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Day 2 - My radioiodine dose

It's Friday. My first night I have behind me and as always, I slept soundly. The breakfast came around 9:00 clock. A civil time, because otherwise I know the hospitals of something different. The appointment of two coffee for breakfast had worked before, and otherwise was the tray filled with plenty, so I still had some bread for my second breakfast in the Rollschränkchen.

After Breakfast was measured my blood pressure. 187 / 124. Oops ... something very high.
My blood pressure tablet I had sold about 2 weeks before, since I was hoping - thyroid treatment, blood pressure ok. That was a duck, because a doctor said later that I should continue taking the tablets anyway.

Now came the first measurement of the test capsule: 164 "And what does that mean?" I asked the doctor.
"164 mega-becquerels" - which sounded after mega-deal, and that's it.
164 million decays per second. I once googled: Becquerel is the unit that indicates the number of counts of radiation (unit: decays per second). I imagine lather in the bath tub. The soap bubbles burst and also after a little time and at the end of which nothing is there. A nice idea.

I was asked shortly after the scintigraphy. 5-minute silence, that's it.
The lady who operated the equipment I have not discussed this. She has all her teeth and was already on my arrival quite unfriendly. But they will probably always be. At least it is known.

The other day was pretty quiet, at least when it came to therapy. I had taken plenty of work and phoned the office and different customers. Thus the time went very quickly order. The first chapter of the book "I'm out" by Hape Kerkeling I have already started, and amused me very much.

What will I get it?

The visit came again with two doctors, but this time different. The doctor said that I will immediately get a dose of 840 MBq (Mega Becquerel). Wow - I found it a lot. In addition, they would want to treat my hyperthyroidism with a Mediakment. That I should take, especially because of high blood pressure. Who went not once!

The doctor told me that a slight gain of function can often lead to high blood pressure and a high gain of function rather low blood pressure results. What should I believe for now. One doctor says that there was probably no connection, it was my function not a cause rather low, and this doctor says it the other way around.
But actually I liked the statement of the second doctor better to be covered this yet again with the original idea of my family doctor.

My next bed was laid off by the way, but I got a short time later a new one. She had been neither an idea of the treatment still had from the facility. That is why she had not slept all night because you went through your mind such things as: lock-like access, food that is pushed through a gate, masked Doctors and so on. Also showed me that it is important that once here, write down the experiences that I have the time to do.

I believe that I could calm down a bit, since I previously had no problems with the treatment and I just assume that it stays that way. After all, who already feel radioactivity?

Inge had two operations in which your thyroid gland had been removed completely. So it is here for treatment. They later received a very high dose. The doctor explained that one, because no thyroid longer exist, using a sledgehammer to crack a nut must, therefore, the last of any remaining thyroid is achieved. Unfortunately, Inge had forgotten to ask what dose they received, but the next day we would get out safely.

We got our capsules

Inge - still extremely uneasy about the treatment - could hardly believe that you would not notice anything, waiting for the hour of X, which came pretty quickly. A doctor came into the room - nothing disguised (I was grinning) - and gave us our glass tube capsules from the more or less lead small vessels. Drink now again a lot of water so that the first batch will go out immediately, rinsed again. What I was glad to actually have a lot of juice to mix. By the way, it will be so much water. Man can always get new bottles.

As I had already guessed, it happened again, nothing. We were not bad, we did not go to green. We do not even lit up at night more ... What I'm glad it went well Inge. While watching all the time but that is only legitimate if they had actually received any information in advance.

This may also be different, I learned about a woman, two slots on a balcony, which complained of heat in the throat and nausea. But I did not Inge. No - we did well and we were glad that everything went so smoothly.

One hour after capsule ingestion, we had our dinner, which we have great Appetite devoured. Otherwise it was quiet. There was only one person to measure blood pressure. Sure - I am still too high, but much better than in the morning.
Now I'm looking forward to the radiation value you will measure the following morning. How much will already be washed away? How much do soap bubbles have already burst? Really an interesting adventure.

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Day 1 - A small unit

Today is Thursday - the Thursday and the start of treatment.
got a quarter to six early, I have issued me an hour later on the way to the Nuclear Research Centre in Jülich. There, the nuclear medicine department in terms of thyroid problems at the University Hospital Dusseldorf. I should arrive at half past seven, which was also good.

went after the application is high in the second Stock in the "Radiation Division. After an initial conversation with the nurse and fill out the Essen list for the day, I had to 10:00 clock "free passage", there's no bed for me was free.

I enjoyed so my unexpected freedom on a small lake and ate a bread roll that I had bought in the cafeteria at the lake. Sevim, a Turkish woman, joined them. She gets a radioiodine therapy, but for post-treatment. Your one has already removed the thyroid gland in large part. All I know.

But it is very funny, so we laughed most of the time. A decrease in the clearance quickly, which was a shame. Unfortunately we were not together on a room. For this we are room on the balcony of room and can continue to laugh together.

In general, there are 2-bed rooms. If you get one, you can be sure that the dose is not super big. At least it told me, the doctor who helped me in the afternoon to an unexpected 2nd clearance - well, there was only one floor lower, but still. He said a normal dose was 500, but it must also be administered ever 3500th Too bad that I did not ask him for unity. So I had only these two numbers in his head.

could still have ausbüxen I

In his survey on the general condition and an ultrasound examination, he said that my high blood pressure is not likely due to the thyroid. Spontaneously rushed through my head that that was the real reason for my GP so, to propose this therapy. Oh boy - running away, stop or continue?

