BackTable ENT & Allergy https://www.backtable.com/shows/ent en All rights reserved. The go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Tune in every week for practical, physician-led conversations on common and complex clinical topics in allergy, immunology otolaryngology, rhinology, laryngology, otology, and head and neck surgery. Hear how experienced physicians approach real cases, and get practical advice from your peers in your field. https://megaphone.imgix.net/podcasts/054d0824-1baf-11ec-a3c1-ff43fe73d635/image/94e6b4c3bfc70d0fb7b5c684beb08bff.png?ixlib=rails-4.3.1&max-w=3000&max-h=3000&fit=crop&auto=format,compress BackTable ENT & Allergy https://www.backtable.com/shows/ent no episodic The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. BackTable Inc. The go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Tune in every week for practical, physician-led conversations on common and complex clinical topics in allergy, immunology otolaryngology, rhinology, laryngology, otology, and head and neck surgery. Hear how experienced physicians approach real cases, and get practical advice from your peers in your field. The go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Tune in every week for practical, physician-led conversations on common and complex clinical topics in allergy, immunology otolaryngology, rhinology, laryngology, otology, and head and neck surgery. Hear how experienced physicians approach real cases, and get practical advice from your peers in your field.

]]> BackTable Inc. aaron@backtable.com https://feeds.megaphone.fm/BTL4199756897 Ep. 292 Workforce Development in Otolaryngology: Challenges & Strategies with Dr. Mark Whipple and Dr. Al Merati How is the “arms race” for research and academic credentials reshaping the ENT workforce and residency process? On this episode of BackTable ENT & Allergy, Dr. Ashley Agan sits down with Dr. Al Merati and Dr. Mark Whipple from the University of Washington to discuss the pressures ENT residency applicants face, the impact on specialty equity and rural access, and the challenges programs encounter in selecting the next generation of otolaryngologists. They explore survey data showing up to two-thirds of applicants feel compelled to present an “academic” persona, and why this trend may erode unity, transparency, and opportunities across the field. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction04:07 - Masking and Authentic Career Goals07:16 - Preview: Crucial Conversations Panel10:39 - Program Signaling and Application Volume13:56 - Addressing the Rural Access Crisis16:59 - Academic Drift and Fellowship Trends19:33 - Accountability in Graduate Medical Education25:22 - Defining Equity in the Application Process29:12 - What Program Directors Want33:58 - Prioritizing Impact Over Research Quantity38:14 - Measuring Workforce Accountability45:40 - Key Takeaways and Closing Remarks --- More about this episode The conversation covers the shifting importance of research productivity, changes in Step 1 and grading, program signaling, and how rural access gaps and a growing preference for academic careers are shaping the field. Drs. Merati and Whipple discuss the need for more exposure to comprehensive and community ENT, greater program transparency, and moving away from a publication-counting culture toward impact and accountability. They close with proposed solutions for residency programs, including normalizing all career paths, increasing equity, and rebalancing incentives to better serve both trainees and patients. --- Resources Crucial Conversations Panel – Sunday, October 18, 8:00 AMAAOHNS schedule --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 15 Sep 2026 07:00:00 -0000 full BackTable Inc. How is the “arms race” for research and academic credentials reshaping the ENT workforce and residency process? On this episode of BackTable ENT & Allergy, Dr. Ashley Agan sits down with Dr. Al Merati and Dr. Mark Whipple from the University of Washington to discuss the pressures ENT residency applicants face, the impact on specialty equity and rural access, and the challenges programs encounter in selecting the next generation of otolaryngologists. They explore survey data showing up to two-thirds of applicants feel compelled to present an “academic” persona, and why this trend may erode unity, transparency, and opportunities across the field. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction04:07 - Masking and Authentic Career Goals07:16 - Preview: Crucial Conversations Panel10:39 - Program Signaling and Application Volume13:56 - Addressing the Rural Access Crisis16:59 - Academic Drift and Fellowship Trends19:33 - Accountability in Graduate Medical Education25:22 - Defining Equity in the Application Process29:12 - What Program Directors Want33:58 - Prioritizing Impact Over Research Quantity38:14 - Measuring Workforce Accountability45:40 - Key Takeaways and Closing Remarks --- More about this episode The conversation covers the shifting importance of research productivity, changes in Step 1 and grading, program signaling, and how rural access gaps and a growing preference for academic careers are shaping the field. Drs. Merati and Whipple discuss the need for more exposure to comprehensive and community ENT, greater program transparency, and moving away from a publication-counting culture toward impact and accountability. They close with proposed solutions for residency programs, including normalizing all career paths, increasing equity, and rebalancing incentives to better serve both trainees and patients. --- Resources Crucial Conversations Panel – Sunday, October 18, 8:00 AMAAOHNS schedule --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app How is the “arms race” for research and academic credentials reshaping the ENT workforce and residency process? On this episode of BackTable ENT & Allergy, Dr. Ashley Agan sits down with Dr. Al Merati and Dr. Mark Whipple from the University of Washington to discuss the pressures ENT residency applicants face, the impact on specialty equity and rural access, and the challenges programs encounter in selecting the next generation of otolaryngologists. They explore survey data showing up to two-thirds of applicants feel compelled to present an “academic” persona, and why this trend may erode unity, transparency, and opportunities across the field.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
04:07 - Masking and Authentic Career Goals
07:16 - Preview: Crucial Conversations Panel
10:39 - Program Signaling and Application Volume
13:56 - Addressing the Rural Access Crisis
16:59 - Academic Drift and Fellowship Trends
19:33 - Accountability in Graduate Medical Education
25:22 - Defining Equity in the Application Process
29:12 - What Program Directors Want
33:58 - Prioritizing Impact Over Research Quantity
38:14 - Measuring Workforce Accountability
45:40 - Key Takeaways and Closing Remarks


---


More about this episode


The conversation covers the shifting importance of research productivity, changes in Step 1 and grading, program signaling, and how rural access gaps and a growing preference for academic careers are shaping the field. Drs. Merati and Whipple discuss the need for more exposure to comprehensive and community ENT, greater program transparency, and moving away from a publication-counting culture toward impact and accountability. They close with proposed solutions for residency programs, including normalizing all career paths, increasing equity, and rebalancing incentives to better serve both trainees and patients.


---


Resources


Crucial Conversations Panel – Sunday, October 18, 8:00 AM
AAOHNS schedule


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3048 Ep. 291 Integrating GLP-1s in Obesity & OSA Management with Dr. Shanail Berry, Dr. John Carter Which patients with obstructive sleep apnea are candidates for a GLP-1, and how do you start, escalate, and monitor one safely? On this episode of BackTable ENT & Allergy, host Dr. Gopi Shah is joined by obesity medicine specialist Dr. Shanail Berry and sleep specialist Dr. John Carter to discuss the practical questions that arise when adding GLP-1 and GLP/GIP therapies in OSA management. They discuss drug mechanisms and formulations, patient selection, screening and referral, management of side effects and contraindications, adherence strategies, perioperative considerations, and nutritional issues. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:18 - The Overlap Between Obesity and Sleep Apnea04:02 - GLP-1 Medications: Basics and History05:52 - Dual and Triple Agonists in Development08:56 - Clinic Evaluation and Team-Based Referrals14:18 - Navigating Insurance Coverage17:28 - Key GLP-1 Trials in OSA18:25 - Results from SURMOUNT-OSA26:31 - Integrating CPAP and GLP-1 Therapy37:35 - Moving Beyond AHI: New Assessment Metrics40:40 - Safety, Perioperative Risks, and Sarcopenia50:16 - Wrap-Up --- More about this episode The discussion also addresses the challenges of long-term GLP-1 therapy, including insurance barriers, prior authorizations, dose escalation, and common side effects. The doctors review when to reassess OSA after starting treatment, the growing importance of hypoxic burden beyond AHI, and strategies to prevent sarcopenia during weight loss. Throughout, they emphasize a multidisciplinary approach and the evolving landscape of OSA care in the era of GLP-1 therapies. --- Resources SCALE Studyhttps://pubmed.ncbi.nlm.nih.gov/26132939/ SURMOUNT-OSA Trialhttps://pubmed.ncbi.nlm.nih.gov/38547961/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 08 Sep 2026 07:00:00 -0000 full BackTable Inc. Which patients with obstructive sleep apnea are candidates for a GLP-1, and how do you start, escalate, and monitor one safely? On this episode of BackTable ENT & Allergy, host Dr. Gopi Shah is joined by obesity medicine specialist Dr. Shanail Berry and sleep specialist Dr. John Carter to discuss the practical questions that arise when adding GLP-1 and GLP/GIP therapies in OSA management. They discuss drug mechanisms and formulations, patient selection, screening and referral, management of side effects and contraindications, adherence strategies, perioperative considerations, and nutritional issues. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:18 - The Overlap Between Obesity and Sleep Apnea04:02 - GLP-1 Medications: Basics and History05:52 - Dual and Triple Agonists in Development08:56 - Clinic Evaluation and Team-Based Referrals14:18 - Navigating Insurance Coverage17:28 - Key GLP-1 Trials in OSA18:25 - Results from SURMOUNT-OSA26:31 - Integrating CPAP and GLP-1 Therapy37:35 - Moving Beyond AHI: New Assessment Metrics40:40 - Safety, Perioperative Risks, and Sarcopenia50:16 - Wrap-Up --- More about this episode The discussion also addresses the challenges of long-term GLP-1 therapy, including insurance barriers, prior authorizations, dose escalation, and common side effects. The doctors review when to reassess OSA after starting treatment, the growing importance of hypoxic burden beyond AHI, and strategies to prevent sarcopenia during weight loss. Throughout, they emphasize a multidisciplinary approach and the evolving landscape of OSA care in the era of GLP-1 therapies. --- Resources SCALE Studyhttps://pubmed.ncbi.nlm.nih.gov/26132939/ SURMOUNT-OSA Trialhttps://pubmed.ncbi.nlm.nih.gov/38547961/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Which patients with obstructive sleep apnea are candidates for a GLP-1, and how do you start, escalate, and monitor one safely? On this episode of BackTable ENT & Allergy, host Dr. Gopi Shah is joined by obesity medicine specialist Dr. Shanail Berry and sleep specialist Dr. John Carter to discuss the practical questions that arise when adding GLP-1 and GLP/GIP therapies in OSA management. They discuss drug mechanisms and formulations, patient selection, screening and referral, management of side effects and contraindications, adherence strategies, perioperative considerations, and nutritional issues.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:18 - The Overlap Between Obesity and Sleep Apnea
04:02 - GLP-1 Medications: Basics and History
05:52 - Dual and Triple Agonists in Development
08:56 - Clinic Evaluation and Team-Based Referrals
14:18 - Navigating Insurance Coverage
17:28 - Key GLP-1 Trials in OSA
18:25 - Results from SURMOUNT-OSA
26:31 - Integrating CPAP and GLP-1 Therapy
37:35 - Moving Beyond AHI: New Assessment Metrics
40:40 - Safety, Perioperative Risks, and Sarcopenia
50:16 - Wrap-Up


---


More about this episode


The discussion also addresses the challenges of long-term GLP-1 therapy, including insurance barriers, prior authorizations, dose escalation, and common side effects. The doctors review when to reassess OSA after starting treatment, the growing importance of hypoxic burden beyond AHI, and strategies to prevent sarcopenia during weight loss. Throughout, they emphasize a multidisciplinary approach and the evolving landscape of OSA care in the era of GLP-1 therapies.


---


Resources


SCALE Study
https://pubmed.ncbi.nlm.nih.gov/26132939/


SURMOUNT-OSA Trial
https://pubmed.ncbi.nlm.nih.gov/38547961/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3272 Ep. 290 Managing Sjogren's in ENT & Allergy Clinics with Dr. Kara Wada With no FDA-approved therapies for Sjögren’s disease, how can ENTs and allergists provide effective care and keep up with emerging treatments? On this episode of BackTable ENT & Allergy, Dr. Basil Kahwash interviews Dr. Kara Wada, a Columbus-based allergist, immunologist, and lifestyle medicine physician, about her personal and clinical experience with Sjögren’s disease. They discuss the major gaps in current treatment, the evolving role of otolaryngologists and allergists in multidisciplinary care, and the new therapies on the horizon. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:21 - Building A Direct Practice04:24 - Personal Sjogren's Diagnosis08:33 - ENT Presentations11:28 - Biopsy Challenges and Seronegative Disease15:48 - Pulmonary Complications17:55 - Clinical Trial Treatment19:47 - Immunology and Disease Mechanisms25:35 - Lab Workup and Risk Assessment29:32 - Overlooked Symptoms and Nutritional Considerations31:51 - Saliva Stimulants Tradeoffs34:42 - Deciding When to Escalate Systemic Therapy35:51 - Hydroxychloroquine Basics38:26 - Multidisciplinary Dream Team41:45 - Rituximab and IVIG44:35 - Investigating Phase Three Therapies47:23 - Path to Becoming a Sjogrens Expert53:33 - Key Takeaways And Resources --- More about this episode Dr. Wada details her own diagnosis and the complex presentations of Sjögren’s across ENT subspecialties, including dry eyes, nasal and throat tissues, chronic sinus issues, laryngitis, reflux, salivary gland swelling, neuropathy, and dizziness. The conversation covers diagnostic workup, the importance of lip biopsy and expert pathology, the challenges of seronegative and pulmonary cases, and the limitations of current medications like hydroxychloroquine and rituximab. They also discuss ongoing clinical trials, dryness management, overlooked symptoms, and the emerging role of agents such as inalumab and dazedalimab in late-phase studies. --- Resources Virtual Sjögren’s Summithttps://www.sjogrenssummit.com/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 01 Sep 2026 07:00:00 -0000 full BackTable Inc. With no FDA-approved therapies for Sjögren’s disease, how can ENTs and allergists provide effective care and keep up with emerging treatments? On this episode of BackTable ENT & Allergy, Dr. Basil Kahwash interviews Dr. Kara Wada, a Columbus-based allergist, immunologist, and lifestyle medicine physician, about her personal and clinical experience with Sjögren’s disease. They discuss the major gaps in current treatment, the evolving role of otolaryngologists and allergists in multidisciplinary care, and the new therapies on the horizon. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:21 - Building A Direct Practice04:24 - Personal Sjogren's Diagnosis08:33 - ENT Presentations11:28 - Biopsy Challenges and Seronegative Disease15:48 - Pulmonary Complications17:55 - Clinical Trial Treatment19:47 - Immunology and Disease Mechanisms25:35 - Lab Workup and Risk Assessment29:32 - Overlooked Symptoms and Nutritional Considerations31:51 - Saliva Stimulants Tradeoffs34:42 - Deciding When to Escalate Systemic Therapy35:51 - Hydroxychloroquine Basics38:26 - Multidisciplinary Dream Team41:45 - Rituximab and IVIG44:35 - Investigating Phase Three Therapies47:23 - Path to Becoming a Sjogrens Expert53:33 - Key Takeaways And Resources --- More about this episode Dr. Wada details her own diagnosis and the complex presentations of Sjögren’s across ENT subspecialties, including dry eyes, nasal and throat tissues, chronic sinus issues, laryngitis, reflux, salivary gland swelling, neuropathy, and dizziness. The conversation covers diagnostic workup, the importance of lip biopsy and expert pathology, the challenges of seronegative and pulmonary cases, and the limitations of current medications like hydroxychloroquine and rituximab. They also discuss ongoing clinical trials, dryness management, overlooked symptoms, and the emerging role of agents such as inalumab and dazedalimab in late-phase studies. --- Resources Virtual Sjögren’s Summithttps://www.sjogrenssummit.com/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app With no FDA-approved therapies for Sjögren’s disease, how can ENTs and allergists provide effective care and keep up with emerging treatments? On this episode of BackTable ENT & Allergy, Dr. Basil Kahwash interviews Dr. Kara Wada, a Columbus-based allergist, immunologist, and lifestyle medicine physician, about her personal and clinical experience with Sjögren’s disease. They discuss the major gaps in current treatment, the evolving role of otolaryngologists and allergists in multidisciplinary care, and the new therapies on the horizon.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:21 - Building A Direct Practice
04:24 - Personal Sjogren's Diagnosis
08:33 - ENT Presentations
11:28 - Biopsy Challenges and Seronegative Disease
15:48 - Pulmonary Complications
17:55 - Clinical Trial Treatment
19:47 - Immunology and Disease Mechanisms
25:35 - Lab Workup and Risk Assessment
29:32 - Overlooked Symptoms and Nutritional Considerations
31:51 - Saliva Stimulants Tradeoffs
34:42 - Deciding When to Escalate Systemic Therapy
35:51 - Hydroxychloroquine Basics
38:26 - Multidisciplinary Dream Team
41:45 - Rituximab and IVIG
44:35 - Investigating Phase Three Therapies
47:23 - Path to Becoming a Sjogrens Expert
53:33 - Key Takeaways And Resources


---


More about this episode


Dr. Wada details her own diagnosis and the complex presentations of Sjögren’s across ENT subspecialties, including dry eyes, nasal and throat tissues, chronic sinus issues, laryngitis, reflux, salivary gland swelling, neuropathy, and dizziness. The conversation covers diagnostic workup, the importance of lip biopsy and expert pathology, the challenges of seronegative and pulmonary cases, and the limitations of current medications like hydroxychloroquine and rituximab. They also discuss ongoing clinical trials, dryness management, overlooked symptoms, and the emerging role of agents such as inalumab and dazedalimab in late-phase studies.


---


Resources


Virtual Sjögren’s Summit
https://www.sjogrenssummit.com/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3367 Ep. 289 Pharmacist Impact on Asthma & COPD Care with Dr. Joelle Ayoub What if your pharmacist could help optimize a patient’s asthma treatment before their next clinic visit? On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash welcomes clinical pharmacist Dr. Joelle Ayoub to discuss how ambulatory care pharmacists can partner with ENT and allergy clinics to optimize asthma management. Dr. Ayoub shares her experience working in a family medicine clinic, collaborating with providers through referrals, reviewing medications, and providing direct patient education on inhaler use and disease management. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:40 - The Role of the Clinic Pharmacist05:04 - Teaching Patients and Improving Inhaler Technique12:36 - Choosing Inhalers and Applying Guidelines18:51 - Comparing MDI, DPI, and SMI Devices28:15 - Tracking Asthma Control and Monitoring Adherence33:55 - Inhaler Education and Overcoming Barriers40:00 - Using Social Media for Patient and Provider Education44:16 - Pharmacist Collaboration and the Future of Team Care50:58 - Answering Biologics Patient Questions53:15 - SMART Therapy and Digital Inhaler Advances55:19 - Wrap Up --- More about this episode They discuss common gaps in asthma care, with a focus on inhaler technique and medication adherence. Dr. Ayoub explains how device complexity, cost, and a patient’s ability to use their inhaler can all affect treatment. She also reviews the major inhaler types, common technique errors, and what to consider when choosing the right device for each patient. With this, Dr. Ayoub shares practical approaches to adherence monitoring, asthma guideline updates, and biologic monitoring. Throughout, Dr. Ayoub emphasizes the benefits of multidisciplinary collaboration and how pharmacists can help bridge gaps in care for patients with asthma. --- Resources Joelle Ayoub, PharmD, BCACP, APh - https://www.westernu.edu/bios/?bio=jayoub --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 25 Aug 2026 07:00:00 -0000 full BackTable Inc. What if your pharmacist could help optimize a patient’s asthma treatment before their next clinic visit? On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash welcomes clinical pharmacist Dr. Joelle Ayoub to discuss how ambulatory care pharmacists can partner with ENT and allergy clinics to optimize asthma management. Dr. Ayoub shares her experience working in a family medicine clinic, collaborating with providers through referrals, reviewing medications, and providing direct patient education on inhaler use and disease management. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:40 - The Role of the Clinic Pharmacist05:04 - Teaching Patients and Improving Inhaler Technique12:36 - Choosing Inhalers and Applying Guidelines18:51 - Comparing MDI, DPI, and SMI Devices28:15 - Tracking Asthma Control and Monitoring Adherence33:55 - Inhaler Education and Overcoming Barriers40:00 - Using Social Media for Patient and Provider Education44:16 - Pharmacist Collaboration and the Future of Team Care50:58 - Answering Biologics Patient Questions53:15 - SMART Therapy and Digital Inhaler Advances55:19 - Wrap Up --- More about this episode They discuss common gaps in asthma care, with a focus on inhaler technique and medication adherence. Dr. Ayoub explains how device complexity, cost, and a patient’s ability to use their inhaler can all affect treatment. She also reviews the major inhaler types, common technique errors, and what to consider when choosing the right device for each patient. With this, Dr. Ayoub shares practical approaches to adherence monitoring, asthma guideline updates, and biologic monitoring. Throughout, Dr. Ayoub emphasizes the benefits of multidisciplinary collaboration and how pharmacists can help bridge gaps in care for patients with asthma. --- Resources Joelle Ayoub, PharmD, BCACP, APh - https://www.westernu.edu/bios/?bio=jayoub --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app What if your pharmacist could help optimize a patient’s asthma treatment before their next clinic visit? On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash welcomes clinical pharmacist Dr. Joelle Ayoub to discuss how ambulatory care pharmacists can partner with ENT and allergy clinics to optimize asthma management. Dr. Ayoub shares her experience working in a family medicine clinic, collaborating with providers through referrals, reviewing medications, and providing direct patient education on inhaler use and disease management.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:40 - The Role of the Clinic Pharmacist
05:04 - Teaching Patients and Improving Inhaler Technique
12:36 - Choosing Inhalers and Applying Guidelines
18:51 - Comparing MDI, DPI, and SMI Devices
28:15 - Tracking Asthma Control and Monitoring Adherence
33:55 - Inhaler Education and Overcoming Barriers
40:00 - Using Social Media for Patient and Provider Education
44:16 - Pharmacist Collaboration and the Future of Team Care
50:58 - Answering Biologics Patient Questions
53:15 - SMART Therapy and Digital Inhaler Advances
55:19 - Wrap Up


---


More about this episode


They discuss common gaps in asthma care, with a focus on inhaler technique and medication adherence. Dr. Ayoub explains how device complexity, cost, and a patient’s ability to use their inhaler can all affect treatment. She also reviews the major inhaler types, common technique errors, and what to consider when choosing the right device for each patient. With this, Dr. Ayoub shares practical approaches to adherence monitoring, asthma guideline updates, and biologic monitoring. Throughout, Dr. Ayoub emphasizes the benefits of multidisciplinary collaboration and how pharmacists can help bridge gaps in care for patients with asthma.


