Did you rule out thyroid tumor in this case. If years after ablation pt develops cancer would you take responsibility of that cancer which was not treated effectively. Is there any research on recurrence as mng is now an antibody mediated disease and it is bound to recurrence.
I have several nodule both sides and the middle plus others. These three are the ones my doctor is worried about. One is over 3 cm the other two are over 2 cm. Is this something that might work for me. My husband is Against surgery.
I had a steroid injection (for poison ivy that was on my neck )in July and I had a red flush on my neck after the injection. I had covid in October. I had low TSH in November. I was diagnosed with mutilnodular goiter and I have the antibodies for Graves. My blood work normalized very quickly even though I was on the lowest dose of methimazole. Has there been a case that RFA treated Graves? Could reducing the nodules with RFA help? Is any research being done on this?
Hi doctor, do you kno if any specialists who do RFA in England. I have a 3.7cm benign nodule in my left lobe of my thyroid & it’s started causing me symptoms. I have normal thyroid function and really don’t want surgery. Currently doing ivf.. please help 🙏🙏🙏
Dear Doctor Keith, I am in Australia and I will be having a Telehealth with Professor Catherine Sinclair who has introduced RFA in Melbourne and now Sydney with whom I will have a consultation with her in the next few weeks as I only became aware of this procedure. I had already initially booked to see an endocrinologist that doesn't do RFA) only surgery, thought I would get his take on this. I do have a benign 4.7cm nodule which occupies the entire right thyroid lobe, my TSH has been normal. I do experience compression and lump in my throat. I did mention RFA to this endocrinologist and he feels that an RFA Specialist would not touch this, and he recommends the only solution down the track is having a hemithyroidectomy. Can you shed some light on this? surely RFA could help with this? I need some hope as I don't want to go down the surgery path. thank you
Dear Doc im in Denmark europe day after tomorow is my surgery but I really dont want. They are good at our hospital but I want to ask if rfa will be helpful to me? my diagnosis from fine needle aspiration is follicular neplasm. it over 4 cm big on right thyroid lobe they want to remove my right lobe! im so scared please please reply me today if you can if your procedure could help me. many thanks in advance. assia 52 year woman
Yes, several nodules can be done at once. There are some patients who require more than one treatment if there are multiple, large, bilateral or substernal nodules. Currently, Medicare does not cover this procedure, even though it is FDA approved. Typically, it take a while to get that coverage through. It will be a covered procedure at some point in the future - because it is actually cheaper than surgery. So, Medicare covering it would save the taxpayers money!
Thyroid function is not affected so if you have normal thyroid levels before- you will after. (The only exception are toxic nodules - which we intend to ablate and thus restore normal function)
RFA works great to treat benign nodules in the isthmus! Extra care has to be taken as frequently these nodules are closer to the skin surface so there is a small risk of skin burns. With careful technique, these nodules can be effectively treated.
Treatment costs vary widely as there is no standard costs. Many doctors will discuss price after seeing how extensive the problem is. Large, challenging nodules can take a lot more time to treat, so costs vary. Talk with the doctor in your area about your specific situation.
I don't have a definite cancer diagnosis, but a suspicious nodule on my thyroid. How do I navigate this gray area I find myself in? I'd love RFA therapy over surgery. I wish there was a way to diagnose cancer before having to go under the knife.
RFA is a great treatment for benign nodules. So you need a fine needle aspiration (FNA) that is either benign or indeterminate with genetic testing that suggests a benign nodule. If the ultrasound is suspicious- then you need an FNA. If the FNA results, particularly if the genetics are suspicious then RFA would not be appropriate. I’d be happy to look over your individual situation and discuss with a telemedicine appointment, but can’t offer any specific advice here. If you haven’t had the genetic testing, check out the Afirma or Thyroseq testing options that can help many folks avoid unnecessary surgery.
@@entallergydoc1 I really appreciate your thorough reply! I've had 2 FNAs. The first was benign and I was so happy. My doctor told me to get a follow-up ultrasound in a year or two, so I did. The nodule grew by 25% which warranted the second FNA. That came back indeterminate/suspicious. Surgery was recommended. My endo said the genetic testing wasn't necessary and wouldn't be helpful when I asked. It's all so confusing. I understand that you can't give me more information without knowing the details of my case and I'll look into those genetic testing options you provided. Again, I'm so grateful for your time. I'm learning a lot.
