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Ramathorn
12-21-2009, 09:57 AM
Ok, I now we are all sweatin bullets after the raiders game and thats all we want to talk about, but i got another issue....

Bout 2 weeks ago I noticed a lump on the right side of my lower throat under the skin. I thought it was just swollen lymph nodes or something from flu or whatnot, so i attacked it with antibiotics that i already had. Nothing.

I finally went to the emergency room cause I started getting paranoid thinking about cancer and all the bad stuff it could be. I got there and the doctor immed said it was my thyroid. They took blood and sent me for a thyroid ultrasound. The ultrasound shows my thyroid is the size of my doctors (female) fist. I have a thyroid scan set for tues and weds and then i meet with the specialist (Thorasic Surgeon???) after my last scan on weds.

Heres what I want to know. should i be worried? How bad could it be? Anyone else had problems with theirs? I appreciate all the help in advance.

oubronco
12-21-2009, 10:04 AM
Good luck

Pick Six
12-21-2009, 10:07 AM
Ok, I now we are all sweatin bullets after the raiders game and thats all we want to talk about, but i got another issue....

Bout 2 weeks ago I noticed a lump on the right side of my lower throat under the skin. I thought it was just swollen lymph nodes or something from flu or whatnot, so i attacked it with antibiotics that i already had. Nothing.

I finally went to the emergency room cause I started getting paranoid thinking about cancer and all the bad stuff it could be. I got there and the doctor immed said it was my thyroid. They took blood and sent me for a thyroid ultrasound. The ultrasound shows my thyroid is the size of my doctors (female) fist. I have a thyroid scan set for tues and weds and then i meet with the specialist (Thorasic Surgeon???) after my last scan on weds.

Heres what I want to know. should i be worried? How bad could it be? Anyone else had problems with theirs? I appreciate all the help in advance.

My wife just had thyroid surgery, but the thyroid wasn't swollen. They are still testing it for cancer. She had both thyroids removed, because medicine can regulate a complete lack of thyroids better than having just one thyroid. Good luck, ramathorn...:thumbsup:

Dagmar
12-21-2009, 10:10 AM
Chop off your head. Boom. Problem solved.

Ramathorn
12-21-2009, 10:10 AM
My wife just had thyroid surgery, but the thyroid wasn't swollen. They are still testing it for cancer. She had both thyroids removed, because medicine can regulate a complete lack of thyroids better than having just one thyroid. Good luck, ramathorn...:thumbsup:

Thanks man. Appreciate the input!

Ramathorn
12-21-2009, 10:11 AM
Chop off your head. Boom. Problem solved.

Thanks!! I will give that absolutly NO consideration!:strong:

Ramathorn
12-21-2009, 01:16 PM
Thanks man. Appreciate the input!

what happens after that? Is it an outpatient surgery? There isnt alot of recovery time is there?

Pick Six
12-21-2009, 01:19 PM
what happens after that? Is it an outpatient surgery? There isnt alot of recovery time is there?

The operation took about an hour to hour and a half. She stayed in the hospital overnight. She's still experiencing discomfort in her throat, but she's generally fine...pending the results of the analysis. We go back to the doctor tomorrow for a follow-up check.

gyldenlove
12-21-2009, 01:52 PM
Hypo thyroidism is very common in North America, in low grade disease it can be regulated with drugs but in high grads or after thyroidectomys hormone treatment is available to offset the lack of thyroid activity.

It could be an infection that caused it to swell although I am no expert. I hope it turns out okay and you don't have anything scary.

Pony Boy
12-21-2009, 02:22 PM
Send a message to Dr. Broncenstein, he's a top notch surgeon and does lymph nodes and thyroids and all that stuff ....

LittleFloyd
12-21-2009, 02:51 PM
Ask the doc if you can just take Synthroid first and if that works you won't need a surgeon.

screamingeagle7
12-21-2009, 04:03 PM
Good luck to you. I sincerely hope that all is OK and that nothing seriously medically needs to be addressed. If this is not the case, I would be happy to chat further with you. My thyroid shut down nearly 20 years ago and I went thru the initial trials and tribulations of levelling everything out. There is medication that does a great job in replacing the hormones that your thyroid is responsible for (in the case of hypo thyroidism). Once balanced properly, life is perfectly normal when using the prescribed meds and it also helps to maintain some regular eating/sleep schedules. It is now pretty common o remove thyroids for thyroid issues as the replacement meds are very successful. Let me know if you are interested in chatting about any of this further.

