With minimal symptoms nor signs of worsening heart disease or osteoporosis, most patients and docks are not overly concerned. Any infection/inflammation can raise the sed rate (ESR), but it should be re-tested when not sick, to see if it came down. Same is true for vitamin D, if it doesn't come up (50-100 is optimal), dose adjustments are needed.
As for thyroid, if patients have symptoms that are troublesome, I get more aggressive with the Eltroxin or other thyroid meds (Cytomel, natural desiccated thyroid, etc). Otherwise, I don't force patient's to come in every other week for blood draws and medication adjustments.
Hello Doctor,
Recently we have again done her few tests, results of which are mentioned below -
Current haemoglobin : 11.4 (R 12 - 16)
Current ESR : 29 mm (R < 30 mm 1st hr)
Considering all these details, can you please help me with the below mentioned questions -
1) Regarding TSH, she started taking the new dosage as suggested by our doctor (i.e. 75 mcg).
a) When should she again go for Thyroid tests ? Is there any other test (except TSH) needed ?
b) Is there any dosage adjustment needed ?
2) Regarding her high BP (160/110), she started taking Olsar 40mg daily. After one month BP shows 135/80 & after two more months, it shows 120/70.
a) How frequently her BP should be checked ?
b) Is there any dosage adjustment needed ?
3) Overall is there anything to worry about ?
4) Any other specific suggestion (e.g. precaution, diet, life style etc.) for her ?
At this point, your questions are complex enough to have a good evaluation with an official doctor-patient relationship. Florida's Board of Medicine allows for Telemedicine (with the exception of controlled substances). iPhone pics sent via e-mail or Skype connections work, so if you can't find a doctor near you, and you can't travel to Boca Raton, that may be your next step to resolve your troublesome symptoms.
Thanks Kenneth. Just couple of more questions -
1) Do you think the current ESR "29 mm (R < 30 mm 1st hr)" is ok for my mother ?
2) Do you suggest any dietary or lifestyle change for her (considering the details in my first post) ?
Can you please respond to my previous questions ? Thanks.
I did respond- please see the May 27th post -your questions are too complex and must seek out a doctor for further answers. Thank you.