Thairad ka kya rate hai?
Don’t get astonished. ‘Thairad’ is not the name of a vegetable. It is meant to symbolize thyroid function tests, the poor thyroid gland which is just a few grams in weight that generally gets blamed for every known clinical symptom on earth.
1st scenario: When i started meeting people regarding marketing my lab(i am a pathologist, and became marketing agent by default), this was the very first question i encountered , ‘thairad ka kya rate hai’. i being a fresh entrepreneur calculated in my mind what least i can offer and belted out say x amount, expecting positive response , but to my astonishment i was grinned at and told i am too expensive and given examples of many local labs who do it in y amount. I was shocked and started doubting whether it was really done, and whether it can be done really in that cost.
2nd scenario– patient comes to me with thyroid function test done already with TSH slightly elevated than normal range, the patient is anxious –i ask the reason , i am told that he has been told that he has little thyroid and he needs to take some drugs. I am shocked again – TSH is a pituitary hormone secreted not from thyroid and borderline high TSH (in the absence of T4 and T3) does not tell you anything, you have to take into consideration patients clinical symptoms.
3rd scenario- i have encountered many situations were thyroid function tests was requested many times but wrong interpretation of the values was done,.
4th scenario- what to do one only one of the values like only t3 , t4 , or tsh is abnormal, what to do, when to repeat the test.
5th scenario- walk-in patient comes to me, doctor saab throid test karvana hai, my reaction ho jayega lekin kyu, doctor saab bahut din se kamzori lag rahi hai, padosi ne kaha thryroid karva lo – i am about to faint.
General Facts about Thyroid Function Test
- Don’t get thyroid function tests done if you are sick(for example if you have fever)
- Tell your doctor if you are pregnant , it alters your values
- Don’t get yourself tested on a whim and then worry about values
- Your diet alters your thyroid values, low protein levels in blood can alter values.
I recommend you to tell all your symptoms to your clinician and if he or she recommends it then go ahead
Once you start taking medicine for normalising your thyroid function , don’t stop abruptly yourself the meds , it needs to be reduced gradually.
Common symtoms associated with hyperthyroidism-
- Sudden weight loss
- Rapid heartbeat (tachycardia)
- Increased appetite
- Nervousness, anxiety and irritability
- Changes in menstrual patterns
- An enlarged thyroid gland (goiter), which may appear as a swelling at the base of your neck
- Increased sensitivity to cold
- Dry skin
- Weight gain
- Puffy face
- Muscle weakness
- Elevated blood cholesterol level
- Muscle aches, tenderness and stiffness
- Pain, stiffness or swelling in your joints
- Heavier than normal or irregular menstrual periods
- Thinning hair
- Slowed heart rate