Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
132 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Have Hashimoto disease. Can I get a shoulder surgery done?

hashimoto disease I am being tested for since the tsh 3rd generation was increasing and new endo is doing new tsh test and antibody test which I have been told to come back in 3 to 4 weeks for results. But I am also waiting to have shoulder surgery but the endo said that he would not give me clearance for surgery and he said the reason I don t wake up fast from anesthesia may be from this disease. He was surprised the past endo and my primary doctor didn t even do a antibody bloodwork nor was a sonogram of my thyroid which he found a 3m nodule on the right side of my thyroid. Before I had 6+ tsh 3 blood results I always woke up slowly after anesthesia that was normal for me. now new endo says if I have shoulder surgery I could not wake up from it... why he says cause my body can t metobolize it... I really want to finally have my shoulder fix on top I have complex regional pain syndrome in shoulder and arm could that inflamation cause these thyroid result and had stellate ganglion blocks, past of staph infection and cellitists... please can you help me get all concerns understandable and what to ask at my next appt.... I have been out of work since 2005 due to shoulder problems which I also had two surgeries on and having 3rd hopefully soon... Endo like I say won t give me clearance right now but I am not going through regular insurance and my shoulder specialist has me go to hospital for clearance so they would not do tsh test... can I really die is I have hashimoto disease and not treated prior to shoulder surgery and he also says that I have approx 3m nodule on the right side of my thyroid....gosh so stressed now... my father at the age of 26 had a thyroid cyst and I don t know anything now since my parents divorced when I was 14 and I am now 44.... I am single with no children. I feel like everything is crashing down on me
Thu, 27 Mar 2014
Report Abuse
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  
Medical Procedures
Medical Topics ,  
Endocrinologist 's  Response
Hi Dear,
Good day.
Your endo is right in saying that Hypothyroidism must be corrected first before general anesthesia can be given. Otherwise, as he suggested there could be problems during anaesthesia/ recovery. Let the TSH result come and if that is normal, then the endo will clear you.

Don't worry too much about 3 mm nodule ( I hope it is mm not cm) . These are common above 40 years and you don't have to postpone the surgery just for a thyroid nodule. However, an ultrasound is required and based on that, further action can be taken. THAT IS NOT AN EMERGENCY AND I DONT SEE A POINT IN POSTPONING THE SURGERY JUST FOR A THYROID NODULE. This can be done after you recover from shoulder surgery. Any nodule above 1 cm should be subjected to needle test ideally.

Don't worry. Await the TSH result. Even if it is high, we can treat with Thyroxine and once TSH is normalized you may undergo surgery.
Regards
Binu

I find this answer helpful

 1 user finds this helpful

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

I have Hypothyroid with hashimoto s disease, my period s are absent without thyroid medication, and continuous with it. what s the problem ? I was...

Recent questions on  Thyroid disease

doctor1 MD

46 year old female, resting heart rate 100, BP 132/96, obese, hypothyroid What can I do for severe pain after walking only 15 minutes? Pain is only...

doctor1 MD

i am taking thyrox 25mg, six months back my tsh was 3.91,t3 2.74,t4 0.56 It was 11 two years back ,I am 56 now but thyoid problem started when Iwas...

doctor1 MD

43yo white female, dx: hashimotos thyroiditis, PCOD, anxiety,depression,panic attacks, agoraphobia,vitamin deficiencies ,high cholesterol, and...

doctor1 MD

Respected madam, I am an anaesthesiologist working in a sudivision hospital . Recently i had a pt of hypothyroidism going for cs. her starting BP...

doctor1 MD

Hi. A few days ago I started experiencing heart palpitations. I feel my heart fluttering in my chest and throat. It doesn't happen when I am moving...

doctor1 MD

I recently got AMA - Anti Microsomal Antibody test done. The range was supposed to be 34 as Positive. My reading showed a Value of 91. The lab...

doctor1 MD

Thank you. About three weeks ago, I noticed a slight redness of skin at throat area. It waned and is now back on all over the front of my neck. The...