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anonymousblackthat took a lot less time than i was expecting.
the boil down: looks like i'm on the hook for a couple more biopsies (FNA = fine needle aspiration, delightful as it sounds), but mostly to play it safe. my scan was clean (which is good), bloodwork is still weird (which is not good, but sometimes inexplicable). details below if you're interested in the numbers. i think i need to go wilt in a corner and weep with either relief or the inevitably stilted nature of this relief. one of those.
____________________________________________________
Judith,
I've received all of your results.
The scan is negative, which means that there are no areas that took up the iodine during the stimulation.
The TG level stimulated 0.3 -> 5.2 which suggests that there may be some remaining tissue in the neck. This is most likely benign thyroid tissue residual from the surgery.
I'd like to do a FNA of 2 areas: the right thyroid bed, and a right-sided lymph node. Both of these areas were stable in size compared to the ultrasound done last year, so my level of concern is low. But I'd like to know exactly where that TG elevation is coming from so we know what we are following.
I'm going to have my personal assistant call you to set up the FNA. If you have any questions or would like to discuss over the phone please let me know.
the boil down: looks like i'm on the hook for a couple more biopsies (FNA = fine needle aspiration, delightful as it sounds), but mostly to play it safe. my scan was clean (which is good), bloodwork is still weird (which is not good, but sometimes inexplicable). details below if you're interested in the numbers. i think i need to go wilt in a corner and weep with either relief or the inevitably stilted nature of this relief. one of those.
____________________________________________________
Judith,
I've received all of your results.
The scan is negative, which means that there are no areas that took up the iodine during the stimulation.
The TG level stimulated 0.3 -> 5.2 which suggests that there may be some remaining tissue in the neck. This is most likely benign thyroid tissue residual from the surgery.
I'd like to do a FNA of 2 areas: the right thyroid bed, and a right-sided lymph node. Both of these areas were stable in size compared to the ultrasound done last year, so my level of concern is low. But I'd like to know exactly where that TG elevation is coming from so we know what we are following.
I'm going to have my personal assistant call you to set up the FNA. If you have any questions or would like to discuss over the phone please let me know.
no subject
Date: 2015-11-25 02:09 am (UTC)no subject
Date: 2015-11-25 08:23 pm (UTC)HAHAHAHAHAHAHAHAHA
no, it's okay. the nice man at maryland health exchange was fairly confident that it would be okay. if nothing else, i successfully reapplied last night after discovering my mistake, so the worst that can happen is... wait, let's not make any predictions.
no subject
Date: 2015-11-25 09:47 pm (UTC)no subject
Date: 2015-11-25 11:09 pm (UTC)all the "so you're a young person with cancer" books actually recommend choosing an advocate to PA you, especially when the bureaucratic stuff gets heavy or it's a major appointment. to remind you about stuff. thymentia, you know. i both do and do not understand how this one managed to slip by both of us. think i'm going to try gmail reminders going forward.