McCall McPhersonFounder, Modern Thyroid Clinic.

Patient story time that may help you one day

25 Jul 2024 · 1 min

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1:20

A short YouTube anecdote from clinician McCall McPherson recounting a patient on Synthroid (T4) and Cytomel (T3) who felt great for four months but later became confused after accidentally taking trazodone twice daily (daytime), effectively losing T3 and experiencing sedation. The clinician uses this story to urge patients to listen to their bodies, verify medications and pharmacy errors, and revisit basic checks when symptoms change; he also notes the patient continued exercising and traveling despite sedation.

Chapters

So, guys, I had a patient today, and I wanted to tell you about this story so that it might help you in your own life. She was on Synthroid and cytomol. So T4 and T3, four months felt fantastic. I prescribed her Trazodone for sleep, which makes you very tired. And at some point in the last several months, she started getting confused and was taking her Trazodone twice a day, in the morning and in the afternoon, her sleeping medication instead of her. So not only did she not have T3 anymore, she was also taking a sleeping medicine during the day. Let me tell you how hardcore my patients are. She still went and worked out every day. She went on vacation to Italy for two weeks. Or I mean, went on vacation, I think to Italy. Yeah. For two weeks. Drank wine at lunch and dinner, all while on a sleeping medication and not having T3. I'm like, Gosh, I feel like I'm. I'm in a flare for my thyroid. So if that's not a message to A, listen to your body and check in with your clinician when you feel like something's off, and B, go revisit the basics, y'. All. Make sure that your medication didn't get accidentally changed, pick up the wrong one from the pharmacy, or that maybe you are taking a sleeping pill twice a day. Impressive, though, that she still worked out every day. Yes.