Professional Documents
Culture Documents
I gave her the options of trial of medical therapy and operation. She
chose operation.
I planned out my incision – less than 2 inches over a skin crease on the
lower part of the neck, more to the left of midline, overlying the
palpable mass, and about one (1) cm crossing the midline (red line) to
the right side.
Preoperative and postoperative illustrations of incision shown below:
ROJoson Patient-centered Study
Concern: THYROID MASS
OTP, 58/F, 2023dec
Operation done:
Total lobectomy, left; isthmectomy; pyramidalectomy
I made sure to preserve the parathyroids on the left and not to injure
the left recurrent laryngeal nerve.
Postoperative Course:
She was discharged the next day after the operation but she opted to
stay for another day as she will travel to her home province.
She just took mefenamic acid for postoperative pain (about two
tablets only).
ROJoson Patient-centered Study
Concern: THYROID MASS
OTP, 58/F, 2023dec
She was advised to wash her wound with soap and water twice a day
and not to put gauze and plaster anymore to cover the wound.
There is a risk for blisters and wound irritation with use of plaster.
She was advised to place a scarf around her neck when she travels, like
the one illustrated below.
ROJoson Patient-centered Study
Concern: THYROID MASS
OTP, 58/F, 2023dec
~P7,000.00
She was not able to secure a PWD card which she is entitled to
because of her history of back cancer. If she had, her hospital
expenses would just be ~P2,000.00
ROJoson Patient-centered Study
Concern: THYROID MASS
OTP, 58/F, 2023dec