Voices of Wisdom: A Podcast for Thyroid Clinicians
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 treatment of thyroid cancer during pregnancy. Our mission: to unravel complex medical mysteries, showcase cutting-edge research, and provide actionable, evidence-based advice. Combining our host’s expertise with insights from leading specialists in each episode, we aim to enhance understanding, improve patient outcomes, and bridge the knowledge gap in thyroid cancer care. This podcast stands as a pivotal resource for surgeons, oncologists, pathologists, and nuclear medicine specialists seeking the latest in advancements and collaborative wisdom in thyroidology.
Episodes
In this second part of their discussion, Dr. Dana Hartl sits down with Dr. Zubair Baloch for a practical conversation on what actually makes thyroid FNA cytology reliable. The episode challenges common assumptions about “adequate” sampling and why that single step quietly shapes every diagnosis that follows. They also tease how molecular testing and AI can help, and when they can mislead, if the fundamentals are not right.
Thyroid cytology can be clear at the extremes, but uncertainty dominates the middle ground. In this episode, Dr. Zubair Baloch explores why indeterminate nodules challenge clinicians and how context, judgment, and collaboration shape better decisions. It’s a thoughtful look at what lies beyond Bethesda—and why everything matters.
In this episode, Dr. Dana Hartl speaks with Dr. J.P. Brito from the Mayo Clinic about the art and science of thyroid hormone replacement therapy. Together, they explore balancing TSH suppression, managing persistent symptoms, and understanding when “normal” lab results don’t tell the full story. Tune in for expert insights that challenge assumptions and highlight the power of individualized care.
What if surgeons could see nerve function in real time—and prevent injury before it happens? In this episode, Dr. Catherine Sinclair reveals how intraoperative neuromonitoring is reshaping thyroid surgery worldwide. From technical nuances to global access challenges, listeners gain a rare insider’s look at how innovation is transforming surgical precision.
Dr. Lisa Orloff shares practical, experience-driven tips for optimizing thyroid cancer ultrasound—from honing diagnostic skills and scanning overlooked areas to guiding surgery and follow-up care. Her expert insights help clinicians improve accuracy, integrate ultrasound into patient management, and adopt interactive techniques for better outcomes.
What happens when a cancer diagnosis impacts more than just your health? In this episode, Dr. Carrie Cunningham joins us to explore financial toxicity in thyroid cancer—what it is, why it matters, and how we can measure it. She also shares surprising insights about global policies and the promising role of AI in reducing patient burden.
What changes when thyroid tumors once considered inoperable become surgical candidates? Dr. Mark Zafereo joins Dr. Dana Hartl to explore how neoadjuvant therapy reshapes surgical timing, decision-making, and long-term care for patients with aggressive thyroid cancer. This discussion uncovers clinical judgment calls, imaging insights & evolving surgical strategies you won't want to miss.
What makes a thyroid tumor truly unresectable? In this episode, Dr. Dana Hartl speaks with Dr. Mark Zafereo about how molecular testing and targeted neoadjuvant therapies are redefining surgical eligibility for patients with anaplastic thyroid cancer. Listen in as they explore the evolving role of BRAF/MEK inhibitors, imaging strategies, and real-world decision-making in complex cases.
In the continuation of this episode of Voices of Wisdom, Dr. Dana Hartl hosts Drs. Fabian Pitoia and Iwao Sugitani for a global discussion on thyroid cancer management. Together, they examine real-world cases and explore differing international approaches to active surveillance, surgery and treatment strategies. Gain insight into how cultural values and evolving guidelines shape care decisions around the world.
In this thought-provoking episode of Voices of Wisdom, Dr. Dana Hartl hosts Drs. Fabian Pitoia and Iwao Sugitani for a global discussion on thyroid cancer management. Together, they examine real-world cases and explore differing international approaches to active surveillance, surgery and treatment strategies. Gain insight into how cultural values and evolving guidelines shape care decisions around the world.
