h***a
发帖数: 312 | 1 1. During an experiment, the following data are obtained from an
anesthetized dog:
Mean glomerular capillary hydrostatic pressure (HPGC) 45 mmHg
Mean Bowman space hydrostatic pressure (HPBS) 12 mmHg
Mean glomerular capillary oncotic pressure (piGC) 23 mmHg
Mean Bowman space oncotic pressure (piBS) 0 mmHg
Coefficient of filtration (Kf) 3.0 (mL/min)/mmHg
Renal Blood Flow 200 mL/min
Hematocrit 40%
Filtration Fraction 25%
An IV infusion of AngII is administered for 60 minutes. Which of the
fol... 阅读全帖 |
|
h***y
发帖数: 834 | 2 ☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的目的就达到了。
希望所有ID， 包括考生， resident， fellow， attending，PA/NP, nurse 和中国来
的医生不再从事医疗工作的， 都能奉献你的pearl. 英文中文都行。
我先来：
CC: Left leg pain for 5 days.
35 y... 阅读全帖 |
|
h***y
发帖数: 834 | 3 ☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的目的就达到了。
希望所有ID， 包括考生， resident， fellow， attending，PA/NP, nurse 和中国来
的医生不再从事医疗工作的， 都能奉献你的pearl. 英文中文都行。
我先来：
CC: Left leg pain for 5 days.
35 y... 阅读全帖 |
|
j*****o
发帖数: 137 | 4 41. During a routine examination, a 20-year-old man is found to have a firm,
bilaterally enlarged thyroid gland and lymphadenopathy. His father died of
thyroid cancer at the age of 40 years. Which of the following hormones is
most likely associated with this patient's findings?
A) ACTH
B) ADH (vasopressin)
C) Aldosterone
D) Calcitonin
E) Growth hormone
F) G3-hCG
G) Insulin
H) Parathyroid hormone
I) Thyroid-stimulating hormone
J) Thyroxine (T4)
What is the answer and desease on this patient? |
|
s********o
发帖数: 3319 | 5 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: herby (小臭宝), 信区: MedicalCareer
标 题: [合集] 你有生以来做出的最佳临床诊断是什么？
发信站: BBS 未名空间站 (Thu Jun 2 00:01:26 2011, 美东)
☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的... 阅读全帖 |
|
s********o
发帖数: 3319 | 6 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: herby (小臭宝), 信区: MedicalCareer
标 题: [合集] 你有生以来做出的最佳临床诊断是什么？
发信站: BBS 未名空间站 (Thu Jun 2 00:01:26 2011, 美东)
☆─────────────────────────────────────☆
Aplusplus (Hakuna Matata) 于 (Sun Mar 27 11:11:49 2011, 美东) 提到:
首先我申明，我放弃我的ignore list， 欢迎所有ID参加。
每个医生护士或者其他相关人员， 无论在中国还是美国， 肯定都有一些case刻骨铭心
。 请大家把你印象最深的一例写出来， 与大家分享。 比方说， 清华男被鉈杀案，
那个中国来的护士就是诊断的关键， 相信本例就是她一辈子也忘不了的诊断。
我觉得这样的讨论有助于大家提高学医热情，丰富医学知识，开拓临床思维， 间接帮
助考版医生复习，准备CS，和 interview. 你要是能从中挑一个case让你PD
impressed，我想我的... 阅读全帖 |
|
a*********d
发帖数: 2763 | 7 sorry i just saw that. i have trouble replying my messages so I will have to
write here, hope you don't mind.
