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Mrs. Flormesa G. Khachatryan, NP, FNP is a nurse in Woodbury, NY specializing in otolaryngology (ear nose and throat). Mrs. Flormesa G. Khachatryan, NP, FNP is affiliated with NYU Langone Otolaryngology Associates.
Thyroid Problems
Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.
When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:
Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.
Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.
Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.
The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.
Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.
She is certified by the Board Certification: Nurse Practitioner (AANP Family Nurse Practitioner) and has a state license in New York.
Board Certification: Board Certification: Nurse Practitioner (AANP Family Nurse Practitioner) (2014)
Licensed In: New York
Mrs. Flormesa G. Khachatryan, NP, FNP is associated with these hospitals and organizations:
Mrs. Flormesa G. Khachatryan, NP, FNP appears to accept the following insurance providers: Aetna HMO, Local 1199 - NYU Hospital Member Choice, Aetna Medicare, Aetna Indemnity, Local 1199 PPO, HIP EPO, HIP Access II, HIP Access I, MagnaCare PPO, Humana Medicare Advantage, Private Healthcare Systems (PHCS), BlueCross BlueShield of Florida, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare Indemnity, United Healthcare HMO, United Healthcare EPO, United Healthcare Choice, Aetna Open Access HMO, Vytra HMO, Healthfirst Medicaid, TRICARE, Anthem, Aetna PPO, Healthfirst Medicare, Blue Cross Blue Shield Medicare HMO, Aetna Open Access EPO, AARP, WellCare Medicare, WellCare, United Healthcare Medicare, Medicare Part B, Medicare Advantage, United Healthcare, Medicaid, Humana, Cigna, Guardian, Fidelis Care, HIP PPO, HIP POS, HIP HMO, HIP Child Health Plus, MultiPlan PPO, MultiPlan, GHI Medicare Supplement, United Healthcare Navigate, Aetna POS, First Health PPO, Great-West Healthcare HMO, Great-West Healthcare, Golden Rule, Community Care Network (CCN), Trustmark , Beech Street PPO, Kaiser Permanente, GHI HMO, CIGNA PPO, Group Health Incorporated (GHI), EmblemHealth, CIGNA HMO, CIGNA Indemnity, Healthfirst Child Health Plus, Elderplan, Medicaid Managed Care, TriWest, Blue Cross Blue Shield HMO, Blue Cross Blue Shield POS, Blue Cross Blue Shield EPO, Blue Cross Blue Shield Indemnity, US Family Health Plan, UnitedHealthcare, HealthSpring, Blue Cross Blue Shield PPO, Railroad Medicare, GEHA, BCBS PPO (NYU Langone Suffolk Employees), BCBS Healthplus Special Needs, BCBS PPO/EPO Small Group, Teamsters Allied Benefits, Surest, Healthfirst Green Leaf Exchange, Apwu Health Plan, Christian Brothers Services, MetroPlusHealth Medicare, Qualcare Inc, Oscar Platinum Edge Exchange, Insurance Design Administrators, Healthfirst Essential Plan 1 & 2, Aetna EPO (American Express employer), Health Net of California, Oscar Bronze Edge Exchange, Global Excel, NYC Employees PPO Plan, Healthfirst Silver Leaf Exchange, BCBS Healthplus Essential Plan 4, BCBS Healthplus Essential Plan 3, BCBS Healthplus Essential Plan 2, BCBS Healthplus Essential Plan 1, MetroPlusHealth Gold, American Plan Administrators, BCBS Local 32BJ Employees, Healthfirst Platinum Leaf Exchange, Healthfirst Gold Total, Pro, Plus EPO, AXA Assistance USA, Nippon Life-Aetna, UMR GEHA, Fiserv Health, Mutual of Omaha, UMR, BCBS Mediblue Medicare PPO, BCBS Healthplus Gatekeeper exchange, Screen Actors Guild, MetroPlusHealth Medplus Plan Exchange, Meritain Health, Aetna Choice POS II Choice Plus Plan (NY University Employees), CenterLight Healthcare DIRECT, HIP VIP Medicare Bold, Administrative Concepts, Healthfirst Silver Total, Pro, Plus EPO, Oscar Gold Edge Exchange, BCBS Healthplus NY Child Health Plus NY, BCBS EPO (NYU Langone Suffolk Employees), River Spring Medicare HMP SNP, NY Fire Department - WTC, Aetna POS (American Express Employer), Healthfirst Personal Wellness Plan, BCBS Blue Access EPO Small Group, AETNA EPO (NYULH Employees), BCBS Healthplus Mediblue Advantage, MetroPlusHealth Child Health Plus, MetroPlusHealth Essential Plan 3 and 4, Aetna Signature Administrators PPO, Healthfirst Platinum Total, Pro, Plus EPO, Health Republic of New Jersey, Nippon Life Ins Co, MetroPlusHealth Goldcare, MetroPlusHealth Gold Plus Plan Exchange, MetroPlusHealth Essential Plan 1 and 2, Healthfirst Essential Plan 3 & 4, HIP VIP Medicare Prime, New York Hotel Trades, Global Health, Oscar Secure, Healthfirst Bronze Leaf Exchange, Nippon Life of America-Aetna, World Trade Center - Sedgwick, NYS Health Insurance Plan - The Empire Plan, Excelsior Plan, NY Student Employee Health Plan, US Life Insurance Company, BCBS Blue Access PPO Large Group, Oxford Health Plans Liberty, Wlny-TV Inc., CenterLight Healthcare PACE, Oscar Silver Edge Exchange, Aetna International, Aetna Choice POS II Value Plan (NY University Employees), Medicare Part A and B, MetroPlusHealth Bronze Plus Plan Exchange, Healthfirst Gold Leaf Exchange, MVP Preferred EPO, BCBS PPO (BlackRock Employees), BCBS Out of State or Region, Aetna Meritain Health, Healthfirst Bronze Total, Pro, Plus EPO, BCBS Mediblue Select HMO/Extra HMO, IUOE Local 14-14B, Chesterfield Resources Inc, HIP Medicare Supplement, Diversified Administration Corporation, VNS NY Choice Select Health, WellNet, Aetna Student Plan, BCBS EPO (BlackRock Employees), Health And Recovery Plan (Harp), Centerlight Pace Medicare HMO, Allied, Oxford Metro, MetroPlusHealth Platinum Plus Plan Exchange, Empire Mediblue Healthplus Dual, Aetna Medicare Value Select HMO, Qualcare Direct, Oxford Health Plans Freedom, Professional Benefit Admin, MetroPlusHealth Silver Plus Plan Exchange, BCBS Blue Access GEPO Small Group, Wellfleet-NYU Student, Starmark, AETNA EPO (Sunset Park Employees), BCBS Blue Access EPO Large Group, WTC Health Program, CenterLight Healthcare Select and BCBS Federal Program.
According to our sources, Mrs. Flormesa G. Khachatryan, NP, FNP accepts the following insurance providers:
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Ms. Flormesa Khachatryan specializes in otolaryngology (ear, nose, and throat). She appears to be an in-network provider for Trustmark, Anthem, and Blue California, in addition to other insurance carriers. She is affiliated with NYU Langone Health.
