I'm a thyroid cancer patient. I didn't have any thyroid nodules. I noticed a lump below my right ear. I was treated for an ear infection that I didn't have. I was misdiagnosed for more than a year. I had an mri, mra, ct scan and fine needle biopsies. While the scans showed a mass it was believed to be a paraganglioma. My bloodwork was normal. My ENT surgeon at Walter Reed wasn't going to do any surgery until I insisted. I had a radical right side neck dissection and total thyroidectomy. I had medestatic papillary thyroid cancer with a follicular variant. My thyroid gland was covered in microscopic thyroid cancer. I had alot of radioiodine and scans since 2007 and have finally became undetectable. Just going by blood tests, and doing the wait and watch triggers anxiety especially in someone misdiagnosed. Patients live with how they are feeling 24/7. Doctors really need to do a better job listening.
I was sent for an ultrasound for a lump I was told was a swollen lymph node. While there, the tech asked me if I wanted her to check my thyroid while she was there and I said yes! They found a few calcified and partially calcified thyroid nodules. I was sent for a fine needle biopsy and told it wasn't cancer. They said they will "watch it", and I have to repeat the process in 9 months. I wish I had your guts!! I still can barely turn my head because of all of the lumps! The one I initially went for is below my left ear!
So true. I have metastatic lung cancer and have found several nodules in my neck. Doctor not moving fast enough and I'm extremely worried about it. I hope all goes well with you and you remain cancer free. Thank you for sharing. 🙏🏿♥️
For sure! Drs now do NOT want to put in the time or effort to really investigate patients with atypical symptoms. Something has to change. I really hope that you can put this experience behind you soon!
I was diagnosed of papillary thyroid cancer sometime in January this year..I wasn’t concern as they said it’s a treatable cancer. I had a surgery feb. 9 total thyroidectomy and left neck selective dissection. I am still waiting for the results of my pathology test...it’s been more than 3 weeks..hasn’t heard yet.. I just count my blessings everyday.God is my saviour!
Thank you for taking the time to make this. It was to the point, easy to understand, and answered a lot of my questions as I wait for my appointment so I can get my biopsy done.
So detailed and clear !! Spoke right to the patient level. No dummying down and no over the head. Perfect!!! I would feel very comfortable in your hands
@@nikhilparab1815 Thank you 😊 🙏🏻 He had chest pains and thought he was having a heart attack. The xrays revealed cancer in the lungs which then resulted in full body scans. The other thing was weight gain and voice changes and loss over time which we only realised was that AFTER the chest pains.
I would like to share my experienced after my surgery..for some reason the doctor didn’t order a lab work to check my calcium level as this should be monitored after removal of my entire thyroid.i almost had a heart attack.i was having heavy chest pain and stubbing chest pain while having as well numbness and tingling sensation to my extremities. I keep telling my nurse about what I was experiencing and she would check my vitals and it’s all normal. In my soft voice I said pls.ask the doctor to check my troponin..that’s when she act and I had blood work done and noticed that my calcium level went critical..it’s a good thing I advocated for myself. And it helps that I am in medical field. It’s a scary experience for me. I pray I will be better again 🙏🏽🙏🏽
Thank you for posting this I don't know why doctors don't explain these things when they bring up things like this . I was told I have 2 thyroid nodules but not really understanding the significance of it. So thank you for being so informational ! I feel more prepared for my next doctor visit
I have a lot of nodules and all my endocrinologist wants to do is remove my thyroid without any further investigation. I asked if someone could tell me if it’s cancer but he said they can’t I was only born with the right thyroid the left side is missing. I also have type 2 diabetes so refused surgery without reason. They don’t even keep a check, just told to go back to my doctor if I notice any changes. Thank you so much for this information, I’ll be asking for another appointment hopefully with a different endocrinologist who cares. I’m in the uk
Great video. Best explanation I've heard so far! I started out with one 2mm thyroid nodule last year and now have 4. All sub cm (about 7mm), hypoechoic and TIRADS 4. One is affecting my parathyroid. Having a biopsy on 14 Aug. While relatively small, they are creating many problems for me. I have dyphagia and get choked when I eat, hypoxia when laying down(esp on my back, the US was torture), my voice is hoarse/raspy, I constantly cough/clear my throat and have a sore throat. I have Hashimotos and all this is causing me to swing back and forth betwen hypo/hyper thyroid. Hoping they will just take the thing out so I can get some relief. Good luck to everyone dealing with this. 🙏
@tg.tg1 I went to Johns Hopkins and the doctor I saw refused to do the biopsy because they were sub-centimeter. Forcing me to wait for them to grow two more mm before they will even consider it. It's so disheartening. I would understand it more if I didn't have all the other issues. Anyway starting back at square one.
What most don't understand is that imaging procedures such as CT scans, mammograms, PET scans, etc. have very high amounts of radiation that is downplayed but eventually causes cancer. The radiation induces cancer by disrupting the molecules and electrons in your cells. The radiation is strong enough to cause double-strand damage and thus a gene mutation which eventually leads to cancer 6-7 years after exposure. Then when an allopathic medicine doctors sees you have cancer from an ultrasound or CT scan, they will tell you they need to do a biopsy. Yet, if they puncture the extracellular matrix where the cancer is encaged in, this will actually help the cancer. There are various scholarly articles that show this is the case. Cancer can migrate to areas of inflammation including a biopsy when the cancer can track across the needle. Now here's my favorite part, after they help your cancer spread, a doctor will tell you your choices are either chemo or radiation. Both Chemo and radiation do not distinguish between healthy and cancer cells. It kills all cells. So you're essentially killing all of your cells hoping that you survive and it kills the cancer. This oftentimes causes rebound cancers from the other healthy cells that have been affected if you even survive the treatment and are left with permanent side effects. When they actually give you chemo and radiation, they hope that one of your repair genes, such as BRCA1, BRCA2 and/or PARP activate and repair the damage to the rest of your immune system, yet there are millions of cells in your body and it's unavoidable to have some misrepaired cells, thus causing rebound cancers later on and making you a return customer in the system.
Would you not agree that each patient and need for an imaging procedure is unique? The risk of “eventually causing cancer” should be weighed against the benefit of the information provided by the procedure, wouldn’t you agree? If not, please share what methods you suggest for diagnostics if you believe imaging studies should be removed from the physician’s toolbox’ so-to-speak? Also could you share your credentials and/or site your sources please?
@@marthawall3318 Absolutely not. Even 1 CT scan is usually enough to cause cancer, unfortunately. More scans are even worse for you and there is absolutely no reason why you should ever get a CT scan despite any doctor's advice. If it's completely unavoidable you can get an MRI, which uses non-ionizing radiation via strong magnets to produce the image or an ultrasound that uses sound waves, but even then, it's not necessary in most cases and there better be a REALLY good reason for it. Doctors have expensive machines they have to pay for that sit in their facilities. They don't care if it will harm you even though they themselves have to tell you of the danger and probability that it can. Think of it simplistically, if someone were to tell you, there is a single poisonous Cherio in this Cheerios cereal box, are you going to risk it and eat from the cereal box anyway? No, of course not, so why would it be different with the scanner? And especially when the odds of getting cancer from it are much higher than what people claim. CT scans are indeed dangerous and they come with some major risks. A CT scan of the abdomen is equivalent to being exposed to 200 chest X-rays or 1,500 dental X-rays. The problem is that it's ionizing radiation, which means it creates damage within the DNA and also causes cancer. A hospital or ER won't tell you this though, they will tell you to go ahead and do the CT Scan because they can't afford the resources for them to give you an MRI instead which is more safe (An MRI uses NON-ionizing radiation from strong magnetic fields that produce the image). I wouldn't be surprised if all of these unnecessary imaging scans, including CT scans, mammograms, etc. contribute to the U.S. having one of the highest percentages of people with cancer. Radiologists and ignorant radiation physicists use an unscientific flawed formula that was never to be used in medicine cunningly named (Effective Dose), and they will tell you the risk is 2 mSv. They have to, don’t they? Otherwise, they will have no business or jobs. People’s life is worth 250 dollars to their practice, that’s what they get from Medicare. That's not to say there aren't good doctors, there are and they save lives but not all. The FDA has stated that 30 to 50% of CT scans are medically unnecessary so if they're saying that, it's probably more like 70 or 80%. And USUALLY, the cancer that you would get from all of the accumulated radiation is delayed and doesn't show up right away. It can show 7-10 years down the road. The bottom line is, there's a non-zero chance that it increases the chance of you developing cancer and it might not be immediate but give it 6-7-8 years and it's possible you could have cancer caused by the cell damage or mutation of your genes that the radiation could have caused. I also get that the risk is relative but I don’t think that discredits the risk. The whole “risk vs. benefit” argument makes no sense to me either. I personally would rather have an uncertain diagnosis than to potentially get cancer from a CT scan in the future, but that's just me. Then reading from others who have had CT scans and are fine makes me think of people who smoke cigarettes and don't end up with cancer. Smokers face the same misrepair risks. The majority survive simply because the damage is benign. Unfortunately, some die from passive smoking, especially kids, in both smoking and x-rays. However, the risks from CT are drastically higher than smoking. But why would this be explained to a regular person? Then combined with a flawed formula and legal liability, why would a doctor admit that a CT scan's radiation caused damage as opposed to age, lifestyle, or hereditary conditions? I doubt the same doctors studied molecular biology and radiogenesis. Lastly, medicine is a practice. It is not a fool-proof 100% accurate science AND medical error is one of the leading causes of death in the U.S. The same way doctors claim CT scans and biopsies are safe, doctors used to say that smoking, asbestos, and transfats were good and safe for you. How many years did it take before this was actually proven to be false? Medicine is a business at the end of the day, people don't care about your health and there's no money in keeping you healthy or curing someone. If they really cared, they would spend money on prevention rather than management of a disease.
