UNTREATED HASHIMOTO'S CAN LEAD TO A DEADLY COMA

THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.
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OKAY BACK FROM THE ICU 🚑
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WEAK AND CONFUSED IN THE EMERGENCY ROOM 🚨
A 49 Year Old Man With No Medical History Arrived At The ER
On Arrival He Was Weak Confused And Less Alert Than Normal
His Blood Pressure Was 85 Over 65
He Was Taking 32 Breaths A Minute
Oxygen In His Blood Measured Only 78 Percent
His Temperature Was 96.4 Degrees
Doctors Found Widespread Swelling In His Body
His Abdomen Was Distended And His Reflexes Were Reduced
Those Reflexes Also Relaxed More Slowly Than Normal
The Exam Found No Goiter In His Neck
His Urine Test Suggested A Possible Infection
Abdominal X-Rays Ruled Out A Bowel Blockage
A Heart Ultrasound Showed It Was Pumping Normally
No Fluid Had Built Up Around His Heart
An EKG Showed A Slow Heart Rhythm
His Heart Rate Was 49 Beats A Minute
The Tracing Was Also Low In Voltage
His Electrolytes Came Back Normal
He Had No Known History Of Thyroid Disease
Thyroid Hormone Had Never Been Part Of His Treatment
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FROM BLOOD WORK TO RECOVERY 🌡️
Blood Glucose Was Low At 59
TSH In His Blood Measured 154
Free T4 Measured Just 0.1
His TSH Was High And His Free T4 Was Low
Doctors Weighed His Symptoms And Lab Results Together
The Diagnosis Was Myxedema Coma
Myxedema Coma Is The Most Extreme Form Of Hypothyroidism
Death Can Still Follow Even With Fast Treatment
He Was Intubated And Moved To The Intensive Care Unit
IV Levothyroxine Began With 200 Micrograms Then 75 Daily
Another Thyroid Hormone Called Liothyronine Went In Through A Tube
Hydrocortisone Was Started For His Low Pressure And Glucose
Ceftriaxone Was Started For A Suspected Urinary Infection
His Thyroid Antibody Level Came Back At 99
That Result Pointed To A Possible Underlying Hashimoto's Thyroiditis
Over Several Days His Thyroid Levels Slowly Rose
He Was Taken Off The Breathing Tube
His Breathing Failed Again And The Tube Went Back In
After More Thyroid Medicine Changes The Tube Finally Came Out
He Moved From The ICU To A Regular Floor
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THE EXTREME END OF THE DISEASE 🧭
Myxedema Coma Was First Described In 1850
Thyroid Testing And Treatment Have Made It Less Common
Earlier Studies Found It Almost Only In Women Over 60
His Case Was Different
The Report Describes Him As A Young Man
Many People With Hashimoto's Have No Symptoms At First
With Enough Iodine Hashimoto's Is The Top Cause Of Thyroid Failure
Worldwide Iodine Deficiency Causes More Hypothyroidism Overall
About 95 Percent Of Myxedema Coma Traces To Primary Hypothyroidism
That Hypothyroidism Is Usually Caused By Hashimoto's
Myxedema Coma Results From Severe Hypothyroidism Left Untreated
Without Treatment Its Death Rate Can Pass 60 Percent
The NIH Says The Body Can Slow Down Enough To Threaten Life
In Hashimoto's The Immune System Makes Antibodies Against The Thyroid
Hashimoto's Is A Lifelong Condition
One Actress With Hashimoto's Said She Will Never Be Cured
Thyroid Medicine Taken As Prescribed Can Control Hypothyroidism Well
Regular Follow-Up Blood Tests Are Part Of Keeping It Controlled
Having Another Autoimmune Disease Raises The Chance Of Hashimoto's
Hashimoto's Has Also Been Linked To A Rare Brain Illness
Left Untreated Hashimoto's Can Lead To Myxedema Coma





