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Hypothyroidism Lead a Better Quality of Life
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Hypothyroidism

Will Your Insurance Plan Cover the Cost of Hypothyroidism Diagnosis and Treatment?

Yes – most insurance plans cover the cost of hypothyroidism diagnosis and treatment. However – you may incur out-of-pocket and co-payment expenses – depending on your insurance coverage terms. You must make sure that your thyroid doctor participates in your insurance plan. If the physician is not a participant in your plan, make sure to find out what your out-of-pocket charges will be when you have to pursue treatment without insurance coverage.

Thyroid Doctor Participating in Insurance Plans

Dr. Hugh Melnick participates in many major insurance plans. There may be additional insurance plans accepted that are not listed below – so please call and ask for assistance from our insurance billing staff.

  • Aetna PPO
  • Aetna/USHC – HMO
  • Cigna HMO
  • Cigna PPO
  • First Health
  • GHI
  • Great West
  • Humana via ChoiceCare
  • Oxford Freedom
  • PHCS – Guardian
  • PHS – HealthNet
  • POMCO
  • United HealthCare
  • United – Empire Plan
  • Island Group Administrators

Thyroid Doctor Cost

For patients who are not covered by medical insurance – or – do not want to go through their plans, Dr. Melnick’s cost for diagnosis and treatment can be estimated to be between $350 and $1155 – as follows:

  • Initial Consultation = $350
  • Follow Up Visits = $200
  • Blood Tests = $60
  • Thyroid Sonogram = $150
  • Thyroflex Testing = $150

Blood Test Costs and Insurance Coverage

Blood tests are not included in the cost of initial consultations and follow up visits, although they are performed in Dr. Melnick’s endocrinology laboratory. In some cases, the cost of blood testing is covered by insurance. However – if there is no coverage available – blood test costs are approximately $60 through Dr. Melnick’s office.

If the patient has some form of coverage for the cost of blood tests through a certain laboratory – Dr. Melnick will have his staff draw blood and send the sample to the lab participating in your insurance plan. This saves the patient out-of-pocket costs and the inconvenience of a trip to the laboratory.

Thyroid Sonogram Costs and Insurance Coverage

Thyroid sonograms can be performed in Dr. Melnick’s office at a cost of $150, whether covered by the patient’s insurance plan or not. In some situations, to have the cost of this examination covered by insurance, the patient may be required to have it performed in a radiologist’s office participating in their plan. In both instances, the patient will be required to remit a co-pay depending on the coverage terms of their insurance plan.

Thyroflex Testing Cost – No Insurance Coverage

Thyroflex testing costs $150 and is not covered by insurance.

Affordable Thyroid Doctor

It is important to work with a thyroid doctor who has the education and clinical experience to cost-effectively diagnose and cost-effectively treat your hypothyroidism.

You can easily schedule your initial consultation with Dr. Hugh Melnick at Advanced Fertility Services through email – afsappointments@gmail.com – or – afsivfnurse@gmail.com. You can also call 212.369.8700 – or – click the icon below.

   

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Who Are The Best Reviewed Thyroid Doctors in NYC?

A Top Doctor for thyroid patients with hypothyroid, hyperthyroid, or other thyroid problems is a doctor who listens to you, cares, has an open mind regarding what you need or ask, wants your understanding and participation in your own treatment decisions, and is not owned and manipulated by a drug company. Thyroid Top Doctors are endocrinologists, thyroid specialists, thyroid surgeons, thyroidologists, integrative physicians, and other medical practitioners highly recommended by patients. These are doctors and practitioners  freely nominated by patients, or who want to make their innovative ideas available to patients. These are NOT doctors who have been paid off by pharmaceutical companies or who pay to be listed in directories. That is an important criteria for patients to use. Your thyroid specialist should embrace the motto that you are a human patient, not a pharmaceutical value.5

  1. The American Thyroid Association has a referral list for exact locales, including the best reviewed thyroid doctor in NYC for the many types of thyroid diseases and issues.
  2. The Endocrinologist Association also has a top referral list, but it should be noted that not all endocrinologists are specialists in thyroidology and thus your inquiry should stipulate need for the best reviewed thyroid doctor in NYC.
  3. Thyroid Info.com of Top Doctors of New York has a listing of best reviewed thyroid doctors in NYC.

