Thyroid cancer accounts for about 2% of cancers in women and men. The outcome for patients with small, localised papillary cancers is excellent with 99% of people being alive 20 years after diagnosis. Treatment ranges from removal of one half of the thyroid to total thyroidectomy with removal of neck glands and radioactive iodine and the complication rate from treatment increases when more 'aggressive' treatment is done. Complications can include damage to the nerves of speech, the need for thyroid replacement and the need for calcium replacement. This thoughtful review discusses the trade-offs between the treatment options and highlights emerging treatment options. The aim of treatment of low risk thyroid disease is to achieve the lowest mortality with the lowest burden of treatment but this can sometimes be difficult to predict. Ultimately, our goal as surgeons is to understand the patient's disease in the context of their wants and needs and formulate a treatment plan that is most appropriate to that individual.
NCEPOD have recently published their report on tracheostomy care. The slides from the report are attached below and there are some interesting points to make as a speciality.
We do a lot of them and about 70% of them are percutaneous rather than surgical
We probably do not consent adequately for them
Patients go to a wide variety of wards following their tracheostomy and the protocols for care could be improved.
This audit gives us a good baseline and we need Nationwide to improve our care of these patients. It will be interesting to see the re-audit in a year or two's time.
My profile page on the Spire website has made it onto the top ten most clicked links.
Go on - have a click and get me up the charts!
I have recently been granted admitting rights to the Spire Hospital in Manchester so as well as seeing patients at UHSM and the Spire in Cheshire (Appleton), I will be able to see private patients in Manchester. The hospital is pretty close to the city centre and is easy to get to - I will be starting there in the next month or so and will be seeing patients on Monday afternoons.
Please click on the link to my profile page there and feel free to call to arrange an appointment
0161 226 0112