Endocrinology

Why St. Joseph Hospital

When you need care from highly-trained, compassionate endocrinology specialists, you can depend on St. Joseph Hospital for the quality of care you need and deserve. St. Joseph Hospital’s endocrinology team includes some of the most acclaimed endocrine specialists in New Hampshire. In addition, several of our physicians have an Endocrine Certification in Neck Ultrasound (ECNU) from the American College of Endocrinology. This special certification requires documentation of adequate teaching, experience and demonstration of proficiency in ultrasound and biopsy.

Endocrinology encompasses the care and treatment of hormone-producing glands that regulate metabolism, growth and development, reproduction, sleep, mood and more. The body’s endocrine system includes the pancreas, the thyroid, parathyroid, pineal, hypothalamus, adrenal and pituitary glands, ovaries, testes and other organs which respond to, modify or metabolize hormones.

At St. Joseph Hospital, we specialize in the treatment of complex thyroid disorders and thyroid cancer, plus other endocrine and metabolism disorders. We invite you to schedule an appointment if you are looking for expert care close to home.

Conditions and Procedures:

Thyroid nodules are a common problem. As many as one in 20 people have a lump that can be felt, and over half of normal people will have a very small lump detectable by ultrasound. Over 95% of all lumps large enough to be felt are benign. Decades ago, it was common practice to remove most lumps. Today, however, needle biopsy can determine which nodules require surgery, and which can be safely monitored.

Thyroid cancer is one of the few cancers that has shown an increase, rather than a decline, in recent years. Fortunately, most patients with thyroid cancer do very well, with a survival rate exceeding 97%. Good outcomes require proper treatment and monitoring, and the Thyroid Center of New Hampshire provides comprehensive, compassionate care for thyroid cancer. Working closely with skilled local and national surgeons, pathologists and radiation oncologists, the center strives for early detection, quality treatment and long-term surveillance for recurrence. ​

Biopsies are performed in the office, usually at the time of the initial consultation. Dr. Levine uses an extremely small needle, and the procedure results in very little discomfort. No special preparation is necessary, and full activity is resumed after the biopsy. The needle is inserted for six to 10 seconds and repeated three to four times. Local anesthesia is rarely required, as it tends to sting more than the biopsy itself. As the needle is visualized on ultrasound throughout the procedure, complications are extremely rare. The most common complication is a small bruise on the neck. The specimen is sent to Outpatient Pathology Associates (OPA) in California, experts in thyroid cytopathology.

Large symptomatic thyroid and parathyroid cysts can be treated by draining and injection purified alcohol. Dr. Levine has extensive experience with this simple and effective procedure. This procedure can also be used in selected cases of recurrent thyroid cancer.

Related Articles

September 17, 2021

Diabetes and thyroid disease can be treated and managed

St. Joseph Hospital is a regional leader in treating diabetes and thyroid disease.

Written by Michelle Martin for St. Joseph Hospital

People who have Type 1 diabetes are at a higher risk of developing thyroid disease. And while there’s no clear connection between Type 2 diabetes and thyroid disease, treating diabetes can be more challenging for those who have a thyroid condition.

To read the full article on how diabetes and thyroid disease can be treated and managed, click here.

Meet Our Team

Our team of endocrinology experts is here to help you navigate your health condition from assessment and diagnosis to treatment and follow-up. Click any of the provider names below to view a more detailed background and bio.

Margaret Flynn, MD

St. Joseph Hospital Endocrinology

Shellie Hafer, APRN

St. Joseph Hospital Endocrinology

Robert Levine, MD

St. Joseph Hospital Endocrinology

Mikhail Signalov, DO

St. Joseph Hospital Endocrinology

Elizabeth Spatola, MD

St. Joseph Hospital Endocrinology

603-882-3000
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