Question regarding an Enlarged Thyroid - #10146

I am Dr. Prem Daisy and yeah, I’m one of those docs who’s always had this mixed love for both internal health and outer wellness. I’m a General Physician by training (MD), but also did a Fellowship in Aesthetic Medicine—because honestly? I couldn’t ignore how much our self-image ties into overall health. I work at this sort of crossroad where medicine meets aesthetics, and weirdly enough, it feels really natural to me. What I do most is help folks with their skin, hair, and overall wellness using a pretty wide mix of things—clinical know-how, lab markers, lifestyle bits, plus newer tech-driven treatments that actually have backing. If it’s something like pigmentation, dull skin, hair thinning, tiredness or hormonal imbalances... I kinda try to look at it from both sides. What's underneath and what’s showing up on the surface. Sometimes, ppl think they need a facial filler or peel—but turns out they also haven’t been sleeping right or their thyroid’s off. I mean, the body speaks in layers, right? Every care plan I make is custom (like really, not the marketing type), ‘cause no one responds to things the same. And I’m big on patient education too—not just handing out treatments, but explaining why something’s right or not. It makes people feel more in control of their journey, and I like that. I keep learning constantly—webinars, journals, tiny masterclasses in between my cases—partly 'cause I don’t want to fall behind and also 'cause aesthetics changes fast, like really fast. But I don’t just jump on trends unless they work, are safe, and actually match someone’s goals. At the end, I guess my main goal is just this: make people feel more at home in their own skin, literally and otherwise. Whether it’s managing your cholesterol or helping you deal with post-acne scars or finding your energy back—I try to give care that’s grounded, not glam for the sake of it. And yeah... I do all this while keeping the vibe in my clinic open, easy, not intimidating. That matters too.

I am a pediatric surgeon by training, and honestly, the journey’s been kind of unexpected in the best way. I got to work in the United States and Middle East early on, which opened up whole new way of looking at patient care—like different systems, different cultures, and still, the same anxiety on every parent’s face when thier child’s sick. During my time in the U.S., I trained in some of their top hospitals (those setups are crazy efficient btw), and that really shaped how I approach pediatric surgical cases now. Then I moved back closer to home and got my postgrad surgical training at Lok Nayak Hospital, which yeah is Asia's biggest hospital. It’s not just the size tho—it's the sheer volume and complexity of the cases we saw daily that makes you razor sharp, real fast. I guess I’ve always believed kids aren't just small adults, they respond different. Operate on a baby and you're not just thinking anatomy—you’re thinking pain, growth, sleep cycles, terrified parents... all of it. That’s why empathy in pediatric surgery isn't optional, it’s kind of at the core. I don’t just fix things, I try to be that calm voice in the middle of the chaos. My experience across multiple healthcare systems helps me mix things up—whether that’s applying high-resource protocols to lower-resource environments or just... keeping it simple when families are overwhelmed. I do make time to update my skills—surgeries evolve fast, and keeping up matters. But also, I think just listening, really listening, helps way more than people give credit for. Patients aren’t files or scans. And trust me, the little ones—they know when you care and when you're rushing. Anyway, that's the bit about me. I work hard, I keep learning, and I try to keep my practice real. If your child is going through something that needs surgery, I’m here to make sure you’re heard, and guided without pressure or jargon. Just honest advice, straight up.

