112 episodes

This show is for thyroid patients determined to improve their quality of life, with the best information available.
You will gain insight from those who have discovered improved well-being regardless of setbacks, and hear from leading healthcare professionals, including endocrinologists, surgeons, functional medicine practitioners, and radiologists.

Doctor Thyroid Philip James interviews top thyroid experts about surgery, nutrition, endoc

    • Health & Fitness
    • 4.2 • 63 Ratings

This show is for thyroid patients determined to improve their quality of life, with the best information available.
You will gain insight from those who have discovered improved well-being regardless of setbacks, and hear from leading healthcare professionals, including endocrinologists, surgeons, functional medicine practitioners, and radiologists.

    Thermal Ablation as a Game Changer: It Will Replace 50% of Thyroid Surgeries, Dr. Giovanni Mauri

    Thermal Ablation as a Game Changer: It Will Replace 50% of Thyroid Surgeries, Dr. Giovanni Mauri

    FIND A THYROID ABLATION DOCTOR at www.rfamd.com FOLLOW @DoctorThyroid #thyroid #thyroidcancer #ultrasound 
    Introduction
    ⦿ Host: Welcome by the host of the RFAMD podcast.
    ⦿ Guest: Introduction of Dr. Giovanni Mauri, a medical professional from Milan, Italy.
    Dr. Mauri's Journey into Medicine
    ⦿ Childhood Influence: Inspired by his father, a radiologist.
    ⦿ Career Choice: Fascination with radiology and interventional radiology.
    ⦿ Family Background: His father worked in diagnostic radiology in an oncological hospital.
    History of Ablation in Italy
    ⦿ Early Adoption: Discussion of pioneers in ablation treatments in Italy, starting in the 1980s.
    ⦿ Development: The evolution of ablation techniques, from ethanol ablation for liver cancers to radiofrequency ablation.
    Dr. Mauri's Specialization
    ⦿ Scope of Ablation: Treating various cancers (liver, kidney, lung, bone, soft tissues) with thermal ablation.
    ⦿ Focus on Thyroid Ablation: Special emphasis on treating both benign and malignant thyroid diseases.
    Patient Success Stories
    ⦿ Personal Case: A female patient treated multiple times for lymph node metastasis, avoiding further surgery.
    ⦿ Impact on Patients: Emphasizing the success and life-changing effects of successful thyroid ablation treatments.
    Thyroid Surgery vs. Ablation
    ⦿ Patient Perspective: Benefits in terms of invasiveness and future hormonal treatment.
    ⦿ Medical Community: Surgeons appreciating the option of ablation to manage resources and time effectively.
    Global Trends in Thyroid Ablation
    ⦿ FDA Approval: The significant impact of FDA approval in the U.S. in 2018.
    ⦿ Rapid Growth: Thyroid ablation as the fastest-growing field in ablation treatments worldwide.
    Dangers of Rapid Growth
    ⦿ Training and Expertise: Emphasizing the necessity of proper training and the risks posed by inexperienced practitioners.
    ⦿ Comparison of Techniques: Differences between traditional surgery and ultrasound-guided ablation procedures.
    Pioneers in Thyroid Ablation
    ⦿ Innovations: Introduction of specifically designed needles and techniques in Korea and Italy. ⦿ Global Adoption: The spread of thyroid ablation practices to countries like South America, North America, and Europe.
    Risks of Thyroid Ablation
    ⦿ Medical Risks: Potential damages during the procedure, such as bleeding or nerve damage.
    ⦿ Technical Challenges: Importance of ultrasound skills and adjunctive techniques to minimize risks.
    Risks of Thyroid Ablation
    ⦿ Medical Risks: Potential damages during the procedure, such as bleeding or nerve damage. 
    ⦿ Technical Challenges: Importance of ultrasound skills and adjunctive techniques to minimize risks.
    Unsuccessful Cases
    ⦿ Benign Nodules: Rare unsuccessful cases, often due to initial under-treatment.
    ⦿ Malignant Tumors: Possibility of incomplete ablation, with options for re-treatment.
    Selecting the Right Provider
    ⦿ Criteria for Choosing: Experience of the physician, ideally in a hospital setting for beginners.
    ⦿ Importance of Supervision: Emphasis on proper environment and supervision for new practitioners.
    Addressing Skepticism
    ⦿ Literature and Communication: Using scientific evidence and open discussions to address concerns.
    ⦿ Surgical Alternatives: Emphasizing ablation as a reversible option compared to definitive surgery.
    Types of Ablation
    ⦿ Radiofrequency vs. Microwave: Discussion on the advantages and risks of each type in thyroid treatments.
    Guidelines and Clinical Experience
    ⦿ Lag in Guidelines: The delay in incorporating new treatments like ablation into official guidelines.
    ⦿ Individualized Treatment: Tailoring treatment options based on clinical experience, despite guidelines.
    Guidelines and Clinical Experience
    ⦿ Lag in Guidelines: The delay in incorporating new treatments like ablation into official guidelines.
    ⦿ Individualized Treatment: Tailoring treatment options based on clinical experience, despite guidelines.
    P

