This document outlines the details of a Patient Empowerment Program (PEP) Talk on thyroid, goiter, and bosyo (Filipino term for goiter) awareness. The objectives are to provide laypeople with a basic understanding of these topics in managing their health. The PEP Talk will be held via Zoom and include discussions on the thyroid gland and its functions, different types of goiters and their causes, methods for recognizing goiters, diagnostic tests and treatments, and advice for layperson management. Participants are encouraged to ask questions, provide feedback, and take an online evaluation test to receive a certificate.

1. THYROID
GOITER
BOSYO
AWARENESS
May 13, 2023
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have a
basic understanding
of THYROID –
GOITER – BOSYO in
their health
management.

2. THYROID
GOITER
BOSYO
AWARENESS
May 13, 2023
1400H - 1500H
Via Zoom
Empowerment
objective - for
laypeople to have a
basic understanding
of THYROID –
GOITER – BOSYO in
their health
management.
Welcome all!
MUTE yourself but always
show your video picture.
Sign in your name, FB
account, or email address in
the Chat Box! Include names
of companions attending.
Use the Chat Box to ask
questions and make
comments while the PEP TALK
is on.
Group pictures at start and
end of PEP TALK – show your
face in video.

3. Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

4. Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation

5. THYROID
GOITER
BOSYO
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of THYROID –
GOITER – BOSYO in
their health
management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!

6. THYROID
GOITER
BOSYO
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of THYROID –
GOITER – BOSYO in
their health
management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START PEP TALK
PROPER IN 2
MINUTES!
Pls. turn on your
video!
Show your face!

7. THYROID
GOITER
BOSYO
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of THYROID –
GOITER – BOSYO in
their health
management.
ROJoson PEP Talk
I have a Patient
Empowerment
Program in which I
like to empower the
lay people or
patients to take
control in the
management of
their health.

8. I started the PEP Talk
on May 15, 2021.
There are 3 courses
in the PEP Talk.
I completed the Core
Course on October 9,
2021.

9. From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses. This
may take 3 years or
longer depending on
our enthusiasm,
discipline and
perseverance.

10. THYROID
GOITER
BOSYO
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of THYROID –
GOITER – BOSYO in
their health
management.
My PEP TALK today is
entitled:
THROID – GOITER
– BOSYO
AWARENESS
In consonance with
DOH Health Awareness
Calendar
- World Thyroid Day
(May 25)
- International Thyroid
Awareness Week (4th
week of May)

11. Contents
• What is a goiter? What is a bosyo?
• Where and what is the thyroid gland?
• What are the functions of the thyroid gland in the body?
• What are different kinds of goiter?
• What are the different causes of goiter?
• What are realistic methods of preventing goiters?
• How to recognize the different types of goiter so that early consult
and treatment will be promoted?
• What are the more common diagnostic procedures for goiters?
• What are the more common treatment modalities of goiters?
• What are ROJoson’s health advice on how to manage goiters as a
layperson?
THYROID
GOITER
BOSYO
AWARENESS

12. What is a goiter? What is a bosyo?
What is the thyroid gland?
A goiter is any abnormality or disorder of the
thyroid gland.
A “bosyo” is the common Filipino term for goiter.
THYROID
GOITER
BOSYO
AWARENESS
The thyroid gland is
the small, butterfly-
shaped gland located
at the front of your
neck under your
skin.

13. What are the functions of the thyroid gland in
the body?
The thyroid gland is a vital hormone gland. It
produces hormones (thyroid hormones).
It plays a major role in the metabolism, growth
and development of the human body.
It controls the speed of metabolism (metabolic
rate), which is the process of how the body
transforms the food consumed into energy.
THYROID
GOITER
BOSYO
AWARENESS

14. What are different kinds of goiter?
Kinds due to:
Abnormality in the AMOUNT of thyroid
hormones being secreted (FUNCTION) –
HYPERTHYROIDISM (excess)/ HYPOTHYROIDISM
(not enough)
Abnormality in the STRUCTURE of the gland –
ENLARGEMENT / MASSES (MALIGNANT / NON-
MALIGNANT)
THYROID
GOITER
BOSYO
AWARENESS
The thyroid gland is
the small, butterfly-
shaped gland located
at the front of your
neck under your
skin.