endocrinologist's NP usually does most of the DM follow up, also some
thyroid patients. so you have to be qutie familiar with diabetes management,
eg. glucose interpretation, oral meds and insulin adjustment, insulin pump
adjustment, diabetic preventive health care, diet and education, etc.some
clinics also manage gestational diabetes too which can be tricky. I suggest
you go on ADA webs... 阅读全帖 |
|
h********g
发帖数: 19 | 8 谢谢againstwind网友指出我的2cm 不够严谨，我已在原帖加了说明
“尤其是1cm左右（感谢againstwind 网友指正）”。 如果你不喜欢列您的大名，我也
可以改为“某网友指正”。
您提到了医生的动机问题。我相信againstwind是好人。可是你给我的回帖也说“那个
医生是hormone doctor，呵呵，什么背景不言而喻”。所以我也要呵呵了。其实医生也
是人。为了降低自己被诉讼的风险而defensive medicine，这样的研究已经连篇累牍，
不在此赘述。我自己认识的朋友（北美某著名医院的CMIO）就说90%的ＣＴ scan 是不
必要的。
还有就是surgeon们只懂得切除。你把病人refer到他们那里，基本没有别的治疗方案，
就一个字---割。一看结果是疑似恶性，立刻拿出schedule book, 说可以给你安排下周
手术。而且这些surgeon把这个手术说的简单，安全，速效，无痛。在这种情况下，很
多病人都把手术作为唯一的方案，而不再思考。
您提到“甲状腺素片，没有副作用”。可这不等于割了甲状腺没有副作用。甲状腺素片
不完全等效于甲状腺分泌的激素。术后很... 阅读全帖 |
|
P******t
发帖数: 1717 | 9 最近世界杯又看到有讨论又提到罗纳尔多（肥罗）因为甲低（hypothyroidism)而难以
控制体重，因为大罗退役时声称治疗甲低需要的激素是运动员禁用的。
大罗是俺很喜爱的球星，之前早也听过大罗和甲低的新闻，并深以为然。不过我也隐隐
总有一丝疑惑，反兴奋剂组织真连正常治病水平的激素都禁止运动员使用吗？但一直懒
着没有深究一步，这次借机做了一点点search。
首先，hypothyroidism是甲状腺机能低下，导致代谢水平降低，容易肥胖。这可以解释
大罗后期变肥罗的体征。治疗甲低，常用激素替代治疗，常用药是levothyroxine, or
triiodothyronine。
reference:
http://en.wikipedia.org/wiki/Hypothyroidism
那么，levothyroxine等药物是否被anti-doping agency禁用？我查了下wada网站的
prohibited-list，没有找到这种甚至这类药物。
reference:
http://www.wada-ama.org/en/Science-Medicine/Prohibited-Li... 阅读全帖 |
|
|
d*********t
发帖数: 4393 | 11 http://www.bbc.co.uk/news/technology-12745128
'Radiation' text message is fake
A fake text message warning people that radiation from the Fukushima nuclear
plant has leaked beyond Japan has been panicking people across Asia.
The text message, purporting to come from the BBC, has been circulating
around Asian countries since Monday.
It warns people to take necessary precautions against possible effects of
radiation.
