Patient: Hyperthyroidism in November 2006, symptoms at the beginning of the disease were rapid heartbeat, panic, weakness, weight loss, hand trembling, now the symptoms are absent. The patient has been tested on April 24, 2008 for T3-4.53 T4-15.30 TSH-1.890 (taking 3 methimazole tablets per week), and on July 12, 2008 for T3-4.47 T4-15.70 TSH-4.960 (taking 4 tablets per week). Herbal medicine? Please reply in your busy schedule.
Doctor: The recovery period of hyperthyroidism is mainly to resist relapse and stabilize thyroid function. Chinese medicine has unique advantages. I want to ask when the Chinese medicine hyperthyroidism capsule will be available, because it is too troublesome to drink soup in summer, and I have to boil it.
I have a colleague who has hypothyroidism, got it in 99 years, and has been taking Eugenol 75 micrograms, the laboratory index has been normal. Thank you!
Doctor: Hello! Sorry for the late reply as I was on a business trip. Due to the Beijing Olympic Games and the humid weather, it will be available again in February. For the hypothyroidism you are asking about, you need to know the onset of the disease, thyroid function and anti-thyroid antibodies, thyroid ultrasound results and current symptoms and signs to determine how effective the TCM treatment is and whether you need to take the medication for life. I can see my clinic patients: Hello doctor, my hypothyroid colleague asked me to help ask you, the results of the laboratory test on February 15, 2008: TSH-2.67 (reference value 0.27-4.2) T3-4.83 (reference value 3.1-6.8) T4-17.58 (reference value 12-22) (Eugenol 75 micrograms combined with 1.5 tablets/day) August 2, 2008 laboratory test Results: TSH-1.01, T3-4.35, T4-16.10, same measurement as above, why the same measurement but different lab results? Is 1.5 tablets/day appropriate? I saw you last Friday, you gave me two kinds of blood test, one of them is A gong, another I forget what it is, and another is ultrasound, she wants to go to another hospital to test, and then you see if it is okay?
Doctor: The difference in your hypothyroid colleague’s lab results may be due to seasonal changes. Because throughout the year, as the seasons change, the human thyroid hormone levels also change, because the thyroid gland is the body’s organ to regulate body temperature. Therefore, whether 1.5 tablets/day of Eugenol is appropriate depends mainly on the thyroid function, which should change slightly with the seasons. Please reply me in your busy schedule, thank you!
Doctor: 3 capsules of hyperthyroidism, 3 times a day, is only enough for 15 days, so you can come to the clinic at 15 days. The medical insurance currently does not allow more prescriptions.
Patient: Hello doctor: I have been taking hyperthyroidism capsules for more than a week, but I feel uncomfortable above my stomach. Is it okay to take the capsule with the shell removed? Please give me a reply in your busy schedule, thank you!
Doctor: The shell of the capsule is an edible gel that has no medicinal effect. You can remove it and eat it. But with the capsule is to consider the adverse stimulation of the drug to the stomach, or half an hour after meals to take better.
Patient: Hello doctor, I know that you had to stop the clinic on Friday, so I am telling you my labs, because I can’t upload the labs for you at home, so I am writing them down for you to see if you are still taking the medication as usual; the lab results on November 10 (after 3 weeks of taking the new medication hyperthyroidism capsule + half tablet/day of methimazole tablet) T3 – 2.86, T4 – 1.11, TSH – 4.37 higher than last time (last time on October 17) 17 TSH – 3.96), aTG – 75.8 (0-60), aTPO – >1300 (0-85), the last two are high. Thank you Dr. Ni for your guidance.
Doctor: The test index is still stable, you still take: hyperthyroidism capsules, 3 capsules each time, 3 times a day; methimazole tablets, half a tablet each time, once a day. recheck TSH in 3 weeks and discuss the next step of treatment according to the results.
Patient: Doctor, I am taking 4 capsules 3 times a day these days, and this is what it says on the medication.
Doctor: Now change to 3 capsules Patient: Thank you doctor, besides T3, T4, TSH, should I also have my next lab test for nail function?
Patient: Doctor, in addition to T3, T4 and TSH, should I also have my nail function tested next time?
Doctor: T3, T4, TSH is the nail function Patient: Hello doctor, because of the busy work at the end of the year, it is not easy to take time off work, so I uploaded my recent lab report to you, it is December 16, 2008, I do not know if I can receive the uploaded file, the first two items are within normal (T4-0.96, T3-2.91), but TSH-6.37 is higher than last time (3.96), also higher than But TSH-6.37 is higher than last time (3.96) and higher than normal (within 6.20), is it still normal to take medication (half a methimazole tablet per day and 3 capsules/3 times a day)? I would like to ask you to reply in your busy schedule, thank you! Your faithful patient Dr. Zheng Lishu: You can stop taking methimazole tablets and continue to take methotrexate 3 capsules/3 times/day. 3 weeks to review labs Patient: Hello doctor, I haven’t contacted you for a long time, I just picked up the labs from Feb. 24 today, please take a look. FrT4-1.50 FT3-3.63 TSH-0.14 Currently, I am only taking hyperthyroidism capsules 3 times a day, 3 capsules each time. Thank you Dr. Ni for your reply.
