Thyroidologists.com is dedicated to supplying information on modern procedural thyroid endocrinology to physicians and patients.
Modern clinical procedural thyroid endocrinology is a full time job. General endocrinologists are extremely involved in caring for diabetes patients, and many decide to not get involved in learning all the tools needed to practice this new endocrine sub-speciality. While internal medicine and diabetes is a big job that needs to be done, a number of fellows and young endocrinologists are now entering this new field.
We will be listing full details about known clinical thyroidologists presently in practice as they enter their information in our database.
We will also have a listing of all American College of Endocrinology certified endocrinologists in ultrasound of the thyroid, parathyroid and neck nodal thyroid cancer. These physicians may not be full time thyroidologists but will offer personal ultrasound services to their patients.The endocrinologist will have FACE, ECNU after their name.
This is the Logo of Certified Sonologists by American College of
Also all certified thyroid parathyroid labs run by the ECNU sonologist endocrinologist will have the American Institute of Ultrasound Medicine AIUM certification displayed in their office.These AIUM ultrasound sonologists can do thyroid parathyroid studies and even ethanol therapy for cysts and cancer lymph nodes for other general endocrinologists that presently send out these to radiologists, nuclear medicine physicians, and surgeons.
ECNU certified endocrine sonologists will be better at thyroid biopsies and therapy than pathologists or radiologists.The "first look" to determine adequacy during the biopsy may give clues to the diagnosis before the pathologist gets the slides.If there is obvious situations that would trigger molecular markers, they can be obtained during the biopsy. This will save obtaining the markers with a second biopsy later. This is also a money saver and prevents the need for a second biopsy.
Ultrasound of a 7 mm cancer lymph node being biopsied by the thyroidologist. The white dot in the center of the lymph node is the tip of the biopsy needle. These nodes are too small to feel and are best visualized by high frequency ultrasound used by thyroidologists.
They will use modern on-site adequacy assessment during the biopsy to reduce the average inadequate biopsy rate of 20% to 1-5%. This will cost less because there is no need for a pathologist or technician to be presentand no need for a rebiopsy.
This is the rapid on-site 90 second staining called DifQuik to help thyroidologists determine if their technique is adequate to get a good biopsy without a high inadequate rate.
They can also take care of their own patients when it comes to diagnosis and treatment with radioiodine. They are thyroid nuclear medicine physicians and can use radioiodine to do diagnostic thyroid uptake and imaging, and larger doses to treat Graves disease, toxic and benign non-toxic large benign and thyroid cancer No visits to the hospital to see a general nuclear medicine physician, and usually no hospitalization after thyroid cancer Radioiodine therapy.
The thyroidologist uses various radiation safety equipment shown below, to make sure there is no contamination when treating his patients with radiodine. He is a radiation safety officer under the state health department rules for careful safe use of radioiodine.
Every thyroid cancer patient treated has the dose checked multiple times before it is given as a single small pill of RAI/131. Cardinal Health check the dose before it leaves their facility, and again by the thyroidologist when it arrives at the office. A machine, shown below in blue, called a dose calibrator re-checks the accuracy of the dose sent by the supplier. The machine above with the red cap, is used to determine the 1 and 2 meter radiation level. Then a physicist shown below will calulate the amount of radiation given and determine it is safe to send the patient home with isolation procedures instead of a 2-3 day stay "locked up"in the hospital room.
There will be articles for physicians. A expert in patient physician interaction will write articles on how to improve the flow of information to patients and still have a good "bedside manner".
Clinical thyroidologists who are members can add articles and review papers on thyroid topics and inform the public what services they offer in their thyroid centers.
Thyroid patients can find clinical thyroid physicians near them on the "find the thyroid doctor" section.
The search function allows a targeted approach to finding specific information.
Thyroidologists can find products that can be useful in their practice, and patients can find books for thyroid patients.
There is a twitter, facebook and google + feed at the end of each article to allow physican and patient alike to comment on the article and refer it to another, physician, thyroidologists or to another thyroid patient.
Finally, we have a graduating endocrine fellow planning a clinical thyroidologist carrer path, writing a fellow's column about the "nut and bolts" of getting as much thyroid experience during and shortly after their fellowship.
Modern Alternatives to Thyroid Surgery
When: Oct 8, 2013 - Oct 8, 2014
Where: Santa Monica Thyroid Center
Details: find out more
ALTERNATIVE TO SURGERY
MINIMALLY INVASIVE THYROID THERAPY
DO YOU HAVE A GOITER, LARGE BENIGN NODULE, LARGE THYROID OR PARATHYROID CYST AND TOLD YOU NEED SURGERY?
The new exciting field of interventional thyroidology can help you avoid surgery and treat your thyroid condition. New methods are coming online fast.
Present therapy options include safe low dose radioiodine for symptomatic or cosmetically unsatisfactory large goiters. Large complex benign cysts with >50% fluid can be ablated with ethanol EA. Safe and rapid outpatient therapy in place of hospitalization, morbidity, scar, and expense. Complex cystic nodules with > 50% solid can be ablated with combination therapy. First use Ethanol ablation of the cyst component and follow with radioiodine to destroy the solid component. All these are outpatient procedure with no scars.
Contact Interventional Thyroidologist
Richard B Guttler MD,FACE,ECNU www.thyroid.com, 310.393.8860
Bloody Thyroid FNA: Bad Technique or Hemangioma ? (Case Study of the week)
Summary: J Ultrasound Med. 2014 Apr;33(4):729-33. doi: 10.7863/ultra.33.4.729.
Thyroid hemangiomas diagnosed on sonography.
Park SH1, Kim SJ, Jung HK.
Primary thyroid hemangiomas are extremely rare, and only a few cases have been previously reported. Primary hemangiomas are developmental anomalies resulting from the inability of the angioblastic mesenchyme to form canals. Thyroid hemangiomas are generally considered difficult to diagnose preoperatively because of their low incidence and nonspecific imaging findings. Here we report 2 cases of thyroid hemangiomas that were diagnosed correctly on preoperative sonography. Our cases showed similar sonographic findings, such as well-circumscribed hypoechoic lesions with internal channel-like linear lines, and bloody content was aspirated during fine-needle aspirations. Our report shows that thyroid hemangiomas can be diagnosed correctly by sonography with or without confirmation of bloody content in the lesions by fine-needle aspiration.
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