I finally had an ultrasound after years of symptoms, the worst being swollen lymph all over my neck and a squeezing, tight, lump in my throat feeling during my ovulation phase (Especially when I lay down). They saw a 2mm cyst/nodule, but my GP said that couldn’t possibly cause any symptoms. He now sent me to a therapist. I just KNOW there’s something wrong and I can’t prove it.
I'm in the same boat. I have a 4cm nodule and feel off. I have an upcoming biopsy. Doc referred me to a therapist. Since my TSH levels are normal, doc told me I shouldn't have symptoms. It's so frustrating not being heard.
@@meelahmak i guess we have to wait until it slowly gets bigger then. 😔 I get pressure in the front of my neck, swollen lymph nodes, trouble swallowing, breathlessness, fatigue and other issues. I hope you get answers!
Thank you, I have finally understood more about my condition, one Nodule measures more the 5cms and I have together with the Endocrinologist opted for removal of the Thyroid. Hyperthyroidism and calcification of some nodules. Swallowing is starting to get awkward, I choke a lot more often on food, drink or even just my own spit.
I too have a nodule measuring a little over 5cm however I have had little to no symptoms at all. No issues swallowing, no choking. How have you been doing after getting your thyroid removed?! Thank you for sharing also
They said my nodule is 2 cm on the left side. I chock on my saliva. I couldn’t figure out why it’s happened so often. I’ve only had two episodes of not being able to swallow. Cancer runs heavy on my mother side. They have had cancer of the colon, lung, bone, breast,prostate,pancreatic. My twin currently has cancer. My mom is currently on hospice for lung and bone cancer. I don’t want my thyroid removed. Why can’t they laser the nodule instead of removing the thyroid?
Thank you very much for information in layman's language. Such information help patients like me to make important medical decisions. Please keep on airing your videos. God bless you.
Thank you so much for making this video i am diagnosed with stage thyroid cancer and I am waiting to have a surgery 😏 and after i may have to have a radiator treatment treatment.. I am recovering from total abdomen hysterectomy hysterectomy 4 months ago now this is happen 😔 i got to stay positive...that really makes sense what you said and it puts me at ease. God bless 🙏
Thank you, this is literally the only clear information I have found regarding the categories. I have just received a BTC category 5 suspcious of papillary carcinoma after my first FNA was category 3. I appreciate all the info, and now await details from consultant on what will happen next. 🙏
My nodule was first seen 22 years ago, biopsies have always been benign. I had breast cancer 5years ago and after mastectomy I felt my nodule when swallowing and went for ultrasound got low suspicion findings. One year later I started coughing and haven’t stopped, my voice changed and most recently I’ve had trouble swallowing food. Newest ultrasound shows high suspicion, nodule has double in size to over 2cm, had fna and results are atypical undetermined. I don’t know what to do, my labs have sat for 6 weeks because they thought insurance didn’t cover it and dropped the ball on the whole situation until I figured it out so now it’s another 2 weeks to get results on thyroseq. I haven’t been able to eat much in months because it gets stuck after two bites, I have felt like something’s wrong for at least 3 years. I dint trust the endocrinologist I was referred to after this whole incident of my sample sitting there and not being told anything. Can the breast cancer that was high grade come back to form in the thyroid nodule? My levels show it functions normally so it’s so confusing that category 3! Thank you for this video, most information anyone has given to me.
Go by your symptoms Never go by labs Who knows who’s supposedly performing the lab work or not. If there are lazy people in most jobs what makes us believe the tests comes back not true. Anyone can print a test result Go by symptoms
I agree go by symptoms because in the past my labs they say always comes back within normal range and I've also been dealing with multiple thyroid nodules and also multiple thyroid cysts all over my thyroid and one i also feel whenever i swallow and i get food stuck to sometimes. I've been through so many thyroid ultrasounds and many thyroid bipospies every year and i have so many health problems it's not even funny. I have my hair fall out sometimes, i have Gi issues, dry and itchy patches of skin ( that i didnt have before). Anxiety and the list goes on unfortunately. I have to go for another thyroid ultrasound soon my Pa just ordered one and i think or should i say i know the way some of us get treated is because of what type or because we don't have health insurance and that's so sad because this world and government shouldn't treat us this way it's so sad how this country has become it really is. But i wish they're was something they could do to help or correct this probelms for real. Best of luck to you and God Bless.
hello everyone i hope this finds you well. i have been very optimistic lately since i was able to reverse my 79 yr old fathers type 2 diabetes from intermittent fasting and lowcarb diet along with constant monitoring on the side since he has maintenance meds which he now stops taking w doctors approval as his lab results were all good now. i believe in what dr jamnadas pradip videos these all are metabolic diseases meaning the root and cause are in the choices of food we eat and how often we eat. really seriously cut down on carbs from rice breads biscuits cookies chocolates anything refined foods thats been stripped off of dietary fiber that are food of good bacterias in our gut because they are the ones fighting the bad ones. lets keep them healthy then our metabolic disorders will subside and go away. lets eat more whole foods not processed foods that are has too much preservsatives and salt. once we take them in with carbohydrates which are also sugars as they turn into glucose once digested that wer the problems come in. high insulin makes everything else go crazy and out of control from our gut to the liver then to our bloodstream thats circulating in our body. also vert inportant to stop using seed oils they are very detrimental to our health and body. please try fasting or intermittent fasting dont eat 6 meals a day thats a lot lot for our body it needs to rest from all the carbs and fats and protein let it rest in order to do its job and then it will healp in naturally healing and resetting the system inside along with eating low carb food mainly whole food. start slow make 6 meals a day into 5 then 3 cut out snacks in between meals, delay your breaksfast just drink water with a sprinkle of himaliyan salt youll feel great. then in a few days try the 16:8 fasting then 18:6 when uv adapted to fasting. do water fast but of course if your taking maintenance meds please discuss with your doctor for guidance and monitoring. but really i believe its the high carb food thats causing the trigger from killing the good bacteria in our gut, triggering high insulin all the time making us insulin resistant which will then lead to myriads of metabolic diseases inflammatory disease like growths and cancers. God bless us all. lets keep praying for safety, good health and guidance in all our lifes situations and decisions.
What you just said, my dr told me yesterday. Am a 4 and he wants to remove to confirm for certain whether l have cancer. With that said l was getting 2nd opinion, but am going back to the ent dr. To have him proceed with half removal of this tumor. Thank you so much, for being so informative.😊😊😊❤
I applied for a job and they questioned what medications I take. The Doctor clearing me for employment with the agency requested new thyroid levels blood work and a sonogram of my thyroid which then placed me on a medical hold. The sonogram showed I have 4 nodules and I am wondering if I find a thyroid specialist will they complete a biopsy. I am concerned because the sonogram report states some are suspicious, mildly suspicious and very suspicious. Thank you for sharing your knowledge
Advice, if you are getting the biopsy. Ask the professional performing it if they are going to take more than one sample with the same needle. This could mean 1 Needle insertion, remove the tube LEAVING the needle inserted while getting a new tube. I was in the middle of the process and I clear my throat and scream say " don't move! Don't talk! The needle is still in your throat. I got mine done twice, the first was in a private fancy clinic payed out of my pocket since I didn't have medical insurance. It was done by a technician, he said it didn't look suspicious but I need to wait for the results. He took 4 samples with 2 needles ( +1 to numb first) . Result was 3. Second ine, (a year later) was in a public hospital due to the same place cost was 60% of my salary. In the public hospital I also got lab studios ( we found out that my thyroid had stopped working at all) and ultrasound (she said it looked promising, but i should must wait). A torso tomography with contrast. ( Didn't find anything weird) And finally the biopsy done by a doctor, not a technician. She said " by looking at it, it doesn't look like the ones that cause trouble, but if they ask for it, let's do it) I saw the process in the monitor while she was doing the sweeping motion with the needle, the difference with the first biopsy was: It was done by a doctor. She tried to get to every corner. In fact this time was way longer till the point when you start asking yourself " are we done?" It felt eternal and the amount of time she took moving the need inside the nodule felt eternal. But,it came out a Bethesda II! I forgot to mention, the only con with the Dr was that the numbing product took longer so the first biopsy needle, I felt quite a bit of the pain, I sucked hair through my teeth and tensed but didn't move or talk! No matter what it's still a needle you might feel something weird, or something pushing or a little pain. Well, if anyone is reading this, I wish you a good result or speedy recovery, have a good day!
