Doctor Thyroid

Bienvenido al episodio 33 de Doctor Thyroid con Philip James.    El invitado de hoy es Dr. Fabian Pitoia.  El Dr. Pitoia es un experto endocrino mundial, que aparece en muchas publicaciones y conferencias mundiales, donde habla de cáncer de tiroides. El Dr Pitoia es médico endocrinólogo, está encargado de la Sección Tiroides de la División Endocrinología del Hospital de Clínicas de la Universidad de Buenos Aires. En este episodio, el Dr. Pitoia responde las siguientes preguntas: ¿Qué es la enfermedad metastásica en relación con el cáncer de tiroides?   Hay una tendencia de este enfermedad? ¿cómo se descubre la enfermedad metastásica? cuando se trata de cáncer de tiroides es un procedimiento típico para los médicos para detectar la enfermedad metastásica? si un paciente no responde a RAI (radioactiva), ¿qué es una opción de tratamiento? ¿Podemos hacer vigilancia activa cuando hay metástasis en los pulmones, ¿es lo mismo que el cáncer de pulmón? 600 milicurios de RAI .... ¿Hay peligro para este alto de una dos

El término nódulo tiroideo se refiere a cualquier crecimiento anormal de las células tiroideas formando un tumor dentro de la tiroides. Aunque la gran mayoría de los nódulos tiroideos son benignos (no cancerosos), una pequeña proporción de estos nódulos sí contienen cáncer de tiroides. Es por esta posibilidad que la evaluación de un nódulo tiroideo está dirigida a descubrir un potencial cáncer de tiroides. En esta entrevista, el Dr. Castro explica los siguientes temas: ¿Qué es un nódulo tiroideo? ¿Cuáles son los síntomas de un nódulo tiroideo? ¿Cómo se diagnostica el nódulo tiroideo? Punción de la tiroides con aguja fina Ecografía de la tiroides ¿Cómo se tratan los nódulos de la tiroides? Cuando la observación activa es la opción de tratamiento en lugar de una tiroidectomía Niños con nódulos tiroideos M. Regina Castro, MD es consultante en la División de Endocrinología de la Clínica Mayo de Rochester, MN. Es Profesora Asociada de Medicina. Es Directora Asociada del Programa de entrenamiento en la especialid

In this episode Dr. Bernet describes that Hashimoto’s thyroiditis is an autoimmune condition that usually progresses slowly and often leads to low thyroid hormone levels — a condition called hypothyroidism. The best therapy for Hashimoto’s thyroiditis is to normalize thyroid hormone levels with medication. A balanced diet and other healthy lifestyle choices may help when you have Hashimoto’s, but a specific diet alone is unlikely to reverse the changes caused by the disease. Hashimoto’s thyroiditis develops when your body’s immune system mistakenly attacks your thyroid. It’s not clear why this happens. Some research seems to indicate that a virus or bacterium might trigger the immune response. It’s possible that a genetic predisposition also may be involved in the development of this autoimmune disorder. A chronic condition that develops over time, Hashimoto’s thyroiditis damages the thyroid and eventually can cause hypothyroidism. That means your thyroid no longer produces enough of the hormones it usually m

This episode is a thorough presentation of Graves' Disease from Kimberly Dorris, an educator and expert, and also a patient.  In this episode, listeners will gain a thorough understanding of a disease that is often confused with other diagnosis.   Kimberly Dorris is the Executive Director and CEO of the Graves' Disease and Thyroid Foundation, a small nonprofit organization based in Rancho Santa Fe, CA. She began working with the GDATF as a volunteer in 2010, and took over day-to-day management of the Foundation in 2011.   ​Her responsibilities include organizing patient education events in various locations throughout the U.S.A., managing the Foundation's social media sites, producing print and electronic communications, seeking grant funding, and providing support for patients via phone, e-mail, and an online support forum.  ​ ​She also leads a monthly patient support group meeting in Phoenix, AZ.   ​Ms. Dorris has a unique perspective on thyroid dysfunction, having lived with both hyperthyroidism and hyp

En este episodio explora los siguientes temas: Opciones de tratamiento para la enfermedad de Graves. Opciones de tratamiento para el hipertiroidismo. Peligros de la medicación del hyperthyroidism. Síntomas del hipertiroidismo. Dr. Alejandro Ayala obtuvo su doctorado de la Universidad Federal Fluminense en Río de Janeiro, Brasil, en 1992, y completó su residencia en medicina interna en la Universidad Federal de Sao Paulo. Posteriormente se unió al Programa de Medicina Interna de la Universidad de Georgetown en el Centro Hospitalario de Washington, donde recibió el Premio Saul Zukerman, MD, Humanitarianism in Medicine. El Dr. Ayala obtuvo su formación clínica en Endocrinología en el Hospital Universitario Johns Hopkins, seguido de una beca de investigación en los Institutos Nacionales de Salud (NIH) en Bethesda, Maryland, donde continuó durante los siguientes cinco años como clínico del personal, investigador clínico y facultad de El programa de entrenamiento de endocrinología NIH. Durante este tiempo, los in

