August 26, 2023

1400H - 1500H
Via Zoom

Empowerment
objective - for
laypeople to have an
When to say
essential
you have a
understanding of
GOITER?
“WHEN TO SAY YOU
HAVE A GOITER” in
their health
management.
 August 26, 2023
1400H - 1500H
Via Zoom
Welcome all!

MUTE yourself but always

Empowerment show your video picture.
objective - for
Sign in your name, FB
laypeople to have an
When to say account, or email address in
essential the Chat Box! Include names
you have a of companions attending.
understanding of
GOITER?
“WHEN TO SAY YOU Use the Chat Box to ask
questions and make
HAVE A GOITER” in comments while the PEP TALK
is on.
their health
management. There will be group pictures
at start and end of PEP TALK –
show your face in video.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 ROJOSON’S REQUEST:
Empowerment
objective - for FEEDBACK TO THIS
laypeople to have an PEP TALK!
When to say
essential
you have a Pls. type in your
understanding of feedback in the chat
GOITER?
“WHEN TO SAY YOU box during the open
HAVE A GOITER” in forum and before we
their health adjourn!
management.
Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for START PEP TALK
laypeople to have an PROPER IN 2
When to say MINUTES!
essential
you have a
understanding of
GOITER? Pls. turn on your
“WHEN TO SAY YOU video!
HAVE A GOITER” in Show your face!
their health
management.
 Empowerment ROJoson PEP Talk
objective - for
laypeople to have an I have a Patient
When to say Empowerment
essential
you have a Program in which I
understanding of
GOITER? like to empower the
“WHEN TO SAY YOU lay people or
HAVE A GOITER” in patients to take
their health control in the
management. management of
their health.
I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm,
discipline and
perseverance.
 Empowerment
objective - for
My PEP TALK today is
laypeople to have an
When to say entitled:
essential
you have a When to say you
understanding of
GOITER? have a GOITER?
“WHEN TO SAY YOU
HAVE A GOITER” in
their health
management.
 Contents
• When to say you have a GOITER?
When to say • What to do after you have discovered you
Disclaimer:
you have a have a GOITER?
GOITER? ROJoson PEP Talk
• What to expect from a THYROID specialist
contains ROJoson’s
after you have consulted him/her for a
Thoughts,
GOITER?
Perceptions,
Opinions and
Recommendations
(TPORs) culled from
experiences of other
professionals and
ROJoson.
 Emphasis of PEP Talk:
How to recognize the presence of a GOITER during
When to say neck self-examination (emphasizing the
Disclaimer:
you have a importance of NECK SELF-EXAMINATION)
GOITER? ROJoson PEP Talk
and
contains ROJoson’s
then what to do thereafter, relying on the
Thoughts,
expertise of a THYYROID specialist who will give
Perceptions,
advice accordingly and with informed consent
Opinions and
(emphasizing the importance of a THYROID
Recommendations
specialist)
(TPORs) culled from
experiences of other
NOT to jump to diagnostic tests without prior
professionals and
NECK SELF-EXAM and THYROID Specialist’s advice.
ROJoson.
 When to say you have a GOITER?
When to say
First of all, all human beings have a thyroid gland
you have a which can give rise to a GOITER.
GOITER?
 When to say you have a GOITER?
When to say
The thyroid gland is a butterfly-shaped gland in
you have a the front of your neck. It makes hormones that
GOITER? regulate the body's metabolic rate, growth and
development. 
 When to say you have a GOITER?
When to say
A GOITER is said to be present if there is an
you have a ABNORMALITY in your thyroid gland.
GOITER? Structural
The ABNORMALITY usually comes in two forms: abnormality –
- Functional abnormality whether the thyroid
- Structural abnormality gland is diffusely
enlarged or there
Functional abnormality – whether the thyroid are nodules or
gland is secreting too much or too little thyroid masses (either
hormones (HYERTHYROIDISM or CANCER or NOT
HYPOTHYROIDISM). CANCER).
 When
YOUto sayHAVE
you have
AaGOITER
GOITER? WHEN
When to say ANY
A GOITER is said to beOF THESE
present if there is an
you have a ABNORMALITY in your thyroid
GOITER? ABNORMALITIES ISgland.
PRESENT!
Structural
The ABNORMALITY usually comes in two forms: abnormality –
- Functional abnormality whether the thyroid
- Structural abnormality gland is diffusely
enlarged or there
Functional abnormality – whether the thyroid are nodules or
gland is secreting too much or too little thyroid masses (either
hormones (HYERTHYROIDISM or CANCER or NOT
HYPOTHYROIDISM). CANCER).
 When
DOtoAsaySELF-EXAMINATION
you have a GOITER? TO
When to say CHECK IFbeANY OFif there
THESE
A GOITER is said to present is an
you have a ABNORMALITY in your thyroid
GOITER? ABNORMALITIES ISgland.
PRESENT!
Structural
The ABNORMALITY usually comes in two forms: abnormality –
- Functional abnormality whether the thyroid
- Structural abnormality gland is diffusely
enlarged or there
Functional abnormality – whether the thyroid are nodules or
gland is secreting too much or too little thyroid masses (either
hormones (HYERTHYROIDISM or CANCER or NOT
HYPOTHYROIDISM). CANCER).
 How to do self-examination to check if GOITER is Start with NECK SELF-
present or not? EXAMINATION (NSE)!
When to say
you have a Two essential things to do in SELF-EXAMINATION NSE usually facilitates
GOITER? for POSSIBLE GOITER: diagnosis or
recognition in
• Neck Self-Examination (NSE) GOITER in one
• Feeling for GOITER symptomatology [feel for minute!
symptoms that may suggest abnormality in
the thyroid gland, especially the functional
ones (symptoms of hyperthyroidism and
hypothyroidism)]
 NECK SELF-EXAMINATION for POSSIBLE GOITER
When to say
you have a
GOITER?