I have my FNAC tomorrow. Blood tests were within limits, but ultrasound identified 3 nodules. The largest is 4 x 3.5cm, and another 3 x 2.5cm. I've had some restrictions swallowing and breathing, but not to a point where I can't function. As the nodules are quite noticeable, I have a constant reminder of their presence. I'm looking forward to getting the biopsy done...
@Mohammad-f8y I had fluid drained from the largest lump, and relief was almost instant. Biopsies from the 3 largest lumps were all good, with no further action required. I have a review in 5 months. I'm so relieved that it wasn't anything sinister... however, my wife was diagnosed with cancer last week, and has surgery tomorrow. Life can be so cruel 🩷
I have a 5cm thyroid nodule that is hyperactive I was told to get a biopsy and was on a waitlist but then got an email saying it was likely to be benign so they took me off the waitlist to instead just have it removed I finally met the surgeon and will have the surgery in a few months but it has definitely been a long and tiring process
@@JessikaCruz87 I had surgery in March! I feel fantastic now I have noticed a drop in my energy but I am still recovering so hoping I won't need to be on any medications in the future 🤞🥰
Great info. After two bouts of thyroid cancer I am still alive. A goiter initially n fourteen years later a thyroblastoma. I self diagnosed both because only you know what feels /looks different n if I didn’t have treatment ida been gone long ago. These days the littlest thing can kill so spend time on urself n open ur mouth n ask as many times as needed because it let’s the doc know a bandaid isn’t proper.
Thank you! 20 years ago my right thyroid was removed because of a nodule that needed biopsy and had follicular cells. The said I had more on the other side and to keep an eye on them. I have 5. Three of them need biopsy. Hoping it is nothing, but if anything that if it's category 4 again that I'm part of the 25%.
The craziest thing happen I paid for those lifeline screening test which are wonderful,they let you know if they find anything not normal they let you know so I remember when she got to my neck she slowed down the device and kept going over the same spot, which mad me think why she doin that they notified me I have a thyroid nodule,years later I ask for a repeat scan ,was denied according to her saying theres no need because of its size...
@ladyleo944 you should be checking for growth and changes in the nodules through bi-annual ultrasounds. A one time picture doesn't tell the whole story.
I wish all doctors would be this awesome. Even with my insurance and I making such high payments doctors hardly explain anything. I wish you were in Arizona sir. Thank you.
Very clear and detailed explanation of management of thyroid nodule.I quite agree that it needs a combined approach by thyroid surgeon and endocrinologist. Thanks dr.kerni.
Just had my annual blood work and have low T4. for the first time. Seeing a doctor tomarrow" Great info to have the right questions ready instead of flying blind....(:
I’m looking at a full thyroidectomy in the near future. Do you have to get a breathing tube In surgery and a urinary catheter (both things I can’t stand). Do surgeons trim any excess skin on the neck due to the incision and removal of a huge goiter that can be seen and has pushed out/stretched the skin. Thank you. I’m super fearful of the operating room 😕
It is normal to be scared. When going in for surgery Talk to the people caring for you. Tell them you are scared. They will understand. Also if you go in with a "Let's get this job done, let's get this booger out of here!" Attitude it actually helps.😊 I hope everything went well and you healed quickly!❤
Ok, I just had second ultrasound on thyroid, nodule solid over 2 cm, mid pole taller than wider, tr 4, strong family history of cancer, and also lived 21 years near a place that had radio , nuclear explosion which has still high cases of cancer. Waiting n waiting to get in for needle biopsy , n growing very nervous having to wait so long. Any thoughts?
Thank you Doc for this video. Very clear explanation. Maybe next video talk a little bit on Thermal ablation as a non-invasive method of treatment?? Thank you
I have 9 nodules. Nodules are common in the USA. Six of mine have grown in the last two years after I had breast cancer. I just had my yearly thyroid ultra sound; they said it hadn't changed. My endocrinologist wants to use radiation on my thyroid, which will kill it. Right now I have sub-clinical hyperthyroidism so she says that I can not have radio frequency ablation, which doesn't kill your thyroid. Only 1.8% of Americans have this condition.
Interesting, I was told by my dr that radiation does not resolve nodules and the risk of cancer. Not fun at all to sift through information and make the right decision.
@@HockeyPurist I have scheduled radio frequency ablation for June 12th. I feel like I have something in my throat all the time and hoping this will fix it. No guarantees and insurance may not cover it. My sister had radiation and it killed part of her thyroid. She will be on medicine for the rest of her life. I don't want that.
@@thetruthalwayswins340 I'm not sure that anything is different. Kind of disappointed and it may not be covered by insurance so I might have to pay out of pocket. They did an ultra sound 3 weeks later and I still have a bunch of nodules. They did say to have one of my nodules looked at closer but the clinic that I go to (not where I had the RFA) said that it's already been biopsied so they aren't doing anything with it right now.
Thanks for this video Dr Ron..my Thyroid function test appeared very normal but the scan results say I have multiple nodules, I have all the symptoms of hypothyroidism..I am so scared and confused..pls help
I got one removed on my left side , in my 20 , now im 42 and i feel a lump on my right and she's m loosing weight so fast so my doctor told me i get blood work and check every thing because of my oast with my thyroid.
I have times where it’s hard to swallow food. My blood work is way off on all the different tests. Had my ultrasound yesterday waiting to find out if I need biopsy or not. The waiting…
What about remnant tissue left after thyroidectomy and I 131? What is the treatment? What is the risk of metastasis? How can we make molecular testing a standard when doing a biopsy?
I noticed my nodules in 2009 and had to change my Doctor because the one I had refused to have any test after my blood test came back normal. Unfortunately l trusted him and waited too long to change the Doctor. By the time I changed the doctor at first l was told it was Hashimoto but after the tests and treatments it wasn't getting better. They did a needle biopsy and the test came cat 4 but the nodule had gotten to the point l was choking so l was told to remove half of my Thyroid ( the side with a goiter). We had the surgery on March 29th 2011, two days later the surgeon called me personally and told me unfortunately l did have cancer ( papillary and follicular ) so we had to reopen my neck and they removed the other half of my Thyroid too and after the no salt diet l was given the radiation dose. Now years later they are monitoring my neck again because we have a new mass growing where there should be nothing and my lymph nodes are swollen. What strikes me though is the doctors didn't take the time to prepare me about the hell l will go through after living without a Thyroid and all the crap that comes as a result.
I have 4 nodules and I’m not sure if they are cancerous because the endocrinologist in charge of testing my thyroid won’t see new patients for 6 months.
Wonderful video! Clear, informative, educational. Thanks you! By oops with mri of the neck found large right nodule 4.3cm. The adventure awaits. Father had thyroid cancer and he was left with no thyroid and seen the symptoms and what it does to the body.
I’ve had my left thyroid taken out 32 yrs ago my right one ive always had goiters through out the years but my endocrinologist the other day said there’s another lump he said lymphoma then he went to it could be a goiter I have a ct scan Monday I seen him two months ago and that lump wasn’t there what are your thoughts? He barely felt it he was getting ready to take his hand off my neck then was like wait a minute then he said all of that Thank you.
I had an isthmusectomy and the right side removed in 2019 due to what they believed was TWO nodules, turned out to be 4+ (I had been choking for over a year). Pathology report showed papillary micro carcinoma. I was told it was fine, all was removed... fast-forward 5 years, i am in same boat again. This time, iron has been low 1 1/2 years even with infusions & supplements and scan shows "Multiple ill-defined nodules within the remaining left thyroid lobe". As well as lymph nodes in head & neck are all swollen (CT Scan). FNA again this coming Tuesday. I am SO done with this. 😒
I had 90 per cent of my Thyroid removed 44 years ago for cosmetic reasons. How I have a large swelling on my neck . Do thyroid grow back after removed.
Goiter on my neck went to doctor doctor said it was benign. What were my options? She said surgery or a second opinion from a surgeon year or two later it got bigger was taking ashawagonda and my neck started hurting called Dr had scan and blood work done was told my thyroid levels were fine before I could get two ears, nose and throat doctor. It completely went away ears, nose, and throat. Doctor said take a picture if it comes back, said some thing about surgery extra strength, ashawagonda and it only there if I hold my breath otherwise most times you can’t see it anymore
My doctor found a lot of nodules on my thyrod by accident, I was complaining of pain and stiffness in my neck, so she did an ultrasound and found them. I have to have a needle biosopy next month. The doctors have sent me to physical therapy put me on muscle relaxers, but nothing is helping. My neck still hurts even to turn it. The stiffness just won't go away, and I'm always having bad ear pain, but they say my ears look good. I don't know the signs of tyrod cancer or problems is the stiffness in the neck a sign.
