Dr Goyal 9/27/19

9/27/19 Dr Goyal

Check blood tests in Jan 2020

Please call NYU radiology 212 263 8868 to schedule your thyroid ultrasound in Jan 2020

Take synthroid 1 tablet Monday-Sat and 2 tablets on Sunday

Appt on 3/27/20. @ 3:30

Found my notes:

No longer recommending a total body scan since blood tests and ultrasounds have been stable.  I have had negative scans over the past 10 years.  Usually take scans for the first five years. 

Ultrasound - take in Jan 2020 before appt with Dr Patel

Bloodwork - take in Jan 2020

Dr Goyal appt - March 2020

Synthroid - dame dosage as before which is 1 pill x 6 and 2 pills x 1

TSH was 0.16

Dr Cocks Physical - 8/2/19

Dr Cocks Physical -8/2

BP was fine- 122/83 on machine and then he took it manually and got the same reading

Got blood test for lipid panel

Cholesterol had upticked on the higher side at 207

Dr Patel - 7-29/19

Dr Patel 7/29

Not worried at all about thyroid bed 

Looked at the sonogram films himself and was not worried

Nodes do looks suspicion but hasn’t changed in size in years 

Doesn’t have a bias either was regarding scan

He is comfortable with just having another ultrasound in 6 months

Do nothing now until I see Goyal in Sept

If she wants scan then go ahead

If anything, Patel would recommend surgery rather than RAI if it comes to that in the future but nothing is needed for the foreseeable future

Dr Patel Appt - May 13 2019

Dr Patel

149/81 BP in the machine

Felt my neck and thyroid and did not feel anything abnormal

Wanted me to get another ultrasound before discussing RAI again

Said to get an ultrasound in July

Made Dr Patel appt for 7/15 at 9:15

4mm is too small for surgery to be an option anyway at this point

If tissue is still there in July, then we can talk options-scan, RAI,biopsy

If tissue is still there, RAI might be better option than surgery anyway since RAI would be more focused and effective since only small ant of tissue to absorb and kill than before