---


Resources


Joelle Ayoub, PharmD, BCACP, APh - https://www.westernu.edu/bios/?bio=jayoub


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3564 Ep. 288 AERD: Diagnosis & Treatment Strategies with Dr. Andrew White Aspirin or biologics? How do you choose the right treatment for AERD? On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash interviews Dr. Andrew White, Director of the AERD Clinic at Scripps Clinic, to discuss the diagnosis and management of this often underrecognized condition. They cover practical strategies for identifying AERD, the importance of a detailed NSAID history, and how treatment decisions are shaped by patient goals and disease severity. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:08 - What Is AERD and Prevalence 06:32 - History Taking and Mechanism 11:10 - Typical Symptom Progression and Alcohol Intolerance 16:41 - When to Do Aspirin Challenge 19:00 - Challenge Protocol And Upper Airway Reactions24:53 - Aspirin Desensitization vs Challenge27:58 - Aspirin therapy after desensitization and Risk of GI Bleeds31:17 - Biologics Change AERD33:42 - Choosing Aspirin Desensitization vs Biologics 35:52 - Patient Counseling and Motivational Interviewing 41:26 - Convenience and Cost of Therapy 44:10 - ENT Allergy Collaboration47:22 - Rapid Fire Pearls51:13 - Future Research & Management Direction54:05 - Final Takeaways --- More about this episode Dr. White explains that AERD affects about 8 to 10 percent of asthmatics, with even higher rates in those with severe asthma or nasal polyps. He reviews typical adult-onset progression, alcohol-related respiratory symptoms, and the underlying pathophysiology, including imbalances in arachidonic acid mediators and leukotriene surges after NSAID exposure.The conversation includes practical questions to ask when taking an NSAID history, such as reactions to common pain relievers or alcohol, and when to consider aspirin challenge. Dr. White also details long-term treatment strategies, including the role of biologics like dupilumab and aspirin therapy after desensitization, with considerations for dosing and gastrointestinal risk. He explains how factors like asthma severity, recurrent polyp disease, sense of smell, cost, and convenience all influence therapy choice. The episode concludes with a discussion of multidisciplinary collaboration, patient counseling, and Dr. White’s insights on future research directions in AERD management. --- Resources Aspirin sensitivity and severity of asthma: evidence for irreversible airway obstruction in patients with severe or difficult-to-treat asthmahttps://pubmed.ncbi.nlm.nih.gov/16275362/ Polyphenolic Activation of Basophils Explains Alcohol Hypersensitivity in AERDhttps://pubmed.ncbi.nlm.nih.gov/41065188/ New insights into the mechanisms of aspirin-exacerbated respiratory diseasehttps://pubmed.ncbi.nlm.nih.gov/39641750/ The role of aspirin desensitization followed by oral aspirin therapy in managing patients with aspirin-exacerbated respiratory disease: A Work Group Report from the Rhinitis, Rhinosinusitis and Ocular Allergy Committee of the American Academy of Allergy, Asthma & Immunologyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC7980229/ Safety and outcomes of aspirin desensitization for aspirin-exacerbated respiratory disease: A single-center studyhttps://pubmed.ncbi.nlm.nih.gov/28550988/ Selection of aspirin dosages for aspirin desensitization treatment in patients with aspirin-exacerbated respiratory diseasehttps://pubmed.ncbi.nlm.nih.gov/17208597/ Factors influencing aspirin therapy after desensitization (ATAD) tolerance in aspirin-exacerbated respiratory disease (AERD) patientshttps://pubmed.ncbi.nlm.nih.gov/41022281/ Feed the Good Wolf: Motivational Interviewing, Cognitive Behavioral Therapy, and Mindsethttps://pubmed.ncbi.nlm.nih.gov/42103433/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 18 Aug 2026 07:00:00 -0000 full BackTable Inc. Aspirin or biologics? How do you choose the right treatment for AERD? On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash interviews Dr. Andrew White, Director of the AERD Clinic at Scripps Clinic, to discuss the diagnosis and management of this often underrecognized condition. They cover practical strategies for identifying AERD, the importance of a detailed NSAID history, and how treatment decisions are shaped by patient goals and disease severity. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:08 - What Is AERD and Prevalence 06:32 - History Taking and Mechanism 11:10 - Typical Symptom Progression and Alcohol Intolerance 16:41 - When to Do Aspirin Challenge 19:00 - Challenge Protocol And Upper Airway Reactions24:53 - Aspirin Desensitization vs Challenge27:58 - Aspirin therapy after desensitization and Risk of GI Bleeds31:17 - Biologics Change AERD33:42 - Choosing Aspirin Desensitization vs Biologics 35:52 - Patient Counseling and Motivational Interviewing 41:26 - Convenience and Cost of Therapy 44:10 - ENT Allergy Collaboration47:22 - Rapid Fire Pearls51:13 - Future Research & Management Direction54:05 - Final Takeaways --- More about this episode Dr. White explains that AERD affects about 8 to 10 percent of asthmatics, with even higher rates in those with severe asthma or nasal polyps. He reviews typical adult-onset progression, alcohol-related respiratory symptoms, and the underlying pathophysiology, including imbalances in arachidonic acid mediators and leukotriene surges after NSAID exposure.The conversation includes practical questions to ask when taking an NSAID history, such as reactions to common pain relievers or alcohol, and when to consider aspirin challenge. Dr. White also details long-term treatment strategies, including the role of biologics like dupilumab and aspirin therapy after desensitization, with considerations for dosing and gastrointestinal risk. He explains how factors like asthma severity, recurrent polyp disease, sense of smell, cost, and convenience all influence therapy choice. The episode concludes with a discussion of multidisciplinary collaboration, patient counseling, and Dr. White’s insights on future research directions in AERD management. --- Resources Aspirin sensitivity and severity of asthma: evidence for irreversible airway obstruction in patients with severe or difficult-to-treat asthmahttps://pubmed.ncbi.nlm.nih.gov/16275362/ Polyphenolic Activation of Basophils Explains Alcohol Hypersensitivity in AERDhttps://pubmed.ncbi.nlm.nih.gov/41065188/ New insights into the mechanisms of aspirin-exacerbated respiratory diseasehttps://pubmed.ncbi.nlm.nih.gov/39641750/ The role of aspirin desensitization followed by oral aspirin therapy in managing patients with aspirin-exacerbated respiratory disease: A Work Group Report from the Rhinitis, Rhinosinusitis and Ocular Allergy Committee of the American Academy of Allergy, Asthma & Immunologyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC7980229/ Safety and outcomes of aspirin desensitization for aspirin-exacerbated respiratory disease: A single-center studyhttps://pubmed.ncbi.nlm.nih.gov/28550988/ Selection of aspirin dosages for aspirin desensitization treatment in patients with aspirin-exacerbated respiratory diseasehttps://pubmed.ncbi.nlm.nih.gov/17208597/ Factors influencing aspirin therapy after desensitization (ATAD) tolerance in aspirin-exacerbated respiratory disease (AERD) patientshttps://pubmed.ncbi.nlm.nih.gov/41022281/ Feed the Good Wolf: Motivational Interviewing, Cognitive Behavioral Therapy, and Mindsethttps://pubmed.ncbi.nlm.nih.gov/42103433/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Aspirin or biologics? How do you choose the right treatment for AERD? On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash interviews Dr. Andrew White, Director of the AERD Clinic at Scripps Clinic, to discuss the diagnosis and management of this often underrecognized condition. They cover practical strategies for identifying AERD, the importance of a detailed NSAID history, and how treatment decisions are shaped by patient goals and disease severity.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:08 - What Is AERD and Prevalence
06:32 - History Taking and Mechanism
11:10 - Typical Symptom Progression and Alcohol Intolerance
16:41 - When to Do Aspirin Challenge
19:00 - Challenge Protocol And Upper Airway Reactions
24:53 - Aspirin Desensitization vs Challenge
27:58 - Aspirin therapy after desensitization and Risk of GI Bleeds
31:17 - Biologics Change AERD
33:42 - Choosing Aspirin Desensitization vs Biologics
35:52 - Patient Counseling and Motivational Interviewing
41:26 - Convenience and Cost of Therapy
44:10 - ENT Allergy Collaboration
47:22 - Rapid Fire Pearls
51:13 - Future Research & Management Direction
54:05 - Final Takeaways


---


More about this episode


Dr. White explains that AERD affects about 8 to 10 percent of asthmatics, with even higher rates in those with severe asthma or nasal polyps. He reviews typical adult-onset progression, alcohol-related respiratory symptoms, and the underlying pathophysiology, including imbalances in arachidonic acid mediators and leukotriene surges after NSAID exposure.
The conversation includes practical questions to ask when taking an NSAID history, such as reactions to common pain relievers or alcohol, and when to consider aspirin challenge. Dr. White also details long-term treatment strategies, including the role of biologics like dupilumab and aspirin therapy after desensitization, with considerations for dosing and gastrointestinal risk. He explains how factors like asthma severity, recurrent polyp disease, sense of smell, cost, and convenience all influence therapy choice. The episode concludes with a discussion of multidisciplinary collaboration, patient counseling, and Dr. White’s insights on future research directions in AERD management.


---


Resources


Aspirin sensitivity and severity of asthma: evidence for irreversible airway obstruction in patients with severe or difficult-to-treat asthma
https://pubmed.ncbi.nlm.nih.gov/16275362/


Polyphenolic Activation of Basophils Explains Alcohol Hypersensitivity in AERD
https://pubmed.ncbi.nlm.nih.gov/41065188/


New insights into the mechanisms of aspirin-exacerbated respiratory disease
https://pubmed.ncbi.nlm.nih.gov/39641750/


The role of aspirin desensitization followed by oral aspirin therapy in managing patients with aspirin-exacerbated respiratory disease: A Work Group Report from the Rhinitis, Rhinosinusitis and Ocular Allergy Committee of the American Academy of Allergy, Asthma & Immunology
https://pmc.ncbi.nlm.nih.gov/articles/PMC7980229/


Safety and outcomes of aspirin desensitization for aspirin-exacerbated respiratory disease: A single-center study
https://pubmed.ncbi.nlm.nih.gov/28550988/


Selection of aspirin dosages for aspirin desensitization treatment in patients with aspirin-exacerbated respiratory disease
https://pubmed.ncbi.nlm.nih.gov/17208597/


Factors influencing aspirin therapy after desensitization (ATAD) tolerance in aspirin-exacerbated respiratory disease (AERD) patients
https://pubmed.ncbi.nlm.nih.gov/41022281/


Feed the Good Wolf: Motivational Interviewing, Cognitive Behavioral Therapy, and Mindset
https://pubmed.ncbi.nlm.nih.gov/42103433/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3398 Ep. 287 Unified Airway: Unified Biology, Unified Inflammation with Dr. Cedric "Jamie" Rutland Can viewing the airway as one connected system change the future of respiratory care and improve patient outcomes? On this episode of the BackTable ENT & Allergy Podcast, Dr. Cedric Jamie Rutland, pulmonary and critical care medicine physician, joins Dr. Basil Kahwash to discuss the unified airway hypothesis and its implications for clinical care. They explore how upper and lower airway inflammation are closely linked, and why multidisciplinary collaboration is essential for treating the whole patient. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction05:06 - Understanding the Unified Airway14:27 - Decoding Asthma Biomarkers20:34 - Endotyping in Clinical Practice26:36 - Addressing Asthma Symptom and “Outgrowing” Asthma32:13 - Strategies for Precision Biologics34:23 - Navigating Insurance and Treatment Indications35:36 - Treating the Whole Patient and Breaking Down Specialty Silos46:07 - Effective Patient Communication51:36 - Asthma Lightning Round57:33 - Biologics and Airway Remodeling1:00:00 - Closing Thoughts --- More about this episode The conversation covers the biology of type II inflammation, the use of biomarkers and biologics for more personalized treatment, and practical strategies for overcoming insurance barriers and specialty silos. Dr. Rutland shares insights on patient communication, the limitations of current diagnostics, and the impact of chronic inflammation on systemic disease. The episode highlights the need for ENT, allergy, and pulmonology teams to work together and embrace a connected view of airway disease to achieve better patient outcomes. --- Resources Dr. Jamie Rutland - https://www.lung.org/media/meet-our-experts/cedric-jamie-rutland-md --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 11 Aug 2026 07:00:00 -0000 full BackTable Inc. Can viewing the airway as one connected system change the future of respiratory care and improve patient outcomes? On this episode of the BackTable ENT & Allergy Podcast, Dr. Cedric Jamie Rutland, pulmonary and critical care medicine physician, joins Dr. Basil Kahwash to discuss the unified airway hypothesis and its implications for clinical care. They explore how upper and lower airway inflammation are closely linked, and why multidisciplinary collaboration is essential for treating the whole patient. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction05:06 - Understanding the Unified Airway14:27 - Decoding Asthma Biomarkers20:34 - Endotyping in Clinical Practice26:36 - Addressing Asthma Symptom and “Outgrowing” Asthma32:13 - Strategies for Precision Biologics34:23 - Navigating Insurance and Treatment Indications35:36 - Treating the Whole Patient and Breaking Down Specialty Silos46:07 - Effective Patient Communication51:36 - Asthma Lightning Round57:33 - Biologics and Airway Remodeling1:00:00 - Closing Thoughts --- More about this episode The conversation covers the biology of type II inflammation, the use of biomarkers and biologics for more personalized treatment, and practical strategies for overcoming insurance barriers and specialty silos. Dr. Rutland shares insights on patient communication, the limitations of current diagnostics, and the impact of chronic inflammation on systemic disease. The episode highlights the need for ENT, allergy, and pulmonology teams to work together and embrace a connected view of airway disease to achieve better patient outcomes. --- Resources Dr. Jamie Rutland - https://www.lung.org/media/meet-our-experts/cedric-jamie-rutland-md --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Can viewing the airway as one connected system change the future of respiratory care and improve patient outcomes? On this episode of the BackTable ENT & Allergy Podcast, Dr. Cedric Jamie Rutland, pulmonary and critical care medicine physician, joins Dr. Basil Kahwash to discuss the unified airway hypothesis and its implications for clinical care. They explore how upper and lower airway inflammation are closely linked, and why multidisciplinary collaboration is essential for treating the whole patient.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
05:06 - Understanding the Unified Airway
14:27 - Decoding Asthma Biomarkers
20:34 - Endotyping in Clinical Practice
26:36 - Addressing Asthma Symptom and “Outgrowing” Asthma
32:13 - Strategies for Precision Biologics
34:23 - Navigating Insurance and Treatment Indications
35:36 - Treating the Whole Patient and Breaking Down Specialty Silos
46:07 - Effective Patient Communication
51:36 - Asthma Lightning Round
57:33 - Biologics and Airway Remodeling
1:00:00 - Closing Thoughts


---


More about this episode


The conversation covers the biology of type II inflammation, the use of biomarkers and biologics for more personalized treatment, and practical strategies for overcoming insurance barriers and specialty silos. Dr. Rutland shares insights on patient communication, the limitations of current diagnostics, and the impact of chronic inflammation on systemic disease. The episode highlights the need for ENT, allergy, and pulmonology teams to work together and embrace a connected view of airway disease to achieve better patient outcomes.


---


Resources


Dr. Jamie Rutland -
https://www.lung.org/media/meet-our-experts/cedric-jamie-rutland-md


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3563 Ep. 286 What's The Big Deal With This BackTable App? with Dr. Aaron Fritts BackTable is moving beyond the traditional podcast experience and into a platform built specifically for clinicians. On this episode of the BackTable ENT & Allergy Podcast, hosts Drs. Gopi Shah and Ashley Agan welcome Dr. Aaron Fritts, interventional radiologist and BackTable CEO and Co-Founder, to discuss the history and future of BackTable, and what listeners can look forward to on the new BackTable App. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps00:00 - Introduction00:51 - Meet the CEO and Co-Founder02:32 - How Backtable Got Its Name04:32 - Why Move to the App07:31 - Community and Learning Features12:36 - Playlists and Transcripts15:42 - Beyond Backtable Content18:07 - Searchability and Other Platform Limits19:35 - Privacy and NPI Verification21:31 - Download the App and Give Feedback22:53 - October Timeline and Academy Party24:26 - Closing Thoughts --- More about this episode Dr. Fritts shares how BackTable started as an app concept for medical devices in 2016, evolved into the IR podcast in 2017, and expanded to the ENT show in 2020. He explains how Gopi coined the name “BackTable” as an homage to the informal, behind-the-scenes conversations that fuel clinical learning. With eight shows now producing 30 to 40 episodes each month, BackTable will begin releasing most new podcast episodes exclusively on the BackTable app starting in October. The conversation highlights the app’s robust features designed for busy clinicians, including physician-only NPI-verified guest Q&As, quick-study cases, searchable and organized playlists, episode transcripts, offline listening, upcoming CarPlay integration, and access to resources like the Curbsiders internal medicine podcast. The BackTable app is free to download and free to use, providing easy access to a growing library of high-yield medical education content. --- Resources Download the BackTable App on Google Playhttps://play.google.com/store/apps/details?id=com.backtable.app&hl=en_GB Download the BackTable App on the Apple App Store https://apps.apple.com/us/app/backtable/id6751363383 --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.► https://www.backtable.com/app Tue, 04 Aug 2026 07:00:00 -0000 full BackTable Inc. BackTable is moving beyond the traditional podcast experience and into a platform built specifically for clinicians. On this episode of the BackTable ENT & Allergy Podcast, hosts Drs. Gopi Shah and Ashley Agan welcome Dr. Aaron Fritts, interventional radiologist and BackTable CEO and Co-Founder, to discuss the history and future of BackTable, and what listeners can look forward to on the new BackTable App. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps00:00 - Introduction00:51 - Meet the CEO and Co-Founder02:32 - How Backtable Got Its Name04:32 - Why Move to the App07:31 - Community and Learning Features12:36 - Playlists and Transcripts15:42 - Beyond Backtable Content18:07 - Searchability and Other Platform Limits19:35 - Privacy and NPI Verification21:31 - Download the App and Give Feedback22:53 - October Timeline and Academy Party24:26 - Closing Thoughts --- More about this episode Dr. Fritts shares how BackTable started as an app concept for medical devices in 2016, evolved into the IR podcast in 2017, and expanded to the ENT show in 2020. He explains how Gopi coined the name “BackTable” as an homage to the informal, behind-the-scenes conversations that fuel clinical learning. With eight shows now producing 30 to 40 episodes each month, BackTable will begin releasing most new podcast episodes exclusively on the BackTable app starting in October. The conversation highlights the app’s robust features designed for busy clinicians, including physician-only NPI-verified guest Q&As, quick-study cases, searchable and organized playlists, episode transcripts, offline listening, upcoming CarPlay integration, and access to resources like the Curbsiders internal medicine podcast. The BackTable app is free to download and free to use, providing easy access to a growing library of high-yield medical education content. --- Resources Download the BackTable App on Google Playhttps://play.google.com/store/apps/details?id=com.backtable.app&hl=en_GB Download the BackTable App on the Apple App Store https://apps.apple.com/us/app/backtable/id6751363383 --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.► https://www.backtable.com/app BackTable is moving beyond the traditional podcast experience and into a platform built specifically for clinicians. On this episode of the BackTable ENT & Allergy Podcast, hosts Drs. Gopi Shah and Ashley Agan welcome Dr. Aaron Fritts, interventional radiologist and BackTable CEO and Co-Founder, to discuss the history and future of BackTable, and what listeners can look forward to on the new BackTable App.


---

Get the BackTable app
https://www.backtable.com/app

---

Timestamps
00:00 - Introduction
00:51 - Meet the CEO and Co-Founder
02:32 - How Backtable Got Its Name
04:32 - Why Move to the App
07:31 - Community and Learning Features
12:36 - Playlists and Transcripts
15:42 - Beyond Backtable Content
18:07 - Searchability and Other Platform Limits
19:35 - Privacy and NPI Verification
21:31 - Download the App and Give Feedback
22:53 - October Timeline and Academy Party
24:26 - Closing Thoughts

---

More about this episode

Dr. Fritts shares how BackTable started as an app concept for medical devices in 2016, evolved into the IR podcast in 2017, and expanded to the ENT show in 2020. He explains how Gopi coined the name “BackTable” as an homage to the informal, behind-the-scenes conversations that fuel clinical learning. With eight shows now producing 30 to 40 episodes each month, BackTable will begin releasing most new podcast episodes exclusively on the BackTable app starting in October.

The conversation highlights the app’s robust features designed for busy clinicians, including physician-only NPI-verified guest Q&As, quick-study cases, searchable and organized playlists, episode transcripts, offline listening, upcoming CarPlay integration, and access to resources like the Curbsiders internal medicine podcast. The BackTable app is free to download and free to use, providing easy access to a growing library of high-yield medical education content.

---

Resources

Download the BackTable App on Google Play
https://play.google.com/store/apps/details?id=com.backtable.app&hl=en_GB

Download the BackTable App on the Apple App Store
https://apps.apple.com/us/app/backtable/id6751363383

---

BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.

Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.
► https://www.backtable.com/app

]]> 1669 Ep. 285 Post-Operative Care & Complications in Coblation Intracapsular Tonsillectomy in Children with Dr. Kevin Huoh and Dr. Stephen Chorney Most surgeons trained learning extracapsular tonsillectomies. What does the evidence say about intracapsular tonsillectomies? Two pediatric otolaryngologists explain why they made the switch and never looked back. On this episode of the BackTable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah sit down with pediatric otolaryngologists Dr. Stephen Chorney from UT Southwestern and Children's Health Dallas and Dr. Kevin Huoh from Children's of Orange County to examine post-operative complications after tonsillectomy and adenoidectomy, with a focus on coblation intracapsular tonsillectomy. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Smith + Nephewhttps://www.smith-nephew.com/en/ --- Timestamps 00:00 - Introduction02:53 - Why Switch Techniques?07:58 - Risk Stratification and Patient Selection11:04 - Respiratory Complications and Management15:57 - Preop Screening21:35 - Risks for Post-op Bleeding and Counseling26:16 - Managing Post-op Bleeding31:56 - Surgical Tips to Prevent Bleeds and Management39:30 - Intracapsular Tonsillectomy in Older Kids43:44 - Post Op Pain Plan and Return To School48:33 - Use of Toradol & Readmission for Pain and Dehydration53:16 - Caution of Burn and Stenosis Injuries61:01 - Final Takeaways --- More about this episode Dr. Chorney and Dr. Huoh share why they each committed fully to the intracapsular technique and what that shift has meant in practice, from secondary hemorrhage rates hovering around 0.5–0.6% to fewer nursing line calls, readmissions for pain and dehydration, and faster returns to school and normal activity. They walk through their approach to patient risk stratification and admission criteria (age <3, severe OSA/comorbidities, AHI >30/ICU consideration) as well as how to manage the most common post-operative respiratory complications. The conversation also covers practical guidance for handling outside-ER bleed calls, the role of nebulized TXA, toradol considerations, and managing dehydration. They also share for navigating intracapsular coblation in older children, strategies to reduce burn injuries, and a closer look at the rare but serious risk of pharyngeal stenosis. Check out this episode to hear Dr. Chorney and Dr. Huoh discuss how intracapsular tonsillectomy doesn't just improve outcomes but can transform the recovery experience for patients and their families. --- Resources Extracapsular vs Intracapsular Tonsillectomy: Outcomes in Children with a Focus on Developmental Delayhttps://pubmed.ncbi.nlm.nih.gov/34839135/ Current Status and Future Trends: Pediatric Intracapsular Tonsillectomy in the United Stateshttps://pubmed.ncbi.nlm.nih.gov/32969500/ Dr. Chorney Episode 259 - Understanding Coblation Tonsillectomy https://www.backtable.com/shows/ent/podcasts/259/understanding-coblation-tonsillectomy-benefits-outcomes-techniques Dr. Huoh Episode 110 - Intracapsular Tonsillectomy in Childrenhttps://www.backtable.com/shows/ent/podcasts/110/intracapsular-tonsillectomy-in-children --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 28 Jul 2026 07:00:00 -0000 full BackTable Inc. Most surgeons trained learning extracapsular tonsillectomies. What does the evidence say about intracapsular tonsillectomies? Two pediatric otolaryngologists explain why they made the switch and never looked back. On this episode of the BackTable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah sit down with pediatric otolaryngologists Dr. Stephen Chorney from UT Southwestern and Children's Health Dallas and Dr. Kevin Huoh from Children's of Orange County to examine post-operative complications after tonsillectomy and adenoidectomy, with a focus on coblation intracapsular tonsillectomy. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Smith + Nephewhttps://www.smith-nephew.com/en/ --- Timestamps 00:00 - Introduction02:53 - Why Switch Techniques?07:58 - Risk Stratification and Patient Selection11:04 - Respiratory Complications and Management15:57 - Preop Screening21:35 - Risks for Post-op Bleeding and Counseling26:16 - Managing Post-op Bleeding31:56 - Surgical Tips to Prevent Bleeds and Management39:30 - Intracapsular Tonsillectomy in Older Kids43:44 - Post Op Pain Plan and Return To School48:33 - Use of Toradol & Readmission for Pain and Dehydration53:16 - Caution of Burn and Stenosis Injuries61:01 - Final Takeaways --- More about this episode Dr. Chorney and Dr. Huoh share why they each committed fully to the intracapsular technique and what that shift has meant in practice, from secondary hemorrhage rates hovering around 0.5–0.6% to fewer nursing line calls, readmissions for pain and dehydration, and faster returns to school and normal activity. They walk through their approach to patient risk stratification and admission criteria (age <3, severe OSA/comorbidities, AHI >30/ICU consideration) as well as how to manage the most common post-operative respiratory complications. The conversation also covers practical guidance for handling outside-ER bleed calls, the role of nebulized TXA, toradol considerations, and managing dehydration. They also share for navigating intracapsular coblation in older children, strategies to reduce burn injuries, and a closer look at the rare but serious risk of pharyngeal stenosis. Check out this episode to hear Dr. Chorney and Dr. Huoh discuss how intracapsular tonsillectomy doesn't just improve outcomes but can transform the recovery experience for patients and their families. --- Resources Extracapsular vs Intracapsular Tonsillectomy: Outcomes in Children with a Focus on Developmental Delayhttps://pubmed.ncbi.nlm.nih.gov/34839135/ Current Status and Future Trends: Pediatric Intracapsular Tonsillectomy in the United Stateshttps://pubmed.ncbi.nlm.nih.gov/32969500/ Dr. Chorney Episode 259 - Understanding Coblation Tonsillectomy https://www.backtable.com/shows/ent/podcasts/259/understanding-coblation-tonsillectomy-benefits-outcomes-techniques Dr. Huoh Episode 110 - Intracapsular Tonsillectomy in Childrenhttps://www.backtable.com/shows/ent/podcasts/110/intracapsular-tonsillectomy-in-children --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Most surgeons trained learning extracapsular tonsillectomies. What does the evidence say about intracapsular tonsillectomies? Two pediatric otolaryngologists explain why they made the switch and never looked back. On this episode of the BackTable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah sit down with pediatric otolaryngologists Dr. Stephen Chorney from UT Southwestern and Children's Health Dallas and Dr. Kevin Huoh from Children's of Orange County to examine post-operative complications after tonsillectomy and adenoidectomy, with a focus on coblation intracapsular tonsillectomy.


---


Get the BackTable app
https://www.backtable.com/app


---


This podcast is supported by


Smith + Nephew
https://www.smith-nephew.com/en/


---


Timestamps


00:00 - Introduction
02:53 - Why Switch Techniques?
07:58 - Risk Stratification and Patient Selection
11:04 - Respiratory Complications and Management
15:57 - Preop Screening
21:35 - Risks for Post-op Bleeding and Counseling
26:16 - Managing Post-op Bleeding
31:56 - Surgical Tips to Prevent Bleeds and Management
39:30 - Intracapsular Tonsillectomy in Older Kids
43:44 - Post Op Pain Plan and Return To School
48:33 - Use of Toradol & Readmission for Pain and Dehydration
53:16 - Caution of Burn and Stenosis Injuries
61:01 - Final Takeaways


---


More about this episode


Dr. Chorney and Dr. Huoh share why they each committed fully to the intracapsular technique and what that shift has meant in practice, from secondary hemorrhage rates hovering around 0.5–0.6% to fewer nursing line calls, readmissions for pain and dehydration, and faster returns to school and normal activity. They walk through their approach to patient risk stratification and admission criteria (age <3, severe OSA/comorbidities, AHI >30/ICU consideration) as well as how to manage the most common post-operative respiratory complications. The conversation also covers practical guidance for handling outside-ER bleed calls, the role of nebulized TXA, toradol considerations, and managing dehydration. They also share for navigating intracapsular coblation in older children, strategies to reduce burn injuries, and a closer look at the rare but serious risk of pharyngeal stenosis.


Check out this episode to hear Dr. Chorney and Dr. Huoh discuss how intracapsular tonsillectomy doesn't just improve outcomes but can transform the recovery experience for patients and their families.


---


Resources


Extracapsular vs Intracapsular Tonsillectomy: Outcomes in Children with a Focus on Developmental Delay
https://pubmed.ncbi.nlm.nih.gov/34839135/


Current Status and Future Trends: Pediatric Intracapsular Tonsillectomy in the United States
https://pubmed.ncbi.nlm.nih.gov/32969500/


Dr. Chorney Episode 259 - Understanding Coblation Tonsillectomy https://www.backtable.com/shows/ent/podcasts/259/understanding-coblation-tonsillectomy-benefits-outcomes-techniques


Dr. Huoh Episode 110 - Intracapsular Tonsillectomy in Children
https://www.backtable.com/shows/ent/podcasts/110/intracapsular-tonsillectomy-in-children


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3822 Ep. 284 Optimizing Nasal Airway for CPAP Compliance with Dr. Michael Hutz and Dr. Atul Malhotra Is nasal obstruction the overlooked culprit behind CPAP intolerance? On this episode of BackTable ENT & Allergy, Dr. Gopi Shah interviews Dr. Atul Malhotra and Dr. Michael Hutz to examine the critical but often underappreciated role of the nose in obstructive sleep apnea management. They discuss how nasal obstruction can undermine CPAP adherence, why relying solely on AHI may miss key issues, and how identifying the true cause of intolerance can lead to more personalized and effective therapy. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Aerin Medicalhttps://vivaer.com/ --- Timestamps 00:00 - Introduction04:05 - OSA Presentation and AHI Limitations08:13 - Understanding CPAP Intolerance and Nasal Obstruction15:24 - Evaluating Nasal Obstruction20:32 - Nasal Anatomy and Workup27:47 - DICE Technique and Assessing Dynamic Nasal Collapse32:51 - Medical and Non-Surgical Management37:29 - Surgical Options and VivAer43:39 - Nasal Procedures and CPAP Success51:57 - Nasal Surgery and Heart Outcomes55:23 - Beyond CPAP: Nasal Breathing, Myofunctional Therapy, and Collaborative Care01:04:51 - Wrap Up --- More about this episode The physicians review practical strategies for evaluating nasal obstruction, from targeted patient questionnaires, physical exams, nasal endoscopy, and selective imaging. The doctors also detail medical and surgical treatment options, from allergy management and nasal sprays to septoplasty, turbinate reduction, functional rhinoplasty, and temperature-controlled radiofrequency (VivAer). Throughout the episode, they highlight how comprehensive nasal evaluation and intervention can significantly improve CPAP comfort and adherence. --- Resources Dr. Atul Malhotra - https://providers.ucsd.edu/details/22362/sleep-medicine-pulmonology-(lung) Dr. Michael Hutz- https://doctors.rush.edu/details/19100 CPAP treatment persistence following nasal procedures in obstructive sleep apnea - https://www.tandfonline.com/doi/pdf/10.1080/13696998.2026.2671550 Design and rationale for treating Obstructive Sleep Apnea using Targeted Hypoglossal Nerve Stimulation trial - https://www.sciencedirect.com/science/article/pii/S1551714422001306 The Impact of Mouth-Taping in Mouth-Breathers with Mild Obstructive Sleep Apnea - https://pmc.ncbi.nlm.nih.gov/articles/PMC9498537/ VATRAC Trial of VivAer - https://aerinmedical.com/company/news-and-media/aerin-medical-announces-positive-two-year-outcomes-from-the-vatrac-trial-of-vivaer/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Thu, 23 Jul 2026 07:00:00 -0000 full BackTable Inc. Is nasal obstruction the overlooked culprit behind CPAP intolerance? On this episode of BackTable ENT & Allergy, Dr. Gopi Shah interviews Dr. Atul Malhotra and Dr. Michael Hutz to examine the critical but often underappreciated role of the nose in obstructive sleep apnea management. They discuss how nasal obstruction can undermine CPAP adherence, why relying solely on AHI may miss key issues, and how identifying the true cause of intolerance can lead to more personalized and effective therapy. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Aerin Medicalhttps://vivaer.com/ --- Timestamps 00:00 - Introduction04:05 - OSA Presentation and AHI Limitations08:13 - Understanding CPAP Intolerance and Nasal Obstruction15:24 - Evaluating Nasal Obstruction20:32 - Nasal Anatomy and Workup27:47 - DICE Technique and Assessing Dynamic Nasal Collapse32:51 - Medical and Non-Surgical Management37:29 - Surgical Options and VivAer43:39 - Nasal Procedures and CPAP Success51:57 - Nasal Surgery and Heart Outcomes55:23 - Beyond CPAP: Nasal Breathing, Myofunctional Therapy, and Collaborative Care01:04:51 - Wrap Up --- More about this episode The physicians review practical strategies for evaluating nasal obstruction, from targeted patient questionnaires, physical exams, nasal endoscopy, and selective imaging. The doctors also detail medical and surgical treatment options, from allergy management and nasal sprays to septoplasty, turbinate reduction, functional rhinoplasty, and temperature-controlled radiofrequency (VivAer). Throughout the episode, they highlight how comprehensive nasal evaluation and intervention can significantly improve CPAP comfort and adherence. --- Resources Dr. Atul Malhotra - https://providers.ucsd.edu/details/22362/sleep-medicine-pulmonology-(lung) Dr. Michael Hutz- https://doctors.rush.edu/details/19100 CPAP treatment persistence following nasal procedures in obstructive sleep apnea - https://www.tandfonline.com/doi/pdf/10.1080/13696998.2026.2671550 Design and rationale for treating Obstructive Sleep Apnea using Targeted Hypoglossal Nerve Stimulation trial - https://www.sciencedirect.com/science/article/pii/S1551714422001306 The Impact of Mouth-Taping in Mouth-Breathers with Mild Obstructive Sleep Apnea - https://pmc.ncbi.nlm.nih.gov/articles/PMC9498537/ VATRAC Trial of VivAer - https://aerinmedical.com/company/news-and-media/aerin-medical-announces-positive-two-year-outcomes-from-the-vatrac-trial-of-vivaer/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Is nasal obstruction the overlooked culprit behind CPAP intolerance? On this episode of BackTable ENT & Allergy, Dr. Gopi Shah interviews Dr. Atul Malhotra and Dr. Michael Hutz to examine the critical but often underappreciated role of the nose in obstructive sleep apnea management. They discuss how nasal obstruction can undermine CPAP adherence, why relying solely on AHI may miss key issues, and how identifying the true cause of intolerance can lead to more personalized and effective therapy.


---


Get the BackTable app
https://www.backtable.com/app


---


This podcast is supported by


Aerin Medical
https://vivaer.com/


---


Timestamps


00:00 - Introduction
04:05 - OSA Presentation and AHI Limitations
08:13 - Understanding CPAP Intolerance and Nasal Obstruction
15:24 - Evaluating Nasal Obstruction
20:32 - Nasal Anatomy and Workup
27:47 - DICE Technique and Assessing Dynamic Nasal Collapse
32:51 - Medical and Non-Surgical Management
37:29 - Surgical Options and VivAer
43:39 - Nasal Procedures and CPAP Success
51:57 - Nasal Surgery and Heart Outcomes
55:23 - Beyond CPAP: Nasal Breathing, Myofunctional Therapy, and Collaborative Care
01:04:51 - Wrap Up


---


More about this episode


The physicians review practical strategies for evaluating nasal obstruction, from targeted patient questionnaires, physical exams, nasal endoscopy, and selective imaging. The doctors also detail medical and surgical treatment options, from allergy management and nasal sprays to septoplasty, turbinate reduction, functional rhinoplasty, and temperature-controlled radiofrequency (VivAer). Throughout the episode, they highlight how comprehensive nasal evaluation and intervention can significantly improve CPAP comfort and adherence.


---


Resources


Dr. Atul Malhotra - https://providers.ucsd.edu/details/22362/sleep-medicine-pulmonology-(lung)


Dr. Michael Hutz- https://doctors.rush.edu/details/19100


CPAP treatment persistence following nasal procedures in obstructive sleep apnea - https://www.tandfonline.com/doi/pdf/10.1080/13696998.2026.2671550


Design and rationale for treating Obstructive Sleep Apnea using Targeted Hypoglossal Nerve Stimulation trial - https://www.sciencedirect.com/science/article/pii/S1551714422001306


The Impact of Mouth-Taping in Mouth-Breathers with Mild Obstructive Sleep Apnea - https://pmc.ncbi.nlm.nih.gov/articles/PMC9498537/


VATRAC Trial of VivAer - https://aerinmedical.com/company/news-and-media/aerin-medical-announces-positive-two-year-outcomes-from-the-vatrac-trial-of-vivaer/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 4074 Ep. 283 Streamlining Surgery: The Future of the OR with Dr. Raj Sindwani What if the next major advance in ENT surgery isn’t a new instrument, but a better-integrated operating room? In this episode of the BackTable ENT & Allergy Podcast, Cleveland Clinic rhinologist and skull base surgeon Dr. Raj Sindwani joins Dr. Gopi Shah and Dr. Ashley Agan to discuss how reducing cognitive load, improving workflows, and creating a more efficient OR environment can enhance the surgical experience. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Strykerhttps://www.stryker.com/us/en/ent.html --- Timestamps 00:00 - Introduction03:50 - Where Surgery Happens: Choosing the Right Site for Service06:27 - Quality Safety And Throughput09:48 - Reducing Cognitive Load In Surgery15:34 - Building an Efficient OR Ecosystem And Culture23:06 - Tech Adoption and Team Training26:19 - Smarter Surgical Navigation and Augmented Reality37:02 - Navigation Accuracy, Registration, and Smart Coaching40:29 - Inside the Stryker RISE Platform49:55 - Integration Challenges and Voice-Control Safety56:36 - Surgical Ergonomics and Injury Prevention01:09:14 - The Future of Surgical Innovation and AI in the OR --- More about this episode Dr. Sindwani explores how minimizing unnecessary friction, improving team dynamics, and thoughtfully integrating technology can help surgical teams focus on what matters most: patient care. The conversation examines the operating room as an ecosystem where people, processes, and technology all contribute to patient outcomes. Dr. Sindwani shares strategies for reducing extrinsic cognitive load, including standardizing room setup, minimizing interruptions, and optimizing the surgical environment.He also discusses advances in sinus and skull base navigation, augmented reality guidance, and Stryker’s RISE platform, highlighting how integrated technology can simplify workflow, improve ergonomics, and reduce distractions in the OR. Throughout the episode, Dr. Sindwani emphasizes the importance of thoughtful technology adoption, team collaboration, and designing the operating room of the future around safety, efficiency, and the needs of both patients and surgeons. --- Resources Dr. Raj Sindwanihttps://providers.clevelandclinic.org/provider/raj-sindwani/4268990 Stryker ENThttps://www.stryker.com/us/en/ent.html Stryker RISE Platformhttps://www.stryker.com/us/en/portfolios/medical-surgical-equipment/integration-and-connectivity/or-integration/rise.html Technological Advances in Sinus and Skull Base Surgery by Dr. Raj Sindwanihttps://www.oto.theclinics.com/article/S0030-6665(17)30050-6/fulltext Ergonomics in ENT Practice NIH Articlehttps://pmc.ncbi.nlm.nih.gov/articles/PMC11455805/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 21 Jul 2026 07:00:00 -0000 full BackTable Inc. What if the next major advance in ENT surgery isn’t a new instrument, but a better-integrated operating room? In this episode of the BackTable ENT & Allergy Podcast, Cleveland Clinic rhinologist and skull base surgeon Dr. Raj Sindwani joins Dr. Gopi Shah and Dr. Ashley Agan to discuss how reducing cognitive load, improving workflows, and creating a more efficient OR environment can enhance the surgical experience. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Strykerhttps://www.stryker.com/us/en/ent.html --- Timestamps 00:00 - Introduction03:50 - Where Surgery Happens: Choosing the Right Site for Service06:27 - Quality Safety And Throughput09:48 - Reducing Cognitive Load In Surgery15:34 - Building an Efficient OR Ecosystem And Culture23:06 - Tech Adoption and Team Training26:19 - Smarter Surgical Navigation and Augmented Reality37:02 - Navigation Accuracy, Registration, and Smart Coaching40:29 - Inside the Stryker RISE Platform49:55 - Integration Challenges and Voice-Control Safety56:36 - Surgical Ergonomics and Injury Prevention01:09:14 - The Future of Surgical Innovation and AI in the OR --- More about this episode Dr. Sindwani explores how minimizing unnecessary friction, improving team dynamics, and thoughtfully integrating technology can help surgical teams focus on what matters most: patient care. The conversation examines the operating room as an ecosystem where people, processes, and technology all contribute to patient outcomes. Dr. Sindwani shares strategies for reducing extrinsic cognitive load, including standardizing room setup, minimizing interruptions, and optimizing the surgical environment.He also discusses advances in sinus and skull base navigation, augmented reality guidance, and Stryker’s RISE platform, highlighting how integrated technology can simplify workflow, improve ergonomics, and reduce distractions in the OR. Throughout the episode, Dr. Sindwani emphasizes the importance of thoughtful technology adoption, team collaboration, and designing the operating room of the future around safety, efficiency, and the needs of both patients and surgeons. --- Resources Dr. Raj Sindwanihttps://providers.clevelandclinic.org/provider/raj-sindwani/4268990 Stryker ENThttps://www.stryker.com/us/en/ent.html Stryker RISE Platformhttps://www.stryker.com/us/en/portfolios/medical-surgical-equipment/integration-and-connectivity/or-integration/rise.html Technological Advances in Sinus and Skull Base Surgery by Dr. Raj Sindwanihttps://www.oto.theclinics.com/article/S0030-6665(17)30050-6/fulltext Ergonomics in ENT Practice NIH Articlehttps://pmc.ncbi.nlm.nih.gov/articles/PMC11455805/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app What if the next major advance in ENT surgery isn’t a new instrument, but a better-integrated operating room? In this episode of the BackTable ENT & Allergy Podcast, Cleveland Clinic rhinologist and skull base surgeon Dr. Raj Sindwani joins Dr. Gopi Shah and Dr. Ashley Agan to discuss how reducing cognitive load, improving workflows, and creating a more efficient OR environment can enhance the surgical experience.


---


Get the BackTable app
https://www.backtable.com/app


---


This podcast is supported by


Stryker
https://www.stryker.com/us/en/ent.html


---


Timestamps


00:00 - Introduction
03:50 - Where Surgery Happens: Choosing the Right Site for Service
06:27 - Quality Safety And Throughput
09:48 - Reducing Cognitive Load In Surgery
15:34 - Building an Efficient OR Ecosystem And Culture
23:06 - Tech Adoption and Team Training
26:19 - Smarter Surgical Navigation and Augmented Reality
37:02 - Navigation Accuracy, Registration, and Smart Coaching
40:29 - Inside the Stryker RISE Platform
49:55 - Integration Challenges and Voice-Control Safety
56:36 - Surgical Ergonomics and Injury Prevention
01:09:14 - The Future of Surgical Innovation and AI in the OR


---


More about this episode


Dr. Sindwani explores how minimizing unnecessary friction, improving team dynamics, and thoughtfully integrating technology can help surgical teams focus on what matters most: patient care. The conversation examines the operating room as an ecosystem where people, processes, and technology all contribute to patient outcomes. Dr. Sindwani shares strategies for reducing extrinsic cognitive load, including standardizing room setup, minimizing interruptions, and optimizing the surgical environment.
He also discusses advances in sinus and skull base navigation, augmented reality guidance, and Stryker’s RISE platform, highlighting how integrated technology can simplify workflow, improve ergonomics, and reduce distractions in the OR. Throughout the episode, Dr. Sindwani emphasizes the importance of thoughtful technology adoption, team collaboration, and designing the operating room of the future around safety, efficiency, and the needs of both patients and surgeons.


