There are some general guidelines to keep in mind, however, that can help you get on track in your effort to find a great doctor.
Realize that You Can't Get Everything In One PersonRegularly, thyroid patients write to me saying something along the lines of: "I need a really great thyroid doctor, one who can also be my primary care doctor, is up on all the latest thyroid information, has an open-mind about natural thyroid drugs, has a terrific bedside manner, has evening and weekend hours, takes my insurance, never runs late and won't keep me waiting, and, oh, by the way, the doctor needs to be no more than a 15 minute drive from me."
While I understand that we all wish for Dr. Perfect, the doctor who meets all of your criteria is a myth. My first thought when I hear this sort of wish list is to recommend that you scale back your expectations, and prioritize what's most important to you, because you are very unlikely to find one doctor who can meet all of your needs.
For example, few thyroid experts also provide primary care. Some of the best and smartest thyroid doctors could use a little polish in the bedside manner department. If a doctor is in your HMO or takes your insurance, he or she probably isn't willing to work with natural thyroid drugs. And I know thyroid patients who are driving hours -- some are even flying hours -- to see great thyroid doctors.
In my own case, while I've been treated by my doctor for more than a decade for my thyroid care, she doesn't take any insurance, she sometimes runs quite late, and doesn't handle any primary care medicine. Every doctor has his or her own list of pros and cons.
You probably won't be able to get everything you want in one person, so decide what is really important to you, and what is realistic -- for example, if there's no way you pay out of pocket, or travel a long distance to see a doctor, those are important considerations.
Choose the Right Kind of Doctor For Your NeedsUltimately, the type of doctor you choose for your thyroid care depends on a number of factors, including the nature of your condition, what you can afford, your location, and availability of physicians in your area, among other considerations.
Some thyroid patients and practitioners assume that an endocrinologist -- the kind of specialist who handles endocrine diseases like thyroid problems and diabetes -- is always necessary for thyroid issues. And if you have Graves' disease, hyperthyroidism, nodules, a goiter, suspected thyroid cancer, or thyroid eye disease, then an endocrinologist is very important. And if you have new onset of Hashimoto's thyroiditis -- the autoimmune disease that causes hypothyroidism -- I would argue that at least an initial evaluation by an endocrinologist is a good idea. The American Association of Clinical Endocrinologists maintains a database of certified endocrinologists, and the American Thyroid Association maintains an online Thyroid Specialist Database that list endocrinologists around the United States.
Keep in mind, however, that we are facing a severe shortage of practicing endocrinologists in the United States. Endocrinologists are at the front lines of the epidemic of diabetes, and are also specialists in thyroid disease, osteoporosis, infertility, and a host of other hormone issues, so demand far exceeds supply. That means that waiting lists can be months to see an endocrinologist, and that trend is likely to get worse as the shortage becomes more acute.
Thyroid cancer is relatively rare, and even some endocrinologists have little experience with it. So if you have suspected or diagnosed thyroid cancer, you'll definitely want to deal with a physician -- usually an endocrinologist -- who has extensive, and demonstrable expertise working specifically with thyroid cancer patients. It's not enough to just see an endocrinologist, or a head and neck surgeon; see a thyroid cancer expert. Thyroid-Cancer.net has a specialists list, and the Thyroid Cancer Survivor's Association also maintains lists of thyroid cancer experts around the US and internationally.
The lowest rates of complications for thyroid surgery are seen with surgeons who specialize in thyroid surgery, and who perform several hundred thyroid surgeries a year, so if you need a thyroid surgery, definitely see an experienced thyroid surgeon. My article on finding a top thyroid surgeon includes a variety of databases and resources for thyroid surgeon referrals.
As a patient advocate, I would argue that an endocrinologist or thyroidologist is not necessarily the best choice for everyone with a thyroid condition, especially if you have borderline thyroid problems that doctors are refusing to treat, or if you are hypothyroid, and you don't feel well on your treatment, but your doctor is not interested in offering you any alternatives. In those situations, patients frequently turn to other types of doctors -- ranging from general practitioners, to internists, to holistic and integrative doctors, to osteopathic physicians, to gynecologists. Physicians from a broad spectrum of specialties are becoming more adept at diagnosing and treating hormone imbalances, including thyroid conditions. To find these physicians, some patients user the directories provided by the American Holistic Medical Association, the database of doctors who prescribe the natural drug Armoui Thyroid and the patient-recommended Thyroid Top Doctors Directory, among other sources.