{"id":2692,"date":"2023-09-22T21:40:28","date_gmt":"2023-09-22T21:40:28","guid":{"rendered":"https:\/\/www.saintjohnscancer.org\/blog\/?p=2692"},"modified":"2024-06-20T12:50:54","modified_gmt":"2024-06-20T12:50:54","slug":"your-journey-with-thyroid-cancer-a-thyroid-surgeon-and-an-endocrinologist-expound","status":"publish","type":"post","link":"https:\/\/www.saintjohnscancer.org\/blog\/endocrine\/your-journey-with-thyroid-cancer-a-thyroid-surgeon-and-an-endocrinologist-expound\/","title":{"rendered":"Your Journey With Thyroid Cancer; A Thyroid Surgeon and An Endocrinologist Expound"},"content":{"rendered":"\n<h2>Why A Team of Experts?<\/h2>\n<p>The &ldquo;C&rdquo; word. It can be overwhelming without genuine support, and support is often found in the care approach, especially with one&rsquo;s relationship to their doctors. Trust. Having a team who contribute to an individual&rsquo;s treatment plan may effectively alleviate anxiety that is frequent with a diagnosis. Confidence. Overcoming mental barriers is simply the hardest yet significant hurdle for someone whose been diagnosed with cancer. Often, success is when patient and practitioner see a way forward together.<\/p>\n<p>Doctors <a href=\"https:\/\/www.saintjohnscancer.org\/about-us\/people\/melanie-goldfarb\/\">Melanie Goldfarb, MD<\/a>, <a href=\"https:\/\/www.saintjohnscancer.org\/about-us\/people\/rose-h-lin-m-d\/\">Lin Rose, MD<\/a> and <a href=\"https:\/\/www.saintjohnscancer.org\/about-us\/people\/sarah-rettinger\/\">Sarah Rettinger, MD<\/a> complete Saint John&rsquo;s Cancer Institute&rsquo;s Thyroid Team; a thyroid surgeon and an endocrinologist. &ldquo;When being diagnosed with thyroid cancer and thyroid conditions, other institutions will set you up with a team but, they are separated. The great thing about Saint John&rsquo;s, particularly, is how well the endocrinologists and thyroid surgeons work seamlessly together in one place,&rdquo; says Dr. Goldfarb.<\/p>\n<h3>A Thyroid Surgeon<\/h3>\n<p>Considered a &ldquo;one-stop-shop,&rdquo; by many, Dr. Goldfarb&rsquo;s clinic includes an ultrasound and a diagnosis typical on your first visit. If a biopsy is needed, that too will be done and a definitive answer of benign or cancer nodules can be concluded on your initial consultation. If surgery is necessary, that also can be scheduled for another date while in your initial consultation.<\/p>\n<div style=\"text-align: center!important;padding-bottom: 0px;margin-top: -25px\">\n<blockquote><p><span style=\"font-size: 30px!important;line-height: 34px!important;letter-spacing: -1.5px;text-align: center\">Though thyroid nodules are more common in post-menopausal women, and 5-10 percent of those are cancerous, the most common cancer in women under the age of 40 years old is thyroid cancer, menopause excluded. Thyroid cancer is significantly curable.<\/span><\/p><\/blockquote>\n<p style=\"text-align: right;padding-right: 5%;margin-bottom: 25px;margin-top: 0px\">&ndash; Dr. Goldfarb<\/p>\n<\/div>\n<h3>An Endocrinologist<\/h3>\n<p>Endocrinologists are like medical oncologists for thyroid cancers. They correct dosages for hormone medications. You would follow up with an endocrinologist post-surgery to start medication immediately and you will visit your endocrinologist more often than your thyroid surgeon.<\/p>\n<p>Dr. Lin expounds, &ldquo;Patients always ask me, &lsquo;Am I going to be the same person once my thyroid is out? Is thyroid hormone going make me fat or make my hair fall out?&rsquo; This is a common concern. They do have a permanent condition of hypothyroidism. However, they never have a drop in hormones levels to reach a hypothyroidism state. The concern with hypothyroidism is, will they have weight gain because of slow metabolism, hair changes, or feel with fatigues or difficulty with thinking due to brain fog. We never let their hormones drop.&rdquo; In other words, even though hyperthyroidism is permanent, it is not a concern when taking regular hormone medications. That&rsquo;s a burden absolved.<\/p>\n<h3 style=\"font-size: 22px;line-height: 24px;font-weight: 500;text-align: center;padding-top: 25px\">Interview Between Experts: Dr. Goldfarb, Dr. Lin, and Dr. Rettinger Explain the Process of Thyroid Cancer Treatments<\/h3>\n<p><iframe loading=\"lazy\" title=\"Thyroid &amp; Endocrine: Drs. Melanie Goldfarb, Rose Lin, &amp; Sarah Rettinger discuss thyroid cancer\" width=\"756\" height=\"425\" src=\"https:\/\/www.youtube.com\/embed\/bpYDAWdEJto?rel=0&amp;showinfo=0\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p style=\"text-align: center;font-size: 14px;line-height: 14px;margin-top: 15px;color: #101010\">Dr. Goldfarb, Dr. Lin, &amp; Dr. Rettinger talk with staff inside Saint John&rsquo;s Cancer Institute.<\/p>\n<div style=\"padding-left:3%\">\n<h4>What is radioactive iodine?<\/h4>\n<p>Radioactive Iodine is treatment for overactive thyroid that contains high doses of radiation. It is typically given after the thyroid is taken out to destroy any remaining thyroid tissue, and notably treats papillary and follicular thyroid cancers. Radioactive iodine involves swallowing a liquid capsule.