Why won't my dr. treat my thyroid issue???

[godivagrl]

About 3 years ago my endo discovered goiters on my thyroid. A biopsy was negative. My last labs produced in march of this year:
TSH - 0.195  
T4 - 1.34
T3 - 254

He called me and told me that my labs looked horrible and if I had heart palpitations to go to the emergency room immediately and give him a call. That was it. No meds, or course of action. Is that normal? .

[chel 81]

Are the T4 and T3 total or free numbers? Each lab has a little different reference range so do you have the range for those so you can see where your numbers fall?

Your TSH isn't really all that off- it's a little low if you are not taking thyroid hormones but within range if you are.

A lot also depends on how you are feeling. So many doctors unfortunately have no idea how to treat patients and they just go off bloodwork instead of how the person feels.

[Barb135]

A goiter is an enlarged swollen thyroid; I'm assuming you have nodules on your thyroid that were biopsied?  Multinodular goiter is very common and usually not cause for concern.  

We need to know if the T3 and T4 are Free or Total; we also need to know the reference ranges.  

Did your doctor do any antibody testing to confirm/rule out, both, Graves Disease and Hashimoto's?

[godivagrl]

Thanks for the responses. Yes Barb you are right I have a multinodular goiter. I tried to respond to this from my phone but not sure what I did so I will have to wait to get home to post completely but from what I can remember the TSH was free, the T4 was free and direct and the T3 didn't mention anything. I do believe my T3 range was high being something like 70-170 and mine being 254. I also recall the TSH and T4 being low for the range but I cant remember what the range was. He didn't do any antibody testing. I tried to explain that I was exhausted, horribly forgetful (My job has been great about this), my body hurts, Im grouchy :-( and I have bouts of IBS so I really don't eat alot. I have lost about 20 lbs. this year. I also showed him my fingernails which have white splotches all over. I thought he could at least prescribe something. His only prescription was the heart palpitation comment. I've been dealing with this for 3 years with each year getting worse so I am going to another endo to see if someone can offer any other perspective.

[Barb135]

When you get where you can, please post exact results and reference ranges.

If your T3 result didn't say whether it's Free or Total, then it's total and is really of little value, because a lot of that will be bound by protein and not usable.

Your symptoms indicate hyperthyroidism, but without antibody tests, it's impossible to tell if it might be Graves Disease, which is associated with hyper, or whether it's Hashimoto's, which is usually associated with hypothyroidism, but can be characterized by periods of hyper, as well.