Dr. Richard Guttler
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Dr.Guttler’s Patient Thyroid Blog Post: The Gold Standard Thyroid Nodule Evaluation: How to have the best chance to avoid surgery.

Posted June 15, 2022 by Dr Guttler
412
Dr.Guttler’s Patient Thyroid Blog Post: The Gold Standard Thyroid Nodule Evaluation: How to have the best chance to avoid surgery.

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: Why are so many patients with small thyroid cancers looking for alternatives to surgery?

Posted June 15, 2022 by Dr Guttler
387
Dr.Guttler’s Patient Thyroid Blog Post: Why are so many patients with small thyroid cancers looking for alternatives to surgery?

Dr.Guttler’s Patient Thyroid Blog Post: Why are so many patients with small thyroid cancers looking for alternatives to surgery? DR.Guttler’s comments: 1. Two major breakthroughs in 2018 have FDA approval of radiofrequency ablation...

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Dr.Guttler’s Patient Thyroid Blog Post: Does BRAF V600E mutation effect the outcome of 1-1.5 cm papillary cancers?

Posted June 9, 2022 by Dr Guttler
402
Dr.Guttler’s Patient Thyroid Blog Post: Does BRAF V600E mutation effect the outcome of 1-1.5 cm papillary cancers?

Dr.Guttler’s Patient Thyroid Blog Post: Does BRAF V600E mutation effect the outcomes of 1-1.5 cm papillary cancers? S.Silver et al Nov. 2021 J.of Otolaryngology. Dr.Guttler’s Comments: BRAF mutations are found in 40% of small cancer...

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Dr.Guttler’s Patient Thyroid Blog Post: List of Thyroid conditions that can be treat without surgery with Ethanol or Radiofrequency Ablation

Posted June 8, 2022 by Dr Guttler
374
Dr.Guttler’s Patient Thyroid Blog Post: List of Thyroid conditions that can be treat without surgery with Ethanol or Radiofrequency Ablation

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...

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Dr.Guttler’s Patient Thyroid Blog Post: Use of cold 5% Dextrose Water can treat the voice changes occurring during the RFA treatment.

Posted June 7, 2022 by Dr Guttler
395
Dr.Guttler’s Patient Thyroid Blog Post: Use of cold 5% Dextrose Water can treat the voice changes occurring during the RFA treatment.

Dr.Guttler’s Patient Thyroid Blog Post: Use of cold 5% Dextrose Water can treat the voice changes occurring during the RFA treatment. Call me for an evaluation for thyroid RFA. 3102928860 or email to thyroid.manager@thyroid.com. Ask for...

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Dr.Guttler’s Patient Thyroid Blog Post on Radiofrequency ablation for small thyroid cancers

Posted June 7, 2022 by Dr Guttler
422

Dr.Guttler’s Patient Thyroid Blog Post on Radiofrequency ablation for small thyroid cancers Dr.Guttler’s comments: Thyroid RFA can ablate the cancer without surgery or life long follow up as in Active surveillance. Not all patients...

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Dr.Guttler’s Patient Blog post: Thyroid RFA By JH Baek Classic Paper

Posted June 6, 2022 by Dr Guttler
465
Dr.Guttler’s Patient Blog post: Thyroid RFA By JH Baek Classic Paper

Dr.Guttler’s Patient Blog post: Thyroid RFA By JH Baek Classic Paper. Dr.Guttler’s Comments: 1.This is a classic article on Thyroid RFA. 2. Read it and then call me for an evaluation. 3103938860 or thyroid.manager@thyroid.com Ask for...

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Dr.Guttler’s Patient Thyroid Blog Post: Can PET/CT prevent surgery in Class III atypical thyroid nodules?

Posted June 2, 2022 by Dr Guttler
359
Dr.Guttler’s Patient Thyroid Blog Post: Can PET/CT prevent surgery in Class III atypical thyroid nodules?

Dr.Guttler’s Patient Thyroid Blog Post: Can PET/CT prevent surgery in Class III atypical thyroid nodules? A.Piccardo et al Endocrine 2020 69-533-561 Dr.Guttler’s comments: 1. 111 patients were classified as Class III cytology. 67Class...

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Thyroid RFA “Wet Electrode” research development

Posted April 14, 2022 by Dr Guttler
487
Thyroid RFA “Wet Electrode” research development

Baek JH et al Int.J. Hyperther Dec 2021 Dr.Guttler’s Comments: 1.The electrode has a micro hole in the tip to inject chilled normal saline at 1.5 ml/minute. 2. The results in 20 patients was comparable to results with the standard...

