Where informed patients make confident treatment decisions.

Matthew Ashby

112
Feb. 20, 2026

Can TAE Shrink a Massive Goiter? Matthew’s Results with Dr. Camacho

Most patients with a massive thyroid goiter — especially one that has "dived" beneath the collarbone into the chest — are told the only option is a total thyroidectomy, often requiring a sternotomy to crack the chest bone and reach the tissue. Matthew Ashby faced exactly that crossroads. His massive multinodular goiter had grown silently for years until it began affecting his breathing. When his physicians told him surgery was his only path, he refused to accept that and started researching alternatives. What he found was Thyroid Artery Embolization — TAE. A minimally invasive procedure performed through a tiny access point in the wrist, with no chest-cracking required. No general anesthesia. No surgical scar. His goiter began to shrink. His thyroid stayed intact. In this episode Matthew shares his full journey — from discovering the goiter, to facing a sternotomy recommendation, to finding Dr. Juan Camacho and choosing TAE, to life on the other side. In this episode: W…
Guest: Matthew Ashby