Final prep for LID

Tomorrow I start my low-iodine diet. This weekend my wife and I sat down with the low-iodine cookbook and planned out my whole week of meals. It was quite a project. I think we’ll be able to find enough decent food for me to eat without going crazy, but it’s going to require a lot of planning, prep and cooking.

You know why people eat all that processed, unhealty stuff? Because cooking is a pain in the butt.

But we’re going to do it together and hopefully it won’t be too tough.

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RAI is scheduled: May 3

It took longer than I would have liked to get my RAI on the calendar, because of some scheduling issues at the Nuclear Medicine Department — Nuclear Medicine … sounds cool — but finally I know what’s happening when.

On May 2, I will go in to have a tracer dose of the radioactive iodine. That’ll be used for a scan the next day, so they’ll look for something and determine what dosage I need of the real thing. I assume they see how much of my old thyroid gland is still in there. So on May 3, they’ll give me that pill, and then I’ll go home and begin my quarantine, which will last a week to 10 days.

I’m actually sort of looking forward to it. As I understand it, the only side-effects that I may feel are a little nausea or possibly a dry mouth. But it’s possible I won’t have any of that. I could feel perfectly normal the whole time. I’ll just be hanging out in our guest room watching baseball, watching movies, reading, playing online poker. (My iPad is scheduled to arrive April 30!) I’ll still be able to see my family and talk to them, as long as they stay in the doorway and don’t come in. But I won’t have to get anyone ready for school or empty the diswasher or take out the trash or do anything.

I’m just gonna sit and glow.

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Now, on to the next phase

Met again with Dr. Q today, and he mapped out the whole post-surgery part of the treatment. Surprisingly, it is almost exactly what I expected, based on my reading on the web.

Over the next three weeks or so, I won’t be doing anything special. I’ll be taking Cytomel, which is a slightly different hormone-replacement drug than the one I have been on since my surgery (Synthroid), and calcium. I am anticipating feeling pretty normal throughout this period. I have been feeling pretty normal on the Synthroid so far, which was encouraging to me, but Dr. Q said I’m still going off the remnants of my thyroid (ghost thyroid!), so I can’t really judge yet how I’ll feel on the fake stuff.

About three weeks from now I’m going to make two big changes that will make me a little grumpy. First, I’m going to be off the all the hormones. With no real thyroid and no fake thyroid hormones, I’ll probably go kinda hypo. (Hypothyroidism is the condition in which you are deficient in thyroid hormones.) I am guessing I’ll be pretty fatigued and possibly moody and maybe some other stuff. Adding to my unhappiness is that I’ll be on a low-iodine diet, which means pretty much just fruits and vegetables and small amounts of meat. I just realized alcohol is fine, though, so maybe I should just drink all day long.

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