TSH level 306 . Free T4 0.33 .

[slam0911]

Can someone help me understand my situation/health condition ? I would appreciate any information on it , the specifics  , or dangers . Thanks in advance . I have a multinodular goiter in my Thyroid gland . I had an ultrasound done July of 2014 and went to the ER June of 2015 . I have the records , reports , an x ray on a disk , and the ultrasound images on a disk . My TSH level is 306 and Free T4 is 0.33 .Thyroid - Hypothyroidism - Depression - Anxiety - Had two children - Smoke cigarettes . Almost every day is a bad day . My throat feels like I am being strangled . The pain used to be consist on the sides of my neck , but has spread to my upper neck , right below my jaw . I find myself yawning for air . My moods are mostly sad , depressed , indifferent , or angry  . I am happy sometimes . I have headaches almost all the time , and I become sensitive to light and sound . The pain is really hard to ease  . I don't socialize much . I don't like being around people anymore because I find it harder to interact with everything going on . I am confused at times , and my memory worsens .

[Barb135]

Are you still here?  Have you gone for any kind of treatment yet?  Please let us know how you're doing...

[slam0911]

I will attempt seeking treatment once again next week . It isn't easy . I will keep you in the loop . Lord knows its hard for me to understand all of this on my own . I am confused often .

[Barb135]

The recommendation on your ultrasound is for a fine needle aspiration, which is a biopsy of the nodule on your right lobe... The purpose would be to rule out thyroid cancer.

When you seek treatment for your hypothyroidism, you should take the ultrasound report with you and try to get that biopsy done.

[slam0911]

Ok , I will do so . I hope something works out .

[Barb135]

With a TSH that high and a Free T4 as low as yours, you're very hypothyroid and without treatment, you will become very ill, if you aren't already.  

If you continue without thyroid hormone replacement, you could go into, what's called, myxedema coma, which is a life-threatening condition caused by untreated hypothyroidism and requires immediate medical assistance.  

I urge you to go to the ER and seek treatment very soon.

[slam0911]

I will probably head back to an ER soon . This time I might go to a better one than last . I don't know how much longer I can go l am so ready to get back to normal , whatever that is .

[slam0911]

        ULTRASOUND OF THE THYROID
Clinical data: Hypothyroidism
Technique: Real-time grayscale imaging of the thyroid was performed. Images supplemented with color Doppler technique.
Prior Studies: No prior studies supplemented.
Findings: The right lobe of the thyroid measures 4.6x1.6x1.6cm and demonstrates a hypoechoic nodule measuring 1.2x0.7cm. The isthmus measures 0.5cm and is unremarkable.
Impression: Heterogenous echogenicity and multiple nodal suggestive of multinodular goiter or thyroiditis. Hypoechoic nodule 1.1cm x 0.6 cm x 0.9cm midportion of the right lobe of the thyroid. 1.2 cm x 1cm hypoechoic nodule midportion of the right lobe of thyroid.
Reccommendation: Fine-needle aspiration and cytology.


                         CHEMISTRY

ENDOCRINOLOGY

Procedure                                Units        Ref Range
TSH                    306.000 H     ulU/mL      0.300-4.00
T4 Free                     0.33 L     ng/dL         0.80-1.80

Thyroid Interp : In adults these values could reflect: Hypothyroidism, Possible Pituitary Failure


I no longer have health insurance . When I had the ultrasound done I was maybe 12 weeks pregnant and was covered by pregnancy Medicaid . I was scheduled for an aspiration , but my insurance canceled the day before the appointment . Now it is a struggle to figure out how to seek further medical attention . I was/am not sure how bad it could be to go any longer without treatment or medication . I do however , plan on going to the ER again at some point if the symptoms or unbearable and I seem to be reaching that breaking point .  Thank you once again . This truly is taking a toll on me . I am lacking so much energy and find it hard to make it through the day , but somehow motivate myself to fulfill my stay at home motherly duties .

[898_1]

Can you post the ultrasound report? Have you had tests for TPO antibodies done?

[slam0911]

I posted the ultrasound report , and no to the TPO antibodies test .

[898_1]

Any tests for TPO antibodies done ? Vitamin B12 levels?

[slam0911]

No . I kind of wish they would have ran more tests than they did  .