Saturday, May 16, 2009

Checkups for my pituitary gland

From Apr 27 to May 2, I had been examined for the function of my pituitary gland. The hospital, Toranomon hospital, is located near the Tokyo tower. I stayed in a room on the 7th floor for a week and received the checkups.


The first day.
I arrived the hospital at 11 am and registered for the hospitalization. In the day, I had six exams: electrocardiography (ECG), ECG after an exercise, vital capacity, forced vital capacity (FVC, the maximum volume of air that can be exhaled after taking the deepest breath), cardiac ultrasonography, and X-ray of my head and chest.

The second day.
At 6 a.m., a tolerance test of pituitary stimulating hormones. I was administered four hormones, namely, growth hormone-releasing factor (GRF), corticotropin-releasing factor (CRF), thyrotropin-releasing hormone (TRH), and luteinizing hormone-releasing hormone (LH-RH), from my vein and had blood drawing before and 15, 30, 60, 90, and 120 min after the administration.
At 10 p.m., blood collection. Four-handred ml of my blood was drawn for autologous transfusion and preparation of the autologous fibrin glue.
In the afternoon, an MRI of my brain.

The third day.
An adrenocorticotropic hormone test, which measures circadian secretion of adrenocorticotropic hormone (ACTH) and cortisol in the blood.
I had blood drawing at 8 a.m., 12 a.m., 4 p.m., and 23 p.m..
From 3 p.m. to the next 3 p.m., 24-hour urine collection.

The fourth day.
At 6 a.m., blood drawing for the measurement of fasting blood glucose.
From 9:45 a.m. to the next 9:45 a.m., dynamic electrocardiogram (DEG).
I was connected with electrodes and recorded the daily electrical activity of my heart by a mobile cardiac telemetry (see the photos).


The fifth day.
X-ray absorptiometry to measure bone mineral density.

The sixth day.
At 10 p.m., I was discharged from the hospital

In the hospital, I felt ill for the treatment. Some nurses were not well trained and could not explain about the exams. Nevertheless, I will take the operation there on Aug 5, because that has a specialist for pituitary tumor.

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