I am working as a general physician right now at a private hospital in Boduppal, where most of my days are just... packed. I deal with all sorts of cases, sometimes it’s something basic like the flu or a throat infection, other times it’s way more complicated—like someone walks in with arrhythmia or a sudden asthma flare and you’ve got minutes to stabilize things. Honestly, the variety keeps me on my toes, but also grounded in the basics of internal medicine which I actually enjoy more than I thought I would. My focus areas include a broad set of conditions—infectious and viral illnesses like dengue, bronchitis, tonsillitis, and yeah the usual seasonal stuff. Respiratory disorders like asthma and COPD show up pretty regularly too. Then you have the cardiac issues—hypertension’s basically an everyday topic, but ischemic heart disease and palpitations or arrhythmic episodes? They make you think harder. Endocrine conditions are another big chunk of what I manage—especially diabetes, obesity, thyroid dysfunction, all that. I really try to go deep here, not just treat symptoms but look at the whole picture, like how lifestyle or stress fits in. The same goes for digestive complaints—whether it’s IBS, gastritis, or pancreatitis—patients usually come with a mix of stress, poor diet, and late diagnosis. You gotta dig through all of that. And don’t even get me started on musculoskeletal stuff. Chronic back pain, joint swelling, random knee aches? Almost everyone deals with them, and they’re super underestimated in terms of how badly they can affect daily life. I also keep an eye on neurological patterns—headaches, migraines, even fatigue and insomnia that don’t always get enough attention. These things stack up and affect how ppl feel day to day, right? Anyway, I try to keep my approach simple but thoughtful—first get the right diagnosis, explain it in a way that doesn’t confuse the patient, and then make a plan they can actually follow through on. For me, it’s about consistency, trust, and making sure the patient walks out feeling like they’re in charge of their own health again.

I am a qualified oral n maxillofacial surgeon and honestly, the kind of cases I deal with everyday keeps me on my toes. My training covers the full spectrum — from basic minor procedures to complex surgeries of the maxillofacial region. That means stuff like impacted 3rd molar extractions, facial bone trauma cases (some are really tricky), cysts, tumors, and even fracture management around the jaw n cheek areas. I kinda enjoy the surgical planning part too, not just the cutting part. I’m also trained in aesthetic procedures... yeah not the skin kind tho, just to be clear. I don’t handle skin diseases or dermatology stuff — that's not my space. But I do perform aesthetic corrections around the face, especially in cases where function n appearance both matter. Hair transplantation is also part of my practice — and tbh that’s one of those areas where patience and precision both are like 100% must. Every follicle counts there. Sometimes ppl think oral surgeons just pull out teeth, but that’s like a small part of what we do really. The face is a complicated zone, any small shift can affect chewing, breathing or even how someone smiles. So my focus is always on preserving natural function while also restoring the look, if needed. If there’s one thing I’ve learnt working in this field, it’s that no two cases are ever same. Whether it's a small cyst in the jaw or full-on facial trauma after an accident, each patient needs a different strategy. And ya, I take that really seriously... coz it’s not just surgery, it’s someone’s face at the end of the day. Anyway, my work isn’t flashy or insta-trendy, but it’s grounded. I’m not into big talk or overpromising results — just believe in doing honest work with full effort. That’s how I was trained, and that’s how I work.

ChatGPT said: I am working as RMO right now in two hospitals—Asian Medical Hospital and ESIC Bihta—and honestly juggling both has given me some solid ground exp that classroom stuff can’t quite match. At Asian, I mostly deal with emergency cases, ward duties, and pre-round patient prep, which means long hours but also quick learning... like real quick. You gotta be on your toes every second, things change before you even finish writing the notes. At ESIC Bihta, it’s a bit different. Lot more focus on government protocols, structured timelines, documentation—plus you get to handle cases involving insured workers n their fams, which bring in a whole different set of clinical and social contexts. I feel I’ve started to understand how socioeconomic factors can change treatment expectations n outcomes... and sometimes even compliance. Most of the time I’m involved with patient monitoring, vital tracking, medication administration, IV line setups, assisting in minor procedures or sometimes stabilizing critical cases until senior consulatant arrives. Nothing too flashy, but each shift is like a puzzle—sometimes you get the easy pieces, sometimes you’re handed chaos wrapped in vitals dropping fast. I do care a lot about keeping patients informed too. I mean they’re scared, confused, tired—most don't really get what’s happening and it helps if someone actually explains stuff in a way they can follow. That’s something I try to do daily, even if in rush. I’m still learning tons, and I know I’ve a long way to go. But each week adds up—each patient, each call at 3AM, each line that won’t cannulate—all that slowly makes you better at handling things. Not perfect by any means, but def more grounded and ready than when I started.

