Thyroid & Parathyroid Surgery
Expert surgical care for thyroid and parathyroid conditions, backed by thorough investigation, the latest localisation techniques, and intraoperative monitoring to give you the best possible outcome.
David genuinely enjoys the medical side of thyroid and parathyroid disease. His approach goes well beyond the operating room, involving thorough investigation, imaging interpretation, and careful shared decision-making. He has developed clinical tools used by other doctors across Northland to support the workup and management of these conditions, and maintains close working relationships with the region's leading radiology providers.
Not all thyroid nodules require surgery. David will review your investigations, including ultrasound and fine needle aspiration results, and guide you through what they mean. Surgery is only recommended when it is genuinely in your best interest.
When surgery is needed, David performs thyroid surgery with careful attention to the recurrent laryngeal nerve to protect your voice, and meticulous technique to avoid damage to the parathyroid glands. He manages both partial and total thyroidectomy depending on your individual circumstances.
- Thyroid nodule assessment and investigation
- Ultrasound-guided workup with leading radiology providers
- Fine needle aspiration (FNA) coordination and interpretation
- Hemithyroidectomy (partial removal)
- Total thyroidectomy
- Goitre management
- Voice preservation and recurrent laryngeal nerve monitoring
- Post-operative thyroid hormone management
Many nodules do not require an operation. Get in touch with our team and David will walk you through your investigations and advise surgery only if it is truly warranted.
Parathyroid disease is a particular interest of David's. Primary hyperparathyroidism can silently affect your bones, kidneys, heart, and overall wellbeing for years before it is diagnosed. Surgery offers the only definitive cure, and the results can be life-changing.
David has developed a comprehensive workup pathway for parathyroid disease that incorporates the latest localisation imaging techniques, ensuring the affected gland is accurately identified before you ever reach the operating theatre.
- Primary hyperparathyroidism diagnosis and workup
- Sestamibi scan and 4D CT localisation
- Ultrasound with dedicated parathyroid protocol
- Minimally invasive parathyroidectomy
- Intraoperative PTH monitoring
- Multigland disease assessment
- Bone health monitoring and follow-up
- Clinical tools shared with referring GPs
David uses real-time parathyroid hormone measurement during surgery to confirm that levels normalise before the operation is complete, reducing the risk of persistent disease and the need for re-operation.
David's fellowship experience gave him specific expertise in thyroid and parathyroid surgery, which he continues to apply as a core part of his practice.
David enjoys the medical workup and has established close relationships with the region's leading radiology providers to ensure accurate pre-operative imaging.
His parathyroid workup incorporates the most current imaging tools, including 4D CT and sestamibi scanning, to locate affected glands with precision.
Real-time hormone measurement during surgery confirms cure before you leave the operating theatre, giving you the best chance of a successful outcome first time.
David has developed practical resources for referring doctors across Northland. Try the Parathyroid App or the Thyroid Assessment Tool to support workup and management decisions.
David takes a conservative approach to thyroid nodules. He will only recommend an operation if the evidence genuinely supports it, giving you honest, clear guidance at every step.
Untreated primary hyperparathyroidism leads to persistently elevated calcium levels that quietly damage bone density, contribute to kidney stones, affect concentration and mood, and increase cardiovascular risk. Many patients only discover the condition after years of vague symptoms.
Surgery is the only cure, and the effects can be profound. Patients often report improvements in energy, cognitive clarity, and general wellbeing that they had not associated with their parathyroid condition at all.
- Reduced bone density and fracture risk
- Kidney stones and impaired renal function
- Fatigue, brain fog and poor concentration
- Depression and mood disturbance
- Increased cardiovascular risk
- Muscle weakness and joint pain
- Nausea, constipation and abdominal discomfort
Ready to discuss your options?
Consulting Monday, Tuesday and Wednesday · Whangarei
Contact
Business Hours: 9am- 5pm
Consulting days: Monday, Tuesday, Wednesday
09 553 3781
EDI: entnorth
Visit us
Inside the Allevia Kensington Hospital reception area.
12 Kensington Ave Whangarei
