80 Year Old Female with a Large Growing Goiter

The patient today is an 80 year old female with a large growing goiter. She was told to have surgery. The biopsy was negative for cancer. The goiter was causing some obstructive symptoms. She returned today 2 years after she refused surgery, and elected to be treated with off label thyrogen to boost the thyroid uptake, which was low in her case. The uptake increased to 45% after thyrogen and I treated her with 30 Millicuries of Iodine/131. She has been symptom free and her goiter had decreased to the point it was not visible from across the room, as it had been 2 years ago. The use of Radioiodine therapy, with a boost in the thyroid uptake with thyrogen has allowed me to treat patients with this less invasive therapy, compared to standard thyroid surgery.

Chief Justice Would Not be In To Work

One day before the elections, they announced that the Chief Justice would not be in to work. They stated he was home getting outpatient radiation and chemotherpy. This information finally cleared up the situation about Rehnquist. The use of these agents mean he has anaplastic thyroid cancer. This should have caused a rush to the poles for those democrats that would like to add a less conservative justice to the court. There was no mention of this as a reason to vote at exit poles.

The government was able to keep this story under wraps until the election was over. Now GW Bush will be able to replace him, and not JFKerry. Dr.G.