44: Cáncer de Tiroides, con la Dra Ines Califano de Universidad de Buenos Aires


Cáncer de Tiroides, con la Dra Ines Califano de Universidad de Buenos Aires
Reduzca la ansiedad durante el tratamiento del cáncer de tiroides
En esta entrevista, discutimos lo siguiente:
1. ¿Qué es un nódulo?
2. ¿Qué sucede durante ecografia?
3. ¿Qué sucede durante la oja fina?
4. Si es cáncer, ¿siempre hace la cirugía?
5. Si no es cáncer, ¿algunas veces hace cirugía?

42: Flame Retardants Connected to Thyroid Cancer, with Dr. Julie Ann Sosa from Duke University


This is an in depth discussion about the connection between flame retardants and plastics, and thyroid cancer.  These chemicals, also known as endocrine disruptors, have a clear connection to thyroid cancer occurrence.
The research is presented by Julie Ann Sosa, MD MA FACS is Chief of Endocrine Surgery at Duke University and leader of the endocrine neoplasia diseases group in the Duke Cancer Institute and the Duke Clinical Research Institute. She is Professor of Surgery and Medicine. Her clinical interest is in endocrine surgery, with a focus in thyroid cancer. 

40: New Research Reveals Thyroid Surgery Errors 5x More Frequent Than Reported with Dr. Maria Papaleontiou from Michigan Medicine


Scheduled to publish next month, the statistics show thyroid surgery much less safe than thought.
The findings that 12% of patients overall had thyroid surgery specific complications is concerning, but more concerning is surgeons quote a 1 to 3 percent rate of error.
In the case of surgery for metastatic thyroid cancer, the error rate skyrockets to 23%.
Dr. Maria Papaleontiou is an Assistant Professor of Internal Medicine with an appointment in the Division of Metabolism, Endocrinology and Diabetes.

39: Thyroid Cancer Web Sites Confuse Patients with Dr. Rashika Bansal from St. Joseph’s Regional Medical Center


In this episode Dr. Bansal shares the research she presented at AACE 2017 and ENDO 2017, regarding the poor readability scores for thyroid cancer web sites.

The challenge for these web sites and health institutions is to translate thyroid education from complex to simple and easy to understand. Currently, many patients are not following up with treatment, citing confusion after being exposed to the various thyroid cancer education resources.

38: Thyroid Surgery? Be Careful, Not All Surgeons Are Equal and Here is Why with Dr. Ralph P. Tufano from Johns Hopkins School of Medicine


If you select carefully, the unwanted errors of thyroid surgery can be avoided.
Dr. Ralph P. Tufano is the Director of the Division of Head and Neck Endocrine Surgery at The Johns Hopkins School of Medicine, and conducts thyroid and parathyroid surgery with a focus on optimizing outcomes.
In this interview, items discussed include:
* the emotional burden of being diagnosed with cancer and the haste that sometimes follows
* the unnecessary damage of thyroid surgery, including the cutting of the laryngeal nerve resulting in vocal cord paralysis, low calcium levels and a need to supplement calcium and Vitamin D for life, and leaving residual disease behind
* knowing your risk factor and finding the right medical team to address it

36: 1 in 3 People Die With Thyroid Cancer — Not From with Dr. Seth Landefeld from UAB


1 in 3 People Die With Thyroid Cancer
The USPSTF upholds its 1996 recommendation against screening for thyroid cancer among asymptomatic adults.

The USPSTF commissioned the systematic review due to the rising incidence of thyroid cancers against a background of stable mortality, which is suggestive of over-treatment. And in view of the results, the task force concluded with “moderate certainty” that the harms outweigh the benefits of screening.

35: Rethinking Thyroid Cancer – When Saying No to Surgery Maybe Best for You with Dr. Allen Ho from Cedars-Sinai in Los Angeles


Weighing treatment options for thyroid cancer, with deep consideration for the patient’s lifestyle, could become the new norm in assessing whether surgery is the best path.

Dr. Allen Ho states, “if a patient is a ballerina or an opera singer, or any other profession that could be jeopardized due to undesired consequences of thyroid cancer surgery, then the best treatment path maybe active surveillance.” Undesired consequences of thyroid cancer surgery could be vocal cord paralysis, damage to the parathyroid glands resulting in calcium deficiencies, excessive bleeding or formation of a major blood clot in the neck, shoulder nerve damage, numbness, wound infection, and mental impairment due to hypothyroid-like symptoms.

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

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

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