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August 2008
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Friends of the ATA e-news!
We hope to keep you up to date with the latest thyroid information!

Thyroid Q and A

Q Thank you very much for your excellent Web site. It is easy to navigate and has a lot of very good information, including referral information. I would like to air one frustration, however; there does not seem to be much patient information regarding what to expect after a total thyroidectomy. As a health care professional for many years, and now 18 months post-thyroidectomy, I am surprised at the dearth of information regarding this issue. Except for calcium issues, there is very little on the Web. I would imagine the population needing this information would be relatively small, but it would make life so much easier knowing the emotional and physical aspects of your life that can be changed by this surgery and how to deal with these issues. Thanks again for your good work.

A Thyroidectomy (surgery to removal all or part of the thyroid) may be required for patients with hyperthyroidism, goiter, thyroid nodules or thyroid cancer.

Thyroid operations can last from 45 minutes to 3 hours. The length of the operation is determined by whether one or both lobes are removed, and by the complexity of the operation. For example, it takes less time to remove a small thyroid nodule than to remove the whole thyroid and nearby lymph nodes in a patient with thyroid cancer. Depending upon local practice and the extent of the operation, patients may remain in the hospital overnight. Immediately after the thyroid operation, most people will have a sore throat from the breathing tube used for anesthesia.

Pain at the incision is minimal (most liken it to a sore throat), and patients generally require only mild pain medication (for example, acetaminophen) by the first day after the operation. It may be more comfortable to eat soft foods for a few days. Driving is not safe while taking pain medications that can cause drowsiness, and patients should not drive until they can turn their head comfortably from side to side (this may take up to a week). There may be some numbness around the incision immediately after the surgery; in most cases this resolves as the nerves in the skin heal. The wound healing sometimes causes itching that can last for several weeks. The incision will leave a scar, although these scars usually heal quite well. Patients should avoid sun exposure to the wound for about six months to improve the cosmetic outcome. Using vitamin E on the skin may also help to improve the appearance of the scar. Read More >>


Clinical Thyroidology for Patients August 2008
Clinical Thyroidology for Patients is a collection of summaries of recently published articles from the medical literature that covers the broad spectrum of thyroid disorders.

These notes describing published research studies were prepared by Ernest Mazzaferri, MD from summaries of original research articles. The summaries were published in Clinical Thyroidology, a publication of the American Thyroid Association. Dr. Mazzaferri is the Editor-in-Chief of Clinical Thyroidology.

August 2008 Volume 1 Issue 1

THYROID DIAGNOSIS
DIAGNOSIS
Lowering the TSH reference limit to 2.5 μIU/ml may result in inappropriate therapy

NODULAR GOITER Aggressive thyroid cancers may be missed in patients with multinodular goiter without ultrasound surveillance

GRAVES’ DISEASE Radioiodine therapy for Graves’ hyperthyroidism may have an effect on the eye component of Graves’ disease

THYROID AND ERECTILE DYSFUNCTION Men with hyperthyroidism or hypothyroidism commonly have erectile dysfunction


THYROID HORMONE THERAPY Coffee interferes with the intestinal absorption of levothyroxine

NONTHYROIDAL EFFECTS OF RADIOIODINE There is little effect of radioiodine on the ovaries and offspring over a 10 year period

HYPERTHYROIDISM Patients younger than 65 years of age who have subclinical hyperthyroidism have a somewhat different outcome than older patients, depending on the cause of the thyrotoxicosis

THYROID CANCER Tumor recurrence after preparing patients with thyroid hormone withdrawal or recombinant human TSH-a for 131I therapy is similar

We will answer thyroid questions of general interest and publish the answers in the Friends e-news and on the ATA website.

 

ATA Alliance for Thyroid Patient Education

Light of Life Foundation - Annual Educational Symposium
September 13, 2008
430 East 67th Street
New York, NY
website: www.checkyourneck.com
Read More >>

11th International Thyroid Cancer Survivors' Conference
October 17-19, 2008
St. Louis, Missouri
website: www.thyca.org

Graves’ Disease Foundation 2008 National Conference
October 17-19, 2008
Sheraton Carlsbad Resort & Spa
San Diego, CA
website: www.ngdf.org



Dear Friend,

Independent Charities of AmericaIn 2008, thyroid cancer is expected to reach a record number of 37,340 newly diagnosed people in the United States, according to the U.S. Department of Health and Human Services and the American Cancer Society.

Could you please send just $10, $15, or $25 to help us continue making lifesaving advances in thyroid research? Your gift can lead to new ways to prevent, treat, and cure thyroid-related diseases. These advances bring hope and real help to Americans diagnosed with thyroid disorders. So any gift you send will make a huge difference.

Please Donate Online today, and thank you for your help!



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e-mail: thyroid@thyroid.org
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The information contained in or made available through the American Thyroid Association Website is not intended to replace the services of a trained health professional or to be a substitute for medical advice of physicians. The user should consult a physician in all matters relating to his or her health, and particularly in respect to any symptoms that may require diagnosis or medical attention.

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