Doctor Thyroid

In this interview, Dr. Hennessey describes the history, refinements, implementation, physiology, and clinical outcomes achieved over the past several centuries of thyroid hormone replacement strategies.

Topics discussed in this episode include:

• The history of levothyroxin
• Chinese using thyroid hormone to treat cretinism in the 6th century
• What is cretinism?
• Dangers of hypothyroidism during pregnancy
• Prescribed 3-step process when hypothyroidism is treated when pregnant
• The history of sheep thyroid as a treatment?
• In the 1920's thyroid hormone was synthesized
• T3 was synthesized in the 1950's
• When to take thyroid medication, morning or night?

A rich history of physician intervention in thyroid dysfunction was identified dating back more than 2 millennia. Although not precisely documented, thyroid ingestion from animal sources had been used for centuries but was finally scientifically described and documented in Europe over 130 years ago. Since the reports by Bettencourt and Murray, there has been a continuous documentation of outcomes, refinement of hormone preparation production, and updating of recommendations for the most effective and safe use of these hormones for relieving the symptoms of hypothyroidism. As the thyroid extract preparations contain both levothyroxine (LT4) and liothyronine (LT3), current guidelines do not endorse their use as controlled studies do not clearly document enhanced objective outcomes compared with LT4 monotherapy. Among current issues cited, the optimum ratio of LT4 to LT3 has yet to be determined, and the U.S. Food and Drug Administration (FDA) does not appear to be monitoring the thyroid hormone ratios or content in extract preparations on the market. Taken together, these limitations are important detriments to the use of thyroid extract products.

James V. Hennessey, MD is Director of Clinical Endocrinology at Beth Israel Deaconess Medical Center in Boston, MA. He is an Associate Professor of Medicine at the Harvard medical School. He completed medical training at the Medical Faculty of the Karl Franzens University in Graz Austria. He served as an Intern and Medical Resident at the New Britain Hospital in Connecticut. He entered active duty with the USAF Medical Corps as an Internist/Flight Surgeon after residency and later completed subspecialty training in endocrinology and metabolism at the Walter Reed Army Medical Center in Washington DC where he conducted research in thyroxine bioequivalence. Following fellowship Dr. Hennessey served as the Chief of Endocrinology at USAF Medical Center Wright-Patterson in Ohio and later joined the faculty at Wright State University School of Medicine as the Director of Clinical Clerkships.

Top 10 most prescribes drugs in the U.S. (monthly) - Monthly prescriptions, nearly 22 million

¿Cómo sabemos si usted tiene hipotiroidismo?

¿Qué significa si es difícil concentrarse o enfocar la mente?

¿Qué significa si usted tiene altos niveles de TSH?

¿Cómo se diagnostica el hipotiroidismo?

¿Qué es Hashimotos?

¿Cuál es el tratamiento para el hipotiroidismo?

¿Puede la dieta ayudar con el hipotiroidismo?

¿Cuándo es el mejor momento del día para tomar su medicina de hipotiroidismo?

¿Dónde puede encontrar un médico para tratar el hipotiroidismo?

Dra. Sandra Daniela Licht de Hospital General de consultorio particular y en INEBA ( Instituto de Neurociencias de Buenos Aires) Endocrinologia

ESPECIALIDAD Establecimiento: General de Agudos J. M. Ramos Mejía. Título: Clinica Medica. Establecimiento: Hospital General de Agudos Carlos G. Durand. Titulo: Endocrinologia

ACTIVIDAD ACADEMICA Y DOCENTE Instructora de Residentes de Endocrinología, Htal Durand (1993-1995) Docente de la Diplomatura en Enfermedades Tiroideas de la Facultad de Medicina de la Universidad Nacional de Tucumán

SOCIEDADES CIENTIFICAS • Miembro Titular, Sociedad Argentina de Endocrinología y Metabolismo. • Miembro Titular, Sociedad Latinoamericana de Tiroides. • Miembro Titular, The Endocrine Society. • Miembro Titular, American Thyroid Asociation. • Miembro del Comité de Asuntos Internacionales, The Endocrine Society (2005-2006). • Miembro del Comité Hormone Foundation, The Endocrine Society (2007-2010). • Miembro del Comité Patient Education and Advocacy Committee, American Thyroid Association (2008). • Miembro del Comité Clinical Affaires, American Thyroid Association. • Miembro del Comité Working Group on Disparities in Clinical Trials, The Endocrine Society. • Miembro del Comité de Publicaciones, The Endocrine Society. • Miembro del Comité Clinical Guidelines, The Endocrine Society. • Asesora médica de ACTIRA. • Asociación de Pacientes con Cáncer de Tiroides de la República Argentina. • Miembro del Medical Advisory Panel of Thyroid Cancer Alliance (desde el año 2011).

