or has a support system that they're working on it with," which makes me think that maybe she does know her weight is a problem and has a team who are helping her with her recovery.

All that said, at the end of the day, I think she's right. We don't know what other people are going through, and speculating isn't helpful, even when it's under the guise of expressing concern. I think talking as much as we do about celebrities' bodies, especially the bodies of celebrities who are minors, causes a lot of harm to their perceptions of themselves. If she does have an eating disorder, thousands of people commenting on her body isn't going to convince her to seek treatment. It's just going to make the problem worse, and so I feel a little weird even answering this question and contributing to the conversation. And you never really know what a person's health status is just by looking at them. A lot of people who "look" healthy have invisible illnesses, and a lot of people who "look sick" are perfectly healthy. But equally, I think it's important that people understand that that kind of thinness isn't just a body type that some people have, and it's not healthy to be underweight for your height and bone structure. I think this idea that some people are just naturally super underweight and healthy feeds disordered eating behaviors in its own right and makes it harder for people to acknowledge that they need help because their health is in danger.

[hollyevolving]

I am so fucking upset right now.

I live in a garden apartment - rather than a lot of floors, each building is only 2 floors, and all the apartments open onto the outside.

I live at one end of my building.

At the other end of my building is a guy with two cats. He lets them roam outside, unsupervised. Which is not cool, cats that free range without the supervision of their owner and without being contained in an enclosure are in danger of car accidents, animal attacks, or other accidents where they may not be able to get home for help. And they're a massive problem for local wildlife - native small birds, etc. So, already not okay.

This has been going on for over a year. I contacted the building management office last May - nine months ago - and they said it's not illegal and since the complex is private property, and the owner of the apartment complex doesn't have a problem with it, there's nothing they can do.

Doesn't matter that she will be outside crying for hours. Doesn't matter that her owner has started closing his door, so she can't even get inside if she wants to.

It's just below freezing tonight: 31°F/-0.5°C. And she was outside crying from about 5:00 pm.

At around 8:45 pm, I put my coat and shoes on, grabbed my phone and my keys, and walked over there. I figured I would ring the doorbell so the guy would open the door to let her in.

The doorbell was broken.

I knocked a couple times. No answer.

The kitchen light was on, and his other cat was sitting in the window, watching us, but I'm pretty sure he wasn't home.

So I called my apartment's overnight emergency maintenance phone to ask if someone would come and open the door so she could go in.

They said they can't do that. Doesn't matter that everyone knows this cat, knows where she lives, and knows that she's left outside all the time.

So I'm standing there, don't know what to do, and this cat - her name is Maisy - is loving on my legs and looking for pets.

Which is adorable, right? Except my own cat died almost 4 years ago, during the first week of the March lockdown in 2020 (of complications due to advanced age, he was a month shy of his 19th birthday and had been living with hyperthyroidism for 4 years). So I am NOT OKAY and while plenty of my friends have said if it was them, they would just take her, the thought of that sends me into a grief-induced panic.

I DON'T want to interfere between a person and their pet. I don't want to open the situation to the risk that she might wind up in a shelter and get put down. I don't.

But I'm stuck.

So I call the local police department and ask to be transferred to animal control. They ask why, I explain the situation. The police say they can't dispatch me but give me the phone number.

So I call the phone number. It goes to voicemail. The voicemail says if you're calling outside of normal hours - Monday to Friday, 8:00 am - 5:00 pm - he won't pick up unless it's a dispatcher. So I leave a voicemail.

And then I call the police back. I don't want to talk to the police, about anyone, anytime. I don't trust that cops will do the right thing. But I don't know what else to do. So I call them. And I explain what the guy's voicemail said. And the dispatcher says her supervisor won't let her dispatch the call over, that it's not an emergency (it's below freezing out and after 9:00 at night, and it's neglect to leave a house pet outside in freezing weather, but that doesn't count as an emergency in this town).

