Doctor Interviews

Surgery

Endocrine
Philip James

34: What Happens When Thyroid Cancer Travels to the Lungs? with Dr. Fabian Pitoia from the Hospital of University of Buenos Aires

What Happens When Thyroid Cancer Travels to the Lungs?
In this interview, Dr. Fabian Pitoia discusses the treatment for distant metastatic thyroid cancer.
Topics discussed include:
10% of thyroid cancer patients will have distant metastatic disease
The disease will travel to lungs, bones, or both
Treatment with RAI is most effective for those under 40 years old
Evaluation of metastatic thyroid cancer in the lungs is a CT scan
In 2006, there was a change in the treatment of the disease

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Endocrine
Philip James

33: ¿Qué Sucede Cuando el Cáncer de Tiroides va a los Pulmones? con el Doctor Fabian Pitoia del Hospital de Clínicas de la Universidad de Buenos Aires

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

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Podcast
Philip James

32: Thyroid Cancer Surgery? The Single Most Important Question to Ask Your Surgeon with Dr. Gary Clayman

This is a candid interview with Dr. Gary Clayman about thyroid cancer surgery and making sure a patient gets the best available care.
If someone is considering surgery, Dr. Clayman discusses related topics, including:
Do not let a doctor operate on you unless the surgeon can prove to you that he/she has done a minimum of 150 annual thyroid surgeries, and for a minimum of ten years. This means, do not see a surgeon unless he/she has completed a minimum of 1500 thyroid surgeries.
Damage to voice box nerves is preventable, when surgery is done right.
90% of thyroid surgeries done in the U.S. are by doctors doing fewer than fifteen thyroid surgeries per year

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Endocrine
Philip James

30: Thyroid Cancer and Children with Dr. Andrew Bauer from the Perelman School of Medicine, U of Pennsylvania

Managing thyroid cancer in children, sometimes more complex than adults
In this episode Dr. Bauer shares the complexities of managing children with thyroid nodules, and differentiated thyroid cancer. This is a must listen interview for parents whose child has a thyroid nodule or thyroid cancer diagnosis.

There are a several important differences in how pediatric thyroid nodules and differentiated thyroid cancer (DTC) present and respond to therapy. Kids are less frequently diagnosed with a thyroid nodule; however, the risk for malignancy is four- to fivefold higher compared with an adult thyroid nodule.

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Pathology
Philip James

23: You Have a Thyroid Nodule, What Happens Next? with Dr. Regina Castro from The Mayo Clinic

Dr. M Regina Castro is an endocrinologist in Rochester, Minnesota and is affiliated with Mayo Clinic.
This episode details the medical approach to thyroid nodules. Topics include:

• 60% of the U.S. population has thyroid nodules
• Discovered when evaluating other neck issues such as an unrelated pain
• What happens when you are told you have a thyroid nodule?
• How to know if your thyroid nodule is cancerous?

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Endocrine
Philip James

22: Avoiding Thyroid Cancer Surgery, Depending on the Size with Dr. Miyauchi from Kuma Hospital in Kobe, Japan

You have been diagnosed with thyroid cancer, and choose no surgery. Although thyroid cancer diagnosis has spiked around the world, a trend is to pass on surgery if the cancer is identified as low risk. In doing so, mortality rate does not increase and it avoids unfavorable events sometimes related to surgery, such as vocal chord paralysis, hypothyroidsm, financial costs, and lifelong thyroid hormone treatment.
In this episode, we visit with Dr. hypothyroidism, a pioneer in prescribing active surveillance in place of immediate surgery.

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