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It is said the
Graves' Disease can be triggered by great hormonal changes and
stress. That's the case for me. I'm now 33 yrs old and was diagnosed
in August after a rough year: daughter developed a seizure disorder
in January, preeclampsia, emergency c-section, new baby in April,
two surgeries after that, and the airconditioner died in the heat of
a Florida summer!! (and cost a mint to replace)
After the
baby was born I started developing the following weird symptoms:
muscles twitches all over my body, weird stabbing pains in my
thighs, sweating profusely (my feet started to feel like squishy
frog feet), hair loss, frequent bm's, strange sudden sensations of
weakness all over my body. I thought I had some bizaare cancer and
was afraid of the truth OR sounding like a hypochondriac. It was my
first panic attack that drove me to mention it to the doctor.
My husband
and I went out to dinner for our anniversary. All of a sudden my
heartrate took off, my stomach got sick and by the time I freaked
out enough to run out to the car, I was hyperventilating. I had this
strange "surreal" feeling, a combination of heightened awareness,
being separate from everything and numbness. When we got home where
my mother was babysitting our three daughters, she told me not to
worry it was just a panic attack and most people have them at least
once. From that day forward, my heart took off like a race horse
nearly every day. Each morning I awoke feeling like I had 20 cups of
coffee intravenously. Feelings of anxiety became commonplace. After
a couple of weeks, I had an appt. with my OB/GYN. One look at me and
one shake of my sweaty hand and he began to ask me how I'd been
feeling lately. After I told him, and I was very embarrassed about
the anxiety problems, he reassured me that it wasn't my mental
health going...it was my thyroid. A blood test confirmed it...my TSH
was undetectable.
With no
Endo's in the area, I went to a young, inexperienced
Internist...simply to get a quick appt. He gave me a terribly high
dose of a beta blocker. It brought my resting pulse down from 128 to
below 60 and I felt ready to die. Depressed, haunted even. The
doctor covering for him said not to take it if I felt like that, so
I plunged into the hyper-ness which I had gradually been accustomed
to over the months since the baby's birth. It was then that the
hyperness hit full force. I ended up in the Emergency Room on Labor
Day on a heart monitor. The ER doctor said I should have been on the
drug gradually and this wouldn't have happened. I developed an
intense fear of beta blockers and would not take them, much to my
own pain. I chose to go to a different doctor the next day.
Since I would
not use any betablockers, he put me on PTU, 50 mg 2X/day. It was too
conservative a dosage and one month later there was little or no
improvement in my blood levels of free T3, T4 and free T4. He upped
it to 3X a day. Meanwhile, my sanity was being sorely tested by the
anxiety and heart palpitations. My thoughts raced, my head was
spinning. I began to fear that I would be left agrorophobic, the
anxiety was that terrible. I was put on Xanax to control that. I
began to see a pattern in the heart racing...I suppose from natural
hormonal cycles within my body. Dawn, dusk and bedtime it would
strike. Once the heart would start I would get this heat and "racing
surge" in my thighs. Like my legs were energizing. I call it the Red
Shoe Syndrome. Insomnia was a problem, as well.
Finally in
late November, the doctor convinced me that I must give the beta
blockers another try for my heart's sake. I did and am I ever
thankful. It truly helped the pulse, the palpitations and the
anxiety diminished until it is not even a problem anymore. I had to
go through withdrawal from the Xanax which was NOT pleasant. I have
been able to start taking my life back in small bites. I did consult
with an Endo a couple of hours away and he is coordinating efforts
with my doctor to see that I get better. He thought my PTU dosage
was rather low, but since blood levels have improved decided keep it
this way. Personally, I wonder if too low a dosage has prolonged my
suffering, but...
My husband
has been very supportive MOST of time. This has been a very scary
experience for him. He's lost both parents and it shook him up. He
was angry at the illness, in denial part of the time, then resigned
to it, now accepting. My three year old had some potty problems
during the worst of it. My eight year became a big help around the
house. I was a basket case for most of the baby's infancy and really
regret what I missed...it's just a blur. Now's a fun time and I'm
making up for what I lost. My mother helped immensely, as did my
sister who lives nearby. My church was wonderful. I discovered I
have a lot of truly caring friends!
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It's been my faith in God that has kept me sane, kept me
grounded. I clung to Hebrews 10:23, "let us hold unswervingly to
the faith we profess for He who promised is faithful." Clung is
what I did. I had a list of Bible verses that I would roll over
and over in my head whenever the anxiety would strike to battle
the crazy thoughts down. I started using periods of insomnia to
pray for others with this disease and for people with anxiety
troubles. God has been a very present help in trouble for me and
I am thankful beyond mere words. Thus far I have had no eye
involvement and am considered a terrific candidate for
remission. I have four good reasons which statistically indicate
better chances of remitting. This is my hope and prayer.
Glynis |

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UPDATE
December 1998.
I've been in
remission for over one year now!
During my
course of treatment on PTU, I had some ups and downs with proper
dosage, but about 8 months into it, I started going hypo on 3 PTUs a
day. Let me mention that I did not run to the doctor and immediately
tell him I was sluggish! It felt like a vacation to me and I was
loving every minute of sleeping in, not thinking too quickly,
reacting calmly... too calmly! When I went for my next bloodwork, my
TSH was very high and my T4 was very, very low. Of course, he nagged
me about not "trading one disease for another." He was right -- I
was reduced to 2 PTUs... but that was too little, too quickly. I
ended up taking this "fun to remember each day" alternate dosage for
one month. After that, I was able to go down to 2 PTUs a day....and
I went hypo again. At this point, late August 1997, my doctor said,
"Let's go for it and take you off antithyroid meds the 1st week of
September." This was one year from when I started the drugs.
I was afraid
because I was about to go through some major stress in my life... my
husband was being transferred and we were moving 1000 miles away
from friends and family. Our house had not sold (and didn't sell for
months afterward). We were moving to a completely different climate.
(Cold - and the though of cold felt very, VERY good).
My first
blood test one month after stopping meds was terrific. It was my
last for a while, because I had to move the end of October. I did
not have blood work again until six months after my move. The doctor
decided I was in need of a whole workup - thyroid uptake and scan
along with the bloodwork. The results: everything was so healthy,
one would never have known anything was ever wrong with me! The
doctor instructed me not to worry about regular bloodwork unless I
was feeling symptomatic.
Since that
time, I have *not* felt symptomatic at all. The stress I went
through was very, very stressful... and still no relapse into
Graves. I've stopped waking up every morning wondering if I was
going to feel normal, something I thought I'd do for the rest of my
life.
One thing is
certain... I will never take for granted "feeling normal" ever
again. I never knew that was something that I could lose, and now
that I do, I want to continually thank God for it. I believe that
experiencing this has left me much more compassionate and
understanding of others whose mental state of being is affected by
illness.
Thanks and
hugs to all who helped me through my illness. I hope that I can be
as helpful to others. :-)
Glynis
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