Thyroid Nodules 101: Alternative Therapy with Ethanol PEI Dr.Guttler’s comments: PEI for thyroid nodules has been available in the US for many years but is under-utilized as an effective alternative to thyroid surgery Primary care to...More info
Thyroid Cancer Alternative Therapy 101: Percutaneous Ethanol Injection PEI vs Re-operation for Locally Recurrent Papillary Thyroid Cancer
Thyroid Cancer Alternative Therapy 101: Percutaneous Ethanol Injection PEI vs Re-operation for Locally Recurrent Thyroid cancer . Tatyana E. Fontenot,et al JAMA Otolaryngol Head Neck Surg. 2015;141(6):512-518. Dr.Guttler’s...More info
Small Papillary Thyroid Cancers 101: Ethanol Ablation PEI is an Alternative to Surgery or Active Surveillance.
Percutaneous ethanol PEI effective for small papillary thyroid cancers SIPC. Small non-invasive papillary thyroid cancer for PEI. Alternative to surgery Dr.Guttler’s comments: PEI is an outpatient procedure which may represent an...More info
Thyroid Cyst Therapy PEI 101: Treating Thyroid Cysts at Home. 35 Y/O female with a benign cystic thyroid nodule was told she needed surgery. Benign thyroid cyst seen on thyroid ultrasound She did not want surgery and was unable to find an...More info
Active Thyroid Cancer Surveillance AS 101: How to keep your thyroid without surgery for micro-papillary cancers.
Active Thyroid Cancer Surveillance AS 101: How to keep your thyroid without surgery for micro-papillary cancers. A study from Korea. Oh et al Thyroid 28(12) 2018 1587 Dr.Guttler’s Comments Tumor volume is a better index or growth...More info
Patient’s comments after my thyroid consultation for her very large Goiter. “You were the most professional Dr. I have ever seen. You were able to do all the tests quickly and spent a lot of time making sure everything was done...More info
Thyroid Cancer 101: Champion of Less Treatment for Low Risk Thyroid Cancer. Endocrine Society Outstanding Scholar 2018 Ian Hay Ian Hay is my role model. He has been a strong voice in getting the physicians to decrease the treatment needed for low...More info
Thyroid Nodules 101: Massive Goiter Treated for Years with Neck Message and Fruit Cleanses by Naprapaths. 2019 Quackery
Thyroid Nodules 101: Massive Goiter Treated for Years with Neck Message and Fruit Cleanses by Naprapaths. 2019 Quackery Dr.Guttler’s comments: I recently saw a 40 Y/O female with a large neck scarf hiding a very large even massive goiter...More info
Thyroid Goiter and Nodules 101: What you need to Know Part Two: Treatment alternatives. Most small goiters without symptoms or nodules do not need treatment if there is no associated hypothyroidism from Hashimoto’s thyroiditis. Goiters...More info
Thyroid No Surgery 101: Cold Dextrose infusion Helps Recovery from nerve damage during thyroid RFA for benign thyroid nodules.
DRt.Guttler’s comments: THyroid RFA is safe with few serious complications out of thousands of patient treatments. 1. 17 patients had issues with nerves during thyroid RFA. 2. If there were issues during the Procedure cold dextrose...More info
Thyroid No surgery 101:Radiofrequency ablation RFA for benign thyroid nodules according to different US features: an Italian multicentre prospective study.
Thyroid No Surgery 101: Dr. Guttler’s comments: 1. 340 patients with solid benign nodules. 2. 21 ml volume decreased to 6 ml by 12 months. 3. Spongiform nodules responded the best with 76 % reduction. 4. Other patterns decreased less at ...More info
Thyroid No Surgery: Thyroid Cystic Disease Can be Treated Without Surgery in my Office by PEI. Ethanol Ablation PEI is the treatment of Choice. How many times will you have it drained and refuse surgery before you come to see me for PEI? Case...More info