COMMON SENSE UNIVERSITY

If these reputable medical organizations are saying this about the thyroid…

Web MD “Your thyroid controls your metabolism, which is how your body turns food into energy, and also affects your heart, muscles, bones, and cholesterol”

Mayo Clinic “These hormones circulate in your bloodstream and help regulate your metabolism. They maintain the rate at which your body uses fats and carbohydrates, help control your body temperature, influence your heart rate, and help regulate the production of proteins. Your thyroid gland also produces calcitonin — a hormone that helps regulate the amount of calcium in your blood.”

Medicine Net “The Thyroid regulates the body's metabolism and effects processes, such as growth and other important functions of the body.”

Merck “These hormones act on cells in virtually every body tissue by combining with nuclear receptors and altering expression of a wide range of gene products. Thyroid hormone is required for normal brain and somatic tissue development in the fetus and neonate, and, in people of all ages, regulates protein, carbohydrate, and fat metabolism.”

…Then for the life of me I can’t figure out why the following tests aren’t routinely run, or at least given once, to someone with a thyroid condition.

1.       Comprehensive Metabolic Panel– It has been suggested that people with chronic diseases should get this test done routinely.

2.       Vitamin and mineral levels (not just D, B12 and Iron…ALL) – because of our difficulties with metabolizing. Are our essential nutrients going to each bodily system correctly?

3.       Hormone levels – Who knows…a hormonal imbalance could have caused your problems in the first place.

4.       Stomach Acid Testing – Digestive issues and thyroid disease can go hand in hand.

5.       Bone Density – There is a link between thyroid disease and osteoporosis.

6.       Cardiovascular system tests – The thyroid influences your heart rate.

7.       Parasite testing-These little buggers could have caused all of your problems, as well OR as a result of poor digestion because of a bum thyroid, these parasites could be thriving in your gut as we speak.

 Why those tests? I am using a deductive scientific technique from my studies of Commonsenseology.

You see…when I was first diagnosed, my TSH was off the charts abnormal. I’m sure my thyroid was malfunctioning for many years prior to diagnosis as well. And then after treatment, my body still misbehaved with continued fluctuation of my thyroid lab numbers.

So my question is…If this gland is so important to all bodily functions...what kind of damage has been done since my thyroid decided to quit working?

I am not a doctor. I don’t have any sort of clinical degree, but what I do have is a PhD in common sense. Unfortunately, commonsenseologists can’t legally diagnose or treat…all they can do is just…well… wonder…wonder why so many thyroid sufferers who just can’t seem to get well on any kind of thyroid medication, whether it be natural, generic, brand or a T4/T3 combo.  Perhaps if those other lab tests were performed, irregularities could be discovered and then addressed…optimal health just might be possible. Woo Hoo!

I didn’t mention the obvious “no brainer” tests that should be done on someone with thyroid disease like T3, free's and the reverse's, and even testing for adrenal issues.

So you are probably saying…”Crazy Thyroid Lady, if docs aren’t gonna test ALL the thyroid hormone levels AND other related endocrine issues, what makes you think they will test anything else?  I would say to this, “You’re right”, and this is why I propose that all these uncooperative thyroid-treating doctors, enroll at CSU – Common Sense University. With a Common Sense and Medical degree combined, imagine how much better off we’d be?

Crazy Thyroid Lady

IT'S NOT THYROID RELATED...BULL!

This week’s blog is short because it is my hope that you will consider taking some time to peruse the list below. This list comes from the Medicare National Coverage Determinations report. Extracted from that report is the Thyroid Testing list (below). The list indicates that thyroid function testing may be medically necessary with the following patient conditions/complaints/symptoms.

It is important to note that many major insurance companies adopt Medicare’s (The government) reimbursement coverage guidelines.

So the next time a doctor says to you “I don’t think your symptoms are “thyroid related” show them this list. I had an ER doctor tell me one time that memory loss has nothing to do with thyroid disease. It would have been great to have this list at the time…I could’ve said “Nuh Uh buddy, check out code number 780.93.”

The government assembles a team primarily of doctors to create, update, review and edit this list annually.

