Implications of RFA for patients undergoing thyroid surgery form benign disease in the USA. Surgery 2021 Kim et al July 22 2021 The number of patients who had thyroid surgery in this study who were eligible for alternative RFA therapy was...More info
Dr.Guttler will be going on vacation from September 20-30 2021 and sabbatical for November 15 to December 15 2021. The 17 patients waiting for treatment in my office can save money by coming in before September 20th or during September 30th to...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
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
Relieving symptoms and correcting the cosmetic problem is the goal.The treatment of a benign condition with surgery or RFA should have very low serious complications. I consider the loss of a patient’s normal voice for 6 months serious...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