Hi Doctor Is it normal to have a total thyroidectmy after hemithyroidectomy as the biopsy results showed perithyroid tissue involvement.Also are there any risks involved.How long between the 2 surgeries? Thankyou
I am struggling to understand my TIRAD 3 score. My documents show a 1cm x .4cm x.8cm nodule on the right side. The composition is solid which tells me thats 2 points then the echogenicity is marked hypoechoic which should also be 2 points. Everything else scored a zero so would tht not be a TI-RAD4? the report sent to my doctor rated it as a TI-RAD3 with no further testing recommended. The reason I was scanned was due to hoarseness and swallowing difficulties and now im afraid something is being missed.
Thank you so much for that detail, Dr. Karni. I have a benign follicular nodule, (includes a adenomatoid and colloid nodule) E04,2 multinodular goiter. My Thyroid bloodwork is normal. My doctor is recommending a thyroidectomy. I would like to keep my thyroid intact rather than be on hormone replacement the rest of my life. I'm trying to find a doctor to provide RFA treatment to shrink the nodule. Have you heard of this treatment? Is there something else that you would suggest?
CAN YOU BE SEDATED for the needle biopsies? I’ve had two separate tests with needles galore and out of my mind in pain about 15 years ago when I had it performed. I don’t think I can do this AGAIN!
I'm just starting out, they found the enlarged left side of my thyroid while doing an MRI of my spine. I then had an ultrasound, and am now scheduled for a needle biopsy next week.( 12/ 20/ 23). My pcp is still managing all of this, but it's kinda becoming clear to.me that I need an endocrinologist. Ya know, I've been asking/ telling my PCP all about ALL MY HYPOTHYROID Symptoms for Ome time now. One blood test came back 1 # WNL, another was well WNL. But, OMG! The Globs of hairless, fatigue , dry skin,weight gain!! ( yeah, My hair has gotten SO thin that I need to put sunscreen on some of the SO thinned areas; I've Always had very oily skin and hair- I'm dark haired and oily-- literally NEVER used a moisturizer in my life now I've gone through several including an entire tube of O' KEEFS Heavy Duty .. on.just my peeling dry face); Gained 25 POUNDS ( 25 Lbs) in about a year or less, ON AND On.. I'm Pretty Upset.. MD attributed " all post menopausal women loose hair- all post menopausal women get dry skin, giain weight and Depression( my youngest daughter died- NEUROFIBROMATOSIS- AÐDRENAL INSUFFIENCY), So fatigu due to depression- they said. LADIES- LISTEN TO ME-- DO NOT- DO NOT Let any MD " write you off" if/ when, YOU KNOW that.something more is going on. We know our bodies better than anyone.or any test.results.. get a.2nd.opinion if needed. For me, all of the.misery of these symptoms could have been shortened/ lessened IF I had Pressed on and / or they LISTENED to me. Wishing you all," Good Health"
Perfect & understandable. Thank you 😊 I was just told this morning, I have an enlarged thyroid, and mass at about 1-1/2 cm. Found on MRI for cervical spine issues. I have an appt. with my primary in the morning 😬
@@thetruthalwayswins340 I had an ultrasound, and they found 2 more nodules (3 tl.). One of them is bigger than whole left lobe. I was referred to an Endocrinologist. Biopsy will be Tues (8/1). We'll see 😬 Thank you for asking
@@aliyahossaini8772 It was Papillary Cancer. I had surgery on 9/5 to remove the right lobe only. I didn't know there was a nodule in the left, also. But, I'm kind of glad I didn't realize it. There were several in the right lobe, one at 2.4 cm. The left nodule is about 1/2 that sz. So, I'll have another scan in a year (hoping it doesn't grow). I found out about the left lobe at my follow-up appt 9/12. Oct. 17th, I'll have my TSH level checked, and hoping I have stayed in the normal range. I don't want to take medicine, but will if I have to.
I have 5 thyroid nodules 2 look suspicious on ultrasound I go in next month for biopsy. If it is cancer I certainly want the surgery. However problem is I also have atherosclerosis and concerned about the risks. Any advice pertaining to those risks?
I had nodules. 4 to be exact. for 8 years just turned into cancer. My thyroid blood work was fine. And all cancerous stuff was on the left thyroid side
My friend dr told her she had thyroid cancer he took blood from her arm So my Q is Can you tell if someone have thyroid cancer from a blood test from the arm? thank you
Yes, you can roll out the possibility. Thyroglobulin Blood Test for Papillary & Follicular thyroid cancer. Calcitonin Blood test for Medullary thyroid cancer. Chromogranin A blood test for Neuroendocrine Tumors.
Dr. Thanks for infro. Mine has extended onto my chest. I'm now on chemotherapy tablet for 3. Months. Seeing sings of rapid reduction in size. I need you help, PLEASE.
I have nodules gound in routine ct scan at hospital. I tried ti do a needle biopsy yesterday. I could not do it, after the lidocaine needle, i could not do 5 more needles, was so odd and uncomfortable and now i don't know what to do. I had an ultrasound and it was over 2.
My nodule is unfortunately affecting my swallowing, it's irritating, bothers my breathing, have been anemic requiring tons of iron infusions, and have lots about twenty pounds for unknown reason. My Doctor is going to move forward with further workup.
I wish I can come to you but you are not in my state. Can you recommend a specialty thyroid surgeon in New Jersey or Maryland. Someone who is well experience in thyroid surgery and do many per month with a good rating. I haven’t found anyone that I feel comfortable with and who explains all that I am Asking. Thank you
I have 2 thyroid nudole and each are (1.45cm ×0.98) right thyroid and (1.3×0.5cm) left and i hv subclinical hypo the doc told me to do a test after 3 month again. Is it something i should be concern about it or they are normal doctor?
I'm a thyroid cancer patient. I didn't have any thyroid nodules. I noticed a lump below my right ear. I was treated for an ear infection that I didn't have. I was misdiagnosed for more than a year. I had an mri, mra, ct scan and fine needle biopsies. While the scans showed a mass it was believed to be a paraganglioma. My bloodwork was normal. My ENT surgeon at Walter Reed wasn't going to do any surgery until I insisted. I had a radical right side neck dissection and total thyroidectomy. I had medestatic papillary thyroid cancer with a follicular variant. My thyroid gland was covered in microscopic thyroid cancer. I had alot of radioiodine and scans since 2007 and have finally became undetectable. Just going by blood tests, and doing the wait and watch triggers anxiety especially in someone misdiagnosed. Patients live with how they are feeling 24/7. Doctors really need to do a better job listening.
I was sent for an ultrasound for a lump I was told was a swollen lymph node. While there, the tech asked me if I wanted her to check my thyroid while she was there and I said yes! They found a few calcified and partially calcified thyroid nodules. I was sent for a fine needle biopsy and told it wasn't cancer. They said they will "watch it", and I have to repeat the process in 9 months. I wish I had your guts!! I still can barely turn my head because of all of the lumps! The one I initially went for is below my left ear!
So true. I have metastatic lung cancer and have found several nodules in my neck. Doctor not moving fast enough and I'm extremely worried about it. I hope all goes well with you and you remain cancer free. Thank you for sharing. 🙏🏿♥️
Wanted to know the reason. Did you have hypo or hyperthyroidism? Glad you are doing good.
Well done for advocating for yourself. I agree that doctors need to do a better job at listening to the patient.
For sure! Drs now do NOT want to put in the time or effort to really investigate patients with atypical symptoms. Something has to change. I really hope that you can put this experience behind you soon!
I was diagnosed of papillary thyroid cancer sometime in January this year..I wasn’t concern as they said it’s a treatable cancer. I had a surgery feb. 9 total thyroidectomy and left neck selective dissection. I am still waiting for the results of my pathology test...it’s been more than 3 weeks..hasn’t heard yet.. I just count my blessings everyday.God is my saviour!
Still waiting on my results as well. Week 3.
How did everything go?
How is it going?
Fingers crossed 🤞
Doctors need to send this video to patients for clarity of information and tone of voice. Many doctors need this.
Finally! A doctor who clearly and patiently explains. Had to go though tens of videos till I hit this one. Thank you, Doctor !
What a great doctor ….thorough in explanation and seemingly compassionate of nature…….so many Dr.’s these days lack gentleness and empathy…
Thank you for this information. Sitting here with anxiety about this diagnosis is pure torture not knowing what is the next step
In the same boat
Likewise
Same here . Keep nearly choking which is really scary at times .
My results came back as suspicious
Dr Ron karni did my thyroidectomy in dec 2022. He is experienced doctor.
This presentation is fabulous and shows Drs that patients in remote areas really do miss out on medical treatment as we are just a number to them.
Thank you for taking the time to make this. It was to the point, easy to understand, and answered a lot of my questions as I wait for my appointment so I can get my biopsy done.
