RFAMD

著者: Philip James
  • サマリー

  • Remove thyroid nodules without surgery. Consider ablation instead, the non-surgical way to treat benign and malignant thyroid nodules. Hosted by Philip James from the Doctor Thyroid podcast.
    2022
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あらすじ・解説

Remove thyroid nodules without surgery. Consider ablation instead, the non-surgical way to treat benign and malignant thyroid nodules. Hosted by Philip James from the Doctor Thyroid podcast.
2022
エピソード
  • WHAT SHOULD RFA COST? IS IT BEST IN THE CLINIC OR AMBULATORY?
    2025/01/07
    The Office vs. Hospital Debate: Where Should Thyroid Ablation Be Performed? A Growing Medical Debate Challenges Traditional Hospital Settings By Philip James As radiofrequency ablation (RFA) for thyroid nodules gains adoption in the United States, a crucial question emerges: should these procedures be performed in hospitals or office settings? The answer carries significant implications for both healthcare costs and patient care. The Cost Equation Understanding Facility Fees "What I'm interested in is the facility fees, which can substantially add to the cost of the procedure," explains Dr. Jagdish Dhingra in a recent Doctor Thyroid and RFAMD podcast interview with Philip James. These fees, typically associated with hospital settings, can significantly impact the overall cost of treatment. Core Expenses The fundamental costs remain consistent across settings. "The biggest item cost in the ablation procedure is the probe," Dr. Dhingra notes. "The probe costs are more or less consistent. They vary from country to country based on what kind of deal the companies have with the countries they're selling the product in, but within the United States, the costs are going to be more or less similar." Safety and Setting The Expertise Factor According to Dr. Dhingra, success depends more on provider expertise than location. "The number one thing patients should be concerned about is the skill of their provider in regard to ultrasound," he emphasizes. This expertise proves crucial for both safety and effectiveness. Hospital vs. Office Debate "I don't see how it is any more unsafe to do it in an office community setting," Dr. Dhingra states. "You are probably within five miles of patient's home, they can drive in there, they do the procedure, they drive back." The Patient Experience Comfort Considerations Office settings often provide a more comfortable environment for patients. As Dr. Dhingra explains, "You have a less intimidating, more welcoming environment which is more informal. It's like when patients come to have a needle biopsy in the office." Procedure Duration The procedure typically takes 60-90 minutes, comparable to hospital-based treatments. "Most patients tell me that because of the amount of local anesthesia used and the time that we take doing the procedure, most of them say that the experience was equal to, if not better than when they came for a biopsy," Dr. Dhingra reports. Anesthesia Considerations Local vs. General One significant advantage of office-based procedures is the use of local anesthesia. "The minute you bring general anesthesia into the equation, you automatically end up in the operating room," Dr. Dhingra explains. This requirement can substantially impact both cost and recovery time. Looking Forward The Evolution of Care As Philip James notes, "Thyroid ablation has been in the US for a relatively short period of time, about four years, and it's being adopted rapidly." This rapid adoption makes the question of setting increasingly important. Setting Guidelines Dr. Dhingra advocates for flexibility in procedure settings: "If you ever got to write guidelines, make sure that we have the facility where the procedure is done is not a limiting factor because that will take away from the purpose of doing the procedure." The Bottom Line The evidence suggests that office-based thyroid RFA procedures can offer significant advantages in terms of cost and patient comfort, provided they're performed by practitioners with appropriate expertise in ultrasound-guided procedures. Learn More To understand the full scope of this discussion, watch Dr. Dhingra's detailed interview on the Doctor Thyroid and RFAMD podcast with Philip James, where they explore the nuances of procedure settings and cost considerations.
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    12 分
  • A SURGEON Warns Against Thyroid Surgery: Preserving QUALITY of LIFE with Dr. Emad Kandil
    2024/11/09

    Join us as Dr. Emad Kandil, a leading expert in thyroid ablation, sits down with Philip James in the heart of New Orleans. In this candid and insightful conversation, Dr. Kandil shares his journey from aspiring engineer to becoming a renowned thyroid surgeon, influenced by a life-changing event involving his younger brother.