---


Resources


Dr. Raj Sindwani
https://providers.clevelandclinic.org/provider/raj-sindwani/4268990


Stryker ENT
https://www.stryker.com/us/en/ent.html


Stryker RISE Platform
https://www.stryker.com/us/en/portfolios/medical-surgical-equipment/integration-and-connectivity/or-integration/rise.html


Technological Advances in Sinus and Skull Base Surgery by Dr. Raj Sindwani
https://www.oto.theclinics.com/article/S0030-6665(17)30050-6/fulltext


Ergonomics in ENT Practice NIH Article
https://pmc.ncbi.nlm.nih.gov/articles/PMC11455805/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 4479 Ep. 282 Awake Cochlear Implantation: An Expert Guide with Dr. Sarah Mowry Have you considered performing a cochlear implant while your patient is awake? In this episode of the Backtable ENT & Allergy Podcast, Dr. Walter Kutz and Dr. Brandon Isaacson sit down with Dr. Sarah Mowry to explore her protocol for cochlear implants under local anesthesia, an approach especially relevant for older adults concerned about the cognitive risks of general anesthesia. Dr. Mowry shares her criteria for patient selection, preoperative counseling strategies, and how she adapts the OR setup to maximize comfort and communication during awake surgery. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:06 - Why to Consider Awake Cochlear Implants05:32 - Indications for Awake CI 08:50 - Local Blocks and Pain Control10:58 - Counseling and Expectations14:40 - Preventing Intraoperative Vertigo and Converting to General Anesthesia 17:17 - Set Up and Communication with Patient 19:14 - Lesser Occipital Nerve Block and Potential Role of Processed EEG26:32 - Pitch Matching for Single-Sided Deafness, CI, and Anxiety Considerations29:00 - Feedback from Patients and Electrode Choice 31:30 - Advice to Surgeons and Closing Remarks --- More about this episode The conversation covers her anesthesia protocol, including lesser occipital and postauricular nerve blocks, minimizing propofol, and using topical 2% lidocaine in sensate areas like the facial recess and epitympanum. Dr. Mowry discusses practical strategies of using warmed irrigation to reduce intraoperative vertigo and contingency plans for conversion to general anesthesia. She discusses electrode considerations and the potential role of processed EEG to titrate anesthesia depth and practical tips for surgeons interested in adopting awake cochlear implantation. Throughout, they highlight the importance of individualized patient care, multidisciplinary teamwork, and the growing role of local anesthesia in otologic surgery. --- Resources Cochlear Implantation Under Local Anesthesia With Conscious Sedation in the Elderly: First 100 Caseshttps://pubmed.ncbi.nlm.nih.gov/32663339/ Cochlear implantation under local anesthesia in 117 cases: patients' subjective experience and outcomeshttps://pubmed.ncbi.nlm.nih.gov/34487218/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 14 Jul 2026 07:00:00 -0000 full BackTable Inc. Have you considered performing a cochlear implant while your patient is awake? In this episode of the Backtable ENT & Allergy Podcast, Dr. Walter Kutz and Dr. Brandon Isaacson sit down with Dr. Sarah Mowry to explore her protocol for cochlear implants under local anesthesia, an approach especially relevant for older adults concerned about the cognitive risks of general anesthesia. Dr. Mowry shares her criteria for patient selection, preoperative counseling strategies, and how she adapts the OR setup to maximize comfort and communication during awake surgery. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:06 - Why to Consider Awake Cochlear Implants05:32 - Indications for Awake CI 08:50 - Local Blocks and Pain Control10:58 - Counseling and Expectations14:40 - Preventing Intraoperative Vertigo and Converting to General Anesthesia 17:17 - Set Up and Communication with Patient 19:14 - Lesser Occipital Nerve Block and Potential Role of Processed EEG26:32 - Pitch Matching for Single-Sided Deafness, CI, and Anxiety Considerations29:00 - Feedback from Patients and Electrode Choice 31:30 - Advice to Surgeons and Closing Remarks --- More about this episode The conversation covers her anesthesia protocol, including lesser occipital and postauricular nerve blocks, minimizing propofol, and using topical 2% lidocaine in sensate areas like the facial recess and epitympanum. Dr. Mowry discusses practical strategies of using warmed irrigation to reduce intraoperative vertigo and contingency plans for conversion to general anesthesia. She discusses electrode considerations and the potential role of processed EEG to titrate anesthesia depth and practical tips for surgeons interested in adopting awake cochlear implantation. Throughout, they highlight the importance of individualized patient care, multidisciplinary teamwork, and the growing role of local anesthesia in otologic surgery. --- Resources Cochlear Implantation Under Local Anesthesia With Conscious Sedation in the Elderly: First 100 Caseshttps://pubmed.ncbi.nlm.nih.gov/32663339/ Cochlear implantation under local anesthesia in 117 cases: patients' subjective experience and outcomeshttps://pubmed.ncbi.nlm.nih.gov/34487218/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Have you considered performing a cochlear implant while your patient is awake? In this episode of the Backtable ENT & Allergy Podcast, Dr. Walter Kutz and Dr. Brandon Isaacson sit down with Dr. Sarah Mowry to explore her protocol for cochlear implants under local anesthesia, an approach especially relevant for older adults concerned about the cognitive risks of general anesthesia. Dr. Mowry shares her criteria for patient selection, preoperative counseling strategies, and how she adapts the OR setup to maximize comfort and communication during awake surgery.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:06 - Why to Consider Awake Cochlear Implants
05:32 - Indications for Awake CI
08:50 - Local Blocks and Pain Control
10:58 - Counseling and Expectations
14:40 - Preventing Intraoperative Vertigo and Converting to General Anesthesia
17:17 - Set Up and Communication with Patient
19:14 - Lesser Occipital Nerve Block and Potential Role of Processed EEG
26:32 - Pitch Matching for Single-Sided Deafness, CI, and Anxiety Considerations
29:00 - Feedback from Patients and Electrode Choice
31:30 - Advice to Surgeons and Closing Remarks


---


More about this episode


The conversation covers her anesthesia protocol, including lesser occipital and postauricular nerve blocks, minimizing propofol, and using topical 2% lidocaine in sensate areas like the facial recess and epitympanum. Dr. Mowry discusses practical strategies of using warmed irrigation to reduce intraoperative vertigo and contingency plans for conversion to general anesthesia. She discusses electrode considerations and the potential role of processed EEG to titrate anesthesia depth and practical tips for surgeons interested in adopting awake cochlear implantation. Throughout, they highlight the importance of individualized patient care, multidisciplinary teamwork, and the growing role of local anesthesia in otologic surgery.



---


Resources


Cochlear Implantation Under Local Anesthesia With Conscious Sedation in the Elderly: First 100 Cases
https://pubmed.ncbi.nlm.nih.gov/32663339/


Cochlear implantation under local anesthesia in 117 cases: patients' subjective experience and outcomes
https://pubmed.ncbi.nlm.nih.gov/34487218/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 2177 Ep. 281 Expert Insight on Congenital CMV & Pediatric Hearing Loss with Dr. Albert Park Did you know that congenital CMV-related hearing loss can develop several years after birth? On the BackTable ENT & Allergy Podcast, hosts Dr. Gopi Shah and Dr. Jeff Hyzer interview pediatric otolaryngologist Dr. Albert Park about the latest evidence on congenital CMV and its role in pediatric sensorineural hearing loss. The discussion covers diagnosis, risk factors, screening protocols, testing strategies, antiviral treatment, genetic workup, long-term surveillance, and future directions for early detection and prevention. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:47 - Basics of CMV Infections and Hearing Loss Presentation 07:57 - CMV Screening Workflow 11:33 - Saliva vs. Urine Based Screening 14:00 - Early Workup and Communication 19:37 - Late Onset Workup and Use of Antivirals 24:39 - Treatment with Antiviral Medications 27:22 - Head Ultrasound vs. MRI 30:06 - Role of Genetic Testing 32:47 - Surveillance and Progression Risk37:29 - CI Outcomes and Predictors42:18 - BAHA and Older Candidates45:44 - Awareness, Prevention Efforts, and Education 54:25 - Vaccines and Universal Screening Pitfalls 57:40 - Advocacy and Closing Thoughts --- More about this episode Dr. Park explains the differences between congenital and acquired CMV, reviews epidemiology and, and highlights that hearing loss may be present at birth or develop later in childhood. He discusses Utah’s evolution from hearing-targeted CMV testing to universal NICU screening, emphasizing the importance of diagnosis within the first 21 days of life. The conversation covers saliva versus urine testing, dried blood spot testing, and the role of a multidisciplinary team in evaluation and management. Dr. Park also reviews antiviral treatment strategies, imaging and genetic testing considerations, audiologic surveillance, and cochlear implantation outcomes. Finally, he discusses ongoing advocacy efforts, emerging prenatal screening technologies, and future directions and challenges for CMV prevention and early detection. --- Resources Nance & Morton NEJM Paper Cited - 20% of Congenital SNHL linked to Congenital CMV https://www.nejm.org/doi/full/10.1056/NEJMra050700 Dr.Kimberlin’s work supporting antiviral treatment for 6 months https://www.nejm.org/doi/full/10.1056/NEJMoa1404599?utm_source=openevidence Dr.Vossen’s antiviral therapy research https://pubmed.ncbi.nlm.nih.gov/38336204/ AAP Red Book https://publications.aap.org/redbook Dr. Smith’s Research - Genetic Testing for Congenital Bilateral Hearing Loss in the Context of Targeted Cytomegalovirus Screeninghttps://pubmed.ncbi.nlm.nih.gov/31985074/ Dr.Park’s Research Congenital Cytomegalovirus Testing Outcomes From the ValEAR Trialhttps://pubmed.ncbi.nlm.nih.gov/38415855/ Dr.Park’s Research - Analysis of an Expanded Targeted Early Cytomegalovirus Testing Programhttps://pubmed.ncbi.nlm.nih.gov/36884018/ Dr.Foulon - Hearing Loss With Congenital Cytomegalovirus Infectionhttps://pubmed.ncbi.nlm.nih.gov/31266824/ Research about the use of Vaclovir to reduce vertical transmissionhttps://pubmed.ncbi.nlm.nih.gov/32919517/ Dr.Gantt’s research on the Ping-Pong Effecthttps://pubmed.ncbi.nlm.nih.gov/29889809/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 07 Jul 2026 07:00:00 -0000 full BackTable Inc. Did you know that congenital CMV-related hearing loss can develop several years after birth? On the BackTable ENT & Allergy Podcast, hosts Dr. Gopi Shah and Dr. Jeff Hyzer interview pediatric otolaryngologist Dr. Albert Park about the latest evidence on congenital CMV and its role in pediatric sensorineural hearing loss. The discussion covers diagnosis, risk factors, screening protocols, testing strategies, antiviral treatment, genetic workup, long-term surveillance, and future directions for early detection and prevention. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:47 - Basics of CMV Infections and Hearing Loss Presentation 07:57 - CMV Screening Workflow 11:33 - Saliva vs. Urine Based Screening 14:00 - Early Workup and Communication 19:37 - Late Onset Workup and Use of Antivirals 24:39 - Treatment with Antiviral Medications 27:22 - Head Ultrasound vs. MRI 30:06 - Role of Genetic Testing 32:47 - Surveillance and Progression Risk37:29 - CI Outcomes and Predictors42:18 - BAHA and Older Candidates45:44 - Awareness, Prevention Efforts, and Education 54:25 - Vaccines and Universal Screening Pitfalls 57:40 - Advocacy and Closing Thoughts --- More about this episode Dr. Park explains the differences between congenital and acquired CMV, reviews epidemiology and, and highlights that hearing loss may be present at birth or develop later in childhood. He discusses Utah’s evolution from hearing-targeted CMV testing to universal NICU screening, emphasizing the importance of diagnosis within the first 21 days of life. The conversation covers saliva versus urine testing, dried blood spot testing, and the role of a multidisciplinary team in evaluation and management. Dr. Park also reviews antiviral treatment strategies, imaging and genetic testing considerations, audiologic surveillance, and cochlear implantation outcomes. Finally, he discusses ongoing advocacy efforts, emerging prenatal screening technologies, and future directions and challenges for CMV prevention and early detection. --- Resources Nance & Morton NEJM Paper Cited - 20% of Congenital SNHL linked to Congenital CMV https://www.nejm.org/doi/full/10.1056/NEJMra050700 Dr.Kimberlin’s work supporting antiviral treatment for 6 months https://www.nejm.org/doi/full/10.1056/NEJMoa1404599?utm_source=openevidence Dr.Vossen’s antiviral therapy research https://pubmed.ncbi.nlm.nih.gov/38336204/ AAP Red Book https://publications.aap.org/redbook Dr. Smith’s Research - Genetic Testing for Congenital Bilateral Hearing Loss in the Context of Targeted Cytomegalovirus Screeninghttps://pubmed.ncbi.nlm.nih.gov/31985074/ Dr.Park’s Research Congenital Cytomegalovirus Testing Outcomes From the ValEAR Trialhttps://pubmed.ncbi.nlm.nih.gov/38415855/ Dr.Park’s Research - Analysis of an Expanded Targeted Early Cytomegalovirus Testing Programhttps://pubmed.ncbi.nlm.nih.gov/36884018/ Dr.Foulon - Hearing Loss With Congenital Cytomegalovirus Infectionhttps://pubmed.ncbi.nlm.nih.gov/31266824/ Research about the use of Vaclovir to reduce vertical transmissionhttps://pubmed.ncbi.nlm.nih.gov/32919517/ Dr.Gantt’s research on the Ping-Pong Effecthttps://pubmed.ncbi.nlm.nih.gov/29889809/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Did you know that congenital CMV-related hearing loss can develop several years after birth? On the BackTable ENT & Allergy Podcast, hosts Dr. Gopi Shah and Dr. Jeff Hyzer interview pediatric otolaryngologist Dr. Albert Park about the latest evidence on congenital CMV and its role in pediatric sensorineural hearing loss. The discussion covers diagnosis, risk factors, screening protocols, testing strategies, antiviral treatment, genetic workup, long-term surveillance, and future directions for early detection and prevention.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:47 - Basics of CMV Infections and Hearing Loss Presentation
07:57 - CMV Screening Workflow
11:33 - Saliva vs. Urine Based Screening
14:00 - Early Workup and Communication
19:37 - Late Onset Workup and Use of Antivirals
24:39 - Treatment with Antiviral Medications
27:22 - Head Ultrasound vs. MRI
30:06 - Role of Genetic Testing
32:47 - Surveillance and Progression Risk
37:29 - CI Outcomes and Predictors
42:18 - BAHA and Older Candidates
45:44 - Awareness, Prevention Efforts, and Education
54:25 - Vaccines and Universal Screening Pitfalls
57:40 - Advocacy and Closing Thoughts


---


More about this episode


Dr. Park explains the differences between congenital and acquired CMV, reviews epidemiology and, and highlights that hearing loss may be present at birth or develop later in childhood. He discusses Utah’s evolution from hearing-targeted CMV testing to universal NICU screening, emphasizing the importance of diagnosis within the first 21 days of life. The conversation covers saliva versus urine testing, dried blood spot testing, and the role of a multidisciplinary team in evaluation and management. Dr. Park also reviews antiviral treatment strategies, imaging and genetic testing considerations, audiologic surveillance, and cochlear implantation outcomes. Finally, he discusses ongoing advocacy efforts, emerging prenatal screening technologies, and future directions and challenges for CMV prevention and early detection.


---


Resources


Nance & Morton NEJM Paper Cited - 20% of Congenital SNHL linked to Congenital CMV
https://www.nejm.org/doi/full/10.1056/NEJMra050700


Dr.Kimberlin’s work supporting antiviral treatment for 6 months
https://www.nejm.org/doi/full/10.1056/NEJMoa1404599?utm_source=openevidence


Dr.Vossen’s antiviral therapy research
https://pubmed.ncbi.nlm.nih.gov/38336204/


AAP Red Book
https://publications.aap.org/redbook


Dr. Smith’s Research - Genetic Testing for Congenital Bilateral Hearing Loss in the Context of Targeted Cytomegalovirus Screening
https://pubmed.ncbi.nlm.nih.gov/31985074/


Dr.Park’s Research Congenital Cytomegalovirus Testing Outcomes From the ValEAR Trial
https://pubmed.ncbi.nlm.nih.gov/38415855/


Dr.Park’s Research - Analysis of an Expanded Targeted Early Cytomegalovirus Testing Program
https://pubmed.ncbi.nlm.nih.gov/36884018/


Dr.Foulon - Hearing Loss With Congenital Cytomegalovirus Infection
https://pubmed.ncbi.nlm.nih.gov/31266824/


Research about the use of Vaclovir to reduce vertical transmission
https://pubmed.ncbi.nlm.nih.gov/32919517/


Dr.Gantt’s research on the Ping-Pong Effect
https://pubmed.ncbi.nlm.nih.gov/29889809/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3714 Ep. 280 Leadership Through Resiliency & Mentorship with Dr. Troy Woodard Every leader has a story. The experiences, mentors, and moments along the way shape not only who we become, but how we lead. In this episode of BackTable ENT and Allergy, Drs. Ashley Agan and Gopi Shah interview internationally renowned rhinologist Dr. Troy Woodard about his leadership journey and the lessons learned along the way. Together, they explore how leadership is about actions rather than titles, the value of national involvement, and the importance of embracing change and personal growth throughout a career. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:20 - From Fan Moment to Bio04:15 - Early Leadership Roots06:40 - Lead Without a Title08:43 - Finding Leadership Itch14:56 - Burnout and the Pivot19:16 - Coaching and Victim Mindset22:31 - FMLA Reset and Purpose Shift27:11 - Letting Go to Grow30:14 - Listening Tour at Buffalo33:59 - DEI and Minority Leadership35:47 - Mentorship and Leaky Pipeline39:48 - Purpose Through Outreach44:28 - Respectful Change Leadership47:25 - Emotional Intelligence Growth50:27 - Advice for New Leaders52:53 - Handling Dream Crushers56:50 - Imposter Syndrome Breakthrough01:01:01 - Leadership Impact and Closing Remarks --- More about this episode Dr. Woodard describes early leadership roles, being raised by a single mother, the mentors who impacted his career, and how responsibility and service shaped his work ethic. He explains that leadership doesn’t require a title and recounts pivoting from limited departmental opportunities to national involvement through the Academy and ARS, including advocacy work. Woodard discusses burnout, executive coaching, emotional intelligence, delegation, mentorship and ultimately, how recognizing and embracing a changing purpose mid-career is a normal part of professional growth. Now Chair of Otolaryngology-Head and Neck Surgery at the University at Buffalo, he practices “listening tours,” mentors faculty, and emphasizes how diversity drives excellence while highlighting mentorship and pipeline development. --- Resources Dr. Troy Woodard’s Public Emailtwoodard@buffalo.edu --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 30 Jun 2026 07:00:00 -0000 full BackTable Inc. Every leader has a story. The experiences, mentors, and moments along the way shape not only who we become, but how we lead. In this episode of BackTable ENT and Allergy, Drs. Ashley Agan and Gopi Shah interview internationally renowned rhinologist Dr. Troy Woodard about his leadership journey and the lessons learned along the way. Together, they explore how leadership is about actions rather than titles, the value of national involvement, and the importance of embracing change and personal growth throughout a career. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:20 - From Fan Moment to Bio04:15 - Early Leadership Roots06:40 - Lead Without a Title08:43 - Finding Leadership Itch14:56 - Burnout and the Pivot19:16 - Coaching and Victim Mindset22:31 - FMLA Reset and Purpose Shift27:11 - Letting Go to Grow30:14 - Listening Tour at Buffalo33:59 - DEI and Minority Leadership35:47 - Mentorship and Leaky Pipeline39:48 - Purpose Through Outreach44:28 - Respectful Change Leadership47:25 - Emotional Intelligence Growth50:27 - Advice for New Leaders52:53 - Handling Dream Crushers56:50 - Imposter Syndrome Breakthrough01:01:01 - Leadership Impact and Closing Remarks --- More about this episode Dr. Woodard describes early leadership roles, being raised by a single mother, the mentors who impacted his career, and how responsibility and service shaped his work ethic. He explains that leadership doesn’t require a title and recounts pivoting from limited departmental opportunities to national involvement through the Academy and ARS, including advocacy work. Woodard discusses burnout, executive coaching, emotional intelligence, delegation, mentorship and ultimately, how recognizing and embracing a changing purpose mid-career is a normal part of professional growth. Now Chair of Otolaryngology-Head and Neck Surgery at the University at Buffalo, he practices “listening tours,” mentors faculty, and emphasizes how diversity drives excellence while highlighting mentorship and pipeline development. --- Resources Dr. Troy Woodard’s Public Emailtwoodard@buffalo.edu --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Every leader has a story. The experiences, mentors, and moments along the way shape not only who we become, but how we lead. In this episode of BackTable ENT and Allergy, Drs. Ashley Agan and Gopi Shah interview internationally renowned rhinologist Dr. Troy Woodard about his leadership journey and the lessons learned along the way. Together, they explore how leadership is about actions rather than titles, the value of national involvement, and the importance of embracing change and personal growth throughout a career.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:20 - From Fan Moment to Bio
04:15 - Early Leadership Roots
06:40 - Lead Without a Title
08:43 - Finding Leadership Itch
14:56 - Burnout and the Pivot
19:16 - Coaching and Victim Mindset
22:31 - FMLA Reset and Purpose Shift
27:11 - Letting Go to Grow
30:14 - Listening Tour at Buffalo
33:59 - DEI and Minority Leadership
35:47 - Mentorship and Leaky Pipeline
39:48 - Purpose Through Outreach
44:28 - Respectful Change Leadership
47:25 - Emotional Intelligence Growth
50:27 - Advice for New Leaders
52:53 - Handling Dream Crushers
56:50 - Imposter Syndrome Breakthrough
01:01:01 - Leadership Impact and Closing Remarks


---


More about this episode


Dr. Woodard describes early leadership roles, being raised by a single mother, the mentors who impacted his career, and how responsibility and service shaped his work ethic. He explains that leadership doesn’t require a title and recounts pivoting from limited departmental opportunities to national involvement through the Academy and ARS, including advocacy work. Woodard discusses burnout, executive coaching, emotional intelligence, delegation, mentorship and ultimately, how recognizing and embracing a changing purpose mid-career is a normal part of professional growth. Now Chair of Otolaryngology-Head and Neck Surgery at the University at Buffalo, he practices “listening tours,” mentors faculty, and emphasizes how diversity drives excellence while highlighting mentorship and pipeline development.


