Physician Information

Endocrine Neck Ultrasound Laboratory
of Southern California
1328 16 th St
Santa Monica California 90404
310-458-1638
310-395-8147 FAX
www.endocrineneck.com
dr.guttler@thyroid.com

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To All Endocrinologists,

A recent local endocrinologists referral, with persistent thyroglobulin and TG antibodies, had recurrent thyroid cancer found with our new techniques, in her neck, when WBS was negative as was MR, and PET/CT. I hope you can consider using me for your future “tough” diagnostic problems.

The recent advances in diagnosis and treatment of thyroid cancer have resulted in the need for a comprehensive endocrine neck ultrasound laboratory. Every thyroid cancer patient will need comprehensive lymph node mapping done before surgery, and for several years after surgery. Ultrasound and blood Thyroglobulin Cancer marker testing have replaced total body imaging in most thyroid cancer patients. Radiation therapy is being phased out in the majority of low risk cancer patients. The busy endocrinologist does not have the time to become expert in all the new techniques needed to care for their cancer patients. The ENUL will offer these services to endocrinologists.

The lab will only do the procedures requested by the endocrinologist, and will report directly to them the results of the study. There is no consultative function offered to the patient directly, unless the endocrinologist requests one. This is similar to a private freestanding MR/CT/PET center.

Richard Guttler, will remove his clinical thyroidologist hat, and only offer these services to the endocrinologist without consultation. He is the founder of Academy of Clinical Thyroidologists, ACT, early pioneer in the use of ultrasound for thyroid cancer follow-up, and therapy. He took part in writing the board questions for certification of endocrinologists, for American Association of Clinical Endocrinologists to begin in 2008. He has been certified, and recertified in all aspects of diagnostic and interventional endocrine neck ultrasound by AACE, and is a member of the American Institute of Ultrasound Medicine, AIUM.

The Endocrine Neck Ultrasound Laboratory will offer these procedures to endocrinologists. Doctor Guttler will perform all these procedures real time without an ultrasound technician.

Call me direct to discuss your thyroid cases and I will be glad to help, especially with thyroid nodules, cancer and parathyroid disease. Experts are using less RAI/131 for low risk cancer patients, so you need to have an endocrine neck lab to help you manage your patients, and rely less on nuclear medicine’s total body imaging and radiation therapy.

Dick,

Richard B. Guttler MD, FACP, FACE
Cell 310-503-8878

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