(Episode #67) Thyroid RFA in NEW ENGLAND: Dr: Jagdish Dhingra

Dr Jagdish Dhingra has been in practice at ENT Specialists Inc. for the last 20 years. For the last 10 years he has focused his practice on diseases of thyroid and parathyroid glands. He has performed over 3000 office-based ultrasound-guided procedures on the thyroid gland. For the last 2 years he has extended his practice of ultrasound guided treatments to include Radiofrequency Ablation (RFA). He performs these in an office setting at his practice in Plainville, MA. In today’s discussion, we’ll cover topics such as the prevalence of thyroid nodules, molecular testing, comparing thyroid procedure costs, and much more.
Timestamps:
00:00 Introduction music
00:51 Dr. Dhingra introduction
01:44 Choosing Thyroid RFA
03:09 Prevalence of thyroid nodules
06:24 TIRADS scoring of ultrasound
09:17 Categorizing thyroid nodules with Bethesda Categories
12:30 Molecular testing
18:27 RFA candidacy
32:07 Comparing procedure costs
Contact Dr. Dhingra
www.entspecialists.com/
Preoperative Diagnosis of Benign Thyroid Nodules with Indeterminate Cytology
www.nejm.org/doi/full/10.1056...
Original Research:
Comparative Study of ACR TI-RADS and ATA 2015 for Ultrasound Risk Stratification of Thyroid Nodules
Otolaryngology-Head and Neck Surgery
1-6
American Academy of Otolaryngology-Head and Neck
Surgery Foundation 2021
Reprints and permission: sagepub.com/journalsPermissions.nav
DOI: 10.1177/01945998211064607
otojournal.org
William Thedinger 1 , Easwer Raman 2 , and
Jagdish K. Dhingra, MD
Office-Based Ultrasound-Guided FNA with Molecular Testing for ThyroidNodules
Otolaryngology-Head and Neck Surgery
2016, Vol. 155(4) 564-567
American Academy of Otolaryngology-Head and Neck Surgery Foundation 2016
Reprints and permission:
sagepub.com/journalsPermissions.nav
DOI: 10.1177/0194599816652378
otojournal.org
Jagdish K. Dhingra, MBBS, FRCS
1,2
Disclaimer: None of the statements made in this or any other video by "Its me Jen again" should be considered medical advice.
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Пікірлер: 35

  • @LDilore
    @LDilore10 ай бұрын

    My 22 year old is a patient of Dr Dringha. She had the RFA procedure. Other Dr was ready to just remove it!! It’s going in the right direction

  • @ItsmeJenagain

    @ItsmeJenagain

    10 ай бұрын

    Happy she was able to save her thyroid!

  • @AnneMarieBibby1966

    @AnneMarieBibby1966

    5 ай бұрын

    I'm going to see Dr. Dhingra in a few weeks. I'm not sure exactly what my situation is. My biopsy results are not back yet. I've heard wonderful things about him. 😊

  • @LDilore

    @LDilore

    5 ай бұрын

    @@AnneMarieBibby1966 good luck with your appointment! My daughter will be back for a follow up in March. Fingers crossed.

  • @AnneMarieBibby1966

    @AnneMarieBibby1966

    5 ай бұрын

    @@LDilore thank you 😊 Prayers for your daughter and a blessed visit

  • @kingdaniel3731
    @kingdaniel373111 ай бұрын

    This doctor is very knowledgeable and thinking the patients welfare

  • @mkb511
    @mkb51111 ай бұрын

    Hi Jen. Thank you so much for all your posts and dedication to finally bring us hope to save the thyroid. I am one of those who have been hoping for this kind of treatment. I also am from Toronto Canada. I was so happy to hear there is now treatment available here. Have you heard any feedback on how successful this Canadian program is ? (it being quite new) - or would you recommend travelling to USA would be better? Just to add - my historic experience when I first found out I had benign nodules - the only option I got was "surgery". Then as things progressed - I kept being told that surgery was the "only" option. The doctors would not even be willing to discuss otherwise and even bullied me indicating that I was afraid of surgery - whereas all I wanted was to "not" loose my thyroid. So to now hear RFA is available in my home town - I can hardly believe it. My prayers have finally been answered after patiently waiting for almost twenty years.

  • @AnneMarieBibby1966
    @AnneMarieBibby19665 ай бұрын

    Hello again Jen, I find myself back here 3 months later re visiting this video. Ive finally just had my ultrasound and have 2 nodules lower left lobe rated Tirads 5. I should be having my biopsy soon. Funny thing is my Dr. Suggested a Dr in the plainville practice and it is Dr. Dhingra 😂 I didn't think id be able to see him due to not being in network. But I'm pleased i can and have an appointment next month. Ive not yet had my biopsy I'm wondering if they could have him do that as well. I truly appreciate this video i feel a lot less stressed honestly. Thanks for all your hard work.😊

  • @ItsmeJenagain

    @ItsmeJenagain

    5 ай бұрын

    Praying for you!

