|Off Topic General Discussion forum for topics not directly related to SL/virtual world topics that do not fit into their own forum.|
|View Poll Results: If I had a friend with a psychological disorder, I would|
|never leave. Friends are forever.||14||23.73%|
|stay, but with apprehension due to my own worries.||4||6.78%|
|stay, but establish firm limits which may cast negativity.||14||23.73%|
|go casual and maintain social ties only in passing.||9||15.25%|
|leave for my own sanity.||3||5.08%|
|leave for their sake.||3||5.08%|
|resent them for being too dependent and needy.||2||3.39%|
|respect their needs.||16||27.12%|
|Multiple Choice Poll. Voters: 59. You may not vote on this poll|
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|05-20-2012, 12:16 AM||#151 (permalink)|
all about the sex
Join Date: Sep 2009
SL Join Date: January 22, 2008
Business: Sweeter Than Candy
Client: Firestorm/Black Dragon
Beware of talking muffins.
|1 User Hugged You:|
|05-20-2012, 03:21 AM||#152 (permalink)|
Join Date: Sep 2008
Location: Between our dreams and actions, lies this world
SL Join Date: 2/16/2007
Business: Black Operations
Part of the problem with thyroid levels is that there are really two optimum ranges for TSH. There's the optimum range in euthyroid (ie healthy) people, where a TSH above a certain level (either 3.0 or 4.5 depending kn who you ask) indicates possible hypothyroidism. However, in patients who have already been diagnosed with hypothyroidism, it may be better to try to keep the patient's TSH levels lower, around 1.0 or possibly even slightly lower.
Partly this is because HT is an autoimmune disease, and so thyroid failure is a gradusl process as the immune system eats away at it, so you want to have some extra space there with TSH levels as thyroid function may continue to drop. Another reason is because as the TSH levels begin to climb, there s a point where they're just not going to increase thyroid function (since the lack of thyroid function is the reason they're climbing in the first place), so by keeping TSH levels lower, what's left of the thyroid can still respond to TSH.
Obviously, an endocrinologist isn't going to want to overshoot and induce thyrotoxicosis (thyroid overdose, basically), especially in older female patients since thyrotoxicosis can wuite literally strip calcium from your bones (not to mention the whole galluping heart rate).
Now, my understanding is that for patients whose thyroid is no longer functional at all, for example if it's been surgically removed, are placed on the full replacement dosage of levothyroxine and the goal is to reduce TSH to 0.005 (ie totally suppressed).
So yeah, part of the problem with treatment decisions based on thyroid tests is making sure to keep a hypothyroid patient's TSH lower than what would ordinarily be an optimal level. Checking FT3 and FT4 levels is useful, but TSH is the main hormone to monitor.
|05-20-2012, 03:17 PM||#153 (permalink)|
dance, flirt, shop......
I opted for "go casual and maintain social ties only in passing" - but primarily because that is how I deal with just about everyone, due to my own brokenness.
Any clod can have facts, but having an opinion is an art !
Sometimes I wonder whether the world is being run by smart people who are putting us on or by imbeciles who really mean it.
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|1 User Agreed:|