Consultation

We provide comprehensive care for patients with thyroid (thyroid cancers, Graves disease, multinodular goiter, thyroid cysts, and nodules), parathyroid (primary, secondary, and tertiary (renal) hyperparathyroidism), and adrenal diseases (pheochromocytoma, Cushing's, hyperaldosteronism, adrenal tumors, and adrenocortical carcinoma), including genetic syndromes (MEN 1, MEN 2A, MEN 2B, FMTC and others). Care for each patient will be coordinated with an endocrinologist. If the patient does not have an endocrinologist, we will recommend one in your area. Genetic counseling will be provided for every patient with a congenital syndrome. We conduct a monthly Endocrine Tumor Board specifically designated to discuss ongoing care for each patient with complex diagnostic problems. Tumor Board is a multidisciplinary conference with the participation of an endocrine surgeon, endocrinologist, pathologist, oncologist, genetic counselor, radiologist or nuclear medicine physician, and endocrine oncology nurse navigator. We also have a monthly Thyroid Cancer Patients’ Support Group Conference (for the next scheduled Patient Support Conference, please call my office and ask for Megan)

If you are coming for a PARATHYROID consultation, please bring the following laboratory data and test results:

  1. serum Ca (2-3 test results preferred to establish history)
  2. serum PTH (2-3 test results preferred to establish history)
  3. serum electrolytes
  4. serum Vitamin D level
  5. Bone density study
  6. 24-hour urine calcium
  7. Sestamibi scan, (Please bring the films as well as the report from the radiologist)
  8. Neck / Thyroid ultrasound (Please bring the films as well as the report from the radiologist)

If you are coming for a THYROID consultation, please bring the following laboratory data and test results:

  1. Serum electrolytes
  2. Thyroid Function Tests (TFTs): TSH, free T4, T3
  3. Neck / Thyroid Ultrasound (Please bring the films as well as the report
  4. Any neck imaging studies (CT or MRI) (bring the films and report)
  5. Thyroid biopsy results if any
  6. Thyroid Iodine Uptake Studies (nuclear medicine study) if any

If you are coming for an ADRENAL tumor consultation, please bring the following laboratory data and test results if available:

  1. Measurements of your blood pressure and heart rate at any time over the last several months (if available).
  2. The list of your blood pressure medications.
  3. All blood and urine tests, especially important following if available: serum electrolytes, blood catecholamines, blood metanephrines, blood chromogranin A level, blood ACTH level, Dexamethasone suppression test (if available), blood renin level, blood aldosterone level; 24-hour urine catecholamines and metanephrines, 24-hour urine cortisol level.
  4. Abdominal CT scan, MRI (if available), MIBG scan results, and disks (films) (if available).
  5. Result of adrenal venous sampling (for the patient with primary hyperaldosteronism) if available.