So detailed and clear !! Spoke right to the patient level. No dummying down and no over the head. Perfect!!! I would feel very comfortable in your hands
Late husband had Anaplastic thyroid cancer. Was advised would live only 3months and survived 7months. Thank you for this video
Sorry for your loss. May I know what were his symptoms that raised your concern for diagnosis ?
@@nikhilparab1815 Thank you 😊 🙏🏻 He had chest pains and thought he was having a heart attack. The xrays revealed cancer in the lungs which then resulted in full body scans. The other thing was weight gain and voice changes and loss over time which we only realised was that AFTER the chest pains.
So sorry to hear about your loss 😢
I would like to share my experienced after my surgery..for some reason the doctor didn’t order a lab work to check my calcium level as this should be monitored after removal of my entire thyroid.i almost had a heart attack.i was having heavy chest pain and stubbing chest pain while having as well numbness and tingling sensation to my extremities. I keep telling my nurse about what I was experiencing and she would check my vitals and it’s all normal. In my soft voice I said pls.ask the doctor to check my troponin..that’s when she act and I had blood work done and noticed that my calcium level went critical..it’s a good thing I advocated for myself. And it helps that I am in medical field. It’s a scary experience for me. I pray I will be better again 🙏🏽🙏🏽
@@rubydalloway901
Thank you for posting this I don't know why doctors don't explain these things when they bring up things like this . I was told I have 2 thyroid nodules but not really understanding the significance of it. So thank you for being so informational ! I feel more prepared for my next doctor visit
I have a lot of nodules and all my endocrinologist wants to do is remove my thyroid without any further investigation. I asked if someone could tell me if it’s cancer but he said they can’t I was only born with the right thyroid the left side is missing. I also have type 2 diabetes so refused surgery without reason. They don’t even keep a check, just told to go back to my doctor if I notice any changes. Thank you so much for this information, I’ll be asking for another appointment hopefully with a different endocrinologist who cares. I’m in the uk
Pure gold! Best explanation ever found on internet sou far, God Bless u doctor!!
Great video. Best explanation I've heard so far! I started out with one 2mm thyroid nodule last year and now have 4. All sub cm (about 7mm), hypoechoic and TIRADS 4. One is affecting my parathyroid. Having a biopsy on 14 Aug. While relatively small, they are creating many problems for me. I have dyphagia and get choked when I eat, hypoxia when laying down(esp on my back, the US was torture), my voice is hoarse/raspy, I constantly cough/clear my throat and have a sore throat. I have Hashimotos and all this is causing me to swing back and forth betwen hypo/hyper thyroid. Hoping they will just take the thing out so I can get some relief. Good luck to everyone dealing with this. 🙏
How was ur result. Hope all well.
Check out it's me jen again. Save your thyroid. It's all about nodules and rfa ablation.
Hey can you Please tell us... what the result is?
i feel like this was happening to me too. i’m going this coming wednesday for a biopsy on my 9mm hypoechoic nodule :/
@tg.tg1 I went to Johns Hopkins and the doctor I saw refused to do the biopsy because they were sub-centimeter. Forcing me to wait for them to grow two more mm before they will even consider it. It's so disheartening. I would understand it more if I didn't have all the other issues. Anyway starting back at square one.
Most informative account on nodules. I have 2 nodules & had one needle biopsy which was negative.
What most don't understand is that imaging procedures such as CT scans, mammograms, PET scans, etc. have very high amounts of radiation that is downplayed but eventually causes cancer. The radiation induces cancer by disrupting the molecules and electrons in your cells. The radiation is strong enough to cause double-strand damage and thus a gene mutation which eventually leads to cancer 6-7 years after exposure. Then when an allopathic medicine doctors sees you have cancer from an ultrasound or CT scan, they will tell you they need to do a biopsy. Yet, if they puncture the extracellular matrix where the cancer is encaged in, this will actually help the cancer. There are various scholarly articles that show this is the case. Cancer can migrate to areas of inflammation including a biopsy when the cancer can track across the needle. Now here's my favorite part, after they help your cancer spread, a doctor will tell you your choices are either chemo or radiation. Both Chemo and radiation do not distinguish between healthy and cancer cells. It kills all cells. So you're essentially killing all of your cells hoping that you survive and it kills the cancer. This oftentimes causes rebound cancers from the other healthy cells that have been affected if you even survive the treatment and are left with permanent side effects. When they actually give you chemo and radiation, they hope that one of your repair genes, such as BRCA1, BRCA2 and/or PARP activate and repair the damage to the rest of your immune system, yet there are millions of cells in your body and it's unavoidable to have some misrepaired cells, thus causing rebound cancers later on and making you a return customer in the system.
Would you not agree that each patient and need for an imaging procedure is unique? The risk of “eventually causing cancer” should be weighed against the benefit of the information provided by the procedure, wouldn’t you agree? If not, please share what methods you suggest for diagnostics if you believe imaging studies should be removed from the physician’s toolbox’ so-to-speak? Also could you share your credentials and/or site your sources please?
@@marthawall3318 Absolutely not. Even 1 CT scan is usually enough to cause cancer, unfortunately. More scans are even worse for you and there is absolutely no reason why you should ever get a CT scan despite any doctor's advice. If it's completely unavoidable you can get an MRI, which uses non-ionizing radiation via strong magnets to produce the image or an ultrasound that uses sound waves, but even then, it's not necessary in most cases and there better be a REALLY good reason for it. Doctors have expensive machines they have to pay for that sit in their facilities. They don't care if it will harm you even though they themselves have to tell you of the danger and probability that it can. Think of it simplistically, if someone were to tell you, there is a single poisonous Cherio in this Cheerios cereal box, are you going to risk it and eat from the cereal box anyway? No, of course not, so why would it be different with the scanner? And especially when the odds of getting cancer from it are much higher than what people claim.
CT scans are indeed dangerous and they come with some major risks. A CT scan of the abdomen is equivalent to being exposed to 200 chest X-rays or 1,500 dental X-rays. The problem is that it's ionizing radiation, which means it creates damage within the DNA and also causes cancer. A hospital or ER won't tell you this though, they will tell you to go ahead and do the CT Scan because they can't afford the resources for them to give you an MRI instead which is more safe (An MRI uses NON-ionizing radiation from strong magnetic fields that produce the image). I wouldn't be surprised if all of these unnecessary imaging scans, including CT scans, mammograms, etc. contribute to the U.S. having one of the highest percentages of people with cancer. Radiologists and ignorant radiation physicists use an unscientific flawed formula that was never to be used in medicine cunningly named (Effective Dose), and they will tell you the risk is 2 mSv. They have to, don’t they? Otherwise, they will have no business or jobs. People’s life is worth 250 dollars to their practice, that’s what they get from Medicare. That's not to say there aren't good doctors, there are and they save lives but not all. The FDA has stated that 30 to 50% of CT scans are medically unnecessary so if they're saying that, it's probably more like 70 or 80%. And USUALLY, the cancer that you would get from all of the accumulated radiation is delayed and doesn't show up right away. It can show 7-10 years down the road.
The bottom line is, there's a non-zero chance that it increases the chance of you developing cancer and it might not be immediate but give it 6-7-8 years and it's possible you could have cancer caused by the cell damage or mutation of your genes that the radiation could have caused. I also get that the risk is relative but I don’t think that discredits the risk. The whole “risk vs. benefit” argument makes no sense to me either. I personally would rather have an uncertain diagnosis than to potentially get cancer from a CT scan in the future, but that's just me. Then reading from others who have had CT scans and are fine makes me think of people who smoke cigarettes and don't end up with cancer. Smokers face the same misrepair risks. The majority survive simply because the damage is benign. Unfortunately, some die from passive smoking, especially kids, in both smoking and x-rays. However, the risks from CT are drastically higher than smoking.
But why would this be explained to a regular person? Then combined with a flawed formula and legal liability, why would a doctor admit that a CT scan's radiation caused damage as opposed to age, lifestyle, or hereditary conditions? I doubt the same doctors studied molecular biology and radiogenesis.
Lastly, medicine is a practice. It is not a fool-proof 100% accurate science AND medical error is one of the leading causes of death in the U.S. The same way doctors claim CT scans and biopsies are safe, doctors used to say that smoking, asbestos, and transfats were good and safe for you. How many years did it take before this was actually proven to be false? Medicine is a business at the end of the day, people don't care about your health and there's no money in keeping you healthy or curing someone. If they really cared, they would spend money on prevention rather than management of a disease.
Thank you Dr. Karni. This was perfect. It explained it all in a way that everyone should be able to understand. Bless you.
I finally had an ultrasound after years of symptoms, the worst being swollen lymph all over my neck and a squeezing, tight, lump in my throat feeling during my ovulation phase (Especially when I lay down). They saw a 2mm cyst/nodule, but my GP said that couldn’t possibly cause any symptoms. He now sent me to a therapist. I just KNOW there’s something wrong and I can’t prove it.
I'm in the same boat. I have a 4cm nodule and feel off. I have an upcoming biopsy. Doc referred me to a therapist. Since my TSH levels are normal, doc told me I shouldn't have symptoms. It's so frustrating not being heard.