The BBC has issued no such flash but it has caused particular panic in the
Philip... 阅读全帖 |
|
h***y
发帖数: 4936 | 12 棒子自己的英文报道
http://joongangdaily.joins.com/article/view.asp?aid=2934391
A salt rush as consumers fear Japanese radiation
“혹시나…” 소금업계 물&#
47049;확보 잰걸음
April 05, 2011
Park Jae-seon, a homemaker from Gwanak District, southwestern Seoul, was
surprised when she visited her childhood friend’s home last week. While
helping out with the cooking, she opened a pantry to find the entire shelf
filled with salt in packag... 阅读全帖 |
|
N*******g
发帖数: 370 | 13 ·方舟子·
武汉协和医院多名妇产科医生被查出患有甲状腺癌一事引起了舆论很大的关
注。即使普通人也不难理解，多名同一科室的医生集中爆发一种并不常见的非传
染性疾病，只能说明其工作环境有问题。但有的专业人士却不这么认为。除了院
方简单地发表了一个声明声称工作环境检测结果正常外，更有人试图从理论上证
明甲状腺癌高发与电离辐射无关。
武汉协和医院乳腺甲状腺外科黄韬教授认为，射线不是甲状腺癌发病主因，
更不是唯一原因。医学上所说的由射线引发甲状腺癌，特指广岛长崎核爆和切尔
诺贝利核泄漏以后，幸存者中的癌症发病人群。
（http://news.ifeng.com/mainland/detail_2013_02/23/22403505_0.shtml ）
我手头有美国斯坦福大学医学院教授I. Ross McDougall写的《临床甲状腺
癌》（Thyroid Cancer in Clinical Practice，2007年版）一书，该书指出：
“辐射和遗传是（引发甲状腺癌的）两个重要因素。辐射引起能致癌的突变。……
不同剂量的辐射对甲状腺有不同的效果，组织接受中间剂量（0.1~... 阅读全帖 |
|
d*b
发帖数: 21830 | 14 文献里说的10Gy是指thyroid dose, 人讨论的是carcinogenesis,但武汉的case是
radiation protection,她们面临的辐射(如果可能的话）是total body, 你要按ICRP/
MIRD的要求换算成effective dose，加tissue weight factor, 丫的radiation
protection里光thyroid要10Gy的dose的话人早死了--任何一本关于核武器战争应用的
书都会告诉你，人的全身dose limit是8Gy.
事。 |
|
d*b
发帖数: 21830 | 15 你这不废话吗，方叉连Gy跟Sv都不知道，人文献里说的是thyroid dose,但武汉的课室
里thyroid dose是10Gy,假如全身均匀照明的话，你全身dose是多少？估计人都死光里。 |
|
p****1
发帖数: 334 | 16 The vast majority of soy at your local market is not a health food. The
exception is fermented soy, which I'll explain more about later and even
worse GMO soy that is contaminated with large pesticide residues as the
reason it is GMO is so they can spray the potent toxic herbicide Roundup on
them to improve crop production by killing the weeds.
Unlike the Asian culture, where people eat small amounts of whole non-GMO
soybean products, western food processors separate the soybean into two
golden ... 阅读全帖 |
|
u**c
发帖数: 17972 | 17 Search Results
News
USS Ronald Reagan Sailors to Refile Suit For Fukushima Radiation Poisoning
San Diego Free Press 21 hours ago
By Brandon Baker / EcoNews After U.S. Navy sailors on the USS ... in Japan
for four days, many returned to the U.S. with thyroid cancer, ...
More than 70 Radiation-Stricken U.S. Sailors Sue Fukushima Plant Operator
AllGov- 2 hours ago
Fukushima Meltdown?
American Free Press- 5 hours ago
More news for cancer us sailor fukushima
US sailors claim cancer from helping at F... 阅读全帖 |
|
c****x
发帖数: 6601 | 18 niernier11
注册@2017-08-17
字体大小: 发表于 2018-01-23 00:42 |只看楼主
甲状腺大潮， 说说我的二次甲亢， 第二次进行中。。。 美国医生就是shit
高中在国内， 有一天， 我妈觉得我的头颈特别粗。 她以为我缺碘， 拼命叫我吃海带
。 。我对海带觉得很不好吃，但还被逼着吃。
直到有一天， 我骑自行车， 骑到一半， 心跳太快， 骑不动了， 倒在路边， 我妈带
我去医院看病。 一查， 甲亢。 碘太多了。
然后吃药。 吃了什么药， 忘了。 吃了三年， 就好了。 其实， 吃了几个月， 就感
觉好了。 后面是maintain。 当时吃药一点副作用都没有。觉得这甲亢不是个big
deal
二十年后， 我自己vacation， 带着我狗儿子去了一次cabo mexico， 顺便在这里推荐
一下我住的cabo resort： one and only palmilla
http://www.oneandonlyresorts.com/one-and-only-palmilla-los-cabos