---


Resources


Dr. Troy Woodard’s Public Email
twoodard@buffalo.edu


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3865 Ep. 279 Collaborative Care in Chronic Sinusitis & Allergies with Dr. Karen Kaufman When should recurrent sinus infections trigger an allergy or immune workup? In this episode of the BackTable ENT and Allergy podcast, Dr. Karen Kaufman of Kaufman Allergy, Asthma, & Immunology in Vienna, Virginia, sits down with Dr. Ashley Agan to discuss chronic sinusitis evaluation, allergy testing, immunotherapy, immune deficiency screening, and building a private practice. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:53 - Chronic Sinusitis Basics06:44 - Sinusitis Types and Polyps10:18 - Testing and Treatment Plan18:40 - When to Suspect Immunodeficiency25:44 - Allergy Testing Methods38:39 - Why Go Solo43:10 - Practice Growth, Visibility, Team Building, and Systems51:55 - ENT and Allergy Collaboration55:50 - Closing Remarks --- More about this episode Dr. Kaufman explains how to distinguish chronic sinusitis from other causes of nasal and facial symptoms, when to evaluate for allergy and immune dysfunction, and how sinusitis phenotypes influence treatment decisions. She also shares her experience launching a private practice during the pandemic and discusses strategies for practice growth through community engagement, increased visibility, and social media. --- Resources Dr. Karen Kaufman - https://kaufmanallergy.com/ Jeffery Modell Foundation 10 Warning Signs of Primary Immunodeficiency - https://www.uhhospitals.org/-/media/files/rainbow/services/allergy-and-immunology/10warningsigns.pdf --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 23 Jun 2026 07:00:00 -0000 full BackTable Inc. When should recurrent sinus infections trigger an allergy or immune workup? In this episode of the BackTable ENT and Allergy podcast, Dr. Karen Kaufman of Kaufman Allergy, Asthma, & Immunology in Vienna, Virginia, sits down with Dr. Ashley Agan to discuss chronic sinusitis evaluation, allergy testing, immunotherapy, immune deficiency screening, and building a private practice. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:53 - Chronic Sinusitis Basics06:44 - Sinusitis Types and Polyps10:18 - Testing and Treatment Plan18:40 - When to Suspect Immunodeficiency25:44 - Allergy Testing Methods38:39 - Why Go Solo43:10 - Practice Growth, Visibility, Team Building, and Systems51:55 - ENT and Allergy Collaboration55:50 - Closing Remarks --- More about this episode Dr. Kaufman explains how to distinguish chronic sinusitis from other causes of nasal and facial symptoms, when to evaluate for allergy and immune dysfunction, and how sinusitis phenotypes influence treatment decisions. She also shares her experience launching a private practice during the pandemic and discusses strategies for practice growth through community engagement, increased visibility, and social media. --- Resources Dr. Karen Kaufman - https://kaufmanallergy.com/ Jeffery Modell Foundation 10 Warning Signs of Primary Immunodeficiency - https://www.uhhospitals.org/-/media/files/rainbow/services/allergy-and-immunology/10warningsigns.pdf --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app When should recurrent sinus infections trigger an allergy or immune workup? In this episode of the BackTable ENT and Allergy podcast, Dr. Karen Kaufman of Kaufman Allergy, Asthma, & Immunology in Vienna, Virginia, sits down with Dr. Ashley Agan to discuss chronic sinusitis evaluation, allergy testing, immunotherapy, immune deficiency screening, and building a private practice.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:53 - Chronic Sinusitis Basics
06:44 - Sinusitis Types and Polyps
10:18 - Testing and Treatment Plan
18:40 - When to Suspect Immunodeficiency
25:44 - Allergy Testing Methods
38:39 - Why Go Solo
43:10 - Practice Growth, Visibility, Team Building, and Systems
51:55 - ENT and Allergy Collaboration
55:50 - Closing Remarks


---


More about this episode


Dr. Kaufman explains how to distinguish chronic sinusitis from other causes of nasal and facial symptoms, when to evaluate for allergy and immune dysfunction, and how sinusitis phenotypes influence treatment decisions. She also shares her experience launching a private practice during the pandemic and discusses strategies for practice growth through community engagement, increased visibility, and social media.


---


Resources


Dr. Karen Kaufman - https://kaufmanallergy.com/


Jeffery Modell Foundation 10 Warning Signs of Primary Immunodeficiency - https://www.uhhospitals.org/-/media/files/rainbow/services/allergy-and-immunology/10warningsigns.pdf


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3522 Ep. 278 Comprehensive Evaluation and Surgical Management of Nasal Septal Perforations with Dr. Oswaldo Henriquez Septal perforations can be deceptively challenging, with a wide range of etiologies, symptoms, and treatment options to consider. In this episode of BackTable ENT and Allergy podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah interview Dr. Oswaldo Henriquez, a board-certified otolaryngologist and rhinologist at WellStar Health System in Atlanta, to explore the complexities of evaluating and managing nasal septal perforations. The conversation covers how perforation size and location shape symptoms, the most common causes including iatrogenic trauma and chronic nose picking, and a thorough, stepwise approach to diagnosis and treatment. ---Get the BackTable apphttps://www.backtable.com/app --- Timestamps00:00 - Introduction03:01 - Septal Perforations Overview07:58 - Causes and Risk Factors13:26 - History Red Flags and Differential Diagnosis16:28 - Exam and Documentation Tips21:22 - Labs Biopsy and Imaging Workup31:19 - Conservative Care and Septal Buttons34:20 - Surgery Candidacy and Counseling41:35 - Surgical Techniques Landscape47:38 - Scaffolds and Grafts49:07 - Septal Blood Supply Map53:00 - CAT Scan Planning Tips55:15 - AEA Flap Technique01:05:22 - Real Case Walkthrough01:10:41 - Postop Care and Swelling01:20:44 - Pitfalls and Success Rates01:24:09 - Wrap Up --- More about this episodeDr. Henriquez outlines the key components of a comprehensive workup, including endoscopic exam, measurement, biopsy, and CT imaging for surgical planning. He discusses management options from conservative care and septal buttons to advanced endoscopic pedicled flap repairs, sharing insight on surgical techniques, success rates, splinting, and post-op care. The episode provides practical tips for physicians at any career stage looking to refine their approach to septal perforations, from diagnosis through recovery. --- ResourcesENT Animationshttps://www.youtube.com/@Dr.IsamAlobid --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.► https://www.backtable.com/app Tue, 16 Jun 2026 07:00:00 -0000 full BackTable Inc. Septal perforations can be deceptively challenging, with a wide range of etiologies, symptoms, and treatment options to consider. In this episode of BackTable ENT and Allergy podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah interview Dr. Oswaldo Henriquez, a board-certified otolaryngologist and rhinologist at WellStar Health System in Atlanta, to explore the complexities of evaluating and managing nasal septal perforations. The conversation covers how perforation size and location shape symptoms, the most common causes including iatrogenic trauma and chronic nose picking, and a thorough, stepwise approach to diagnosis and treatment. ---Get the BackTable apphttps://www.backtable.com/app --- Timestamps00:00 - Introduction03:01 - Septal Perforations Overview07:58 - Causes and Risk Factors13:26 - History Red Flags and Differential Diagnosis16:28 - Exam and Documentation Tips21:22 - Labs Biopsy and Imaging Workup31:19 - Conservative Care and Septal Buttons34:20 - Surgery Candidacy and Counseling41:35 - Surgical Techniques Landscape47:38 - Scaffolds and Grafts49:07 - Septal Blood Supply Map53:00 - CAT Scan Planning Tips55:15 - AEA Flap Technique01:05:22 - Real Case Walkthrough01:10:41 - Postop Care and Swelling01:20:44 - Pitfalls and Success Rates01:24:09 - Wrap Up --- More about this episodeDr. Henriquez outlines the key components of a comprehensive workup, including endoscopic exam, measurement, biopsy, and CT imaging for surgical planning. He discusses management options from conservative care and septal buttons to advanced endoscopic pedicled flap repairs, sharing insight on surgical techniques, success rates, splinting, and post-op care. The episode provides practical tips for physicians at any career stage looking to refine their approach to septal perforations, from diagnosis through recovery. --- ResourcesENT Animationshttps://www.youtube.com/@Dr.IsamAlobid --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.► https://www.backtable.com/app Septal perforations can be deceptively challenging, with a wide range of etiologies, symptoms, and treatment options to consider. In this episode of BackTable ENT and Allergy podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah interview Dr. Oswaldo Henriquez, a board-certified otolaryngologist and rhinologist at WellStar Health System in Atlanta, to explore the complexities of evaluating and managing nasal septal perforations. The conversation covers how perforation size and location shape symptoms, the most common causes including iatrogenic trauma and chronic nose picking, and a thorough, stepwise approach to diagnosis and treatment.

---
Get the BackTable app
https://www.backtable.com/app

---

Timestamps
00:00 - Introduction
03:01 - Septal Perforations Overview
07:58 - Causes and Risk Factors
13:26 - History Red Flags and Differential Diagnosis
16:28 - Exam and Documentation Tips
21:22 - Labs Biopsy and Imaging Workup
31:19 - Conservative Care and Septal Buttons
34:20 - Surgery Candidacy and Counseling
41:35 - Surgical Techniques Landscape
47:38 - Scaffolds and Grafts
49:07 - Septal Blood Supply Map
53:00 - CAT Scan Planning Tips
55:15 - AEA Flap Technique
01:05:22 - Real Case Walkthrough
01:10:41 - Postop Care and Swelling
01:20:44 - Pitfalls and Success Rates
01:24:09 - Wrap Up

---

More about this episode
Dr. Henriquez outlines the key components of a comprehensive workup, including endoscopic exam, measurement, biopsy, and CT imaging for surgical planning. He discusses management options from conservative care and septal buttons to advanced endoscopic pedicled flap repairs, sharing insight on surgical techniques, success rates, splinting, and post-op care. The episode provides practical tips for physicians at any career stage looking to refine their approach to septal perforations, from diagnosis through recovery.

---

Resources
ENT Animations
https://www.youtube.com/@Dr.IsamAlobid

---

BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.

Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.
► https://www.backtable.com/app

]]> 5322 Ep. 277 Molecular Diagnostics for Thyroid Nodules with Dr. Erik Alexander For years, an indeterminate thyroid biopsy meant diagnostic surgery but molecular testing is now changing that reality entirely. On this episode of the BackTable ENT podcast, Dr. Ashley Agan interviews endocrinologist Dr. Erik Alexander about how molecular testing and a systematic, layered approach to thyroid nodule evaluation are reducing diagnostic surgeries and enabling more individualized patient care. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Veracytehttps://www.veracyte.com/ --- Timestamps 00:00 - Introduction02:48 - Incidence, Presentation, and Workup of Thyroid Nodules 06:26 - Hormonal Impact and Indications for FNA 10:49 - FNA workflow and Bethesda Categories 16:10 - Role of Molecular Testing for Indeterminate Nodules19:59 - Evolution of Molecular Testing and Afirma 23:51 - Basics of DNA based Testing and RNA based Testing 28:34 - Comparing DNA based and RNA Based Testing 32:10 - Utility of Molecular Testing and Sampling Techniques 35:55 - Cost Coverage and Practical Limits39:20 - Clinical Implications and Future Impact42:00 - Final Takeaways --- More about this episode Together they walk through the full evaluation pathway, including ultrasound risk stratification using the TI-RADS criteria, the role of TSH testing, and how FNA indications have shifted from biopsying every solid nodule to a more selective, risk-adapted approach. The discussion covers the Bethesda classification system and addresses why the one-third of patients landing in indeterminate categories (Bethesda III, IV, and V) have historically been the most challenging and most overtreated group. The conversation then explores molecular diagnostics as an additional layer of risk assessment, highlighting key differences between DNA-based mutation panels and RNA-based expression classifiers. Dr. Alexander also discusses practical considerations like insurance coverage, sampling technique, turnaround time, and the future potential of molecular testing to move beyond diagnosis toward individualized prognosis. --- Resources American College of Radiology: TI-Rads Guidelines https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/TI-RADS/TI-RADS-Assessment-Categories.pdf American Thyroid Association - Nodule Guidelineshttps://pmc.ncbi.nlm.nih.gov/articles/PMC4739132/ Bethesda System for Reporting Thyroid Ctyopathology https://www.ncbi.nlm.nih.gov/books/NBK278969/table/thyroid-nod-canc-eld.T.bethesda_system_f/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 09 Jun 2026 07:00:00 -0000 full BackTable Inc. For years, an indeterminate thyroid biopsy meant diagnostic surgery but molecular testing is now changing that reality entirely. On this episode of the BackTable ENT podcast, Dr. Ashley Agan interviews endocrinologist Dr. Erik Alexander about how molecular testing and a systematic, layered approach to thyroid nodule evaluation are reducing diagnostic surgeries and enabling more individualized patient care. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Veracytehttps://www.veracyte.com/ --- Timestamps 00:00 - Introduction02:48 - Incidence, Presentation, and Workup of Thyroid Nodules 06:26 - Hormonal Impact and Indications for FNA 10:49 - FNA workflow and Bethesda Categories 16:10 - Role of Molecular Testing for Indeterminate Nodules19:59 - Evolution of Molecular Testing and Afirma 23:51 - Basics of DNA based Testing and RNA based Testing 28:34 - Comparing DNA based and RNA Based Testing 32:10 - Utility of Molecular Testing and Sampling Techniques 35:55 - Cost Coverage and Practical Limits39:20 - Clinical Implications and Future Impact42:00 - Final Takeaways --- More about this episode Together they walk through the full evaluation pathway, including ultrasound risk stratification using the TI-RADS criteria, the role of TSH testing, and how FNA indications have shifted from biopsying every solid nodule to a more selective, risk-adapted approach. The discussion covers the Bethesda classification system and addresses why the one-third of patients landing in indeterminate categories (Bethesda III, IV, and V) have historically been the most challenging and most overtreated group. The conversation then explores molecular diagnostics as an additional layer of risk assessment, highlighting key differences between DNA-based mutation panels and RNA-based expression classifiers. Dr. Alexander also discusses practical considerations like insurance coverage, sampling technique, turnaround time, and the future potential of molecular testing to move beyond diagnosis toward individualized prognosis. --- Resources American College of Radiology: TI-Rads Guidelines https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/TI-RADS/TI-RADS-Assessment-Categories.pdf American Thyroid Association - Nodule Guidelineshttps://pmc.ncbi.nlm.nih.gov/articles/PMC4739132/ Bethesda System for Reporting Thyroid Ctyopathology https://www.ncbi.nlm.nih.gov/books/NBK278969/table/thyroid-nod-canc-eld.T.bethesda_system_f/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app For years, an indeterminate thyroid biopsy meant diagnostic surgery but molecular testing is now changing that reality entirely. On this episode of the BackTable ENT podcast, Dr. Ashley Agan interviews endocrinologist Dr. Erik Alexander about how molecular testing and a systematic, layered approach to thyroid nodule evaluation are reducing diagnostic surgeries and enabling more individualized patient care.


---


Get the BackTable app
https://www.backtable.com/app


---


This podcast is supported by


Veracyte
https://www.veracyte.com/


---


Timestamps


00:00 - Introduction
02:48 - Incidence, Presentation, and Workup of Thyroid Nodules
06:26 - Hormonal Impact and Indications for FNA
10:49 - FNA workflow and Bethesda Categories
16:10 - Role of Molecular Testing for Indeterminate Nodules
19:59 - Evolution of Molecular Testing and Afirma
23:51 - Basics of DNA based Testing and RNA based Testing
28:34 - Comparing DNA based and RNA Based Testing
32:10 - Utility of Molecular Testing and Sampling Techniques
35:55 - Cost Coverage and Practical Limits
39:20 - Clinical Implications and Future Impact
42:00 - Final Takeaways


---


More about this episode


Together they walk through the full evaluation pathway, including ultrasound risk stratification using the TI-RADS criteria, the role of TSH testing, and how FNA indications have shifted from biopsying every solid nodule to a more selective, risk-adapted approach. The discussion covers the Bethesda classification system and addresses why the one-third of patients landing in indeterminate categories (Bethesda III, IV, and V) have historically been the most challenging and most overtreated group. The conversation then explores molecular diagnostics as an additional layer of risk assessment, highlighting key differences between DNA-based mutation panels and RNA-based expression classifiers. Dr. Alexander also discusses practical considerations like insurance coverage, sampling technique, turnaround time, and the future potential of molecular testing to move beyond diagnosis toward individualized prognosis.


---


Resources


American College of Radiology: TI-Rads Guidelines
https://edge.sitecorecloud.io/americancoldf5f-acrorgf92a-productioncb02-3650/media/ACR/Files/RADS/TI-RADS/TI-RADS-Assessment-Categories.pdf


American Thyroid Association - Nodule Guidelines
https://pmc.ncbi.nlm.nih.gov/articles/PMC4739132/


Bethesda System for Reporting Thyroid Ctyopathology
https://www.ncbi.nlm.nih.gov/books/NBK278969/table/thyroid-nod-canc-eld.T.bethesda_system_f/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 2709 Ep. 276 LPR vs. LPS: Key Differences & Diagnostic Techniques with Dr. Inna Husain Not all chronic cough, globus, or voice changes are due to reflux, so how do you distinguish laryngopharyngeal symptoms (LPS) from true laryngopharyngeal reflux disease (LPRD)? In this episode of the BackTable ENT & Allergy podcast, Dr. Ashley Agan interviews laryngologist Dr. Inna Husain about how nuanced diagnostic definitions and a careful clinical approach can improve patient outcomes and avoid both under- and overdiagnosis. Together, they discuss the differences between GERD and LPRD, review the importance of detailed patient histories, endoscopic findings, and the evolving role of biomarkers like pepsin. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:14 - LPS Versus LPR Basics06:34 - GERD Versus LPRD11:28 - Clinic Workup and Scoping18:02 - San Diego Consensus Debate24:14 - Testing Over Empiric PPIs31:45 - Managing Proven Reflux34:59 - Stroboscopy Before Surgery36:10 - Pepsin Therapies and Tests39:54 - What Counts as Abnormal Reflux44:24 - Tapering Off PPIs Safely50:12 - Long Term Plan and Dietitians55:39 - GLP One Drugs and Reflux57:34 - Menopause Rhinitis and Hormones01:00:09 - Final Pearl For ENTs --- More about this episode They outline contemporary workup strategies, including the San Diego Consensus on Bravo testing, 24-hour pH impedance, and alternatives for negative reflux testing. The conversation covers management strategies, from selective PPIs and lifestyle tailoring to emerging therapies and the impact of GLP-1 drugs, helping ENT specialists refine their approach to complex laryngopharyngeal complaints. --- Resources San Diego Consensus for LPS and LPRD:https://doi.org/10.14309/ajg.0000000000003482 Dr. Inna Husainhttps://innahusainmd.com/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 02 Jun 2026 07:00:00 -0000 full BackTable Inc. Not all chronic cough, globus, or voice changes are due to reflux, so how do you distinguish laryngopharyngeal symptoms (LPS) from true laryngopharyngeal reflux disease (LPRD)? In this episode of the BackTable ENT & Allergy podcast, Dr. Ashley Agan interviews laryngologist Dr. Inna Husain about how nuanced diagnostic definitions and a careful clinical approach can improve patient outcomes and avoid both under- and overdiagnosis. Together, they discuss the differences between GERD and LPRD, review the importance of detailed patient histories, endoscopic findings, and the evolving role of biomarkers like pepsin. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:14 - LPS Versus LPR Basics06:34 - GERD Versus LPRD11:28 - Clinic Workup and Scoping18:02 - San Diego Consensus Debate24:14 - Testing Over Empiric PPIs31:45 - Managing Proven Reflux34:59 - Stroboscopy Before Surgery36:10 - Pepsin Therapies and Tests39:54 - What Counts as Abnormal Reflux44:24 - Tapering Off PPIs Safely50:12 - Long Term Plan and Dietitians55:39 - GLP One Drugs and Reflux57:34 - Menopause Rhinitis and Hormones01:00:09 - Final Pearl For ENTs --- More about this episode They outline contemporary workup strategies, including the San Diego Consensus on Bravo testing, 24-hour pH impedance, and alternatives for negative reflux testing. The conversation covers management strategies, from selective PPIs and lifestyle tailoring to emerging therapies and the impact of GLP-1 drugs, helping ENT specialists refine their approach to complex laryngopharyngeal complaints. --- Resources San Diego Consensus for LPS and LPRD:https://doi.org/10.14309/ajg.0000000000003482 Dr. Inna Husainhttps://innahusainmd.com/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Not all chronic cough, globus, or voice changes are due to reflux, so how do you distinguish laryngopharyngeal symptoms (LPS) from true laryngopharyngeal reflux disease (LPRD)? In this episode of the BackTable ENT & Allergy podcast, Dr. Ashley Agan interviews laryngologist Dr. Inna Husain about how nuanced diagnostic definitions and a careful clinical approach can improve patient outcomes and avoid both under- and overdiagnosis. Together, they discuss the differences between GERD and LPRD, review the importance of detailed patient histories, endoscopic findings, and the evolving role of biomarkers like pepsin.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:14 - LPS Versus LPR Basics
06:34 - GERD Versus LPRD
11:28 - Clinic Workup and Scoping
18:02 - San Diego Consensus Debate
24:14 - Testing Over Empiric PPIs
31:45 - Managing Proven Reflux
34:59 - Stroboscopy Before Surgery
36:10 - Pepsin Therapies and Tests
39:54 - What Counts as Abnormal Reflux
44:24 - Tapering Off PPIs Safely
50:12 - Long Term Plan and Dietitians
55:39 - GLP One Drugs and Reflux
57:34 - Menopause Rhinitis and Hormones
01:00:09 - Final Pearl For ENTs


---


More about this episode


They outline contemporary workup strategies, including the San Diego Consensus on Bravo testing, 24-hour pH impedance, and alternatives for negative reflux testing. The conversation covers management strategies, from selective PPIs and lifestyle tailoring to emerging therapies and the impact of GLP-1 drugs, helping ENT specialists refine their approach to complex laryngopharyngeal complaints.


