ThyroidOloGists.com

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The Thyroidologists

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There are many types, but for patients the clinical thyroidologist is the one who is best set up to render the care needed to diagnose and plan treatment for a lifetime of thyroid disease care. A thyroidologist is trained in internal medicine, endocrinology, thyroid hormone analysis, nuclear medicine, cytopathology, oncology, and ultrasound. When you visit the thyroid clinics, they can do almost all the studies in house, and results are obtained immediately, or in a few days.

What are the usual reasons you should see a thyroidologist? There are good studies showing that you will save yourself from all types of problems if you see one at the first sign you might have a thyroid problem. It is sad to see patients handled improperly at first requiring more extensive therapy later. There are many examples of this--the patient, told she has a high TSH and needs thyroid hormone, who is not studied to find out the underlying cause and structure of the thyroid until a nodule is noted a few years later. Or the patient who has surgery by an inexperienced surgeon and gets nerve damage or has calcium problems, when the surgery was not indicated in the opinion of the thyroidologist. Even if the surgery is needed, a thyroidologist can refer you to surgeons who do at least 50 thyroidectomies per year, which cuts down your risk of complications.

1. When you are told there is an abnormal thyroid blood result. When your physician wants to treat you for hypo- or hyperthyroidism, request a consultation first. If he or she feels it is not necessary, it is even more reason to seek an outside thyroid opinion. The most common mistake is failure to get a consultation when the TSH test is abnormal. Both hypothyroidism and hyperthyroidism have abnormal TSH testing, but this is not enough reason for treatment until the cause is known. Treatment by your family physician is a risky thing without a thyroid consultation and a complete thyroid evaluation including ultrasound.