    • 44 min
    UK Doctors Recommended Surgery for Thyroid Goiter, But Italian Doctor Offers Non-Surgical Alternative with RFA

    UK Doctors Recommended Surgery for Thyroid Goiter, But Italian Doctor Offers Non-Surgical Alternative with RFA

    September is Thyroid Cancer Awareness Important, surgery isn’t always necessary for treating thyroid cancer. In fact: as many as one in three people have thyroid cancer and do not die from it, rather, with it.  In the world of medicine, it’s not uncommon for patients to feel overwhelmed and uncertain when faced with a diagnosis that requires surgery. For Peter Miller, a 64-year-old man from the UK, this was certainly the case when he was diagnosed with thyroid goiter. Three specialists recommended thyroidectomy as the only viable treatment option, but Peter was hesitant to undergo such a procedure due to the potential risks and complications associated with it. Fortunately, Peter took matters into his own hands and conducted his own research, which led him to an alternative treatment option – Radiofrequency Ablation (RFA). Through an article written by Philip James and the Philip James YouTube channel, Peter discovered Dr. Roberto Valcavi, an Appalachian doctor in Italy, who had experience performing the RFA procedure.
    After discussing his options with Dr. Valcavi via email and video consultation, Peter underwent the RFA procedure in Italy. The results were remarkable – Peter experienced significant improvement in his symptoms, and he was happy to have avoided surgery.
    Peter’s story highlights the importance of being an advocate for your own health and well-being. Conducting research, seeking second opinions, and exploring all treatment options are crucial steps in making informed medical decisions. Peter’s success with RFA also underscores the importance of raising awareness about this non-surgical treatment option.
    Despite its efficacy, RFA is not widely available in many countries, and healthcare professionals may not be aware of it as a treatment option for thyroid goiter. It is crucial to raise awareness about RFA so that patients have access to all viable treatment options.
    Peter’s experience with RFA serves as an inspiration for patients who may be hesitant to undergo surgery for thyroid goiter. Being your own advocate, doing research, and exploring all treatment options can lead to better health outcomes. And with the help of knowledgeable medical professionals like Dr. Valcavi, patients can find the right treatment option that works best for them.
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    About Dr. Roberto Valcavi Roberto Valcavi MD, FACE, ECNU is specialist in Endocrinology and specialist in Internal Medicine. 20 years and 1800+ RFA procedures done; laser since 2000 and radiofrequency ablation starting in 2010.
    At present, Dr. Roberto Valcavi is Director of the E.T.C. (Endocrine & Thyroid Clinic) in Reggio Emilia, Italy, dedicated to the diagnosis and therapy of endocrine neck (thyroid, parathyroid, lymph nodes) benign and malignant lesions. 
    He is specialized in ultrasound- guided ablative therapy of thyroid nodules by radio frequency (RFA), minimally invasive surgery that is able to effectively treat more than 90 % of benign thyroid nodules and over 80 % of malignant thyroid nodules, saving the thyroid gland.
    View Full Profile: Dr. Roberto Valcavi
    About Philip James As the host of the popular RFAMD and Doctor Thyroid podcasts, Philip James remains committed to sharing inspiring stories, valuable insights, and groundbreaking discoveries in the world of healthcare, making a positive impact on the lives of countless listeners.
    Philip’s thought-provoking interviews have covered a wide range of healthcare topics, from cutting-edge technologies and surgical advancements to patient experiences and the impact of medical research on society.
    LinkedIn Content on the RFAMD and Doctor Thyroid with Philip James websites and podcasts is for informational purposes only and not a substitute for professional medical advice. See our full Legal Disclaimer for details.

