In 2013 Richard Guttler began the training and use of thyroid RFA for thyroid nodules in Italy. He returned and began using 3 different RFA systems to begin to understand how RFA could help his thyroid patients with benign nodules avoid surgery...More info
What to Expect? Dr.Guttler’s comments. Many patient panic when there is more neck bulging on day one post RFA. Also the volume of the nodule may increase. This is normal after RFA. It is caused by edema and swelling of the nodule and soft...More info
Dr. Guttler’s comments: To decrease the amount of residual nodule tissue left after the first ablation there are two methods to help. The Artery Ablation. This is the first thing to do. The feeder artery can be ablated by inserting the tip...More info
The American Thyroid Association has accepted our abstract on the results of 3 endocrine practice’s office based (OB) thyroid nodule RFA ablation. It will be presented at their 2021 national meeting. Dr. Kathleen Hands in Texas Brian...More info
Lobectomy unless necessary will usually result in Life Time Thyroid Hormone Replacement. Consider Alternatives Such As Ethanol or Radiofrequency Ablation.
Endocrine Practice 27 ( 2021) page 691-97 Schumm M. et al Dr.Guttler’s Comments: Post lobectomy TSH of 87 115 patients had TSH >2. Older patients should think twice about a lobectomy unless necessary. Pre-lobectomy TSH > 1.8 was a...More info
Endocrine Practice 27(2021) p. 682-690 Zhang F. et al DR.Guttler’s comments: Location within the thyroid lobes is studied in this paper. 604 nodules were studied. 37/604 were cancers. Upper pole nodules had the highest number of cases of...More info
Fewer complications. Shorter recovery time Quick return to normal work and leisure activities. Preserves your thyroid function. No life long thyroid medication. No general anesthesia Local only. No hospital admission. No surgical scar. No...More info
Just like general surgery for thyroid nodules and cancer, hospital based surgeons are now pushing general RFA for thyroid nodules. The general stands for general anesthesia with or without nerve monitoring. The alternative is outpatient thyroid...More info
Benign Symptomatic Thyroid Nodules BSTN Treatment with Ethanol or Radiofrequency Ablations had Improved Their Quality of Life QoL.
Dr.Guttler’s comments: QoL was evaluated using a thyroid-specific QoL questionnaire consisting of 11 scales with multiple-choice answers. Nodule characteristics and QoL were evaluated at diagnosis and 1, 6, and 12 months after treatment...More info
The importance of being awake during the procedure is to be able to tell the operator that there is a problem. Recent paper by a group of surgeons and endocrinologists had his quote. “Patients also had additional mild conscious sedation...More info
Playing Defense From the Start: Know The Thyroid Neighborhood Richard Guttler MD Interventional Thyroidologist
Playing Defense From the Start: Know The Thyroid Neighborhood. Richard Guttler MD Interventional Thyroidologist Dr.Guttler’s Lecture on May 8th in Irvine California to future thyroid physicians during a workshop with cadavers and models...More info
Since 2013 Dr.Guttler has Been the First US Thyroidologist to Have Experience Learning and Teaching Thyroid RF to Thyroid Physicians.
Since 2013 Dr.Guttler has Been the First US Thyroidologist to Have Experience Learning and Teaching Thyroid RF to Thyroid Physicians. In 2018 he finally began treating patients after late FDA approval. Image is of Dr.Guttler treating a patient of...More info