How to Select a Thyroid Doctor for You

Being listed in a reputable Top Thyroid Doctors Directory doesn’t mean a doctor is the right one for you. Doctors have different bedside manners (or even none), degrees of openness to alternatives, flexibility in treatment styles, and financial arrangements. Some accept Medicare and/or insurance while some do not. Always call the doctor’s office before making your first appointment so you can verify definitely your understanding of the office’s requirements of the patient, and the philosophy, medical approach, sensitivity, cost, and insurance coverage. This will save you costly mistakes as well as embarrassment or having to change doctors immediately upon starting due to not having your doctor’s rules and regulations in hand.

Since there are gyn-ob medical issues resulting from thyroid disease, if you are symptomatic of those problems, you will want to ensure your that thyroidologist has expertise in those professional fields also.

Dr. Hugh D. Melnick is one of the most highly respected and credentialed thyroid specialists in NYC. He is a highly reviewed thyroid specialist in NYC who also specializes in thyroidology, many types of endocrinology, obstetrics, and gynecology medical issues caused by thyroid complications. He has expertise in treating issues of libido decline, infertility, miscarriages, and post partum complications. Contact his friendly and informative office staff today to make your initial conference and consultation appointment.

   

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Find Doctors Who Offer Hypothyroidism Treatment in NYC

Treatment of hypothyroidism, or under active thyroid function, is prescribed hormone therapy of T3 and T4. T4 is the most used, as it is able to create T3 in the bloodstream as well, and give the patient the full hormone therapy benefits.

Monitoring for  HypothyroidismDoctor-Thyroid-Treatment

Therapy for hypothyroidism is monitored by doctors who offer hypothyroidism treatment at six week intervals until the blood tests show the patient’s hormone level is stable. During these visits, a blood sample is checked for TSH to see if the right amount of thyroid replacement hormone is being given. The goal is to maintain TSH levels within normal limits. Depending on which thyroid testing lab used, values may vary, but doctors who offer hypothyroidism treatment diagnose a normal TSH range as between 0.5 to 5.0uIU/ml. Once stable, the TSH need be checked only yearly.

Warning of Over Treatment

Over-treating hypothyroidism with too much thyroid medication is potentially harmful and can cause heart beat irregularity and lack of blood pressure control. Expert doctors who offer hypothyroidism treatment are very knowledgeable that drugs treating hypothyroidism can also contribute to osteoporosis. Every effort should be made to keep your TSH within the normal range and to find other therapy treatment if you have a history of heart disease or blood pressure issues.

Thyroidologists Specializing in Hypothyroidism

Due to the medical warnings given above, it is imperative that you select a thyroid specialist who has extensive expertise in treating hypothyroidism. This must be a specialist with expertise beyond that of an endocrinologist, who might not treat the thyroid as a specialty. The American Thyroid Association can refer you to a thyroid specialist in your locale who can diagnose, treat, and monitor your thyroid issues plus any resulting medical problems.

Dr. Hugh D. Melnick of NYC is acclaimed as an expert hypothyroidism physician who can also treat the accompanying issues which frequently cause the patient additional medical difficulty. He is also an expert in treating infertility and childbearing difficulties caused by thyroid dysfunction as well as all types and degrees of thyroid diseases and ailments which frequently are causative factors for medical issues seemingly unrelated to the lay person.

His office has expertise in performing the thyroid tests necessary to determine the TSH range level as well as detecting any nodules or indications of other thyroid distress, including cancer of the thyroid. This expertise has endowed Dr. Melnick with equal expert accreditation in the fertility and OB-GYN specializations.

Contact the efficient and friendly staff of Hugh D. Melnick, M.D. in New York City for an initial conference and consultation regarding any thyroid dysfunction symptoms you may experience.

   

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Affordable Thyroid Doctor Consultations in New York City

It is more important to acquire professionally affiliated definite expert referral for thyroid doctor consultations with a thyroid specialist in your area by an expert source such as The American Thyroid Association, than to research sources for discounts in the cost of the examination and tests. However, if price comparing has to be one of your budget considerations, understand that if you have Medicare or private insurance coverage, thyroid examinations and testing are usually covered, at least for 80%, with you paying the remainder 20% of costs.

