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My mother She needs a total thyroidectomy with removal of the lymph node
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Endocrine & Hormonal Imbalances
Question #19070
13 hours ago
15

My mother She needs a total thyroidectomy with removal of the lymph node - #19070

Dinu Anamaria

My mother is 44 years old and has several health conditions including diabetes, high blood pressure, obesity, and hepatitis. She has a Bethesda IV thyroid nodule with a high risk of follicular cancer and also has a swollen lymph node that may be affected. She needs a total thyroidectomy with removal of the lymph node. She has two options: 1. A highly experienced surgeon in a large hospital in the capital, but the surgery can only be scheduled in 6 months. 2. A less experienced surgeon in a small hospital who can operate within 1 month. Considering her comorbidities and the cancer risk, which option would you recommend and why?

Age: 22
Cancer
Endocrine
Thyroidectomy
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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
3 hours ago
5

Strict control of comorbidities Diabetes: HbA1c optimized Blood pressure well-controlled Weight management if possible Liver function monitored Regular monitoring Neck ultrasound every 2–3 months Watch for rapid growth or new symptoms Pre-surgical optimization Endocrinologist + anesthetist evaluation early Cardiac clearance if needed

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
1 minute ago
5

Hello,

This is not a simple thyroid surgery. It is a high-risk, technically demanding operation

For this type of case, surgeon experience matters more , unless there is evidence of rapidly aggressive cancer.

Optimize diabetes and blood pressure Get hepatology and anesthesia clearance Plan surgery with the best possible surgeon and hospital

6 months is usually safe for Bethesda IV lesions, unless there are signs of aggressive disease

Watch for red flags 🚩

I trust this helps Thank you

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