In 2014 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
Thyroid Patient With Anti- Vaccine Madness on Yelp
Dear Miss Holly G. 7/30/2021 Thank for your Yelp review. I have appended your Yelp review to my rebuttal. My...More info
One Day After Thyroid RFA:
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
How Do You Decrease Marginal Regrowth During the Original Thyroid or Parathyroid RFA Ablation?
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
Thyroid Nodule RFA Ablation in An Office Based Endocrine Practice.
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
Just Like Real Estate: Location, Location, Location: Thyroid Nodule Locations and Cancer Incidence.
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
Why Do Office Based Thyroid Radiofrequency Ablation?
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
General Thyroid Radiofrequency Ablation
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
A Proven Outpatient Procedure Done Under Local is Moved To Costly Inpatient Setting with General Anesthesia and Nerve Monitoring.
Costly General anesthesia for Thyroid Nodule RFA Ablation. Now add another expense with continuous intraoperative neuromonitoring CIONM. AM J. Surg C.Sinclair et al Nov 2020 Dr Guttler’s comments: To justify the use of a general with the...More info
Why Wait to Treat Your Benign Nodule Out of Fear of Surgery? Ethanol and Radiofrequency Ablation Our Both Available Now
At least 2-4 times a year patients present with extremely large Goiter nodules. They have seen many endocrinologists and surgeons before me.They claim for different reasons not to want surgery even though all the prior physicians told them to...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