特别pet friendly， 不但有freshly co... 阅读全帖 |
|
发帖数: 1 | 19 华人转来的 不贴链接了
高中在国内， 有一天， 我妈觉得我的头颈特别粗。 她以为我缺碘， 拼命叫我吃海带
。 。我对海带觉得很不好吃，但还被逼着吃。
直到有一天， 我骑自行车， 骑到一半， 心跳太快， 骑不动了， 倒在路边， 我妈带
我去医院看病。 一查， 甲亢。 碘太多了。
然后吃药。 吃了什么药， 忘了。 吃了三年， 就好了。 其实， 吃了几个月， 就感
觉好了。 后面是maintain。 当时吃药一点副作用都没有。觉得这甲亢不是个big
deal
二十年后， 我自己vacation， 带着我狗儿子去了一次cabo mexico， 顺便在这里推荐
一下我住的cabo resort： one and only palmilla
https://www.oneandonlyresorts.com/one-and-only-palmilla-los-cabos
特别pet friendly， 不但有freshly cooked pet food， 还给了我家狗儿子一个dog
passport， 特别cute。。。
vacation weekend 回来， 去了gym， gym完， 觉... 阅读全帖 |
|
W*****B
发帖数: 4796 | 20 'Sea Nomads' Are First Known Humans Genetically Adapted to Diving
For hundreds of years, the Bajau have lived at sea, and natural selection
may have made them genetically stronger divers.
If you hold your breath and plunge your face into a tub water, your body
automatically triggers what's called the diving response. Your heart
rate slows, your blood vessels constrict, and your spleen contracts, all
reactions that help you save energy when you're low on oxygen.
Most people can hold their breath ... 阅读全帖 |
|
T****r
发帖数: 22092 | 21 U.S. Flights Over Plant Gather Crucial Data
By DAVID E. SANGER and WILLIAM J. BROAD
Published: March 17, 2011
http://www.nytimes.com/2011/03/18/world/asia/18intel.html?_r=1&
WASHINGTON — The first readings from American data-collection flights o
ver the stricken Fukushima nuclear plant in Japan show that the worst of
the contamination has not spewed beyond the 18-mile range of highest co
ncern established by Japanese authorities, but there is also no indicati
on that another day of frantic effor... 阅读全帖 |
|
u*********e
发帖数: 9616 | 22 Emmons added: "For me, any medal's good."
Hi perspective on everything — shooting, life — has changed considerably
since Beijing. In 2009, he and Katy became parents. In 2010, he worried
about whether he would be around for his daughter.
That was when Emmons was diagnosed with thyroid cancer. Surgery was needed,
and he'll be on medication for the rest of his life, but the 31-year-old has
a clean bill of health again.
"The more I learned about it, I figured out if you're going to get cancer,
thyr... 阅读全帖 |
|
s**p
发帖数: 702 | 23 http://www.23andMe.com/a/ff1/y1v8a
Offer Expires: Dec. 27th, 2011
这个折扣好久没有了，上次还是2010年的DNA day，那次是99元，那次原本说全天打折
，可是到了下午4点多就提前结束了。
这次只要79！！！大家快去抢啊！
可以测出以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preli... 阅读全帖 |
|
B********s
发帖数: 1617 | 24 更新一下，关于涂层的问题。主要就是两代：PTFE, PFOA.
新的不沾锅牌子有的说自己有纳米颗粒，比如swiss diamond, 其实就是PTFE材料中混
合了纳米颗粒，该掉还是掉，没意思。
Polytetrafluoroethylene (PTFE)
Back in 1938, there was a fellow by the name of Plunkett who was working for
a chemical company. His job was to make refrigerants using
tetrafluoroethylene gas. He noticed the canister registered empty before it
weighed empty, so, he cut open a canister and discovered a slippery white
waxy coating lining the inside of the tin. In 1945, the Teflon trademark was
register... 阅读全帖 |
|
B********s
发帖数: 1617 | 25 更新一下，关于涂层的问题。主要就是两代：PTFE, PFOA.