---


Resources


San Diego Consensus for LPS and LPRD:
https://doi.org/10.14309/ajg.0000000000003482


Dr. Inna Husain
https://innahusainmd.com/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3813 Ep. 275 Evaluation & Management of Unilateral Vocal Fold Paralysis in Adults with With such a wide range of presentations and severity, how do laryngologists approach the diagnosis and treatment of unilateral vocal fold paralysis? In this episode of the BackTable ENT and Allergy Podcast, Dr. Rebecca Howell, Laryngologist at the University of Cincinnati, joins Dr. Stephen Schoeff to discuss the evaluation and management of unilateral vocal fold paralysis. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:18 - Classic Symptoms of Vocal Fold Paralysis 04:15 - Etiology and Imaging Workup08:40 - Injection Timing and Materials23:20 - Permanent Options and Framework Surgery28:41 - Arytenoid Adduction Risks and When to Add Adduction30:56 - Awake Thyroplasty Technique compared to Sedation and OR Setup35:48 - Reinnervation and Bilateral Medialization Choices42:10 - Vocal Fold Long-term Injectables51:54 - Closing Remarks --- More about this episode Dr. Howell reviews the spectrum of patient presentations and common causes, including thoracic surgery, ACDF, thyroid surgery, intubation injuries, and idiopathic cases. She explains when to pursue imaging from brainstem to chest, how to set realistic recovery expectations, and the benefits of early intervention. The episode covers office-based injection augmentation, the pros and cons of injectable materials, and treatment durability, as well as risks like calcium hydroxylapatite. Long-term care options are discussed, including framework surgery, arytenoid adduction, bilateral approaches for vocal fold atrophy, reinnervation, and patient selection considerations. --- Resources Pathophysiology of Iatrogenic and idiopathic vocal fold paralysis may be distinct - Ted Mau: https://pubmed.ncbi.nlm.nih.gov/31498451/ Vocal Fold augmentation with injectable calcium hydroxylapatite - Clark Rosen: https://pubmed.ncbi.nlm.nih.gov/15331112/ Using High-Speed Videoendoscopy to Analyze Laryngeal closure parameters during normal swallow - Rebecca Howell: https://pubmed.ncbi.nlm.nih.gov/39659169/ Arytenoid abduction for bilateral vocal fold immobility - Gayle Woodson: https://pubmed.ncbi.nlm.nih.gov/22001662/ Laryngeal Reinnervation for Unilateral Vocal Fold Paralysis - Randal Paniello : https://profiles.wustl.edu/en/publications/laryngeal-reinnervation-for-unilateral-vocal-fold-paralysis/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 26 May 2026 07:00:00 -0000 full BackTable Inc. With such a wide range of presentations and severity, how do laryngologists approach the diagnosis and treatment of unilateral vocal fold paralysis? In this episode of the BackTable ENT and Allergy Podcast, Dr. Rebecca Howell, Laryngologist at the University of Cincinnati, joins Dr. Stephen Schoeff to discuss the evaluation and management of unilateral vocal fold paralysis. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:18 - Classic Symptoms of Vocal Fold Paralysis 04:15 - Etiology and Imaging Workup08:40 - Injection Timing and Materials23:20 - Permanent Options and Framework Surgery28:41 - Arytenoid Adduction Risks and When to Add Adduction30:56 - Awake Thyroplasty Technique compared to Sedation and OR Setup35:48 - Reinnervation and Bilateral Medialization Choices42:10 - Vocal Fold Long-term Injectables51:54 - Closing Remarks --- More about this episode Dr. Howell reviews the spectrum of patient presentations and common causes, including thoracic surgery, ACDF, thyroid surgery, intubation injuries, and idiopathic cases. She explains when to pursue imaging from brainstem to chest, how to set realistic recovery expectations, and the benefits of early intervention. The episode covers office-based injection augmentation, the pros and cons of injectable materials, and treatment durability, as well as risks like calcium hydroxylapatite. Long-term care options are discussed, including framework surgery, arytenoid adduction, bilateral approaches for vocal fold atrophy, reinnervation, and patient selection considerations. --- Resources Pathophysiology of Iatrogenic and idiopathic vocal fold paralysis may be distinct - Ted Mau: https://pubmed.ncbi.nlm.nih.gov/31498451/ Vocal Fold augmentation with injectable calcium hydroxylapatite - Clark Rosen: https://pubmed.ncbi.nlm.nih.gov/15331112/ Using High-Speed Videoendoscopy to Analyze Laryngeal closure parameters during normal swallow - Rebecca Howell: https://pubmed.ncbi.nlm.nih.gov/39659169/ Arytenoid abduction for bilateral vocal fold immobility - Gayle Woodson: https://pubmed.ncbi.nlm.nih.gov/22001662/ Laryngeal Reinnervation for Unilateral Vocal Fold Paralysis - Randal Paniello : https://profiles.wustl.edu/en/publications/laryngeal-reinnervation-for-unilateral-vocal-fold-paralysis/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app With such a wide range of presentations and severity, how do laryngologists approach the diagnosis and treatment of unilateral vocal fold paralysis? In this episode of the BackTable ENT and Allergy Podcast, Dr. Rebecca Howell, Laryngologist at the University of Cincinnati, joins Dr. Stephen Schoeff to discuss the evaluation and management of unilateral vocal fold paralysis.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:18 - Classic Symptoms of Vocal Fold Paralysis
04:15 - Etiology and Imaging Workup
08:40 - Injection Timing and Materials
23:20 - Permanent Options and Framework Surgery
28:41 - Arytenoid Adduction Risks and When to Add Adduction
30:56 - Awake Thyroplasty Technique compared to Sedation and OR Setup
35:48 - Reinnervation and Bilateral Medialization Choices
42:10 - Vocal Fold Long-term Injectables
51:54 - Closing Remarks


---


More about this episode


Dr. Howell reviews the spectrum of patient presentations and common causes, including thoracic surgery, ACDF, thyroid surgery, intubation injuries, and idiopathic cases. She explains when to pursue imaging from brainstem to chest, how to set realistic recovery expectations, and the benefits of early intervention. The episode covers office-based injection augmentation, the pros and cons of injectable materials, and treatment durability, as well as risks like calcium hydroxylapatite. Long-term care options are discussed, including framework surgery, arytenoid adduction, bilateral approaches for vocal fold atrophy, reinnervation, and patient selection considerations.


---


Resources


Pathophysiology of Iatrogenic and idiopathic vocal fold paralysis may be distinct - Ted Mau: https://pubmed.ncbi.nlm.nih.gov/31498451/


Vocal Fold augmentation with injectable calcium hydroxylapatite - Clark Rosen: https://pubmed.ncbi.nlm.nih.gov/15331112/


Using High-Speed Videoendoscopy to Analyze Laryngeal closure parameters during normal swallow - Rebecca Howell: https://pubmed.ncbi.nlm.nih.gov/39659169/


Arytenoid abduction for bilateral vocal fold immobility - Gayle Woodson: https://pubmed.ncbi.nlm.nih.gov/22001662/


Laryngeal Reinnervation for Unilateral Vocal Fold Paralysis - Randal Paniello : https://profiles.wustl.edu/en/publications/laryngeal-reinnervation-for-unilateral-vocal-fold-paralysis/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3233 Ep. 274 Pediatric Thyroid Nodules: Clinical Insights & Approaches with Dr. Wen Jiang Pediatric thyroid nodules are rare, but their risk of malignancy is significantly higher than in adults, raising the stakes for accurate diagnosis and multidisciplinary management. In this episode of the BackTable ENT Podcast Dr. Gopi Shah and co-host Dr. Jeff Hyzer interview Dr. Wen Jiang, pediatric otolaryngologist at Rady Children’s Hospital in San Diego, for an in-depth discussion on the evaluation and management of thyroid nodules in children. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:27 - Thyroid Nodule Risks and Care Team 06:47 - Age-related Differences in Nodule Presentation and Outcomes08:50 - Initial workup 13:42 - Ultrasound Interpretation16:07 - Lymph Node Mapping and CT19:58 - Incidental Findings24:14 - Role of FNA, Molecular Testing, and Radiofrequency Ablation32:40 - Molecular Testing Results and Counseling 38:04 - Neck Dissection Strategy40:44 - Hypocalcemia Protocol Considerations44:01 - Parathyroid and Recurrent Laryngeal Nerve Dissection Tips 47:33 - Postop Care and Follow-up 51:25 - Using Radioactive Iodine and Targeted Therapy 54:55 - AI’s and Ultrasound and Final Thoughts --- More about this episode Dr. Jiang highlights the key differences between pediatric and adult thyroid nodules. She describes her multidisciplinary approach including collaboration with radiology, pathology, endocrinology and nuclear medicine. The discussion reviews the initial workup for pediatric thyroid nodules and why ultrasound remains the primary diagnostic tool. She also discusses situations where CT with contrast can be helpful for surgical planning. This episode explores the growing role of reflex molecular testing in guiding management decisions and outlines the impacts of molecular testing results. Dr. Jiang shares her approach to patient counseling along with management of calcium and PTH after surgery. The conversation concludes with emerging applications of molecular diagnostics and AI models for improving thyroid ultrasound interpretation. --- Resources Dr. Jiang's Research on Pediatric Thyroid Nodule Management - https://pubmed.ncbi.nlm.nih.gov/26770219/ Bethesda System for Thyroid Cytopathology - https://pmc.ncbi.nlm.nih.gov/articles/PMC7182964/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 19 May 2026 07:00:00 -0000 full BackTable Inc. Pediatric thyroid nodules are rare, but their risk of malignancy is significantly higher than in adults, raising the stakes for accurate diagnosis and multidisciplinary management. In this episode of the BackTable ENT Podcast Dr. Gopi Shah and co-host Dr. Jeff Hyzer interview Dr. Wen Jiang, pediatric otolaryngologist at Rady Children’s Hospital in San Diego, for an in-depth discussion on the evaluation and management of thyroid nodules in children. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:27 - Thyroid Nodule Risks and Care Team 06:47 - Age-related Differences in Nodule Presentation and Outcomes08:50 - Initial workup 13:42 - Ultrasound Interpretation16:07 - Lymph Node Mapping and CT19:58 - Incidental Findings24:14 - Role of FNA, Molecular Testing, and Radiofrequency Ablation32:40 - Molecular Testing Results and Counseling 38:04 - Neck Dissection Strategy40:44 - Hypocalcemia Protocol Considerations44:01 - Parathyroid and Recurrent Laryngeal Nerve Dissection Tips 47:33 - Postop Care and Follow-up 51:25 - Using Radioactive Iodine and Targeted Therapy 54:55 - AI’s and Ultrasound and Final Thoughts --- More about this episode Dr. Jiang highlights the key differences between pediatric and adult thyroid nodules. She describes her multidisciplinary approach including collaboration with radiology, pathology, endocrinology and nuclear medicine. The discussion reviews the initial workup for pediatric thyroid nodules and why ultrasound remains the primary diagnostic tool. She also discusses situations where CT with contrast can be helpful for surgical planning. This episode explores the growing role of reflex molecular testing in guiding management decisions and outlines the impacts of molecular testing results. Dr. Jiang shares her approach to patient counseling along with management of calcium and PTH after surgery. The conversation concludes with emerging applications of molecular diagnostics and AI models for improving thyroid ultrasound interpretation. --- Resources Dr. Jiang's Research on Pediatric Thyroid Nodule Management - https://pubmed.ncbi.nlm.nih.gov/26770219/ Bethesda System for Thyroid Cytopathology - https://pmc.ncbi.nlm.nih.gov/articles/PMC7182964/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Pediatric thyroid nodules are rare, but their risk of malignancy is significantly higher than in adults, raising the stakes for accurate diagnosis and multidisciplinary management. In this episode of the BackTable ENT Podcast Dr. Gopi Shah and co-host Dr. Jeff Hyzer interview Dr. Wen Jiang, pediatric otolaryngologist at Rady Children’s Hospital in San Diego, for an in-depth discussion on the evaluation and management of thyroid nodules in children.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:27 - Thyroid Nodule Risks and Care Team
06:47 - Age-related Differences in Nodule Presentation and Outcomes
08:50 - Initial workup
13:42 - Ultrasound Interpretation
16:07 - Lymph Node Mapping and CT
19:58 - Incidental Findings
24:14 - Role of FNA, Molecular Testing, and Radiofrequency Ablation
32:40 - Molecular Testing Results and Counseling
38:04 - Neck Dissection Strategy
40:44 - Hypocalcemia Protocol Considerations
44:01 - Parathyroid and Recurrent Laryngeal Nerve Dissection Tips
47:33 - Postop Care and Follow-up
51:25 - Using Radioactive Iodine and Targeted Therapy
54:55 - AI’s and Ultrasound and Final Thoughts


---


More about this episode


Dr. Jiang highlights the key differences between pediatric and adult thyroid nodules. She describes her multidisciplinary approach including collaboration with radiology, pathology, endocrinology and nuclear medicine. The discussion reviews the initial workup for pediatric thyroid nodules and why ultrasound remains the primary diagnostic tool. She also discusses situations where CT with contrast can be helpful for surgical planning. This episode explores the growing role of reflex molecular testing in guiding management decisions and outlines the impacts of molecular testing results. Dr. Jiang shares her approach to patient counseling along with management of calcium and PTH after surgery. The conversation concludes with emerging applications of molecular diagnostics and AI models for improving thyroid ultrasound interpretation.


---


Resources


Dr. Jiang's Research on Pediatric Thyroid Nodule Management - https://pubmed.ncbi.nlm.nih.gov/26770219/


Bethesda System for Thyroid Cytopathology - https://pmc.ncbi.nlm.nih.gov/articles/PMC7182964/


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 3625 Ep. 273 Integrating Narrative Medicine into Patient Care with Dr. Alessandra Colaianni From clinic to the OR, storytelling quietly shapes every decision in clinical care. This episode of BackTable ENT & Allergy examines how narrative medicine and the stories at the heart of each patient encounter can elevate your clinical practice, enhance empathy, and deepen the doctor-patient relationship. Pediatric ENT Dr. Gopi Shah interviews Dr. Alessandra (Alessa) Colaianni, a head and neck surgical oncologist at the University of North Carolina, about the power and relevance of narrative medicine in modern surgical care. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction05:53 - What is Narrative Medicine? 11:36 - Narrative Medicine in Clinic 17:28 - Narrative Medicine in the OR21:09 - Patient Case Presentation and Boundaries 25:05 - Writing For Reflection and the impact of AI 29:35 - Resources And Podcasts33:19 - Final Takeaways --- More about this episode Dr. Colaianni is a published writer whose work has been featured in the New York Times, New Yorker, and the New England Journal of Medicine. She describes her lifelong interest in writing and shares how earning a master’s degree in the history and philosophy of science at the University of Cambridge during medical school helped her reconnect with the humanistic side of medicine. She reframes narrative medicine not as an extra task, but as an approach already woven into daily clinical work through history-taking, listening, and documentation. The conversation explores the influence of patient identity, socioeconomic context, and the “characters” in each patient’s story on clinical decisions and care. Dr. Colaianni reflects on the role of storytelling in surgical training, the apprenticeship model, and how thoughtful boundaries can foster meaningful doctor-patient relationships. The episode concludes with a discussion of AI’s potential impact on empathy and recommended reading for further exploration of narrative medicine. --- Resources Dr.Colaianni’s published work https://www.alessandracolaianni.com Columbia University Division of Narrative Medicine https://www.mhe.cuimc.columbia.edu/division-narrative-medicine Columbia University Narrative Medicine Youtube channel https://www.youtube.com/@columbiauniversitynarrativ8472 The Nocturnists podcast https://thenocturnists.org/podcast Autobiography of a Face by Lucy Grealey https://www.amazon.com/Autobiography-Face-Lucy-Grealy The Empathy Exams by Leslie Jameson https://www.graywolfpress.org/books/empathy-exams The Collected Schizophrenias Essays by Esmé Weijun Wanghttps://www.graywolfpress.org/books/collected-schizophrenias My Own Country: A Doctor’s Story by Abraham Verghese https://www.amazon.com/My-Own-Country-Doctors-Story --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 12 May 2026 07:00:00 -0000 full BackTable Inc. From clinic to the OR, storytelling quietly shapes every decision in clinical care. This episode of BackTable ENT & Allergy examines how narrative medicine and the stories at the heart of each patient encounter can elevate your clinical practice, enhance empathy, and deepen the doctor-patient relationship. Pediatric ENT Dr. Gopi Shah interviews Dr. Alessandra (Alessa) Colaianni, a head and neck surgical oncologist at the University of North Carolina, about the power and relevance of narrative medicine in modern surgical care. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction05:53 - What is Narrative Medicine? 11:36 - Narrative Medicine in Clinic 17:28 - Narrative Medicine in the OR21:09 - Patient Case Presentation and Boundaries 25:05 - Writing For Reflection and the impact of AI 29:35 - Resources And Podcasts33:19 - Final Takeaways --- More about this episode Dr. Colaianni is a published writer whose work has been featured in the New York Times, New Yorker, and the New England Journal of Medicine. She describes her lifelong interest in writing and shares how earning a master’s degree in the history and philosophy of science at the University of Cambridge during medical school helped her reconnect with the humanistic side of medicine. She reframes narrative medicine not as an extra task, but as an approach already woven into daily clinical work through history-taking, listening, and documentation. The conversation explores the influence of patient identity, socioeconomic context, and the “characters” in each patient’s story on clinical decisions and care. Dr. Colaianni reflects on the role of storytelling in surgical training, the apprenticeship model, and how thoughtful boundaries can foster meaningful doctor-patient relationships. The episode concludes with a discussion of AI’s potential impact on empathy and recommended reading for further exploration of narrative medicine. --- Resources Dr.Colaianni’s published work https://www.alessandracolaianni.com Columbia University Division of Narrative Medicine https://www.mhe.cuimc.columbia.edu/division-narrative-medicine Columbia University Narrative Medicine Youtube channel https://www.youtube.com/@columbiauniversitynarrativ8472 The Nocturnists podcast https://thenocturnists.org/podcast Autobiography of a Face by Lucy Grealey https://www.amazon.com/Autobiography-Face-Lucy-Grealy The Empathy Exams by Leslie Jameson https://www.graywolfpress.org/books/empathy-exams The Collected Schizophrenias Essays by Esmé Weijun Wanghttps://www.graywolfpress.org/books/collected-schizophrenias My Own Country: A Doctor’s Story by Abraham Verghese https://www.amazon.com/My-Own-Country-Doctors-Story --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app From clinic to the OR, storytelling quietly shapes every decision in clinical care. This episode of BackTable ENT & Allergy examines how narrative medicine and the stories at the heart of each patient encounter can elevate your clinical practice, enhance empathy, and deepen the doctor-patient relationship. Pediatric ENT Dr. Gopi Shah interviews Dr. Alessandra (Alessa) Colaianni, a head and neck surgical oncologist at the University of North Carolina, about the power and relevance of narrative medicine in modern surgical care.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
05:53 - What is Narrative Medicine?
11:36 - Narrative Medicine in Clinic
17:28 - Narrative Medicine in the OR
21:09 - Patient Case Presentation and Boundaries
25:05 - Writing For Reflection and the impact of AI
29:35 - Resources And Podcasts
33:19 - Final Takeaways


---


More about this episode


Dr. Colaianni is a published writer whose work has been featured in the New York Times, New Yorker, and the New England Journal of Medicine. She describes her lifelong interest in writing and shares how earning a master’s degree in the history and philosophy of science at the University of Cambridge during medical school helped her reconnect with the humanistic side of medicine. She reframes narrative medicine not as an extra task, but as an approach already woven into daily clinical work through history-taking, listening, and documentation. The conversation explores the influence of patient identity, socioeconomic context, and the “characters” in each patient’s story on clinical decisions and care. Dr. Colaianni reflects on the role of storytelling in surgical training, the apprenticeship model, and how thoughtful boundaries can foster meaningful doctor-patient relationships. The episode concludes with a discussion of AI’s potential impact on empathy and recommended reading for further exploration of narrative medicine.


---


Resources


Dr.Colaianni’s published work
https://www.alessandracolaianni.com


Columbia University Division of Narrative Medicine
https://www.mhe.cuimc.columbia.edu/division-narrative-medicine


Columbia University Narrative Medicine Youtube channel
https://www.youtube.com/@columbiauniversitynarrativ8472


The Nocturnists podcast
https://thenocturnists.org/podcast


Autobiography of a Face by Lucy Grealey
https://www.amazon.com/Autobiography-Face-Lucy-Grealy


The Empathy Exams by Leslie Jameson
https://www.graywolfpress.org/books/empathy-exams


The Collected Schizophrenias Essays by Esmé Weijun Wang
https://www.graywolfpress.org/books/collected-schizophrenias


My Own Country: A Doctor’s Story by Abraham Verghese
https://www.amazon.com/My-Own-Country-Doctors-Story


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 2169 Ep. 272 Allergy Education on Social Media and Beyond: Challenges and Strategies with Dr. Zachary Rubin From the clinic to the camera, discover how an allergist turned social media into a patient education powerhouse. On this week’s episode of the BackTable ENT & Allergy Podcast, allergist Dr. Zachary Rubin of Oak Brook Allergists joins host Dr. Basil Kahwash to discuss his path from fellowship training to becoming a widely followed social media educator and author of the New York Times bestselling book “All About Allergies”. He explains how the COVID-19 pandemic and the rapid spread of online medical misinformation inspired him to educate the public through social media, developing an authentic on-camera style and consistent brand that has expanded his reach far beyond the clinic. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction05:21 - Learning the Creator Playbook10:10 - Authenticity and Creating a Personal Brand16:51 - Writing for Patients and Clinicians20:41 - Balancing Clinic and Content Creation26:15 - How to Start Your Public Voice29:11 - Professional Boundaries and Handling Criticism Online36:34 - How Patients Following Your Content Impacts the Clinic43:08 - The Unexpected Doors Content Creation Can Open48:44 - Future of Public Health53:09 - Final Advice --- More about this episode The conversation explores strategies for communicating complex medical topics, such as using metaphors to improve public understanding, and the importance of professionalism, boundaries, and safety in the online space. Dr. Rubin offers advice on avoiding individualized medical advice, managing online harassment, and navigating the nonfiction publishing world. He also discusses the impact of advocacy and media engagement for both patients and healthcare professionals, showing how physicians can leverage media to make a difference well beyond their practice. --- Resources Dr. Zachary Rubinhttps://www.oakbrookallergists.com/our-team/zachary-e-rubin-md/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 05 May 2026 07:00:00 -0000 full BackTable Inc. From the clinic to the camera, discover how an allergist turned social media into a patient education powerhouse. On this week’s episode of the BackTable ENT & Allergy Podcast, allergist Dr. Zachary Rubin of Oak Brook Allergists joins host Dr. Basil Kahwash to discuss his path from fellowship training to becoming a widely followed social media educator and author of the New York Times bestselling book “All About Allergies”. He explains how the COVID-19 pandemic and the rapid spread of online medical misinformation inspired him to educate the public through social media, developing an authentic on-camera style and consistent brand that has expanded his reach far beyond the clinic. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction05:21 - Learning the Creator Playbook10:10 - Authenticity and Creating a Personal Brand16:51 - Writing for Patients and Clinicians20:41 - Balancing Clinic and Content Creation26:15 - How to Start Your Public Voice29:11 - Professional Boundaries and Handling Criticism Online36:34 - How Patients Following Your Content Impacts the Clinic43:08 - The Unexpected Doors Content Creation Can Open48:44 - Future of Public Health53:09 - Final Advice --- More about this episode The conversation explores strategies for communicating complex medical topics, such as using metaphors to improve public understanding, and the importance of professionalism, boundaries, and safety in the online space. Dr. Rubin offers advice on avoiding individualized medical advice, managing online harassment, and navigating the nonfiction publishing world. He also discusses the impact of advocacy and media engagement for both patients and healthcare professionals, showing how physicians can leverage media to make a difference well beyond their practice. --- Resources Dr. Zachary Rubinhttps://www.oakbrookallergists.com/our-team/zachary-e-rubin-md/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app From the clinic to the camera, discover how an allergist turned social media into a patient education powerhouse. On this week’s episode of the BackTable ENT & Allergy Podcast, allergist Dr. Zachary Rubin of Oak Brook Allergists joins host Dr. Basil Kahwash to discuss his path from fellowship training to becoming a widely followed social media educator and author of the New York Times bestselling book “All About Allergies”. He explains how the COVID-19 pandemic and the rapid spread of online medical misinformation inspired him to educate the public through social media, developing an authentic on-camera style and consistent brand that has expanded his reach far beyond the clinic.