They suggest I bring the cat into my apartment to wait for Animal Control to call me back.

I'm crying. I'm grieving. I'm not thinking.

And I do it.

Maisy is a sweetheart. She lets me pick her up - again, it's freezing out, 31°F/-0.5°C. And I run really hot so I'm always radiating heat. Cats love me. She lets me carry her back to my apartment. I set her down and open the door.

She goes in. She's a little confused and she jogs around a bit, and then she settles down under my bed. Just like my cat did.

My cat's name was Mudflap. The woman I adopted him from - she just couldn't keep him - was a mechanic. He was already 4 years old and knew his name, so he stayed Mudflap.

I call Animal Control back. The guy answers. I explain the situation. He says it's not dangerously cold for her, especially if she's outside a lot. He says the shelter is too small so he can't open it up for a free-roaming house cat unless the cat is injured, sick, or starving. He says the only thing to do is to send her back out and leave it up to her owner to let her in when he gets home.

He says leave a note on the guy's door.

People have left notes. Nothing changes.

I can't keep her. I'm already shaking and there has only been a new cat in my apartment for a few minutes. There is no way I could keep her. I'm nauseous.

There's nothing else for me to do. I open my door. I lift the covers at the edge of my bed.

She trots to the door and wanders out.

I close the door.

Halfway back to the closed door of her own apartment, Maisy starts crying again.

But no one will do anything to help a healthy cat. The authorities won't prevent harm. They will only get involved if she gets hurt. Maybe if she gets killed. Which is inevitable for outdoor cats. It just hasn't happened yet.

We know this. It's true of all situations. Nobody cares until it's too late.

I'm crying too.

[fluffyapathybunny]

So my 19 year old cat that I love so much and have had nearly half my life (I wasn't yet 22 when I got her and I'm nearing 41 now) has cost me about $1200 this year in vet bills alone. And probably more when the vet at Cornell University Hospital for Animals (an hour away from me, but the VMC that was closer was full) gets the T4 results back. But I love her so much. And I could have lost her today if she'd had any complications due to having to be sedated for xrays. But she's a fighter (I even had to warn the vet and the techs that she's a spitfire) The doctor said she has a heart gallop and a small murmur, and that she might have hyperthyroidism, which could have given her the heart problems. We're hoping it's benign so I can get her on medication to see if that'll reverse the heart problems. We'll see. I know 19 is so old to be having to be put on medication but I did ask the vet if she thought it would be worth it. Also I'm so glad Care Credit is a thing in NY. And I might have to request the limit be upped if I have to get more tests done for her (especially an echo for her heart, and an ultrasound, and other bloodwork) I would not have been able to pay all this off out of pocket...

She elected to sleep in the back seat on the way home (forgive the mess, we're in the process of moving for the next week and a half)

The vet (and other pet parents I talked to) were amazed she did so well on harness. Considering she's technically just very tolerant of it. But she was also rather lethargic when I first brought her, and she started getting more alert about 6 hours after we got to the waiting room (despite everything, we were there about 11 hours and the students and staff and vets were so apologetic about it ;v; )

[suddenfossilfightersheadcanons]

Stryker joined the Wardens at 18, in 1999, at the end of a tumultuous season of college, and worked his way up through the ranks with nothing but drive and caffeine addiction on his side. By 21, he'd earned a reputation as one of the most impressive fossil fighters in the ranks; Liu Ren continually pestered management with requests to see this young upstart promoted up to higher ranks in Fossil Park Asia. It took several more years for these requests to pass through, however, as Stryker was also a notorious vigilante. As far as criminals were concerned, this man was the law, and the law had a temper. While Stryker's always been exceedingly polite to his superiors, he's been notorious for ignoring or defying orders in order to pursue his ambitions. Sometimes, he would be completely uncontactable for days, or would request leave for inexplicable commitments for weeks at a time. He behaved best when under the least supervision, but when unsupervised, he was known for vanishing at inconvenient moments.

