103 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
    • 4.1 • 57 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.

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

    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 receives the best available care. 
    Dr. Clayman has performed more than four hundred thyroid cancer operations per year for over twenty years among patients ranging from 6 months to 100+ years of age. Nearly half of Dr. Clayman’s patients have undergone failed initial surgery for their thyroid cancer by another surgeon or have recurrent, persistent, or aggressive thyroid cancer. If it pertains to thyroid surgery or thyroid cancer, there is likely nothing that he hasn’t seen.
    Dr. Clayman left the M. D. Anderson Cancer Center in the fall of 2016 to form the Clayman Thyroid Cancer Center in Tampa, Florida
    If someone is considering surgery, Dr. Clayman discusses important 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 There is a growing trend of patients being more informed compared to years past Do not rush into a surgery.  Vet your doctor and hospital.  Talk to people and make sure you have selected a skilled surgeon  Surgery is not franchisable, use caution when If a case is too complex, important that a less experienced surgeon seek help from a more experienced surgeon Incomplete surgery is completely unacceptable (persistence of disease) Advice to surgeons, especially less-experienced ones Other Doctor Thyroid episodes referenced during this interview:
    The Financial Burden of Thyroid Cancer with Dr. Jonas de Souza from The University of Chicago Medicine
    The Parathyroid, and a Safer — Less-Scarring Thyroid Surgery with Dr. Babak Larian from Cedars-Sinai
    A Must Listen Episode Before Getting Surgery – Do Not Do It Alone, with Douglas Van Nostrand from MedStar Washington Hospital
    SHOW NOTES:
    Dr. Gary Clayman
    Thyroid Cancer Overview
    Book: Atlas of Head and Neck Surgery
     
    Health Grades
    Zoc Doc
    The American Thyroid Association

    • 1 hr 11 min
    6-Steps for RFA-procedure success! → for doctors & patients → Dr. Roberto Valcavi

    6-Steps for RFA-procedure success! → for doctors & patients → Dr. Roberto Valcavi

    🔹 Roberto Valcavi 🔹 MD, FACE, ECNU Reggio Emilia, Italy RFA for benign nodules, for cystic nodules, for hyper functioning nodules, benign nodules, and now for malignant micro-papillary tumors.
    During this episode the following topics are discussed:
    The six steps that go into the RFA
    STEP 1: setup of the patient. The setup of the patient is in an operatory room -- the safety of a operatory room is by far greater than the setting of an ambulatory room so
    STEP 2: prepare for anesthesia.
    STEP 3: electrode needle insertion; it is done at the point exactly at the point transistorically...
    Step 4: preparation in regard to the laryngeal nerve…. the laryngeal nerve is the most delicate point. The laryngeal nerve may be cooled.
    Step 5: extraction; simply take out the needle and at the same time it must. Use compression; avoids bleeding both internal and external
    Step 6: Final check.
    ✅ About Roberto Valcavi
    20 years and 1800+ RFA procedures done; laser since 2000
    and radiofrequency ablation starting in 2010.

    ✅ www.rfamd.com/roberto-valcavi/

    ✅ABOUT RFA MD
    A guide for locating doctors of radiofrequency ablation. Find radiofrequency ablation doctors from across the world.
    rfamd.com

    Facebook
    @RFADOCTOR

    Instagram
    @RFADOCTOR

    LinkedIn
    @rfa-doctor-directory

    Twitter
    @RFADOC

    Internet
    www.rfamd.com
    ✅ ABOUT Philip James
    He is the host of the popular podcast: Doctor Thyroid
    www.docthyroid.com
    🔹
    In 2013, his laryngeal nerve was severed, shoulder nerve damaged, parathyroids ruined, and residual cancer left behind — all for a 1 cm thyroid nodule.
    Later, a vocal cord implant was inserted to help him speak.
    🔹
    All the above, the result of a bad thyroid surgery that dampened his quality of life — and left him wondering, what exactly happened — during what should be a low-risk surgery?
    🔹
    His attempts to follow up with UCLA and the UCLA surgeon were ignored.
    He then turned to other doctors for answers — this was the beginning of the podcast:
    "Doctor Thyroid with Philip James"
    🔹
    100+ episodes later, the Doctor Thyroid podcast is popular amongst patients; allowing them to access information from top doctors, without being limited by geography or economics.
    🔹
    The word he uses to describe his work as patient advocate is, ‘tonglen’. Or, using his pain and hardship to help others.
    🔹
    When not producing podcast episodes or co-hosting live Q&As for patients with top doctors, he leads the creative team at Doctor Marketing and Philip James Media — a marketing agency dedicated to digital communications serving the sectors of healthcare, payments, and Greentech.
    🔹
    The Doctor Thyroid podcast is available in Spanish and English - and listened to in over 30 countries:
    www.doctiroides.com (Spanish)🔹
    www.docthyroid.com (English)🔹
    ✅Please email your requests to philip@philipjames.co

