What is your emergency rooms like? Is there a hospital somewhere near you?. I know in this country they will not turn you away. If you presented with this kind of pain and troulbe with thyroid, I cannot believe they would turn you away. Maybe this would be an option to at least try. Go in yelling if you have to, but tell someone what you are experiencing. do not go quietly into the night. Do you have emergency help lines by phone? Ginnie