Thyroid RF Ablation

is the FUTURE answer
to unnecessary surgery

Meet Dr. Guttler

The Thyroid Center of Santa Monica is a multi-service center established for the diagnosis and treatment of thyroid disorders in Santa Monica, California. Since 1974, Dr. Richard Guttler, clinical thyroidologist and board-certified endocrinologist, has been the director for the Thyroid Center of Santa Monica. Dr. Guttler is also the sole owner of the Endocrine Neck Ultrasound Lab of Southern California, an extension of the thyroid center. He is  an interventioal thyroidologist expert in ablation procedures with ethanol PEI and the new for the US radiofrequency ablation RFA.

Full Bio

Non-Surgical Thyroid Cancer Treatment

Your one-stop-shop for the diagnosis
and treatment of thyroid conditions.

My special expertise from 40 years of experience treating patients with thyroid nodules and cancer will give the patient the best chance to get the correct treatment and avoid unnecessary thyroid surgery.

Our practice is highly specialized and is one of only a few centers across the United States focused entirely on thyroid problems.

We commonly serve patients who have been diagnosed with thyroid nodules,cancer, hypothyroidism, hyperthyroidism, Hashimoto’s thyroiditis, and other conditions involving the thyroid. For patients diagnosed with thyroid cancer and thyroid nodules, we offer innovative, advanced techniques that are smart, cost-effective alternatives to surgery. Interventional thyroid procedures include ultrasound-guided percutaneous ethanol injections (PEI) for cysts and thyroid cancer lymph nodes, radiofrequency ablation for solid nodules.

Because of our specialty services, patients come from all over the world to see Dr. Guttler. In addition, endocrinologists travel to Dr. Guttler’s office for his workshops and Masters classes offering advanced training and knowledge in thyroidology.

Comments on a Yelp Review of my care for a patient with a large benign thyroid nodule.

In Honor of a True Thyroid Specialist: “Dr.Guttler Does Everything Himself.”

A true thyroid specialist should take command of the case. He needs to do the work himself. He needs to do the evaluation,draw his own blood and do a detailed neck ultrasound including neck lymph nodes,do the FNA, be able to evaluate to cells under the microscope, send molecular markers if needed, and most important do alternative treatments in his office. Ethanol and radiofrequency ablation expertise should be in his “tool Kit”.

The patient wrote this about the prior physicians evaluating his case.

“I felt like while each medical professional was competent at his/her piece of the puzzle, nobody was really looking at my case as an overall picture, and I never felt that there was anybody “in charge” of my case. I felt like each person was looking at his/her respective “tree,” but no one was looking holistically at the “forest.

DR.Guttler’s comments on the Yelp review:

  1. This is a classic case of the hoops patients have to go through to get a complete evaluation and recommendation on what to do with their benign thyroid nodule.
  2. First the primary that sends to the radiologist for ultrasound, after weeks back to radiology for a biopsy.Then after waiting for the pathology report they go back to their physician who tells them to see a surgeon. The surgeon says there is only one way to treat your thyroid problem and that is surgery. There was no alternatives given to surgery. He refused surgery but finally felt he had no choice and went to another university hospital for the whole re-workup. The results were the same. A benign thyroid nodule.
  3. He had two different evaluations from university thyroid specialists at two university centers in in New York City and Los Angeles.  He had surgery planned and days before the planned surgery he tried one more time to avoid surgery. He canceled the elective surgery.
  4. He stated in the Yelp review “I found in Santa Monica , California, Dr. Richard Guttler. He did not appear to be affiliated with a major hospital; he seemed to be more of a “one-man band” of some kind. I met with Dr. Guttler and I realized rapidly that his approach is the approach I was looking for”
  5. “Dr. Guttler investigates your case, performs the blood tests, performs the sonogram, performs the biopsy, and does all of the evaluation himself. He personally handles every single aspect of your case — from start to finish — entirely by himself. He becomes an expert on your case, taking full responsibility for every element of the evaluation and diagnosis and treatment”.
  6. “Not only did I prefer Dr. Guttler’s holistic approach, but he literally used a methodology which was not used on me at New York Hospital/Cornell in Manhattan, one of the most prestigious hospitals in the country.”
  7. “Dr. Guttler agreed that something had to be done to reduce the size of the nodule. Dr. Guttler told me about a technique, new in the United States, but in use around the world for many years, called radio frequency ablation.
  8. “Dr. Guttler told me about a technique, new in the United States, but in use around the world for many years, called radio frequency ablation. This is a non-invasive procedure which uses harmless radio waves to shrink the nodule.”
  9. “This was the kind of non-scar procedure I had been hoping for for many years!”
  10. “Dr. Guttler performed the procedure, and the nodule shrunk by at least 75%. The procedure was a complete success! The nodule was vanquished, and I had no scar to show for my trouble.”
  11. “Dr. Guttler. He has literally personally pioneered the use of radio frequency ablation on thyroid nodules in the United States. Dr. Guttler has my highest and unqualified recommendation and respect!”
  12. Complete Yelp review listed below.
  13. date of review 11/2020
  14. If this story sounds familiar it is because  most physicians will not refer you for alternative treatment just  sends you to surgery.
  15. Call me at 310-393-8860 or secure email to [email protected] Ask for Alicia for details on thyroid RFA.
  16. DR.G.