新的不沾锅牌子有的说自己有纳米颗粒，比如swiss diamond, 其实就是PTFE材料中混
合了纳米颗粒，该掉还是掉，没意思。
Polytetrafluoroethylene (PTFE)
Back in 1938, there was a fellow by the name of Plunkett who was working for
a chemical company. His job was to make refrigerants using
tetrafluoroethylene gas. He noticed the canister registered empty before it
weighed empty, so, he cut open a canister and discovered a slippery white
waxy coating lining the inside of the tin. In 1945, the Teflon trademark was
register... 阅读全帖 |
|
f******I
发帖数: 769 | 26
papillary cancer of the thyroid, most common thyroid cancer, |
|
t*******n
发帖数: 4445 | 27
给你改顺了一些
This is to verify that patient XX has been diagonalized with hypothyroidism
as a child. B-type ultrasound shows that the right side of her thyroid is
absent, while the left side is underdeveloped. She needs to take thyroid
supplements on a long-term basis.
另外要不要写一下具体那种替代产品？ |
|
f******I
发帖数: 769 | 28
treatment option depends on what is the cause for your hyperthyroidism, for
instance, it could be grave's disease, or toxic thyroid nodule, or
thyroiditis which could be silent and you might not have any pain,
imagine your doctor would put you on propranolol and get some further
testings, like radioactive iodine uptake test, and maybe TSh receptor
antibody, |
|
g*****j
发帖数: 1211 | 29 Congratulations that you find the cause of your problem. Most of the
symptoms from hypothyroidism should go away after your thyroid level comes
back to normal. It is hard to say about 反应能力和记忆力, because they are
very subjective, and decline on those is part of normal aging :<
I am a little surprised that no one checked your thyroid level in the past. |
|
c********e
发帖数: 496 | 30 The physician is right, for hashimoto's during pregnancy, FT4 and TSH is the
most important parameter to tell whether YOU are OK, while the effect of
the disease on your baby is unpredictable.
50% of thyroid nodule found in the child/baby is malignant, the specificity
of FNA is 80%. Even if it is benign, 10-20% will be transformed into
malignancy in the future, so surgery is indicated.
For the thyroid surgery, it is not an easy one, not that hard either. The
reason is
1. the blood supply is supe |
|
g*****j
发帖数: 1211 | 31 The treatment for subclinical hypothyroidism is not as clear cut as
hypothyroidism. The decision will be either close follow up or treat right
away. Thyroid hormone is critical for growth, and you definitely don't want
to ignore the problem in a baby.
To answer your second question, thyroid hormone is synthesized in the body,
which means your breast milk will not help him. But your thought is on the
right tract, because it is essentially the same as supplement with drug.
The drug for hypoth |
|
c******s
发帖数: 48 | 32 我爸爸被诊断为gastric MALT lymphoma，并进行了手术切除，现在在术后放疗。应为
我爸爸有心脏病，不能进行化疗。
当时我们对此病一无所知，手术后才知道应该先检查幽门螺旋杆菌，抗生素根治后再手
术。现在医生说没有办法再检查幽门螺旋杆菌了，应该手术都切掉了。但是我们还是担
心有细菌残留，细菌会不会在手术中进入血液？我们想放疗之后进行抗生素治疗，应该
用普通疗法还是根治疗法？
还有就是手术后半个月多，我爸爸甲状腺出现柔软，无痛的肿块，CT检查为有两个有血
液供给的淋巴结。因为现在在专门的放疗科，人家也不管甲状腺的问题。
请问会不会是MALT Lymphoma转移到Thyroid? 我看网上说这种情况很少。那么会不会是
原发Thyroid Lymphoma? 可是是手术后才出现的。那会不会是gastric MALT lymphoma
已转化为large B cell lymphoma? 照理说手术切除的胃，医院应该好好化验的，结果
他们只做了免疫组化，根本没有检验是否有大B细胞，也没有明确说我爸爸的stage.