I am Dr. Sabreen Tufail and ya I work as a Unani physician, general practice mostly... 4+ years now, kind of learnt a lot from real people, real issues, not just books. My core focus is women’s health, like PCOS, hormonal imbalances, and things that mess with routine life but no one talks about enough. I also help with weight-related problems — not just weight loss for the sake of it, but helping someone feel normal in their body again, if that makes sense?? I did my PG diploma in Cosmetology (PGDCC) and another one in Obesity Management (PGDOM), both gave me deeper insight into skin hair and metabolic health which... actually links back a lot to what women go through during their cycles, stress phases or postpartum. My approach is not quick fixes. I try to understand lifestyle patterns, diet mistakes, emotional links too (they do exist btw) and then suggest remedies that fit naturally with their daily life. Mostly herbal and Unani-based, with dietary planning. Like no crash things or “one size fits all” kinda plan... doesn’t work really. I also deal with skin and hair concerns — dullness, acne, hair fall, pigmentation and that. Some people just need to hear someone say “it's normal, we can manage it step by step”, and I try to be that person for them. My work with cosmetic guidance is honestly more about building confidence than about just appearance. And yeah, I don’t offer miracle fixes, just thoughtful, evidence-based help that respects the person’s body and what it’s been thru. Sometimes it’s small changes that makes all the diff.

I am an ENT specialist with MS in Otorhinolaryngology, and yeah that basically means I deal with all sorts of ear, nose, throat stuff—sometimes minor, sometimes really tricky. My journey in this field started way back during med school, but it really took shape when I started digging deeper into the surgical side of ENT. I got drawn to the way tiny structures in the head-neck region can cause big problems... and fixing those? Kinda became my thing. I usually manage everything from chronic sinus issues, nasal polyps, deviated nasal septum, ear infections, hearing loss cases to things like vocal cord nodules and thyroid swellings. There’s a lot people don’t realise about ENT, like how vertigo can be tied to the inner ear or how simple allergies can wreck someone’s sleep—makes you look at the body as this connected mess of systems that need tuning more than fixing. Surgery’s part of what I do, not all of it. I do a fair bit of outpatient diagnosis too... endoscopic exams, audiometry interpretation, allergy management—sometimes it’s not about rushing to the OR but figuring out what the patient actually needs. And yeah sometimes that takes time, and explaining things over again bcoz ENT symptoms can get confusing for people. One thing I’m big on is clarity. I try and make sure patients leave the consult with less fear, more understanding—even if they’re not sure yet about treatment. I mean you don’t wanna leave someone feeling worse just cause they didn’t get the jargon right? That bugs me. Right now I’m also keeping up with the newer tech in ENT—minimal invasive techniques, better imaging, laser interventions... It’s a fast field if you're looking. I don’t claim to know it all, but I do make sure I keep learning, whether it’s by reading up late or bugging seniors when something doesn’t sit right. Anyway if you’re dealing with ENT stuff—frequent cold, blocked nose, ear ringing, tonsils, snoring, whatever—you don’t have to “wait and watch” forever. Sometimes you just need the right person to hear you out, literally.

I am Dr. Sail Patil (MBBS) and yeah, the path's been kind of layered so far. I worked with the Sir JJ Group of Hospitals for about a year – honestly, that place throws you right into the middle of real-world medicine, not textbook stuff. It taught me a lot about clinical judgement, fast decision-making, patient overload and yep, what it means to hold your ground when you don’t have much time to think. After that, I joined under NHM with KDMC where I managed the OPD, and that setup was totally different but equally challenging in its own way. Most of my work there revolved around outpatient diagnosis and primary care treatment, esp for non-communicable chronic illnesses like diabetes and hypertension. And lemme say — managing chronic lifestyle disorders ain’t as simple as it looks. People come in with confusing symptoms, half-treated from somewhere else, and every now n then I had to kinda break the cycle. Like stop the repeating meds and start fresh with proper plans. At KDMC, I was actively involved in changing the course of treatment where needed – not everyone with high sugar needs the same pills, right? You gotta adjust according to their diet, lifestyle, comorbidities, or even just what they *can* afford. It taught me to be patient, listen properly n not just treat numbers on paper. Some cases were trickier than they looked at first glance. I didn’t chase big titles or post-grad stuff yet – maybe in future, I’m not sure – but what I did get was loads of exposure to ground-level real practice, and that I feel really shaped how I approach patients today. Maybe my grammar slips here or there when I’m typing all this (you’ll see missing comma or two) but when I’m with a patient, I’m fully present. I believe that’s what matters more.