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DR.Guttler’s Patient Thyroid Blog Post: More extensive total thyroidectomy than is needed in 50% of Cases with class V cytology.

Posted April 5, 2022 by Dr Guttler
467
DR.Guttler’s Patient Thyroid Blog Post: More extensive  total thyroidectomy than is needed in 50% of Cases with class V cytology.

DR.Guttler’s Patient Thyroid Blog Post: More extensive total thyroidectomy than is needed in 50% of Cases with class V cytology. Dr.Guttler’s comments: 25%-50% of Bethesda V thyroid nodules may be benign, noninvasive follicular...

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Putin Accompanied by Doctors, Thyroid Cancer Surgeon on Sochi Trips

Posted April 2, 2022 by Dr Guttler
427

Dr.Guttler’s comments: Most thyroid cancers are low risk papillary thyroid cancers. Follicular and medullary are intermediate risk. The worst one is anaplastic and Putin would be dead by now. Only Putin would have a thyroid cancer surgeon...

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Dr.Guttler’s Patient Thyroid Blog Post: Quality of Life After Percutaneous Radiofrequency Ablation

Posted March 29, 2022 by Dr Guttler
439
Dr.Guttler’s Patient Thyroid Blog Post: Quality of Life After Percutaneous Radiofrequency Ablation

Dr.Guttler’s Patient Thyroid Blog Post: Quality of Life After Percutaneous Radiofrequency Ablation Dr.Guttler’s comments: 1. Dr.Valcavi’s group studied Forty patients (35 women and 5 men; age, 54.9 ± 14.3 years) with cold...

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Categories
  • Active Surveillance
  • AI
  • alternative thyroid surgery procedures
  • Alternative to parathyroid surgery
  • alternative to radioiodine
  • alternative to radioiodine RAI
  • autonomous Nodules AFTN
  • Basic thyroid information
  • Benign salivary tumors
  • branchial cleft cyst
  • class II Large Thyroid nodule
  • Covid vaccine
  • Diagnostic Ultrasound
  • Ethanol Ablation (PEI) Therapy
  • Graves'disease
  • Hashimoto's thyroiditis
  • HIFU: Focused Ultrasound Ablation: Thyroid nodules
  • hyalinizing trabecular adenoma
  • Hyperthyroidism
  • Hypothyroidism
  • Laser LA
  • Master Classes
  • micro-papillary thyroid cancer
  • microwave ablation MWA
  • paliative RFA for inoperable thyroid cancer
  • parathyroid adenoma
  • parathyroid cysts
  • PET/CT
  • positive thyroid antibodies
  • pre-eclampsia:
  • Quality of Life
  • Quality of Life issues
  • RFA
  • RFA HOME
  • surgical hypoparathyroidism
  • Thyrogossal Duct
  • Thyroid Cancer
  • thyroid cystic nodules
  • Thyroid Cytopathology
  • Thyroid Laboratory
  • thyroid Microwave Ablation
  • Thyroid No Surgery
  • Thyroid Nodules
  • Thyroid RFA Systems for Endocrinologists
  • TIRADS
  • Toxic nodular goiter
  • Uncategorized
  • Zenker's diverticulum
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Active Surveillance AFTN Autonomous Functioning Thyroid Nodule Branchial Cleft cyst Cytopathology reports ethanol ablation ethanol for neck cysts ethanol for thyroglossal duct cysts Ethanol for thyroid cysts follicular neoplasm Graves' Hashimoto's hyperthyroidism hypothyroidism Micro-papillary thyroid cancers Microwave ablation MWA No surgery=small cancers Office Based Thyroid RFA parathyroid adenoma Parathyroid adenoma PTA parathyroid cysts PEI PET/CT 3 D imaging quality of life issues quality of Life QOL radiofrequency ablation RFA RFA for Autonomous Functioning Nodules RFA for local cancer recurrence RFA for micro-papillary thyroid cancer RFA for parathyroid adenoma RFA for PTA RFA for recurrent thyroid cancer RFA for small thyroid cancers RFA for thyroid nodules thyroid cancer thyroid cysts thyroid laser ablation thyroid lymphoma thyroid nodules thyroid RFA Thyroid RFA for nodules thyroid ultrasound toxic nodule
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Dr. Guttler Is Focusing On Consulting Thyroid Patients To Get The Best Care & Retires From Seeing One On One Patients
August 6, 2022330
Dr.Guttler’s Thyroid Patient Blog Post : Postpartum T4 dose Adjustment in Pregnant Hypothyroid patients.
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