Path 5
Path 5
This is patient-specific information and should only be followed depending on the individual instructions given to you by the physician.
"Path 5" Scenario:
Patient had surgery, needs to remain on thyroid hormone replacement, and use of thyrogen is indicated for thyroid cancer thyrogen stimulated in-house treatment and post treatment scanning.
Preparation during clinic visit for "Path 5"
a. Instructions to stay on synthroid / levothyroxine post surgery
b. Low iodine diet instructions
c. Call backs dates
d. Lab slips (pre-treatment labs only). Where to go for labs.
e. Office orders thyrogen via ThyrogenOne paperwork
f. Schedule follow up appointments
Proper steps to complete Path 4:
Locations:
a. Dependent on patient insurance:
Baylor Clinic Nuclear department 6620 Main Street. Houston, TX 77030. phone 713.798.2300
Memorial Hermann 6400 Fannin Houston, T.X. 77030. call to register at 713-704-6500
Park Plaza. 1300 Binz Main Street. Emergency Room Entrance, ask for nuclear medicine. Houston, TX. phone scheduling 855-210.3570
St Lukes Medical Center Hospital
HMI- Houston Medical Imaging
b. Houston Thyroid and Endocrine Specialists. 6624 Fannin Street. Suite 2260. Houston, TX 77030. phone 713 795 0770
Overview:
1. We will need to order thyrogen from the company directly. Patient will receive a phone call from the ThyrogenOne team to inform you of the costs based on your insurance plan. The costs can range from $0 to more than $3000 depending on your particular insurance plan. The thyrogen will be sent to the Houston Thyroid and Endocrine office when or if approved.
2. Start low iodine diet 2 weeks prior to thyrogen injection as per
http://www.houstonendocrine.com/what-is-endocrinology/thyroid-cancer-information/low-iodine-diet
3. Continue to take thyroid hormone after surgery
4. Get blood work done at the indicated times.
Specifics:
DAY1: Monday
First thyrogen injection in the morning at Houston Thyroid and Endocrine
DAY2: Tues
Second thyrogen injection in the morning at Houston Thyroid and Endocrine.
DAY3: Wednesday
Treatment dose of I-131 will be given in the morning at Houston Thyroid and Endocrine Specialists office
DAY3-15:
You need at least 2 days of complete isolation with separate bathroom and bedroom and then 7-10 days of variable isolation after a treatment with I-131
Make a follow up appointment for thyroid hormone dosing adjustment in 6-8 weeks with your endocrinologist
DAY5 - Friday
Come back to our office or specified lab for blood work again to check your stimulated thyroglobulin level.
DAY11:
Post treatment whole body scan to be done at SPECIFIED FACILITY