Still, Liu Ren's pestering worked in the end. At 23, Stryker was Vice-Captain of the Australian branch of Fossil Park Asia, and at 24, he got promoted to head of INTERFOL Asia, leading him to take up an office in Seoul. While Stryker did get more humble once given greater responsibility, he did retain his habits of overworking himself and then disappearing for weeks on end. Usually, these disappearances were very quietly planned trips to the hospital. His description of these trips tended to be 'work-related'. Few people doubted he was stressed enough to develop medical complications from pushing himself (which he did, but tended to ignore). Thus, Stryker seldom had to explain that by 'work', he didn't mean 'my tachycardia is back and my migraine's been going for 96 hours', but 'I got my nose fixed again'. Around the time Stryker thwarted the Blackraven Brigade's initial efforts to raise cain, people started making comments about the young vigilante who'd saved the world being drop-dead gorgeous. A few people then looked back through his old photos and found that while he had, indeed, always been good-looking, nobody naturally gets that much tighter a jaw over time.

Frontier began when Stryker was 35; by the time the possibility of infiltrating the Neo Black Whale loomed over INTERFOL, no amount of botox, blepharoplasty, and judicious filler could conceal the fact that Stryker looked completely exhausted. While he knew how to attend to his appearance, he tended to bury his troublesome health and generally burnt-out immune system beneath paperwork and scheming. Not long after the secret of Nibbles' creation came up, however, Stryker checked himself into hospital with heart palpitations, severe insomnia, and a vague sense of being run down. Doctors then ran a litany of blood tests, and found that in the midst of his stress, he'd neglected a raging case of Graves' Disease. He came out of that hospital stay with yet another surgery under his belt: a thyroidectomy.

Stryker jokes that as far as management are concerned, surgery is a more compelling reason to miss work than chronic illness. As much as he's joking, it's true that many of his supposed stints of disappearing aren't down to his purported caprice: instead, there are days when he can hardly move for migraine agony. Starting botox at 22 wasn't a matter of vanity, but of trying to manage symptoms; but since being chronically ill could invite judgement, he chose to curate an image that could be called vain, rather than weak (so to speak), at worst. While most people knew tangentially that Stryker would somehow be run-down under the pressure of his job, he tends to keep the worst details of his health incredibly close to his chest. Thus, not even Liu Ren knows that Stryker's work-life balance imploded not only due to work, but also due to the combination bomb of hyperthyroidism, Sjorgren's, migraines, chronic pain, and depression.

[winemom-culture]

My endocrinology appointment wasn’t good and I’m sad

My heart rate and blood pressure were both high. These things, weight loss, and my eye symptoms were the initial symptoms of my Grave’s back 2 years ago. So my doctor was like… I think you might be hyperthyroid again based on your heart.

But I don’t really know if my heart is a great metric. Bc like, my heart rate is always high. Especially at the doctor when I get anxious. I told her this, but in order to consider it not related to the thyroid she wants to see my bloodwork (expected) and a cardiologist work up. Which, that part feels a little excessive to me when I don’t necessarily think there’s anything wrong I just have a little bird heart. Arrhythmia runs very heavily on my dads side but it gives them problems with palpitations, I don’t really have those often, just like a fast baseline constantly. When I first got diagnosed with Grave’s my HR could’ve been 130-40 easy RESTING, so I sorta feel like 120 while anxious (what it was today) is relatively better? When I’m at home it definitely feels like normal until I exert. She’s like “You have to stay on beta blocker until you get your heart under 80 bpm” and I’m like lol. No offense but my heart is like never consistently under 80 even on the beta blockers 🥲 beta blockers became a big crutch to me last year and I feel like getting off them made me feel weird even though they are non-addictive I am semi-convinced that’s why I became so hyperfixated on my heart in my big anxiety spiral in 2021. I really don’t want back on them….

