Journal Entry

Daily Diary

Journal Entry

Janice's thyroid results and a long day of driving

2026-01-07 · Generated · Generated · deepseek-v4-flash

Edit Entry

Keep the generated version, then adjust the final text here if you want a cleaner permanent diary entry.

Title Edited Text

I left the house just before 8:43, and the morning turned into a string of shop doors and car park tarmac. Best-One, Sky-House Co, then a solid block at T L C from 9:45 until gone eleven. The work filled the time, but it wasn't heavy. After that, Tesco Extra, Riverside Kelham, the SPAR and BP, another Best-One. By the time I finally pointed the car north, the day had already grown legs.

Somewhere on the road, a phone call came in about Daniel. The caller asked whether he was still working with them and whether he withdraws money weekly or monthly. I confirmed he's still on the job and pulling £3,000 a week. That was quick and factual.

The drive to Middlesbrough felt long, even with a stop at 6 The Slayde in Yarm for a while. I reached The James Cook University Hospital just before three. Janice met me there, or we arrived close enough to go in together. The clinician got straight to it: the thyroid nodules are radiologically U3 – intermediate. Not clearly benign, not clearly malignant. The biopsy was done on 16 December, but the results had been delayed by the Christmas holidays. That's why we'd waited so long. The scan had originally been for her parotid lesion, so the thyroid finding came out of nowhere.

The options were laid out plainly: keep monitoring, do a repeat biopsy, or go for surgery to remove part of the thyroid. If surgery happened, she'd likely need thyroxine replacement. The clinician also asked about her history – no head or neck irradiation, which was helpful to rule out. Janice mentioned she feels hot all the time, and that there's a family history of secondary brain cancer, which makes the word 'intermediate' sit heavier than it might otherwise. She gave her smoking and alcohol history without much prompting: about five years of smoking starting at eighteen, and around three glasses of wine a week now. September GP bloods were normal, but they didn't run thyroid function tests at the appointment. We left without a decision, which somehow feels harder than a clear yes or no.

The journey back had two unplanned stops: Temple Newsam Park Golf Course, which I can't fully explain, and Leeds Skelton Lake Services. Home by 19:17, and the day folded into that tired silence.

Later, there was talk about mobile phone plans. One contract is £20 a month for unlimited data, while another is about to rise to £27. There's a £60 fee or difference, and adding another member apparently needs a computer. We didn't settle anything. Then the conversation drifted to a TV quiz show, a female personality leaving a show, Victoria Wood as the quiz answer, and whether John might take one of the old televisions. Small stuff, but it smoothed out the edges of the afternoon.

Review Note

Map View

15 visits plotted from the canonical visit store for this day.

Key Facts

Behnam's home: 10 St Oswalds Way, Sheffield S7 2AA, UK.
Behnam's workplace: T L C, 21A Kimberley St, Attercliffe, Sheffield S9 3WX, UK.
Janice is Behnam's mother and Anna's grandmother.
Behnam was at T L C from 09:45 to 11:03, at The James Cook University Hospital from 14:58 to 16:13, and home from 19:17.
The thyroid biopsy was done on 16 December; results were delayed by the holidays.
The scan that found the thyroid nodules had originally been for a parotid lesion.
Two nodules primarily sit in the left thyroid lobe; they are radiologically U3 (intermediate).
Fine-needle aspiration cytology was performed; thyroid function tests were not done at the appointment, but September GP blood tests were normal.
Possible next steps: benign monitoring, repeat biopsy, or surgery to remove part of the thyroid; surgery might require thyroxine.
Janice has a family history of brain tumour (secondary cancer), feels hot all the time, and has no history of head/neck irradiation.
Janice smoked for about five years starting at age 18 and drinks around three glasses of wine per week in an average week.
Daniel still works with the person in the call and receives £3,000 per week.
Mobile plan details: £20/month unlimited data; another plan rises to £27/month; £60 fee/difference; a computer is needed to add an extra member.
TV chat details: a female TV personality is leaving a show; Victoria Wood was the quiz answer; swapping TVs was discussed, with John potentially taking one.

Key Quotes

The nodules are radiologically U3 – intermediate.
Biopsy done on 16 December; results delayed due to holidays.
Daniel still works with them and receives £3,000 per week.
Current plan costs £20 a month for unlimited data.
Another plan will rise to £27 a month.

People

Janice Unidentified caller Unidentified companions

Topics

Thyroid biopsy results and treatment options Family health history and symptoms Daniel's employment and pay Mobile phone contract decision TV quiz shows and small household swaps Work at T L C Travel and errands across Sheffield, Middlesbrough and Leeds

Evidence

Legacy imported entries may have no linked evidence because the original journal was narrative-only.

Transcript Conversation

Thyroid biopsy results consultation

A clinician explains to patient Janice the results of a thyroid biopsy and ultrasound findings. The biopsy was taken from a thyroid nodule after a scan for a parotid lesion revealed thyroid nodules. The clinician describes the grading system for nodules and cytology, noting the nodules are radiologically U3 (intermediate). They discuss possible outcomes: benign monitoring, repeat biopsy, or surgery to remove part of the thyroid. They also discuss family history, symptoms like heat intolerance, and the delay in results due to the holidays. The clinician will contact Janice with results and arrange follow-up.

Open Source

Transcript Conversation

Daniel's employment and pay

A brief phone call or exchange about Daniel's employment status and pay. One person asks if Daniel is still working with the other person and whether he withdraws money weekly or monthly; the other person confirms Daniel still works with them and receives £3,000 per week.

Open Source

Transcript Conversation

Mobile phone contract decision

Two or more people discuss mobile phone plans, considering whether to switch or cancel a contract. One person currently pays £20 per month for unlimited data, which may stay at £20, while another plan will increase to £27 per month. They mention a £60 fee/difference and the need to use a computer to add an extra member or check the price.

Open Source

Transcript Conversation

Chat about TV quiz show and celebrities

Several people chat casually about a female TV personality who is leaving or appearing on a game show, quiz questions including one about Victoria Wood, and their own TV viewing habits. They also briefly discuss swapping televisions and mention someone named John who might take one.

Open Source

Transcript Conversation

Medical intake: smoking and alcohol history

A clinician asks a patient about smoking and alcohol consumption as part of an initial assessment. The patient reports having smoked for about five years starting at age 18 and currently drinks around three glasses of wine per week, noting that this week is not average. The clinician records height and weight measurements, and the patient comments on having shrunk.

Open Source

Memory

Home address

My home is 10 St Oswalds Way, Sheffield S7 2AA, UK.

Open Source

Memory

Workplace location

My workplace is T L C located at 21A Kimberley St, Attercliffe, Sheffield S9 3WX, UK.

Open Source

Memory

The name Grandma

Grandma is used by us to refer to Janice (Behnam's mother, Anna's grandmother)

Open Source