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Artwork for Voices of Wisdom: A Podcast for Thyroid Clinicians

Voices of Wisdom: A Podcast for Thyroid Clinicians

TIRO, THANC Foundation
Thyroid Cancer
Financial Toxicity
Active Surveillance
Thyroglobulin Levels
Surgery
Papillary Thyroid Carcinoma
Thyroid Surgery
Medullary Thyroid Carcinoma
Quality Of Life
Health Insurance
Patient Outcomes
Intraoperative Neuromonitoring
Radiation Exposure
Ultrasound
Medical Costs
Continuous Nerve Monitoring
Intermittent Nerve Monitoring
Voice Nerve Injury
Healthcare Disparities
Thyroid Cancer Management

Welcome to Voices of Wisdom, an essential listen for medical professionals exploring new frontiers in thyroid cancer and related fields. In each episode, our host is joined by a guest physician to enrich the conversation and shares pearls of wisdom. Together, they dive into topics like addressing thyroglobulin levels, exploring ultrasound’s role in thyroid cancer diagnosis, and navigating the trea... more

PublishesMonthlyEpisodes24Founded2 years ago
Number of ListenersCategories
EducationMedicineHealth & Fitness

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Artwork for Voices of Wisdom: A Podcast for Thyroid Clinicians

Latest Episodes

What happens when the evidence is incomplete, the terminology changes and the old follow-up habits no longer fit? In Part 2 of this thoughtful conversation, Dr. Julie Ann Sosa takes listeners into the gray zones of the 2025 ATA guidelines, from patho... more

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In Part 1 of their discussion, Dr. Dana Hartl and Dr. Julie Ann Sosa unpack the years-long process behind the update and the biggest shifts already changing how clinicians think about surgery, surveillance and personalized care. It is an inside look ... more

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In part 2, we examine evolving surgical paradigms in medullary thyroid carcinoma, including staged surgery, de-escalation strategies and the use of frozen section findings to guide extent of resection. Dr. Lorenz also discusses follow-up after limite... more

YouTube

This two-part episode focuses on surgical decision making in medullary thyroid carcinoma, from patient selection to preoperative workup. Dr. Kerstin Lorenz explains how calcitonin levels, ultrasound findings and genetic considerations shape staging, ... more

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Recent Guests

Julie Ann Sosa
Guest physician discussing ATA guidelines
(not explicitly stated in transcript)
Episode: 2025 Updated ATA Guidelines with Dr. Sosa: What Has Changed? (Part 2)
Dr. Julie Ann Sosa
Leon Goldman MD Distinguished Professor and Chair of Surgery at the University of California San Francisco, endocrine surgeon focused on thyroid cancer
University of California San Francisco
Episode: 2025 Updated ATA Guidelines with Dr. Sosa: What Has Changed?
Dr. Kirsten Lorenz
Specialist discussed in episode
[Not explicitly stated in transcript]
Episode: Medullary Thyroid Carcinoma (Part 2): A Surgeon’s Perspective with Dr. Lorenz
Dr. Kerstin Lorenz
Professor of Surgery, leading expert in endocrine surgery
University Hospital of Halle, Germany
Episode: Medullary Thyroid Carcinoma: A Surgeon’s Perspective with Dr. Lorenz
Zubair Baloch
Esteemed guest, thyroid cytopathologist
Episode: Beyond Bethesda (Part 2): FNA, Molecular Tests & AI in Pathology with Dr. Baloch
Dr. Zubair Baloch
World-renowned thyroid and head & neck pathologist
University of Pennsylvania
Episode: Beyond Bethesda: Cytopathologic Diagnosis of Thyroid Tumors
JP. Brito
Professor of Medicine, Endocrinologist, Mayo Clinic physician and health care delivery researcher
Mayo Clinic
Episode: Personalizing Thyroid Hormone Therapy in Cancer Care
Dr. Catherine Sinclair
Board certified in otolaryngology and head and neck surgery, editor-in-chief of Video Endocrinology
Episode: Intraoperative Neuromonitoring: What Clinicians Should Know
Dr. Lisa Orloff
Leading expert in endocrine head and neck surgery and director of the thyroid tumor program at Stanford University.
Stanford University
Episode: Expert Tips & Tricks for Thyroid Cancer Ultrasound

Host

Dr. Dana Hartl
Host of Voices of Wisdom

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Talking Points

Recent interactions between the hosts and their guests.

Medullary Thyroid Carcinoma (Part 2): A Surgeon’s Perspective with Dr. Lorenz
Q: How long do your pathologists take to do a frozen section and quantify desmoplasia?
Typically 15 to 20 minutes, which allows rapid, in‑the‑moment decisions about the extent of neck dissection.
Medullary Thyroid Carcinoma (Part 2): A Surgeon’s Perspective with Dr. Lorenz
Q: Would you do that every month? Excuse me, every month, every three months, every six months. Do you have a protocol for that?
We monitor calcitonin every three months for the first two years, adjusting based on tumor type, to build a clear trajectory of disease activity alongside CEA.
Personalizing Thyroid Hormone Therapy in Cancer Care
Q: So do you have like a biomarker or signs or symptoms that would tell you that a patient maybe needs T3 supplementation? Do you do that?
There is no perfect biomarker for tissue-level T3 deficiency; decisions hinge on patient conversation, symptoms, and a cautious trial of adjusting TSH and adding T3 when appropriate, with close re-evaluation over several months.
Medullary Thyroid Carcinoma: A Surgeon’s Perspective with Dr. Lorenz
Q: What is the role of desmoplasia in frozen section and how does it change intraoperative decisions?
Desmoplasia grading on frozen section informs the likelihood of nodal metastases; a higher percentage of desmoplasia increases the concern for lymph node disease and prompts more extensive neck dissection, whereas low desmoplasia with an intact capsule may support a more limited approach such as lobectomy with targeted central neck dissection.
Medullary Thyroid Carcinoma: A Surgeon’s Perspective with Dr. Lorenz
Q: How do calcitonin levels influence surgical planning and extent of neck dissection?
Basal calcitonin elevates suspicion and drives preoperative workup; higher calcitonin levels generally correlate with greater disease burden, guiding decisions on the extent of neck dissection, with guidelines often supporting more extensive dissection as calcitonin rises, though decisions are individualized based on desmoplasia and imaging findings.

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Frequently Asked Questions About This Podcast

What is This Podcast about and what kind of topics does it cover?

A clinically focused podcast that brings in surgeons, endocrinologists, oncologists, and researchers to discuss thyroid cancer care, diagnostics, and treatment innovations. Episodes cover intraoperative neuromonitoring, ultrasound applications in thyroid cancer management, financial toxicity of cancer care, and evolving surgical and systemic therapies for unresectable or aggressive thyroid cancers. Notable strengths include practical guidance for surgical practice, emphasis on multidisciplinary collaboration, and attention to access barriers and patient outcomes. The format frequently features expert guests with deep specialty knowledge, delivering evidence-based insights and actionable takeaways for clinicians seeking to stay at the fronti... more

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this podcast launched 2 years ago and published 24 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on this podcast?

Recent guests on this podcast include:

1. Julie Ann Sosa
2. Dr. Julie Ann Sosa
3. Dr. Kirsten Lorenz
4. Dr. Kerstin Lorenz
5. Zubair Baloch
6. Dr. Zubair Baloch
7. JP. Brito
8. Dr. Catherine Sinclair

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