www.rfamd.com THYROID CENTER OF SANTA MONICA Dr.Richard Guttler 1328 16 th st. Santa Monica, CA 90404 USA (310) 393.8860 thyroid.manager@thyroid.com Clinical and Interventional Thyroidologist Clinical Thyroidologist (1974 – present) ...
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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...
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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...
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LeClair K, et al. JAMA Intern Med. 2021;doi:10.1001/jamainternmed.2021.4804. DR.Guttler’s Comments: Women should be aware that many of these small thyroid cancers that come to attention in the absence of symptoms or evidence of...
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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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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...
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