Here is the entire 2013 Medicare National Coverage Determinations Report - http://www.cms.gov/Medicare/Coverage/CoverageGenInfo/downloads/manual201301.pdf

THYROID TESTING LIST

Code	Description
017.50-017.56	Tuberculosis of the thyroid gland
183.0	Malignant neoplasm of ovary
193	Malignant neoplasm of thyroid gland
194.8	Malignant neoplasm of other endocrine glands and related structures
198.89	Secondary malignant neoplasm of the thyroid
220	Benign neoplasm of ovary
226	Benign neoplasm of thyroid gland
227.3	Benign neoplasm of pituitary gland and craniopharyngeal duct
234.8	Carcinoma in situ of other and unspecified sites
237.4	Neoplasm of uncertain behavior of other and unspecified endocrine glands
239.7	Neoplasm of unspecified nature, thyroid gland
240.0-240.9	Goiter specified and unspecified
241.0-241.9	Nontoxic nodular goiter
242.00-242.91	Thyrotoxicosis with or without goiter
243	Congenital hypothyroidism
244.0-244.9	Acquired hypothyroidism
245.0-245.9	Thyroiditis
246.0-246.9	Other disorders of thyroid
249.00-249.01	Secondary diabetes mellitus without mention of complication
249.10-249.11	Secondary diabetes mellitus with ketoacidosis
249.20-249.21	Secondary diabetes mellitus with hyperosmolarity
249.30-249.31	Secondary diabetes mellitus with other coma
249.40-249.41	Secondary diabetes mellitus with renal manifestations
249.50-249.51	Secondary diabetes mellitus with ophthalmic manifestations
249.60-249.61	Secondary diabetes mellitus with neurological manifestations
249.70-249.71	Secondary diabetes mellitus with peripheral circulatory disorders
249.80-249.81	Secondary diabetes mellitus with other specified manifestations
249.90-249.91	Secondary diabetes mellitus with unspecified complication
250.00-250.93	Diabetes mellitus
252.1	Hypoparathyroidism
253.1	Other and unspecified anterior pituitary hyper function
253.2	Panhypopituitarism
253.3	Pituitary dwarfism
253.4	Other anterior pituitary disorders
253.7	Iatrogenic pituitary disorders
255.2	Adrenogenital disorders
255.41	Glucocorticoid deficiency
255.42	Mineralocorticoid deficiency
256.31-256.39	Ovarian failure
257.2	Testicular hypofunction
258.0 – 258.9	Polyglandular dysfunction and related disorders
262	Malnutrition, severe
263.0-263.9	Malnutrition, other and unspecified
266.0	Ariboflavinosis
272.0	Pure hypercholesterolemia
272.2	Mixed hyperlipidemia
272.4	Other and unspecified hyperlipidemia
275.40-275.49	Calcium disorders
275.5	Hungry bone syndrome
276.0	Hyposmolality and/or hypernatremia
276.1	Hyposmolality and/or hyponatremia
278.3	Hypercarotenemia
279.41	Autoimmune lymphoproliferative syndrome
279.49	Autoimmune disease, not elsewhere classified
281.0	Pernicious anemia
281.9	Unspecified deficiency anemia
283.0	Autoimmune hemolytic anemia
285.9	Anemia, unspecified
290.0	Senile dementia, uncomplicated
290.10-290.13	Presenile dementia
290.20-290.21	Senile dementia with delusional or depressive features
290.3	Senile dementia with delirium
293.0-293.1	Delirium
293.81-293.89	Other specified transient mental disorders due to conditions classified elsewhere
294.8	Other persistent mental disorders due to conditions classified elsewhere
296.00-296.99	Episodic mood disorders
297.0	Paranoid state, simple
297.1	Delusional disorder
297.9	Unspecified paranoid state
298.3	Acute paranoid reaction
300.00-300.09	Anxiety states
307.9	Other and unspecified special symptoms or syndromes NEC
310.1	Personality change due to conditions classified elsewhere
311	Depressive disorder, NEC
327.00	Organic insomnia, unspecified
327.01	Insomnia due to medical condition classified elsewhere
327.09	Other organic insomnia
327.29	Other organic sleep apnea
327.52	Sleep related leg cramps
327.8	Other Organic sleep disorders
331.0, 331.11, 331.19, 331.2	Alzheimer’s, pick’s disease, Senile degeneration of brain
331.83	Mild cognitive impairment, so stated
333.1	Essential and other specified forms of tremor
333.99	Other extrapyramidal diseases and abnormal movement disorders
354.0	Carpal Tunnel syndrome
356.9	Idiopathic peripheral neuropathy, unspecified polyneuropathy
358.1	Myasthenic syndromes in diseases classified elsewhere
359.5	Myopathy in endocrine diseases classified elsewhere
359.9	Myopathy, unspecified
368.2	Diplopia
372.71	Conjunctival hyperemia
372.73	Conjunctival edema
374.41	Lid retraction or lag
374.82	Eyelid edema
376.21	Thyrotoxic exophthalmos
376.22	Exophthalmic ophthalmoplegia