The thing I’m definitely NOT experiencing now is weight loss. I did the math and I’m like 80 pounds heavier then when I started going to her in 2020. And she has said that is from the thyroid medicine. Not that the medicine is bad, it’s doing it’s job of blocking thyroid hormone, but in turn that slows my metabolism a lot. I’ve tried to express my concerns about the constant weight gain, the fact that I feel like a ravenous monster, that I just can’t get a grip on it at multiple past appointments and I feel like she kinda brushes that off, always just “so anyways about that heart…..”

So now I get blood work next week for a moment of truth to see what the deal is. If I’m hyperthyroid I have to get back on my meds and probably consider surgery to take it out (that I don’t have time, money or a support system for- because my parents would be against this. That’s a whole other insane can of worms.) OR I am still in a balanced thyroid state but have to go figure out what’s wrong with my heart.

My health OCD is immediately revving up about being alone at my place, like “you don’t want to be alone all the time with high heart rate and blood pressure do you? What if you stroke out and die? Right there where you’re sitting?” Which is funny, ‘cause yesterday I didn’t know any better and was perfectly fine being alone, while presumably in the exact same boat healthwise. Ignorance was bliss

I’m feel like I’m gaining like 5 pounds every time I step on a scale and it’s so frustrating and upsetting, I literally have to get it figured out and under control this year. I’m totally just overwhelmed and don’t know how to start or how to truly stick to it. I cried my whole way home and I’m getting myself worked up again venting this out. Hope I can keep that pain fresh in my mind as motivation. Real meltdown hours. I don’t want all these problems at 26. It’s making me think about stuff down the road, what if I decide in 2 or 3 years I do want to have another kid after all? I genuinely don’t think as it is right now I would be medically advised to try. It only gets more high-risk as I get older. The thyroid and fertility/complications go hand in hand. It’s like, y’know, that’s awhile down the road there’s still time, but I’m 2 years out from initial diagnosis and as of right now I feel much more vaguely unhealthy in a general sense than I did then.

I just wish there were a more receptive endo around here but as far as I can tell from looking in the past, this office is really the best we got rn.

[scrumpylikesthings]

I dropped my little old man off at radiation today.

He's got hyperthyroidism and we finally got him to a place where the clinic thinks he's healthy enough for treatment. We're hoping this will help with his eating problems and other complications that could happen. But. . .

For 2 weeks he'll be radioactive, so we can't get close to him for too long or he'll give us cancer

which is a problem bc he normally likes to sleep on my pillow :')

It's been 14 hours and I miss him so much ;__; I'm weak

[thru-the-looking-glass-caroline]

Hyperthyroidism part 1 of 2- what it is, symptoms, and diagnosis story

I was diagnosed with hyperthyroidism at the age of 15. Hyperthyroidism AKA over active thyroid is a condition where your thyroid produces too much thyroxine hormone. It is a manageable condition with medication which I take daily and I have regular appointments with my endocrinologist for this condition...left untreated or not regularly managed under the care of a doctor hyperthyroidism can cause very serious issues that can be fatal...the major ones include heart attack, stroke, and thyroid storm but let's talk about what happened leading up to the diagnosis...