Doctor: The results are good. Continue to take hyperthyroidism capsules 3 times a day, 3 capsules each time. 3 Weekend recheck and contact again.
Patient: Thank you doctor, but I’m really sorry, TSH is 6.14, from time to time 0.14, I read it wrong (reference value 0.2-6.2), I remember you said that the higher this value is the better, is my result okay?
Doctor: TSH is 6.14, which means it is almost time to reduce the dosage of methimazole tablets, which is also good.
Patient: Hi doctor, April 25 lab results: T3-3.05 (1.89-4.49) T4-1.36 (0.75-1.71) Tsh-1.82 (02.-6.20) aTG- >500 (0-60) aTPO- >1300 (0-85) The last 2 items are high, the ultrasound report is in the other reports uploaded in my case file, there are 2 copies I don’t know if you can see them, but one is from August last year and one is from April 25 this year. (The report seems to be fine) I don’t know if you will see me on Tuesday, May 5, so I’ll tell you the results of the tests and whether I should continue to take the medication.
Patient: Hello doctor, since my last test on 04.28 (results are available in the consultation above) to 07.06 the test did not exceed 3 months, I wanted to see you last Friday, but you were not in, my test results this time: T3-3.55 (1.89-4.49) T4-0.95 (0.75-1.71) Tsh-1.78 (02.-6.20) I have been taking hyperthyroidism I’m taking 3 capsules/each time, 3 times/day, no other discomfort, should I continue to take it? I am waiting for your reply. Thank you!
Patient: Also, please ask Dr. Ni if I will become hypothyroid. If you become hypothyroid, you can stop taking the medication.
Patient: Hello doctor, thank you for your busy reply, what is the index of that index is hypothyroidism?
Patient: Also, doctor, why must I stop taking the medication when I am hypothyroid? This is exactly what I am worried about, because hypothyroidism is a lifelong medication, can I stop taking it when I am not hypothyroid? Here are the last few T4 results: T4-0.95 (2009.07.06) T4-1.36 (2009.04.28) T4-1.53 (2009.03.31) The T4 this time is lower than the last two times, does it mean that it is going in the direction of hypothyroidism? Or does it mean that my hyperthyroidism is improving? Waiting for your reply.
Doctor: Hyperthyroidism treatment generally requires a treatment phase, a maintenance phase, a medication reduction phase and a recovery phase. The goal of treatment varies from phase to phase, but the theme is anti-relapse. The patient: Hi Dr. Ni, I forgot how many times a day I was prescribed Hechi Dazao capsules, should I eat them according to the instructions? Please advise me. Thank you!
Doctor: 4 capsules in the morning and 4 capsules in the evening, but not at noon. Should I continue to take hyperthyroidism capsules? Also, can I take Wu Ji Bai Feng Oral Liquid? Thank you for your answer. Doctor: The index is very good, just continue to take hyperthyroidism capsule and Hechi Dazao capsule. I wish you a happy double holiday!
Patient: Hello doctor, since I changed the dosage on October 20 (3 times/day, 3 capsules/time to 2 times/day, 3 capsules/time), I have not been feeling well lately, sometimes I have panic attacks and hand buckets, but no other symptoms, I don’t eat much, I don’t lose weight, and I am in good spirits. I think it’s time to get tested, but last week (November 12) the unit just finished a physical examination and drew 3 tubes of blood, I want to get tested next week, I don’t know what to do now. I’m waiting for your answer. Thank you, doctor: It depends on your nail function results.
Patient: Hello doctor, the results of the recent test T3-3.16 (1.89-4.49) T4-1.04 (0.75-1.71) Tsh-2.04 (02.-6.20) are within normal values, is it still normal to take medication (3 times/day, 3 capsules/time) Looking forward to your reply.
Doctor: I am taking my medication normally, and I expect to reduce it next month.
Patient: Hi doctor, I wanted to see you tomorrow, but I was busy at the end of the month and couldn’t find the time. Here are the results of last Saturday’s lab test T3-3.12 (1.89-4.49) T4-1.32 (0.75-1.71) Tsh-1.80 (02.-6.20) All within normal values.
Doctor: The results are good, take the medication normally, and you should be able to reduce the medication after the Spring Festival.