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Re: Re:Dr Rolla

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The overwhelming chances are that you will have many, many healthy babies.

Just wait about 18 months after the RAI before you get pregnant.

Epidemiological data indicates that there is no significant increase in

pregnancy problems, so go ahead.

Why 18 months? We don't know but that seems to be a safe distance from the RAI.

Many persons in this list have gotten pregnant after RAI without any problems.

Bergeron wrote:

> Dr. Rolla,

> Thank-you so much for the valuble time and energy you spent replying to my

question. It is appreciated so much. I was hoping you could help me once again

by responding to one of my previous posts that I have gotten several personal

feedbacks on but no hardcore science. I would really like to know whether my

husband and I risk not being able to have a child (because of infertility or

miscarriage) the more radiation I am given. I would just like to be able to plan

with some statistics in mind. I read somewhere that the occurance of miscarriage

doubles once you have had a TT and doubles yet again after 100 mCi of RAI. I

also read that after 300+ mCi of RAI your chance for infertility increases.

Knowing this and knowing that the nature of this beast (thyca) is to grow slowly

my husband and I thought it wise to consider having a child before a potential

second dose of RAI (my first was 175mCi therefore a second dose would surely put

me over 300mCI). I await your reponse with bai

> ted breath

>

> Bergeron(age 24)

> elizabetholson0@...

> --

>

> On Sat, 06 Oct 2001 15:59:41

> Arturo R. Rolla, MD wrote:

> >

> >

> >THYROGEN is a hormone from the pituitary gland called TSH that was made inthe

laboratory using a technique called " recombinant DNA " . That is the reason it is

called " Recombinant TSH " .

> >

> >TSH stands for Thyroid Stimulant Hormone, and is the way the pituitary

normally stimulates the thyroid gland to take-up Iodine, produce thyroid hormone

and grow.

> >

> >You can meassure TSH in the blood - and it should be suppressed in treated

persons with Thyca to prevent the stimulatory effect of TSH on any thyroid

cancer cells that may have been left.

> >

> >Because of the high, " suppressive " doses of thyroid hormone you have to take

when you have Thyca, TSH production is suppressed and the thyroid cells (Normal

and cancerous) do not take any Iodine, do not produce thyroid hormone and do

> >not grow. This is very good for the long run but if you want to know if they

are present and where they are the only way we have is to tag them with RAI.

> >

> >For RAI to get into the cells you need to have a high level of TSH in your

circulation. You can accomplish this by stopping the thyroid hormone for 4 to 6

weeks ( " The Hypo Horrors " ) or by injecting " human recombinant TSH " = Thyrogen.

> >

> >When you stop the thyroid hormone and let your own pituitary gland produce

large amounts of TSH for several weeks you tend to get better scans with RAI but

the price you have to pay is feeling hypothyroid for several weeks, and then it

> >takes another several weeks for you go back normal.

> >

> >With Thyrogen you don't become hypothyroid and you can have a total body scan

which is almost as accurate as when you are hypothyroid for weeks.

> >

> >Is that clear?

> >

> >Several members of the list have undergone Scans with Thyrogen and can tell

you more about advantages and disadvantages (Mild nausea occasionally, cost,

paper work etc).

> >

> >

> >

> > Bergeron wrote:

> >

> >> I've asked before and did not receive any reply. I know there are a lot of

important posts and sometimes those of lesser importance can get lost in the

shuffle, but I would like to know " what is this thyrogen I keep hearing about? "

> >>

> >> Thank-you,

> >> Bergeron

> >> elizabetholson0@...

> >> that last 0 is a zero

> >>

> >> pap. thyca 11/00 (both lobes and extensive lymph nodes)

> >> tt 12/00, RAI 175mCi 1/01

> >> total body scan one week later with residual activity in the neck

> >> TG 1.4 5 months after RAI. TG 2.4 3 months later that is current as of 2

weeks ago

> >> TSH 2.32, T3T4 1.4, TG antibodies <2, TG 2.4

> >>

> >> --

> >>

> >> On Sat, 06 Oct 2001 03:29:52

> >> Birdandcat wrote:

> >> >I am scheduled for my first injection of Thyrogen on 10/10/01 and

> >> >have been trying to figure out if I need to get preapproval from my

> >> >insurance company. The hospital I'm going keeps referring me to

> >> >different depts. and I still don't have an answer. For those of you

> >> >who have been through this before, can you fill me in?

> >> >

> >> >Jan Bird

> >> >Sammamish, WA

> >> >

> >> >

> >>

> >> Make a difference, help support the relief efforts in the U.S.

> >> http://clubs.lycos.com/live/events/september11.asp

> >>

> >>

> >> For more information regarding thyroid cancer visit www.thyca.org. If you

do not wish to belong to this group, you may UNSUBSCRIBE by sending a blank

email to thyca-unsubscribe

> >>

> >>

> >>

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