Your Consultation

On the day of your appointment, please bring any remaining information with you as requested by the clinic coordinator.

You will be asked to submit your insurance card and co-payment (see the section on "billing" below) and
asked to sign the consent forms.

Depending on your individual needs, you will then have the opportunity to be seen by a team of physicians – an endocrinologist, a surgeon, and a pathologist – who will conduct a thorough evaluation of your condition. In order to accurately diagnose your condition, you may also receive an ultrasound scan of the neck, a scope of the throat, and a fine-needle aspiration (biopsy) of the thyroid nodules. If blood work was not previously done, it can also be arranged to be taken on this day.

Diagnosis

It will take 3-7 days to receive the results of your biopsy, at which point a report will be sent to your referring physician.  If your results indicate a non-cancerous nodule, a Thyroid Center endocrinologist or your referring physician will recommend a course of treatment.  Should your results signal a more serious condition, the Thyroid Center team will come to a consensus recommendation.  Difficult or complicated cases will be brought before the tumor board, a monthly meeting of thyroid experts who will discuss your case and agree upon a recommended course of action.  

Treatment

Our integrated approach means that the same team of specialists will work with you throughout the course of your treatment.  Should you require surgery, our experienced surgeons at the Thyroid Center can accommodate you.  All thyroid surgeries are completed by a primary and an assisting surgeon.  Dr. Jacob Johnson and Dr. Andrea Yeung, partners at San Francisco Otolaryngology, are experienced in thyroidectomies and will be assisted by Dr. Mark Singer and Dr. James Klein at California Pacific Medical Center (CPMC).  This combination of Dr. Johnson and Dr. Yeung’s advanced techniques with Dr. Singer and Dr. Klein’s experience and wisdom results in high-quality surgical care you can trust. 

After surgery, your condition will be monitored by our team of endocrinologists that initially reviewed your case.  You can expect to spend 1-3 days in the hospital.  A nuclear medicine doctor will be available if post-surgery radiation is needed. 

 

 

 

 

 

 

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