Patients consult endocrinologists for diagnosis and treatment of diseases of the endocrine, or hormone-secreting system. Most of our patients have diabetes mellitus or thyroid disorders. Other conditions for which referral might be helpful are osteoporosis, lipid disorders, hypoglycemia, certain reproductive disorders, selected cases of obesity, and abnormalities of the pituitary, parathyroid, and adrenal glands.
Diabetics usually see an endocrinologist when blood sugar control becomes difficult. This may be early or late in the course of the disease, but early involvement gives us the best chance to prevent serious complications, such as eye, kidney, or liver damage. In our clinic, patients discover that diabetes can and must be controlled. This is accomplished through diet and exercise counseling, education, self-monitoring, and thoughtful use of the range of medications now available.
We see patients for the full spectrum of thyroid diseases: hypothyroidism, hyperthyroidism, goiters, and thyroid nodules. In particular, we provide the most complete and state-of-the-art diagnostic and therapeutic services available for thyroid cancer.
SERVICES AND TESTING
Endocrinology evaluations often focus on interpretation of sophisticated blood tests. However, the patient always comes first. Test results are considered after a thorough history and examination. Whenever possible we use data provided by the referring physician for the convenience of the patient and cost containment.
After the clinical encounter, further testing may be required: Blood studies, ultrasound, or nuclear medicine imaging are the most often used studies. Our clinic has a complete laboratory located within the building. Many radiology studies can also be accomplished at our facilities, including thyroid ultrasounds, CAT scans, MRIs, thyroid scans and bone density studies.
Specialized diagnostic services available in our office include fine-needle biopsy of thyroid nodules and dynamic endocrine testing, such as ACTH, TRH, secretin, pentagastrin stimulation testing, and insulin tolerance testing.
Unique treatments provided include: radioiodine therapy for hyperthyroidism of thyroid cancer, insulin pump management of diabetes, adult growth hormone replacement, and drug therapy for selected obese patients with medical complications.
We accept patients with known or suspected endocrine disorders. Depending on the request, we may evaluate and treat the specialty-related problem completely, make recommendations to the primary care physician, or simply perform a requested test. Also, once a chronic problem has become more stable (diabetes control, for instance), the primary care physician may take over management of the case. We do require patients have a primary care physician to handle non-endocrine problems and assist with after-hours emergencies.
Pediatric referrals require physician-to-physician contact. Specifically, we do not see infants or very young children, or patients with short stature or disorders of puberty.