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I had a thyroidectomy September 2013 for Metastaic papillary

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thyroid carcinoma. My most recent...
I had a thyroidectomy September 2013 for Metastaic papillary thyroid carcinoma. My most recent TSH test came back 8.44 H and Thyroglobulin Antiboties came back 62 H. What does this mean. My Dr requested a PetScan which has been denied but my insurance.
Submitted: 1 year ago.Category: Oncology
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Answered in 56 minutes by:
11/15/2016
Oncologist: Dr. Mo, Board Certified MD replied 1 year ago
Dr. Mo
Dr. Mo, Board Certified MD
Category: Oncology
Satisfied Customers: 1,281
Experience: Board Certified MD
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Hi Dr. Mo here, please give me a moment to reply.

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Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

Your TSH can be high, that doesn't mean anything abnormal. What is your T3 or T4 levels?

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Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

The PET scan is done to see if there are any thyroid cancer cells left in the body, but usually further blood testing can determine that as well. Who ordered the tests? Your endocrinologist or your primary care doctor?

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Customer reply replied 1 year ago
My T4 is 11.9 and my T3 is 112. test wher ordered by my endocrinologist
Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

Those numbers seem high. Are these recently elevated? I'm guessing after 2013 they checked all your values and they were normal. Usually that's done every 6months-1year.

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Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

A PET scan is important to get. It could either be a little bit of thyroid tissue that grew back or it could be that they cancer didn't get removed fully. A PET scan and a thyroid uptake scan are what you will need next.

Still, don't be alarmed, it just might mean you might need another surgery but doesn't mean that you are at risk of worsening of the cancer.

Do you have any way to get the PET scan done outside of your network? By paying for it out of pocket perhaps?

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Customer reply replied 1 year ago
I was getting check every 6 mo and everything was in normal range. Thne my Dr said he would see me in a year whchi are theses test that where just taken a week ago
Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

I see. That makes sense.

So, I would recommend the PET and maybe even the thyroid uptake test.

Why don't you start with the PET, if the insurance doesn't approve it (which is absurd) then just either switch to a different insurance or pay out of pocket. You can likely later submit the cost if it comes back abnormal.

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Customer reply replied 1 year ago
The fact that my Dr wants a Pet Scan could mean he may be concerned there is cancer in other areas of my body, correct. I had breast cancer in 1998.
Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

A PET scan is done to see inflammation as well as cancer, you are correct. Your doctor is likely mostly trying to see if there is anything abnormal on the neck, it could be that the cancer has spread to other sites but that's less likely since you already had surgery done.

Did you have radiation as well?

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Customer reply replied 1 year ago
I did have 1-131 Iodine Pill follwed by a whole body scan
Customer reply replied 1 year ago
15 November 2016 02:54
yes I did have 1-131 Iodine Pill follwed by a whole body scan
Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

Okay, good, so the treatment was quite thorough.

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Customer reply replied 1 year ago
Ok I cant afford to pay for a Pet Scan, I pay to much for medical insurance. I'll just have my husband sue the insurance company if I have cancer and I die...........
Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

You could do that as well.

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Customer reply replied 1 year ago
Thanks that's very encouraging and optimistic..........Thank you for your input..GoodBy
Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

Sorry, I thought you were being facetious, I didn't mean that in a serious way.

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Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

I think if you just contact the insurance company and tell them the situation they will immediately reverse their silly decision.

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Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

I didn't mean to come across incensitive, I was trying to help you.

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Oncologist: Dr. Mo, Board Certified MD replied 1 year ago

Hi. I was wondering if you had any updates on your case?

How are you feeling?

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