I care only for patients with thyroid and parathyroid diseases including cancer. Each has their own primary care physician.
I am a board certified endocrinologist.However I trained with JT Nicoloff at USC in clinical thyroidology. I do not see diabetic patients and only see thyroid/parathyroid patients. I cross trained in nuclear thyroidology and was certified to treat my patients with radioiodine for cancer,hyperthyroid and goiters. I cross trained in thyroid cytopathology and am a member of the American Society of cytopsthology.That means while other endocrinologists may do the biopsy, all of them send the slides to a pathologist for interpretation. I cross trained in ultrasound.I wrote the questions on the first ECNU test. I was certified in 2010 in endocrine neck ultrasound ECNU, ( parathyroid, thyroid and neck lymph nodes). I taught ultrasound and thyroid cytology for endocrinologists for 6 years for the American college of endocrinology.I have trained many endocrinologists interested in advanced methods in clinical interventional thyroidology with ethanol ablation PEI of thyroid/parathyroid cysts and ablation of thyroid cancer nodal neck metastasis with ethanol. These advanced methods can replace surgery for recurrent cancer neck nodes and thyroid parathyroid cysts. Each PEI procedure saves $40-50,000 in hospital costs with less morbidity. I also trained in the use of Radiofrequency Ablation RFA of large benign symptomatic cosmetically abnormal nodules in Italy where the procedure is routine. FDA approval is pending for the USA. At present I will evaluate candidates for RFA to travel to Italy or Korea . The fee for RFA and travel expenses is still cheaper and less invasive that a thyroidectomy in this country. Usually one RFA session will solve the symptom and cosmetic problems. Some patients may think what I do is very experimental.Primary physicians may not even know these simple alternatives to surgery for their patients. Ethanol and Radiofrequency ablation techniques are state of the art and available to anyone with a goiter or cancer neck lymph node recurrent problems. I have personally done 55,000 thyroid related office visits,thyroid lab,consultations, second opinions on outside needle biopsies and surgical pathology, nuclear thyroid therapy for Graves',toxic goiter,simple goiter,thyroid cancer, Endocrine neck diagnostic ultrasounds ECNU,Ultrasound guided thyroid biopsies, Needle washout for molecular markers including BRAF, thyroglobulin calcitonin,Parathyroid hormone Ultrasound guided ethanol ablation PEI of parathyroid and parathyroid cysts, PEI of recurrent thyroid cancer neck nodes after failed neck dissections, and finally candidate evaluation for Radiofrequency ablation RFA in Europe and Korea. My candidates do not need extensive work up time, but can have a short 2 day visit for RFA and day 2 ultrasound follow up visit to determine if the procedure was successful before returning to the US and my follow up of the expected marked reduction of the nodule over 6-24 months.I hope this explanation of what I do that is not done by your local of even university based endocrinologist is why I am a special class of physician that is a thyroid hybrid that combines 5 specialties related to thyroid patient care in one physician.