text_1: 46-year-old woman.  One of her children said, "Mom, what's that lump in your neck?"  I think she has a multinodular goiter.  Thyroid stimulating hormone, free thyroxine (free T4), parathyroid hormone, calcitonin all normal.  Would you skinny needle her?
text_2: How should I treat polymenorrhea in a 14-year-old girl?