https://
www.very
wellhealt
h.com/
thyroid-
disease-
detection
-neck-
3233223
 NECK SELF-EXAMINATION for POSSIBLE GOITER
Self-palpation of the thyroid gland
When to say
One hand and/or two hands
you have a
GOITER?
 NECK SELF-EXAMINATION for POSSIBLE GOITER
Feel for bump or lump on swallowing
When to say
Enlargement or nodule/s?
you have a
GOITER?

YOU HAVE A
GOITER!
 NECK SELF-EXAMINATION for POSSIBLE GOITER Presence of a
Self-palpation of the side of neck palpable lymph node
When to say
for possible lymph node enlargement may constitute a
you have a suspect for a
GOITER? THYROID CANCER!
Thus, also a GOITER!
 How to do self-examination to check if GOITER is
present or not?
When to say
you have a Aside from Neck Self-Examination to check if GOITER
GOITER? is present, particularly if NSE is normal, check if you
have symptoms that may suggest abnormality in the
thyroid gland, especially the functional ones such as
HYPERTHYROIDISM and HYPOTHYROIDISM. If positive, you may
have a GOITER.
Check if you have
• sudden weight loss despite good appetite HYPERTHYROIDISM
• palpitations
• chronic fatigue and tiredness HYPOTHYROIDISM
 SO, when to say you have a GOITER?
When to say
Upon NECK SELF-EXAMINATION plus feeling for GOITER
you have a symptomatology, you say you have a GOITER if
GOITER?
• Your thyroid is enlarged.
• Your thyroid contains nodule/s.
• There is a palpable neck node which can be a part of a thyroid
cancer.
• There are symptoms suggestive of HYPERTHYROIDISM
(particularly, sudden weight loss and palpitation).
• There are symptoms suggestive of HYPOTHYROIDISM (particularly,
chronic fatigue and tiredness).
 Another situation in which you can say you have a GOITER is when a
physician examines your neck for whatever reason and found
When to say
you have a • Your thyroid is enlarged.
GOITER? • Your thyroid contains nodule/s.
• There is a palpable neck node which can be a part of a thyroid
cancer.
• There are symptoms suggestive of HYPERTHYROIDISM
(particularly, sudden weight loss and palpitation).
• There are symptoms suggestive of HYPOTHYROIDISM (particularly,
chronic fatigue and tiredness).
 Another situation in which you can say you have Functional abnormality –
a GOITER is when diagnostic tests that were whether the thyroid
When to say gland is secreting too
done for whatever reasons show abnormalities
you have a in the thyroid gland (in the realms of FUNCTION
much or too little thyroid
hormones
GOITER? and STRUCTURE). (HYERTHYROIDISM or
HYPOTHYROIDISM).
The initial diagnostic tests are commonly the
following:
• Thyroid function tests (such as FT3, FT4, TSH) Structural abnormality –
whether the thyroid
• Thyroid ultrasound gland is diffusely
enlarged or there are
nodules or masses
(either CANCER or NOT
CANCER).
 SO, what’s NEXT after you have discovered a possible or Reminders:
evident GOITER in your monthly NECK SELF-
When to say EXAMINATION? You should
you have a know how to
GOITER? GO SEE A THYROID SPECIALIST RIGHT AWAY! do NECK
SELF-EXAM.
A THYROID specialist in the Philippines at the present
time can be an endocrinologist, a general surgeon or an You should
ENT. do MONTHLY
DO NOT HAVE TESTS DONE WITHOUT SEEING A THYROID NECK SELF-
SPECIALIST FIRST WHO WILL EXAMINE and PALPATE YOUR EXAM as a
NECK TO VERIFY YOUR FINDINGS . The TESTS may not be health habit.
necessary after the THYROID specialist’s examination!
 What will a THYROID SPECIALIST do to you upon Depending on the
When to say consultation? DIAGNOSIS, the
following
you have a
The thyroid specialist will make a DIAGNOSIS recommendations
GOITER? statement based on physical examination and may ensue:
symptom data. Then, he/she will make Observe and do
recommendations on what to do next. further self-
monitoring and
You should expect the following: specialist’s
explanation of findings & diagnosis; allayance of monitoring;
fear and anxiety; queries answered; informed diagnostic tests;
consent obtained for decided treatment. medications;
operation; etc.
 SO, when to say you have a GOITER?
When to say
Upon NECK SELF-EXAMINATION plus feeling for GOITER
you have a symptomatology, you say you have a GOITER if
GOITER? Summary
• Your thyroid is enlarged. Take Away
• Your thyroid contains nodule/s.
• There is a palpable neck node which can be a part of a thyroid
cancer.
• There are symptoms suggestive of HYPERTHYROIDISM
(particularly, sudden weight loss and palpitation).
• There are symptoms suggestive of HYPOTHYROIDISM (particularly,
chronic fatigue and tiredness).
 Have your findings be validated by a THYROID specialist through the
same processes:
When to say
you have a Summary
GOITER? Take Away
• Your thyroid is enlarged.
• Your thyroid contains nodule/s.
• There is a palpable neck node which can be a part of a thyroid
cancer.
• There are symptoms suggestive of HYPERTHYROIDISM
(particularly, sudden weight loss and palpitation).
• There are symptoms suggestive of HYPOTHYROIDISM (particularly,
chronic fatigue and tiredness).
 Then, let your trusted THYROID specialist do the
following: Summary
When to say Take Away
you have a The thyroid specialist will make a DIAGNOSIS
GOITER? statement based on physical examination and
symptom data. Then, he/she will make
recommendations on what to do next.