---

Get the BackTable app
https://www.backtable.com/app

---

Timestamps

00:00 - Introduction
05:21 - Learning the Creator Playbook
10:10 - Authenticity and Creating a Personal Brand
16:51 - Writing for Patients and Clinicians
20:41 - Balancing Clinic and Content Creation
26:15 - How to Start Your Public Voice
29:11 - Professional Boundaries and Handling Criticism Online
36:34 - How Patients Following Your Content Impacts the Clinic
43:08 - The Unexpected Doors Content Creation Can Open
48:44 - Future of Public Health
53:09 - Final Advice


---

More about this episode

The conversation explores strategies for communicating complex medical topics, such as using metaphors to improve public understanding, and the importance of professionalism, boundaries, and safety in the online space. Dr. Rubin offers advice on avoiding individualized medical advice, managing online harassment, and navigating the nonfiction publishing world. He also discusses the impact of advocacy and media engagement for both patients and healthcare professionals, showing how physicians can leverage media to make a difference well beyond their practice.

---

Resources

Dr. Zachary Rubin
https://www.oakbrookallergists.com/our-team/zachary-e-rubin-md/

---

BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.

Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.

► https://www.backtable.com/app

]]> 3384 Ep. 271 The OR Surgical Tech in Pediatric ENT with Jose Flores Behind every smooth surgery is a team member you may not see in the spotlight—but without them, the operation doesn’t run. In this episode of the BackTable ENT podcast, Jose Flores, a surgical technologist at Rady Children’s Hospital in San Diego and ENT service coordinator, joins host Dr. Gopi Shah to discuss the importance of the surgical technologist’s role in the OR and how it directly impacts patient care. --- SYNPOSIS Jose discusses his journey from being a medical assistant to finding his calling in the operating room, specifically in ENT. They explore the critical yet often overlooked role of OR scrub techs, the necessity of proper preparation and organization, and the importance of good communication and teamwork within the surgical team. Jose also shares personal experiences and advice for both new surgical techs and medical students, emphasizing the rewarding nature of working in pediatric ENT. --- TIMESTAMPS 00:00 - Introduction 01:29 - Jose Flores’s Journey to Becoming a Surgical Tech05:41 - Daily Responsibilities and Preparation10:11 - Communication and Teamwork in the OR15:30 - Building Strong Surgical Tech Relationships18:51 - Advice for New Surgical Techs21:25 - The Role of Techs in Quality and Safety23:15 - Giving and Receiving Feedback27:02 - Fostering Respect and Recognition30:40 - Final Thoughts and Contact Information --- RESOURCES Jose Flores’s Story:https://vimeo.com/1096085041 Tue, 28 Apr 2026 07:00:00 -0000 full BackTable Inc. Behind every smooth surgery is a team member you may not see in the spotlight—but without them, the operation doesn’t run. In this episode of the BackTable ENT podcast, Jose Flores, a surgical technologist at Rady Children’s Hospital in San Diego and ENT service coordinator, joins host Dr. Gopi Shah to discuss the importance of the surgical technologist’s role in the OR and how it directly impacts patient care. --- SYNPOSIS Jose discusses his journey from being a medical assistant to finding his calling in the operating room, specifically in ENT. They explore the critical yet often overlooked role of OR scrub techs, the necessity of proper preparation and organization, and the importance of good communication and teamwork within the surgical team. Jose also shares personal experiences and advice for both new surgical techs and medical students, emphasizing the rewarding nature of working in pediatric ENT. --- TIMESTAMPS 00:00 - Introduction 01:29 - Jose Flores’s Journey to Becoming a Surgical Tech05:41 - Daily Responsibilities and Preparation10:11 - Communication and Teamwork in the OR15:30 - Building Strong Surgical Tech Relationships18:51 - Advice for New Surgical Techs21:25 - The Role of Techs in Quality and Safety23:15 - Giving and Receiving Feedback27:02 - Fostering Respect and Recognition30:40 - Final Thoughts and Contact Information --- RESOURCES Jose Flores’s Story:https://vimeo.com/1096085041 Behind every smooth surgery is a team member you may not see in the spotlight—but without them, the operation doesn’t run. In this episode of the BackTable ENT podcast, Jose Flores, a surgical technologist at Rady Children’s Hospital in San Diego and ENT service coordinator, joins host Dr. Gopi Shah to discuss the importance of the surgical technologist’s role in the OR and how it directly impacts patient care.


---


SYNPOSIS


Jose discusses his journey from being a medical assistant to finding his calling in the operating room, specifically in ENT. They explore the critical yet often overlooked role of OR scrub techs, the necessity of proper preparation and organization, and the importance of good communication and teamwork within the surgical team. Jose also shares personal experiences and advice for both new surgical techs and medical students, emphasizing the rewarding nature of working in pediatric ENT.


---


TIMESTAMPS


00:00 - Introduction
01:29 - Jose Flores’s Journey to Becoming a Surgical Tech
05:41 - Daily Responsibilities and Preparation
10:11 - Communication and Teamwork in the OR
15:30 - Building Strong Surgical Tech Relationships
18:51 - Advice for New Surgical Techs
21:25 - The Role of Techs in Quality and Safety
23:15 - Giving and Receiving Feedback
27:02 - Fostering Respect and Recognition
30:40 - Final Thoughts and Contact Information


---


RESOURCES


Jose Flores’s Story:
https://vimeo.com/1096085041

]]> 1960 Ep. 270 Management of Sinonasal Tumors with Skull Base Involvement: Part 2 with Dr. Zara Patel, Dr. JP Almeida and Dr. Garret Choby Could that routine epistaxis actually be the first sign of a challenging skull base tumor? This week’s episode of the BackTable ENT Podcast is part two of the sinonasal tumor and skull base involvement discussion. Host Dr. Satyan Sreenath is joined again by Dr. Joao Paulo Almeida, Dr. Zara Patel, and Dr. Garret Choby for a case-based deep dive into the multidisciplinary management of complex sinonasal tumors. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 01:20 - Case 1: Juvenile Nasopharyngeal Angiofibroma05:03 - Considerations for Pre-Operative Embolization 08:10 - Disaster Scenario: High Volume Loss09:21 - Operative Approach18:10 - Post-Op Imaging Considerations21:00 - Case 2: Invasive Keratinizing Squamous Cell Carcinoma24:40 - Operative Approach vs. Neoadjuvant Treatment Strategies28:30 - Importance of Diagnostic Nasal Endoscopy30:15 - Operative Approach32:37 - Lumbar Drain Considerations 40:35 - Closing Thoughts --- More about this episode The panel works through advanced cases presenting with epistaxis, using them to highlight key principles in evaluation, imaging, staging, and operative planning. They first discuss a 16-year-old male with a large juvenile nasopharyngeal angiofibroma extending to the skull base and middle cranial fossa, focusing on vascular supply, preoperative embolization, surgical strategy near the carotid, and planning for intraoperative hemorrhage and postoperative surveillance. They also emphasize the importance of thorough endoscopic evaluation and early referral to experienced centers. They then review a 72-year-old female with invasive, HPV-negative keratinizing squamous cell carcinoma involving the anterior cranial fossa and dura. The conversation addresses tumor board decision-making, neoadjuvant considerations, endoscopic craniofacial resection, reconstruction strategies, and management of delayed positive margins. It highlights how accurate histopathology and coordinated multidisciplinary care guide outcomes in these complex cases. --- Resources Joao Paulo Almeida, MD, PhDhttps://medicine.iu.edu/faculty/68351/almeida-joao-paulo Satyan B. Sreenath, MDhttps://medicine.iu.edu/faculty/60724/sreenath-satyan Zara M. Patel, MD https://med.stanford.edu/profiles/zara-patel Garret W. Choby, MDhttps://providers.upmc.com/provider/garret-w-choby/2592344 --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 21 Apr 2026 07:00:00 -0000 full BackTable Inc. Could that routine epistaxis actually be the first sign of a challenging skull base tumor? This week’s episode of the BackTable ENT Podcast is part two of the sinonasal tumor and skull base involvement discussion. Host Dr. Satyan Sreenath is joined again by Dr. Joao Paulo Almeida, Dr. Zara Patel, and Dr. Garret Choby for a case-based deep dive into the multidisciplinary management of complex sinonasal tumors. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 01:20 - Case 1: Juvenile Nasopharyngeal Angiofibroma05:03 - Considerations for Pre-Operative Embolization 08:10 - Disaster Scenario: High Volume Loss09:21 - Operative Approach18:10 - Post-Op Imaging Considerations21:00 - Case 2: Invasive Keratinizing Squamous Cell Carcinoma24:40 - Operative Approach vs. Neoadjuvant Treatment Strategies28:30 - Importance of Diagnostic Nasal Endoscopy30:15 - Operative Approach32:37 - Lumbar Drain Considerations 40:35 - Closing Thoughts --- More about this episode The panel works through advanced cases presenting with epistaxis, using them to highlight key principles in evaluation, imaging, staging, and operative planning. They first discuss a 16-year-old male with a large juvenile nasopharyngeal angiofibroma extending to the skull base and middle cranial fossa, focusing on vascular supply, preoperative embolization, surgical strategy near the carotid, and planning for intraoperative hemorrhage and postoperative surveillance. They also emphasize the importance of thorough endoscopic evaluation and early referral to experienced centers. They then review a 72-year-old female with invasive, HPV-negative keratinizing squamous cell carcinoma involving the anterior cranial fossa and dura. The conversation addresses tumor board decision-making, neoadjuvant considerations, endoscopic craniofacial resection, reconstruction strategies, and management of delayed positive margins. It highlights how accurate histopathology and coordinated multidisciplinary care guide outcomes in these complex cases. --- Resources Joao Paulo Almeida, MD, PhDhttps://medicine.iu.edu/faculty/68351/almeida-joao-paulo Satyan B. Sreenath, MDhttps://medicine.iu.edu/faculty/60724/sreenath-satyan Zara M. Patel, MD https://med.stanford.edu/profiles/zara-patel Garret W. Choby, MDhttps://providers.upmc.com/provider/garret-w-choby/2592344 --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Could that routine epistaxis actually be the first sign of a challenging skull base tumor? This week’s episode of the BackTable ENT Podcast is part two of the sinonasal tumor and skull base involvement discussion. Host Dr. Satyan Sreenath is joined again by Dr. Joao Paulo Almeida, Dr. Zara Patel, and Dr. Garret Choby for a case-based deep dive into the multidisciplinary management of complex sinonasal tumors.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
01:20 - Case 1: Juvenile Nasopharyngeal Angiofibroma
05:03 - Considerations for Pre-Operative Embolization
08:10 - Disaster Scenario: High Volume Loss
09:21 - Operative Approach
18:10 - Post-Op Imaging Considerations
21:00 - Case 2: Invasive Keratinizing Squamous Cell Carcinoma
24:40 - Operative Approach vs. Neoadjuvant Treatment Strategies
28:30 - Importance of Diagnostic Nasal Endoscopy
30:15 - Operative Approach
32:37 - Lumbar Drain Considerations
40:35 - Closing Thoughts


---


More about this episode


The panel works through advanced cases presenting with epistaxis, using them to highlight key principles in evaluation, imaging, staging, and operative planning. They first discuss a 16-year-old male with a large juvenile nasopharyngeal angiofibroma extending to the skull base and middle cranial fossa, focusing on vascular supply, preoperative embolization, surgical strategy near the carotid, and planning for intraoperative hemorrhage and postoperative surveillance. They also emphasize the importance of thorough endoscopic evaluation and early referral to experienced centers.


They then review a 72-year-old female with invasive, HPV-negative keratinizing squamous cell carcinoma involving the anterior cranial fossa and dura. The conversation addresses tumor board decision-making, neoadjuvant considerations, endoscopic craniofacial resection, reconstruction strategies, and management of delayed positive margins. It highlights how accurate histopathology and coordinated multidisciplinary care guide outcomes in these complex cases.


---


Resources


Joao Paulo Almeida, MD, PhD
https://medicine.iu.edu/faculty/68351/almeida-joao-paulo


Satyan B. Sreenath, MD
https://medicine.iu.edu/faculty/60724/sreenath-satyan


Zara M. Patel, MD
https://med.stanford.edu/profiles/zara-patel


Garret W. Choby, MD
https://providers.upmc.com/provider/garret-w-choby/2592344


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 2747 Ep. 269 Management of Sinonasal Tumors with Skull Base Involvement: Part 1 with Dr. Zara Patel, Dr. JP Almeida, & Dr. Garret Choby Pathology, anatomy, and staging: how do these three pillars come together to guide sinonasal tumor management? In this episode of the BackTable ENT Podcast, host Dr. Satyan Sreenath is joined by Dr. Joao Paulo Almeida, Dr. Zara Patel, and Dr. Garret Choby to discuss a multidisciplinary approach to sinonasal tumors, emphasizing the triad of pathology, anatomy, and staging to guide treatment. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:04 - First Principles of Workup05:23 - Case 1: Maxillary Sinus Mass 06:23 - Imaging and Biopsy Strategy08:11 - Inverted Papilloma Pathology and Surgical Planning20:28 - Case 2: Unilateral Disease Red Flags24:34 - MRI Clues for Malignancy31:47 - Video Walkthrough of Endonasal Resection38:51 - Surveillance41:41 - Key Papers---More about this episode The panel reviews key workup considerations, including in-office biopsy and the use of CT and MRI to distinguish tumor from retained secretions and guide operative planning. They walk through two illustrative cases of inverted papilloma. The first involves a left maxillary sinus mass treated with an endoscopic medial maxillectomy using a Denker-type approach, with emphasis on complete attachment-site eradication. The second case highlights an elderly patient with frontal and anterior ethmoid disease abutting the orbit and skull base, requiring meticulous endoscopic technique, careful management of the anterior ethmoid artery, and thoughtful handling of bone and periorbita. The discussion also covers imaging features suggestive of malignant transformation, as well as emerging AI-based CT and MRI tools that show high accuracy in distinguishing benign inverted papillomas from those associated with squamous cell carcinoma. The episode concludes with postoperative surveillance strategies and key consensus and review publications. --- ResourcesJoao Paulo Almeida, MD, PhDhttps://medicine.iu.edu/faculty/68351/almeida-joao-paulo Satyan B. Sreenath, MDhttps://medicine.iu.edu/faculty/60724/sreenath-satyan Zara M. Patel, MD https://med.stanford.edu/profiles/zara-patel Garret W. Choby, MDhttps://providers.upmc.com/provider/garret-w-choby/2592344 --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Tue, 14 Apr 2026 07:00:00 -0000 full BackTable Inc. Pathology, anatomy, and staging: how do these three pillars come together to guide sinonasal tumor management? In this episode of the BackTable ENT Podcast, host Dr. Satyan Sreenath is joined by Dr. Joao Paulo Almeida, Dr. Zara Patel, and Dr. Garret Choby to discuss a multidisciplinary approach to sinonasal tumors, emphasizing the triad of pathology, anatomy, and staging to guide treatment. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction 02:04 - First Principles of Workup05:23 - Case 1: Maxillary Sinus Mass 06:23 - Imaging and Biopsy Strategy08:11 - Inverted Papilloma Pathology and Surgical Planning20:28 - Case 2: Unilateral Disease Red Flags24:34 - MRI Clues for Malignancy31:47 - Video Walkthrough of Endonasal Resection38:51 - Surveillance41:41 - Key Papers---More about this episode The panel reviews key workup considerations, including in-office biopsy and the use of CT and MRI to distinguish tumor from retained secretions and guide operative planning. They walk through two illustrative cases of inverted papilloma. The first involves a left maxillary sinus mass treated with an endoscopic medial maxillectomy using a Denker-type approach, with emphasis on complete attachment-site eradication. The second case highlights an elderly patient with frontal and anterior ethmoid disease abutting the orbit and skull base, requiring meticulous endoscopic technique, careful management of the anterior ethmoid artery, and thoughtful handling of bone and periorbita. The discussion also covers imaging features suggestive of malignant transformation, as well as emerging AI-based CT and MRI tools that show high accuracy in distinguishing benign inverted papillomas from those associated with squamous cell carcinoma. The episode concludes with postoperative surveillance strategies and key consensus and review publications. --- ResourcesJoao Paulo Almeida, MD, PhDhttps://medicine.iu.edu/faculty/68351/almeida-joao-paulo Satyan B. Sreenath, MDhttps://medicine.iu.edu/faculty/60724/sreenath-satyan Zara M. Patel, MD https://med.stanford.edu/profiles/zara-patel Garret W. Choby, MDhttps://providers.upmc.com/provider/garret-w-choby/2592344 --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app Pathology, anatomy, and staging: how do these three pillars come together to guide sinonasal tumor management? In this episode of the BackTable ENT Podcast, host Dr. Satyan Sreenath is joined by Dr. Joao Paulo Almeida, Dr. Zara Patel, and Dr. Garret Choby to discuss a multidisciplinary approach to sinonasal tumors, emphasizing the triad of pathology, anatomy, and staging to guide treatment.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:04 - First Principles of Workup
05:23 - Case 1: Maxillary Sinus Mass
06:23 - Imaging and Biopsy Strategy
08:11 - Inverted Papilloma Pathology and Surgical Planning
20:28 - Case 2: Unilateral Disease Red Flags
24:34 - MRI Clues for Malignancy
31:47 - Video Walkthrough of Endonasal Resection
38:51 - Surveillance
41:41 - Key Papers
---
More about this episode


The panel reviews key workup considerations, including in-office biopsy and the use of CT and MRI to distinguish tumor from retained secretions and guide operative planning. They walk through two illustrative cases of inverted papilloma. The first involves a left maxillary sinus mass treated with an endoscopic medial maxillectomy using a Denker-type approach, with emphasis on complete attachment-site eradication. The second case highlights an elderly patient with frontal and anterior ethmoid disease abutting the orbit and skull base, requiring meticulous endoscopic technique, careful management of the anterior ethmoid artery, and thoughtful handling of bone and periorbita.


The discussion also covers imaging features suggestive of malignant transformation, as well as emerging AI-based CT and MRI tools that show high accuracy in distinguishing benign inverted papillomas from those associated with squamous cell carcinoma. The episode concludes with postoperative surveillance strategies and key consensus and review publications.


---


Resources
Joao Paulo Almeida, MD, PhD
https://medicine.iu.edu/faculty/68351/almeida-joao-paulo


Satyan B. Sreenath, MD
https://medicine.iu.edu/faculty/60724/sreenath-satyan


Zara M. Patel, MD
https://med.stanford.edu/profiles/zara-patel


Garret W. Choby, MD
https://providers.upmc.com/provider/garret-w-choby/2592344


---


BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons.


Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.


► https://www.backtable.com/app

]]> 2632 Ep. 268 Building a Skull Base Program in Private Practice with Dr. Kibwei McKinney What if you could build a skull base practice outside academia, without sacrificing complexity, income, or fulfillment? On this episode of the BackTable ENT Podcast, Dr. Kibwei McKinney from SSM Health St. Anthony Hospital in Oklahoma City joins guest host Dr. Dennis Tang to discuss building a rhinology and skull base surgery practice outside academia. --- Get the BackTable app https://www.backtable.com/app --- Timestamps 01:30 - Introduction and Career04:55 - Private Practice vs. Academics10:38 - Defining Skull Based Surgery15:10 - Patient Pool and Logistics in Academics vs Private Practice19:03 - Marketing and Referral Sources24:58 - Case Management and the O.R. in Private Practice29:30 - Balanced Workload and Intentional Care32:10 - Billing and Coding38:55 - Lifestyle Benefits of Private Practice44:21 - Strategic Advice and Advantages or Disadvantages of Private Practice.47:38 - Common Misconceptions50:00 - Advice and Closing Thoughts --- More about this episode Dr. McKinney walks through his training journey, from dedicated research years to time in private-practice rhinology and a skull base fellowship, before ultimately starting his academic career in Oklahoma. He shares how shifting family priorities and the growing push for clinical productivity led him to step away from academia and into an employed private-practice model focused exclusively on rhinology and skull base surgery, without ER call. Along the way, he dives into what that transition really looks like, including the autonomy he’s gained, the role of marketing support, how he builds referrals through direct communication, and the operational differences of working without residents. He also touches on postoperative care structure, billing and coding, insurance challenges, and the impact on his overall lifestyle. Check out this episode to hear Dr. McKinney’s perspective on why skull base surgery in private practice can be not only technically feasible and financially viable, but also emotionally sustainable, creating space for truly patient-centered care and the ability to pursue the work with genuine passion. --- Resources Dr. Kibwei McKinney https://www.getcare.ssmhealth.com/find-a-doctor/doctor-details/kibwei-mckinney-md Tue, 07 Apr 2026 07:00:00 -0000 full BackTable Inc. What if you could build a skull base practice outside academia, without sacrificing complexity, income, or fulfillment? On this episode of the BackTable ENT Podcast, Dr. Kibwei McKinney from SSM Health St. Anthony Hospital in Oklahoma City joins guest host Dr. Dennis Tang to discuss building a rhinology and skull base surgery practice outside academia. --- Get the BackTable app https://www.backtable.com/app --- Timestamps 01:30 - Introduction and Career04:55 - Private Practice vs. Academics10:38 - Defining Skull Based Surgery15:10 - Patient Pool and Logistics in Academics vs Private Practice19:03 - Marketing and Referral Sources24:58 - Case Management and the O.R. in Private Practice29:30 - Balanced Workload and Intentional Care32:10 - Billing and Coding38:55 - Lifestyle Benefits of Private Practice44:21 - Strategic Advice and Advantages or Disadvantages of Private Practice.47:38 - Common Misconceptions50:00 - Advice and Closing Thoughts --- More about this episode Dr. McKinney walks through his training journey, from dedicated research years to time in private-practice rhinology and a skull base fellowship, before ultimately starting his academic career in Oklahoma. He shares how shifting family priorities and the growing push for clinical productivity led him to step away from academia and into an employed private-practice model focused exclusively on rhinology and skull base surgery, without ER call. Along the way, he dives into what that transition really looks like, including the autonomy he’s gained, the role of marketing support, how he builds referrals through direct communication, and the operational differences of working without residents. He also touches on postoperative care structure, billing and coding, insurance challenges, and the impact on his overall lifestyle. Check out this episode to hear Dr. McKinney’s perspective on why skull base surgery in private practice can be not only technically feasible and financially viable, but also emotionally sustainable, creating space for truly patient-centered care and the ability to pursue the work with genuine passion. --- Resources Dr. Kibwei McKinney https://www.getcare.ssmhealth.com/find-a-doctor/doctor-details/kibwei-mckinney-md What if you could build a skull base practice outside academia, without sacrificing complexity, income, or fulfillment? On this episode of the BackTable ENT Podcast, Dr. Kibwei McKinney from SSM Health St. Anthony Hospital in Oklahoma City joins guest host Dr. Dennis Tang to discuss building a rhinology and skull base surgery practice outside academia.

