第二次吃碘131要注意什么？

患者：我于4月15日服用7ML碘131， 6月和8月初复查，指标都下去了，但是没有到正常范围，所以在您这里预约了9月30日重新服碘，请问，我能够提前预约吃碘吗？8月5日 FT3 11.17 FT4 29.03 STSH 0.003 曾经因甲亢药物引起肝损，4月15日出院并吃碘上海瑞金医院核医学科管梁

上海瑞金医院核医学科管梁：我能够提前预约吃碘吗？

患者：谢谢您的答复，检查单都开了，只要周一检查好，周二就可以吃是吗？

上海瑞金医院核医学科管梁：只要周一检查好，周二就可以吃是吗？

患者：那下周二见，周末愉快！

上海瑞金医院核医学科管梁：周末愉快！

患者：还有一个问题，我看到网上说二次吃碘至少要间隔6个月，那我上次是4月15日吃的，这次如果是9月9日，只有5个月不到，会不会干扰这次碘的用量？并使甲减的可能性增大？

上海瑞金医院核医学科管梁：网上说二次吃碘至少要间隔6个月， 参阅: http://www.cqvip.com/qk/90107X/200710/25625439.html

患者：折腾了好一阵，把钱打到维普的账户上以后，发现还是打不开，绝望了。我相信您的专业水准，下周见把！

上海瑞金医院核医学科管梁：下周见把!

患者：就是害怕变成甲减！没有其他的问题！敬佩您的耐心，晚安！

上海瑞金医院核医学科管梁：就是害怕变成甲减！

患者：真的拿书过来了，好感动啊！：）

患者：排了好久好久的队，头都有些晕了，不知有什么办法早点见到管医生？排到队，要么太激动，要么大脑缺氧，结果光预约了下次检查时间，忘了开付款单了。。。

上海瑞金医院核医学科管梁：真的拿书过来了，好感动啊！：）

患者：今天早上吃了碘，中午的时候离开了上海，下次复查的时候才能见您。想问一下，我现在吃心得安，复合维B，维C，易善复（保肝药），还有乳蓟类保肝药，有没有问题？是不是要停一些？

上海瑞金医院核医学科管梁：我现在吃心得安，复合维B，维C，易善复（保肝药），还有乳蓟类保肝药，有没有问题？

患者：谢谢，晚安！

上海瑞金医院核医学科管梁：谢谢，晚安！

患者：I am wondering what is motivating you being a caring doctor, I am assuming it"s out of your own kindness, and also you are doing this for your research work. Am I right? Do you need any volunteer to do data collecting, assorting, such kind of paparwork for you? I guess you also need to write a lot of articles. I am on my sick leave for quite some time, and still unwilling to go back to work. So let me know if I can do anything for you and for us patients.

上海瑞金医院核医学科管梁：Of course, I need volunteer to do data collecting, assorting, such kind of paparwork. If you have time, would you like to discuss in detail in my office? So great you that you can help.

患者：Happy Moon Festival! I will see you not so soon, since I am still outside of Shanghai. But anyway, good to know that I can do something. My first major is English, and my second one is Business Administration,which I obtained only last year. So I guess I can do something, though I have no idea of medical stuff. And you can see me as one of your "fans". hehe P.S. I am watching the TV series called "Dr.House", which is about the doctor and his team, very fascinating, strongly suggest that you have a look if you do have time.

上海瑞金医院核医学科管梁：NOW I am watching the TV series called "Grey"s Anatony", TOO

患者：打扰您了，今天已经是服碘131的第8天了，我感觉心跳慢下来了，所以想把心得安停了，但是听说心得安不能骤停，所以请问您我怎么减量？我吃碘以前一天心得安3颗，现在不吃心得安心跳85次左右，那我可以减为一天一颗了吗？

上海瑞金医院核医学科管梁：当然可以的

患者：太好了！康复期待ING！

上海瑞金医院核医学科管梁：Waiting for recovering !

患者：又打扰您了，现在发现一天吃一颗心得安之后，心跳也经常只有70次左右，再吃几天可以停药呢？周末愉快！

上海瑞金医院核医学科管梁：心得安可以停了, 不用吃了

上海瑞金医院核医学科管梁：HAVE A GOOD WEEKEND !

患者：yes, I am having a nice weekend! The same to you! Seems I do not quite know my heart, sometimes it beats quick,sometimes it is slow, from 70-85 per min. now. I just want to treat it right.

患者：also I am serious problems of acnes on my face. and could not find good ways to fight it. Will they diminish after my GD being cured? or I have to go to beauty salon to treat it as I doing now? It is a serious problem for me, though it may seem ridiculous to you. This is woman...

上海瑞金医院核医学科管梁：Yes, of course. But heart beat is difficult to control. 70-85 per min is quite well .

患者：Good evening, Doctor, 1.I am also having serious problems of acnes on my face. and could not find good ways to fight against it. Will they diminish after my GD"s being cured? It is a serious problem for me, though it may seem ridiculous to you. This is woman... 2.and will I gain weight during this period? This is the 12th day of my second treatment of 131I.If so, how to control?

上海瑞金医院核医学科管梁：Hope that they will diminish after GS"s being cured. The causes of acnes on face are unknown. Mostly it caused by Endocrine Disorders, not only by thperthyroidism.

上海瑞金医院核医学科管梁：Keep an eye on your weight everyday. How to treat is depend on how much you get.

上海瑞金医院核医学科管梁：还是要注意控制饮食, 清淡饮食

患者：Thanks for the quick response, you can reply me tomorrow. I see, if we do not know the reason, then we do not have solutions. So I just wait and see. and give it some physical treatment first.

上海瑞金医院核医学科管梁：Let"s wait and see.

患者：I am doing quite well these days according to your last instruction on diet control. and I am very grateful to your generous help since this April. Now I am planing a new start for my life and job, would you bless me ? I need some good luck both in my health and my professional life.

上海瑞金医院核医学科管梁：Of course. And also GOD BLESS YOU !!!

患者：Never thought you would believe in God, but that"s nice!

上海瑞金医院核医学科管梁：just like " Nothing is impossible" I was in Philadelphia from May 2003 - August 2005

患者：Wow!!

患者：Then you believe in "To give is more fortunate than to take", that explains everything.

上海瑞金医院核医学科管梁：OF COURSE

上海瑞金医院核医学科管梁：http://mp3.familyradio.org/mp3/difs/chinese/chinese_mp3.cgi

患者：I am still an atheist. But thanks! One friend gave me a Bible long time ago, but I never read it through. I have downloaded a lot of pop songs to my iphone. Maybe next time you can share my pop songs.

上海瑞金医院核医学科管梁：Do you have homtail E-mail for MSN?

上海瑞金医院核医学科管梁："I am wondering what is motivating you being a caring doctor, I am assuming it"s out of your own kindness, and also you are doing this for your research work. Am I right? " "To give is more fortunate than to take ", to know that is good, and to practice that is better.