    • 26 min
    Revolutionizing Thyroid Cancer Treatment: Ablation over Surgery with Dr. Giovanni Mauri

    Revolutionizing Thyroid Cancer Treatment: Ablation over Surgery with Dr. Giovanni Mauri

    September is Thyroid Cancer Awareness Important, surgery isn’t always necessary for treating thyroid cancer. In fact: as many as one in three people have thyroid cancer and do not die from it, rather, with it.  In this interview, Dr. Giovanni Mauri, an interventional radiologist specializing in ablation for the treatment of various conditions including thyroid cancer, shares his insights with Philip James on the Doctor Thyroid and RFAMD podcasts. Dr. Mauri highlights one of the recent advancements in the field of ablation – the possibility of treating small thyroid cancers (up to one or two centimeters) without surgery. This innovative approach allows for the complete treatment of the cancer while preserving the thyroid gland.
    He advises every patient diagnosed with thyroid cancer to be aware that ablation is a valid treatment option. He emphasizes the importance for both physicians and patients to know that this option exists, and encourages patients to seek advice about the possibility of being treated by ablation instead of surgery.
    The interview concludes with Dr. Mauri extending an invitation for anyone with doubts about this procedure to reach out to him. His contact information is available in the episode description for those interested in learning more about treating thyroid cancer with ablation.
    The discussion provides a fresh perspective on thyroid cancer treatment, focusing on non-surgical options and the potential benefits of ablation. The interview wraps up with a farewell from Italy.
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    About Philip James As the host of the popular RFAMD and Doctor Thyroid podcasts, Philip James remains committed to sharing inspiring stories, valuable insights, and groundbreaking discoveries in the world of healthcare, making a positive impact on the lives of countless listeners.
    Philip’s thought-provoking interviews have covered a wide range of healthcare topics, from cutting-edge technologies and surgical advancements to patient experiences and the impact of medical research on society.
    LinkedIn Content on the RFAMD and Doctor Thyroid with Philip James websites and podcasts is for informational purposes only and not a substitute for professional medical advice. See our full Legal Disclaimer for details.

    • 3 min
    Dr. Greg Randolph on Patient-Centered Approaches to Thyroid Nodule Treatment

    Dr. Greg Randolph on Patient-Centered Approaches to Thyroid Nodule Treatment

    September is Thyroid Cancer Awareness Important, surgery isn’t always necessary for treating thyroid cancer. In fact: as many as one in three people have thyroid cancer and do not die from it, rather, with it.  In a comprehensive interview conducted by Philip James from the RFAMD and Doctor Thyroid podcasts, Dr. Greg Randolph from Harvard Medical School shares his insights on patient-centered approaches for treating thyroid nodules. The interview focuses on thyroid ablation, a procedure that treats thyroid nodules without surgery. Dr. Randolph emphasizes the importance of not only measuring the volumetric reduction of the nodule after ablation but also considering patient-reported outcomes. These outcomes include the patient’s perception of the nodule, such as whether they still have a lump sensation in their neck or a visible lump. Despite the successful reduction of the nodule size on ultrasound, the patient may still perceive a visual or physical presence, thus it’s critical to include what’s meaningful for the patient in the outcomes.
    He also discusses the importance of understanding a patient’s concerns and expectations. Whether it’s a benign nodule or a low-stage malignancy, each patient will have their own concerns and priorities. Some may fear the potential of a hidden cancer while others may be apprehensive about surgical procedures. Hence, the treatment decision should be apparent after a thorough discussion of the patient’s preferences and the medical realities.
    Lastly, he stresses the importance of physicians offering a variety of treatment options. For benign nodules or small cancers, patients should have the option to select from different rational treatments. Dr. Randolph also advocates for spending adequate time with the patient, allowing them to ask questions and make informed decisions.
    This patient-centered approach fosters a less paternalistic, more collaborative physician-patient relationship, ensuring that the patient’s desires and concerns are addressed during the treatment process.
    🔷🔷🔷🔷
    About Philip James As the host of the popular RFAMD and Doctor Thyroid podcasts, Philip James remains committed to sharing inspiring stories, valuable insights, and groundbreaking discoveries in the world of healthcare, making a positive impact on the lives of countless listeners.
    Philip’s thought-provoking interviews have covered a wide range of healthcare topics, from cutting-edge technologies and surgical advancements to patient experiences and the impact of medical research on society.
    LinkedIn Content on the RFAMD and Doctor Thyroid with Philip James websites and podcasts is for informational purposes only and not a substitute for professional medical advice. See our full Legal Disclaimer for details.

