Dr.Guttler’s comments: 1. Surgery was historically the treatment of choice for most thyroid cancer. 2.Active surveillance has emerged as an alternative for low-risk thyroid cancer in select patients. 3. However, not all patients want to...
More infoDr.Guttler’s Patient Thyroid Blog Post #19 The Revolution Continues: Small Thyroid Cancers Don’t Need Surgery!
Dr.Guttler’s Patient Thyroid Blog Post #19 The Revolution Continues: Small Thyroid Cancers Don’t Need Surgery! Dr.Guttler’s comments: It was only recently that surgery was king for all thyroid cancers. Surgery was displaced by...
More infoPioneer in Minimally Invasive Procedures: Dr.George Berci
DR. Guttler’s Comments: 1. A Pioneer in Minimally Invasive Surgery. 2. He is 101 years old and still has passion for his work. Arises early to walk go to the gym then spends 3 days a week at Cedars and the rest of the week he works form...
More infoDr.Guttler’s Patient Thyroid Blog Post #18: Long Term Quality of life problems for thyroid cancer patients with long life expectations.
Dr.Guttler’s comments: 1. One hundred fifty-two (52.4%) of 290 patients answered the questionnaire. 2.Physical functioning (PF) was worse in those survivors who were aged 50 years or older. 3.There was a statistically significant decrease...
More infoDr.Guttler’s Patient Thyroid BlogPost #18 Just Say No to Radioiodine for low risk Papillary thyroid cancer
Patient Thyroid BlogPost #18 Just Say No to Radioiodine for low risk Papillary thyroid cancer. Dr.Guttler’s comments: 1. In patients with low-risk differentiated thyroid cancer undergoing thyroidectomy, the postoperative administration of...
More infoDr.Guttler’s Patient Thyroid Blog Post #17 Reduced Quality of Life with RAI/131 for Graves’ disease.
Dr.Guttler’s comments: 1. Study was to assess QoL in patients 6–10 years after treatment for Graves’ disease. 2. Patients treated with RAI had worse thyroid-related and general QoL than patients treated with ATD.Surgery has...
More infoDr.Guttler’s Patient Thyroid Blog Post #16 Miss leading paper of Quality of life after surgery for Graves’ and Toxic nodular goiter.
Dr.Guttler’s comments: In 2022 surgery and radioiodine are used less often than long term low dose Anti thyroid drugs. Surgery has it’s own loss of quality of life when complications occur and a scar is left , and life long thyroid...
More infoDr. Guttler’s Patient thyroid Blog Post#15: Primary hypothyroidism and quality of life
Dr.Guttler’s Comments: 1. In the 1970s, treatment with thyroid extract was superseded by levothyroxine, a synthetic l form of tetraiodothyronine and is still there has been no major innovation since. 2.Adverse health effects have been...
More infoDr.Guttler’s Patient Thyroid Blog Post #14: Large Nodules Need more studies than class II cytology
Dr.Guttler’s comments: >4 cm nodules that are cytology class II should have molecular marker testing due to high rate of false negative cytology on big nodules. Suspicious thyroid nodules ≥4 cm require diagnostic lobectomy if the...
More infoDr.Guttler’s Patient Thyroid Blog Post #14
Dr.Guttler’s comments: The patient’s QoL has not been an issue for physicians to study for most of medical history. Shameful neglect of QoL studies of thyroid patients that are not hyper or hypothyroid but just goiters or nodules...
More infoDr.Guttler’s patient thyroid Blog post #14:Surgery vs RFA for micro-thyroid cancers.
Dr.Guttler’s comments: Surgery vs RFA for micro-thyroid cancers. RFA is the only treatment that dose not have a scar, surgical complications or the need to take thyroid hormone for life. There were significantly more patients with transient...
More infoDR.Guttler’s Patient Thyroid Blog Post #13
Quality of Life Impairment 6 months after therapy Toxic Nodules. Dr.Guttler’s comments: Just looking at Toxic nodules in this study. They looked at 68 patients with toxic nodular goiter. The patients were treated with antithyroid drugs...
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