Dr Baek is to my left.More info
Women get more micro-papillary cancers than men.
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...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
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
Thyroid No Surgery: Thyroid RFA Done While You Are Awake. Beware of Centers Using Sedation
The importance of being awake during the procedure is to be able to tell the operator that there is a problem. Recent paper by a group of surgeons and endocrinologists had his quote. “Patients also had additional mild conscious sedation...More info
Thyroid No Surgery For Thyroid, Parathyroid or Neck Cysts: Radiofrequency RFA and Ethanol PEI are Treatments not Surgery.
Thyroid No Surgery For Thyroid, Parathyroid or Neck Cysts: Radiofrequency RFA and Ethanol PEI are Treatments not Surgery. Yelp for business New review for Guttler Richard B MD 1328 16th St Santa Monica, CA 90404 5/17/2021 I went to Dr. Guttler...More info
No Country for Aggressive Operators: Do No Harm When Treating Thyroid Patients with Radiofrequency Ablation RFA
No Country for Aggressive Operators: Do No Harm When Treating Patients with Benign Thyroid nodule with Radiofrequency Ablation RFA. It takes years of experience to go for total ablation of large thyroid nodules. The risk of injury increases with...More info
Laryngeal Nerve and Airway Protection During Radiofrequency Ablation of Thyroid Nodules
DR.Guttler’s comments: This is an excellent video by a surgeon on the risks of RFA for thyroid nodules. The thyroid sits surrounded by important structures including the trachea, recurrent laryngeal nerve (RLN) and vagus nerve, and common...More info
Thyroid Cancer No Surgery: Patient Reaction to the diagnosis of possible or definite thyroid cancer.
Patient Reaction to the diagnosis of possible or definite thyroid cancer. Thyroid 31(4)2021 S.Pitt et al DR.Guttler’s comments: 85 patients interviewed before thyroid surgery. Many had 1 cm nodules. Initial shock anxiety, fear, and strong...More info
Benign Thyroid Nodules For Alternative Treatment with Thyroid Radiofrequency Ablation: A Call for Patients.
Thyroid RFA is now approved for treatment of thyroid nodules in the USA I am doing a study with 80 patients for safety and effectiveness to be done in an endocrine office practice.Thousands of patients in Europe and Asia have had...More info
Efficacy and Safety of Thyroid RFA for autonomous functioning thyroid nodules AFTN.
Efficacy and Safety of Thyroid RFA for autonomous functioning thyroid nodules AFTN. Dr.Guttler’s comments: 411 AFTNs treated by thermal ablation in 391 patients in 14 studies. TSH normalization was achieved in 71.2% of...More info
Autonomous Thyroid Nodule AFTN Treatment with radiofrequency ablation RFA vs Radioiodine therapy.
Nodule AFTN Treatment with radiofrequency ablation RFA vs Radioiodine therapy RAI. DR.Guttler’s comments: The RAI group had patients develop hypothyroidism needing life time thyroid hormone replacement. 5/25 patients developed clinical...More info