Dr.Guttler’s comments: For carefully selected PTMC, RFA did not have inferior oncologic outcomes after 5 years of follow-up when compared with open surgery THYCA-QoL questionnaire, a specific scale for thyroid cancer patients, to evaluate...
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70 pound F with 10 year history of severe weight loss with symptoms for vomiting undigested food and dysphagia has Hashimoto’s thyroiditis and a “thyroid nodule” on outside Ultrasound. Neck examination was negative for a thyroid...
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Dr.Guttler’s Comments. Indian Study of 10 patients with the use of RFA for parathyroid adenoma instead of surgery. 9/10 no complications.1/10 had transient hoarseness for 3 weeks. Conclusion was radiofrequency ablation of parathyroid...
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This is a letter from a patient told to have surgery asking me about thyroid RFA. The physicians caring for her never mentioned approved alternative therapy. They did not even mention active surveillance. “What is considered a low risk...
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Dr.Guttler’s comments: Most over the counter supplements are worthless and put billions in the pockets of the companies. Biotin is not only worthless but it causes thyroid blood testing abnormalities. Hair loss is a serious problem but if...
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Dr.Guttler’s comments: Not much can go wrong but here is a summary. Unlike the hospital, my patients are watched post RFA for 30-45 minutes while they are checked for any symptoms. They can return to work but no heavy lifting or exercise...
More infoAlternative to surgery? Xinyang Li, et al Endocrine Practice Article July 23 2021. DR.Guttler’s comments: 25 patients who were treated with RFA for pHPT in this report. 21/25 had normal PTH at 6 months. Minor complications of neck pain and...
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