In this interview, Dr. Hennessey describes the history, refinements, implementation, physiology, and clinical outcomes achieved over the past several centuries of thyroid hormone replacement strategies. Topics discussed in this episode include: The history of levothyroxin Chinese using thyroid hormone to treat cretinism in the 6th century What is cretinism? Dangers of hypothyroidism during pregnancy Prescribed 3-step process when hypothyroidism is treated when pregnant The history of sheep thyroid as a treatment? In the 1920’s thyroid hormone was synthesized T3 was synthesized in the 1950’s When to take thyroid medication, morning or night? A rich history of physician intervention in thyroid dysfunction was identified dating back more than 2 millennia. Although not precisely documented, thyroid ingestion from animal sources had been used for centuries but was finally scientifically described and documented in Europe over 130 years ago. Since the reports by Bettencourt and Murray, there has been a continuous

¿Cómo sabemos si usted tiene hipotiroidismo? ¿Qué significa si es difícil concentrarse o enfocar la mente? ¿Qué significa si usted tiene altos niveles de TSH? ¿Cómo se diagnostica el hipotiroidismo? ¿Qué es Hashimotos? ¿Cuál es el tratamiento para el hipotiroidismo? ¿Puede la dieta ayudar con el hipotiroidismo? ¿Cuándo es el mejor momento del día para tomar su medicina de hipotiroidismo? ¿Dónde puede encontrar un médico para tratar el hipotiroidismo? Dra. Sandra Daniela Licht de Hospital General de consultorio particular y en INEBA ( Instituto de Neurociencias de Buenos Aires) Endocrinologia ESPECIALIDAD Establecimiento: General de Agudos J. M. Ramos Mejía. Título: Clinica Medica. Establecimiento: Hospital General de Agudos Carlos G.
Durand. Titulo: Endocrinologia ACTIVIDAD ACADEMICA Y DOCENTE Instructora de Residentes de Endocrinología, Htal Durand (1993-1995) Docente de la Diplomatura en Enfermedades Tiroideas de la Facultad de Medicina de la Universidad Nacional de Tucumán SOCIEDADES CIENTIFICAS • Miembr

In this episode, we hear from Judy O'Reilly.   Judy was diagnosed with thyroid cancer in 2011.  Following surgery, Judy speaks about the frequent challenges, including adjusting medication dosages, hypothyroidism, and her energy levels hitting the wall during daily activities.   For Judy, the cancer diagnosis forced the conversation of talking about death with her children and husband.  A singer and musician, the thyroid cancer and resulting surgery has caused vocal challenges. In this episode, we hear from Judy O'Reilly. Judy was diagnosed with thyroid cancer in 2011.  Following surgery, Judy speaks about the frequent challenges, including adjusting medication dosages, hypothyroidism, and her energy levels hitting the wall during daily activities. For Judy, the cancer diagnosis forced the conversation of talking about death with her children and husband.  A singer and musician, the thyroid cancer and resulting surgery has caused vocal challenges. She is the founder and former facilitator of THYCA Atlanta. Pr

You have been diagnosed with thyroid cancer, and contrary to your doctor's advice, you choose to not proceed with surgery.  Is this a patient trend, and how often are patients making this decision? In a qualitative analysis, Dr. Louise Davies reports on the experience of US patients who self-identify as having an over-diagnosed thyroid cancer. How likely is death as result of thyroid cancer?  In a study by H. Harach, he sites that when reviewing random autopsies, thyroid cancer was prevalent in 34% of the cadavers.   Dr. Davies states, if diagnosed with thyroid cancer, important questions to ask, include: How big is the tumor? How was the tumor discovered? Are there any symptoms? Dr. Davies says those who choose to opt for no surgery are sometimes called stupid by those who know them, and end up feeling isolated and anxious, with little or no support.   Louise Davies, MD, MS, FACS is an Associate Professor at Geisel School of Medicine and Dartmouth Institute for Health Policy & Clinical Practice (TDI).

