Thyroid 101: Always Get a Second Expert Opinion Before Surgery or Radiation for “thyroid Cancer”. Dr.Death’s Quackery, and Rush to Surgery By Surgeons is to Be Avoided. DR.Guttler’s Comments: This is a wake up call to all...
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Thyroglossal Duct Cyst 101: Ethanol Ablation: Safe Treatment Without Surgery and No Scar! Dr.Guttler’s comments: A biopsy was done to confirm the benign nature of the TGD cyst. 11 patients with TGDC were treated. The initial volume of the...
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How to Become An Endocrinologist Doing Their Own Biopsies and Ethanol and Radiofrequency Ablation Procedures. RFA is approved in the USA and clinical trials are on-going. Learn two basic new methods to save your patients from unnecessary thyroid...
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Massive Thyroid Cystic Nodular Goiter Seen in 2019 to large for either ethanol or Radiofrequency ablation.. 900 cc cystic thyroid nodule after removal of 725 ml brown fluid. As it grew bigger the patient refused to consider surgery and looked for...
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Endocrinologists Doing Their Own Thyroid Needle biopsies Can Add New Procedures to their Bottom Line. Over the last 40 years I have pioneered new procedures to enhance patient care for those with thyroid goiters,nodules and cancer. Office based...
More infoThyroid Nodules No Surgery: 3-5 years after Thyroid Ethanol PEI or Radiofrequency Ablation RFA.
Thyroid Nodules No Surgery: 3-5 years after Thyroid Ethanol PEI or Radiofrequency Ablation RFA. Dr.Guttler’s comments: 1. Benign thyroid nodules in 2019 do not need to be treated by invasive thyroid surgery. 2. Cystic nodules > 50%...
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Thyroid No Surgery 101: Don’t Let The Surgeon’s Use of the Word “CANCER” Scare You into Surgery When Surgery is Unnecessary. Dr.Guttler’s Comments: People more likely to want unnecessary surgery if word...
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Thyroglossal Duct Cyst 101: Ethanol Ablation Therapy PEI for Adults and Children. The standard therapy for TGD cyst is surgery. However there may be patients who do not want surgery. There is an example of another reason to have PEI and that is...
More infoMassive Thyroid Cystic Nodular Goiter
Massive Thyroid Cystic Nodular Goiter in 2019. Left Massive thyroid cystic nodule Patient had a biopsy and after massive amount of fluid ( 725 ml) was removed with still a very soft residual solid amount left. Fluid removed was equal to 73 10 ml...
More infoThyroid Diseases 101: A Patient’s List
Thyroid Diseases 101: A Patient’s List Dr.Guttler’s comments: The thyroid is a butterfly-shaped organ that sits in the front of the neck. It makes thyroid hormones triiodothyronine (T3) and thyroxine (T4). Hyperthyroidism is one of...
More infoEthanol Ablation PEI Can Treat Solid and Cystic Nodules.
Ethanol Ablation PEI Can Treat Solid and Cystic Nodules. 26-year-old woman with solid thyroid nodule. Sonogram obtained before PEI shows solid nodule in right thyroid lobe (volume, 3.8 cm3). 26-year-old woman with solid thyroid nodule. Sonogram...
More infoDR.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery
Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery First always question your physician as to why they want a thyroid ultrasound TUS. There should be no screening thyroid ultrasounds. There must be indications for one. If you have a...
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