Brief Answer:
Answers below
Detailed Answer:
Dear XXXXXXX
Merry Xmas. Sorry about your loss. Let me address each one of your individual questions:
1) Hepatitis: the best screening method would be a one time serology for Hep A, Hep B surface antigen and antibody and Hep C antibody. There is no
vaccine for Hep C, so if the Hep A and B Ab are negative,
vaccination is recommended. Unless you engage in very risky sexual behavior or
intravenous drug use, regular screening for Hep B is not indicated after vaccination.
2) Goiter: the best thing is to keep monitoring your
TSH, and maintain a normal
iodine intake, not too much, for example, it is contained in higher concentrations in seafood
3) Pillow: indeed, a poor posture at sleep can contribute to degenerative disease of the spine and chronic neck pain; ask him to experiment with other smaller pillows, or no pillows, and keep a log of his sleep satisfaction that way.
Hope this helps, wish you the best,
Dr Brenes-Salazar MD
Mayo Clinic MN