    ✅Instagram
    @PhilipJamesMedia

    LinkedIn
    www.linkedin.com/in/philip-james/

    Facebook
    @docthyroid

    YouTube
    @Doctor Thyroid

    Twitter
    @docthyroid

    Are you looking for an RFA doctor?
    Find one here:
    www.rfamd.com



     
     
     
     
     

    • 16 min
    Thyroid Cancer Patients and Quality of Life Issues with Dr. Grogan and Dr. Aschebrook

    Thyroid Cancer Patients and Quality of Life Issues with Dr. Grogan and Dr. Aschebrook

    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 cancer.  Some of the sometimes over-looked physical impacts include dry mouth, voice problems, dry eyes, dental problems, fatigue, dry skin,  and hypoglycemia.  
    What happens to vocal cords after surgery?  Even when not paralyzed, quality of voice is effected. 
    Often times, family members don't take treatment seriously.  Society, healthcare professionals, and the media have minimized thyroid cancer, and in return has made patients feel minimized.
    Anxiety about reoccurrence, RAI treatment, and self-concept, influence quality of life for thyroid cancer patients.
    A 2011 study by Aschebrook-Kilfoy and Grogan found that thyroid cancer, which is most common in women, will double in incidence by 2019.

    • 46 min
    Radiofrequency Ablation → REMOVE Thyroid Nodules → with NO SURGERY → Dr Ralph Tufano

    Radiofrequency Ablation → REMOVE Thyroid Nodules → with NO SURGERY → Dr Ralph Tufano

    Looking for a radiofrequency ablation doctor? 🔹www.rfamd.com🔹 Radiofrequency Ablation 🛑 REMOVE Thyroid Nodules 🛑 NO SURGERY 🛑 Dr Ralph Tufano
    During this podcast, the following topics are discussed:
    ✅advocate for patients to be as well informed as possible and consider all treatment options for thyroid problems, including avoiding surgery whenever possible and radiofrequency ablation.
    ✅ five thousand dollars out of pocket and save your thyroid with radiofrequency ablation or thyroidectomy and maybe nothing out of pocket with an insurance paid thyroidectomy?
    ✅if there are isn't if there are options available if there is an option available to avoid surgery and it gives you an equivalent outcome or maybe even better outcome why wouldn't you choose radiofrequency ablation?
    ✅with radiofrequency ablation now it's exciting because for thyroid nodules they can be removed without doing surgery
    ✅before radiofrequency ablation all you had was surgery really and obviously with surgery we talked about the possible risks of surgery and of course probably more concerning sometimes to a lot of people is if you take out half of the thyroid even if you're functioning normally with thyroid your thyroid levels you're having normal thyroid function 25% of those patients will still need thyroid hormone
    ✅the beauty of radiofrequency ablation is that first of all in most circumstances it's no general anesthesia you can do it in the office much like when you go to your dentist and maybe you're getting a cavity filled you get novocaine or lidocaine to numb up the neck area and then under guidance with an ultrasound you take a needle
    ✅the beauty of that is that the overwhelming majority of times radiofrequency ablation does not change your thyroid function so think about it we're talking about an invasive procedure surgery general anesthesia complication risk
    ✅ they have a thyroid problem goiter or a nodule that can be treated by radiofrequency ablation that they seriously consider radiofrequency ablation in preserving the thyroid as a treatment option versus a surgery or a thyroidectomy
    ✅radiofrequency ablation is very effective and more effective than surgery in fact in ablating and controlling papillary micro-cancer without any real complications
    ✅radiofrequency ablation seems to be a little more focused and maybe a little bit more able to control that destructive process in that area so you can protect those important structures

    ✅About Dr. Ralph Tufano
    Dr. Ralph P. Tufano is the Director of the Division of Head and Neck Endocrine Surgery and conducts thyroid and parathyroid surgery with a focus on optimizing outcomes. He is a recognized world authority on the management of thyroid cancer, thyroid nodules, benign thyroid diseases and parathyroid disease. He has expertise in the management of thyroid cancer nodal metastases, advanced and invasive thyroid cancers as well as recurrent thyroid cancers. His work in molecular markers, improving surgical outcomes, nerve monitoring and exploring novel treatment techniques for thyroid and parathyroid diseases has helped the medical field tailor and personalize treatment for patients with these conditions.
    Dr. Tufano has performed every type of minimally invasive endoscopic and robotic thyroid and parathyroid surgery over the years and was director of the initial team that developed the now internationally accepted approach for the scarless transoral thyroidectomy and parathyroid surgery.
    Website
    https://rfamd.com/doctors/dr-ralph-tufano/
    ✅ABOUT RFA MD
    A guide for locating doctors of radiofrequency ablation. Find radiofrequency ablation doctors from across the world.
    rfamd.com

    Facebook
    @RFADOCTOR

    Instagram
    @RFADOCTOR

    LinkedIn
    @rfa-doctor-directory

    Twitter
    @RFADOC

    Internet
    www.rfamd.com
    ✅ ABOUT Philip James
    He is the host of the popular podcast: Doctor Thyroid
    www.docthyroid.com
    🔹
    In 2013, hi

