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THE Q & A

Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.

Each thread represents one question with one answer and will only appear at the time it is answered. Once answered, further replies cannot be made to the same thread since each thread represents only one question. A new thread will need to be started for additional questions.

Questions are answered solely by Elaine Moore, a medical writer and clinical laboratory scientist, MT, CLS, with more than 30 years of experience in immunology. Moore has also authored and edited over a dozen books in the area of health sciences and is an editor for McFarland Publisher's Health Topics Series.


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 4/23/2009 1:30 AM
 

Elaine,

 

Even though I haven’t posted before, I have often visited your site for answers.  I just wanted to tell you how grateful I am for all your tireless research and advice.

 

When I was diagnosed with Graves 17 months ago, my first endocrinologist recommended I have RAI treatment.  My eyelids were swollen and bloodshot.  I did some research on the web and decided to stay on methimazole.

 

After a few months, as a result of a change in my primary care physician’s medical group, I began seeing a different endocrinologist. He said that because I had a high TSI level ( my TSI had increased to over 500, although my T-4 was within normal range), that I should have my thyroid surgically removed.  He told me that my Graves eye problems would very likely get much worse, and that I was putting myself in danger of losing my eyesight unless I had my thyroid removed.  I was scared.  But fortunately, by that time, I had read your book and realized that some of his other opinions on Graves issues were inaccurate.  So rather than blindly follow his advice, I decided to get an MRI and also seek the opinion of an ophthalmologist.  The ophthalmologist confirmed that the eye disease runs its own separate course and the MRI results showed that I did not have swelling on the optic nerve.

 

I have been reducing my methimazole dose gradually and my free T-4 dropped to 112 on my most recent test, which was based upon 1.875mg a day.  I intend to reduce my dose to 1.25mg for the next six weeks, and I am hoping that I may go into remission in the near future.

 

Without your efforts, I wouldn’t have been as proactive about making my own decisions about my treatment options. The Q&A’s on your site have been tremendously helpful and have answered so many questions that I have had throughout the course of this disease.

 

Warmest regards,

Coco

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 4/24/2009 2:17 AM
 

Hi Coco,

Thank you for your kind words and thanks for sharing your story. I'm sure it'll inspire others to be proactive.  I'm glad too that you found a good ophthalmologist who understands the nature of TED. Best to you, Elaine

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TO USERS: Q&A posts are visible to all readers. Users can delete their own threads at any time. Users must provide information which is true and correct to the best of their knowledge as well as provide sources or references to any health / medical information if not taken from personal experience. All users including the moderator must behave at all times with respect and honesty. Advertising and self-promotion is not allowed. The moderator or site administrator has the right to ban users with or without warning for not following the basic rules of this site. All posts by default are not to be considered that of medical professionals unless otherwise indicated. As sole moderator, Moore has no conflicts of interest in the sponsorship of this forum.

 

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