Discount or Sliding Scale LaboratoriesNYC-Thyroid

There are centers for thyroid treatment across the United States which offer unique discounts on their laboratory services. Other medical centers also offer sliding scale costs for the examination and treatment by their thyroidologists. It is resourceful for the patient to investigate these opportunities for reduced costs prior to making appointments to be evaluated.

American Thyroid Association May Provide Names

If the foregoing listing of affordable medical services for thyroid issues does not connect you with a viable sliding scale or reduced professional cost medical center for treatment of thyroid dysfunction and disease, patients can contact the American Thyroid Association for a listing of affordable care medical centers. The primary focus of the Association is to provide patients with names of specialists in their locale; however, it is possible that they can assist in locating sliding scale facilities. The failure of the Affordable Care Act passed in 2013 was an egregious loss to the medical profession and the American thyroid patients as well as all other diseases and cancers. Nonetheless, affordable care is possible if you do your research for the best center offering reduced costs.

New York City is privileged to have Hugh D . Melnick, MD as an expert in treatment of thyroid dysfunction, cancers, and the fertility and reproductive complications caused by the thyroid dysfunction. Whatever the type and degree of your thyroid medical issue, Dr. Melnick and his sensitive staff can accommodate your needs. For information on the office’s insurance and payment requirements and all other patient needs, contact the office today to determine those regulations for patients and then to arrange for your initial conference and consultation.

   

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3 Ways To Tell If You Potentially Have a Thyroid Issue

How to Tell if You Have a Thyroid Issue

The symptoms that indicate possible or even probable thyroid dysfunction, disease, or even cancer nodes are so wide and encompass many physical and even emotional aspects of the human being, sometimes the effects that are considered symptoms are not; other times, the symptoms are right on target.  For this indefinite status, it is wise to seek the consultation and examination of a specialist who has expertise in the many fields of thyroid issues.  Some of the dysfunctions are less significant to your general health, while other diseases or dysfunctions of your thyroid can deposit you into a life and death health status.

Contact a Specialist; Do Not WaitDoctor-Thyroid-NYC

To acquire a competent referral to a certified thyroidologist with specialization in thyroid medical issues in your area, contact The American Thyroid Association. They have a vital and all-encompassing register that can put your into the hands of a reputable specialist who will conduct essential blood tests to diagnose your ailment appropriately, and who can then proceed into treatment for your unique dysfunction.

The primary symptoms of underactive thyroid issues are:

Physical:

  • Weight gain and inability to lose weight
  • Always cold, especially hands and feet.
  • Fluid retention, swelling
  • Dry hair and/or hair loss
  • Dry skin, fingernails too brittle and break
  • Constipation
  • Irregular menstrual periods,  heavy menstrual flow, reproductive infertility and miscarriages
  • Intense joint and muscle pains
  • Painful joint Carpal and Metatarsal Tunnel syndrome
  • Hands or feet tingle or are numb
  • You experience ringing or ticking sound
  • You are diagnosed with Fibromyalgia or Chronic Fatigue

 Psychological:

  • Extreme chronic fatigue
  • Depression
  • Decreased libido
  • You feel mentally foggy
  • You are diagnosed with AADD, decreased concentration
  • You have poor short term memory
  • You are a woman who has experienced Postpartum Depression

How to Tell if You Have a Thyroid Issue of Hyperthyroidism

  • You lose weight without dieting and cannot gain.
  • You are irritable.
  • You have high or low blood pressure compared to your normal blood pressure.
  • You feel nauseated, are throwing up, or have diarrhea.
  • Your heartbeat is very fast or you have chest pain.
  • You have fever.
  • You are confused or sleepy.
  • You suffer swollen throat or difficulty swallowing.

Hugh D. Melnick, MD, NYC

Hugh D. Melnick, MD, New York City, treats patients of many types and degrees of thyroid dysfunction and Dr. Melnick also has expertise in the illnesses and reproductive issues that are caused by thyroid issues. Contact Dr. Hugh D. Melnick today to set an appointment during which he will determine how to tell if you have a thyroid issue.

   

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Find Top Doctors Who Treat Overactive Thyroids in NYC

Your Hyperthyroidism Requires a Hyperthyroid Specialist

Overactive thyroid dysfunction or hyperthyroidism must be treated by accredited and specializing doctors who treat overactive thyroids with exclusivity, due to the dangerous range of overactive thyroids and their effect upon the human body. Some of the dangers encountered as a patient with overactive thyroid dysfunction are definite life and death endangerment.

