Category Archives: Hurthle Cell

Plans, Questions

I got Eleanor a CD player for her room today, step 1 in my weaning plan. I’ll work on that…sometime soon. :) I have two different things to try. One is a “Toddler Sleepy Time” Hypnobabies track. The other is just plain, old-fashioned lullabies.

I found out today that M, a friend of mine,has been diagnosed with melanoma and is going to have some kind of surgery related to that. Yet another reminder that I am not the only one with trouble in my life.

I called today and got my follow-up appointment changed to Tuesday, May 7th. That way, I don’t have to wait as long (yay!) and Rusty will be able to go with me. I want him there since we will be talking about surgical stuff.

I looked up oils that are supposed to be good for Hashimoto’s. Looks like lemongrass is #1, and also myrrh and frankincense. So I made myself up a little blend. I am starting to like this blending thing. I think it’s so interesting that I have been so drawn to lemongrass already—I was just telling K the other day that it was one of my favorites. There are many people who think that our noses will usually lead us to what we need most.

I’ve also been thinking about what else I can do to decrease the inflammation in my body. Of course, the number one thing probably needs to be cutting out sugar. *sigh* I am NO good at that. But I have known for a long time that I needed to do it. I am able to do it for a while, and then I fall off the wagon and find it SO hard to get back on. But this is now not just a matter of diabetes prevention (which should be enough), but also taking care of my thyroid. Especially if I’m only going to have half of one.

One thing I really don’t want to think about is Hurthle Cell Carcinoma. It was easier to contemplate Papillary Carcinoma cheerfully because it seemed SO curable—more like something that would change my summer than something that would change my life. Having HCC is more like having…cancer. It is harder to treat, usually resistant to RAI, and tends to metastasize to places like bone, lung, and “central nervous system.” Yuck. The good news is that it seems much more common in people older than me (and more aggressive for them, too). I hope it is just a bunch of Hurthle cells hanging out in my thyroid, just for fun. They are more the Rook-playing, movie watching crowd than the kind who go out knocking down mailboxes with baseball bats and forking people’s yards.

So should I ask Dr. B for my complete report? I feel like I already know what I need to. I think I would obsess more over the details. And STILL I am tempted to ask. But I am not going to, at least not until my appointment. I am working on my list of questions, though:
1—Which nodule had which diagnosis?
2—Where will the excised half of my thyroid be dissected and analyzed?
3—Why didn’t we biopsy at least the largest nodule in the left side of my thyroid? Should we do that before surgery, in case it turns out that I really do need to have my left lobe removed too?
4—If I need RAI, do they do that at our local hospital?
5—How long is recovery from surgery?
More questions to follow, I am sure.

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“Either way, you will be fine.”

11:45 am
They’re cutting down the Toomer’s Corner Oaks today. One of them (the one on the left) looks like it’s already down. Watching on and off on the webcam. Wondering if there will be something else to mark this day as significant for me.

I am fighting edginess today. Have yelled at the kids several times. Thank you Lord for Clary Sage. I am really, really, really trying to Remain Calm. I also need to get my head around the possibility that I may not hear anything today, even though today is when the news is “due.” I will not die from waiting.

6:30 pm
Biopsy results are back.   I sent Dr. B an email this morning, and he answered me this afternoon.

One of the nodules tested as benign with inflammatory cells, which Dr. B says is consistent with Hashimoto’s thyroiditis.

The other nodule was a  “Hurthle Cell Lesion.” This can be because of Hashimoto’s. It is probably not cancer but since there is still a small chance it is, they usually recommend “surgical excision.”  He says we need to talk about whether to remove part or all of the gland.

“Either way, you will be fine,” he said.  I appreciate his reassuring words.  He laid out the facts, but isn’t lacking the human factor to go along with them.

Pretty Hi-larious how far off I was in my latest theory! Should teach me not to speculate. But of course I have already started looking at Hashimoto’s and Hurthle Cells on the internet. Really haven’t found much to tell me any more than Dr. B’s email. And I still have to WAIT! :) It’s probably good for me.

So I still don’t have a yes/no answer on cancer, and I will probably need surgery this summer. Some good news, for me, is that Rusty can go to Utah on his business trip this weekend without the stress of leaving behind a cancer-diagnosed wife at home.

So should I go ahead and start to wean Eleanor anyway, knowing that I will probably at least need surgery? I think I will.