Salem Noureldine

Toxic thyroid nodules don’t just sit there — they actively overproduce hormone, causing symptoms like a racing heart, tremors, weight loss, and trouble sleeping. In this episode, endocrine surgeon Dr. Salem Noureldine (George Washington University) explains why these vascular nodules are some of the hardest to fully treat with RFA, and how microwave ablation’s different heat mechanism can succeed where RFA sometimes falls short. The conversation also covers why patients with pacemakers may be safer candidates for microwave ablation, and Dr. Noureldine’s approach to matching the right technology to each patient rather than defaulting to whichever tool is newest.