The most serious hyperthyroidism danger is a life-threatening condition called thyroid storm.thyroid_1

Call 911 or other emergency services immediately if you have signs of this complication such as delirium. Call your doctor immediately if you have been diagnosed with hyperthyroidism and:

  • You are very irritable.
  • You have unusually high or low blood pressure compared to your norm.
  • You are nauseated,  throwing up, or have diarrhea.
  • Your heartbeat is very fast or you experience chest pain.
  • You develop a fever.
  • You are confused or  sleepy.
  • You cannot breathe well or feel very tired – heart failure symptoms.

You should also call your doctor if:

  • You develop symptoms of Graves Ophthalmology with red and bulging eyes.
  • You are exceptionally tired or weak.
  • You lose weight without intention and even while eating normally.
  • Your throat is swollen or you experience trouble swallowing.

Watchful Waiting

“Watchful waiting” is that period of time during which you and your doctor observe your symptoms without using treatment. However, if you think you have hyperthyroidism, watchful waiting is not a good idea. Contact  your doctor so you can be treated early and reduce chances of more serious problems. Doctors who treat overactive thyroids include the following specialists:

Specialist You Might Contact

For further treatment, your primary doctor may refer you to one of the following specialists:

The American Thyroid Association is well qualified and known as an excellent resource for referral of specialists in each and every field of thyroid dysfunction, including hyperthyroidism. Dr. Hugh D. Melnick of New York City is a highly respected and often referred specialist in treatment of overactive thyroid and other serious thyroid diseases and dysfunctions, including cancer.

Top Overactive Thyroid Doctor in NYC – Hugh D. Melnick, MD 

Due to the sometimes confusing lack of proper diagnosis, many patients come to Dr. Melnick for his expertise in thyroid diseases and other resulting medical issues that arise due to thyroid dysfunction. Those other specializations are in the fields of fertility, childbirth, and postpartum complications. Contact the friendly and sensitive staff at Dr. Melnick’s office to schedule an initial conference and consultation regarding your thyroid issues.

   

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Find a Top Thyroid Doctor Who Offers Skype Appointments

Skype medical examinations and treatment initially served backward countries when patients were in an inaccessible area of jungle or mountain. Then it reached into the Western world’s medical care for persons stranded in snow slides or flooded areas. With technology creeping into more areas of the world, the numbers of people making Skype appointments in their country and internationally will only increase.

On the Rise

No agency tracks or requires doctors to report webcam use, a fact which was reported by Gary Capistrant, senior director of public policy at the American Telemedicine Association (ATA). During an interview with MyHealthNewsDaily, Capistrant emphasized, “it is absolutely increasing and now with those 4G phones where you video-conference from your cell phone, it is going to be much more common.”

The question is not whether to video-chat with patients, but rather how to strike a balance. Not all doctors are comfortable with relying on telecam appointments until they have seen the patient personally several times. Doctors also warn against becoming lazy by relying too much on telecommunication with their patients, especially those with life threatening conditions that may have as yet been undiagnosed.

For Skype appointments with a thyroid doctor through a computer, a doctor must be licensed in the state where he or she is located, as well as in the state where the patient is located.  This is not too inhibiting, since many doctors are licensed in more than one state already.  Patient privacy as monitored by the HIPAA must also be factored into any practice decision. Video Skype services may change the way doctors bill to accommodate Skype.

International Benefits of Skype Medical Service

The world became much smaller when technology dictated that it must. Now that doctors work with each other across the globe even in surgery, it is no stretch to realize internet access can bring patients into the doctor’s office on another continent, and therefore avail patients of the top care in any field of expertise wherever the patient and specialist are located

Skype Appointments With Thyroid Doctor

Since there are no directories at present to access Skype appointments with thyroid doctors, patients should contact the primary organization for the disease.  That person would contact the Endocrine Society or the international American Thyroid Association with members from 43 countries. By contacting the organization’s registry of available specialists and with highest accreditation certification, it is a very small feat to determine, armed with that physician’s stats, if the physician’s office is Skype-friendly. One can imagine a future with a patient’s information card stating that their Primary Thyroidologist is located in Lavigne, France, with professional consultation via Skype with another specialist in New York, and the medical listing reflecting both specialists as the surgeon in charge.

