Yesterday I was a tad run down and equally cranky. This morning, while I did get up and walk, I felt heavy and tired and run down. Wasn't sure I was going to make it until 2 p.m. for the repeat needle biopsy on my thyroid nodule.

9:30 a.m. I was getting settled at my desk and had already started counting the hours. My legs were restless and I think I looked at the clock about every 30 seconds.

Acutely aware of my nerves, I tried to take lots of deep breaths, tried to focus, tried to pray, tried to calm down. And then I think I gave in: there just was not going to be a calm Michelle until after the biopsy.

Having changed my site this morning, I was relying on that for blood sugar management since I tend to go low when it comes to medical procedures. But the anxiety was greater than the site change because I was (unexpectedly) 94 mg/dL right before lunch and then stood and talked to a coworker for nearly 30 minutes before I actually ate and had started to feel the beginnings of a low.

A roast beef sandwich, banana and Hostess cupcake and no bolus left me at 138 mg/dL as I sat in Dr. R's waiting room just over an hour after I ate.

There really is no way to prepare for a needle biopsy in your neck except to resign yourself to the fact that it's going to hurt and it's going to be uncomfortable and you're going to wish that they had knocked you out for the procedure.

My pain and discomfort is different today than it was after my first biopsy. Last time I really had trouble speaking and turning my head. This time I'm not having trouble turning my head, but my neck does feel rather tight and a little swollen. Oh, and I have two puncture marks and a bruise this time. Which is likely the result of me forgetting that I probably shouldn't have been taking my full-dose aspirin.

Battle wounds.

I won't have a follow-up appointment, but I've been assured that I'll get a letter with the results and/or a phone call if it's something serious.