Ramathorn
12-21-2009, 05:08 PM
My wife just had thyroid surgery, but the thyroid wasn't swollen. They are still testing it for cancer. She had both thyroids removed, because medicine can regulate a complete lack of thyroids better than having just one thyroid. Good luck, ramathorn...:thumbsup:

I hope the follow up for your wife goes well> Keep me updated and I will keep you all updated as well. Thanks

Ramathorn
12-21-2009, 05:10 PM
Good luck to you. I sincerely hope that all is OK and that nothing seriously medically needs to be addressed. If this is not the case, I would be happy to chat further with you. My thyroid shut down nearly 20 years ago and I went thru the initial trials and tribulations of levelling everything out. There is medication that does a great job in replacing the hormones that your thyroid is responsible for (in the case of hypo thyroidism). Once balanced properly, life is perfectly normal when using the prescribed meds and it also helps to maintain some regular eating/sleep schedules. It is now pretty common o remove thyroids for thyroid issues as the replacement meds are very successful. Let me know if you are interested in chatting about any of this further.

I hope its ok also. I will let you know after my scans. I have 1 tomorrow at 10:45. cant eat anything after midnight (like a gremlin, haha). They do an iv injection of something and then a scan. Then I have 1 on wednesday at 10:30 and go straight to the surgeon at 11:00.

~Crash~
12-21-2009, 10:39 PM
Chop off your head. Boom. Problem solved.

post picture and don't waste time typing

DivineLegion
12-21-2009, 10:48 PM
Find yourself a good Endocrinologist and expect to have blood tests done monthly.

I work at a Laboratory as a Med Tech. Alot of our clients are Endocrinologists, I would say roughly 65% of thier patients have thyroid problems that we monitor with various blood tests.

Tests you might see regularly...

T4 & TSH depending on the outcome of your situation.


Oh, and be prepared to hate Lab Corp if thats the Testing service your doctor uses for his blood tests.

Ramathorn
12-22-2009, 06:22 AM
Find yourself a good Endocrinologist and expect to have blood tests done monthly.

I work at a Laboratory as a Med Tech. Alot of our clients are Endocrinologists, I would say roughly 65% of thier patients have thyroid problems that we monitor with various blood tests.

Tests you might see regularly...

T4 & TSH depending on the outcome of your situation.


Oh, and be prepared to hate Lab Corp if thats the Testing service your doctor uses for his blood tests.

Yeah, and I HATE HATE HATE having my blood taken. I get sick every time they do it and almost passed out a few times. So at least I got that to look forward too!:thumbsup:

Ramathorn
12-23-2009, 06:18 PM
UPDATE: Went to Dr. today. He said it is 4.5 cm dominate nodule. He set me up for a ultrasound guided biopsy on 1-11-09. Guess he wont know if its cancerous till then. On the thyroid scan it showed it was working at 19%. I guess a thyroid is supposed to produce or work at a level of 10 to 35 percent? is that right? Anywhos, I will keep you all updated and thanks again.

sazwaz
12-23-2009, 08:26 PM
I've had graves disease - hyperthyroidism for about 8 years. That's the opposite of the fairly common hypothyroidism where it's not producing enough hormone. So my metabolism was in overdrive and was like I was sprinting when I was just sitting there. Common western medical protocol is to zap it with RAI - radioactive iodine, where it kills the thyroid and then you'll need replacement hormone the rest of your life. The other 2 traditional options are surgery to remove it or medication (tapazole or propylthiouracil - PTU), although meds are thought of as a short term treatment here in the states. I've been on the meds hoping for remission as I wasn't too crazy about the other options. There are of course dietary or alternative treatments that have helped many people.

Are you having any side effects? Sounds like it's more of a hypo situation. Hope your tests come back with manageable news. Good luck and Merry Christmas!

Ramathorn
12-24-2009, 07:02 AM
Im tired and lethargic alot. Not too much energy and Ive been gaining weight recently. Dont know if it has much to do with it or not.

