Thyroid RFA Questions and Answers: A Thyroidologist not a Radiologist Answers Your question of Thyroid RF.

Thyroid RFA Questions and Answers: A Thyroidologist not a Radiologist Answers Your question of Thyroid RF.

Thyroid RFA Questions and Answers: A Thyroidologist not a Radiologist Answers Your question of Thyroid RF.

Thyroid RFA Questions and Answers: A Thyroidologist not a Radiologist Answers most frequently asked questions.

 

  1. What are the benefits of Thyroid RF treatment? No need for lifetime  thyroid hormone. no general anesthesia, No hospital, no scar, no loss of work, safe, and less complications.
  2. What are the disadvantages? Gradual volume reduction, repeat sessions need for large nodules. Regrowth from under treated areas of the nodule.
  3. What is the indication for RFA? Thyroid RF is first choice treatment for mostly solid benign thyroid nodules. It is effective in treating recurrent thyroid cancer lymph nodes, and primary micro-papillary thyroid cancer in place of Active surveillance or surgery.
  4. Are you a candidate? Benign thyroid nodules, AFTN autonomous functioning nodules, thyroid cancer recurrent lymph nodes,and primary micro-papillary.
  5. What happens during the procedure? Done in my office in the ultrasound room. You lay on examining table,we attach two pads to your anterior thighs, and we do not use IV’s or monitoring of vital signs, but they are available in the room if needed which is different in costly hospital based radiologist RF treatment. A generator ( RF Medical Korea) and short thyroid needles deliver the heat to the 3-15 mm hot tip.visual1_objectrft-e1465058742409-300x202
  6. The patient is awake and can view the procedure from an overhead mirror. Any pain or symptoms can be corrected  real time during the procedure. Usually reducing the wattage and sipping ice water can help.
  7. What tests are needed before thyroid RF? Thyroid evaluation, ultrasound and biopsy. TSH Free T4 Antibodies, and Thyroid scan if AFTN. CBC and blood coagulation battery.
  8. Anesthesia used? Local infiltration of the capsule with Lidocaine. There are no pain fibers inside the thyroid.
  9. Will you be monitored during the procedure? No but the vital signs monitor of BP and O2 are in the room as is the IVs if needed. This is an office procedure does not need all the equipment,  extra expense and people used in the hospital by interventional radiologists.
  10. How long? 10-60 minutes.
  11. Fasting? Clear fluids 2 hours before and regular meal 6 hours
  12. Medications? No problem except blood thinners.
  13. Precautions? pacemakers, implants, pregnancy,  blood thinners,
  14. What do I wear? No makeup, lipstick, metal jewelry.
  15. What is the cost? It is a procedure that is not covered by your insurance. You must pay cash. The cost is lower than if you do it in the hospital with radiologists.
  16.  What do I expect after the procedure? Pain may occur and it radiated to the ear,jaw,teeth and chest. Tylenol and ice pack is all that is needed. We don’t use steroids.
  17. How long to recover? 30 minutes and you ca go to work or home.
  18. What if I notice voice changes? Injection of iced saline to the area and abort the procedure. Recovery of the voice occurs in the short term and is not permanent.
  19. What is the complication rate?  3.3 % all complications and 1.4 % for major complications.
  20. Will my job or lifestyle be effected?  Return to regular activities including your job.
  21. Post RF medications? None except pain Tylenol and ice pack.
  22. When do I take my regular medications? right away post RF procedure.
  23. What is the follow up post RF? ultrasound TFT’s 3,6,12 months.
  24. Call me at 310-393-8860 or email to thyroid.manager@protonmail.com to have thyroid RF by a thyroidologists in my office without all extra expense of  unnecessary equipment and personnel when the radiologists do RF in the hospital.
  25. DR.G. Clinical thyroidologist and interventional thyroidologist.
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1328 16th Street, Santa Monica, CA 90404
Monday – Friday
9:00 AM to 5:00 PM
(310) 393-8860