I’m in a similar boat. 6mm nodule detected on cervical MRI for worsening all body tingling. What are some of your symptoms?
@@meelahmak i guess we have to wait until it slowly gets bigger then. 😔 I get pressure in the front of my neck, swollen lymph nodes, trouble swallowing, breathlessness, fatigue and other issues. I hope you get answers!
@@drtasiaphd did you get your results back? I’m so sorry you are going through this!
@@mrsmickayla thank you! And I hope you receive answers as well. We must stay vigilant. The symptoms alone are debilitating:/
Thank you, I have finally understood more about my condition, one Nodule measures more the 5cms and I have together with the Endocrinologist opted for removal of the Thyroid. Hyperthyroidism and calcification of some nodules. Swallowing is starting to get awkward, I choke a lot more often on food, drink or even just my own spit.
I too have a nodule measuring a little over 5cm however I have had little to no symptoms at all. No issues swallowing, no choking. How have you been doing after getting your thyroid removed?! Thank you for sharing also
@@daniis.444 Mine are smaller; however, they have grown the last three years. Considering thyroid removal. Just curious if you have done the same.
They said my nodule is 2 cm on the left side. I chock on my saliva. I couldn’t figure out why it’s happened so often. I’ve only had two episodes of not being able to swallow. Cancer runs heavy on my mother side. They have had cancer of the colon, lung, bone, breast,prostate,pancreatic. My twin currently has cancer. My mom is currently on hospice for lung and bone cancer. I don’t want my thyroid removed. Why can’t they laser the nodule instead of removing the thyroid?
The choking is terrifying and is happening more and more frequently . 🙁
I am still on the waiting list, waiting for surgery.
Thanks so much Dr. Ron Khani for this explicit video about Thyroid Nodules, which I have been just diagnosed through ultrasound scan....🙏🌼🍃
Thank you very much for information in layman's language. Such information help patients like me to make important medical decisions. Please keep on airing your videos. God bless you.
This Dr. is All That And Then Some!
As good as they get
Thank you so much for making this video i am diagnosed with stage thyroid cancer and I am waiting to have a surgery 😏 and after i may have to have a radiator treatment treatment.. I am recovering from total abdomen hysterectomy hysterectomy 4 months ago now this is happen 😔 i got to stay positive...that really makes sense what you said and it puts me at ease. God bless 🙏
I pray and hope you are okay
how are you❤ sending love
Thanks for this video, it explained a lot especially if someone still has alot of questions.
wow he covered it all so well thankyou Dr awesome job and thankyou and loved your calm manner😊
Great job explaining! Just what I needed to understand my condition. Thank you!🙂
Thank you, this is literally the only clear information I have found regarding the categories. I have just received a BTC category 5 suspcious of papillary carcinoma after my first FNA was category 3. I appreciate all the info, and now await details from consultant on what will happen next. 🙏
Sorry to hear. How are you doing now? I hope all is well.
I've just received the same Bethesda 5 diagnosis as you. How did it go for you? Did you have your thyroid removed?
Really exceptional presentation of Thyroid nodules. 👍
My nodule was first seen 22 years ago, biopsies have always been benign. I had breast cancer 5years ago and after mastectomy I felt my nodule when swallowing and went for ultrasound got low suspicion findings. One year later I started coughing and haven’t stopped, my voice changed and most recently I’ve had trouble swallowing food. Newest ultrasound shows high suspicion, nodule has double in size to over 2cm, had fna and results are atypical undetermined. I don’t know what to do, my labs have sat for 6 weeks because they thought insurance didn’t cover it and dropped the ball on the whole situation until I figured it out so now it’s another 2 weeks to get results on thyroseq. I haven’t been able to eat much in months because it gets stuck after two bites, I have felt like something’s wrong for at least 3 years. I dint trust the endocrinologist I was referred to after this whole incident of my sample sitting there and not being told anything. Can the breast cancer that was high grade come back to form in the thyroid nodule? My levels show it functions normally so it’s so confusing that category 3! Thank you for this video, most information anyone has given to me.
Go by your symptoms
Never go by labs
Who knows who’s supposedly performing the lab work or not. If there are lazy people in most jobs what makes us believe the tests comes back not true. Anyone can print a test result
Go by symptoms
I agree go by symptoms because in the past my labs they say always comes back within normal range and I've also been dealing with multiple thyroid nodules and also multiple thyroid cysts all over my thyroid and one i also feel whenever i swallow and i get food stuck to sometimes. I've been through so many thyroid ultrasounds and many thyroid bipospies every year and i have so many health problems it's not even funny. I have my hair fall out sometimes, i have Gi issues, dry and itchy patches of skin ( that i didnt have before). Anxiety and the list goes on unfortunately. I have to go for another thyroid ultrasound soon my Pa just ordered one and i think or should i say i know the way some of us get treated is because of what type or because we don't have health insurance and that's so sad because this world and government shouldn't treat us this way it's so sad how this country has become it really is. But i wish they're was something they could do to help or correct this probelms for real. Best of luck to you and God Bless.
@@angelsbutterflies6293 I'm sorry to hear that. What size are your nodules? Are they big? What comes back in your biopsy results?
hello everyone i hope this finds you well. i have been very optimistic lately since i was able to reverse my 79 yr old fathers type 2 diabetes from intermittent fasting and lowcarb diet along with constant monitoring on the side since he has maintenance meds which he now stops taking w doctors approval as his lab results were all good now. i believe in what dr jamnadas pradip videos these all are metabolic diseases meaning the root and cause are in the choices of food we eat and how often we eat. really seriously cut down on carbs from rice breads biscuits cookies chocolates anything refined foods thats been stripped off of dietary fiber that are food of good bacterias in our gut because they are the ones fighting the bad ones. lets keep them healthy then our metabolic disorders will subside and go away. lets eat more whole foods not processed foods that are has too much preservsatives and salt. once we take them in with carbohydrates which are also sugars as they turn into glucose once digested that wer the problems come in. high insulin makes everything else go crazy and out of control from our gut to the liver then to our bloodstream thats circulating in our body. also vert inportant to stop using seed oils they are very detrimental to our health and body. please try fasting or intermittent fasting dont eat 6 meals a day thats a lot lot for our body it needs to rest from all the carbs and fats and protein let it rest in order to do its job and then it will healp in naturally healing and resetting the system inside along with eating low carb food mainly whole food. start slow make 6 meals a day into 5 then 3 cut out snacks in between meals, delay your breaksfast just drink water with a sprinkle of himaliyan salt youll feel great. then in a few days try the 16:8 fasting then 18:6 when uv adapted to fasting. do water fast but of course if your taking maintenance meds please discuss with your doctor for guidance and monitoring. but really i believe its the high carb food thats causing the trigger from killing the good bacteria in our gut, triggering high insulin all the time making us insulin resistant which will then lead to myriads of metabolic diseases inflammatory disease like growths and cancers. God bless us all. lets keep praying for safety, good health and guidance in all our lifes situations and decisions.
@@angelsbutterflies6293in which country r u? And your result?
What you just said, my dr told me yesterday. Am a 4 and he wants to remove to confirm for certain whether l have cancer. With that said l was getting 2nd opinion, but am going back to the ent dr. To have him proceed with half removal of this tumor. Thank you so much, for being so informative.😊😊😊❤
Hi. I also just told that i have t4 thyroid nodules,refered me to the endo for further investigation.very scared.
I applied for a job and they questioned what medications I take. The Doctor clearing me for employment with the agency requested new thyroid levels blood work and a sonogram of my thyroid which then placed me on a medical hold. The sonogram showed I have 4 nodules and I am wondering if I find a thyroid specialist will they complete a biopsy. I am concerned because the sonogram report states some are suspicious, mildly suspicious and very suspicious. Thank you for sharing your knowledge
Thank you so much for this information. So clearly stated and I feel better after listening.
Advice, if you are getting the biopsy. Ask the professional performing it if they are going to take more than one sample with the same needle.
This could mean 1 Needle insertion, remove the tube LEAVING the needle inserted while getting a new tube.
I was in the middle of the process and I clear my throat and scream say " don't move! Don't talk! The needle is still in your throat.
I got mine done twice, the first was in a private fancy clinic payed out of my pocket since I didn't have medical insurance. It was done by a technician, he said it didn't look suspicious but I need to wait for the results. He took 4 samples with 2 needles ( +1 to numb first) . Result was 3.
Second ine, (a year later) was in a public hospital due to the same place cost was 60% of my salary.
In the public hospital I also got lab studios ( we found out that my thyroid had stopped working at all) and ultrasound (she said it looked promising, but i should must wait). A torso tomography with contrast. ( Didn't find anything weird)
And finally the biopsy done by a doctor, not a technician. She said " by looking at it, it doesn't look like the ones that cause trouble, but if they ask for it, let's do it) I saw the process in the monitor while she was doing the sweeping motion with the needle, the difference with the first biopsy was:
It was done by a doctor. She tried to get to every corner. In fact this time was way longer till the point when you start asking yourself " are we done?"