  • @AnneMarieBibby1966

    @AnneMarieBibby1966

    5 ай бұрын

    @ItsmeJenagain Thank you! I had my biopsy on Monday waiting for my results. I have my appt. With Dr Dhingra in a few weeks. 😊 Waiting on results, I think it is worse than the biopsy 😄

  • @AnneMarieBibby1966
    @AnneMarieBibby19669 ай бұрын

    Love this! Im literary a few towns away from his practice. ❤

  • @gladyswilliams804
    @gladyswilliams804 Жыл бұрын

    Thank you JEN.. I pushed the subscribed button.. I was rushed & was editing my comments 2nd time. "Save your Thyroid"

  • @ItsmeJenagain

    @ItsmeJenagain

    Жыл бұрын

    Thanks for subbing!

  • @Christina-xu3yb
    @Christina-xu3yb10 ай бұрын

    Hi Jen! Thank you for making this page to educate us! It is so great that you are bringing awareness to all these issues with the thyroid problems so many people experience and unnecessary surgery! Can he preform RFA on Malignant Nodules? Also can you give us any tips on how to request our doctors to do Molecular Testing? It was so hard to get them to even order an Ultrasound!

  • @ItsmeJenagain

    @ItsmeJenagain

    10 ай бұрын

    I dont think Dr. Dhingra was doing RFAs on malignant nodules when we recorded this, but that could have changed. I am not sure how to get the Molecular testing ordered. That's another video I need to make.

  • @ItsmeJenagain

    @ItsmeJenagain

    10 ай бұрын

    If your dr isn't willing to do an ultrasound, you may need to find another Dr. Ultrasounds are safe (no radiation exposure,) and cheap! It's not a hardship on you or the dr. Molecular tests are done using the biopsy samples, and the main hurdle with them is the cost. I don't have personal experience with them, so I need to talk to some experts in the field to get more insight.

  • @patriciakeats1621
    @patriciakeats1621 Жыл бұрын

    I can’t wait for this to be available in Canada.

  • @ItsmeJenagain

    @ItsmeJenagain

    Жыл бұрын

    A program has recently been started at Toronto General.

  • @mkb511

    @mkb511

    11 ай бұрын

    Hi Jen. Thank you so much for all your posts and dedication to finally bringing this hope to save the thyroid. I am one of those who have been hoping for this kind of treatment. I too am from Toronto Canada. I was so happy to hear there is now treatment available here. Have you heard any feedback on how successful this Canadian program is - or would recommend travelling to USA would be better?

  • @mkb511

    @mkb511

    11 ай бұрын

    Just to add - my historic experience when I first found out I had nodules the only response I got was "surgery" - and then throughout different stages of development - I was told that surgery was the "only" option. The doctor would not even let me speak and bullied me indicating that I was afraid of surgery. So to now hear this is available in my home town - I can not believe I may finally hear the option I've been waiting for for almost twenty years.

  • @ItsmeJenagain

    @ItsmeJenagain

    11 ай бұрын

    @mkb511 I haven't heard any updates about the program yet. If you are a member of our Save Your Thyroid FB community, you may find some comments about it there. You can do a keyword search.

  • @mkb511

    @mkb511

    11 ай бұрын

    @@ItsmeJenagain Thank you so much for your response. I will check it out ❤️

  • @donnakaphan1009
    @donnakaphan10099 ай бұрын

    12:10 October 2nd 2023 I have had a Thyroid ultea sound recently showing nodules on both sides. My Dr. Says I should schedule a biopsy. I'm hoping that it will be benign. I would like to opt for RFA for sure . I live in West Virginia, where can I find the nearest RFA treatment?

  • @ItsmeJenagain

    @ItsmeJenagain

    9 ай бұрын

    Check our known physician list on saveyourthyroid.org.

  • @saybahgekpoah4762
    @saybahgekpoah4762 Жыл бұрын

    What are the medicine

  • @fu-linghitt57
    @fu-linghitt57 Жыл бұрын

    Thank you for being the pioneer on spreading the FRA. I have a primary and secondary medical insurance. How do I find out what the procedure codes are for FRA? I would like to check if my insurance would cover it.

  • @ItsmeJenagain

    @ItsmeJenagain

    Жыл бұрын

    There are no codes yet for RFA. Drs use a general unlisted Endocrine code, 60699.

  • @sandraavendano242
    @sandraavendano24211 ай бұрын

    I have a question though what happens if its a benign nodule that interferes with your production of your thyroid hormone. Would the RFA procedure be a good option or not?

  • @ItsmeJenagain

    @ItsmeJenagain

    11 ай бұрын

    Usually cold nodules don't have that effect. It can actually be a bit of the opposite. When the nodule shrinks, some patients experience better thyroid function. I think of it somewhat like unclogging a pipe.

  • @sandraavendano242

    @sandraavendano242

    11 ай бұрын

    @ItsmeJenagain my nodule interferes with my hormone production, meaning I make more than what is needed. Would RFA be an option? Do you think.

  • @ItsmeJenagain

    @ItsmeJenagain

    11 ай бұрын

    @sandraavendano242 yes! It's a great option for hot nodules and has a high success rate.

  • @nanciesteiner8212
    @nanciesteiner82129 ай бұрын

    Does anyone know if RFA treatment can be used in a hyperthyroid patient?

  • @ItsmeJenagain

    @ItsmeJenagain

    9 ай бұрын

    Yes, if you have a nodule that is creating excess hormone.

  • @lachele7099
    @lachele7099 Жыл бұрын

    What about "shadows" found in the thryroid? What this may be?

  • @ItsmeJenagain

    @ItsmeJenagain

    Жыл бұрын

    I'm sorry, but I'm not familiar with that.

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