    • 10 min
    Dr. Volpi on Thyroid Ablation: Future of Cancer Treatment

    Dr. Volpi on Thyroid Ablation: Future of Cancer Treatment

    September is Thyroid Cancer Awareness Important, surgery isn’t always necessary for treating thyroid cancer. In fact: as many as one in three people have thyroid cancer and do not die from it, rather, with it.   We recently had the unique opportunity to converse with esteemed Dr. Erivelto Volpi from Brazil at the Thyroid Ablation Conference held in Italy. As an authority on thyroid treatments, he took the time to share his insights and valuable experience with us. Just a week before, we had caught up with him at the World Congress on Thyroid Cancer in London, and we were delighted to sit down with him again.
    The conference presented a golden opportunity for specialists from around the globe to converge, exchange thoughts, and learn from the experts in the field. One area that stood out more than ever at this conference was the exploration of thyroid cancer treatment with ablation. Dr. Volpi explained, “it is a new field, and in selected patients, we can offer the opportunity to avoid surgery using thermal ablations technologies.”
    Dr. Volpi emphasized that it is crucial to understand that ablation is indeed a viable option for treating thyroid cancer. However, patient selection plays an integral role in determining its effectiveness. “Usually, nodules up to one centimeter located inside the thyroid parenchyma are considered suitable cases. The results in terms of the treatment outcomes are exactly the same as those from a conventional surgery,” he noted.
    Brazil has been at the forefront of using ablation as a treatment option for thyroid nodules for over a decade. As this methodology is now gaining momentum globally, including in the U.S. and countries like Indonesia, Dr. Volpi offers lessons from Brazil’s experience.
    His key piece of advice for doctors new to this treatment method is to begin with benign and small-sized nodules. “When you start to do RFA (Radiofrequency Ablation), always start with benign nodules and not so huge nodules. For patients with cosmetic or symptomatic nodules, RFA is a very good option when starting your learning curve,” he advises. This strategy, he believes, will be beneficial not just for patients, but also for doctors who are beginning to learn this procedure.
     
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    About Dr. Erivelto Volpi Dr. Erivelto Volpi é um Cirurgião de Cabeça e Pescoço, especialista em doenças da tireoide e da paratireoide.

    Dr. Erivelto Volpi teve toda seu treinamento no Hospital das Clínicas da Universidade de São Paulo, onde permanceu por 30 anos, 4 anos como médico residente em Cirurgia Geral e Cirurgia de Cabeça e Pescoçoe 26 anos como médico do Serviço de Cirurgia de Cabeça e Pescoço, onde atuou no atendimento e cirurgias de pacientes e no  treinamento de médicos residentes e estagiários, além da formação de alunos de graduação e pós-graduação.

    Sua tese de Doutorado em 2011 foi sobre segurança em cirurgia de tireoide, especificamente na monitorização neuro-fisiológica intra-operatória dos nervos laríngeos (responsáveis pela movimentação das cordas vocais).

    Dr. Volpi sempre esteve interessado em tratamentos minimamente invasivos, sendo um dos pioneiros no Brasil na realização de Tireoidectomias Minimamente Invasivas (MIVAT), tendo feito seu treinamento na Universidade de Pisa com o Dr. Paolo Miccoli.

    Sempre preocupado em oferecer o melhor aos seus pacientes, Dr. Volpi em 2018 realizou seu treinamento em Ablação por Radiofrequência em Seoul, na Coréia do Sul com o Prof. Baek, o desenvolvedor da técnica de Ablação por Radiofrequência (RFA).