    Against the backdrop of the city's iconic Café du Monde and a rigorous CrossFit session, the two explore the complexities of thyroid surgery, discussing why Dr. Kandil often advocates for ablation over traditional thyroidectomies to preserve patients' quality of life.

    As the conversation unfolds, viewers examine Dr. Kandil’s commitment to research, patient care, and innovation. They venture from the cafe to the gym and finally to Dr. Kandil's clinic, where modern technology meets compassionate healthcare. For anyone considering thyroid surgery or seeking alternatives, this episode explores non-surgical options and the science behind thyroid ablation.

    Discover how one surgeon’s philosophy and approach redefine patient outcomes—one thyroid at a time.

    About Dr. Emad Kandil Dr. Emad Kandil is a renowned expert in endocrine and oncological surgery. He is the Chief of General, Endocrine, and Oncological Surgery at Tulane University in New Orleans, Louisiana. He holds the prestigious Elias Hanna Chair in Surgery and is celebrated for his groundbreaking work in minimally invasive thyroid treatments, including thyroid ablation. Dr. Kandil has performed over 1,000 thyroid ablation procedures, establishing himself as a leading figure in using this innovative treatment approach in the United States. www.emadkandil.com

    About Philip James Philip James hosts the Doctor Thyroid podcast, a platform that provides patients with information on alternative thyroid treatments. His work focuses specifically on minimally invasive procedures like thyroid ablation. He aims to help patients avoid unnecessary thyroid surgeries, a mission close to him after his own experience with an unneeded surgery. www.docthyroid.com

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    22 分
  • This patient avoided thyroid surgery thanks to Dr Emad Kandil
    2024/11/08

    In this interview with Dr. Emad Kandil, a leading expert in thyroid ablation, patient Elizabeth shares her journey of receiving conflicting medical advice regarding her thyroid nodule.

    After consultations with multiple doctors in New York who recommended surgery, Elizabeth sought an alternative in New Orleans with Dr. Kandil, who offered a less invasive option—thyroid ablation.

    This video explores the benefits of microwave ablation (MWA) as an effective treatment for thyroid nodules, avoiding the complications of surgery and long-term medication dependency.

    Dr. Kandil provides in-depth insights into the procedure, its success rates, and how it preserves thyroid function, challenging the traditional approach of immediate surgical intervention. For those with suspicious thyroid nodules, this discussion highlights the importance of seeking second opinions and understanding all available treatment options before making a decision.

    About Baird Medical

    Baird Medical LLC, established in 2012 and headquartered in Guangzhou, China, is a leading developer and provider of minimally invasive medical devices specializing in microwave ablation (MWA) technology. In the U.S., the company continues to expand its reach, recently receiving FDA clearance to market its microwave ablation devices for thyroid treatment.

    @BairdMedical www.bairdmed.com NASDAQ: BDMD

    Baird Medical’s Assistance Center
    888-508-6228 or erichuang@bairdmed.com

    About Dr. Emad Kandil

    Dr. Emad Kandil is a renowned expert in endocrine and oncological surgery. He is the Chief of General, Endocrine, and Oncological Surgery at Tulane University in New Orleans, Louisiana. He holds the prestigious Elias Hanna Chair in Surgery and is celebrated for his groundbreaking work in minimally invasive thyroid treatments, including thyroid ablation. Dr. Kandil has performed over 1,000 thyroid ablation procedures, establishing himself as a leading figure in using this innovative treatment approach in the United States.
    www.emadkandil.com

    About Philip James

    Philip James hosts the Doctor Thyroid podcast, a platform that provides patients with information on alternative thyroid treatments. His work focuses specifically on minimally invasive procedures like thyroid ablation. He aims to help patients avoid unnecessary thyroid surgeries, a mission close to him after his own experience with an unneeded surgery.
    www.docthyroid.com

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    12 分

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