I Have Scleroderma (systemic) Thyrotoxicosis Graves Disease Overactive Parathyroids Carpel

I have scleroderma (systemic) thyrotoxicosis graves disease overactive parathyroids carpel tunnel syndrome COPD and graves disease. I've had a nr total thyroidectomy in 2002 but have 5cm x 2.5cm X 2 cm goiter with 1cm squared nodules also in 2006 I had an orbital 2wall decompression but not on any meds!! Do you know why this is??