Dear Doctor: Shira Eytan
The endocrinologist developing long-lasting patient relationships
Dr. Shira Eytan had always been attracted to the idea of using science to help people, and as an endocrinologist, she now gets do so every day, treating a variety of conditions, from the more common thyroid disorders, diabetes, and obesity to the lesser known adrenal and pituitary disorders. As a lifelong learner, she makes sure to keep up with the latest advances in her field, attending and presenting at regional and local conferences. Read on for her approach to implementing health changes (baby steps are key) and why she believes communication is especially important in her field.
Some people have never heard of my field until they’re referred to see an endocrinologist. But the endocrine system affects every part of our biology, from our brain to our bones to our reproductive systems and beyond. It’s an exquisitely sensitive system that, when not balanced, can cause of a variety of medical problems. I find that so many people in New York attribute symptoms such as fatigue, weight gain, mood changes, and even missed periods to their hectic lifestyles. While sometimes that may be true, there are also many hormonal abnormalities that can cause common complaints — and people are just not aware that they need to be checked out. Despite New Yorkers being savvy, we often see treatable illnesses go undiagnosed.
On Endocrinology
In college, I gravitated toward life sciences and pursued a premed track, as well as microbiology research. I was always interested in understanding how the human body works; it amazed me how many complex processes need to occur every second. After a year, it was clear to me I wanted to work with people rather than do research, which led me to apply to medical school. I started learning about endocrinology as part of my core curriculum in medical school and was drawn to the field. It’s very physiologic, which for me is easier — you have to reason through rather than memorize. After medical school, I completed a residency in Internal Medicine, followed by fellowship training in Endocrinology.
Working at Park Avenue Endocrinology is my first job out of my fellowship, and I’ve been here for two and a half years. I work with three other endocrinologists, plus our NP who is also a certified diabetes educator. It’s nice to work with others in my field, as we always have each other to bounce ideas off of and discuss complex cases with. I work closely with Jen, our NP, for many of my patients who need nutrition counseling, particularly those with thyroid issues or diabetes and our patients on insulin pumps. I also focus on all of our thyroid ultrasounds and biopsies.
The most common things I see are thyroid issues, type 1 and type 2 diabetes, polycystic ovary syndrome (PCOS), and obesity. On a given day, I see a mix of new consultations and follow-ups, and on Tuesdays I focus on ultrasound and thyroid biopsy. In my meetings with new patients, I make sure to take the time to discuss their history and symptoms and explain the testing I plan to do, so we’re all on the same page. I schedule follow-ups within 1–2 weeks, and take the night before to prep, go over charts, and have everything ready to review. Sometimes, I also go to the hospital to see patients for consultations or round with residents.
On Healthy Lifestyle
When I’m talking to patients about lifestyle issues, I try to break my advice down into baby steps. It’s important to get a sense of how much someone is willing to do and not to overwhelm them. When it comes to weight loss, I see patients frequently for follow-ups to keep up the momentum and to create a sense of accountability.
For example, one of the first things I always say is to cut out sugary drinks. I think most people know how bad soda is for you, but this also includes juice, smoothies, sweetened iced teas, and coffee drinks. These are empty calories. Starting with something as simple as this is often a more approachable step than a full diet overhaul.
Personally, I try to practice what I preach, but I do have a sweet tooth! I focus on eating a balanced diet with lots of vegetables. I exercise and make sleep a priority. I definitely function better when I’m well-rested. It’s also important to me to strike a balance between my work time and free time.
On New Technology
We are unique for an endocrine practice because of the variety of procedures we can do right here in the office. We offer autonomic and nerve testing, as well as body composition testing and metabolic tests where we can take a deeper look into how someone burns calories. Our office also has a functional lab, which is great because we can have bloodwork drawn in-office to results quickly if needed.
There’s lots of new research being published every day in medicine. Right now, I feel the diabetes realm is changing, and we are lucky to have several more drugs and technologies that we did not have even a few years ago. I stay up-to-date on new insulin pumps and continuous glucose monitors for my diabetes patients so we can prevent dangerous high-or-low blood pressure situations and get the best control. The technology is changing quickly, which is very exciting.
It’s important to stay current by attending conferences and keeping up with studies. I go to Lenox Hill hospital weekly for our department’s endocrine conferences, where I always learn from my colleagues. I’m a clinical assistant professor there, so I have the opportunity to teach residents and fellows on rounds or in my office, which keeps you on your toes.
On Communication
Communication is important in every field, but especially in endocrinology. I treat mostly chronic issues, so I develop relationships with my patients over the course of several years, and it’s important that we’re on the same page when it comes to treatment goals. There are a lot of numbers to interpret in this field, but there is also an element of fine-tuning, and it’s those little tweaks that can make a big difference. This is why during the appointment, I let the patient explain exactly what they are feeling. That helps guide my changes in their treatment. In my mind, it’s what makes the work more than just science, but also an art.
Lightning Round
I feel looked after…when someone takes time out of their day to ask me how I’m doing.
I’m inspired by…people who start something new or take on bold, brave challenges.
Everyone could use a little more…sleep!
Favorites
Winter activity: Staying in with a cup of hot cocoa. I also love sledding and ice skating, especially in Central Park.
Currently watching: I just binge watched Stranger Things!
Relax ritual: Watching TV and unplugging, or grabbing dinner with friends.
Travel destination: I love traveling any chance I get. I really enjoy going to Israel. It feels like a second home to me because I lived there and go every few years to visit family. I also try to do a more adventurous trip once a year- last year was the Philippines, which was amazing!
Guilty pleasure: Chocolate!
You can find Dr. Eytan at Park Avenue Endocrinology.
Know a great female provider in NYC? We’d love to meet her, introduce us here!
