Please check this out
http://cornellurology.healththeater.com/video/Hypothyroidism_Kathys_Story_id974.html?playl...
(I tried to post this before, but my post ended up at wrong forum
Sorry about that!)
My notes:
1) the goiter presses on voice nerves, not vocal cords
2) waiting 15 years before taking action is not a good idea
3) I am sure that her students are calling her goiter "Madam's apple"