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Dr. Richard E. Ostlund Jr., MD

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Specializes in: Adult Endocrinology

University of Utah School of Medicine (1970)

Professional interests include: thyroid problems, nutrition issues, diabetes

4921 Parkview Place
Saint Louis, MO 63110

(314) 362-3500

Dr. Richard E. Ostlund Jr., MD is an endocrinologist in Saint Louis, MO specializing in adult endocrinology. He graduated from University of Utah School of Medicine in 1970 and has 54 years of experience. Dr. Richard E. Ostlund Jr., MD is affiliated with Washington University Physicians, BJC HealthCare, Washington University in St. Louis (WUSTL) and Barnes-Jewish Hospital.

Office Locations

Address:

4921 Parkview Place
Saint Louis, MO 63110

Unable to locate address.

Address:

4921 Parkview Place Div Im Endocrinology, Suite 5c
Saint Louis, MO 63110

Some issues Dr. Richard E. Ostlund Jr., MD can help you with:

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 thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

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.

In The News

“Dr. Richard Ostlund, an endocrinologist and professor who heads a large testing lab at Washington University School of Medicine in St. Louis said that method is typically used for testing insulin...”—"Insulin quality questions have diabetes experts scrambling", The Journal Record, February 2018

blood draw	16
diabetes management	75
doctor visit	74
hospital care	62
inpatient care	62
lab tests	43
preventive care	32

**Gender**
Male	54
Female	85

**Ethnicity**
Non-Hispanic White	93
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	42
From 75 to 84	0
85 and over	0
Less than 65	76

Hypertension	74
High Cholesterol	65
Stroke	8
Ischemic Heart Disease	48
Depression	42
Chronic Kidney Disease	57
Asthma	18
Osteoperosis	11
Atrial Fibrilation	19
Heart Failure	38
Chronic Obstructive Pulmonary Disease	27
Diabetes	58
Dementia	9
Cancer	12

blood draw	27
diabetes management	129
doctor visit	78
hospital care	62
inpatient care	62
lab tests	4999
preventive care	410
thyroid function tests	602

**Gender**
Male	781
Female	1173

**Ethnicity**
Non-Hispanic White	1364
Black	521
Hispanic	0
Asian	27
Other	21
Native American	0

**Age**
From 65 to 74	697
From 75 to 84	383
85 and over	202
Less than 65	672

Hypertension	73
High Cholesterol	59
Stroke	4
Ischemic Heart Disease	51
Depression	29
Chronic Kidney Disease	34
Asthma	10
Osteoperosis	10
Atrial Fibrilation	18
Heart Failure	39
Chronic Obstructive Pulmonary Disease	18
Diabetes	43
Dementia	7
Cancer	11

blood draw	46
diabetes management	191
doctor visit	77
hospital care	30
inpatient care	30
lab tests	6047
preventive care	914
thyroid function tests	1360

**Gender**
Male	2418
Female	3884

**Ethnicity**
Non-Hispanic White	4410
Black	1670
Hispanic	74
Asian	0
Other	74
Native American	0

**Age**
From 65 to 74	2366
From 75 to 84	1348
85 and over	634
Less than 65	1954

Hypertension	72
High Cholesterol	58
Stroke	6
Ischemic Heart Disease	47
Depression	29
Chronic Kidney Disease	35
Asthma	13
Osteoperosis	10
Atrial Fibrilation	17
Heart Failure	36
Chronic Obstructive Pulmonary Disease	17
Diabetes	41
Dementia	8
Cancer	10

blood draw	33
diabetes management	155
doctor visit	71
hospital care	74
inpatient care	74
lab tests	10157
preventive care	808
thyroid function tests	1353

**Gender**
Male	1162
Female	1895

**Ethnicity**
Non-Hispanic White	2160
Black	776
Hispanic	0
Asian	38
Other	55
Native American	0

**Age**
From 65 to 74	1162
From 75 to 84	665
85 and over	286
Less than 65	944

Hypertension	72
High Cholesterol	57
Stroke	4
Ischemic Heart Disease	46
Depression	27
Chronic Kidney Disease	41
Asthma	20
Osteoperosis	11
Atrial Fibrilation	17
Heart Failure	36
Chronic Obstructive Pulmonary Disease	17
Diabetes	41
Dementia	10
Cancer	10

blood draw	15
diabetes management	225
doctor visit	45
hospital care	144
inpatient care	144
lab tests	10363
preventive care	799
thyroid function tests	1327

**Gender**
Male	1197
Female	1792

**Ethnicity**
Non-Hispanic White	2150
Black	716
Hispanic	32
Asian	37
Other	54
Native American	0

**Age**
From 65 to 74	1123
From 75 to 84	692
85 and over	312
Less than 65	862

Hypertension	75
High Cholesterol	54
Stroke	4
Ischemic Heart Disease	46
Depression	28
Chronic Kidney Disease	43
Asthma	9
Osteoperosis	13
Atrial Fibrilation	18
Heart Failure	38
Chronic Obstructive Pulmonary Disease	17
Diabetes	41
Dementia	10
Cancer	11

blood draw	18
diabetes management	140
doctor visit	61
hospital care	213
inpatient care	213
lab tests	4787
preventive care	396
thyroid function tests	689