@@daniis.444 Thanks for asking! I'm doing well now. I did in fact need to have a surgery (partial thyroidectomy) to get a definitive answer. Thankfully, it was never cancer to begin with. I'm glad the other half of my thyroid can make the appropriate hormones so I don't have to be on supplements for the rest of my life.
Dr. Please I need some help I’m lost .. I am suffering from HYPER symptoms since Year ago and I have done tsh 3 times first time it was 1.60 uIU/ml within ft4 1.03 ng/dl then I redid THE TESTS ONCE AGAIN tsh - (0.70) uIU/ml Free t4 - ( 0.98) ng/dL Anti thyroid peroxidase tpo ( 0.37) IU/ml Anti thyroglobulin abs (0.55) IU/ml ….. I got an ultrasound it was clear that I’m dealing with nodule into my left lobe will this treatment help me ??
Typically, the RFA procedure stops the growth of the treated nodules. Long term effects are all positive - smaller, non-growing nodules while preserving the working thyroid tissue.
"Ill-defined" can represent a broad array of findings. Sometimes, it's just changes within the thyroid that aren't truly a nodule or mass. Other times, it can be used to mean border irregularity which is a higher suspicion feature that would require follow up. Sounds like you need a follow up with a thyroid specialist!
Mine is benign. I had fluid build up on my left lobe.😭 Mine is not visible. I have horase voice. I always have urge to swallow. When I sing, my falsetto won't come out. No voice.
Small thyroid nodules may not require any treatment as most are asymptomatic. RFA is a great option for small, hyperfunctional nodules or any size nodule that produces symptoms.
I have recurrent papillary carcinoma. One lymphoid is on a major artery plus it’s of scar tissue from five previous surgeries for this reason. I was recommended thyroid ablation but feel this will not be sufficient enough. Any advice? I was diagnosed last March 2020 and was finally scheduled this week due to waiting for the equipment to be purchased by Yale hospital. No one told me that I’d have to wait a year with cancer and that they had to purchase the equipment. I just don’t know if the risk with having surgery for me is worth it.
RFA is FDA approved only for benign thyroid nodules. Off-label, RFA is being used for recurrent papillary carcinoma. You need someone very experienced with RFA, not someone who just got their equipment. I might suggest a short trip to see Dr Ralph Tufano or Dr. Jonathon Russel - my colleagues at Johns Hopkins. Both have the experience and expertise to properly assess and treat your situation.
I’ve used RFA for similar situations- but I wouldn’t want someone new to RFA doing an advanced case (if they just got their equipment - sounds like they are new).
Thank you for your reply sir I am enlarged thyroid gland it can be treated use this treatment ? Now I am in Abidjan ivory coast west Africa this treatment available here sir ?? Can u please tell me ??
This treatment is not available in Ivory Coast. Unfortunately, I don’t think that it has made it’s way to Africa yet. Italy has several doctors with extensive experience.
Costs vary widely depending on location and difficultly. Many insurances are now partially reimbursing for the procedure, but full coverage is sadly lacking. I've seen prices anywhere from $5k (Kentucky) to more than $20k (Beverly Hills).
Yes! In selected cases. A good rule of thumb: if the cancer is eligible for active surveillance then RFA is a good option. If it’s an aggressive cancer or a large cancer then surgery is the best option. I should do a video on this as the evidence for its use is substantial.
If the source of hyperthyroidism is coming from an overactive nodule (a toxic adenoma) then this procedure works great! Also, a toxic multinodular goiter can be treated as well. Unfortunately, the most common reason for hyperthyroidism is Grave’s disease - which can’t be treated with RFA because it involves the entire thyroid gland.
Yes! It works really well for toxic adenoma because it can ablate the overactive tissue within the adenoma and leave the normal parts of the thyroid gland completely intact. Because it doesn't damage or remove normal thyroid tissue, I think RFA is the best option for toxic adenoma treatment.
@@entallergydoc1 I really wish I could meet you. I had hf my thyroid removed for a nodule. We left it up to the dr if he would do all or half. Once in surgery it was so large it grew under my collar bone so he only took half. We thought that the same could happen to the other side and now it has. I have had a biopsy a few years back and will have an ultrasound next but starting to feel pressure and it bothers me everyday. I really really do want surgery.