When I was 15 I was in a residential treatment facility for Orthorexia and anorexia nervosa. It was difficult at first for me to actually get diagnosed because many of the symptoms I was experiencing mimicked symptoms of someone who has anorexia and Orthorexia & is either actively engaged in the unhealthy behaviors of these eating disorders or is going through the re-feeding process[which I was in that time]. The symptoms I was experiencing were rapid weight loss and extremely fast metabolism despite what I ate, over heating easily and often, high levels of anxiety, fidgety, antsy, need to be doing something constantly, irritable- lower than average tolerance to frustration/inconveniance/ annoyance ,hair loss, trembling in hands and fingers, fatigue, insomnia, my skin was always damp and clammy to the touch, I had issues with digestion...everything I ate went right through me very quickly so I was in the bathroom a lot, I was experiencing irregular heart beat [heart murmur], my stomach hurt pretty much constantly and I was forever bloated . So if you are reading this & you are not familiar with eating disorders and the effects of them and the effects of early recovery and re-feeding let me just tell you that almost every one of those symptoms could be attributed to eating disorders and re-feeding. All the professionals at the residential I was at understandably took my symptoms and complaints as part of my eating disorders, malnourishment and being early in to re-feeding. The problem was the symptoms continued, even got worse as time went on and I was losing more and more weight. I actually ended up being accused multiple times by the staff , my therapist, nutritionist and psychiatrist at the residential of secretly exercising while in treatment, purging, hiding food...doing something I was NOT supposed to be doing to cause my weight loss to continue....I was becoming thinner and sicker being treated for my eating disorders and it was absolute hell because ironically I was not engaging in any of the things I was being accused of but the treatment center still treated me as if I was...I was given a feeding tube, put on one to one observation with a staff member 24/7 which meant I had to be with a staff member no matter what...a staff had to watch me while I slept, while I ate, showered, used the bathroom, sat in group, walked down the hall etc. It went even further to where I was put on wheelchair restriction so I was not allowed to walk anymore to keep me from losing weight . None of that helped and I got worse - my blood work showed that my kidneys were not functioning properly, ekgs showed my heart murmur was getting worse- I was very weak, my neck and eyes looked puffy and swollen, my stomach pain increased and I was nauseous most of the time. The residential sent me to the hospital at this point and after 4 days in the hospital I was diagnosed with hyperthyroidism and put on medication. I spent 6 days total in the hospital and then went back to the residential treatment center. I have no underlying condition or disease that caused my hyperthyroidism and it is not something that is brought on by eating disorders...it is just something I developed. According to my doctors my hyperthyroidism is pretty severe which presents more risk of other complications mostly with my heart, my eyes, my bone density, and reproductive organs. It is a little worrisome because I already have heart problems and have already had a heart surgery. I already have the sort of precursor to osteoporosis known as osteopenia and my reproductive organs have long ago bit the dust [I am completely infertile/sterile] due to struggling with eating disorders from age 7 - age 15. On medications for my hyperthyroidism- my symptoms are less & much more manageable however there are things I have to avoid but that will be covered in part 2

[mcatmemoranda]

I have a pt who came in with abdominal pain and fever. She was recently diagnosed with Graves’ disease and was started on low dose methimazole 5 mg QD. She was found to have low TSH and high T4.

Once patients’ clinical conditions improve, the iodine solution should be stopped, glucocorticoids can be tapered and stopped, and beta-blocker should be adjusted. Thionamide therapy should be titrated, and if propylthiouracil is used initially, it should be switched to methimazole. Patients should be recommended for definitive treatment with radioiodine (RAI) therapy or thyroidectomy

[jarvin]

Understanding Your Thyroid: A Guide to Thyroid Testing in Simple Language

The thyroid gland, a small butterfly-shaped organ located at the base of your neck, plays a vital role in regulating your body's metabolism. It produces hormones that influence various functions, including heart rate, digestion, energy levels, and even mood. When the thyroid malfunctions, it can significantly impact your overall health.

This blog aims to empower you with knowledge about thyroid testing, a crucial tool for identifying and managing thyroid disorders. We'll delve into the different types of tests, what they measure, and why they might be recommended by your doctor.

Why is Thyroid Testing Important?

Early detection and treatment of thyroid issues are essential for maintaining good health. Thyroid problems can manifest in various ways, sometimes with subtle symptoms that can be easily overlooked. Here's why getting a thyroid test done can be beneficial:

Early diagnosis: Identifying thyroid issues early allows for prompt treatment, preventing complications that can arise from prolonged hormonal imbalances.

Monitoring treatment: If you're already diagnosed with a thyroid condition, regular testing helps your doctor monitor the effectiveness of your treatment plan and adjust it as needed.

