Ultrasound is a method of imaging that is commonly done for thyroid evaluation. Sound waves create accurate images of the thyroid and surrounding neck structures. It is painless and does not use radiation. The ultrasound is the most accurate way to show the thyroid shape, size, position, as well as any abnormalities, including nodules or cysts. The ultrasound can also show characteristics of a thyroid nodule to help determine if its risks of becoming cancerous.

DEXA Scan Bone Mineral Density (BMD) is related to bone strength. BMD testing is used to diagnose osteoporosis. BMD is measured with a test called a DEXA scan. By measuring BMD, physicians can predict the risk of having a bone fracture. Bone Mineral Density Test Results Mean: Normal: Bones have a density that is healthy. Low Bone Mass (medically termed osteopenia): Bones show the beginning of bone loss, but not enough to be osteoporosis. Osteoporosis: Bones are weak and porous, and more likely to break.

Fine Needle Aspiration (FNA)
Fine Needle aspiration (FNA) is a type of biopsy procedure. In a fine needle aspiration, a thin needle is inserted into an area of abnormal-appearing tissue or body fluid. The most common reason to get a fine needle aspiration is to test for cancer. The sample collected from a FNA can help make a diagnosis or rule out conditions such as thyroid cancer. If you have an overactive thyroid gland or have been diagnosed with thyroid cancer, your endocrinologist may prescribe radioactive iodine as part of your treatment.

Radioactive Iodine (I131) Therapy
Radioactive iodine, given in a capsule, is absorbed and concentrated by the thyroid gland. The treatment destroys thyroid tissue but does not harm other tissue in the body. After treatment, the radioactive iodine will pass out of your body in your saliva and urine usually in a few days. How long it takes will depend on your age and the dose you received. Your physician will give you instructions on how to avoid exposing people to radioactivity.


If your physician orders blood work, you may go to any lab that is accepted by your insurance. For more efficient processing we prefer you use a national lab ** Your physician or medical assistant will let you know whether the test is to be done on the day of  your actual visit or prior to your next scheduled visit.  Please try to complete your pre-clinic labs a week prior to your visit so that your test results will be available at the time of your visit to make it more  productive.
**If you use another lab such as your primary care doctor's lab or a hospital lab, it is important to bring your results with you on your visit since we will not have access to those results.


Please determine what medications need to be refilled during your visit. You will be given enough refills to last until your next appointment. This allows us to monitor the treatment you are receiving.

If you cancel or no-show on your next appointment, we will not refill your medication by phone or mail. You will have to come to the office and pick up your prescriptions. There will be a $10.00 fee for this service. Refills require 48 hours notice to the office. If you have not been seen for a visit for one year, you will be given a refill for at least one month of medication. You will need to schedule a follow-up appointment prior to any subsequent refills. Patients failing to make a follow-up within the above time frame will no longer be eligible for refills on medications.