Thyroid No Surgery: Rule #1 Do Not Have A Screening Ultrasound.

Thyroid No Surgery: Rule #1 Do Not Have A Screening Ultrasound.

Thyroid No Surgery: Rule #1 Do Not Have A Screening Ultrasound.

Thyroid No Surgery: Rule #1 Do Not Have A Screening Thyroid Ultrasound

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Don’t Listen to Singers pushing thyroid cancer screening.There is no science behind this plea for screening. No major medical organization recommends mass screening for thyroid cancer.The screening process almost always detects cancers that would never grow into life-threatening tumors. Once growths are discovered, surgeons almost always remove the patient’s thyroid gland. The surgery can have significant side-effects. Surgeons can sever the nerves that help control swallowing and speech, or remove the parathyroid glands, which regulates calcium. Patients go on a lifelong prescription of thyroid hormone. Overdiagnosis sent people into needless surgery.

Comments: It all starts with a screening thyroid ultrasound.DO NOT ALLOW ANY PHYSICIAN OR HEALTH CARE WORKER TO ORDER ONE,OR DONT’ GET A FREE ONE AT A HEALTH FAIR, OR IF A RELATIVE SONOGRAPHER WANTS TO DO ONE.

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You need indications to do an ultrasound of the thyroid.

  1. Lump in front of your neck  or Goiter
  2. First degree family history of thyroid cancer.
  3. Symptoms of hypo or hyperthyroidism
  4. Voice changes or local symptoms in the neck.
  5. Hashimoto’s thyroiditis.
  6. If they find a micro-nodule while doing 3D imaging PET/CT for another cancer or a carotid ultrasound just refuse an ultrasound or  biopsy until you get an endocrine consultation. These small nodules can be followed rather than a biopsy. If it grows to >1.5 cm you still can have a safe biopsy.

Richard Guttler MD,FACE,ECNU

www.thyroid.com

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