**Gender**
Male	615
Female	1026

**Ethnicity**
Non-Hispanic White	1157
Black	414
Hispanic	13
Asian	20
Other	37
Native American	0

**Age**
From 65 to 74	610
From 75 to 84	393
85 and over	151
Less than 65	487

Hypertension	75
High Cholesterol	59
Stroke	5
Ischemic Heart Disease	44
Depression	30
Chronic Kidney Disease	47
Asthma	10
Osteoperosis	15
Atrial Fibrilation	17
Heart Failure	38
Chronic Obstructive Pulmonary Disease	19
Diabetes	43
Dementia	11
Cancer	10

blood draw	14
diabetes management	63
doctor visit	52
hospital care	292
inpatient care	292
lab tests	31
preventive care	29

**Gender**
Male	71
Female	88

**Ethnicity**
Non-Hispanic White	112
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	62
From 75 to 84	26
85 and over	11
Less than 65	60

Hypertension	75
High Cholesterol	67
Stroke	11
Ischemic Heart Disease	53
Depression	39
Chronic Kidney Disease	72
Asthma	9
Osteoperosis	14
Atrial Fibrilation	23
Heart Failure	45
Chronic Obstructive Pulmonary Disease	27
Diabetes	67
Dementia	23
Cancer	14

diabetes management	12
doctor visit	25
hospital care	289
inpatient care	289
preventive care	10

**Gender**
Male	72
Female	65

**Ethnicity**
Non-Hispanic White	95
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	41
From 75 to 84	0
85 and over	0
Less than 65	60

Hypertension	75
High Cholesterol	68
Stroke	8
Ischemic Heart Disease	55
Depression	42
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	12
Atrial Fibrilation	27
Heart Failure	53
Chronic Obstructive Pulmonary Disease	31
Diabetes	66
Dementia	20
Cancer	19

diabetes management	85
doctor visit	152
hospital care	532
inpatient care	532
lab tests	131
preventive care	161

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Richard E. Ostlund Jr., MD for Medicare patients.

The highest averages for the top procedures that Dr. Richard E. Ostlund Jr., MD treated as an endocrinologist in Saint Louis, MO were lab tests, thyroid function tests, preventive care and hospital care.

blood draw	24
diabetes management	119
doctor visit	71
hospital care	188
inpatient care	188
lab tests	4077
preventive care	397
thyroid function tests	1066

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Richard E. Ostlund Jr., MD.

**Gender**
Male	637
Female	1000

**Ethnicity**
Black / African American	409
Asian / Pacific Islander	12
Non-Hispanic White	1154
Native American / Alaskan Native	0
Hispanic	11
Other	24

**Age**
75 to 84	350
85 and over	159
Less than 65	511
65 to 74	610

Average of Total of Conditions of Medicare patients treated by Dr. Richard E. Ostlund Jr., MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Richard E. Ostlund Jr., MD treated were hypertension, high cholesterol, chronic kidney disease and diabetes.

Hypertension	59
High Cholesterol	48
Stroke	5
Ischemic Heart Disease	39
Depression	26
Chronic Kidney Disease	40
Asthma	10
Osteoporosis	9
Heart Failure	32
Chronic Obstructive Pulmonary Disease	17
Diabetes	40
Atrial Fibrillation	15
Cancer	9
Dementia	9

Education & Training

Dr. Richard E. Ostlund Jr., MD graduated from University of Utah School of Medicine in 1970. He has a state license in Missouri.

Medical School: University of Utah School of Medicine (1970)

Licensed In: Missouri

Affiliations & Hospitals

Dr. Richard E. Ostlund Jr., MD is associated with these hospitals and organizations:

Washington University Physicians

BJC HealthCare

Washington University in St. Louis (WUSTL)

Barnes-Jewish Hospital

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Richard E. Ostlund Jr., MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
F. Hoffmann-La Roche AG	$4,651 $4,651
Novo Nordisk Inc	$12 RYBELSUS $12

**Types of Payments**
Consulting Fee	$4,651
Food and Beverage	$12

Research Payments

Dr. Richard E. Ostlund Jr., MD has received 113 research payments totaling $1,336,285.

Biography

Dr. Richard Ostlund specializes in adult endocrinology and practices in Saint Louis, MO. Dr. Ostlund's clinical interests include diabetes, thyroid problems, and nutrition issues. He attended medical school at the University of Utah School of Medicine. He is affiliated with Washington University Physicians and Barnes-Jewish Hospital.