tag:blogger.com,1999:blog-30499448.post1472536592017393478..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: Necked TruthSid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-30499448.post-37023064810406227422011-03-16T12:50:56.488-07:002011-03-16T12:50:56.488-07:00Thanks for this clinical lesson, I'm going to ...Thanks for this clinical lesson, I'm going to watch my first hemithyreoidectomy tomorrow and was preparing. While looking for pictures of m. platysma I found your blog.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-19232594298664639122008-01-03T17:50:00.000-08:002008-01-03T17:50:00.000-08:00diana: glad to be useful. Good luck. Generally thy...diana: glad to be useful. Good luck. Generally thyroid surgery is very slick and smooth. It's strange how in some cases a nodule will grow posteriorly instead of anteriorly and give symptoms out of proportion to its size.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-91002370219498411742008-01-03T17:18:00.000-08:002008-01-03T17:18:00.000-08:00Hi Dr. Schwab:Just getting ready to have a thyroid...Hi Dr. Schwab:<BR/><BR/>Just getting ready to have a thyroidectomy myself (I have hoarseness and some breathing issues at this point). A bugger of a nodule, am euthyroid -- but my thyroid looks nothing like your HUGE thyroid pic. Crazy. An interesting read as I prepare to be "patient" in what I believe are very capable hands. Thanks again!<BR/>DianaDiana "Gkygrl"https://www.blogger.com/profile/08354114383894279966noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-78518933651089211262007-03-11T16:02:00.000-07:002007-03-11T16:02:00.000-07:00Fascinating. This one has special resonance to me ...Fascinating. This one has special resonance to me as I had a benign tumor removed from my thyroid gland some years ago. The surgeon managed to gracefully place the scar into the fold where my neck joins my body, just to the left, and so unlike many people around here I don't look as though I survived having my throat cut.Alexandra Lynchhttps://www.blogger.com/profile/18072477348101339042noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-70803555119718810272007-03-10T00:00:00.000-08:002007-03-10T00:00:00.000-08:00Perhaps I should have put it this way: bilateral p...Perhaps I should have put it this way: bilateral paralysis requiring trach would be obvious... My point was about the "trach set at bedside" order of yore...Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-84253642666299623232007-03-09T18:11:00.000-08:002007-03-09T18:11:00.000-08:00With all due respect Dr Schwab, a bilateral true ...With all due respect Dr Schwab, a bilateral true vocal fold paralysis is not necesarly obvious in the recovery room. That's precisely why this continues to be a problem for general surgeons who don't have a feel for laryngeal function. It's also the reason why we continue to see unilateral and bilateral vocal fold paralysis YEARS after the thyroidectomy (or parathyroidectomy).Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-39596629063604440742007-03-03T05:38:00.000-08:002007-03-03T05:38:00.000-08:00thanks, i'll let you know how it goes when it goes...thanks, i'll let you know how it goes when it goes.catherine (fairchild) calhounhttps://www.blogger.com/profile/08956302792185482511noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-25531974061548675042007-03-03T00:42:00.000-08:002007-03-03T00:42:00.000-08:00"the gentlest of receding waves, like rain on a cl..."the gentlest of receding waves, like rain on a clean window."<BR/><BR/>As ignorant of thyroid surgery as I am, this is nonetheless beautiful.<BR/><BR/>Your capacity for descriptive imagery beggars belief, Sid.<BR/><BR/>Enjoying,<BR/>Dork.Dr Dorkhttps://www.blogger.com/profile/00038767903911860667noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-61963142025091662492007-03-02T19:31:00.000-08:002007-03-02T19:31:00.000-08:00catherine: sure they can. In fact, I'm certain the...catherine: sure they can. In fact, I'm certain they'd say they can do it better!Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-57334498168921495532007-03-02T16:53:00.000-08:002007-03-02T16:53:00.000-08:00Is there a significant difference between an adult...Is there a significant difference between an adult thyroidectomy and pediatric thyroidectomy? Can a general pediatric surgeon navigate all of those layers as you described? Thoughts? Please share. Curious.catherine (fairchild) calhounhttps://www.blogger.com/profile/08956302792185482511noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-13695778789124391012007-03-02T09:40:00.000-08:002007-03-02T09:40:00.000-08:00Hi Dr. Schwab - I left a long comment on your post...Hi Dr. Schwab - I left a long comment on your post about your parents. I inadvertently hit enter instead of preview and so it is now there unedited. (Sigh!) Again - you struck a chord within me. :) I hope it didn't go too off topic.SeaSprayhttps://www.blogger.com/profile/07906503090688697222noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-29020115417311562732007-03-01T18:12:00.000-08:002007-03-01T18:12:00.000-08:00One of the most memorable surgeries I watched as a...One of the most memorable surgeries I watched as a med student was by a highly-respected cancer surgeon at Ohio State. It was a radical neck dissection, and he was a meticulous surgeon, carefully tying off all bleeders as he went (it was before the advent of Bovies).<BR/>The anatomy was laid out so beautifully, and he was a great teacher, pointing out various structures, asking questions as he went. It was breathtaking.Greg Phttps://www.blogger.com/profile/18422487877167541900noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-40095693747264858052007-03-01T16:43:00.000-08:002007-03-01T16:43:00.000-08:00i always figured surgeons considered the neck a po...i always figured surgeons considered the neck a potential landmine, what with so many important structures at such close anatomic quarters.<BR/><BR/>great post. seems to me like u must be one helluva teacher.Indian Medichttps://www.blogger.com/profile/14267863624450677014noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-3133904779616878272007-03-01T16:20:00.000-08:002007-03-01T16:20:00.000-08:00Good lord that was a big thyroid. When I did my Su...Good lord that was a big thyroid. When I did my Surg rotation I was able to see a thyroidectomy. It was a very cool case, but also one of the times where I was the most unprepared (as I wasn't supposed to actually be in on that case at all). I remember the surgeon stopping to look at me and asking: "Did you even read?" Felt really bad after that.MedStudentGod (MSG)https://www.blogger.com/profile/02670042423377931696noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-60983447835147588482007-03-01T10:42:00.000-08:002007-03-01T10:42:00.000-08:00I don't think anything short of a frontal lobotomy...I don't think anything short of a frontal lobotomy could help that guy....and by the way, his crimes were committed in my "neck" of the woods, so to speak.<BR/><BR/>ShaunaAnonymousnoreply@blogger.com