Asociación Americana de la Tiroides - Español

In this episode, we hear from Judy O'Reilly. Judy was diagnosed with thyroid cancer in 2011. Following surgery, Judy speaks about the frequent challenges, including adjusting medication dosages, hypothyroidism, and her energy levels hitting the wall during daily activities.

For Judy, the cancer diagnosis forced the conversation of talking about death with her children and husband. A singer and musician, the thyroid cancer and resulting surgery has caused vocal challenges.

In this episode, we hear from Judy O'Reilly. Judy was diagnosed with thyroid cancer in 2011. Following surgery, Judy speaks about the frequent challenges, including adjusting medication dosages, hypothyroidism, and her energy levels hitting the wall during daily activities.

For Judy, the cancer diagnosis forced the conversation of talking about death with her children and husband. A singer and musician, the thyroid cancer and resulting surgery has caused vocal challenges.

She is the founder and former facilitator of THYCA Atlanta. Prior to starting the once/month support group held at Emory University's Winship Cancer Institute, Judy O'Reilly offered email and phone support. Judy began her involvement/volunteering with THYCA one year after diagnosis/surgery/RAI. Prior to thyroid cancer, Judy O'Reilly had been a music educator and an entertainer. She was the female vocalist for the Atlanta Blue Notes Big Band, as well as their Combo. As a solo performer (piano/vocals), Judy specialized in senior care facilities offering up an extensive selection of the great American songbook. Ms. O'Reilly resigned/retired from performing soon after a second surgery - a completion of a previous partial thyroidectomy - due to complications. In 2015 Judy began a return to entertaining as a volunteer in the grand piano lobby of the Winship Cancer Institute, Atlanta.

En este episodio, estamos con la Dra. Alicia Gauna, Jefa División Endocrinología del Hospital Ramos Mejía, Buenos Aires. Ella es Coordinadora del Comité de Recertificación de Endocrinología y Metabolismo (CREM), Directora de Beca de Dra. Florencia Rodriguez, Ministerio de Salud Pública, 2012-2013, Integrante del Comité Científico del XV Congreso Latinoamericano de Tiroides. Brasil, 2013.

En esta entrevista, Dra Gauna comparte información clave sobre hipotiroidismo y cáncer de tiroides.

• Los temas incluyen:
• Síntomas del hipotiroidismo
• Síntomas de hipotiroidismo en la salud mental
• Diagnóstico del hipotiroidismo
• Menopausia e hipotiroidismo
• Embarazo e hipotiroidismo
• Cáncer de tiroides e hipotiroidismo

Notas:

YouTube con Dra. Gauna

https://www.youtube.com/watch?v=Nb-o5RVszaY

http://www.revistaohlala.com/1452915-que-sabes-de-tiroides

Dr. Schneider specializes in endocrine surgery, treating diseases of the thyroid, parathyroid, and adrenal glands. He utilizes several minimally invasive techniques to treat endocrine disorders (endoscopic thyroidectomy, minimally invasive parathyroidectomy, laparoscopic adrenalectomy, focused exploration for recurrent thyroid cancer).

This episode explores the following topics:

• Treatment options for Graves' disease.
• Treatment options for hyperthyroidism.
• Dangers of hyperthyroidism medication.
• Symptoms of hyperthyroidism.
• Why smokers are a higher risk in the treatment of hyperthyroidism.

NOTES:

Dr. David Schneider

http://www.uwhealth.org/findadoctor/profile/david-f-schneider-md-ms/8885

El Dr Fabián Pitoia es Médico Endocrinólogo, es Jefe de la Sección Tiroides y Coordinador del Área Investigación de la División Endocrinología del Hospital de Clínicas - Universidad de Buenos Aires, es Docente adscripto de la Facultad de Medicina - Jefe de Trabajos prácticos de Medicina B (Facultad de Medicina - UBA) y Docente de la Carrera de Especialistas en Endocrinología y Metabolismo de la UBA.

Especialidad recertificada en Diciembre de 2013.

El Dr Pitoia tiene más de 200 publicaciones de sus investigaciones, más de 50 listadas en Pubmed, ha sido primer autor de las Guías Latinoamericanas para el diagnóstico y tratamiento del cáncer de tiroides, también el primer autor de las Guías Intersocietarias Argentinas para manejo de pacientes con cáncer de tiroides 2014.

En esta entrevista, discutiremos:

• Los síntomas que una experiencia del paciente puede saber que tienen un problema
• Si cirugía siempre es una necesidad
• Cuándo se quita sólo la mitad de la tiroides?
• Cómo ayuda la patología en el diagnóstico?
• Cuál es la mejor manera de encontrar un buen cirujano?
• Los análisis de sangre relacionados con los pacientes con tiroides?

