Dr.Guttler’s Patient Thyroid Blog Post: The Gold Standard Thyroid Nodule Evaluation: How to have the best chance to avoid surgery. 1. Endocrine evaluation, TSH,FT4,TPO, TIRADS Ultrasound, FNA. 2. Low risk ultrasound and Class II cytology...
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Dr.Guttler’s Patient Thyroid Blog Post: List of Thyroid conditions can be treated without surgery with Ethanol or Radiofrequency Ablation. 1. Class II cytology benign thyroid nodules. 2. Proven benign class III and IV cytology nodules...
More info Dr.Guttler’s comments: 1. Despite the increasing evidence of safety and efficacy of EA and RFA for benign thyroid nodules, there is still a large variation in the application of the different available techniques among different countries...
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Dr. Richard Guttler’s Patient Thyroid Radiofrequency Ablation Blog Post This is a blog dedicated to helping patients with the anxiety causing problem of determining if they need surgery for their thyroid solid or cystic benign nodule, thyroid...
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Testimonial For Dr.Guttler From a Thyroid Cancer Patient ” This is my doctor. He is amazing. I was wary because he has reviews that are not favorable. Upon reading the reviews it’s clear that people have him poor reviews for two...
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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...
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Many of you are still seeing me to make sure your thyroid care for nodules, goiter, cancer and hormone dosing is adjusted as needed by 6-12 month check ups. Many have moved to general physicians in their network. Many have not had a dose change...
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Thyroglossal Duct Cyst: Ethanol Ablation Therapy PEI for Adults and Children. The old standard therapy for TGD cyst is surgery. However there may be patients who do not want surgery for the fear of the scar or surgical post op complications. PEI...
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Thyroid Diseases 101: A Patient’s List Dr.Guttler’s comments: The thyroid is a butterfly-shaped organ that sits in the front of the neck. It makes thyroid hormones triiodothyronine (T3) and thyroxine (T4). Hyperthyroidism is one of...
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1. Thyroid nodule: how is it diagnosed? The presence of goiter and thyroid nodules does not give rise to specific symptoms, unless the size is such that it causes compression of the trachea or oesophagus, leading to swallowing or breathing...
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Dr.Guttler’s comments:1. For symptomatic nonfunctioning Parathyroid Cysts, simple aspiration could be a first line procedure for diagnosis and treatment, while EA can be a subsequent treatment modality for recurrent cases. 2. 20 years...
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1. Thyroid Nodules: Pure cyst or > 50 fluid use ethanol ablation PEI. Solid mixed cyst >50% use Radiofrequency ablation RFA. 2. Solid Thyroid Nodules: Toxic or Autonomous Functioning Nodule with Low TSH and High T4: Treat with RFA instead...
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