Thyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery

Thyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery

Thyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery

Thyroid No Surgery 101: Dr.Guttler’s Rules to Avoid Unnecessary Thyroid Surgery.

Rules:

  1. Never go to surgery with just the first local pathology opinion. Why?
  2. The first opinion may be wrong for many reasons. It can set up a cascade of events leading to surgery, complications, and unnecessary lifetime thyroid hormone therapy post-op.
  3. First the poor quality of the biopsy can lead to over-read by the pathologist due to poor biopsy technique leading to bloody distortion of the cells causing an inadequate biopsy to be called suspicious.
  4. A recent second opinion that the original biopsy report was a class IV suspicious for cancer, was not suspicious but a bad read on a poor quality biopsy that had blood causing distorted abnormal looking follicular cells groups.
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  6. It said adequate for evaluation but it was inadequate  needing a repeat biopsy.
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  8. My repeat biopsy was benign and the molecular markers were negative  and benign classifier.
  9. A second opinion before surgery is a very important thing to do.
  10. There is no emergency to have your thyroid removed.
  11. It is elective surgery and can be delayed if needed to get more opinions.
  12. You may be the one to prevent you thyroid from being removed for no good reason.
  13. Call or email for my evaluation of your biopsy. My fee for online consult for a biopsy is $450. Send the report and slides to my office. 310-393-8860 or email to thyroid.manager@protonmail.com.
  14. DR.G.
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