Guest guest Posted October 27, 2003 Report Share Posted October 27, 2003 ARGGGG.. Liang, it is ONLY perfectly reasonable for someone to choose RAI IF they have been properly informed of the risks and consequences. TOO MANY people are rushed into RAI without ever being informed they even have options like ATDs or surgery or the chance of remission - or rushed into it while a person is hyper and confused and just too impatient to make a rational decision. TOO MANY doctors say RAI CURES Graves disease. IT DOES NOT. It cures hyperthyroidism, but you are still stuck with the autoimmune disease TOO MANY doctors gloss right over the statistical evidence that RAI is going to make 30% or more of patients OBESE. Or that it should not be performed at all if there is any evidence of TED. Or that even if there is no evidence of TED there is 15% chance of TED developing afterwards. WAY TOO MANY doctors don't even tell people they need to avoid contact with other people and pets for any amount of time after RAI. I've even heard it suggested they just go spend the day at the movie theater watching movies - to avoid family and work for a day - well WHAT ABOUT those people sitting next to them at the movies - what if the person sitting next to them was newly pregnant??? And TOO MANY doctors never tell the patient that after RAI, it MIGHT NOT BE AS SIMPLE as taking one little pill every day for the rest of your life - you MAY have conversion problems. Or the synthetics MIGHT NOT WORK for you and the natural replacement hormone MIGHT trigger antibody production. Or the fact that radiation causes cancer and mutation in cells - MOST doctors just don't tell patients these things. And many of the people on this list and others REGRET having RAI - they feel it was the worst decision they ever made for themselves. Granted that may be a small percentage of the total people receiving RAI, but how do you know on what side you are going to fall??? You don't. There is no way to predict it. And I'll tell you what - I sure am happy to have heard and learned from their stories - stories NO DOCTOR would ever tell me. You go buy a car, don't you read consumer reports and get online and read actual buyer reviews? You buy a book on amazon you read the reviews. You benefit from the information people provide and health is no different and certainly no less important. Liang, I have to know, are you a med student or a doctor or something? Because I'll tell you what if you are. Instead of shoving all these studies at us (that many of us have already read on our own) why not listen to what a real thyroid patient is saying and learn what our real issues are and use that to your advantage - instead of trying to convert us to RAI-Lovers - because that IS NOT GOING TO WORK. Stick around and find out how many of us are mismanaged by our doctors and the problems we continue to have even after RAI has " cured " us. Or the issues we have being properly managed on ATDs. Or how most doctors think stress and nutrition play absolutely no role in successfully achieving remission and staying there. A doctor would be wise to stick around and see what we are figuring out on our own and as a group and that it actually WORKS. The doctors have already told us about these studies - how perfectly safe RAI is and what a instant CURE it is... well WE DON'T BUY IT. Don't become another one of THOSE doctors - we could do without. But if you INSIST on shoving RAI studies at us, send us some of the LONG TERM studies of RAI - I would like to see those - the ones that follow patients for 5, 10, 20, 30 years. Where are those studies anyway??? Of course in the end Liang, we all know numbers can be manipulated. Studies can be manipulated. It will be actual people experiences that sway my opinion every time. Real experience from real people. THAT SAYS SOMETHING TO ME. I'm sorry to jump into this and keep this " discussion " going... I've been hoping it would die out by now... but it is driving me nuts seeing RAI presented as if it were no big deal. It is a big deal. And to WAY TOO MANY people, it was the worst deal they ever got. Pam B. -- Re: Liang: RAI and pretibial myxedema That is great! Good for Doris. My aunt did the similar thing! However, individual case does not change the fact that quite larger number of patients eventually did not achieve remission without relapse after staying with ATD for long long time. How do you define a reasonable long time, that is personal judgement. It is still patient's choice what to do next after years of ATD. If she or he decides to stay with ATD, this is one choice. If some goes with RAI or surgery, I would think that would be reasonable too. Those two methods offer patients to manage the disease from hypo instead of from hyper, which is relatively easier. Just do not like to scare people with some ideas not from facts based on large studies. BTW, do not get me wrong, I also hate the fact that some of the endos only present the other side of story and deprived the patient the chance to try ATD first. Best wishes, Liang > In a message dated 10/27/2003 4:51:23 PM Eastern Standard Time, > leon_lz@y... writes: > > > > But, other choices should be considered after a reasonable long time > > use of ATD. > > Granny has been on Tapazole continuously since 1979. Doris is in > remission after just over 4 years on Tapazole. Doctor's orders would have them > both thyroidless. > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2003 Report Share Posted October 27, 2003 Hi, I'd like to comment for one of those who was pushed into RAI. I don't know if it is good or bad, guess I'll find out but let me tell you I think I would have taken a little more time to make a decission if I would have known all of the cons. Needless to say I thought it was a quick fix and completely safe. I did a quick research but didn't dig deep enough. I was told I had a disease that scared the heck out of me and I had 3 options 1. surgery was too much of a risk 2.Will never go into remission so I could only take meds for a year or so, 3. RAI It sounded like my only real option so I took it as fast as I could so that I could get over this disease and on with my life. Well I wasn't even told that Graves is forever until I read it on line and asked my doctor and she said that we will keep it under control. Right now I'm scared of the outcome but mostly I'm disappointed in myself for being weak and in my Dr alittle too because I didn't get the info that could have changed my mind. Nobody should feel bad about their decission and to each their own, I just wish all the facts could have been one of my options. I hope I didn't overstep my bountry with anyone. and I hope everyones treatment is the right one for them.......Ruth Re: Liang: RAI and pretibial myxedema > > That is great! Good for Doris. My aunt did the similar thing! > > However, individual case does not change the fact that quite larger > number of patients eventually did not achieve remission without > relapse after staying with ATD for long long time. How do you define > a reasonable long time, that is personal judgement. > > It is still patient's choice what to do next after years of ATD. If > she or he decides to stay with ATD, this is one choice. If some goes > with RAI or surgery, I would think that would be reasonable too. > Those two methods offer patients to manage the disease from hypo > instead of from hyper, which is relatively easier. > > Just do not like to scare people with some ideas not from facts > based on large studies. BTW, do not get me wrong, I also hate the > fact that some of the endos only present the other side of story and > deprived the patient the chance to try ATD first. > > Best wishes, > > Liang > > > > In a message dated 10/27/2003 4:51:23 PM Eastern Standard Time, > > leon_lz@y... writes: > > > > > > > But, other choices should be considered after a reasonable long > time > > > use of ATD. > > > > Granny has been on Tapazole continuously since 1979. Doris > is in > > remission after just over 4 years on Tapazole. Doctor's orders > would have them > > both thyroidless. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2003 Report Share Posted October 28, 2003 I am soooooooooo tired of seeing his name in the digest (which I reluctantly went to to avoid the number of list posts flowing into the inbox) and worse, I am tired of seeing his stinking posts repeated again and again and again in replies to his stinking posts. Can we please move on to something else???????????????? Elaine (who saw the endo on Monday and is too damn tired of the threads here to discuss it!) > Hi gang if we just ignore Liang and stop responding to his posts, eventually he will go away when he realizes he isn't getting the attention any more. thanks . > Quote Link to comment Share on other sites More sharing options...
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