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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Extensive blood work results. Prolactin, DHT, Estradiol, Luteinizing way off?
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<blockquote data-quote="fiddystorms" data-source="post: 75138" data-attributes="member: 15354"><p>What a day! After an exhaustive effort to expedite an MRI, where insurance "mistakenly" hassled me over the prescription I immediately had from Dr. Saya... I had the MRI. </p><p></p><p>I wasn't out of the machine one minute when the nurse told me that the radiologist wanted me to go to the ER immediately. I was told to get dressed & they would get the radiologist on the phone to speak to me. Groggy & and feeling ambushed, I was a bit concerned at this point. Now dressed, I spoke to the radiologist, who had not even finished dictating the report! He told me that there was a large mass on my pituitary gland that was impinging on my optic nerve & I needed to go to the ER. The radioloist informed me he was contacting Dr. Saya & the endo I was able to see yesterday after someone else's appt. fell through, but had to leave messages.</p><p></p><p>Sitting in the parking lot trying to gather myself & weigh out the urgency of an ER visit on a Friday evening in Philadelphia, <strong>I received a call from Dr. Saya. I cannot begin to tell you how reassuring it is to hear from your doctor so quickly after being ambushed with a vague but ominous prognosis. I cannot thank him enough for his professionalism & timing. 5 o'clock on a Friday, children in tow, he brought the insight & perspective I needed to keep it all in check. </strong> </p><p></p><p>2 hours later, I received a call from the Endo on call at Jefferson University Hospital. Equally professional & insightful, I was told I had a 3.3cm macro Prolactinoma encasing the right internal carotid artery & compressing the optic chiasm. I was Prescribed cabergoline & advised to make appts with eye doc for a full field of vision test & neuro-surgeon to get them involved early so they can be in the loop if the cabergoline is not effective at shrinking the tumor.</p><p></p><p>For anyone that is researching symptoms, I can tell you that I had none of the significant symptoms that alert professionals. No headaches... no loss of peripheral vision or any vision/dizziness anomalies. My path was driven by low testosterone & loss of libido. I'm 46... I'm not sure if it's normal or not. People get older & lose hair, muscle, 20/20 vision etc. etc. I thought it was normal. </p><p></p><p><strong>Thank goodness for this forum! I was able to educate myself & was directed to Dr. Saya. Because of this forum, I learned enough to suggest that my prolactin be checked</strong> when I arranged the script through Dr. Saya's staff for the blood panel. </p><p></p><p>My family doctor failed me! It's not entirely his fault per se, it's just that he is not an expert. The initial steps were fine... prescribe Androgel & raise testosterone. but once he discovered my prolactin level was >4700, he should've written a script for an MRI. Instead he referred me to an endo. After I told him it was nearly 2 months wait to see the endo he referred, he could've expedited that with a phone call. After calling his office twice more, I was left with a message from one of the ladies in his office that I need to follow through & see an endo, that there was nothing more he could do & that they couldn't write a script for an MRI because it wouldn't be covered by insurance if it didn't come from an endo. </p><p></p><p> Found out later, that's simply not true. it's the imaging facility thats doing the work that matters as far as in network coverage is concerned. It was that mistaken belief that wasted more of my time trying to find an endocrinologist who would see me on short notice. I was able to get on the wait list at the endocrinology dept at Jefferson Hospital in Philadelphia. I only found out last night, after that appointment that the prescribing physician didn't matter, it was the facility that was of concern. </p><p></p><p><strong>Again, <span style="color: #ff0000">thank you DR. Saya for reaching out this evening when I really needed you</span>. <span style="color: #0000ff">Thank you Nelson Vergel for putting your vision together here for us all to benefit from</span> <span style="color: #008000">& thank you all (especially Vince Carter) for your guidance & input.</span></strong></p></blockquote><p></p>
[QUOTE="fiddystorms, post: 75138, member: 15354"] What a day! After an exhaustive effort to expedite an MRI, where insurance "mistakenly" hassled me over the prescription I immediately had from Dr. Saya... I had the MRI. I wasn't out of the machine one minute when the nurse told me that the radiologist wanted me to go to the ER immediately. I was told to get dressed & they would get the radiologist on the phone to speak to me. Groggy & and feeling ambushed, I was a bit concerned at this point. Now dressed, I spoke to the radiologist, who had not even finished dictating the report! He told me that there was a large mass on my pituitary gland that was impinging on my optic nerve & I needed to go to the ER. The radioloist informed me he was contacting Dr. Saya & the endo I was able to see yesterday after someone else's appt. fell through, but had to leave messages. Sitting in the parking lot trying to gather myself & weigh out the urgency of an ER visit on a Friday evening in Philadelphia, [B]I received a call from Dr. Saya. I cannot begin to tell you how reassuring it is to hear from your doctor so quickly after being ambushed with a vague but ominous prognosis. I cannot thank him enough for his professionalism & timing. 5 o'clock on a Friday, children in tow, he brought the insight & perspective I needed to keep it all in check. [/B] 2 hours later, I received a call from the Endo on call at Jefferson University Hospital. Equally professional & insightful, I was told I had a 3.3cm macro Prolactinoma encasing the right internal carotid artery & compressing the optic chiasm. I was Prescribed cabergoline & advised to make appts with eye doc for a full field of vision test & neuro-surgeon to get them involved early so they can be in the loop if the cabergoline is not effective at shrinking the tumor. For anyone that is researching symptoms, I can tell you that I had none of the significant symptoms that alert professionals. No headaches... no loss of peripheral vision or any vision/dizziness anomalies. My path was driven by low testosterone & loss of libido. I'm 46... I'm not sure if it's normal or not. People get older & lose hair, muscle, 20/20 vision etc. etc. I thought it was normal. [B]Thank goodness for this forum! I was able to educate myself & was directed to Dr. Saya. Because of this forum, I learned enough to suggest that my prolactin be checked[/B] when I arranged the script through Dr. Saya's staff for the blood panel. My family doctor failed me! It's not entirely his fault per se, it's just that he is not an expert. The initial steps were fine... prescribe Androgel & raise testosterone. but once he discovered my prolactin level was >4700, he should've written a script for an MRI. Instead he referred me to an endo. After I told him it was nearly 2 months wait to see the endo he referred, he could've expedited that with a phone call. After calling his office twice more, I was left with a message from one of the ladies in his office that I need to follow through & see an endo, that there was nothing more he could do & that they couldn't write a script for an MRI because it wouldn't be covered by insurance if it didn't come from an endo. Found out later, that's simply not true. it's the imaging facility thats doing the work that matters as far as in network coverage is concerned. It was that mistaken belief that wasted more of my time trying to find an endocrinologist who would see me on short notice. I was able to get on the wait list at the endocrinology dept at Jefferson Hospital in Philadelphia. I only found out last night, after that appointment that the prescribing physician didn't matter, it was the facility that was of concern. [B]Again, [COLOR=#ff0000]thank you DR. Saya for reaching out this evening when I really needed you[/COLOR]. [COLOR=#0000ff]Thank you Nelson Vergel for putting your vision together here for us all to benefit from[/COLOR] [COLOR=#008000]& thank you all (especially Vince Carter) for your guidance & input.[/COLOR][/B] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Extensive blood work results. Prolactin, DHT, Estradiol, Luteinizing way off?
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