Notes:

https://www.facebook.com/Dr.Pitoia/

https://twitter.com/fabian_pitoia

www.glandulatiroides.com.ar

Dr. Babak Larian is a highly experienced, board certified Ear, Nose, & Throat Specialist and Head & Neck surgeon. Dr. Larian is the current Clinical Chief of the Division of Otolaryngology at Cedars-Sinai Hospital in Los Angeles. Dr. Larian's Center For Head and Neck Surgery is located in Beverly Hills, California.

In this episode, Dr. Larian discusses his experience treating thyroid disorders, including his medical missions to Central America. During this interview, you will hear greater detail about the following topics:

• The most recent American Thyroid Association's guidelines and updates to treating thyroid cancer compared to past approaches
• Minimally invasive thyroid surgery, which results in less scarring and less discomfort
• Breaking away from the old tradition of a large incision
• Testing for parathyroid imbalance
• What might it mean when the patient feels anxious, has to urinate during the night, impaired mental function, and calcium imbalance?
• Which blood test reveals possible parathyroid issues?
• The common denominator in patients who recover post thyroid cancer surgery
• A parathyroid trend in women 40 - 60 years old
• The importance of staying in tune with your body and its signals

NOTES:

Dr. Babak Larian

http://www.larianmd.com/

P: 310.461.0300

American Thyroid Association Guidelines

http://www.thyroid.org/professionals/ata-professional-guidelines/

El Dr. Carlos Simon Duque es un especialista en cabeza y cuello de Colombia. En esta entrevista, discutiremos una visión general del cáncer de tiroides, incluyendo las siguientes preguntas:

¿Qué debe saber un paciente antes de la cirugía, qué esperar?

Después de la cirugía, un paciente puede sentir síntomas como hipotiroidismo. ¿Cómo lo manejas mejor?

¿Cuáles son algunas de las luchas mas complicados que usted ve con sus pacientes después de la tiroidectomía?

¿Qué pacientes recuperan mejor? ¿Qué puede hacer un paciente para sentirse mejor después de la cirugía?

¿Cuándo es el mejor momento del día para tomar la medicina de la tiroides?

Usted ha trabajado tanto en los Estados Unidos como en Colombia, ¿cuáles son algunas de las diferencias en la atención y el tratamiento?

¿Qué has descubierto a lo largo del camino, que le dirías a usted de 30 años de edad si puede?

¿Actualmente está trabajando en algún estudio o investigación?

How well does your body make energy?

How does your body repair?

How well are your anti-oxidants working?

How well do you rid your body of free radicals?

Are you pre-conditioned to crisis?

The next generation of lab testing and diagnosis has arrived with resources such as Cyrex Labs and Nutreval.

Thyroid health issues mimic other ailments, such as inflammation, gluten intolerance, and increased permeability (leaky gut).

In this episode, hear from Dr. Engelman, recognized as one of the top doctors in functional integrative medicine, he has advanced degrees and certifications in functional, metabolic, anti-aging and stem cell medicine. Engelman Health Institute is advanced science, and personalized care. This "new medicine" incorporates the best of traditional practices and natural and alternative diagnostic modalities.

http://www.engelmanhealth.com/

https://www.gdx.net/product/nutreval-fmv-nutritional-test-blood-urine

https://www.cyrexlabs.com/

Karen Smyers has competed as a professional triathlete for 30 years. In her lengthy career, she has won seven National and four World Championship titles, including a dramatic come-from-behind victory in the Hawaiian Ironman World Championships in 1995. Her victory at the short-course ITU Triathlon World Championship just 5 weeks later still earns her the distinction of being the only woman ever to win triathlon's two most prestigious races in the same year.

In this episode, we hear Karen describe what the calls, 'character building' moments, including how she approached thyroid cancer in the midst of of preparing for the 2000 Olympics.

Other obstacles included a torn hamstring, being hit by a 18-wheeler, and a broken collar bone. Regardless of the obstacle, Karen was able to stay focused on and win the Pro National Ironman Championship.

At 42 and post thyroid cancer, Karen gave birth to her second child.

Listen to this episode and you will be inspired by Karen's determination, perseverance, and approach to living life to the fullest. And, in some cases pushing boundaries and achieving what some would say not possible.

Currently, Karen shares her experience, optimism, and passion for racing as a coach, motivational speaker and co-director of the Lincoln Kids Triathlon. She is a 1983 graduate of Princeton University and lives in Lincoln, MA with daughter Jenna, son Casey, and husband and frequent training partner Michael King.

Contact: 11 Giles Rd, Lincoln, MA 01773 [email protected] www.karensmyers.com