我们该怎么办啊？请班上的同胞们帮帮忙。
我可以再问几个问题吗？
1 |
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g*****j
发帖数: 1211 | 33 Thyroid adenoma is a benign tumor. About 5% of thyroid nodule are actually
malignant tumor. The pathology report is key and tells you the type of
tumor you have. If adenoma is what you had, patients do great here in US
without the benefit of 中医调理. |
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f****o
发帖数: 2770 | 34 首先你不要太紧张
既然T4正常，现在属于mild hypothyroidism.的确不用synthetic thyroid
supplementation。你就等3个月看看呗。
这个症状小孩子比较少见，所以不做其他血检谁都很难说到底是thyroid本身呢，还是
hypothalamus,还是pituitary的毛病。
长不高这个我们也没办法，基因摆在那里呢。你等你小孩青春期发育的时候让他多做运
动，据说游泳能长高，还要蹦蹦跳跳的运动多做做青春期的时候。现在才6岁。6岁的平
均身高也就42inch,你的小孩很正常啊。
http://www.disabled-world.com/artman/publish/height-weight-teen
你就三个月之后再去见医生，不要过分担心了。长的矮的人长寿，你看邓小平~ |
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h*******o
发帖数: 1114 | 35 今天去看妇科医生，结果OB说你头发这么稀疏 ，而且脖子也有点鼓，就让我查了
thyroid,结果拿出来是2.xx.她说正常，但是因为我是去看妇科，她就说我要是对疲劳
和头发少还想进一步问诊，最好再约下我的general doctor.
但是我的问题是，我还需要查有关甲状腺的什么项目吗？我怎么印象里查甲状腺功能不
光要查thyroid,还有个什么3项与甲状腺有关的需要测吧？
请麻烦指点一下，实在是很无奈，查血，还有其他基本项目都是很健康的，就是经常疲
劳，绝对没有贫血，血压，尿检全部都正常。
谢谢大家！ |
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F*******1
发帖数: 40 | 37 抱歉有点长。
家庭医生#1体检时查出颈部有小肿块 （大家annual check不要省,不要忘！），后作ultrasound发现一个1.1*1.9 cm肿块在甲状腺中间偏右，立马推荐了oncologist医生#2, 然后作biopsy，结果是 “Suspicious for Papillary Thyroid Carcinoma”, 医生#2说了由50%的概率是癌，要切除整个甲状腺。可是看到是50%概率，考虑到终生影响（终生吃药），而且他说不要做其他任何测试，心里没有底，感觉好像是骗钱是的。后来看文献，强力要求医生#2在做biopsy那家测试中心做了碘活性测试，结果是 “碘吸收正常，但是结合先前ultrasound的结果，所以结论是是cold,可能是Carcinoma”. 同时，本人联系了另一个oncology center , 人家根本不看，说你要见endocrinologist first, 你家庭医生怎么直接推荐了oncologist? 然后约了endocrinologist 医生#3， 再次作了biopsy，结果是“suspicious for Papillary Thyr... 阅读全帖 |
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F*******1
发帖数: 40 | 38 抱歉有点长。
家庭医生#1体检时查出颈部有小肿块 （大家annual check不要省,不要忘！），后作ultrasound发现一个1.1*1.9 cm肿块在甲状腺中间偏右，立马推荐了oncologist医生#2, 然后作biopsy，结果是 “Suspicious for Papillary Thyroid Carcinoma”, 医生#2说了由50%的概率是癌，要切除整个甲状腺。可是看到是50%概率，考虑到终生影响（终生吃药），而且他说不要做其他任何测试，心里没有底，感觉好像是骗钱是的。后来看文献，强力要求医生#2在做biopsy那家测试中心做了碘活性测试，结果是 “碘吸收正常，但是结合先前ultrasound的结果，所以结论是是cold,可能是Carcinoma”. 同时，本人联系了另一个oncology center , 人家根本不看，说你要见endocrinologist first, 你家庭医生怎么直接推荐了oncologist? 然后约了endocrinologist 医生#3， 再次作了biopsy，结果是“suspicious for Papillary Thyr... 阅读全帖 |
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M****0
发帖数: 877 | 39 I think this is TSH value with normal reference between 0.4 to 4.5 and yours
is 8.54. Elevated TSH suggested that your thyroid hormone is low (
hypothyroidism), and you need to look at free T4 (main thyroid hormone in
your body to see how low it is).