\n<\/p><\/div>\n<div style=\"padding-left:3%\">\n<h4>What are the numbers Dr. Lin said during this interview?<\/h4>\n<p>When looking for proper dosages of hormone medications, Dr. Lin says feeling bad or good is not how they go about figuring out treatments. They &ldquo;look at the numbers.&rdquo; What she means is, they look at your thyroid labs and your function tests to determine appropriate dosages.\n<\/p><\/div>\n<div style=\"padding-left:3%\">\n<h4>What is a thyroidectomy? <\/h4>\n<p>A thyroidectomy is a complete or partial removal of the thyroid gland to treat disorders like cancer, non-cancerous tumors, or an overactive gland.\n<\/p><\/div>\n<div style=\"padding-left:3%\">\n<h4>What is Hashimoto&rsquo;s Disease?<\/h4>\n<p>Hashimoto&rsquo;s Disease is an autoimmune disease that causes inflammation of the thyroid gland, and the most common form of hyperthyroidism. An endocrinologist is who you see for treatment. If a nodule showed up with a scan, or ultrasound, then you would see a thyroid surgeon, whether it was benign or cancerous.<\/p>\n<p>There is no causality for Hashimoto&rsquo;s and thyroid cancer. The two conditions are unrelated to one another. For example, if you are at risk for Hashimoto&rsquo;s, it doesn&rsquo;t necessarily mean you will then get thyroid cancer. Interestingly, if you have your thyroid removed from having cancer, it also gets rid of your Hashimoto&rsquo;s.\n<\/p><\/div>\n<div style=\"text-align: center!important;padding-bottom: 0px;margin-top: -25px\">\n<blockquote><p><span style=\"font-size: 30px!important;line-height: 34px!important;letter-spacing: -1.5px;text-align: center\">If you have bad Hashimoto&rsquo;s disease, it&rsquo;s better to take out the thyroid and let the replacement hormone therapy do its job better than a &ldquo;not so functioning&rdquo; thyroid gland.<\/span><\/p><\/blockquote>\n<p style=\"text-align: right;padding-right: 5%;margin-bottom: 25px;margin-top: 0px\">&ndash; Dr. Goldfarb<\/p>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Why A Team of Experts? The &ldquo;C&rdquo; word. It can be overwhelming without genuine support, and support is often found&#8230;<\/p>\n","protected":false},"author":63,"featured_media":2693,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[135],"tags":[],"class_list":["post-2692","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-endocrine"],"acf":{"doc_author":"0","header_scripts":"{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@type\": \"FAQPage\",\r\n  \"mainEntity\": [\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What is thyroid cancer?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Thyroid cancer is a type of cancer that develops in the cells of the thyroid gland, which is located in the front of the neck. It is usually detected as a lump or nodule in the thyroid gland.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What are the symptoms of thyroid cancer?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Common symptoms of thyroid cancer may include a lump or swelling in the neck, difficulty swallowing, hoarseness, persistent cough not related to a cold, and changes in voice.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"How is thyroid cancer diagnosed?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Diagnosis of thyroid cancer typically involves a combination of physical examination, imaging tests such as ultrasound, biopsy (fine-needle aspiration), and blood tests to measure thyroid hormone levels.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What are the treatment options for thyroid cancer?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Treatment options for thyroid cancer may include surgery (thyroidectomy), radioactive iodine therapy, thyroid hormone therapy, external beam radiation therapy, and chemotherapy, depending on the type and stage of cancer.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What is the prognosis for thyroid cancer?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"The prognosis for thyroid cancer is generally favorable, especially when diagnosed and treated early. The prognosis varies depending on factors such as the type and stage of cancer, age, and overall health of the patient.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Can thyroid cancer be prevented?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"While it may not be possible to prevent thyroid cancer entirely, certain risk factors such as exposure to radiation, family history, and certain genetic syndromes can be managed or avoided to reduce the risk.\"\r\n      }\r\n    }\r\n  ]\r\n}"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Your Journey With Thyroid Cancer; A Thyroid Surgeon and An Endocrinologist Expound - Saint John\u2019s Cancer Institute Blog<\/title>\n<meta name=\"description\" content=\"Why A Team of Experts? The \u201cC\u201d word. 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