 

The complete Yelp review

“A doctor discovered a nodule on my thyroid about 20 years ago. It was benign, and small. Over time it grew to be large enough to be a significant problem. One could see an obvious bulge in my neck when I swallowed. A famous endocrinologist at New York Hospital/Cornell, in Manhattan, New York, strongly advised me to have the nodule surgically removed. The surgeon to whom this doctor referred me agreed with the recommendation of surgery But I was unwilling to accept the resulting permanent surgical scar on my neck. I moved to Los Angeles, and engaged a thyroid specialist at a large hospital in Los Angeles to evaluate my case anew. I went for another round of blood tests and sonograms and biopsies and evaluations. This doctor, and the surgeon to whom this doctor referred me, both recommended surgery as well. but I still was reluctant to accept a scar. In addition to my reluctance to accept a scar, my experience in New York and my first experience in Los Angeles were very similar and not reassuring. In both experiences an endocrinologist evaluated me; somebody else gave blood tests; somebody else performed a biopsy; someone else performed a sonogram, and I was referred to a surgeon who made a recommendation; and these pieces were summarized in a report which circled back to the endocrinologist. I felt like while each medical professional was competent at his/her piece of the puzzle, nobody was really looking at my case as an overall picture, and I never felt that there was anybody “in charge” of my case. I felt like each person was looking at his/her respective “tree,” but no one was looking holistically at the “forest.” Nonetheless this unanimity of opinion on two coasts in favor of surgery caused me to relent. I scheduled a surgery to have my thyroid nodule (and, likely, most or all of my thyroid) removed. A few days before the scheduled surgery, while I was going through the pre-operation process, I decided that, once again, I refused to have invasive surgery. The other thing I learned is that at big hospital complexes, if there is even the slightest chance of cancer — even if it is as low as around 5% to 10% — the standard protocol is simply to have the organ in question removed. A big hospital system would rather have a scar on your neck then take the chance of you dying from cancer on their watch. With a clean slate I looked for a new approach. I found in Santa Monica , California, Dr. Richard Guttler. He did not appear to be affiliated with a major hospital; he seemed to be more of a “one-man band” of some kind. I met with Dr. Guttler and I realized rapidly that his approach is the approach I was looking for. Dr. Guttler investigates your case, performs the blood tests, performs the sonogram, performs the biopsy, and does all of the evaluation himself. He personally handles every single aspect of your case — from start to finish — entirely by himself. He becomes an expert on your case, taking full responsibility for every element of the evaluation and diagnosis and treatment. In addition, he turns out to be one of the leading experts on thyroid nodules in the entire country. I actually have concluded that he is the leading medical expert on thyroid nodules in the entire country. Not only did I prefer Dr. Guttler’s holistic approach, but he literally used a methodology which was not used on me at New York Hospital/Cornell in Manhattan, one of the most prestigious hospitals in the country. When I had biopsies taken at Cornell the doctor did not use a real-time sonogram image to guide the insertion of the needle. At Cornell, for whatever reason, they are effectively sticking the biopsy needle in what they hope is the right place. Dr. Guttler was the first doctor I encountered who used a real-time sonogram to carefully and deliberately place the needle in exactly the right spot in the thyroid nodule for an accurate biopsy sample. In my case Dr. Guttler agreed with the other doctors and also advised that I could not allow the nodule to keep growing on its present trajectory. Dr. Guttler agreed that something had to be done to reduce the size of the nodule. Dr. Guttler told me about a technique, new in the United States, but in use around the world for many years, called radio frequency ablation. This is a non-invasive procedure which uses harmless radio waves to shrink the nodule. This was the kind of non-scar procedure I had been hoping for for many years! Dr. Guttler performed the procedure, and the nodule shrunk by at least 75%. The procedure was a complete success! The nodule was vanquished, and I had no scar to show for my trouble. I feel very fortunate to have stumbled upon Dr. Guttler. He has literally personally pioneered the use of radio frequency ablation on thyroid nodules in the United States. Dr. Guttler has my highest and unqualified recommendation and respect!”

Thyroid Center of Santa Monica welcomes your call and looks forward to serving patients and their physicians. To request a consultation, please call our office at (310) 393-8860 or email to [email protected]

Thyroid No Surgery 101

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Question: What are the results with thyroid RFA  for benign nodules?

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FDA approved Thyroid RFA: Alternative to Surgery for solid nodules and cancer lymph nodes and small micro-papillary cancers in the thyroid gland as alternative to surgery or active surveillance.Certain parathyroid adenomas can be treated also without surgery.

Call me at 310-393-8860 or secure email at [email protected]

Ask for Alicia.

Thyroid Radiofrequency RFA 101: RFA for benign thyroid nodules, and Thyroid Cancer nodal metastatic lymph nodes, and micro-papillary thyroid cancer

The patient with a cosmetic or symptomatic  benign thyroid nodules can be treated with RFA. Also thyroid cancer lymph nodes and micro-papillary cancer can be an alternative to  active surveillance. We will evaluate you to see if you are a candidate for RFA. On my recommendation t you  can be treated in Europe or Korea until RFA is approved in the USA.

Learn More

Breakthrough Radiofrequency Ablation Treatment

Question: What are the results with thyroid RFA for benign nodules?

Question: What are the results with thyroid RFA  for benign nodules?

Question: What are the results with thyroid RFA for benign nodules?

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See More About Thyroid RFA
Thyroid Cancer Awareness Month
This is my doctor.
He is amazing.

I was wary because he has reviews that are not favorable. Upon reading the reviews it’s clear that people have him poor reviews for two reasons 1) he does not take insurance so it is a lot of out of pocket expense and 2) He doesn’t go in for “natural” treatments because not a single “natural” cure has even been shown to have any effect whatsoever on thyroid disease. Patients need medication.
He is ALL about using non-invasive treatments whenever possible. He will exhaust options before recommending surgery or life-altering treatments.
He, along with a handful of colleagues, innovated the specialty of neck/thyroid ultrasound. He is kind, gentle, and above all, honest and real with his patients.

Michelle King Cohen

From The Blog

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