Does not necessarily means that you are deficient in Iodine, though iodine
deficiency could cause hypothyroidism. |
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f****o
发帖数: 2770 | 40 likely hypothyroidism, may need to take a thyroid pill everyday
it's a benign disease, a lot of ppl take a thyroid pill everyday |
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f****o
发帖数: 2770 | 41 在不让老人知道的情况下，有什么好的治疗方法和建议？
--if diagnosis cannot be confirmed, we cannot provide any suggestion. unless
you want to proceed with palliative care only.
如不用化疗和放疗，仅用药物去治疗，有什么好的中药和西药？
化疗=药物
另外，如何在美国买到抗癌药？
抗癌药=化疗
化疗=chemotherapy=using medication/drug to treat cancer
if no mets to lung, surgery remove tumor and thyroid is common 1st line
treatment for thyroid cancer |
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n***a
发帖数: 1373 | 43 The standard treatment in US is radioactive iodine therapy and then take
thyroid medicine for life. It is ok to take the thyroid medicine for life. |
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c**********n
发帖数: 186 | 44 I post this question before, it's about my thyroid.
My TSH is high, which is 6.4, from the first blood test, my doctor gave me
50 dosage medicine, and I made an appointment with tyroid doctor at the
same time. When I saw my thyroid doctor I've already taken 50 dosage
medicine for about 1 week. I told my throid doctor my TSH number, she
recommended me go ahead increase the dosage to 75. Now I had my second blood
test result, and my TSH number is too low, which is 0.125.
I tried to make an appoi |
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c**********n
发帖数: 186 | 45 timelt, I think your TSH number is good or very close, I remember my OB told
me that she wants the number to be 2 and below. Well, obviously not too low.
Finally my thyroid doctor left me a message said I take the medicine from
Monday to Friday, not weekend, and keep the same dosage. She asked me take
the blood test in 5 weeks again.
My dosage is 75, timelt, yours is 12.5 micro gram, I guess we are using
different measurement?
Why I have the feeling that my thyroid doctor is kind of careless? I |
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d**w
发帖数: 14889 | 46 thyroid这个东西用药计量本来就是很难控制的。所以在一开始吃药期间要密切监护，
调整药量，否则很容易从过高到过低。所以其实如果thyroid不是过高，很多大夫就不
愿意treat.我看你就是吃药量太大了。
me
blood
this |
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k******6
发帖数: 952 | 47 来自主题: NextGeneration版 - 哺乳期头晕 very helpful information. Thank you so much!
Some
Usually they test for TSH (thyroid stimulation hormone), T3 and T4 (the two
forms of thyroid hormones). If you have very low TSH (< 1), it is hyper, if
TSH > 5, it is hypo. In either case, you probably need to see an
endocrinologist for |
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er
发帖数: 4457 | 48 脱发特严重的，去查一下你的THYROID。 有可能THYROID出问题了。我当初就这样。 医
生说产后很常见的 |
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w****m
发帖数: 1245 | 49 “There is no increased risk of harmful levels of radiation exposure in the
United States based on the situation to date at the nuclear power complex in
Japan. Residents who ingest potassium iodide out of concern of possible
exposure from this situation are doing something which is not only
ineffective, but could also cause side effects,” said Jonathan E. Fielding,
MD, MPH, Director of Public Health and Health Officer.
Potassium iodide, or KI, is a stable form of iodine. During a nuclear
emergenc... 阅读全帖 |
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