I chose the title of this blog for two reasons. First, I realized that letting the surgical cat out of the bag on Facebook meant that I would be answering the same questions over and over again unless I announced it definitively somewhere like here. Second, I really, really hate those surgical garbs they make you wear. Egad, the procedure I went through this week was on my neck and they still had me strip down to my birthday suit and put one of those blasted things on! Come on!
My story starts with my physical exam six weeks ago. I have a female physician, Nancy Kimbrow. And although there are times when having one can be a little awkward–such as the regular prostate exam (“Drop your trousers and bend over please.”)–she is a very good, very thorough doctor. I suspect that what I am going through is due to her diligence, but at the same time, she could have very well saved my life in the process.
She noticed a lump on the right side of my throat that I even hadn’t noticed. She recommended that I get an ultrasound. I did so, and when the results came back, she told me that I had a cyst of about 3.5 centimeters in my thyroid. Thyroids apparently are notorious for having cysts–about 15% of people have them–but almost all are less than 1 centimeter in size. The size alarmed her, which caused her to refer me to an endicrinologist, who then referred me to a ear-nose-throat surgeon.
The first thing the ENT wanted to do was called a ultrasound-guided needle biopsy. They take a paddle and run it up and down your throat to make sure they have the right spot. Then they stick a needle attached to a suction machine into the side of your throat. Sounds like fun? Not really. I went through the usual pre-procedural business with the hospital, then went in for my biopsy last Wednesday.
Since they were working on my throat, I thought it would be a matter of me taking off my shirt, numbing the area and doing what they had to do while I sat in a chair, read a book or played Angry Birds on my iPhone. Oh, was I naive. As I mentioned at the beginning, they acted as if I was going in for major surgery or something. “Strip everything off except your socks,” the nurse told me. I grumbled and fussed, but did what I was told. I didn’t even object when I heard them call me MISTER Robinson at least a dozen times. I must be getting old and mild mannered.
They had me put on that stupid gown that features a cold, white butt sticking out the back, and got in the bed with the wheels. They were nice enough to bring me a couple of heated blankets, since I was already cold. After an hour of watching TV with Shelly–and, of course, playing Angry Birds–they came and got me and wheeled me to the outpatient surgery area. The bed reminded me of one of those shopping carts you get at Wal-Mart. You know, one that had been dropped from the roof so many times that the wheels didn’t work. Either that, or the walls were magnetized, because the bed kept wanting to bang into the walls all the way down the hall.
But we got there. I got two nurses and two doctors to work on me. They draped me with sterile cloth, some of it partially over my face to disguise me. They set up the screen for the ultrasound on my left and started working on my right. (There was some confusion at the beginning as to whether the lump was on the left or the right. The doctor’s orders said it was on the left, but I corrected them and told them it was on the right. I actually made the surgeon correct himself. But hey, I’m a doctor too.)
As I mentioned before, they numbed the area with Lidocaine (the stuff that dentists use) and then got busy jamming the suction needle into the side of my neck. I watched the screen out of the corner of my eye and could see the little cystic culprit up there on the screen (actually, he didn’t look that little). Then I watched the needle come in from the side of the screen and poke its way into the cyst. First it sucked out some old blood that was there. Then it slowly evacuated some of the tissue that was there as well.
They put the needle in twice and sucked stuff out. Then the pathologist told me that it appeared to be a “hemorrhagic cyst,” and that it was “very likely” benign. That made me breathe easier. I knew that the official word wouldn’t come until Friday, but that was room for hope.
Friday I called the doctor’s office to get the results. They told me that the doc was in surgery all day and that the lab results would not be in until next Tuesday. A couple of hours later, the doc himself called me, which alarmed me.
Doc said that the tissue taken from the procedure was inconclusive, and he didn’t think another needle biopsy would tell him any more. He couldn’t guarantee that there was no cancer unless we did surgery. Therefore he recommended that we go in for surgery and remove the right portion of my thyroid. If they got in there and found that it was cancerous, they would remove the left portion as well.
Surgery is something I don’t like to think about. Add the word cancer and it gets pretty scary. But I knew from the very beginning that that was the right thing to do. Still, I asked that he give me the weekend to think about it, as I wanted to talk to Shelly. He said there was no rush, since he couldn’t get me on the surgical schedule until after September 22.
So that’s where I am. Earlier he told me that I had my age and my gender going against me. What I had going for me was the fact that apparently whatever is in the cyst is self-contained, it hasn’t spread anywhere else in my neck, including my lymph glands. I like to believe that I also going for me my firm belief in God’s providence, my health and my rugged good looks. But hey, he’s only a surgeon. I’m a university professor. Which one of us knows more?
I’ll keep my faithful readers posted as I learn more. Just don’t get on Facebook and ask me what’s going on. That’s what the blog is for.
Stay tuned.