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Dr. Greg Randolph on Patient-Centered Approaches to Thyroid Nodule Treatment

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Manage episode 407405068 series 3560707
Content provided by Philip and Philip James. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Philip and Philip James or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.

In a comprehensive interview conducted by Philip James from the RFAMD and Doctor Thyroid podcasts, Dr. Greg Randolph from Harvard Medical School shares his insights on patient-centered approaches for treating thyroid nodules. The interview focuses on thyroid ablation, a procedure that treats thyroid nodules without surgery.

Dr. Randolph emphasizes the importance of not only measuring the volumetric reduction of the nodule after ablation but also considering patient-reported outcomes. These outcomes include the patient's perception of the nodule, such as whether they still have a lump sensation in their neck or a visible lump. Despite the successful reduction of the nodule size on ultrasound, the patient may still perceive a visual or physical presence, thus it's critical to include what's meaningful for the patient in the outcomes.

He also discusses the importance of understanding a patient's concerns and expectations. Whether it's a benign nodule or a low-stage malignancy, each patient will have their own concerns and priorities. Some may fear the potential of a hidden cancer while others may be apprehensive about surgical procedures. Hence, the treatment decision should be apparent after a thorough discussion of the patient's preferences and the medical realities.

Lastly, he stresses the importance of physicians offering a variety of treatment options. For benign nodules or small cancers, patients should have the option to select from different rational treatments. Dr. Randolph also advocates for spending adequate time with the patient, allowing them to ask questions and make informed decisions.

This patient-centered approach fosters a less paternalistic, more collaborative physician-patient relationship, ensuring that the patient's desires and concerns are addressed during the treatment process.

🔷🔷🔷🔷The Doctor Thyroid and RFAMD podcast with Philip James is listened to in 100+ countries. It is a preferred patient resource for information related to thyroid cancer, RFA, hypothyroidism, pathology, and radiation therapy.

Contact Philip atphilipjames@docthyroid.com

www.rfamd.com www.docthyroid.com

About Philip James

He is the host of the popular podcast: Doctor Thyroidwww.docthyroid.com

In 2013, his laryngeal nerve was severed, shoulder nerve damaged, parathyroids ruined, and residual cancer left behind — all for a 1 cm thyroid nodule.Later, a vocal cord implant was inserted to help him speak.

100+ episodes later, the Doctor Thyroid podcast is popular amongst patients; allowing them to access information from top doctors, without being limited by geography or economics.

The word he uses to describe his work as patient advocate is, ‘tonglen’. Or, using his pain and hardship to help others.

The Doctor Thyroid podcast is available in Spanish and English – and listened to in over 30 countries:

www.doctiroides.com (Spanish)

www.docthyroid.com (English)

Please email your requests to philip@philipjames.co

Instagram: @PhilipJames360

LinkedIn: www.linkedin.com/in/philip-james/

Facebook: @philipb07

YouTube: @Doctor Thyroid Twitter : @docthyroid

  continue reading

34 episoade

Artwork
iconDistribuie
 
Manage episode 407405068 series 3560707
Content provided by Philip and Philip James. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Philip and Philip James or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ro.player.fm/legal.

In a comprehensive interview conducted by Philip James from the RFAMD and Doctor Thyroid podcasts, Dr. Greg Randolph from Harvard Medical School shares his insights on patient-centered approaches for treating thyroid nodules. The interview focuses on thyroid ablation, a procedure that treats thyroid nodules without surgery.

Dr. Randolph emphasizes the importance of not only measuring the volumetric reduction of the nodule after ablation but also considering patient-reported outcomes. These outcomes include the patient's perception of the nodule, such as whether they still have a lump sensation in their neck or a visible lump. Despite the successful reduction of the nodule size on ultrasound, the patient may still perceive a visual or physical presence, thus it's critical to include what's meaningful for the patient in the outcomes.

He also discusses the importance of understanding a patient's concerns and expectations. Whether it's a benign nodule or a low-stage malignancy, each patient will have their own concerns and priorities. Some may fear the potential of a hidden cancer while others may be apprehensive about surgical procedures. Hence, the treatment decision should be apparent after a thorough discussion of the patient's preferences and the medical realities.

Lastly, he stresses the importance of physicians offering a variety of treatment options. For benign nodules or small cancers, patients should have the option to select from different rational treatments. Dr. Randolph also advocates for spending adequate time with the patient, allowing them to ask questions and make informed decisions.

This patient-centered approach fosters a less paternalistic, more collaborative physician-patient relationship, ensuring that the patient's desires and concerns are addressed during the treatment process.

🔷🔷🔷🔷The Doctor Thyroid and RFAMD podcast with Philip James is listened to in 100+ countries. It is a preferred patient resource for information related to thyroid cancer, RFA, hypothyroidism, pathology, and radiation therapy.

Contact Philip atphilipjames@docthyroid.com

www.rfamd.com www.docthyroid.com

About Philip James

He is the host of the popular podcast: Doctor Thyroidwww.docthyroid.com

In 2013, his laryngeal nerve was severed, shoulder nerve damaged, parathyroids ruined, and residual cancer left behind — all for a 1 cm thyroid nodule.Later, a vocal cord implant was inserted to help him speak.

100+ episodes later, the Doctor Thyroid podcast is popular amongst patients; allowing them to access information from top doctors, without being limited by geography or economics.

The word he uses to describe his work as patient advocate is, ‘tonglen’. Or, using his pain and hardship to help others.

The Doctor Thyroid podcast is available in Spanish and English – and listened to in over 30 countries:

www.doctiroides.com (Spanish)

www.docthyroid.com (English)

Please email your requests to philip@philipjames.co

Instagram: @PhilipJames360

LinkedIn: www.linkedin.com/in/philip-james/

Facebook: @philipb07

YouTube: @Doctor Thyroid Twitter : @docthyroid

  continue reading

34 episoade

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