Thyroid Cystic Nodules 101: Ask Your Primary Why He Doesn’t Recommend Alternative Treatment with Ethanol?

Thyroid Cystic Nodules 101: Ask Your Primary Why He Doesn’t Recommend Alternative Treatment with Ethanol?

Thyroid Cystic Nodules 101: Ask Your Primary Why He Doesn’t Recommend Alternative Treatment with Ethanol?

Thyroid Cystic Nodules 101: Ask Your Primary PMD Why He Doesn’t Recommend Alternative Treatment with Ethanol (PEI)?

  1. A survey of 7000 endocrinologists found even they had little knowledge of ethanol ablation (PEI) for cystic nodules and selected thyroid cancer patients.
  2. Few have ever done PEI or taken a course with a PEI workshop.
  3. It is no wonder the PMD doesn’t recommend PEI because their local endocrinologist has no information for them to consider it as the first line treatment for cystic thyroid and parathyroid nodules.
  4. They relay on the surgeon when nodules are found.They have no knowledge and have no desire to recommend PEI either as they want to continue the age old method of removal in the hospital.
  5. What about the radiologists? They are also the wrong specialists to ask, as they do hospital procedures and only a few in major centers actually do PEI for cystic and cancer nodules.
  6. The patient must be pro-active and seek out specialists doing PEI in the US.
  7. PEI is the procedure of choice for thyroid cystic nodules.
  8. This is a simple outpatient procedure requiring 10-20 minutes and costs less than 5-7% of surgery.
  9. No major complications and morbidity seen with surgery.
  10. Walk out of the procedure and back to work the same day. Surgery requires days to weeks to recover.
  11. Web search by this gentleman from Toronto for PEI because none was available in Canada found me.
  12. 20 ML CYST EVACUATED AND 11 CC ETHANOL INJECTED POST PEI VOLUME 11 ML WHICH ISS THE INJECTED ETHANOL. NO PAIN.
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  14. 6 month follow up in Toronto at the world thyroid cancer congress I found the cyst reduced to <1 ml. I presented him during my thyroid workshop.
  15. Call me for details before your PMD,Endocrinologist,radiologist,or  Surgeon tells you surgery is the only answer.
  16. 310-393-8860 or thyroid.manager@protonmail.com
  17. Richard Guttler MD,FACE,ECNU  Interventional thyroidologist
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