   

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Where To Find The Best Thyroid Doctor in the United States

You may have never needed a United States thyroid doctor before. Think of your thyroid gland as the fuel pump for your automobile. If the pump is not performing to capacity, your car’s engine will be fuel-deprived and will run slowly. Should that fuel pump supply too much fuel, your car’s engine will run too fast and burn out. In the same manner, an underactive thyroid gland causes a medical condition known as hypothyroidism, resulting in many unpleasant symptoms affecting the patient’s physical wellbeing.   NYC-Doctor-Thyroid

The primary symptoms are:

Physical:

  • Weight gain and inability to lose weight
  • Chronically cold especially hands and feet.
  • Retention of fluids, swelling
  • Dry hair and/or loss of hair
  • Dry skin, fingernails too brittle and break easily
  • Constipation of bowel
  • Irregular menstrual periods, including heavy menstrual flow, reproductive infertility and the cause of miscarriages
  • Incapacitating joint and muscle pains
  • Painful joint Carpal and Metatarsal Tunnel syndrome
  • Hands or feet tingle or are numb
  • You experience ringing or ticking sound
  • You are diagnosed with Fibromyalgia or Chronic Fatigue

 Psychological:

  • Extreme and chronic fatigue
  • Depression
  • Decreased sexual libido
  • You feel mentally foggy
  • You are diagnosed with Adult Attention Deficit Disorder, decreased concentration
  • You experience poor short term memory
  • You are a woman who has experienced Postpartum Depression

Why Diagnosis Requires Specialization

There are two basic problems causing failure to diagnose subclinical hypothyroidism:

  • The normal range for a blood test to diagnose hypothyroidism is too narrow and restrictive to correctly diagnose symptomatically hypothyroid patients;
  • In addition to TSH levels, other thyroid hormones, T4 and T3, as well as thyroid tissue antibodies, must be evaluated regarding symptoms of hypothyroidism.

Consulting the Top United States Specialist Nearest To You

If you have suffered any or most of the above-referenced symptoms, you should consult a United States thyroid doctor, namely a thyroidologist or endocrinologist. The common problem in pursuing this appointment and treatment by a specialist is of the medical science making. You might find yourself as a patient running through a labyrinth of medical offices and various labs, and even begin defending your symptoms to the healthcare professionals. You should bypass your general practitioner and all of his requirements for references, and get an expert referral from the informative Thyroid Foundation of America. This foundation can give you a referral to the best United States thyroid doctor for you.

Skype Can Facilitate Your Initial Conference

In selecting one of the top thyroid specialists in the United States, it is possible the doctor selected is not geographically close to your home. You may find the use of Skype to initiate the first consultation with a specialist is very cost effective and time efficient for both you and your new thyroid specialist. This type of service is going to benefit patients and medical practices in a very good way, especially in developed countries with a higher percentage of individual Internet familiarity and expertise.

The staff of Dr. Hugh D. Melnick is experienced in consultations via Skype, and welcomes the contact from new prospective patients requiring Dr. Melnick’s expertise treating all levels of thyroid disease and infertility problems associated with thyroid disease.

He has published many articles in medical literature and taught medical students and also postgraduate physicians. He is a successful author of books on medical issues for the lay person and makes frequent appearances on Sirius Doctor Radio, in which he answers patient’s questions from across our entire country.

Unique Thyroid Treatment Approach  

Dr. Melnick’s vast specialization experience led him to develop a unique approach to diagnosis and treatment of hypothyroidism. He has recognized and addresses how hypothyroidism can badly affect every part of your body.

   

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Find Internationally Renowned Thyroid Specialist

The thyroid is a gland in your neck that secrets hormones that influence your whole body metabolism. If this is not in proper balance, hyperthyroidism or hypothyroidism can result. In the case of hyperthyroidism, the thyroid is too active, and it releases too much of a hormone called thyroxine, which essentially puts your body into overdrive. Having an over-accelerated metabolism can cause drastic weight loss, cardiac problems, and leave a person feeling irritable and nervous. Over-active thyroid can be treated with medication or even surgery to decrease the size of the gland.   Doctor-Thyroid-Treatment

The converse condition is called hypothyroidism, which is when there is not enough hormone to drive the body metabolism. This leads to different symptoms consistent with feeling run down, such as:

  • fatigue
  • weakness
  • depression
  • dry skin
  • feeling cold
  • constipation

and cognitive problems such as:

  • memory failure
  • inability to focus

Irregular menstrual cycles and difficulty conceiving can result in women, and sex drive can be affected. A difficulty with diagnosing hypothyroidism is that these changes can occur slowly, and can also be mistaken for the normal aging process.