I went through RFA and after the procedure i had a voice hoarseness it's already 3 weeks past still my voice have no improvement, is there any possibility that my voice will recover? The findings is left vocal cord paralysis.
I have a nodule that is benign and slow growing. This time the nodule showed as more solid and vascular. Before it was combination solid/fluid/non-vascular. Could this procedure be done on a more solid/vascular nodule? My endocrinologist advised its stable and to recheck later this year in November. I asked about this RFA option before my ultrasound/ultrasound results and she advised since my nodule is benign that she doesn’t recommend at this time. I just wanted to know your thoughts on this. My nodule doesn’t cause me any symptoms and my blood work always comes back normal.
RFA works great on those types of nodules! BTW, bloodwork only shows how the rest of the gland is working, it doesn't tell you anything about the nodule itself. See my video on thyroid nodules for more info: ua-cam.com/video/MAz2MGVog_o/v-deo.html
When will insurance cover this treatment in 🇺🇸?
How can see in New Jersey. ? I am the perfect candidate
Does anyone have an idea of the cost?
I think it's around $4,000. Check out Jennifer Hong Kuo, MD at Columbia hospital in NYC. She has a video also
RFA is done in Pakistan for many years. I am surprised it is not offered in Canada :(
I've been taking pills for hypothyroidism buh no improvement I came across Dr iyaremoses on UA-cam he cured me.
Sis is this procedure is safe any side effects???
I did RFA yesterday, but can it be replaced by surgery?My thyroid is damaged, But it is still working (normal hormones)...thx doc 🤗
Dr keith withford I live in Florida and I have tyroide nodules. Please can you recommend me a doctor that does this RFA ? THANS SO MUCH
Go to the FB group “RFA and PEI Testimonials”. They have a list of RFA practitioners across the US.
Hi may age 60 may thyroid nodule left side bige is 7. Centimeter is no cancer thank God I live USA what kind sergeri wee needed blz answer thank you
Did you rule out thyroid tumor in this case. If years after ablation pt develops cancer would you take responsibility of that cancer which was not treated effectively. Is there any research on recurrence as mng is now an antibody mediated disease and it is bound to recurrence.
Is this treatment available in Finland?
I hope you can answer this. But i was wondering is this treatment available in Newbrunswick Canada? Thanks for sharing your knowledge 🤗
Not that I am aware of.
I have several nodule both sides and the middle plus others. These three are the ones my doctor is worried about. One is over 3 cm the other two are over 2 cm. Is this something that might work for me. My husband is Against surgery.
I had a steroid injection (for poison ivy that was on my neck )in July and I had a red flush on my neck after the injection. I had covid in October. I had low TSH in November. I was diagnosed with mutilnodular goiter and I have the antibodies for Graves. My blood work normalized very quickly even though I was on the lowest dose of methimazole. Has there been a case that RFA treated Graves? Could reducing the nodules with RFA help? Is any research being done on this?
Graves involves the entire gland and primarily effects the non-nodular tissue. So, unfortunately there is no role for RFA in Graves.
Hi doctor, do you kno if any specialists who do RFA in England. I have a 3.7cm benign nodule in my left lobe of my thyroid & it’s started causing me symptoms. I have normal thyroid function and really don’t want surgery. Currently doing ivf.. please help 🙏🙏🙏
Hi doctor. Can the nodule be pressing the nerves that connect the back of my neck?
Dear Doctor Keith, I am in Australia and I will be having a Telehealth with Professor Catherine Sinclair who has introduced RFA in Melbourne and now Sydney with whom I will have a consultation with her in the next few weeks as I only became aware of this procedure. I had already initially booked to see an endocrinologist that doesn't do RFA) only surgery, thought I would get his take on this. I do have a benign 4.7cm nodule which occupies the entire right thyroid lobe, my TSH has been normal. I do experience compression and lump in my throat. I did mention RFA to this endocrinologist and he feels that an RFA Specialist would not touch this, and he recommends the only solution down the track is having a hemithyroidectomy. Can you shed some light on this? surely RFA could help with this? I need some hope as I don't want to go down the surgery path. thank you
Sounds like you got some bad advice. You are an ideal candidate for a RFA! Save your thyroid!