376.30-376.31	Exophthalmic conditions, unspecified and constant
376.33-376.34	Orbital edema or congestion, intermittent exophthalmos
378.50-378.55	Paralytic strabismus
401.0-401.9	Essential hypertension
403.00-403.91	Hypertensive chronic kidney disease
404.00-404.93	Hypertensive heart and chronic kidney disease
423.9	Unspecified disease of pericardium
425.7	Nutritional and metabolic cardiomyopathy
427.0	Paroxysmal supraventricular tachycardia
427.2	Paroxysmal tachycardia, unspecified
427.31	Atrial fibrillation
427.89	Other specified cardiac dysrhythmia
427.9	Cardiac dysrhythmia, unspecified
428.0	Congestive heart failure, unspecified
428.1	Left heart failure
429.3	Cardiomegaly
511.9	Unspecified pleural effusion
518.81	Acute respiratory failure
529.8	Other specified conditions of the tongue
560.1	Paralytic ileus
564.00-564.09	Constipation
564.7	Megacolon, other than Hirschsprung’s
568.82	Peritoneal effusion (chronic)
625.3	Dysmenorrhea
626.0-626.2	Disorders of menstruation
626.4	Irregular menstrual cycle
648.10-648.14	Other current conditions in mother, classifiable elsewhere, but complicating pregnancy, childbirth, or puerperium, thyroid dysfunction
676.20-676.24	Engorgement of breast associated w/ childbirth & disorders of lactation
698.9	Unspecified pruritic disorder
701.1	Keratoderma, acquired (dry skin)
703.8	Other specified diseases of nail (Brittle nails)
704.00-704.09	Alopecia
709.01	Vitiligo
710.0-710.9	Diffuse disease of connective tissue
728.2	Muscle wasting
728.87	Muscle weakness (generalized)
728.9	Unspecified disorder of muscle, ligament, and fascia
729.1	Myalgia and myositis, unspecified
729.82	Musculoskeletal cramp
730.30-730.39	Periostitis without osteomyelitis
733.02	Idiopathic osteoporosis
733.09	Osteoporosis, drug induced
750.15	Macroglossia, congenital
759.2	Anomaly of other endocrine glands
780.01	Coma
780.02	Transient alteration of awareness
780.09	Alteration of consciousness, other
780.50	Insomnia
780.51	Insomnia with sleep apnea, unspecified
780.52	Insomnia, unspecified
780.60	Fever, unspecified
780.61	Fever presenting with conditions classified elsewhere
780.62	Postprocedural fever
780.63	Postvaccination fever
780.64	Chills (without fever)
780.65	Hypothermia not associated with low environmental temperature
780.66	Febrile nonhemolytic transfusion reaction
780.71	Chronic fatigue syndrome
780.72	Functional quadriplegia
780.79	Other malaise and fatigue
780.8	Generalized hyperhidrosis
780.93	Memory loss
780.94	Early satiety
780.96	Generalized pain
780.97	Altered mental status
780.99	Other general symptoms
781.0	Abnormal involuntary movements
781.3	Lack of coordination, ataxia
782.0	Disturbance of skin sensation
782.3	Localized edema
782.8	Changes in skin texture
782.9	Other symptoms involving skin and integumentary tissues
783.0	Anorexia
783.1	Abnormal weight gain
783.21	Abnormal loss of weight
783.6	Polyphagia
784.1	Throat pain
784.42	Dysphonia
784.43	Hypernasality
784.44	Hyponasality
784.49	Other voice and resonance disorders
784.51	Dysarthria
784.59	Other speech disturbance
785.0	Tachycardia, unspecified
785.1	Palpitations
785.9	Other symptoms involving cardiovascular system
786.09	Other symptoms involving respiratory system
786.1	Stridor
787.20	Dysphagia, unspecified
787.21	Dysphagia, oral phase
787.22	Dysphagia, oropharyngeal phase
787.23	Dysphagia, pharyngeal phase
787.24	Dysphagia, pharyngo-esophageal phase
787.29	Other dysphagia
787.91-787.99	Other symptoms involving digestive system
789.51	Malignant Ascites
789.59	Other Ascites
793.99	Other nonspecific (abnormal) findings on radiological and other examination of body structure
794.5	Thyroid, abnormal scan or uptake
796.1	Other nonspecific abnormal findings, abnormal reflex
799.21	Nervousness
799.22	Irritability
799.23	Impulsiveness
799.24	Emotional lability
799.25	Demoralization and apathy
799.29	Other signs and symptoms involving emotional state
990	Effects of radiation, unspecified
V10.87	Personal history of malignant neoplasm of the thyroid
V10.88	Personal history of malignant neoplasm of other endocrine gland
V10.91	Personal history of malignant neuroendocrine tumor
V12.21	Personal history of gestational diabetes
V12.29	Personal history of other endocrine, metabolic, and immunity disorders
V58.69	Long term (current) use of other medications

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