It felt eternal and the amount of time she took moving the need inside the nodule felt eternal.
But,it came out a Bethesda II!
I forgot to mention, the only con with the Dr was that the numbing product took longer so the first biopsy needle, I felt quite a bit of the pain, I sucked hair through my teeth and tensed but didn't move or talk!
No matter what it's still a needle you might feel something weird, or something pushing or a little pain.
Well, if anyone is reading this, I wish you a good result or speedy recovery, have a good day!
I have my FNAC tomorrow. Blood tests were within limits, but ultrasound identified 3 nodules. The largest is 4 x 3.5cm, and another 3 x 2.5cm. I've had some restrictions swallowing and breathing, but not to a point where I can't function. As the nodules are quite noticeable, I have a constant reminder of their presence. I'm looking forward to getting the biopsy done...
can you give us update? hope you're doing well
@Mohammad-f8y I had fluid drained from the largest lump, and relief was almost instant. Biopsies from the 3 largest lumps were all good, with no further action required. I have a review in 5 months. I'm so relieved that it wasn't anything sinister... however, my wife was diagnosed with cancer last week, and has surgery tomorrow. Life can be so cruel 🩷
@@iainrutherford184 wish you and your wife the best. stay strong, both of you will pass it eventually.
I have a 5cm thyroid nodule that is hyperactive
I was told to get a biopsy and was on a waitlist but then got an email saying it was likely to be benign so they took me off the waitlist to instead just have it removed
I finally met the surgeon and will have the surgery in a few months but it has definitely been a long and tiring process
How are you did you have the surgery yet
@@JessikaCruz87 I had surgery in March! I feel fantastic now
I have noticed a drop in my energy but I am still recovering so hoping I won't need to be on any medications in the future 🤞🥰
@morganwebb5244 I'm so happy for you GOD BLESS YOU ALWAYS 🙏 💖
Thanks doctor you really put my mind to rest. So informative
Great info. After two bouts of thyroid cancer I am still alive. A goiter initially n fourteen years later a thyroblastoma. I self diagnosed both because only you know what feels /looks different n if I didn’t have treatment ida been gone long ago. These days the littlest thing can kill so spend time on urself n open ur mouth n ask as many times as needed because it let’s the doc know a bandaid isn’t proper.
Happy to hear that your still alive and fighting, what were the first symptoms that you noticed ?
Thank you! 20 years ago my right thyroid was removed because of a nodule that needed biopsy and had follicular cells. The said I had more on the other side and to keep an eye on them. I have 5. Three of them need biopsy. Hoping it is nothing, but if anything that if it's category 4 again that I'm part of the 25%.
The craziest thing happen I paid for those lifeline screening test which are wonderful,they let you know if they find anything not normal they let you know so I remember when she got to my neck she slowed down the device and kept going over the same spot, which mad me think why she doin that they notified me I have a thyroid nodule,years later I ask for a repeat scan ,was denied according to her saying theres no need because of its size...
Hi. Where can i buy tjat kind of screening test? Thank u
Where is that lifeline screening test available?
@ladyleo944 you should be checking for growth and changes in the nodules through bi-annual ultrasounds. A one time picture doesn't tell the whole story.
Thank you Dr. Ron for the nice sharing
I wish all doctors would be this awesome. Even with my insurance and I making such high payments doctors hardly explain anything.
I wish you were in Arizona sir.
Thank you.
Very clear and detailed explanation of management of thyroid nodule.I quite agree that it needs a combined approach by thyroid surgeon and endocrinologist. Thanks dr.kerni.
Just had my annual blood work and have low T4. for the first time. Seeing a doctor tomarrow" Great info to have the right questions ready instead of flying blind....(:
I’m looking at a full thyroidectomy in the near future. Do you have to get a breathing tube In surgery and a urinary catheter (both things I can’t stand). Do surgeons trim any excess skin on the neck due to the incision and removal of a huge goiter that can be seen and has pushed out/stretched the skin. Thank you. I’m super fearful of the operating room 😕
Hey, I hope all went well & you are much better. I'm also terrified.
It is normal to be scared. When going in for surgery Talk to the people caring for you. Tell them you are scared. They will understand.
Also if you go in with a "Let's get this job done, let's get this booger out of here!" Attitude it actually helps.😊
I hope everything went well and you healed quickly!❤
Thanks so much for this! Very well explained.
Are you considering adding thermal ablation techniques as another treatment option?
He is so handsome and amazing teacher, thanks so much for all the information!
Ok, I just had second ultrasound on thyroid, nodule solid over 2 cm, mid pole taller than wider, tr 4, strong family history of cancer, and also lived 21 years near a place that had radio , nuclear explosion which has still high cases of cancer. Waiting n waiting to get in for needle biopsy , n growing very nervous having to wait so long. Any thoughts?
Thank you Doc for this video. Very clear explanation. Maybe next video talk a little bit on Thermal ablation as a non-invasive method of treatment?? Thank you
I have 9 nodules. Nodules are common in the USA. Six of mine have grown in the last two years after I had breast cancer. I just had my yearly thyroid ultra sound; they said it hadn't changed. My endocrinologist wants to use radiation on my thyroid, which will kill it. Right now I have sub-clinical hyperthyroidism so she says that I can not have radio frequency ablation, which doesn't kill your thyroid. Only 1.8% of Americans have this condition.
Interesting, I was told by my dr that radiation does not resolve nodules and the risk of cancer. Not fun at all to sift through information and make the right decision.
@@HockeyPurist I have scheduled radio frequency ablation for June 12th. I feel like I have something in my throat all the time and hoping this will fix it. No guarantees and insurance may not cover it.
My sister had radiation and it killed part of her thyroid. She will be on medicine for the rest of her life. I don't want that.
@@Remember_whenhow did it go
@@thetruthalwayswins340 I'm not sure that anything is different. Kind of disappointed and it may not be covered by insurance so I might have to pay out of pocket. They did an ultra sound 3 weeks later and I still have a bunch of nodules. They did say to have one of my nodules looked at closer but the clinic that I go to (not where I had the RFA) said that it's already been biopsied so they aren't doing anything with it right now.
Thanks for this video Dr Ron..my Thyroid function test appeared very normal but the scan results say I have multiple nodules, I have all the symptoms of hypothyroidism..I am so scared and confused..pls help
same
Are you on medication?
How have you been doing? Any updates?
Excellent video! You've made it very easy to understand. Thank you for the informational breakdown, it is greatly appreciated.
I got one removed on my left side , in my 20 , now im 42 and i feel a lump on my right and she's m loosing weight so fast so my doctor told me i get blood work and check every thing because of my oast with my thyroid.
Thank you for explaining. It’s much less scary now.
Amazing doctor. God bless you, It's the right information at z, right time
I have times where it’s hard to swallow food. My blood work is way off on all the different tests. Had my ultrasound yesterday waiting to find out if I need biopsy or not. The waiting…
What happened?
What about remnant tissue left after thyroidectomy and I 131? What is the treatment? What is the risk of metastasis? How can we make molecular testing a standard when doing a biopsy?
I noticed my nodules in 2009 and had to change my Doctor because the one I had refused to have any test after my blood test came back normal. Unfortunately l trusted him and waited too long to change the Doctor. By the time I changed the doctor at first l was told it was Hashimoto but after the tests and treatments it wasn't getting better. They did a needle biopsy and the test came cat 4 but the nodule had gotten to the point l was choking so l was told to remove half of my Thyroid ( the side with a goiter). We had the surgery on March 29th 2011, two days later the surgeon called me personally and told me unfortunately l did have cancer ( papillary and follicular ) so we had to reopen my neck and they removed the other half of my Thyroid too and after the no salt diet l was given the radiation dose. Now years later they are monitoring my neck again because we have a new mass growing where there should be nothing and my lymph nodes are swollen. What strikes me though is the doctors didn't take the time to prepare me about the hell l will go through after living without a Thyroid and all the crap that comes as a result.
After removing thyroid what is unusual feeling? Bcoz i also dignose with this😢...i m just 35
please what kind of hell... 😢going on 13th to have my removed
good evening doc thank you so much for your explanation i was diognose papillary thyroid carcinoma .from sangani province mindanao philippines
I have 4 nodules and I’m not sure if they are cancerous because the endocrinologist in charge of testing my thyroid won’t see new patients for 6 months.
Wonderful video! Clear, informative, educational. Thanks you! By oops with mri of the neck found large right nodule 4.3cm. The adventure awaits. Father had thyroid cancer and he was left with no thyroid and seen the symptoms and what it does to the body.
What are the symptoms?
Is there any platform for thyroid cancer patients? In Australia.
I believe healthunlocked is UK based. But there are ppl from all over the world, sharing problems and issues. So I hope you will like it 🤔😉
I have thyroid problem, what is the best treatment for my thyroid ? Thank u
How often should I get my thyroid nodules checked? I’ve already had the needle biopsy and it showed that they were benign.