@@entallergydoc1 thank you so much for your reply, you have given me hope!! definitely going to save my thyroid!
Dear Doc im in Denmark europe day after tomorow is my surgery but I really dont want. They are good at our hospital but I want to ask if rfa will be helpful to me? my diagnosis from fine needle aspiration is follicular neplasm. it over 4 cm big on right thyroid lobe they want to remove my right lobe! im so scared please please reply me today if you can if your procedure could help me. many thanks in advance. assia 52 year woman
I am from Algeria. Which hospital do you recommend to me for treatment with this technique?
Plz doctor.
Italy has a number of doctors who do RFA. That would be closest for you
Doc, does it work for solid nodule with microcalcification? Thank you!
Yes, it does!
zxecr yrrf7
Im from kashmir i have 13mm×9mm PTC PAPILLARY THYROID CARCINOMA , can that b treated by RFA
Is this procedure available in pakistan
Can several large benign nodules be treated at once? And does Medicare cover this procedure?
Yes, several nodules can be done at once. There are some patients who require more than one treatment if there are multiple, large, bilateral or substernal nodules. Currently, Medicare does not cover this procedure, even though it is FDA approved. Typically, it take a while to get that coverage through. It will be a covered procedure at some point in the future - because it is actually cheaper than surgery. So, Medicare covering it would save the taxpayers money!
Dr how can I have a consult with you for my mom. I live in California but I can travel to kentucky. I have family that lives there
I’m assuming there is no risk of weight gain after this procedure, correct?
Just curious.
Thank you!
😁
Thyroid function is not affected so if you have normal thyroid levels before- you will after. (The only exception are toxic nodules - which we intend to ablate and thus restore normal function)
Can RFA used instead of Parathyroid adenoma surgery?
Yes, if the adenoma (bad parathyroid) is visible on ultrasound and can be reached with the RFA probe
Is this a process that can be done on a benign nodule located on the thyroid isthmus, not on either lobe?
RFA works great to treat benign nodules in the isthmus! Extra care has to be taken as frequently these nodules are closer to the skin surface so there is a small risk of skin burns. With careful technique, these nodules can be effectively treated.
thank yiu
Hi Doctor, does RFA work forthyroid cancer now?
How much this treatment cost ??
Treatment costs vary widely as there is no standard costs. Many doctors will discuss price after seeing how extensive the problem is. Large, challenging nodules can take a lot more time to treat, so costs vary. Talk with the doctor in your area about your specific situation.
I don't have a definite cancer diagnosis, but a suspicious nodule on my thyroid. How do I navigate this gray area I find myself in? I'd love RFA therapy over surgery. I wish there was a way to diagnose cancer before having to go under the knife.
RFA is a great treatment for benign nodules. So you need a fine needle aspiration (FNA) that is either benign or indeterminate with genetic testing that suggests a benign nodule. If the ultrasound is suspicious- then you need an FNA. If the FNA results, particularly if the genetics are suspicious then RFA would not be appropriate. I’d be happy to look over your individual situation and discuss with a telemedicine appointment, but can’t offer any specific advice here. If you haven’t had the genetic testing, check out the Afirma or Thyroseq testing options that can help many folks avoid unnecessary surgery.
@@entallergydoc1 I really appreciate your thorough reply! I've had 2 FNAs. The first was benign and I was so happy. My doctor told me to get a follow-up ultrasound in a year or two, so I did. The nodule grew by 25% which warranted the second FNA. That came back indeterminate/suspicious. Surgery was recommended. My endo said the genetic testing wasn't necessary and wouldn't be helpful when I asked. It's all so confusing. I understand that you can't give me more information without knowing the details of my case and I'll look into those genetic testing options you provided. Again, I'm so grateful for your time. I'm learning a lot.
@@northwoodslife8456 hey! How are you doing now?!?
@@daniis.444 Thanks for asking! I'm doing well now. I did in fact need to have a surgery (partial thyroidectomy) to get a definitive answer. Thankfully, it was never cancer to begin with. I'm glad the other half of my thyroid can make the appropriate hormones so I don't have to be on supplements for the rest of my life.
