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Thyroid Nodule Ablation

https://www.youtube.com/watch?v=EU-8FezI0rE

00:00:03
okay totally new topic today uh thyroid nodule ablation so this is a new one never heard of it before until yesterday so took some time to check into it uh last night and um i just might thought i'd put this out there just based on our experience so ablation means that you're going to go in there and you're going to blate these nodules you're going to um get rid of them uh and by using a radio frequency and then and blasting these nodules to get rid of them i heard of it just yesterday from a patient on the east coast who is going to try to put i think 8 500 dollars together to go get her nodules ablated to which my reply was why would you do that it's like what in the thyroid nodule needs to be ablated we have palpated thousands of thyroid nodules over a period of time sometimes some people have multiple some people have one some people have three some people have seven and the thyroid nodules are biopsy before that before they're ablated their biopsy to find out whether they're cancerous if you are real diagnostician you will palpate the thyroid nodules and those thyroid nodules are going to feel hard and and that's fine if if you get to one that's kind of tender one solitary nodule that's tender that kind of raises an eyebrow that's when you really want to get diagnostic um uh ultrasound on and you want to do a biopsy on and if you do the biopsy then they'll determine whether you have um cancer or they'll usually see abnormal cells in their normal cells abnormal cells or cancer normal cells are normal abnormal cells today they're they're pretty much saying um a large amount of time that it's actually hashimoto's and inflammatory responses from that there's some ideas that it's the part of the increased thyroid stimulating hormone that takes place from exacerbations of the thyroid particularly in hashimoto's and uh and the last thing would be on the somewhat infrequent chance that it's cancer and if it's cancer i've talked about that not a big one for taking like your whole thyroid out or like even half of your thyroid it's like removed that cancerous part uh in defense of the doctors none of them wanna get sued so if they just take a little part out the cancer comes back they don't wanna deal with it so they a lot of times they just take like the whole thing out but back to nodules so i'm trying to figure out where in the flow ablating a nodule there would be of any value because if you haven't if if you have a nodule that's just there because you have too much thyroid stimulating hormones inflammation it it just stays there most people don't even know they have them they wouldn't know to feel that they're there they don't really alter your physiology at all unless they're cancerous if they're cancerous you take it out so i'm trying to understand what uh what would be the what would be and and i looked at it as much as i could last night to try to get a real good feel for like what what's what's the actual rationale for for taking them out and i i didn't really to me it didn't really raise to that level of um i think it's like not covered by insurance so it didn't really raise the level of me of a diagnostic or i guess even a better term would be like a clinically therapeutic procedure so i i'm open to i'm open to anybody giving me more information on that um i'm not even here to debate it i'm just saying that i can see this i can see this being part of something i'm going to have to start answering to be because yesterday was the first time i've heard of it and uh and so for me when i'm working with patients i like to keep things as basic and as streamlined as possible and if i get a if i get to wait until they you know take eight months to figure out what their thyroid hormone is or if i get away from they go get an ablation well if that's fine if they have cancer i get away from the go get can't get rid of cancer i'm okay with that you know but so so the the smoother a case can go the more likely a person's going to follow through not to get discouraged but if they got to go here there do this i'm not i'm not right i'm not on board with the ablation thing at this point in time uh and and we'll see where that goes if if anybody brings me some good data that changes my mind i'm kind of open to that but right now i would say think twice before somebody starts you know offering you the service of 8 500 not not covered by insurance to get rid of your blade to ablate your your non-cancerous thyroid nodules – Okay, totally new topic today thyroid nodule ablation. So this is a new one never heard of it before until yesterday. (laughs) So it took some time to check into it last night. And I just, I thought I'd put this out there just based on our experience. So ablation ba- means that you're going to go in there and you're going to ablate these nodules, you're going to get rid of them.
00:00:38
And by using a radio frequency and then, and then blasting these nodules to get rid of them. I heard of it just yesterday from a patient on the East coast, who is Try to put, I think $8,500 together to go get her nodules ablated to which my reply was, why would you do that? It's like, what, what in the thyroid nodule needs to be ablated.
00:01:10
We have palpated thousands of thyroid nodules over a period of time. Some time, some people have multiple some people have one, some people have three some people have seven, and the thyroid nodules are biopsy before that before they're ablated.
00:01:33
Their biopsy to find out whether they're cancerous. If you are real diagnostician you will palpate the thyroid nodules.
00:01:44
And those thyroid nodules are going to feel hard.
00:01:50
And, and that's fine. If, if you get to one that's kind of tender, one solitary nodule that's tender that kind of raises an eyebrow.
00:01:59
That's when you really want to get diagnostic ultrasound on and you want to do a biopsy on, and if you do the biopsy then they'll determine whether you have um, cancer or there they'll usually see abnormal cells in there, normal cells, abnormal cells, or cancer. Normal cells are normal.
00:02:26
Abnormal cells today, they're pretty much saying a large amount of time that its actually Hashimoto's and inflammatory responses from that. There's some ideas that it's part of the increased thyroid stimulating hormone that takes place from exacerbations of the thyroid, is particularly in Hashimoto's and and then last thing would be on the in somewhat infrequent chance that it's cancer. And if it's cancer, I talked about that. I'm not a big one for taking like your whole thyroid out or like even half your thyroid.
00:03:06
It's like remove the cancerous part. In defense of the doctors, none of them want to get sued so if they just take it a little part out and the cancer comes back, they don't want to deal with it so they, a lot of times they just take like the whole thing out. But back to nodules. So I'm trying to figure out where in the flow ablating a nodule there would be of any value because if you have an, if, if you have a nodule that's just there because you have too much thyroid stimulating hormone it's inflammation it's, it, it just stays there. Most people don't even know they have them. They wouldn't know to feel that they're there. They don't really alter your physiology at all. Unless they're cancerous. If they're cancerous you should take it out.
00:03:46
So I'm trying to understand what what would be the, what would be, and I, and I, and I looked at it as much as I could last night to try to get a real good feel for like what what's what's the actual rationale for, for taking them out. And I didn't really, to me it didn't really raise to that level of, I I think it's like not covered by insurance.
00:04:10
So it didn't really raise to the level of me, of diagnostic or I guess even a better term would be like a clinically therapeutic um, procedure.
00:04:24
So I, I'm, I'm, I'm open to I'm open to anybody giving me more information on that.
00:04:34
I'm not, I'm not even here to debate it. I'm just saying that I can see this. I can see this being part of (laughs) something I'm going to have to start answering to. Because yesterday was the first time I've heard of it.
00:04:48
And, and so for me, when I'm working with patients I like to keep things as basic and as streamlined as possible.
00:04:57
And if I get a, if I got to wait until they, you know take eight months to figure out what their thyroid hormone is, or if I get away from to go get an ablation. Well that's fine, if they have cancer I could wait for them to go-get, get rid of cancer. I'm okay with that, you know? But so, so the smoother a case can go the more likely a person's going to follow through not to get discouraged through it but if they got to go here, there do this. I'm not, I'm not right. I'm not on board with the ablation thing at this point in time.
00:05:28
And, and we'll see where that goes. If, if you if anybody brings me some good data that changes my mind I'm kind of open to that. But right now I would say think twice before somebody starts, you know offering you the service of $8,500, not not covered by insurance to get rid of your- to ablate your your non-cancerous thyroid nodules.

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