Great presentation, very informative.
Thank you !
I’ve had my left thyroid taken out 32 yrs ago my right one ive always had goiters through out the years but my endocrinologist the other day said there’s another lump he said lymphoma then he went to it could be a goiter I have a ct scan Monday I seen him two months ago and that lump wasn’t there what are your thoughts? He barely felt it he was getting ready to take his hand off my neck then was like wait a minute then he said all of that Thank you.
I had an isthmusectomy and the right side removed in 2019 due to what they believed was TWO nodules, turned out to be 4+ (I had been choking for over a year). Pathology report showed papillary micro carcinoma. I was told it was fine, all was removed... fast-forward 5 years, i am in same boat again. This time, iron has been low 1 1/2 years even with infusions & supplements and scan shows "Multiple ill-defined nodules within the remaining left thyroid lobe". As well as lymph nodes in head & neck are all swollen (CT Scan). FNA again this coming Tuesday. I am SO done with this. 😒
Thank you very much, this was very clear and the information was easy to understand.
I had 90 per cent of my Thyroid removed 44 years ago for cosmetic reasons. How I have a large swelling on my neck . Do thyroid grow back after removed.
Goiter on my neck went to doctor doctor said it was benign. What were my options? She said surgery or a second opinion from a surgeon year or two later it got bigger was taking ashawagonda and my neck started hurting called Dr had scan and blood work done was told my thyroid levels were fine before I could get two ears, nose and throat doctor. It completely went away ears, nose, and throat. Doctor said take a picture if it comes back, said some thing about surgery extra strength, ashawagonda and it only there if I hold my breath otherwise most times you can’t see it anymore
My doctor found a lot of nodules on my thyrod by accident, I was complaining of pain and stiffness in my neck, so she did an ultrasound and found them. I have to have a needle biosopy next month. The doctors have sent me to physical therapy put me on muscle relaxers, but nothing is helping. My neck still hurts even to turn it. The stiffness just won't go away, and I'm always having bad ear pain, but they say my ears look good. I don't know the signs of tyrod cancer or problems is the stiffness in the neck a sign.
Hi how are you now did you have the biopsy ??
Hi Doctor
Is it normal to have a total thyroidectmy after hemithyroidectomy as the biopsy results showed perithyroid tissue involvement.Also are there any risks involved.How long between the 2 surgeries?
Thankyou
I am struggling to understand my TIRAD 3 score. My documents show a 1cm x .4cm x.8cm nodule on the right side. The composition is solid which tells me thats 2 points then the echogenicity is marked hypoechoic which should also be 2 points. Everything else scored a zero so would tht not be a TI-RAD4? the report sent to my doctor rated it as a TI-RAD3 with no further testing recommended. The reason I was scanned was due to hoarseness and swallowing difficulties and now im afraid something is being missed.
Thank you so much for that detail, Dr. Karni. I have a benign follicular nodule, (includes a adenomatoid and colloid nodule) E04,2 multinodular goiter. My Thyroid bloodwork is normal. My doctor is recommending a thyroidectomy. I would like to keep my thyroid intact rather than be on hormone replacement the rest of my life. I'm trying to find a doctor to provide RFA treatment to shrink the nodule. Have you heard of this treatment? Is there something else that you would suggest?
CAN YOU BE SEDATED for the needle biopsies? I’ve had two separate tests with needles galore and out of my mind in pain about 15 years ago when I had it performed. I don’t think I can do this AGAIN!
I'm just starting out, they found the enlarged left side of my thyroid while doing an MRI of my spine. I then had an ultrasound, and am now scheduled for a needle biopsy next week.( 12/ 20/ 23). My pcp is still managing all of this, but it's kinda becoming clear to.me that I need an endocrinologist. Ya know, I've been asking/ telling my PCP all about ALL MY HYPOTHYROID Symptoms for Ome time now. One blood test came back 1 # WNL, another was well WNL. But, OMG! The Globs of hairless, fatigue , dry skin,weight gain!! ( yeah, My hair has gotten SO thin that I need to put sunscreen on some of the SO thinned areas; I've Always had very oily skin and hair- I'm dark haired and oily-- literally NEVER used a moisturizer in my life now I've gone through several including an entire tube of O' KEEFS Heavy Duty .. on.just my peeling dry face); Gained 25 POUNDS ( 25 Lbs) in about a year or less, ON AND On.. I'm Pretty Upset.. MD attributed " all post menopausal women loose hair- all post menopausal women get dry skin, giain weight and Depression( my youngest daughter died- NEUROFIBROMATOSIS- AÐDRENAL INSUFFIENCY), So fatigu due to depression- they said. LADIES- LISTEN TO ME-- DO NOT- DO NOT Let any MD " write you off" if/ when, YOU KNOW that.something more is going on. We know our bodies better than anyone.or any test.results.. get a.2nd.opinion if needed. For me, all of the.misery of these symptoms could have been shortened/ lessened IF I had Pressed on and / or they LISTENED to me. Wishing you all," Good Health"
I'm hoping my endo will listen and help. I think I'm in the same situation as Kristine
Perfect & understandable. Thank you 😊
I was just told this morning, I have an enlarged thyroid, and mass at about 1-1/2 cm. Found on MRI for cervical spine issues. I have an appt. with my primary in the morning 😬
How was it
@@thetruthalwayswins340 I had an ultrasound, and they found 2 more nodules (3 tl.). One of them is bigger than whole left lobe. I was referred to an Endocrinologist. Biopsy will be Tues (8/1). We'll see 😬 Thank you for asking
how did everything go?@@tinajenkins8410 🙏
@@tinajenkins8410what was the biopsy report?
@@aliyahossaini8772 It was Papillary Cancer. I had surgery on 9/5 to remove the right lobe only. I didn't know there was a nodule in the left, also. But, I'm kind of glad I didn't realize it. There were several in the right lobe, one at 2.4 cm. The left nodule is about 1/2 that sz. So, I'll have another scan in a year (hoping it doesn't grow). I found out about the left lobe at my follow-up appt 9/12.
Oct. 17th, I'll have my TSH level checked, and hoping I have stayed in the normal range. I don't want to take medicine, but will if I have to.
I had this done in 2019 years ago and I had a needle biopsy done. It wasn't too bad for me.
I have 5 thyroid nodules 2 look suspicious on ultrasound I go in next month for biopsy. If it is cancer I certainly want the surgery. However problem is I also have atherosclerosis and concerned about the risks. Any advice pertaining to those risks?
I had nodules. 4 to be exact. for 8 years just turned into cancer. My thyroid blood work was fine. And all cancerous stuff was on the left thyroid side
How old are you? Did you receive treatment or surgery? How are you now?
Can you get treatment for thyroid or you have to operate
Do most acupuncturists know how to use their needles to help the thyroid?
Excellent video and easy to understand explanation. Thanks for taking the time.
My friend dr told her she had thyroid cancer he took blood from her arm So my Q is Can you tell if someone have thyroid cancer from a blood test from the arm? thank you
No
Yes, you can roll out the possibility.
Thyroglobulin Blood Test for Papillary & Follicular thyroid cancer.
Calcitonin Blood test for Medullary thyroid cancer.
Chromogranin A blood test for Neuroendocrine Tumors.
Great presentation but I would have liked to have heard more about active surveillance of micro carcinomas.
Really helpful information. Thank you!
Thank youuuuu! Your video is very informative!!!
Dr. Thanks for infro. Mine has extended onto my chest. I'm now on chemotherapy tablet for 3. Months. Seeing sings of rapid reduction in size. I need you help, PLEASE.
I think mines has 2 I have I butterfly lump under my thyroid
Thanks a lot Dr osuma for your care ,support and tolerance ,towards my health condition having fibrosis almost ruined my entire life...
very thankful for this doctor
Very informative . Thanks
This is very informative, thank you for sharing👍👏
I have nodules gound in routine ct scan at hospital. I tried ti do a needle biopsy yesterday. I could not do it, after the lidocaine needle, i could not do 5 more needles, was so odd and uncomfortable and now i don't know what to do. I had an ultrasound and it was over 2.
Was too painful?
My nodule is unfortunately affecting my swallowing, it's irritating, bothers my breathing, have been anemic requiring tons of iron infusions, and have lots about twenty pounds for unknown reason. My Doctor is going to move forward with further workup.
I wish I can come to you but you are not in my state. Can you recommend a specialty thyroid surgeon in New Jersey or Maryland. Someone who is well experience in thyroid surgery and do many per month with a good rating. I haven’t found anyone that I feel comfortable with and who explains all that I am
Asking. Thank you
thank you sir..very informative❤
I have 2 thyroid nudole and each are (1.45cm ×0.98) right thyroid and (1.3×0.5cm) left and i hv subclinical hypo the doc told me to do a test after 3 month again. Is it something i should be concern about it or they are normal doctor?
Great explanation thank you so much.
Best doctor ever!