General Practitioners

• Osteoporosis
• Arthritis
• Medical Weight Loss
  When hyperthyroidism develops, a goiter (enlargement of the thyroid) is usually present and may be associated with some or many of the following symptoms: fast heart rate, (often more than 100 beats per minute), nervousness, anxiety, trembling hands, weight loss, intolerance of warm temperatures, increased likelihood to perspire, loss of scalp hair, rapid growth of fingernails and tendency of fingernails to separate from the nail bed, muscle weakness (especially of the upper arms and thighs), loose and frequent bowel movements, thin and delicate skin, change in menstrual pattern, increased likelihood for miscarriage, prominent "stare" of the eyes (with or without double vision in patients with Graves' disease), protrusion of the eyes (called Graves' ophthalmopathy), irregular heart rhythm (especially in patients older than 60 years of age), accelerated loss of calcium from bones (increased risk of osteoporosis and fractures).
• Primary Care
  We are currently accepting new patients for thyroid, parathyroid, and osteoporosis evaluation. Some insurance companies require authorization from your primary care provider before the evaluation process begins. Our staff carefully reviews all the medical information you provide in order to determine the severity of your condition and urgency at which the appointment must be scheduled. We also use this information to determine which procedures, such as ultrasound or biopsy, may be necessary as part of your initial visit. It is therefore important for patients to assist in gathering pertinent medical records and results in order to facilitate this process.
• Family Practice
  Tammy leads the nursing staff in meeting the health care needs of our patients. Tammy facilitates direct communication between patients and our physicians. Tammy has over 20 years of medical experience in Endocrinology, Allergy/Immunology, and Family Practice. Tammy has earned several medical degrees including a Medical Assistant degree, a Registered Nurse (RN) degree, and a Bachelor of Science in Nursing (BSN) degree.
• Constipation

Gynecologists

• Female Infertility
• Pregnancy
• Labor and Delivery
  Postpartum thyroiditis is a painless inflammation of the thyroid gland that can occur in the mother usually four to twelve months after childbirth. Research suggests this is an immune system attack on the thyroid, similar to Hashimoto's thyroiditis. Immune system disorders or a prior history of thyroiditis may increase your risk of postpartum thyroiditis.

Internists

• Internal Medicine
  Dr. Zsofia Geck is board-certified in Internal Medicine and Endocrinology with a sub-specialty focus in thyroid and parathyroid disorders. Dr. Geck is a member of the American Thyroid Association (ATA), American Association of Clinical Endocrinologists (AACE), American Clinical Thyroidologists (ACT) and the Endocrine Society. Dr. Geck received her Bachelor of Science degree from Tufts University, completed her Medical Doctorate from New York Medical College and received post doctoral training in Internal Medicine and completed a Fellowship in Endocrinology at Shands Hospital, University of Florida. Dr. Geck has medical staff privileges at Sarasota Memorial Hospital.
• Kidney Stones
  Inappropriately high levels of parathyroid hormone lead to high levels of calcium in the blood which can cause symptoms of pain in the muscles, bones, and joints. Other symptoms include depression, memory problems, stomach pain, constipation and ulcers. Calcium is leaked from the bone and causes premature osteoporosis. Excessive calcium is flooded through the kidneys increasing the risk of kidney stones.

Psychiatrists

• Depression

Endocrinologist

• Diabetes Care
• Endocrinology
  Founded in 1916, the Society is internationally known as the leading source of state-of-the art research and clinical advancements in endocrinology and metabolism.
• Hypothyroidism
  Hypothyroidism is the most common thyroid disorder. Hypothyroidism occurs when the thyroid is not able to produce enough thyroid hormone to keep up with the body's thyroid hormone requirements. Hypothyroidism is usually caused by Hashimoto's thyroiditis, but other common causes include surgical removal of the thyroid and radiation treatment to the thyroid.
• Thyroid
  Untreated thyroid disease may lead to elevated cholesterol levels and subsequent heart disease, as well as infertility and osteoporosis. Research also indicates a strong genetic link between thyroid disease and other autoimmune diseases, including certain types of diabetes, arthritis, and anemia.
• Thyroid Cancer
  We are pleased to announce that our office has founded the local chapter of the Thyroid Cancer Survivors' Association (ThyCa).

Radiologist

• Ultrasound
  It is not usually possible for a physician to determine whether a thyroid nodule is cancerous on the basis of a physical examination or blood tests. Endocrinologists rely heavily on specialized tests for help in deciding which nodules should be treated surgically. These tests include thyroid fine needle aspiration biopsy, thyroid ultrasound, molecular markers, and some in some cases, thyroid nuclear scanning.
• MRI
  Many patients with thyroid nodules have no symptoms whatsoever, and are found by chance to have a lump in the thyroid gland during a routine physical exam or an imaging study (CT or MRI) done for unrelated reasons. A minority of patients however, may become aware of a gradually enlarging lump in the front portion of the neck, experience a vague pressure sensation or discomfort when swallowing, or suffer from other symptoms such as hoarseness. Obviously, finding a lump in the neck should be brought to the attention of your physician, even in the absence of symptoms.
• Radiology
  Benefits of ultrasound exams done by a clinician in our office include the ability to immediately read and interpret the images, discuss the results with the patient, and apply our knowledge of the patient’s medical history to the ultrasound imaging. Moreover, the patient is not inconvenienced with additional trips to an off-site radiology department. This method is superior to a non-physician technician taking pictures, sending those pictures to a radiologist, who is then limited by having only still shot images of the ultrasound study and no detailed medical history to aid in the medical interpretation of the ultrasound images.
• Nuclear Medicine
  The most common way to discover an overactive parathyroid is by detecting an elevated level of blood calcium on routine blood tests that are typically performed as part of usual health maintenance exams. Once a high calcium level is confirmed, PTH levels are measured and the diagnosis is easily made with the combination of high calcium and a high PTH level. In most cases, the problem is caused by one of the four parathyroid glands. Ultrasound of the neck and nuclear medicine imaging can help determine which of the four glands is over-producing PTH.

Dermatologists

• Cyst