Path D

This is patient-specific information and should only be followed depending on the individual instructions given to you by the physician.

"PATH D" Scenario:

Six months to 1 year post surgery and radioactive iodine treatment, ready for thyrogen stimulated whole body scan (WBS) with possible treatment if indicated.

Preparation during clinic visit for "Path D"

a. Instructions to stay on synthroid

b. Low iodine diet instructions

c. Call backs dates

e. Lab slips (pre-treatment labs only). Where to go for labs.

f. Thyroid Nuclear Whole Body scan order- Baylor Clinic

g. Schedule follow up appointments

Proper steps to complete Path D:

Locations:

a. Baylor Clinic Radiology. 6620 Main Street. Suite 1275. Houston, TX 77030. phone 713.798.2300

b. Houston Thyroid and Endocrine Specialists. 6624 Fannin Street. Suite 2260. Houston, TX 77030. phone 713 795 0770

Overview:

1. Wait for a call from our office to confirm that your Thyrogen has arrived. We will then schedule your whole body scan and tellyou when to start a low iodine diet as per

http://www.houstonendocrine.com/what-is-endocrinology/thyroid-cancer-information/low-iodine-diet

2. Continue to take thyroid hormone

3. Get blood work done 7-10 days prior to scan for pregnancy testing

Specifics:

DAY1: Monday

Go to Houston Thyroid for first thyrogen injection in the morning.

DAY2: Tues

Go to Houston Thyroid for second thyrogen injection in the morning.

In the afternoon you will be dosed with a oral low dose radioactive iodine tracer I-123.

DAY 3: Wednesday

Whole Body scan at Baylor Clinic in the morning.

Plan for possible treatment with I-131 Wednesday afternoon.