Doctor Thyroid

Welcome to Doctor Thyroid with your host, Philip James. This is a meeting place for you to hear from top thyroid doctors and healthcare professionals. Information here is intended to help those wanting to 'thrive' regardless of setbacks related to thyroid cancer. Seeking good health information can be a challenge, hopefully this resource provides you with better treatment alternatives as related to endocrinology, surgery, hypothyroidism, thyroid cancer, functional medicine, pathology, and radiation treatment. Not seeing an episode that addresses your particular concern? Please send me an email with your interest, and I will request an interview with a leading expert to help address your questions. Philip James
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Now displaying: February, 2017
Feb 21, 2017

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?


Feb 18, 2017

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


Dr. Babak Larian

P: 310.461.0300

American Thyroid Association Guidelines

Feb 12, 2017

Combination Therapy of T4 and T3 as a way to combat Hypothyroidism

Thyroidectomy often leads to hypothyroidism-like symptoms.  This includes brain fog, sluggishness, weight gain, unmotivated, and water accumulation. 

Dr. Bianco’s research has revealed the connection between thyroidectomy, hypothyroidism symptoms, and T4 only therapy.  Although T4 only therapy works for the majority, others report serious symptoms.  Listen to this segment to hear greater detail in regard to the following topics:

Combination therapy of adding T3 to T4

85% of patients on Synthroid feel fine.

Nearly 5% of the U.S. population takes T4, as revealed by the NHANE survey

Residual symptoms of thyroidectomy include depression, difficulty losing weight, poor motivation, sluggishness, and lack of motivation.  For some, there is no remedy to these symptoms. 

The importance of physical activity and its benefit in treating depression

If we normalize T3 does it get rid of hypothyroid symptoms?

Overlap between menopause and hypothyroidism symptoms

Dr. Antonio Bianco, Rush University Medical Center as professor of medicine, senior vice chair in the Department of Internal Medicine and division chief of endocrinology at Rush University Medical Center.  He has more than 30 years of experience in thyroid research.

Bianco’s research interests have been in the cellular and molecular physiology of the enzymes that control thyroid hormone action in which he contributed more than 200 papers, book chapters and review articles, and lectured extensively both nationally and internationally.

Recently, he has focused on the aspects of the deiodination pathway that interfere with treatment of hypothyroid patients, a disease that affects more than 10 million Americans. He is Director of Bianco Labs.



Bianco Lab


Bianco Lab on Facebook



The National Health and Nutrition Examination Survey (NHANES) is a program of studies designed to assess the health and nutritional status of adults and children in the United States. The survey is unique in that it combines interviews and physical examinations.

Feb 9, 2017

Dr. Aime Franco is professor at the University of Arkansas.  She leads a research group investigating the role of thyroid hormones in tumorigenesis.  She is also actively involved, both locally and nationally, advocating for the importance of biomedical research and the importance of engaging patients and survivors in cancer research.

After, completing her Ph.D. in Cancer Biology, she became a thyroid cancer research fellow at Memorial Sloan-Kettering Cancer Center in the Human Oncology and Pathogenesis Program.

Dr. Franco is a survivor of thyroid cancer, and balances her research as a mom and competitive triathlete. 

in this interview we explore the following:

Does thyroid cancer have a good prognosis compared to other cancers because its different or because we are aggressive with surgery and radiation therapy?

What were some personal insecurities when facing thyroid cancer surgery?

What are the questions in regard to TSH that the medical community is overlooking?
Which prescription medication works best?

How often and when should thyroid blood markers be tested?

You may find Dr. Franco here,

Feb 7, 2017

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?