Dr. Broncenstein
12-24-2009, 09:01 AM
Ok, I now we are all sweatin bullets after the raiders game and thats all we want to talk about, but i got another issue....

Bout 2 weeks ago I noticed a lump on the right side of my lower throat under the skin. I thought it was just swollen lymph nodes or something from flu or whatnot, so i attacked it with antibiotics that i already had. Nothing.

I finally went to the emergency room cause I started getting paranoid thinking about cancer and all the bad stuff it could be. I got there and the doctor immed said it was my thyroid. They took blood and sent me for a thyroid ultrasound. The ultrasound shows my thyroid is the size of my doctors (female) fist. I have a thyroid scan set for tues and weds and then i meet with the specialist (Thorasic Surgeon???) after my last scan on weds.

Heres what I want to know. should i be worried? How bad could it be? Anyone else had problems with theirs? I appreciate all the help in advance.

I understand your anxiety, but I really wouldn't get too worked up over this. Even if this thyroid lesion is malignant, most thyroid cancers are treatable and have a good prognosis. Most thyroid lesions are benign and are related to funtional problems or autoimmune disorders.

If you were my patient, the following three things would happen:

1. Lab tests -- determine your overall thyroid function status with bloodwork. Is your thyroid overproducing, underproducing, or functioning "normally." There are other relatively important lab tests to check for autoimmune problems that I draw at the same time.

2. Evaluate the lesion with ultrasound and thyroid uptake scan. The ultrasound characterizes the lesion -- solid / fluid / complex / etc. The uptake scan shows the activity of the lesion in comparsion to the surrounding thyroid.

3. Biopsy with at least a fine needle aspiration -- passing a small needle into the lesion to collect cell samples for a pathologist to analyze. If I can feel the lesion, I do this in the office. I use ultrasound guidance if it can't be readily palpated.

This data by and large can tell me what the exact problem is -- and does this problem need medical or surgical treatment.

Surgery is generally advised for the following:

1. Malignant lesions
2. Compressive symptoms from a large mass
3. Contraindications to medical therapy -- i.e. radioactive ablation treatment for graves disease in a young female who is pregnant / may become pregnant.

Thyroidectomy / hemithyroidectomy is one of my favorite procedures. I use a really cool instrument called a harmonic scalpel -- specifically the harmonic focus -- to remove the gland. Most patients go home in a day or two. The incision is usually hidden in a skin line on neck, and is almost invisable at six months.

Hope this helps. Give me a pm with specifics if you have a question and I'll try to help.

Dr. Broncenstein
12-24-2009, 09:04 AM
UPDATE: Went to Dr. today. He said it is 4.5 cm dominate nodule. He set me up for a ultrasound guided biopsy on 1-11-09. Guess he wont know if its cancerous till then. On the thyroid scan it showed it was working at 19%. I guess a thyroid is supposed to produce or work at a level of 10 to 35 percent? is that right? Anywhos, I will keep you all updated and thanks again.

Sounds like he's got you on the right track. Good luck.

BABronco
12-24-2009, 12:54 PM
Don't have any advice but I'd like to say good luck.

Ramathorn
12-25-2009, 05:06 AM
The reassuring thing was that he said if he HAD to have cancer and was given a choice of what kind, he would choose thryoid cancer because it has a 97% cure rate. Good news.

Pick Six
12-25-2009, 07:47 AM
The reassuring thing was that he said if he HAD to have cancer and was given a choice of what kind, he would choose thryoid cancer because it has a 97% cure rate. Good news.

Absolutely. Thyroid cancer is very easy to lick, compared to other forms...

Ramathorn
01-11-2010, 04:03 PM
UPDATE:: I am stoked!! I just came back from hospital. Was suppose to have ultrasound biopsy done today. Got there and I told the xray lady that I think it has gone down in size. She did her ultrasound on it and agreed. She went and told Dr. Hensley (he does the biopsy) and he said he needed to consult with the specialist (Dr. Randolph, who send me for the biopsy) to see if we should continue with biopsy or not.

Then Dr. hensley came in and said Dr. Randolph said not to do the biopsy since it went down from 4.5 cm to 3.6 cm and the ultrasound shows it is mostly flui d. I just have to go back and see dr. randolph in a month for a check up. I AM SO RELEIVED!!
Thanks everyone for the well wishes.