Butterfly

Shaped like a butterfly she sits within the neck
Wanting only to share her beauty throughout the body and awakening all cells
Yet faithful to her messenger she will evolve with the information sent
She can race forth spinning your entire being into a frenzy
Awakening you in the midst of the night saturated with sweat and palpitating heart
Or she can lull you to sleep and make you feel so melancholy or down right
Depressed and angry for no particular reason
Whatever the effects her presence will be felt by every part of your being
When feeling fine and neither up nor down do not think that she has forgotten you
For at this time she simply sits on her throne, her wings spread wide,
as she escorts You through your journey
There have been cells that have turned against her, most of them without the strength
To fully conquer her fortress
Other have penetrated her and have caused her great harm
But she continues to evolve with the force of such intrusions while desperately
Attempting to maintain her exalted position
She will fight to save her fortress and keep her chamber safe, but eventually she
Will give in to the information she receives and must subjugate her will to the will Of the informer
Although her wings may be clipped, she is still a beautiful butterfly, she remains
Exalted, meaning only well for the body she inhabits and loyal to her messenger

- - - Anonymous - - -

The Life History of Two Sister Nodules: One Cystic and the other Solid

1. Nodules are present is 50% of adults.
2. Their prevalence increases with age.
3. 90-95 % of nodules biopsied over 1 cm in size are benign.
4. Benign nodules by FNA grow.
5. They become suspicious and repeat biopsy, and even surgery is done to R/O cancer.
6. Real data to support this fear is limited. There is limited studies to see what happens to benign nodules that grow.
7. The criteria defining growth are inconsistent. What growth standard should we use?
8. A significant number of untreated benign solid nodule increase in size with time.
9. Nodule growth alone is not a good predictor of cancer if the FNA is consistently benign.
10. Slow growth of benign nodules over time dose not indicate a false -negative initial FNA result.
11. It also does not mean the nodule transformed into a cancer.
12. GROWTH of benign thyroid nodules just happens.
13. What about the sister cystic nodules? The more cystic the nodule, the less growth of the untreated cystic nodule over time.