thyroidnodules

Explore "thyroidnodules" with insightful episodes like "Comparing Microwave Ablation to RFA for Treating Thyroid Nodules with Dr. Ghazi", "RFA and Protecting the Nerves for Best Outcomes → Dr. Julia Noel → Stanford University → Thyroid Radiofrequency Ablation" and "6-Steps for RFA-procedure success! → for doctors & patients → Dr. Roberto Valcavi" from podcasts like ""RFAMD", "Doctor Thyroid" and "Doctor Thyroid"" and more!

Episodes (3)

Comparing Microwave Ablation to RFA for Treating Thyroid Nodules with Dr. Ghazi

Thyroid nodules are a common medical condition that affects many people, especially women. While most nodules are benign, they can cause discomfort or even grow large enough to obstruct the airway or esophagus. Ablation, a minimally invasive procedure that uses heat to destroy thyroid nodules, has become an increasingly popular treatment option for patients.

In an interview with Dr. Ghazi, an endocrinologist and thyroid disease specialist from Egypt, the topic of discussion was comparing microwave ablation to radiofrequency ablation (RFA) for treating thyroid nodules. Dr. Ghazi has successfully completed over 100 cases of thermal ablation of both microwave and RFA, making him an expert in the field.

When comparing the two ablation methods, Dr. Ghazi notes that both microwave and RFA are effective in treating thyroid nodules. However, the most significant difference between the two methods is the ablation type. Microwave is more rapid and has a shorter application time, which makes it less exhausting for the patient. In contrast, RFA requires a longer application time, which can be more taxing for the patient.

Another important factor to consider when choosing between microwave and RFA is the location of the nodule. RFA has a heat sink effect, which can make it less effective for nodules located near large arteries or blood vessels. In contrast, microwave ablation is not affected by this issue, and the location of the nodule is less of a concern.

Additionally, patients who undergo microwave ablation do not need to lie on a bed or footbed, making the procedure more comfortable and convenient for them. Furthermore, microwave ablation can be used on patients with pacemakers, epilepsy, and even pregnant women, whereas RFA should be avoided in these cases.

However, it is worth noting that RFA has a safety advantage over microwave ablation. RFA has sensors and needles that can sense the impedance and temperature of the surrounding tissue. This makes it a more foolproof method for beginners who are new to ablation procedures. In contrast, microwave ablation lacks these sensors and requires more expertise to avoid carbonization of the surrounding tissue.

Finally, the size of the needle or antenna used in the procedure is also an important factor to consider. The antenna used in microwave ablation is larger and easier to see on ultrasound or biopsy, whereas the tip of the needle used in RFA is more easily visible by biopsy.

In conclusion, both microwave and RFA are effective methods for treating thyroid nodules. The decision to choose one over the other depends on the location of the nodule, the expertise of the doctor, and the safety concerns for the patient. It is essential to consult with a qualified physician to determine the best course of treatment for individual patients. Thanks to Dr. Ghazi for sharing his expertise on this important topic.

MORE INFO
www.rfamd.com

ABOUT Dr. Hossam Arafa Ghazi

Dr. Hossam Ghazi, Ph.D. Associate Professor of Internal Medicine. Mansoura Faculty Egypt

Consultant of endocrinology and diabetes.

PG Diploma in Endocrinology-South Wales University-UK

PG Diploma in Diabetes-Cardiff University-UK

He is interested in RFA, Laser & Microwave ablation for benign thyroid nodules and parathyroid adenoma

https://www.rfamd.com/hossam-ghazi/

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.

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.

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: @PhilipJames360

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

Facebook: @philipb07

YouTube: @Doctor Thyroid

Twitter : @docthyroid

enFebruary 24, 2023

RFA and Protecting the Nerves for Best Outcomes → Dr. Julia Noel → Stanford University → Thyroid Radiofrequency Ablation

Protecting the nerves during RFA and thyroid surgery with Dr. Julia Noel from Stanford Health Care.

Hosted by Philip James.

Supported by www.rfamd.com.

Find an RFA doctor at www.rfamd.com 🔹🔹🔹

During this interview, the following topics are discussed:

→ Stanford University prioritizes anatomic structures, ultrasound, and how to best protect the laryngeal nerve

→ Pre- procedure ultrasound is instrumental in minimizing risk

→ Risk to the laryngeal nerve is minimal during RFA

→ Where to deliver heat is guided by ultrasound

→ If unintended consequences occurs during RFA, they are usually reversible

→ Most risk is affecting a patient’s voice

→ Technique and space — away from structures — can be controlled with extra fluid

→ Dr. Noel has conducted 80+ RFA procedures at Stanford University

→ What should every practitioner know in regard to protecting the nerves?

→ Commitment to ultrasound anatomy is critical

→ Ultrasound guided procedures

→ The Stanford RFA team for conducting a procedure is one assistant MD or Fellow, medical assistant laying out equipment and vital signs

→ Patient due diligence when selecting an RFA doctor is key: it should include vetting providers for their experience with RFA → Ask if the doctor has done RFA procedures, what’s the plan for follow up?

→ With RFA, are fewer thyroidectomies occurring?With RFA in clinic, patients now have more treatment options → “No hammers looking for nails”

→ Who is the ideal candidate for RFA?

→ Solitary, large, benign thyroid nodule is the ideal candidate → Cost is between $5000 - $10,000

→ Reduction in thyroid nodule size is up to 80%

→ RFA can be used for malignant nodules

→ Why did it take so long for the U.S. to adopt RFA?

FDA processes are laborious and time consuming

→ Is RFA painful? Generally “no”

→ RFA fills a void in treatment options for thyroid nodule

→ Preservation of thyroid function is key — the thyroid is preserved

→ Does insurance cover RFA treatment?

→ Sometimes the insurance company will cover the procedure through an appeal process

About Dr. Julia Noel

✅ TWITTER @JuliaNoelMD

✅ WEBSITE https://profiles.stanford.edu/julia-noel

✅ WEBSITE https://rfamd.com/julia-noel/

✅ Grand Rounds Video on YouTube https://www.youtube.com/watch?v=YeiOQ...

✅ About Philip James

✅ Instagram @philipjames360

✅ TWITTER @docthyroid

✅ LinkedIn @Philip James

✅ Website www.philipjames.co

✅ YouTube https://www.youtube.com/c/DoctorThyroid

🔹🔹🔹

✅ ABOUT Philip James

I shared my story with many of you on my podcast: Doctor Thyroid www.docthyroid.com In 2013, my 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 me speak. The bad result of thyroid surgery dampened my quality of life → and left me wondering, what exactly happened → during what should be a low-risk surgery? My attempts to follow up with UCLA and the surgeon were ignored. So, I 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 access to information from top doctors, without being limited by geography or economics. The word I use to describe my work as patient advocate is, ‘tonglen’. Or, using my pain and hardship to help others. When not producing podcast episodes or co-hosting live Q&As for patients with top doctors, I lead the creative team at Philip James Media — we are 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 🔹🔹🔹

enDecember 30, 2022

radiofrequencyablation

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: