64: Managing Indeterminate Thyroid Nodules, with Dr. Kimberly Vanderveen from Denver Center for Endocrine Surgery

This interview is a part of the lifestyle stories featured on the Doctor Thyroid podcast, an opportunity to hear from athletes and overachievers, and how they approach their diagnosis, surgery, and recovery.  In this case, we hear from Evan Simon, Head Strength and Conditioning Coach at Oregon State University.  Evan was diagnosed with advanced Stage IV thyroid cancer, which resulted a 13 hour surgery.  At the end of his surgery, Evan was told he would not be able to lift his hands overhead for 3 months, instead he broke the odds, taking him only 3 weeks.  Evan shares with us, his approach to first hearing the news, how he chose to share the news with his family, including his two young daughters, and what he did to speed his recovery.   Evan will offer you tips to improve better your recovery, including physical rehabilitation and having an optimistic mindset.  During the interview, we also hear from special guest, Stasi Kasianchuk, MS, RD, Sports Dietitian at Oregon State University.  Staci shares her experience in treating Evan through nutrition as a means to a better recovery, and improved lifestyle post-surgery.

13 Des 201646min

Dr. Jonas de Souza, Assistant Professor of Medicine, specializes in the treatment of head and neck cancer, including thyroid cancer at the University of Chicago. Talking points of this episode: Financial toxicity What is the COST tool? Patient-Centered Outcomes Research? When is the best time to discuss costs with the thyroid cancer patient? Who is most at risk of the increased financial burden of thyroid cancer? How can a patient best prepare for the costs of thyroid cancer? Resources: The COST tool for measuring the financial costs of thyroid cancer, http://www.facit.org/FACITOrg/Questionnaires

1 Des 201610min

Hear about the advances in thyroid ultra sound technology, along with the patient process from diagnosis to surgery. Key topics in this episode include how to research a surgeon, requesting a second opinion, selecting the best hospital, and the challenges faced when operating on the neck. This episode features Dr. Joseph Sniezek, who is the Medical Director of Head & Neck Endocrine Surgery for Swedish Health Services.  Too often, the time between being told by your doctor to get an ultrasound to biopsy, often results in anxiety and a disconnect between surgeon - radiologist - pathologist.  Now, with better technology, especially in the area of ultra sound, the multiple trips to specialists can be eliminated.

19 Okt 201638min

This episode features Dr. Shawn Soszka. Topics covered in today’s interview include, starting your day right, tendon issues due to thyroid disease, insomnia, dizziness, painful feet, temperature testing, hypothyroidism, low dose Naltrexone, selenomethionine, and why some people feel worse when exercising.   Also, discussed is adrenal function and optimal time of day for body temperature testing as related to the thyroid disease. Dr. Soszka strives to integrate both systems of medicine. a focus on functional medicine, with emphasis on treating gastrointestinal, chronic disease, and endocrine based conditions. He specializes in: fatigue/adrenal exhaustion, thyroid disorders, digestion/gut health, autoimmune diseases.

19 Okt 201639min

In this episode hear from Dr. Greg Nigh, a Naturopath in Portland, OR. Dr. Nigh will discuss the following topics: Dangers of garlic and soy Overcoming sugar cravings Hashimotos and hypothyroidism Specialty laboratories The dangers of using TSH as the sole yardstick

12 Okt 201619min