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FAQs

Below you will find answers to questions we frequently receive. Endocrinology patients at Patuxent Endocrinology Associates in Prince Frederick, Maryland find this information helpful. Should you need further assistance, please call us at (443) 432-3020 and we will happily answer your questions.

General Questions

What do I need to bring to my first appointment?

Please bring your new patient paperwork, health history, diagnostic testing results, and any important information related to your condition that you would like to discuss with Dr. Thomas.

How long will my first consultation last?

Your first office consultation will last 45 to 60 minutes, depending on your health condition(s) and health history.

Will follow-up visits last as long as the first appointment?
No. Follow-up visits generally take 15-30 minutes.
How often do I need to see Dr. Thomas?

This depends on the endocrine disorder for which you are seen and will be discussed with you at your initial visit.

Health Questions

What is a biopsy?

A biopsy is a procedure in which cells or tissues are collected from the body for further analysis. The sample will be examined by a pathologist to determine whether it contains cancerous cells.

What happens during a thyroid ultrasound?
Ultrasound of the neck is a safe, painless procedure that produces pictures of the neck using sound waves. This procedure involves the use of a small transducer (probe) and ultrasound gel placed directly on the skin of the neck. Pictures of the structures on the neck are displayed on the monitor and recorded. Indications for this procedure are:
  1. To determine if a lump in the neck is arising from the thyroid or the adjacent structures
  2. Evaluation of the thyroid nodule, which helps determine whether a fine needle aspiration biopsy is needed to rule out cancer in the thyroid nodule. Benign (non-cancerous) thyroid nodules can be monitored using regular intervals (6-12 months) for growth or change in appearance that will determine if a thyroid nodule needs to be biopsied.
  3. Evaluation of the lymph nodes in the neck, especially before thyroid surgery, is critical to determine if there are any abnormal lymph nodes that are suspicious for cancer and require biopsy.
  4. Evaluation of enlargements in the parathyroid gland/glands, seen in conditions of increased calcium in the blood called hyperparathyroidism and in parathyroid cancer
Dr. Thomas will discuss the findings of the ultrasound of the neck with you and recommend appropriate management. Do not hesitate to ask your doctor to feel your neck for thyroid nodules (this is part of your general examination at your doctor’s office.) If you or your family members have an enlarged thyroid gland, contact Dr. Thomas to schedule an appointment to evaluate the nodules.
What is a fine needle aspiration?
Benign (non-cancerous) thyroid nodules can be monitored using a fine needle aspiration (FNA) of the thyroid nodule. This procedure is done only if your endocrinologist, Dr. Thomas, evaluates your thyroid gland by an ultrasound of the soft tissues of your neck and decides that it is important to get a small sample of the thyroid nodule tissue to send it to pathology to find out if there are any cancer cells in it. FNA of the thyroid nodule is done using ultrasound guidance in the office by Dr. Thomas. A small sample of tissue is removed from the thyroid nodule using a small, thin, fine-gauge needle that is smaller in diameter than the needle used in most blood draws. Medications (1% lidocaine and ethyl chloride spray) are used to numb the area prior to the biopsy. Following the FNA, the sample is sent to the pathology lab for analysis. Once the results are available, Dr. Thomas will communicate the results to you personally and discuss further management. Depending on the results, she will coordinate further management with the endocrine surgeon (if you need surgery) or nuclear medicine specialist (if you need radioiodine therapy following the surgery).
What does continuous glucose monitoring involve?
Continuous glucose monitoring (CGM) is a system that gives you the ability to measure your glucose level in real time throughout the day and night. It measures glucose levels in the tissue fluid. CGM systems use a tiny sensor that is inserted under the skin to check the glucose levels in the tissue fluid. This sensor stays in place for 3-day or 7-day monitoring and then is taken out or replaced. The sensor is connected to a transmitter that sends information about your glucose levels via wireless frequency every 5 minutes to a monitoring and display device. You will need to check blood glucose levels with a glucose meter to calibrate the device at least twice a day during the period of monitoring. CGM provides vital information such as trends of rising or falling of the tissue glucose, low glucose or high glucose levels, and information on the impact of food, physical activity, medication, and illness on your diabetes. This valuable information helps you and your diabetes care team in the optimal management of your diabetes. Please remember that this procedure does not replace home blood glucose monitoring. Dr. Thomas will perform this procedure in her office and will discuss this information with you and recommend treatment options that will improve your overall glycemic control and quality of life.
What does insulin pump initiation and training involve?
If you have diabetes mellitus and are interested in starting insulin pump therapy, you can discuss this with Dr. Thomas. The office offers intensive insulin pump training with certified diabetes educators who have extensive insulin pump training experience and will guide your insulin pump initiation and management.

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Patuxent Endocrinology Associates
205 Steeple Chase Drive, Suite 307
Prince Frederick, Maryland 20678
Phone: (443) 432-3020
Fax: (443) 486-7178

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Dr. Reena Thomas at Patuxent Endocrinology Associates is an experienced, board-certified endocrinologist, having trained and worked in endocrinology, diabetes, and metabolism in the United States and the United Kingdom. Our practice offers comprehensive care for a broad spectrum of endocrine conditions, including diabetes mellitus, thyroid disorders, adrenal gland disorders, pituitary gland diseases, lipid disorders, pregnancy with endocrine disorders, polycystic ovarian syndrome, hypogonadism, basic reproductive endocrinology, and bone disorders including primary hyperparathyroidism, osteomalacia, Paget’s disease of the bone, and osteoporosis.

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