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PATIENT INSTRUCTIONS Postoperative Thyroid Remnant Ablation after rTSH (without preceding diagnostic radioiodine scan) Patient: _______________ Date: _________________ Continue taking your dose of thyroid hormone On _____________, begin to follow the Low Iodine Diet Instructions for two weeks On Monday, __________________ at ____AM you will receive an injection of recombinant TSH ( Thyrogen®) at _______________. On Tuesday, _________________ at _____AM you will receive a second injection at the same location. At ________, report to the laboratory for a TSH, thyroglobulin, and stat hCG pregnancy blood test (indicated for women). Bring your laboratory slip with you. At ________, report to ____________________ to receive your radioiodine treatment. Follow radiation safety instructions afterwards. You may resume your normal diet 6 hours after your treatment. On Thursday, ________________at ______, report to ________________ for a post-treatment scan. Following the scan, you will have an appointment with Dr. Diez/Dr.Lassman. If you have any questions contact ________________at _____________. Endocrinology 860 274-2137