En este episodio, estamos con la Dra. Alicia Gauna, Jefa División Endocrinología del Hospital Ramos Mejía, Buenos Aires.  Ella es Coordinadora del Comité de Recertificación de Endocrinología y Metabolismo (CREM), Directora de Beca de Dra. Florencia Rodriguez, Ministerio de Salud Pública, 2012-2013, Integrante del Comité Científico del XV Congreso Latinoamericano de Tiroides. Brasil, 2013. En esta entrevista, Dra Gauna comparte información clave sobre hipotiroidismo y cáncer de tiroides. Los temas incluyen: Síntomas del hipotiroidismo Síntomas de hipotiroidismo en la salud mental Diagnóstico del hipotiroidismo Menopausia e hipotiroidismo Embarazo e hipotiroidismo Cáncer de tiroides e hipotiroidismo Notas: YouTube con Dra. Gauna https://www.youtube.com/watch?v=Nb-o5RVszaY http://www.revistaohlala.com/1452915-que-sabes-de-tiroides

Dr. Schneider specializes in endocrine surgery, treating diseases of the thyroid, parathyroid, and adrenal glands. He utilizes several minimally invasive techniques to treat endocrine disorders (endoscopic thyroidectomy, minimally invasive parathyroidectomy, laparoscopic adrenalectomy, focused exploration for recurrent thyroid cancer). This episode explores the following topics: Treatment options for Graves' disease. Treatment options for hyperthyroidism. Dangers of hyperthyroidism medication. Symptoms of hyperthyroidism. Why smokers are a higher risk in the treatment of hyperthyroidism.   NOTES: Dr. David Schneider http://www.uwhealth.org/findadoctor/profile/david-f-schneider-md-ms/8885  

El Dr Fabián Pitoia es Médico Endocrinólogo, es Jefe de la Sección Tiroides y Coordinador del Área Investigación de la División Endocrinología  del Hospital de Clínicas - Universidad de Buenos Aires, es Docente adscripto de la Facultad de Medicina - Jefe de Trabajos prácticos de Medicina B (Facultad de Medicina - UBA) y Docente de la Carrera de Especialistas en Endocrinología y Metabolismo de la UBA. Especialidad recertificada en Diciembre de 2013. El Dr Pitoia tiene más de 200 publicaciones de sus investigaciones, más de 50 listadas en Pubmed,  ha sido primer autor de las Guías Latinoamericanas para el diagnóstico y tratamiento del cáncer de tiroides, también el primer autor de las Guías Intersocietarias Argentinas para manejo de pacientes con cáncer de tiroides 2014. En esta entrevista, discutiremos: Los síntomas que una experiencia del paciente puede saber que tienen un problema Si cirugía siempre es una necesidad Cuándo se quita sólo la mitad de la tiroides? Cómo ayuda la patología en el diagnóstico? Cuá

Dr. Babak Larian is a highly experienced, board certified Ear, Nose, & Throat Specialist and Head & Neck surgeon. Dr. Larian is the current Clinical Chief of the Division of Otolaryngology at Cedars-Sinai Hospital in Los Angeles.  Dr. Larian's Center For Head and Neck Surgery is located in Beverly Hills, California. In this episode, Dr. Larian discusses his experience treating thyroid disorders, including his medical missions to Central America.  During this interview, you will hear greater detail about the following topics: The most recent American Thyroid Association’s guidelines and updates to treating thyroid cancer compared to past approaches Minimally invasive thyroid surgery, which results in less scarring and less discomfort Breaking away from the old tradition of a large incision  Testing for parathyroid imbalance What might it mean when the patient feels anxious, has to urinate during the night, impaired mental function, and calcium imbalance?  Which blood test reveals possible parathyroid

El Dr. Carlos Simon Duque es un especialista en cabeza y cuello de Colombia. En esta entrevista, discutiremos una visión general del cáncer de tiroides, incluyendo las siguientes preguntas: ¿Qué debe saber un paciente antes de la cirugía, qué esperar? Después de la cirugía, un paciente puede sentir síntomas como hipotiroidismo. ¿Cómo lo manejas mejor? ¿Cuáles son algunas de las luchas mas complicados que usted ve con sus pacientes después de la tiroidectomía? ¿Qué pacientes recuperan mejor? ¿Qué puede hacer un paciente para sentirse mejor después de la cirugía? ¿Cuándo es el mejor momento del día para tomar la medicina de la tiroides? Usted ha trabajado tanto en los Estados Unidos como en Colombia, ¿cuáles son algunas de las diferencias en la atención y el tratamiento? ¿Qué has descubierto a lo largo del camino, que le dirías a usted de 30 años de edad si puede? ¿Actualmente está trabajando en algún estudio o investigación?

