Bluemerle

It's ultrasound/biopsy day! No results until Monday, probably.
Can't get the Jack Bauer clock beeps out of my mind...
boop..beep

If they sick a resident or intern on me I'm leaving. And three passes, max...
I have some valium to scarf down so maybe I'll forget my rules, and then will invite the intern to tea, as he punctures my carotid. and takes a sample of my larynx.

Of course its my nature to be prepared, so I am expecting emergency thyroidectomy when the biopsy leads to hemorrhage within the lesion and causes excruciating pain.

Its not really supposed to hurt too much, though some say no pain, some pass out from the pain. I am very vain and don't want prickles, any bruising, or a bandaid on my lovely neck. (Soon to be chopped open and sewed up by some guy the surgeon orders to close as the surgeon heads to something more important, like golf, she said with some anguish).

If I'm sober enough I'll pump for info, or demand it prior to biopsy. Please explain the need for biopsy
Is there a single lesion? is it solid, cystic, complex? Is it well defined? Is it freely moveable or is it attached to or invading other structures?
No information, no permission to jam a needle in my neck....

How evasive will they be? Hey, that's MY neck. Spill it.

i'd be a lot more optimistic about this lesion being benign if it didn't bother me so much. My voice cracks, I choke.

I'm wondering what kind of rare thing it must be. No papillary carcinoma for me!! No, it must be a rare intrathyroidal parathyroid neoplasm. Which would explain the hyperchloremia I've had for ten months. Or a fetus in fetu. That would be cool.

And so do some husbands.

You know who you are.

George Washington is going to kick your ass.

A note from the Kama Sutra:

CHAPTER V
ON BITING, AND THE MEANS TO BE EMPLOYED WITH REGARD TO WOMEN OF DIFFERENT COUNTRIES

ALL the places that can be kissed are also the places that can be bitten, except the upper lip, the interior of the mouth, and the eyes.

// posted by SarahW @ 12:42 PM 0 comments

It's hard to get anything coordinated...the ENT is on vacation...for two weeks. She didn't order the thyroid function tests I need. So I ask the primary care doc...actually ask her nurse, to add them to some liver function bloodwork the internist had ordered for me. I'd like to save myself a stick, especially since I have experienced the joy of phlebotomy gone wrong, which took months of recovery. I hate hate hate going through nurses. Something always seems to get lost in translation before or after it gets to the doctor.

I ask for a the complete tests I need...TSH, T4, T3, and some antibody tests. I get there and it's just a request for TSH. "That's the best test for thyroid function" says the nurse. Sigh. I don't need a screen, I need the full monty. You need the comparison of TSH vs. free T4 And T3 because it can help tease out the nature of the node... ( same for the anitbody tests.) So I just leave and don't have any bloodwork done.I guess I am not getting the tests I need unless I make another appointment with the primary care doc.

I think I need to switch my care to an endocrinologist.
If you know a good one in the Richmond Area, drop me a line. One that is sensible enough to believe in the power of T3 to make a subcategory of hypothyroid patients feel truly well, and one that can get me Thyrogen if I need radioactive iodine somewhere down the line.

Roberston, Robertson, once leg-pressed a f**ing ton

Lets all say mass.
Mass in the fricking thyroid.

Am I toasty like Renquist? Probably not. Anaplastic thyroid cancer, which typically results in death within 11 months,
is pretty much the worst case scenario, but it's also the rarest and least likely, even given my clinical picture which includes symptoms that are more concerning for malignancy.
I've been complaining of them - a feeling of tension and fullness on one side of my neck, with pain and voice changes, for two years now... since about the time this blog appeared in 2004.

And I have a tale to tell about how these complaints were managed...that's for another day.

Somebody tell a joke

Sarah Wells
had dizzy spells
at a minimum,
she's allergic to Gadolinium