After the doctor finally noticed that the present moment for me the best, there was not much happened, despite the more than 20 years I've been walking around with knots,
I stayed. Not without grumbling, but I did not show me.

Sun around 16:00 clock I got my sample capsule. It will be "a little bit contaminated, but it is sufficient to now in my room can not get out. The test capsule you get to figure out the next day with a gauge of how much radioactive iodine the thyroid gland stores and then calculate how much the doctors for treatment.

When I got the capsule should I drink a bottle of water pretty quickly. I do not like to drink water alone at all. But I was snowed me with plenty of apple juice, orange juice and several showers, so I once mixed a spritzer.

It's really exciting happens

something? You notice something? If a different? Nothing like that. Nothing. Except, of course, I often visited the toilet, but that's about it already.
The thoughts that you do beforehand, nothing. Everything ok.

evening was the visit just before the dinner. I was told that it could be that I could maybe after five days of home - if all goes well.
Those are great prospects, but I can not accelerate. For the purposes of, to be particularly good, extra drink a lot and so on. The radioactive iodine is broken down individually with every person, and is now being monitored every day. And since everyone is different ..... So wait. The

Food is good and plenty by the way, if it so wishes. The food label can be stated amounts, and so I ordered for tomorrow is 2 cups of coffee.

The whole day I spent most of the time otherwise on the balcony. Also a great thing. On the balcony are two deck chairs, a table and an ashtray for the smokers.
I imagine now the next few days ago just to take a vacation to Balkonien. Only I'm not the type for the reclining chair. But I'm too restless.

handicrafts

honestly No one notices anything. My next bed remembers nothing. And Sevim next door either. It has long ceased to be devoted to crafts and your Time to get around it. Probably she goes home as early as Monday. But I do not think she gets her doily finished by then.

Tomorrow morning measured. To the values I'm very excited.
Day 2 will certainly bring new insights.

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The history

short first: I have never blogged (with one or two g ... hmm ..?)

But I feel like my experience with my first and hopefully only radioiodine therapy to tell.

The background

For over 20 years, I have knots in the thyroid. First, small and in recent years of unilateral nodular in size a chicken egg. 15 years ago I received an initial investigation. According to findings, I have an overactive thyroid gland with autonomous adenoma. This has not changed in the two other studies, spread over several years nothing changed.

They had advised me always to do a surgery or radioiodine therapy as an alternative. Now I have to say that I have a "Schissbüx" on German is a coward, I am. So I was looking for any information and absorbed like a sponge, which made it not necessarily easier.

Professor Pfannenstiel, a capacity in thyroid treatments, I'd even get on the phone personally, as he in a television broadcast was questioned in a report on the radioiodine therapy as a professional. He had a very positive opinion about the treatment, up to age. One should begin only after the menopause and so far over 40 years.

I wanted to know more, so I called - at that time about 30 years old - on. "For heaven's sake," he said, my nodes are already far too large for such treatment. And anyway I was still too young. Menopause - even nil ... The worst for me was that he meant that I was far too young, as one could expect some 20 years later, leave the spoon. He has not expressed the same, but me this direction from this treatment is absolutely not recommended.

what do we do ... or not, what I did not do? The thoughts circled again and again.

analysis of the facts

At least my facts, my now abundant information and votes on the possibilities surgery or radioiodine therapy. I had met people who said:

"OP - no problem Look, you do not see the scar at all, and I felt immediately better.".

I also had known fix in my environment, since the vocal cords were injured, with the consequences of speech therapy, speech training or re-operation, this time to the vocal cords.

Na super ... I live by Speeches, have given many lectures, talk to the sales with my customers. Communication is the most important thing in my life and I still do sing ... What a terrible idea when I am hurt the vocal chords would. A doctor at a clinic near Hanau I had this once on the phone. He said that only every 200 OP goes wrong. Large class ............

In my penchant for hypochondria, I would of course just the 200th. So for me came a surgery at all in question. And according to Professor Pfannenstiel I had to live with radioiodine therapy even only 20 years.

So I did nothing. But the symptoms remained. From time to raid like Tremor in the hands - combined with lack of strength, heat sensitivity, anxiety and high blood pressure. Since I am so "basically" went well, I am not simply went to the doctor.

I almost forgot that I have a long-term carbimazole 5 mg was given. This triggered in me only much more frequent hands trembling and Kraflosigkeit, so I sat there a short time later from easy.

In the last six months I moved my family doctor who once told me plainly that is not too high blood pressure is good ... Based on the thyroid - the scratched always at the lower edge of "something must be done now," it would not, but he wants the high blood pressure under control , And maybe get my hyperactivity is to blame.

He may have been noticed, as he can grab me. Because of high blood pressure one can also die much sooner than you want. I let myself be persuaded, in the nuclear medicine department of the University Hospital of Dusseldorf, located in the Nuclear Research Center Jülich to go, and once there to talk to the doctors.

As you see, they did it. A good doctor, who wiped away all my concerns - I had it of course from the interview with Professor Pfannenstiel said. He led me what great "sites" can handle it, and now after over 50 years Experience, many people would very much older ... And anyway ... no problem, I would expect only a stay of about 8 days.

Today is Day 1

But more on that next blog.