How well does your body make energy? How does your body repair? How well are your anti-oxidants working? How well do you rid your body of free radicals? Are you pre-conditioned to crisis? The next generation of lab testing and diagnosis has arrived with resources such as Cyrex Labs and Nutreval.  Thyroid health issues mimic other ailments, such as inflammation, gluten intolerance, and increased permeability (leaky gut).    In this episode, hear from Dr. Engelman, recognized as one of the top doctors in functional integrative medicine, he has advanced degrees and certifications in functional, metabolic, anti-aging and stem cell medicine. Engelman Health Institute is advanced science, and personalized care. This "new medicine" incorporates the best of traditional practices and natural and alternative diagnostic modalities. http://www.engelmanhealth.com/ https://www.gdx.net/product/nutreval-fmv-nutritional-test-blood-urine https://www.cyrexlabs.com/

Karen Smyers has competed as a professional triathlete for 30 years.  In her lengthy career, she has won seven National and four World Championship titles, including a dramatic come-from-behind victory in the Hawaiian Ironman World Championships in 1995.  Her victory at the short-course ITU Triathlon World Championship just 5 weeks later still earns her the distinction of being the only woman ever to win triathlon’s two most prestigious races in the same year. In this episode, we hear Karen describe what the calls, ‘character building’ moments, including how she approached thyroid cancer in the midst of of preparing for the 2000 Olympics.  Other obstacles included a torn hamstring, being hit by a 18-wheeler, and a broken collar bone.  Regardless of the obstacle, Karen was able to stay focused on and win the Pro National Ironman Championship. At 42 and post thyroid cancer, Karen gave birth to her second child.  Listen to this episode and you will be inspired by Karen’s determination, perseverance, and approach

This interview is a part of the lifestyle stories featured on the Doctor Thyroid podcast, an opportunity to hear from athletes and overachievers, and how they approach their diagnosis, surgery, and recovery.  In this case, we hear from Evan Simon, Head Strength and Conditioning Coach at Oregon State University.  Evan was diagnosed with advanced Stage IV thyroid cancer, which resulted a 13 hour surgery.  At the end of his surgery, Evan was told he would not be able to lift his hands overhead for 3 months, instead he broke the odds, taking him only 3 weeks.  Evan shares with us, his approach to first hearing the news, how he chose to share the news with his family, including his two young daughters, and what he did to speed his recovery.   Evan will offer you tips to improve better your recovery, including physical rehabilitation and having an optimistic mindset.  During the interview, we also hear from special guest, Stasi Kasianchuk, MS, RD, Sports Dietitian at Oregon State University.  Staci shares her exper

University of Chicago Medicine researchers Briseis Aschebrook-Kilfoy, PhD, assistant research professor in epidemiology, and Raymon Grogan, MD, assistant professor of surgery lead the North American Thyroid Cancer Survivorship Study (NATCSS). For their most recent research, Aschebrook-Kilfoy and Grogan recruited 1,174 thyroid cancer survivors – 89.9 percent female with an average age of 48 After treatment, thyroid cancer survivors face a lifetime of cancer surveillance and an anxiety-inducing high rate of recurrence, which could contribute to their findings. "The goal of this study is to turn it into a long-term, longitudinal cohort," said Grogan, who hopes to develop a tool that physicians can use to assess the psychological wellbeing of thyroid cancer survivors. "But, there was no way to do that with thyroid cancer because no one had ever studied quality of life or psychology of thyroid cancer before.” In this episode, we will explore: The spiritual, social, psychological, and physical impacts of thyroid ca

Dr. Jonas de Souza, Assistant Professor of Medicine, specializes in the treatment of head and neck cancer, including thyroid cancer at the University of Chicago. Talking points of this episode: Financial toxicity What is the COST tool? Patient-Centered Outcomes Research? When is the best time to discuss costs with the thyroid cancer patient? Who is most at risk of the increased financial burden of thyroid cancer? How can a patient best prepare for the costs of thyroid cancer? Resources: The COST tool for measuring the financial costs of thyroid cancer, http://www.facit.org/FACITOrg/Questionnaires

Dr. Douglas Van Nostrand, MD is the Director of Nuclear Medicine and the Program Director of the Nuclear Medicine Residency Program at Washington Hospital Center and Professor of Medicine, Georgetown University Hospital Center. His specialty is nuclear medicine, and his primary area of interest and expertise is the nuclear medicine diagnosis and treatment of thyroid cancer. He has held numerous academic and medical society positions including Clinical Professor of Radiology and Nuclear Medicine, Uniformed Services University of Health Sciences; past President, Mid-Eastern Society of Nuclear Medicine, Director of Continuing Medical Education Department, and other elected positions of the Medical Staff of Good Samaritan Hospital. He has over 150 articles published and has been the co-editor of seven medical books including the medical textbook entitled Thyroid Cancer, A Comprehensive Guide to Clinical Management. In this episode, get the critical questions to ask prior to committing to a surgeon.  And, other us