Re: help please - confused, uptake 18% pre-rai

October 10, 2002

I agree with the nuclear med doc - either you have a larger than expected

remnant, or your not-so-large remnant is taking up more than is expected

for its size.

I'm guessing your confusion comes from the premise that you wouldn't be

hypo if you had a large remnant? That's not necessarily true. Depends

on the amount and quality of the remaining cells. It's possible to become

very hypo with a very large remnant (even with an entire lobe), and it's

good that he's doing an ultrasound, because if, in fact, you do have a

large remnant (and one with excellent uptake, at that), they will probably

want to adjust your RAI dose downward (to prevent radiation thyroiditis).

-

NYC

yvonne1328 wrote:

> i'm so confused now.

>

> i went for my wbs and it showed that nothing is glowing but my

> thyroid bed. had that on the only thing then i was going to be

> admitted right away with a 50mci dose for treatment.

>

> but they did my uptake test twice and it turned out essentially the

> same. my uptake was out of the norm and hight at 18%.

>

> so at 1:00pm pst today, i'm going in for an ultrasound before being

> admitted.

>

> my nuc med told me that this could mean 2 things. VERY VERY efficent

> iodine uptake because of a kick but lid OR there's more thyroid

> remnant then he wanted. BUT, my TSH was 53.6 2 days ago so it means

> I am hypo. this would lead him to think that I shouldn't have much

> remnant.

>

> what does all this mean? any thoughts on how to explain this?

>

> yvonne

> pap ca 8.5mm

> tt 9/5/02

> tsh 53.6 during scan dose

> wbs clean, except for thyroid bed

>

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