15. What are different kinds of goiter?
Kind due to:
Abnormality in the AMOUNT of thyroid
hormones being secreted (FUNCTION) –
HYPERTHYROIDISM (excess)/ HYPOTHYROIDISM
(not enough)
THYROID
GOITER
BOSYO
AWARENESS

16. What are different kinds of goiter?
Kind due to:
Abnormality in the STRUCTURE of the gland –
ENLARGEMENT / MASSES (MALIGNANT / NON-
MALIGNANT)
THYROID
GOITER
BOSYO
AWARENESS

17. What are different causes of goiter?
• Nutritional causes – e.g. iodine deficiency goiters, hypothyroidism
• Autoimmune causes – e.g. hyperthyroidism, chronic thyroiditis
• Physiologic and degenerative causes – e.g. colloid adenomatous
goiter
• Newgrowth of cell causes (genetic mutation, excessive radiation) –
e.g. cancer / non-cancer lumps / masses / nodules
• Infection – e.g. acute thyroiditis
THYROID
GOITER
BOSYO
AWARENESS

18. What are different causes of goiter?
• Nutritional causes – e.g. iodine deficiency goiters, hypothyroidism
• Autoimmune causes – e.g. hyperthyroidism, chronic thyroiditis
• Physiologic and degenerative causes – e.g. colloid adenomatous
goiter
• Newgrowth of cell causes (genetic mutation, excessive radiation) –
e.g. cancer / non-cancer lumps / masses / nodules
• Infection – e.g. acute thyroiditis
THYROID
GOITER
BOSYO
AWARENESS

19. How to recognize the different types of goiter so
that early consult and treatment will be
promoted?
First, DO THYROID self-exam or NECK self-exam
• Monthly frequency at least
• LOOK and FEEL (PALPATE) for anything
unusual on the central neck (enlargement or
mass).
• Swallow as you feel the central neck around
the windpipe.
• Anything unusual on the central neck
(enlargement or mass) that moves up and
down with swallowing is a GOITER.
THYROID
GOITER
BOSYO
AWARENESS

20. THYROID SELF-EXAM / NECK SELF-EXAM
If a goiter is suspected, determine whether
ENLARGEMENT / MASS or MASSES.
Then, consult a physician right away.
THYROID
GOITER
BOSYO
AWARENESS

21. THYROID SELF-EXAM / NECK SELF-EXAM
If a goiter is suspected, determine whether
ENLARGEMENT / MASS or MASSES.
Then, consult a physician right away.
THYROID
GOITER
BOSYO
AWARENESS IN GENERAL, ENLARGEMENT IS NOT AS ALARMING AS MASS / MASSES or NODULES.
NODULE / NODULES = CANCER / NOT CANCER

22. How to recognize the different types of goiter so
that early consult and treatment will be
promoted?
If you discover you have a goiter, chances are it is
NOT CANCER (BENIGN).
As 90% of all goiters are NOT CANCER (BENIGN).
Majority are COLLOID ADENOMATOUS GOITERS
(BENIGN).
But the goiter has to be further evaluated by a
physician for a definitive diagnosis.
THYROID
GOITER
BOSYO
AWARENESS

23. How to recognize the different types of goiter so
that early consult and treatment will be
promoted?
THYROID
GOITER
BOSYO
AWARENESS
ENLARGEMENT – NO
NODULE / NODULES /
DIFFUSE GOITER

24. How to recognize the different types of goiter so
that early consult and treatment will be
promoted?
THYROID
GOITER
BOSYO
AWARENESS
ENLARGEMENT – NO NODULE /
NODULES / DIFFUSE GOITER
99% NOT CANCER!
- Physiologic enlargement (puberty, pregnancy)
- Hyperthyroidism (with cue symptoms and signs)
- Hypothyroidism (with cue symptoms and signs)
- Diffuse colloid adenomatous goiter (by
exclusion)

25. How to recognize the different types of goiter so
that early consult and treatment will be
promoted?
THYROID
GOITER
BOSYO
AWARENESS
WITH NODULE /
NODULES / NODULAR
GOITER

26. How to recognize the different types of goiter so
that early consult and treatment will be
promoted?
THYROID
GOITER
BOSYO
AWARENESS
WITH NODULE /
NODULES / NODULAR
GOITER
90% NOT CANCER!
- Nodular colloid
adenomatous goiter
(90%)
- Cancer (10%)
- Thyroiditis (1%)

