If you have signs and symptoms that worry you, start by seeing your family doctor or a general practitioner. If your doctor suspects you may have a thyroid problem, you may be referred to a doctor who specializes in diseases of the endocrine system (endocrinologist).
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be well prepared. Here's some information to help you get ready, and what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Write down key personal information, including any major stresses or recent life changes.
- Make a list of all medications, vitamins or supplements that you're taking.
- Take a family member or friend along. Sometimes it can be difficult to recall all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions can help you make the most of your time together. List your questions from most important to least important in case time runs out. For thyroid cancer, some basic questions to ask your doctor include:
- What type of thyroid cancer do I have?
- What stage is my thyroid cancer?
- What treatments do you recommend?
- What are the benefits and risks of each treatment option?
- I have other health problems. How can I best manage them together?
- Will I be able to work and do my usual activities during thyroid cancer treatment?
- Should I seek a second opinion?
- Should I see a doctor who specializes in thyroid diseases?
- How quickly do I need to make a decision about thyroid cancer treatment? Can I take some time to consider my options?
- Are there any brochures or other printed material that I can take with me? What websites do you recommend?
If any additional questions occur to you during your visit, don't hesitate to ask.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over points you want to talk about in-depth. Your doctor may ask:
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- When did you first begin experiencing symptoms?
- Are your symptoms occasional or continuous?
- How severe are your symptoms?
- Does anything seem to improve your symptoms?
- Does anything seem to make your symptoms worse?
- Have you ever been treated with radiation therapy?
- Have you ever been exposed to fallout from a nuclear accident?
- Does anyone else in your family have a history of goiter or thyroid or other endocrine cancers?
- Have you been diagnosed with any other medical conditions?
- What medications are you currently taking, including vitamins and supplements?
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- Frequently asked questions about potassium iodide. U.S. Nuclear Regulatory Commission. http://www.nrc.gov/about-nrc/emerg-preparedness/about-emerg-preparedness/potassium-iodide/ki-faq.html. Accessed Dec. 24, 2013.
- Brito JP, et al. Thyroid cancer: Zealous imaging has increased detection and treatment of low risk tumors. BMJ. 2013;347:f4706.
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- Nexavar (prescribing information). Whippany, N.J.: Bayer HealthCare Pharmaceuticals Inc.; 2013. http://www.nexavar-us.com. Accessed Jan. 8, 2014.
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