You should expect the following:

explanation of findings & diagnosis; allayance of
fear and anxiety; queries answered; informed
consent obtained for decided treatment.
 Contents
• When to say you have a GOITER?
When to say • What to do after you have discovered you
Disclaimer:
you have a have a GOITER?
GOITER? ROJoson PEP Talk
• What to expect from a THYROID specialist
contains ROJoson’s
after you have consulted him/her for a
Thoughts,
GOITER?
Perceptions,
Opinions and
Recommendations
Summary (TPORs) culled from
Take Away experiences of other
professionals and
ROJoson.
 Emphasis of PEP Talk:
How to recognize the presence of a GOITER during
When to say neck self-examination (emphasizing the
Disclaimer:
you have a importance of NECK SELF-EXAMINATION)
GOITER? ROJoson PEP Talk
and
contains ROJoson’s
then what to do thereafter, relying on the
Thoughts,
expertise of a THYYROID specialist who will give
Perceptions,
advice accordingly and with informed consent
Opinions and
(emphasizing the importance of a THYROID
Recommendations
specialist)
(TPORs) culled from
experiences of other
NOT to jump to diagnostic tests without prior
professionals and
NECK SELF-EXAM and THYROID Specialist’s advice.
ROJoson.
 Be always in touch with reliable medical Take Away in
When to say information on how to recognize presence relation to
you have a of a GOITER and what to do thereafter. Patient
GOITER? Empowerment
Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions /
make better decisions on recognizing
GOITER and what to do thereafter.
 Empowerment
objective - for
laypeople to have an
When to say
essential
you have a
understanding of
GOITER?
“WHEN TO SAY YOU
HAVE A GOITER” in
their health
management.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation
 ROJOSON’S REQUEST:
Empowerment
objective - for FEEDBACK TO THIS
laypeople to have an PEP TALK!
When to say
essential
you have a Pls. type in your
understanding of feedback in the chat
GOITER?
“WHEN TO SAY YOU box during the open
HAVE A GOITER” in forum and before we
their health adjourn!
management.
Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for START Q&A AND
laypeople to have an INTERACTIONS!
When to say
essential
you have a Pls. turn on your
understanding of
GOITER? video!
“WHEN TO SAY YOU Show your face!
HAVE A GOITER” in
their health
management.