    • 29 min
    Monitoring Recurrence of Thyroid Cancer by Measuring Thyroglobulin (Tg) and TgAb with Dr. Spencer

    Monitoring Recurrence of Thyroid Cancer by Measuring Thyroglobulin (Tg) and TgAb with Dr. Spencer

    In this episode, Dr. Spencer, Professor of Medicine at University of Southern California, discusses the importance of testing for thyroglobulin-antibodies and thyroglobulin.   Important notes from this interview include: only 10% of nodules are malignant. when getting blood panels each six months, it is very the important to of measure TgAb every time.   consistency is important in blood tests, meaning, use the same laboratory and manufacturer's method every time. the most reliable method of testing TgAb is the machine manufactured by Kronus (RSR) or Roche.  When getting blood tests, be sure to request either of these manufacturers for TgAb results, each of these manufacturers are 100% sensitive. Beckman is  the most commonly used manufacturer, but only is 79% sensitive to TgAb results. always use the same Tg and TgAb methods and the same laboratory.   Dr. Spencer's major areas of research interest are thyroid physiology and pathology, thyroglobulin and thyroid cancer, immunoassay techniques, thyroid hormone metabolism, and the cost-effective use of thyroid tests. Her current research includes clinical significance of Tg and TgAb in patients with thyroid cancers, parameters for optimizing thyroid hormone suppression of TSH for DTC. Studies on hypothalamic/pituitary mechanisms for regulating TSH, and testing for thyroid dysfunction during pregnancy.
    Dr. Spencer earned her PhD from Glasgow University in Scotland. She then went on to complete two fellowships, one in Clinical Biochemistry at Glasgow, and the other at the National Academy of Clinical Biochemistry.  
     
    resources:
    www.thyroidlab.com/updates

    • 18 min
    Surgery is Not More Cost Effective Than Active Surveillance, with Dr. Jeremy Freeman from Mt. Sinai

    Surgery is Not More Cost Effective Than Active Surveillance, with Dr. Jeremy Freeman from Mt. Sinai

    Dr. Jeremy Freeman was born in Hamilton, Ontario and grew up in Toronto. He attended medical school at the University of Toronto, graduating with highest honours. He completed his otolaryngology residency at the University of Toronto. After receiving his Fellowship from the Royal College of Surgeons of Canada in 1978, he spent two further years of advanced training, one as a Gordon Richards Fellow at the Princess Margaret Hospital in Toronto in Radiation and Medical Oncology and a second year as a McLaughlin Fellow, training in Head and Neck Oncology at the Royal Marsden Hospital in London, UK. He was the first fellow of the Advanced Training Council sponsored by the two head and neck societies.
    A Full Professor, he occupies the Temmy Latner/Dynacare Chair in Head and Neck Oncology at the University of Toronto, Faculty of Medicine. He is former Otolaryngologist-in-Chief at the Mount Sinai Hospital stepping down after fulfilling his 10 year appointment. He has an active practice focusing on head and neck oncology with a primary interest in endocrine surgery of the head and neck.
    He has given over 500 scholarly presentations, has been invited as a visiting professor and surgeon internationally, and has published over 280 articles in the scientific literature. He has been involved in a number of administrative roles in the American Head and Neck Society and is also on the editorial board of a number of high impact journals focusing on head and neck oncology. He has recently been appointed to the National Institute of Health (in Washington DC) task force on the management of thyroid cancer.
    He is the Director of the University of Toronto Head and Neck Oncology Fellowship, considered to be one of the top three such fellowships in North America.
    He was the program chair and congress chair of the First and Second World Congresses on Thyroid Cancer held in 2009 and 2013 in Toronto. He was the Keynote speaker at the Congress held in Boston in 2017. He has been invited worldwide to deliver keynotes in the management of thyroid malignancies.
    In this episode the following topics are discussed:
    Cost of thyroid surgery in varies depending on jurisdiction Surgery and active surveillance is a fixed cost Costs after surgery TG tests, ultrasound, thyroid hormone costs Contrary to some proponents, surgery is not more cost effective than active surveillance Hypo parathyroidism leads to daily doses of calcium and vitamin D If there is RLN damage, then there could be more surgery and voice therapy There are more costs than solely the surgical fee Levothyroxine costs Ramifications of degree of thyroid cancer Thyroid cancer is a low risk of death Many people die with thyroid cancer but don’t die from it Possibility versus probability Emotional expense of malignancy and being labeled survivor Lead a normal life or the survivor label Lifetime cost of thryoidectomy Medical costs and cost of travel, time of work, baby-sitters, and all expenses that go into managing thryoidectomy for ancillary items How long can someone live without thyroid replacement hormone post thyroidectomy? Quality of life post thyroidectomy Psychological wellbeing Do not do a FNA for nodule under 1 cm NOTES
    Dr. Jeremy Freeman
    Jeremy Freeman's scientific contributions
    LinkedIn
     

    • 27 min

Customer Reviews

4.1 out of 5
57 Ratings

57 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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