This is why a specialist, such as internationally renowned thyroid specialist Hugh D. Melnick, MD, is best at determining if this elusive condition is present. A further complication is that subclinical hypothyroidism may be present. Being subclinical does not mean that a condition is non-existent, or that it doesn’t cause symptoms. It simply means that a current particular standard for clinical diagnosis is not met. Clinically established hypothyroidism is defined by hormone levels in the blood being outside of a certain range. However, it is possible to have levels within that range but still suffer from an unbalanced metabolism, leading to low levels of energy, which is called sub-clinical hypothyroidism. A simple blood test may therefore miss the problems you are having due to hypothyroidism, which is why it is best to have an internationally renowned thyroid specialist personally evaluate your case. An initial interview with Dr. Melnick can be arranged via Skype.

Advanced testing beyond the blood tests used to determine clinical hypothyroidism are available, including nerve conduction velocity tests, which are useful as nerve conduction is slower than normal in the case of an underactive thyroid. Basal body temperature is another useful signature of an underactive thyroid. The advantage of these tests is that they directly measure the whole body consequences of this condition, that also leads to the feeling of being run down that may have prompted your suspicions that something was wrong in the first place.

The good news is that medications are available to correct this condition and have you feeling like yourself again. They will need to be taken continuously or the condition of hypothyroidism and its symptoms will reappear. Essentially these medications make up for the deficiency in hormones produced by your thyroid, and they allow your metabolism to function at normal levels. If you feel like something is wrong that is unexplained, but that you feel could be explained by an underactive thyroid, contact internationally renowned thyroid specialist Dr. Melnick for an evaluation, even if you were previously told that a blood test has ruled out thyroid problems. Sub-clinical hypothyroidism is estimated to have a high prevalence in the population, though many do not realize they suffer from this affliction, and may regard their low-energy state as an unavoidable fact of life. It need not be if an underactive thyroid is the underlying cause.

   

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How To Find The Best Internationally Renowned Thryoid Specialist For You

To ask how you can locate the best internationally renowned thyroid specialist for your unique needs is similar to asking Michael Phelps how a person reaches his number of gold Olympic medals, and then ask the same question of Olympic skier, Nooni.   NYC-Doctor-Treatment

There can be no correct answer for either or both of these champions, for the question delves into familiarity and personality issues along with strength, endurance, individual preferences, likes, and dislikes during training and competing.

Personal Touches

You must list the agenda important for the specialist who will be treating you. Their expertise and credentials of course must be of the highest caliber, and their staff must be friendly and must put you at ease in the face of an uncomfortable thyroid disease and personal hormone replacement therapy.

Credits too Long to Describe

But beyond those statistics which could fill their voir dire competently, there is the sticky personal issue inside you that wants to have a doctor you like, trust, admire and can bond with.  You will need to tell them details of your life as personal as those gathered by a marriage counselor so they can monitor your thyroid issues.  Nonetheless, they will remain your professional expert physician and know the exact cure for what ails you each and every visit to their office.  They will do all that without criticism, cajoling, or an unsympathetic demeanor.  He or she is also now your friend.

The above qualities and personality traits cannot be indexed in a brochure detailing the specialist’s strong suits and short ones.  It is doubtful if even the physician could describe his or her “bedside manner” and patient rapport to its full importance for their patients.

The Intangibles of a Bond

The attribute of bedside manner or patient rapport is something that cannot be taught and therefore cannot be bought.  Just as one particular house became the one you call home and the one special clothing ensemble makes you feel well and new again, the right internationally renowned thyroid specialist with the exact personality and character traits that you need will be the one for you.

The fact that he or she is also an internationally renowned thyroid specialist is just icing on your thyroid cake. Having rapport between you will make your recovery all the easier and give it the blessing of speed that another specialist who lacked the charisma owned by your own internationally renowned thyroid specialist could possibly exhibit.

True, you must check all credentials, awards, and honors. You should locate at least one patient and get that person’s opinion.  You should learn from your initial appointment, whether through Skype or in person. Only you can say if he or she is the right specialist for you.

   

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