I went to my endocrinologist yesterday after almost 2 years of being lost to follow-up and non-compliance with my medications. I came prepared, with both my thyroid function test and ultrasound. He saw the results and said I could continue not taking my medications, we’d just have to observe for now. I asked if I could take propranolol, though, since I always get palpitations. He then gave me a prescription for it.
I already knew the answer but before I left I asked him if joint pain was a symptom of my disease. He confirmed my suspicion and told me that no, it was not. My concern was that the joint pains were migratory. His face fell when he heard that. And like every physician with a physician for a patient he asked me what I thought my diagnosis was. I said I was considering rheumatoid arthritis. He agreed then proceeded to tell me other differential diagnoses. Next thing I knew I was getting a laboratory request for ANA.
I probably would have gone home happier if he said I that I needed to continue my medications and that I shouldn’t worry about the joint pains. But I knew that wasn’t going to be the case.