Hi,
Eight days ago, I had a thyroid lobectomy to remove a benign follicular adenoma (5 cm) that reached below my collar bone and my left thyroid gland. Immediately, in the hospital I began to swell and bruise, and after going home, I bruised all the way to the center of my breasts. That bruising is gone, but the lump and bruise on my throat remain. (My husband says I look like a toad.)
I went to the surgeon today for a follow-up visit and she attempted to aspirate it. It is too thick, and won't come out. She says it should dissolve and be reabsorbed into the body within the next 4 weeks. Does this seem reasonable? Will it go away on its own? Should she have planned some type of surgical removal of it since it is so thick? It is uncomfortable, and sometimes I have trouble swallowing, but breathing seems to be ok so far. Also, it swells more as the day goes on, and usually by the end of the day my voice is “horsey”. I think this is because it is swelling and putting pressure on my voice box, but of course I’m not a medical professional.
She did say that she will not attempt another aspiration, especially not in the office, as I basically passed out without loosing total consciousness immediately after her attempt. I felt faint, the room went black, I could hardly move, I felt sick etc. Basically I felt like you do when you come out of surgery and they are talking to you—you know someone is there, but you can't yet respond – even my words were kind of slurred. My husband said I turned blue from the nose to the chin before beginning to regain color. They didn’t have oxygen in the office, but I think it would have helped me come around quicker. It took about 45 minutes for me to feel ready to leave. By then, the doc had gone to surgery, but her nurse was still there. Is this type of response often seen after an unsuccessful aspiration attempt? My BP has been relatively low (as low as 85/52, but averaging around 104/75 – my normal BP is around 136/88). Should I be concerned about this? I see a cardiologist about my possible BP problems (I’m not sure they aren’t related to the thyroid). Should I contact her about the episode?
The surgeon says she plans to do blood work in two months to determine if the right side of my thyroid is taking up the load of the left side or if synthetic medications are needed. Is it normal to wait this long after surgery? I was told by a friend who had thyroid cancer to expect them to tap on my face. They never did. Should they have?
My surgeon specializes in thyroid, parathyroid and breast surgeries/cancers. So, I feel she is qualified; it's just that I haven't seen these symptoms posted anywhere on the web, and I haven't had tests, I thought would be performed by now, so I need a little reassurance. I need to know that playing the "wait and see" game is the best for my health.
Thank you for your advice.