27. How to recognize the different types of goiter so
that early consult and treatment will be
promoted?
THYROID
GOITER
BOSYO
AWARENESS
WITH NODULE /
NODULES / NODULAR
GOITER
Cues for thyroid cancer:
• Hard consistency
• Fixed
• With lymph nodes on
side of neck
• With hoarseness of
voice
• With a distant mass
suspicious for spread

28. What are the more common diagnostic
procedures for goiters?
• Ultrasound of the thyroid / neck
• Needle aspiration biopsy
• Thyroid function tests (FT4, FT3, TSH)
These should be done only as indicated (as
determined by a physician, particularly a thyroid
specialist).
THYROID
GOITER
BOSYO
AWARENESS

29. What are the more common treatment
modalities of goiters?
• Medications (thyroid hormones / antithyroid
drugs)
• Surgery
• Radioactive iodine therapy
• Watchful waiting for colloid adenomatous
goiters
These should be done only as indicated (as
determined by a physician, particularly a thyroid
specialist).
THYROID
GOITER
BOSYO
AWARENESS

30. What are ROJoson’s health advice on how to manage goiters as a
layperson?
• Know what is a goiter or bosyo.
• Learn how to recognize a goiter on yourself or on your relatives
(particularly by palpating your neck).
• Once a goiter is determined or diagnosed by you to be present, try to
diagnose it further as to diffuse enlargement-goiter or nodular goiter.
Make a tentative diagnosis based on what you know on goiter.
• Try to look for signs of cancer of the thyroid. If present or suspected,
consult a physician (esp. a thyroid specialist) right away. Even without
signs of cancer, consult a physician as soon as possible for a definitive
diagnosis and management.
THYROID
GOITER
BOSYO
AWARENESS

31. THYROID
GOITER
BOSYO
AWARENESS
ILLUSTRATIVE CASES

32. THYROID
GOITER
BOSYO
AWARENESS

33. THYROID
GOITER
BOSYO
AWARENESS

34. THYROID
GOITER
BOSYO
AWARENESS

35. THYROID
GOITER
BOSYO
AWARENESS

36. THYROID
GOITER
BOSYO
AWARENESS

37. THYROID
GOITER
BOSYO
AWARENESS

38. THYROID
GOITER
BOSYO
AWARENESS

39. THYROID
GOITER
BOSYO
AWARENESS

40. THYROID
GOITER
BOSYO
AWARENESS

41. THYROID
GOITER
BOSYO
AWARENESS

42. THYROID
GOITER
BOSYO
AWARENESS

43. Contents
• What is a goiter? What is a bosyo?
• Where and what is the thyroid gland?
• What are the functions of the thyroid gland in the body?
• What are different kinds of goiter?
• What are the different causes of goiter?
• What are realistic methods of preventing goiters?
• How to recognize the different types of goiter so that early consult
and treatment will be promoted?
• What are the more common diagnostic procedures for goiters?
• What are the more common treatment modalities of goiters?
• What are ROJoson’s health advice on how to manage goiters as a
layperson?
THYROID
GOITER
BOSYO
AWARENESS
Summary
Take Away

44. Be always in touch with reliable medical
information on THYROID – GOITER –
BOSYO.
Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan
to gain greater control over decisions /
make better decisions in THYROID –
GOITER – BOSYO issues in one’s health
management.
Take Away in
relation to
Patient
Empowerment
THYROID
GOITER
BOSYO
AWARENESS

45. THYROID
GOITER
BOSYO
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of THYROID –
GOITER – BOSYO in
their health
management.

46. Reminder after the PEP
Talk:
Take the Online Learning
cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.
Link is in Chat Box.

47. Reminder:
50 OLETE Certificates = 1
Voucher for ROJoson
Telemedical Consultation

48. THYROID
GOITER
BOSYO
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of THYROID –
GOITER – BOSYO in
their health
management.
ROJOSON’S REQUEST:
FEEDBACK TO THIS
PEP TALK!
Pls. type in your
feedback in the chat
box during the open
forum and before we
adjourn!
Thank you!

49. THYROID
GOITER
BOSYO
AWARENESS
Empowerment
objective - for
laypeople to have a
basic understanding
of THYROID –
GOITER – BOSYO in
their health
management.
LET’S NOW HAVE A
GROUP PICTURE
TAKING BEFORE WE
START Q&A AND
INTERACTIONS!
Pls. turn on your
video!
Show your face!