Unexplained symptoms: If you're experiencing unexplained fatigue, weight fluctuations, changes in mood or sleep patterns, difficulty concentrating, or hair loss, a thyroid test can help determine if these symptoms are linked to an underlying thyroid problem.

Risk factors: Certain factors, like a family history of thyroid disease, autoimmune conditions, or radiation exposure to the neck, increase your risk of developing thyroid problems. Regular testing can be a wise precaution in such cases.

Types of Thyroid Tests

There are several types of thyroid tests, each measuring different aspects of thyroid function. Here's a breakdown of the most common ones:

Thyroid-Stimulating Hormone (TSH) Test: This is the most frequently performed initial test for thyroid function. TSH is a hormone produced by the pituitary gland that stimulates the thyroid to produce its own hormones. A high TSH level indicates an underactive thyroid (hypothyroidism), while a low TSH level suggests an overactive thyroid (hyperthyroidism).

Free T4 (Thyroxine) Test: T4 is the primary hormone produced by the thyroid gland. This test measures the circulating levels of free T4, the active form readily available for cellular uptake. An abnormal free T4 level, along with an abnormal TSH level, can confirm a thyroid disorder.

Free T3 (Triiodothyronine) Test: T3 is a more potent form of thyroid hormone, converted from T4 in the body's tissues. While not routinely used as the initial test, a free T3 test might be ordered along with TSH and free T4 to provide a more comprehensive picture of thyroid function in certain situations.

Thyroid Antibodies Test: This test helps identify the presence of antibodies that attack the thyroid gland. These antibodies can be indicative of autoimmune thyroid diseases like Hashimoto's thyroiditis (hypothyroidism) or Graves' disease (hyperthyroidism).

What to Expect During a Thyroid Test

A thyroid test typically involves a simple blood draw from your arm. No special preparation is usually required. The blood sample will be sent to a laboratory for analysis. Your doctor will discuss the results with you and explain what they mean in the context of your overall health.

Understanding Your Test Results

Interpreting thyroid test results can be slightly complex. Still, here's a general overview:

TSH: A normal TSH level typically falls within a specific range depending on the laboratory performing the test. A high TSH level suggests an underactive thyroid, while a low TSH level might indicate an overactive thyroid. However, borderline results or mild abnormalities might require further investigation or monitoring.

Free T4 and Free T3: Normal ranges exist for these hormones as well. Abnormal free T4 levels, along with an abnormal TSH, can confirm a thyroid disorder. Free T3 levels might be used for a more comprehensive evaluation in conjunction with other  tests.

Thyroid Antibodies Test: The presence of certain antibodies can indicate an autoimmune thyroid condition. The specific type of antibody detected helps determine the specific type of autoimmune thyroid disease.

When to See a Doctor

If you experience any symptoms suggestive of a thyroid problem, consult your doctor. They will assess your symptoms, medical history, and risk factors and determine if a thyroid test is necessary. Additionally, if you have a family history of thyroid disease or are taking medications that can affect thyroid function, regular testing might be recommended by your doctor.

Living With a Thyroid Condition

Fortunately, with proper diagnosis and treatment, most thyroid conditions can be effectively managed. Treatment options typically involve medications to regulate hormone levels. Regular follow-up with your doctor and adherence to your treatment plan are crucial for maintaining good health.

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Atrial Fibrillation: Comprehensive Insights from Dr. Richard Zelman

Atrial Fibrillation (AFib) is the most common type of cardiac arrhythmia, affecting millions of people worldwide. It is characterized by an irregular and often rapid heart rate that can lead to various complications, including stroke, heart failure, and other heart-related issues. Dr. Richard Zelman, a distinguished expert in cardiology, provides a comprehensive overview of AFib, including its causes, symptoms, diagnosis, and treatment options.

Understanding Atrial Fibrillation

Pathophysiology

In a normal heart, the sinus node in the right atrium generates regular electrical impulses that travel through the atria to the ventricles, causing coordinated contractions. In AFib, these impulses become disorganized, leading to rapid and chaotic electrical signals. This results in the atria quivering instead of contracting effectively, which can cause poor blood flow and increase the risk of clot formation.

