### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
2/6/13 had thyroid removed, cancer spread to left V-cord nerve , it was also removed, leaving me with little to no vocal audio, Took one time dose of Radiation via mouth, All the expected after effects seem to occur except saliva gland problem. Bloody nose/s in both nostrils for weeks - never before interior mouth cold sores appeared - 8 months later sun makes face red super blotch - supposedly i have my T3 T4 thyroid hormone med Levothyroxine Sodium Tab 200mcg - one aday pretty much on track w/Dr. wanting it to be a bit high. two wks will b/test for the 200mcg,,, from 175 from 137 from start of 100mcg. Problem at hand NOW ! Softball size area left shoulder up into my neck feels like a crawling of a thousand ants, some stinging sensation - light pain usually is involved at the same time. Nov. i will be 71, i am 6ft tall large frame sorta muscular 25to35# over weight but carry it solid, move/work more like 50, Just can t seem to shake the extra 30 oe so # s - Altho i have been pretty stagnat sense the operation, and the damn near 2 months of preparing for Radiation was rough and then came the 7 days after Rad. treatmeant Wow !! that took the wind out of my sails, I take Metorolol Tartrate 25mg twice aday w/Chlorthalidone 25mg once aday - B/pressure averages 120/80 w/65 palse,, thanks

### output:

You must have undergone total thyroidectomy with bilateral level II, III, IV clearance and bilateral central compartment clearance. The standard protocol after that is, after six weeks of surgery, thyroid scan, ablation of any remnant thyroid tissue with radio iodine. Also, you need to check you serum calcium levels also. After this surgery you need to take replacement for thyroid hormone for life. The dose of Chat Doctor.  It takes some time to adjust dose but once adjusted is nearly constant and takes care of symptoms. The abnormal sensation you are having can be because of the damage to cutaneous nerve supply which usually occurs as we raise flaps during surgery. It usually gets fine after some time. Another reason for tingling sensation can be low calcium levels but usually is over face. So, wait for some time, do neck and shoulder exercises regularly, and you should be fine in some time. Take care.