Dr. Please I need some help I’m lost .. I am suffering from HYPER symptoms since Year ago and I have done tsh 3 times first time it was 1.60 uIU/ml within ft4 1.03 ng/dl then I redid THE TESTS ONCE AGAIN tsh - (0.70) uIU/ml
Free t4 - ( 0.98) ng/dL
Anti thyroid peroxidase tpo ( 0.37) IU/ml
Anti thyroglobulin abs (0.55) IU/ml ….. I got an ultrasound it was clear that I’m dealing with nodule into my left lobe will this treatment help me ??
If the overactivity of the thyroid is from a nodule, then RFA works great for that!
How long does it last? Is this a permanent solution? Does insurance cover it?
Results are permanent in most cases. Insurance does not cover it but will soon as it is safer and cheaper than surgery.
Does the goiter grow again after the RFA and does it have future effects
Typically, the RFA procedure stops the growth of the treated nodules. Long term effects are all positive - smaller, non-growing nodules while preserving the working thyroid tissue.
Hi doctor, I am recently diagnosed with ill defined thyroid nodules, is that cancerous
"Ill-defined" can represent a broad array of findings. Sometimes, it's just changes within the thyroid that aren't truly a nodule or mass. Other times, it can be used to mean border irregularity which is a higher suspicion feature that would require follow up. Sounds like you need a follow up with a thyroid specialist!
Mine is benign. I had fluid build up on my left lobe.😭
Mine is not visible. I have horase voice. I always have urge to swallow. When I sing, my falsetto won't come out. No voice.
How are you doing now?!
Hello can you treat thyroid nodules with Serrapeptase supplement?
There is no evidence to support that.
I have a small thyroid nodule/ goiter. Is RFA good for me? It's just my right thyroid swollen
Small thyroid nodules may not require any treatment as most are asymptomatic. RFA is a great option for small, hyperfunctional nodules or any size nodule that produces symptoms.
Hello .
Can I connect with you or your team to get more information.?
Thanks
I've been taking pills for hypothyroidism buh no improvement I came across Dr iyaremoses on UA-cam he cured me.
I have recurrent papillary carcinoma. One lymphoid is on a major artery plus it’s of scar tissue from five previous surgeries for this reason. I was recommended thyroid ablation but feel this will not be sufficient enough. Any advice? I was diagnosed last March 2020 and was finally scheduled this week due to waiting for the equipment to be purchased by Yale hospital. No one told me that I’d have to wait a year with cancer and that they had to purchase the equipment. I just don’t know if the risk with having surgery for me is worth it.
RFA is FDA approved only for benign thyroid nodules. Off-label, RFA is being used for recurrent papillary carcinoma. You need someone very experienced with RFA, not someone who just got their equipment. I might suggest a short trip to see Dr Ralph Tufano or Dr. Jonathon Russel - my colleagues at Johns Hopkins. Both have the experience and expertise to properly assess and treat your situation.
I’ve used RFA for similar situations- but I wouldn’t want someone new to RFA doing an advanced case (if they just got their equipment - sounds like they are new).
Doctor Iam from India. Got a nodule on left lobe. Where can I get this treatment? Pls do reply
No idea about RFA in India. We have more than 70 providers now in the US.
You can try in Bombay, Delhi and Bangalore
My thyroid nodules 3 sm,benign, can I do RFA?
A 3cm benign nodule is perfect for RFA!
@@entallergydoc1 thank you !
@@entallergydoc1 Where can I get treatment and can you give me email or what's app as I am going to USA soon.
Hello Dr. Where are you located? Also can you please refer me to a surgeon here in San Diego, Ca.
Dr Forwith is in Louisville KY. If you join the Facebook group RFA and PEI Testimonials, they maintain a list of physicians who perform RFA.
@@clairepanke918 Thank You
Does this eliminate the need for methimazole?
If your hyperthyroid with a toxic nodule or multiple toxic nodules then RFA works great! It would not work for Graves’ disease.
This treatment is available in India ??
I don't think that it is...yet!
Thank you for your reply sir I am enlarged thyroid gland it can be treated use this treatment ? Now I am in Abidjan ivory coast west Africa this treatment available here sir ?? Can u please tell me ??
This treatment is not available in Ivory Coast. Unfortunately, I don’t think that it has made it’s way to Africa yet. Italy has several doctors with extensive experience.
@@entallergydoc1 why it is not available in india ? What could be the reason ?
@@lucycay.k3123 This is new technology to the US and the equipment, set up and training represent a substantial financial investment.