Causes and Risk Factors

Several factors can contribute to the development of AFib, including:

Age: The risk of AFib increases with age.

Heart Disease: Conditions such as hypertension, coronary artery disease, heart valve disease, and heart failure.

Thyroid Disorders: Hyperthyroidism can increase the risk.

Chronic Conditions: Diabetes, obesity, and chronic kidney disease.

Lifestyle Factors: Excessive alcohol consumption, smoking, and high caffeine intake.

Genetics: Family history of AFib.

Other Factors: Sleep apnea, infections, and stress.

Symptoms

AFib symptoms can vary in severity and may include:

Palpitations: Sensation of a racing, irregular, or pounding heartbeat.

Fatigue: Feeling unusually tired and weak.

Shortness of Breath: Difficulty breathing, especially during physical activity.

Chest Pain: Discomfort or pain in the chest.

Dizziness or Lightheadedness: Feeling faint or experiencing episodes of syncope (fainting).

Some individuals with AFib may be asymptomatic, with the condition only discovered during a routine medical examination or electrocardiogram (ECG).

Diagnosis

Diagnosing AFib involves a thorough clinical evaluation, including:

Medical History and Physical Examination: Assessment of symptoms, risk factors, and any underlying conditions.

Electrocardiogram (ECG): The primary tool for diagnosing AFib, showing irregular atrial activity and absence of P waves.

Holter Monitor: A portable device worn for 24-48 hours to detect intermittent AFib episodes.

Event Monitor: Used for longer periods to capture sporadic arrhythmias.

Echocardiogram: An ultrasound of the heart to evaluate its structure and function, and to check for blood clots.

Blood Tests: To identify conditions such as thyroid disorders or electrolyte imbalances.

Treatment

Treatment goals for AFib include controlling the heart rate, restoring normal rhythm, preventing blood clots, and managing underlying conditions. Treatment options include:

1. Rate Control:

Medications: Beta-blockers (e.g., metoprolol), calcium channel blockers (e.g., diltiazem), and digitalis (e.g., digoxin) to control heart rate.

2. Rhythm Control:

Antiarrhythmic Drugs: Medications such as amiodarone, flecainide, or sotalol to maintain normal rhythm.

Electrical Cardioversion: A procedure where an electric shock is delivered to the heart to restore normal rhythm.

Catheter Ablation: A minimally invasive procedure where abnormal heart tissue causing AFib is destroyed using radiofrequency energy or cryotherapy.

3. Stroke Prevention:

Anticoagulants: Blood thinners such as warfarin, dabigatran, rivaroxaban, or apixaban to prevent clot formation and reduce the risk of stroke.

Left Atrial Appendage Closure: A device implanted in the heart to prevent clots from forming in the left atrial appendage.

4. Lifestyle Modifications:

Diet and Exercise: Adopting a heart-healthy diet and regular physical activity.

Weight Management: Maintaining a healthy weight to reduce AFib risk.

Avoiding Triggers: Limiting alcohol and caffeine intake, and managing stress.

Advancements in AFib Treatment

The field of AFib treatment has seen significant advancements:

Cryoablation: A newer form of catheter ablation that uses extreme cold to destroy abnormal tissue.

Hybrid Ablation: Combines surgical and catheter-based techniques for more effective treatment.

Wearable Devices: Advanced monitoring devices that provide continuous heart rhythm data, aiding in early detection and management.

Conclusion

Atrial Fibrillation is a complex and challenging condition, but advancements in diagnosis and treatment are improving outcomes for patients. Dr. Richard Zelman MD expertise highlights the importance of a comprehensive approach to managing AFib, from lifestyle changes to cutting-edge medical interventions. Continuous research and technological innovations promise even better care and quality of life for individuals affected by this prevalent arrhythmia.

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