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Post by justaustin on Mar 4, 2009 11:14:04 GMT -5
OK, I don't know what happend just above. I think my cold hypo fingers hit a quote button or something. Tried to delete, but it's still posted. Just ignore. Laurie
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dee
New Member
Posts: 30
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Post by dee on Mar 5, 2009 11:55:20 GMT -5
Dee, You can always request to be put on the cancellation list. If another patient cancels, they will call you (often times short-notice) to see if you can come in. For them, time is money. Unfilled blocks of schedule time us money loss for them. Whatever other labs you think you will need(what hasn't been tested at this point). From all your learning and reading here and at RTH..... Have primary doc order. Also have primary doc order the pituitary MRI with and without gadolinium. Be sure the MRI includes views of hypothalmus and pituitary stalk. Tell primary md that appt with specialist isn't until June. That the more info the specialist has at the time of appt, the less time will be lost in workup/diagnosis. Whatever labs the primary md won't order, you can do yourself if you live in US in any state but NY,NJ,CA and RI. I suspect that your mildly elevated prolactin is related to hypothyroidism. It's the most common cause. That your low cortisol is preventing ineffective utilization of thyroid hormones. Once Cortisol is replaced and you can optimize thyroid hormone replacment..... Your Prolactin will go down. Laurie Thanks very much, Laurie. I'll try to get on their cancellation list. My primary doctor said he would order a CAT Scan (!); but I told him I need an MRI (w/contrast), but he said he can't authorize an MRI (so that's one reason I'm seeing the specialist). I will try to get whatever bloodwork done, that I can, prior to the appointment, though. I'm imagining the specialist will be the one ordering any sort of STIM tests (just because none of this is my primary doctor's specialities). And, I'm just imagining my regular doctor has *never* ordered blood work for growth hormone before, but you never know. I live in Canada, if that makes any sort of difference... but I have added things to my blood test requisitions, that my doctor didn't think were necessary; like (*ahem*), the ACTH test. I'm sure now that my doctor realizes there is a real problem, he will start adding whatever tests I request. I'm kind of thinking the same thing about my prolactin going down once I get the other things straightened out. I really appreciate your help. Dee
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Post by justaustin on Mar 5, 2009 18:30:17 GMT -5
You are welcome. Laurie
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