Well how did it go, ok he didn't discharge me outright so that's good! He did ask some pertinent questions such as family medical history and as far as I know no-one in my immediate family has had any known thyroid issues but my mum has rheumatoid arthritis as did my Dad so the likelihood is that I've been passed something down?
He did ask how I felt - so I read him out the entire list of my symptoms from the Thyroid UK checklist and there's a lot and he kept the copy for the records (I think his eyes were glazing over at one point but hey it was my moment and I was taking it!)
Then he noticed that on my blood test result notes that I had quoted bits from Stop The Thyroid Madness and he was like ok - so let me tell you that I don't subscribe to any of that and that basically he believes that the TSH score is the gospel and that's it and if the TSH level is in the normal range, mine is 3.4 (0.3 to 5 range) then despite being very symptomatic, he's not going to give me Levo - I said OK but I am pretty much symptomatic and there are missing pieces of the jigsaw puzzle here because how do you know just by looking at me that I don't have some T4/T3 conversion problem or that I don't have secondary hypothyroidism and he's like no not with that TSH/T4 score T4 is 15 (9 to 25 range) but he did say that yes it would be worth running the entire Thyroid panel again with both antibody blood tests so here we have KK12 1, Endo 0!
And of course the lab have to be in the right mood to do ALL of the tests.
So then we went on to discuss the sex hormone stuff and cortisol and he wants to do the blood cortisol test - as he wants to rule out Cushings! He's running the FSH and LH tests as he doesn't want to say I am definitely in menopause on just 1 reading of FSH so ok that's fine.
I did tell him that I have the saliva cortisol test to do soon - he seemed interested but then he also doesn't believe in stuff like adrenal stress!
Then he's on with testing me to see if I am Coeliac, have never had the tests done to rule that out (he seemed quite surprised) but ok go ahead, then full blood count and then he will look at my Ferritin levels again as they were low at 26 (10 - 420 range) and I have been supplementing and I said to him that I am supplementing that and folate, Vit B12 and Vit D and although have felt some difference, it's not been significant.
I told him that as far as I am concerned I have had a very weird science around the whole weight gain/weight loss scenario right from the get go, I was never a slim kid but if you look at me aged 17, I looked practically anorexic!
The times when I have been at my slimmest, I have been eating crap food and drinking a lot more alcohol and the times when I am at my heaviest, I am near enough tee total, eating as clean as possible, nearly gluten free, hardly any carbs, cut down on sugar and I weigh a ton so what's THAT all about!
I said to him that I went on holiday 2 weeks ago and was a lot more active than usual as in walking around but I drank more than usual and ate slightly more and went shooting up to 15 stone 13lbs from 15 stone 6lbs - my husband put on weight too to be fair but half what I did - as for me, I was swelling up big time so I could see the fluid build up in my ankles - just over 2 weeks back and today I am back down to 15 stone 7 lbs - I've done nothing different and in fact, I came back from holiday ill with a sore throat and a bit of a cold so maybe he could explain that and maybe he could explain why when i felt that I was burning up with some kind of fever and when I took my temperature several times, it always came back at 35 something C??!!
Of course he could offer no explanation so I told him that my theory is that my adrenals took a battering last year (legal case, professionally negligent solicitors, still on going,having to sell my house, ex getting half the proceeds, elderly mother, stress of being self employed etc) and that's when I began to feel ill (never gone to the Dr's so much in my life as much as I have this year) and that's when I started reading more into Thyroid issues and I really do believe that I have a problem and even if it may not one of the common issues that's not to say that I don't have something uncommon!
So there you go - back to more blood tests!