I am Dr. Hiteshwar Singh Kalsi, MBBS and MD in Dermatology, practicing in Noida. It’s been around 6 years now in total, with the last 4 years more focused into direct clinical experience—working hands-on with real people, real cases, and yeah, real challenges too. My day mostly revolves around treating skin, hair, and nail-related conditions, but honestly, no two cases feel the same. There’s always some new pattern, or some unexpected twist and that’s what kinda keeps me always alert, always learning. My work is not just about writing prescriptions or suggesting skin creams (though that’s part of it too). I like going deeper, getting to the root of chronic issues—whether it’s persistent acne, sudden hairfall, weird rashes that won’t settle, or even fungal nail infections that ppl usually ignore until it gets too messy. I spend a good amount of time listening to patients (maybe more than what is expected sometimes), coz that’s usually where most clues are hiding anyway. Cosmetic dermatology? Yeah, I handle that too. I perform procedures like chemical peels, intralesional therapies, and basic anti-aging regimens but I always try keeping the results natural-looking. I’m not really into over-promising stuff... like “this will go in 3 days” or “you’ll look 10 years younger.” That feels weird to me. I just believe in honest consults, clarity about treatment expectations, and sticking to what science says works. At the clinic, I’ve seen cases ranging from simple sunburns to tricky autoimmune stuff like lichen planus or alopecia areata. Even cases that came in with totally wrong diagnosis and needed re-evaluation. Some of these turn out more complicated than they look at first, and that’s where clinical experience honestly helps, coz textbooks don’t cover everything. I work hard to stay updated—read research, join webinars, whatever I can squeeze in between opd shifts. But end of the day, it's about trust. If my patient walks out feeling heard and gets better slowly but steadily, I’m good with that.

I am Dr. Brijesh and yeah—been practicing for over 15 years now in internal medicine. Did my MD, and honestly, during this time I’ve kind of rotated through everything you can think of—OPD, ICU, ER, wards. Each of these places taught me different things, not just clinically but in terms of handling real people in real pain. I don’t rush my consults... maybe that’s why people feel a bit more heard when they walk out, not just “treated”. My clinical focus now is more tuned into chronic and age-related stuff—like diabetes care, geriatric medicine and also palliative subjects (which ppl often ignore but honestly they matter a lot). Diabetes is tricky cause no two cases are really the same, and it’s not always about medicines. There’s lifestyle stuff, follow-up, talking people through what’s working and what’s clearly not. I like to go deep with that. I also care about end-of-life comfort... sometimes managing pain and letting someone go with dignity needs more courage than people realise. I don’t avoid those tough convos when needed. Anyway, nothing too flashy here. Just try to give honest, patient-centered care. I listen, ask a lot of qstns (maybe too many sometimes lol), and I actually do take time understanding where someone’s coming from, not just where the disease is at. Patients aren’t just a symptom checklist for me. They’ve got fears, stories, their own pace. I work at theirs, not mine.

With over 18 years of clinical experience, I’ve dedicated my practice to the care and management of outdoor ophthalmic patients across varied settings. I have done my Diploma in Ophthalmology from the National Board of Examinations (NBE), and since then, I’ve focused on providing accessible, empathetic, and evidence-based eye treatments. I deal with a wide spectrum of eye conditions—ranging from routine vision complaints to more complex concerns like infections, trauma-related injuries, and chronic conditions affecting ocular health. Whether it's diagnosing early signs of cataract or managing long-term visual issues, my approach always begins with listening carefully to each patient. No two eyes are the same—and neither are the people behind them. I’ve worked extensively in outpatient settings, where timely diagnosis and clear patient communication are absolutely key. I try my best to keep things simple for the patient—eye care shouldn't feel like a maze of medical terms and rushed appointments. Instead, I focus on making every consultation practical, collaborative, and comfortable. I still attend occasional clinical meets or training modules to refine my practice wherever needed. I may not always have fancy words, but I know how to take care of the eyes that walk into my clinic. That’s what matters most to me.