Thyroid RFA for Benign Nodules: Relief of Symptoms is the goal not total Ablation with increased risk of complications. The recent use of thyroid RFA for benign nodules has as it’s goal to relief symptoms and improve the cosmetic...More info
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...More info
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...More info
Dr.Guttler’s Patient Thyroid Blog Post: Information to patients and referring physicians on Thyroid RFA.
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...More info
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 info
Dr.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 info
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 info
DR.Guttler’s Patient Thyroid Blog Post #12 Patient satisfaction and quality of life in hypothyroidism:
Dr.Guttler’s Comments: In this study 969 hypothyroid patients answered the QoL questions. Dissatisfaction with treatment was common (77.6%), and overall QOL scores were low. There was no significant between LT4 vs LT4/LT3 combination...More info
Dr.Guttler’s Patient Thyroid Blog Post: #11 Quality of Life in Patients With Hypoparathyroidism After Treatment for Thyroid Cancer
Dr.Guttler’s Comments: Thyroid cancers are usually treated with surgery. However small low risk papillary thyroid cancer can be treated without surgery. A major complication to be avoided if alternative therapy with radiofrequency ablation...More info
Dr.Guttler’s comments: Your Quality of Life can be affected just from that results of the thyroid surgery regardless of the thyroid disease prompting the surgery. Always get multiple opinions before any thyroid surgery especially if the...More info
Dr.Guttler’s Patient Blog Post# 5 Do You Know Your Family is At Risk Because You Have Hypothyroid Hashimoto’s Thyroiditis?
Case Finding Screening of First Degree Relatives of Patients with Hashimoto’s Thyroiditis. Familial Risk of Hashimoto’s Thyroiditis Among First-Degree Relatives: A Population-Based Study in Korea Hyun Jung Kim,et al Background: Few...More info
Dr.Guttler’s Thyroid Blog Post #9 Open Letter to 10,000 Patients who have had a complete thyroid Evaluation by Me
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...More info