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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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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For attempted curative RFA therapy 2.The number of abnormal cancer lymph nodes has to be limited to 3-4. 3.There must not be metastatic disease outside the neck. 4. The size of the lymph nodes to be RFA treated must be less than 1.5-2 cm. 1.. For...
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Endocrine Practice 27 ( 2021) page 691-97 Schumm M. et al Dr.Guttler’s Comments: Post lobectomy TSH of 87 115 patients had TSH >2. Older patients should think twice about a lobectomy unless necessary. Pre-lobectomy TSH > 1.8 was a...
More infoAt least 2-4 times a year patients present with extremely large Goiter nodules. They have seen many endocrinologists and surgeons before me.They claim for different reasons not to want surgery even though all the prior physicians told them to...
More infoDr.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 infoThyroid 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...
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