Interventional Thyroidologist: They are the ones to find a way to prevent unnecessary surgery.

Interventional Thyroidologist: They are the ones to find a way to prevent unnecessary surgery for thyroid and neck cysts and solid toxic nodules and cancer lymph nodes with ethanol ablation PEI.

1. Treat benign thyroid nodules with either ethanol if cystic and radiofrequency ablation if mostly solid. The list of other treatable diseases with PEI is listed here.
2. parathyroid cysts, branchial cleft cyst, thyro-gossal duct cysts
3. Solid lesions are toxic nodule, Autonomous functioning thyroid nodule, lymph node metastatic disease, and parathyroid adenoma/hyperplasia.
4. Interventional Thyroidologist is expert in neck and thyroid ultrasound.
5. Interventional Thyroidologist uses ultrasound to locate all dangerous structures near the nodule before the treatment ( vagus nerve recurrent nerve esophagus trachea and carotid artery).
6. Interventional Thyroidologist always uses ethanol ablation PEI, the least expensive procedure for treating thyroid cysts.
7. Interventional Thyroidologist will use RFA if the mixed cyst has a large component of solid in the nodule.
8. Interventional Thyroidologist will always look at the color of the cyst fluid. If it is clear it could be a parathyroid cyst instead. If milky it could be a lymphatic duct cyst post surgery.If sticky and thick it could be a parotid cyst.
9. Interventional Thyroidologist will always send all the cyst fluid to cytopathology evaluation.
10. Interventional Thyroidologist uses pulling skin taut and letting go to “Zorro” track the needle to decrease leakage of ethanol.
11. Interventional Thyroidologist never injects the ethanol under pressure.
12. Interventional Thyroidologist never adds lidocaine to the ethanol to decrease pain. PEI is painless and does not need lidocaine.
13. Interventional Thyroidologist injects 30-50% ethanol of the amount of extracted cyst fluid.
14. Interventional Thyroidologist injects 0.25-0.5 ethanol into cancer lymph nodes.
15. Interventional Thyroidologist injects 1-2 cc ethanol into the vascular areas of a toxic nodule.
16. Interventional Thyroidologist uses the smallest needle to do the ablation. ( # 18-21 gauge)
17. Interventional Thyroidologist will usually do a painless ethanol ablation, but transit occasional pain my occur in the chin, jaw and teeth.
18. Interventional Thyroidologist has a record of no recurrent nerve or vagus nerve injuries.One case of transient thyroiditis and no cases of Graves’ disease post PEI.
19. Contact me at 310-393-8860 or thyroid.manager@thyroid.com for details of PEI treatment.
20. Ask for Alicia.
21. Dr.G.