The past year has been fascinating and highly fruitful year for Dartmouth Institute Associate Professor Louise Davies, MD, MS. A 2017-2018 Fulbright Global Scholar, Davis spent several months in Japan…
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.
The result of over 1000 cases of active surveillance shows no resulting deaths of patients who choose no surgery for thyroid cancer Dr. Akira MiyauchiProfessor Akira Miyauchi (Figure 1) is…
What type of patient are you, a minimalist or maximalist? About Dr. Tuttle, in his words:I am a board-certified endocrinologist who specializes in caring for patients with advanced thyroid cancer. I…
Undesired consequences and a patient’s profession should weigh heavily in the decision to have thyroid surgery, or not. Dr. Allen Ho is a fellowship-trained head and neck surgeon who focuses…
Jody Gelb is a Broadway singer and actress. Six months ago she was diagnosed with papillary thyroid cancer, during a doctor's visit for an unrelated issue. This news sparked immediate research…
How often does thyroidectomy result in surgical errors or unwanted outcomes? The answer is much more often than reported. The reported surgical error rate for papillary thyroid cancer is 2 – 3%, however, research reveals errors are nearly six-times that number.
During this episode, the following topics are discussed:
1. Financial burden of surgery versus total cost of active surveillance over ten years.
2. Stretching Exercises for Neck
3. Setting patient expectations prior to FNA to manage anxiety
4. When the laryngeal nerve is severed during thyroid surgery, it can and should be repaired, with proper surgeon skill and training.
5. The most common question asked to Dr. Miyauchi by surgeons from around the world.