    Retornando ao país, foi um dos primeiros médicos a realizar o procedimento, deste então tem tratado pacientes de todo o Brasil e da América do Sul, além de ter uma das maiores experiências da América Latina neste tratamento, hoje Dr. Volpi é responsável por um curso de treinamento em RFA, tendo já treinado médicos do Brasil, América Latina e EUA. 
    View Full P

    • 5 min
    Nerve Protection during Thyroid Ablation: An Interview with Dr. Catherine Sinclair

    Nerve Protection during Thyroid Ablation: An Interview with Dr. Catherine Sinclair

    September is Thyroid Cancer Awareness Important, surgery isn’t always necessary for treating thyroid cancer. In fact: as many as one in three people have thyroid cancer and do not die from it, rather, with it.   
    A recent interview from the TNT conference on thyroid ablation in Italy, Philip James of the Doctor Thyroid and RFAMD podcasts had a one-on-one discussion with Dr. Catherine Sinclair, a seasoned head and neck surgeon from Melbourne, Australia. Having served at Mount Sinai in New York for 11 years before relocating back to Melbourne in 2021, Dr. Sinclair offers a unique perspective and extensive expertise in thyroid surgery and laryngology. The Importance of Nerve Protection
    As a specialist who’s invested in both head and neck surgery and the voice box, Dr. Sinclair developed a keen interest in thyroid surgery due to the significant risks it presents to the vocal nerves during thyroid procedures, including during ablation. The laryngeal nerves, in particular, tend to be the patients’ greatest concern during thyroid procedures due to the potential damage they might sustain.
    Many patients seeking Dr. Sinclair’s services are often singers or professional voice users who want to avoid surgery out of fear for their vocal nerves. As such, they prefer ablation. However, as she explains, it is crucial that they understand the risks to the laryngeal nerves and other vital structures in the area and the strategies used to mitigate these risks during ablation.
    Limitations in Nerve Monitoring
    In surgery, nerve monitoring is employed to keep track of and protect the nerves. But with ablation, patients are usually awake, which means the conventional nerve monitoring technology can’t be used. This presents a significant area of research on how to protect the nerves when the patient is conscious.
    Dr. Sinclair emphasizes that though the risk is slightly lessened with surgery, it still exists. To counter this, specific strategies are used to minimize potential damage, but it’s never a guarantee that no injuries will occur.
    Patients’ Preparedness and Awareness
    Patients must ask about the surgeon’s experience, the number of ablations performed, and any potential complications that they should worry about. The more experienced the surgeon, the less likely there are to be complications of any kind, nerve injury included.
    Contrary to some patients’ assumptions, nerve monitoring isn’t used in ablation since it requires general anesthesia. Early in her ablation experience, Dr. Sinclair used nerve monitoring on patients under general anesthesia. This procedure showed that nerve potentials remain stable as long as lower energy is used at the back of the thyroid gland where the nerves run. Furthermore, by minimizing time spent in the critical zones, nerve injury can be mostly prevented.
    Real-time Vocal Assessment
    During ablation, Dr. Sinclair often asks her patients to count in a monotone. This simple technique allows her to detect any changes in the voice, a potential indicator of nerve damage due to heat during the procedure. According to her, this method has helped prevent nerve issues.
    State of Thyroid Ablation in Australia
    Until recently, Dr. Sinclair was the only one performing thyroid ablations in Australia. Now, a colleague has started doing them in Western Australia. However, given the demand and the country’s size, she anticipates more physicians will adopt this procedure. Her main concern is ensuring that it’s done safely, with physicians possessing good ultrasound skills, interventional biopsy skills, and comprehensive knowledge of neck anatomy.
    Final Thoughts
    Dr. Sinclair’s parting advice to those considering thyroid ablation or thyroidectomy is to have realistic expectations. They should understand that injuries can happen despite the best precautions. However, the experience of the proceduralist can help lessen complications, and there are strategies to reduce the likelihood of nerve

    • 11 min

Customer Reviews

4.2 out of 5
63 Ratings

63 Ratings

Mlaap ,

Informative & Solid Thyroid Advice

Listen to this before accepting surgery as your answer! Excellent podcast with authentic intention behind it from Philip James. As a patient with Hashimoto’s for many years who recently was diagnosed with papillary thyroid carcinoma, I’ve learned so much about RFA as a treatment - and my thyroid specialist never even mentioned this. Thankful for this podcast as a resource. 👏🏼👏🏼

Amletha ,

Learning to improve my condition- via knowledge

Thanks for this awesome effort- I have learned a lot. Mainly there are ignorant physicians who are ill educated in this complex body science and yet will not hesitate to tell me that it’s all in my head.
This podcast is life saving- keep it going, where can I consult you as a gate keeper?

cj9indy ,

Excellent resource. Wish I had know about Doctor Thyroid 2 year ago

I especially enjoy listening to the guest doctors. Some very good advice on so many topics related to the Thyroid gland

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