Endocrinologists Doing Their Own Ultrasounds and FNAs Are Candidates to Become Interventional Thyroidologist to Learn Radiofrequency Ablation RFA to Enhance Their Practice.
At the 2019 national meeting of the American Thyroid Association in Chicago Dr. Lenardo Rangel gave a key lecture on the uses for RFA in the treatment of benign thyroid nodules, small thyroid cancers, and parathyroid adenoma.
All three was treated by a surgical procedure in the past. Dr.Rangel described that now that has changed.
The exciting part is that thyroid RF is not a hospital procedure, and can be done by well trained endocrinologists. The actual procedure can be done in the ultrasound room of an endocrinologist’s office.
It does not require expensive equipment and overhead costs included on the massive bill presented to you by the hospital and the radiologists and surgeons.
The thyroid RF done by endocrinologists require no IV’s, no general anesthesia or sedation of any kind. The patient is awake and can tell you if they are having any problems.
Beside the RFA system, and a good quality ultrasound the only help needed is your nurse and a maybe a sonographer tech.
Endocrinologists are not used to doing invasive procedures beyond the FNA. RFA is just the next step beyond doing biopsies and with training and expert help during Master’s classes they can overcome fear and become interventional thyroidologists.
The things you need to do is listed below.
1. Attend a RF master’s course with extensive lectures on the finer points of the use of thyroid RF. You will have hands on RFA practice with models. You will treat “meat” nodules in bovine liver or turkey breasts and after the nodule will be dissected to see how the ablation went.
2. Attend only classes that can also have you be present when an expert does a patient of theirs with a real thyroid nodule.
3. Take home other teaching methods such as using Lidocaine to inject the thyroid capsule before you do an FNA. Also the technique Dextrose microdissection used in thyroid RF to push danger structures away from the target nodule can be practiced without the generator when you get home.
4. Now we all get nervous doing the first procedure on our patients. It is normal. I was nervous when I did my first FNA and ethanol ablation of a thyroid cyst.Watching experts is very important for your education, but hands on experience can make you relax and finally do one of your own patients.
5. There is the final examination when you travel to Brazil and attend Dr.Rangel’s masters class. It is the only workshop that will allow you to do a patient selected by Dr.Rangel and with him monitoring the procedure at your side.
6. The final step is to acquire the RF system to begin your new life as a super specialist endocrinologist doing thyroid interventional procedures in my own practice.
7. I recommend the RF Medical Korea system, and also recommend you consider Rudy Garay’s RGS Healthcare to discuss the purchase of the system for your office.
Radiologists, ENT and general surgeons are also interested in thyroid RF. ENT and surgeons claim they should to Thyroid RF because they know how to handle emergencies. With my master’s course you will know how to deal with any situation as well. My patients trust me over any surgeon or radiologist as they know who has been caring for them and dealing with there problems.
Call me for details of my master’s class with observation of one or two of my RF treatments, and take home methods to practice without a system until you buy one.
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