Funding for health-literacy research is urgently needed.
Dear Mr. Smith,
The May thyroid tests showed TSH 2.794 μU/ml, which, though “normal,” is too high for someone who has had prior thyroid carcinoma. Keeping TSH between 0.1 – 0.3 μU/ml minimizes recurrence of thyroid cancer. Free T4 1.60 mg% is a high-normal level.
I suggest you increase L-thyroxine from 150 mcg 7 days a week to 150 mcg 5 days a week and 225 mcg (111/22 tablets) Wednesdays and Sundays weekly. Have a repeat TSH, free T4 and total T3 in 8 weeks. I should also on that occasion like you to have a serum plasma metanephrine level.
Two weeks after having those tests, please see me for a consultative office visit.
Sincerely yours,
John Doe, M.D.
Endocrinology
Dear Mr. Smith,
The May thyroid tests showed TSH 2.794 μU/ml, which, though “normal,” is too high for someone who has had prior thyroid carcinoma. Keeping TSH between 0.1 – 0.3 μU/ml minimizes recurrence of thyroid cancer. Free T4 1.60 mg% is a high-normal level.
I suggest you increase L-thyroxine from 150 mcg 7 days a week to 150 mcg 5 days a week and 225 mcg (111/22 tablets) Wednesdays and Sundays weekly. Have a repeat TSH, free T4 and total T3 in 8 weeks. I should also on that occasion like you to have a serum plasma metanephrine level.
Two weeks after having those tests, please see me for a consultative office visit.
Sincerely yours,
John Doe, M.D.
Endocrinology