Just a quick update on my last post -- had a great appointment with the Integrative Medicine people. The ARNP talked with me for about ten minutes before the exam, and then she squished my neck and said, "Wow, your thyroid is really big. I can even see it, just looking at your neck."
She ordered some more bloodwork which will be back in 1-2 weeks, to find out what exactly is going on.
Very exciting! There could actually be something fixable/treatable there, rather than "general fatigue and malaise" that won't go away. Thanks to the ARNP for actually listening to me. There should be a medical school class about listening to people.