8/14/08 My primary doctor (Dr W) felt a small lump in my neck during a routine physical. She schedules me for an ultrasound.
8/26/08 I received the results from the ultrasound - there's a 1.6 cm cyst around my thyroid. I'm referred to an Ear, Nose, Throat specialist (Dr M).
9/6/08 Dr M refers me to an ultrasound specialist for a fine needle aspiration biopsy of the cyst.
9/11/08 The ultrasound specialist notices that lymph nodes around the cyst are swollen and biopsies those, also.
9/22/08 Based on the biopsies, Dr M reveals that I have papillary carcinoma and will need my entire thyroid removed. They say "if you get a cancer, this is the one to get." It's treatable and curable.
10/2/08 I undergo a total thyroidectomy and left modified neck dissection to remove my entire thyroid and surrounding infected lymph nodes. The surgery runs a few hours longer than anticipated. I'm admitted to the hospital for observation and to monitor my calcium levels.
10/5/08 I am discharged from the hospital with a good prognosis, a sore and itchy neck, and lots of meds.
10/8/08 The outer sutures on my neck are removed. Dr M tells me I'm healing well considering the extra work. The endocronologist will most likely schedule my radioiodine treatment during my appointment on 10/31. Dr M is sure I will have to do several treatments.
10/25/08 I asked Dr M to clear me to return to work early. I worked a half day and went home and crashed. I felt so tired and sore from sitting up at a desk for a few hours. I plan to work as much as I can without overdoing it.
10/29/08 Visited Dr M to discuss the extreme discomfort in my neck. Plenty of swelling and stiffness. I complained of my throat tightening and feeling like I'm being choked. He reminded me that I had gone thru a major surgery and they had to pretty much pull my neck muscles out of my neck during the operation to shuffle things around inside. I also had signs of acid reflux. I can expect to be sore for a few months.
10/30/08 I stayed home from work, feasted on vicodin and slept all day.
10/31/08 I saw my endocronologist (Dr L). I didn't realize that I'm still recouping from the anesthesia, also. He increased my thyroid hormone and vitamin D dosages and explained my next course of action. 12/1 - Start the low iodine diet. 12/15 - Get a Thyrogen shot 12/16 - Get a second Thyrogen shot 12/17 - Take the radioiodine pill. I believe this is an outpatient procedure. 12/19 - Follow up tests Dr L scheduled me so I can enjoy Thanksgiving before starting the diet. This is the year I HAVE to actually start a diet after the holidays. The radiation should pass thru me by Friday evening and I will be good to head to a show in Philly on 12/20,
11/3/08 I put in a whole day at work. I felt so worn out. I miss my mid-morning naps. My sleep patterns are out of wack, moreso than ever. During my next visit with Dr M, he's going to discuss testing for sleep apnea.
12/1/08 I started the Low Iodine Diet. My normal diet is a high iodine one. I'm going to miss dairy and seafood the most.
12/9/08 No bread. No dairy. No birthday cake :o(
12/15/08 I took my first of two Thyrogen shots. I went to Dr L's office and had the injection in my hip. It didn't hurt and I didn't notice any side effects.
12/16/08 Went to Dr L's office for the second Thyrogen shot, in the other hip. I also had to take a pregnancy test as a precaution before the radiation treatment.
12/17/08 I reported to the nuclear medicine department at the hospital. I took three radioiodide pills, which were stored in separate lead containers. I wasn't allowed to touch the pills and had to use a pill cup to throw back the pill. I chased them with apple juice. Dr L went over the radiation safety guidelines. I confirmed my whole body scan for 12/26 at 6:30am.
I have to carry a card with me when I travel. It says "This patient had a Nuclear Medicine Procedure and may still have small amounts of radiation capable of being detected by radiation monitoring equipment. The amount of radiation poses no danger to the public and is allowed by NRC Medical use regulations."
It also lists some other important info: Procedure: Thyroid Therapy - I131 Radiopharmaceutical: I-131 Caps T 1/2: 192.96 hours Admin Activity: 155.120mCi@12-17-08 08:02 Suggested time of detection: 95 Day(s) (03-22-2009)
Interesting tidbit: Patients with an overactive thyroid, usually diagnosed as Grave's Disease are usually treated with a dose of 4 to 10 mCi. My dose was 155.120 mCi (millicurie - a unit measuring radioactivity).
I reported to the hospital's outpatient lab to get bloodwork done. The two lab techs were unsuccessful at finding a vein to drain and I took my lab slip back and headed to Pequot, a branch of the hospital, in my town. One jab and I was good to go.
12/18/08 I have to suck on lemon drops for three days to stimulate my salivary glands. The lemon drops from CVS either weren't very tart or my taste buds were shot. Altoids makes sours that did the trick. I think I'm now addicted to the tangerine ones. My low iodine diet ended, yet, I wasn't too anxious to order an iced coffee, donuts, an egg nog shake, chinese food, and pizza.
12/20/08 I had chocolate today :o) I'm still not too keen on eating.
I was recently diagnosed with Papillary Carcinoma of the Thyroid, which is a common and curable form of thyroid cancer. It's usually caused by radiation exposure or genetics. The occurrence rate in my area is higher than most due to an active power plant, an inactive power plant, and nuclear submarine construction.
I'm sharing my experience to create awareness. I didn't even know what my thyroid was when I was diagnosed.
You can find out more information about thyroid disease at:
I've joined several groups on facebook and I have browsed numerous message boards. It is true that knowledge is power. I found that talking with others that have gone thru this experience whether personally or as a supporter, my worries were at ease. I have two co-workers that had partial thyroidectomies and one co-worker with Graves Disease. Combining their support with the overwhelming support of my family and friends, I've been pretty hopeful, which in turn has helped me recover from the surgery with minimal pain-both physical and mental.
If you have any questions about my situation, or would like to tell me about yours, please feel free to contact me. I am keeping a simple timeline below, mainly to help me keep track.