How much does it cost in the US?
Costs vary widely depending on location and difficultly. Many insurances are now partially reimbursing for the procedure, but full coverage is sadly lacking. I've seen prices anywhere from $5k (Kentucky) to more than $20k (Beverly Hills).
Omg thanks for your reply Doc
Does The RFA treatment work for a multinodular thyroid?
Yes, it can work on any thyroid nodule - including those that are part of a multinodular goiter.
Thank you. I just watched your interview with Jen and you were very informative on the details of RFA. I really appreciate all of this information.
can RFA be used for Malignant nodules?
Yes! In selected cases. A good rule of thumb: if the cancer is eligible for active surveillance then RFA is a good option. If it’s an aggressive cancer or a large cancer then surgery is the best option. I should do a video on this as the evidence for its use is substantial.
Do large nodules usually need more than one treatment?
No, most large nodules respond to a single treatment.
@@entallergydoc1 are you here in the US? And what about health insurance..does that work? Thanks
Sir i have thyroid problem my doctor told me about surgery.how can i meet you ? Where you located? I am a Pakistani citizen and too much upset
I am in Louisville KY - it would be quite a trip from Pakistan!
Sir RFA will effect on voice ...
Done correctly, there should be no adverse effect on voice.
Is this procedure good on hyperthyroidism patient?
If the source of hyperthyroidism is coming from an overactive nodule (a toxic adenoma) then this procedure works great! Also, a toxic multinodular goiter can be treated as well. Unfortunately, the most common reason for hyperthyroidism is Grave’s disease - which can’t be treated with RFA because it involves the entire thyroid gland.
Omg
Does RFA can treat also toxic adenoma?
Yes! It works really well for toxic adenoma because it can ablate the overactive tissue within the adenoma and leave the normal parts of the thyroid gland completely intact. Because it doesn't damage or remove normal thyroid tissue, I think RFA is the best option for toxic adenoma treatment.
@@entallergydoc1 does it work for large goitre
Will they grow back after treatment?
No, the ablation both stops growth and shrinks the nodule.
Keith Forwith PhD, MD oh great! thanks for responding
Plz rply me sir that , After completion of RFA on thyroid nodule there will be voice problem
I cleared up my hypothyroidism with the help of natural herbs medications from Dr iyaremoses on UA-cam channel...
If done carefully, there should be very little chance of voice injury.
@@entallergydoc1 I really wish I could meet you. I had hf my thyroid removed for a nodule. We left it up to the dr if he would do all or half. Once in surgery it was so large it grew under my collar bone so he only took half. We thought that the same could happen to the other side and now it has. I have had a biopsy a few years back and will have an ultrasound next but starting to feel pressure and it bothers me everyday. I really really do want surgery.
I went through RFA and after the procedure i had a voice hoarseness it's already 3 weeks past still my voice have no improvement, is there any possibility that my voice will recover? The findings is left vocal cord paralysis.
Since I didn’t do your procedure it would be hard for me to tell. Were you sedated for the procedure?
Any updates plz ? And what kind of nodule u used to have ? Toxic ?
I have a nodule that is benign and slow growing. This time the nodule showed as more solid and vascular. Before it was combination solid/fluid/non-vascular. Could this procedure be done on a more solid/vascular nodule? My endocrinologist advised its stable and to recheck later this year in November. I asked about this RFA option before my ultrasound/ultrasound results and she advised since my nodule is benign that she doesn’t recommend at this time. I just wanted to know your thoughts on this. My nodule doesn’t cause me any symptoms and my blood work always comes back normal.
RFA works great on those types of nodules! BTW, bloodwork only shows how the rest of the gland is working, it doesn't tell you anything about the nodule itself. See my video on thyroid nodules for more info: ua-cam.com/video/MAz2MGVog_o/v-deo.html
@@entallergydoc1 thank you for your response I’ll check out some of your other videos.
I've been taking pills for hypothyroidism buh no improvement I came across Dr iyaremoses on UA-cam he cured me.
Is RFA treatment for goitre_available in India?
Not to my knowledge
@Anjali Garg can you suggest some of the hospitals
@Anjali Garg hi do you knw any hospital in karnatak.. For RFA..
@Anjali Garg if any in banglore Or hyderabad share hospital name