In Part 2 of this episode of Voices of Wisdom, Dr. Dana Hartl continues her conversation with Dr. David Pattison, diving deeper into radioactive iodine therapy for thyroid cancer. They discuss the biological mechanisms of I-131, key differences from external beam radiation, and evolving strategies for personalized treatment. Dr. Pattison also explores future advancements, including re-differentiation therapy and the role of nuclear...
Dr. Dana Hartl speaks with Dr. David Pattison about radioactive iodine therapy for thyroid cancer, breaking down different isotopes, their applications, and the importance of theranostics. They discuss how pre-therapy imaging can help personalize treatment and avoid ineffective therapies. Dr. Pattison also explains the role of dosimetry and how institutions like Royal Brisbane and Women’s Hospital optimize care for thyroid cancer p...
Pour nos francophones, notre animatrice et notre invité (tous deux francophones) ont généreusement enregistré leur interview en anglais et en français.
Le Dr Dana Hartl interviewe le Professeur Martin Schlumberger pour démystifier les idées reçues sur le cancer de la thyroïde et ses liens avec les radiations. Ils abordent des facteurs clés tels que la dose de radiation, l'âge lors de l'exposition et les mesures proactives qui rédui...
For French speakers, our host and guest (both fluent in French) generously recorded their interview in English and French.
Dr. Dana Hartl interviews Professor Martin Schlumberger to debunk myths about thyroid cancer and its links to radiation. They discuss key factors like radiation dose, age of exposure, and proactive measures that reduce risks, using insights from Chernobyl and Fukushima. The episode underscores the importance of...
In this episode of Voices of Wisdom, Dr. Janice Pasieka hosts Dr. Angela Leung to discuss managing thyroid cancer during pregnancy. They delve into the complexities and reassuring aspects of monitoring thyroid nodules in pregnant women, emphasizing a multidisciplinary approach for optimal care. Dr. Leung shares valuable insights on the timing of surgical interventions and the special considerations for radioactive iodine treatment ...
In the latest episode of TIRO’s Voices of Wisdom podcast, Dr. Janice Pasieka hosts Dr. Erik Alexander, a leading endocrinologist from Brigham and Women's Hospital in Boston, to discuss the evolving role of molecular diagnostics in thyroid cancer management. They delve into the types of molecular testing available, particularly Afirma and ThyroSeq version 3, highlighting their diagnostic and prognostic applications for intermediate ...
In the second part of this special episode of Voices of Wisdom, Dr. Janice Pasieka, Dr. Ashok Shaha and Dr. Mark Urken continue their discussion on the unexpected challenges surgeons face during thyroid cancer surgeries. They delve into critical decisions when encountering extensive nodal disease and the intricacies of preserving the recurrent laryngeal nerve. The conversation highlights the importance of preoperative evaluations a...
In this special two-part episode of Voices of Wisdom, Dr. Janice Pasieka hosts a fascinating discussion with renowned thyroid cancer surgeons, Dr. Ashok Shaha and Dr. Mark Urken. They delve into the unexpected challenges surgeons face during thyroid cancer surgeries, particularly when encountering unexpected tracheal invasion. The experts share their preoperative strategies and intraoperative decision-making processes, offering inv...
In this episode of Voices of Wisdom, host Janice Pasieka and expert guest Eyal Robenshtok dive into the revolutionary approach of active surveillance in thyroid cancer treatment. They explore how this method challenges traditional surgery-first strategies, offering valuable insights for clinicians. Discover the criteria for selecting patients for active surveillance and the nuanced considerations that come into play. The discussion...
Welcome to the inaugural episode of TIRO's Voices of Wisdom podcast, hosted by Dr. Janice Pasieka, a surgical endocrinologist from Calgary. This series promises to be an essential resource for clinicians managing thyroid cancer, providing practical advice through discussions with international experts.
In this episode, Dr. Michael Tuttle of Memorial Sloan Kettering shares his insights on managing rising thyroglobulin levels in pos...
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