---

Get the BackTable app

https://www.backtable.com/app

---

Timestamps

01:30 - Introduction and Career
04:55 - Private Practice vs. Academics
10:38 - Defining Skull Based Surgery
15:10 - Patient Pool and Logistics in Academics vs Private Practice
19:03 - Marketing and Referral Sources
24:58 - Case Management and the O.R. in Private Practice
29:30 - Balanced Workload and Intentional Care
32:10 - Billing and Coding
38:55 - Lifestyle Benefits of Private Practice
44:21 - Strategic Advice and Advantages or Disadvantages of Private Practice.
47:38 - Common Misconceptions
50:00 - Advice and Closing Thoughts

---

More about this episode

Dr. McKinney walks through his training journey, from dedicated research years to time in private-practice rhinology and a skull base fellowship, before ultimately starting his academic career in Oklahoma. He shares how shifting family priorities and the growing push for clinical productivity led him to step away from academia and into an employed private-practice model focused exclusively on rhinology and skull base surgery, without ER call. Along the way, he dives into what that transition really looks like, including the autonomy he’s gained, the role of marketing support, how he builds referrals through direct communication, and the operational differences of working without residents. He also touches on postoperative care structure, billing and coding, insurance challenges, and the impact on his overall lifestyle.

Check out this episode to hear Dr. McKinney’s perspective on why skull base surgery in private practice can be not only technically feasible and financially viable, but also emotionally sustainable, creating space for truly patient-centered care and the ability to pursue the work with genuine passion.

---

Resources

Dr. Kibwei McKinney
https://www.getcare.ssmhealth.com/find-a-doctor/doctor-details/kibwei-mckinney-md

]]> 3180 Ep. 267 Clinical Hypnotherapy Applications in ENT Medicine with Dr. Sonia Gupte Why do some patients recover faster, cope better, and experience less pain despite similar diagnoses? The answer may lie not in the pathology, but in perception. In this episode of the BackTable ENT & Allergy Podcast, Dr. Sonia Gupte, a former family physician and board-certified clinical hypnotherapist, joins host Dr. Gopi Shah to explore how hypnotherapy works and where it fits in modern medical care. --- Get the BackTable app https://www.backtable.com/app --- Timestamps 00:00 - Introduction05:13 - Understanding the Subconscious Mind09:29 - The Hypnotherapy Process15:43 - Patient Selection18:58 - Anxiety, Stress, and Pain Perception23:54 - Use in General ENT Population28:14 - When to Refer31:51 - History of Hypnotherapy in Cancer Care32:56 - Awareness, Access, and Billing Insurance38:59 - Setting Expectations, Visits Required, and Smoking Cessation43:42 - Virtual Visits and Possible Limitations46:57 - Techniques for ENTs49:14 - Closing Thoughts --- More about this episode Dr. Gupte shares how her mother’s cancer journey led her to recognize gaps in addressing the mind-body connection and ultimately transition into hypnotherapy. She clarifies the difference between hypnosis and clinical hypnotherapy, emphasizing the latter as a collaborative, goal-oriented process aimed at uncovering the “why” behind patient patterns and reshaping perceptions. The conversation covers the structure of a hypnotherapy session, relevant brainwave states, patient selection and contraindications, and clinical applications ranging from oncology support to ENT-related quality-of-life concerns. They also discuss use in pediatric patients, expected timelines for improvement, virtual care delivery, and practical communication strategies clinicians can use to reduce patient anxiety in everyday practice. --- Resources Dr. Sonia Gupte https://enso-nia.com/about-sonia/ Tue, 31 Mar 2026 07:00:00 -0000 full BackTable Inc. Why do some patients recover faster, cope better, and experience less pain despite similar diagnoses? The answer may lie not in the pathology, but in perception. In this episode of the BackTable ENT & Allergy Podcast, Dr. Sonia Gupte, a former family physician and board-certified clinical hypnotherapist, joins host Dr. Gopi Shah to explore how hypnotherapy works and where it fits in modern medical care. --- Get the BackTable app https://www.backtable.com/app --- Timestamps 00:00 - Introduction05:13 - Understanding the Subconscious Mind09:29 - The Hypnotherapy Process15:43 - Patient Selection18:58 - Anxiety, Stress, and Pain Perception23:54 - Use in General ENT Population28:14 - When to Refer31:51 - History of Hypnotherapy in Cancer Care32:56 - Awareness, Access, and Billing Insurance38:59 - Setting Expectations, Visits Required, and Smoking Cessation43:42 - Virtual Visits and Possible Limitations46:57 - Techniques for ENTs49:14 - Closing Thoughts --- More about this episode Dr. Gupte shares how her mother’s cancer journey led her to recognize gaps in addressing the mind-body connection and ultimately transition into hypnotherapy. She clarifies the difference between hypnosis and clinical hypnotherapy, emphasizing the latter as a collaborative, goal-oriented process aimed at uncovering the “why” behind patient patterns and reshaping perceptions. The conversation covers the structure of a hypnotherapy session, relevant brainwave states, patient selection and contraindications, and clinical applications ranging from oncology support to ENT-related quality-of-life concerns. They also discuss use in pediatric patients, expected timelines for improvement, virtual care delivery, and practical communication strategies clinicians can use to reduce patient anxiety in everyday practice. --- Resources Dr. Sonia Gupte https://enso-nia.com/about-sonia/ Why do some patients recover faster, cope better, and experience less pain despite similar diagnoses? The answer may lie not in the pathology, but in perception. In this episode of the BackTable ENT & Allergy Podcast, Dr. Sonia Gupte, a former family physician and board-certified clinical hypnotherapist, joins host Dr. Gopi Shah to explore how hypnotherapy works and where it fits in modern medical care.


---


Get the BackTable app


https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
05:13 - Understanding the Subconscious Mind
09:29 - The Hypnotherapy Process
15:43 - Patient Selection
18:58 - Anxiety, Stress, and Pain Perception
23:54 - Use in General ENT Population
28:14 - When to Refer
31:51 - History of Hypnotherapy in Cancer Care
32:56 - Awareness, Access, and Billing Insurance
38:59 - Setting Expectations, Visits Required, and Smoking Cessation
43:42 - Virtual Visits and Possible Limitations
46:57 - Techniques for ENTs
49:14 - Closing Thoughts


---


More about this episode


Dr. Gupte shares how her mother’s cancer journey led her to recognize gaps in addressing the mind-body connection and ultimately transition into hypnotherapy. She clarifies the difference between hypnosis and clinical hypnotherapy, emphasizing the latter as a collaborative, goal-oriented process aimed at uncovering the “why” behind patient patterns and reshaping perceptions. The conversation covers the structure of a hypnotherapy session, relevant brainwave states, patient selection and contraindications, and clinical applications ranging from oncology support to ENT-related quality-of-life concerns. They also discuss use in pediatric patients, expected timelines for improvement, virtual care delivery, and practical communication strategies clinicians can use to reduce patient anxiety in everyday practice.


---


Resources


Dr. Sonia Gupte


https://enso-nia.com/about-sonia/

]]> 3129 Ep. 266 Clinical Steps for Efficient Anaphylaxis Diagnosis & Treatment with Dr. Payel Gupta Anaphylaxis doesn’t always look like hives and swelling. In up to 20% of cases, the skin is completely clear, making the diagnosis easy to miss. On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash speaks with Dr. Payel Gupta, allergist and immunologist at Mount Sinai in New York City, about how to recognize and manage anaphylaxis. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:02 - Defining Anaphylaxis and Key Signs04:09 - Anaphylaxis Versus Shock05:54 - Diagnostic Pitfalls12:43 - Epi First Epi Fast32:33 - ER Or Observe42:31 - Allergy Testing Limits47:16 - New Anaphylaxis Therapies51:34 - Public Awareness and Advocacy01:02:55 - Final Pearls and Wrap up --- More about this episode Dr. Gupta and Dr. Kahwash first define anaphylaxis and review common diagnostic pitfalls, including absent skin findings, overlap with asthma, atypical presentations, delayed reactions, and the effects of beta-blockers. Dr. Gupta emphasizes the importance of early treatment with intramuscular epinephrine. Antihistamines and steroids are discussed as adjunctive therapies and the episode reviews the risk and management of biphasic reactions. The conversation also covers optimal timing for tryptase testing, post-reaction counseling, evolving guidance on emergency department referral, and appropriate timing for allergy testing after a reaction. Dr. Gupta discusses emerging options such as intranasal epinephrine and the use of omalizumab to increase reaction thresholds in food allergy. The episode concludes with a discussion of public misconceptions around the term “allergy,” barriers to appropriate care, and Dr. Gupta’s advocacy and educational work. --- Resources Dr. Payel Gupta https://www.zocdoc.com/doctor/payel-gupta-md-facaai-571583 Tue, 24 Mar 2026 07:00:00 -0000 full BackTable Inc. Anaphylaxis doesn’t always look like hives and swelling. In up to 20% of cases, the skin is completely clear, making the diagnosis easy to miss. On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash speaks with Dr. Payel Gupta, allergist and immunologist at Mount Sinai in New York City, about how to recognize and manage anaphylaxis. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps 00:00 - Introduction02:02 - Defining Anaphylaxis and Key Signs04:09 - Anaphylaxis Versus Shock05:54 - Diagnostic Pitfalls12:43 - Epi First Epi Fast32:33 - ER Or Observe42:31 - Allergy Testing Limits47:16 - New Anaphylaxis Therapies51:34 - Public Awareness and Advocacy01:02:55 - Final Pearls and Wrap up --- More about this episode Dr. Gupta and Dr. Kahwash first define anaphylaxis and review common diagnostic pitfalls, including absent skin findings, overlap with asthma, atypical presentations, delayed reactions, and the effects of beta-blockers. Dr. Gupta emphasizes the importance of early treatment with intramuscular epinephrine. Antihistamines and steroids are discussed as adjunctive therapies and the episode reviews the risk and management of biphasic reactions. The conversation also covers optimal timing for tryptase testing, post-reaction counseling, evolving guidance on emergency department referral, and appropriate timing for allergy testing after a reaction. Dr. Gupta discusses emerging options such as intranasal epinephrine and the use of omalizumab to increase reaction thresholds in food allergy. The episode concludes with a discussion of public misconceptions around the term “allergy,” barriers to appropriate care, and Dr. Gupta’s advocacy and educational work. --- Resources Dr. Payel Gupta https://www.zocdoc.com/doctor/payel-gupta-md-facaai-571583 Anaphylaxis doesn’t always look like hives and swelling. In up to 20% of cases, the skin is completely clear, making the diagnosis easy to miss. On this episode of the BackTable ENT & Allergy Podcast, Dr. Basil Kahwash speaks with Dr. Payel Gupta, allergist and immunologist at Mount Sinai in New York City, about how to recognize and manage anaphylaxis.


---


Get the BackTable app
https://www.backtable.com/app


---


Timestamps


00:00 - Introduction
02:02 - Defining Anaphylaxis and Key Signs
04:09 - Anaphylaxis Versus Shock
05:54 - Diagnostic Pitfalls
12:43 - Epi First Epi Fast
32:33 - ER Or Observe
42:31 - Allergy Testing Limits
47:16 - New Anaphylaxis Therapies
51:34 - Public Awareness and Advocacy
01:02:55 - Final Pearls and Wrap up


---


More about this episode


Dr. Gupta and Dr. Kahwash first define anaphylaxis and review common diagnostic pitfalls, including absent skin findings, overlap with asthma, atypical presentations, delayed reactions, and the effects of beta-blockers. Dr. Gupta emphasizes the importance of early treatment with intramuscular epinephrine. Antihistamines and steroids are discussed as adjunctive therapies and the episode reviews the risk and management of biphasic reactions. The conversation also covers optimal timing for tryptase testing, post-reaction counseling, evolving guidance on emergency department referral, and appropriate timing for allergy testing after a reaction. Dr. Gupta discusses emerging options such as intranasal epinephrine and the use of omalizumab to increase reaction thresholds in food allergy. The episode concludes with a discussion of public misconceptions around the term “allergy,” barriers to appropriate care, and Dr. Gupta’s advocacy and educational work.


---


Resources


Dr. Payel Gupta
https://www.zocdoc.com/doctor/payel-gupta-md-facaai-571583

]]> 3899 Ep. 265 Pediatric Tympanoplasty: Butterfly Cartilage Technique with Dr. Sean Evans What makes butterfly cartilage tympanoplasty such an elegant solution for pediatric eardrum perforations? In this episode of the BackTable ENT Podcast, Dr. Sean Evans of Children’s Healthcare of Atlanta joins hosts Dr. Ashley Agan and Dr. Gopi Shah to discuss the evaluation and management of pediatric tympanic membrane perforations, with a focus on the butterfly cartilage tympanoplasty technique --- SYNPOSIS Dr. Evans describes his practice and reviews common etiologies of tympanic membrane perforations. He outlines his approach to the clinical workup and patient counseling, including the role of audiograms, careful otoscopic examination, and selective use of laboratory studies and CT imaging in patients with chronic otorrhea or suspected cholesteatoma. The discussion also addresses timing and age considerations for repair, as well as strategies for managing chronic drainage. Dr. Evans also discusses his evaluation of patient selection criteria and operative technique for butterfly cartilage tympanoplasty. He shares practical insights on surgical steps, technical pearls and pitfalls, postoperative care, recovery expectations, potential risks, coding considerations, and approaches to revision surgery. --- TIMESTAMPS 00:00 - Introduction 02:35 - When to Repair Perforations 10:36 - Physical Exam, Audiogram, & Treatment Decisions18:06 - Butterfly Graft Candidacy20:42 - Step by Step Butterfly Technique25:52 - Butterfly Technique Pearls and Pitfalls29:16 - Example Case Video and Indications35:12 - Restrictions, Pain, & Recovery37:10 - Risk Factors and Complications40:09 - Revision Timing and Failure Modes42:37 - Final Pearls and Wrap Up --- RESOURCES Dr. Sean Evans https://med.emory.edu/directory/profile/?u=SSEVAN3 Tue, 17 Mar 2026 07:00:00 -0000 full BackTable Inc. What makes butterfly cartilage tympanoplasty such an elegant solution for pediatric eardrum perforations? In this episode of the BackTable ENT Podcast, Dr. Sean Evans of Children’s Healthcare of Atlanta joins hosts Dr. Ashley Agan and Dr. Gopi Shah to discuss the evaluation and management of pediatric tympanic membrane perforations, with a focus on the butterfly cartilage tympanoplasty technique --- SYNPOSIS Dr. Evans describes his practice and reviews common etiologies of tympanic membrane perforations. He outlines his approach to the clinical workup and patient counseling, including the role of audiograms, careful otoscopic examination, and selective use of laboratory studies and CT imaging in patients with chronic otorrhea or suspected cholesteatoma. The discussion also addresses timing and age considerations for repair, as well as strategies for managing chronic drainage. Dr. Evans also discusses his evaluation of patient selection criteria and operative technique for butterfly cartilage tympanoplasty. He shares practical insights on surgical steps, technical pearls and pitfalls, postoperative care, recovery expectations, potential risks, coding considerations, and approaches to revision surgery. --- TIMESTAMPS 00:00 - Introduction 02:35 - When to Repair Perforations 10:36 - Physical Exam, Audiogram, & Treatment Decisions18:06 - Butterfly Graft Candidacy20:42 - Step by Step Butterfly Technique25:52 - Butterfly Technique Pearls and Pitfalls29:16 - Example Case Video and Indications35:12 - Restrictions, Pain, & Recovery37:10 - Risk Factors and Complications40:09 - Revision Timing and Failure Modes42:37 - Final Pearls and Wrap Up --- RESOURCES Dr. Sean Evans https://med.emory.edu/directory/profile/?u=SSEVAN3 What makes butterfly cartilage tympanoplasty such an elegant solution for pediatric eardrum perforations? In this episode of the BackTable ENT Podcast, Dr. Sean Evans of Children’s Healthcare of Atlanta joins hosts Dr. Ashley Agan and Dr. Gopi Shah to discuss the evaluation and management of pediatric tympanic membrane perforations, with a focus on the butterfly cartilage tympanoplasty technique


---


SYNPOSIS


Dr. Evans describes his practice and reviews common etiologies of tympanic membrane perforations. He outlines his approach to the clinical workup and patient counseling, including the role of audiograms, careful otoscopic examination, and selective use of laboratory studies and CT imaging in patients with chronic otorrhea or suspected cholesteatoma. The discussion also addresses timing and age considerations for repair, as well as strategies for managing chronic drainage. Dr. Evans also discusses his evaluation of patient selection criteria and operative technique for butterfly cartilage tympanoplasty. He shares practical insights on surgical steps, technical pearls and pitfalls, postoperative care, recovery expectations, potential risks, coding considerations, and approaches to revision surgery.


---


TIMESTAMPS


00:00 - Introduction
02:35 - When to Repair Perforations
10:36 - Physical Exam, Audiogram, & Treatment Decisions
18:06 - Butterfly Graft Candidacy
20:42 - Step by Step Butterfly Technique
25:52 - Butterfly Technique Pearls and Pitfalls
29:16 - Example Case Video and Indications
35:12 - Restrictions, Pain, & Recovery
37:10 - Risk Factors and Complications
40:09 - Revision Timing and Failure Modes
42:37 - Final Pearls and Wrap Up


---


RESOURCES


Dr. Sean Evans
https://med.emory.edu/directory/profile/?u=SSEVAN3

]]> 2717 Ep. 264 Exploring Augmented Reality for Surgical Applications: Insights for Facial Plastic Surgeons with Dr. David Chou Tue, 10 Mar 2026 07:00:00 -0000 full BackTable Inc. 2214 Ep. 263 Immunotherapy for Adults with RRP with Dr. Aaron Friedman Recurrent respiratory papillomatosis (RRP) has long been managed with repeated surgical debulking, sometimes requiring dozens of procedures over a lifetime. In this episode of BackTable, Dr. Aaron Friedman and guest host Dr. Stephen Schoeff discuss a major shift in care: immune-directed therapy targeting HPV 6 and 11. --- SYNPOSIS Dr. Friedman reviews the recent FDA approval of the Precigen product PAPZIMEOS (August 2025), a therapeutic vaccine designed to stimulate HPV-specific T-cell responses. Clinical trial data show that about half of treated adults required no additional surgeries over the following year, with many responders maintaining durable benefit for years. The conversation also covers traditional management strategies, adjuvant therapies like bevacizumab, HPV vaccination, and the evolving algorithm for adult RRP care. --- TIMESTAMPS 00:00 - Introduction02:13 - RRP Patient Types and Symptoms05:06 - Adult vs Juvenile Transmission10:46 - When to Escalate Treatment15:40 - Immunotherapy 18:55 - Trial Enrollment, Results and Dosing Rules26:17 - Durable Long Term Response30:47 - Who Should Get Treated32:34 - Logistics And Public Perception37:50 - Future Research And Prevention --- Recurrent Respiratory Papillomatosis Foundation Position Statement on the Management of Adults With RRPhttps://pubmed.ncbi.nlm.nih.gov/41543033/ Dr. Stephen Schoeffhttps://healthy.kaiserpermanente.org/washington/clinicians/stephen-schoeff-6848607 Dr. Aaron Friedman https://www.uchealth.com/en/provider-profiles/friedman-aaron-d-1609057587 Tue, 03 Mar 2026 08:00:00 -0000 full BackTable Inc. Recurrent respiratory papillomatosis (RRP) has long been managed with repeated surgical debulking, sometimes requiring dozens of procedures over a lifetime. In this episode of BackTable, Dr. Aaron Friedman and guest host Dr. Stephen Schoeff discuss a major shift in care: immune-directed therapy targeting HPV 6 and 11. --- SYNPOSIS Dr. Friedman reviews the recent FDA approval of the Precigen product PAPZIMEOS (August 2025), a therapeutic vaccine designed to stimulate HPV-specific T-cell responses. Clinical trial data show that about half of treated adults required no additional surgeries over the following year, with many responders maintaining durable benefit for years. The conversation also covers traditional management strategies, adjuvant therapies like bevacizumab, HPV vaccination, and the evolving algorithm for adult RRP care. --- TIMESTAMPS 00:00 - Introduction02:13 - RRP Patient Types and Symptoms05:06 - Adult vs Juvenile Transmission10:46 - When to Escalate Treatment15:40 - Immunotherapy 18:55 - Trial Enrollment, Results and Dosing Rules26:17 - Durable Long Term Response30:47 - Who Should Get Treated32:34 - Logistics And Public Perception37:50 - Future Research And Prevention --- Recurrent Respiratory Papillomatosis Foundation Position Statement on the Management of Adults With RRPhttps://pubmed.ncbi.nlm.nih.gov/41543033/ Dr. Stephen Schoeffhttps://healthy.kaiserpermanente.org/washington/clinicians/stephen-schoeff-6848607 Dr. Aaron Friedman https://www.uchealth.com/en/provider-profiles/friedman-aaron-d-1609057587 Recurrent respiratory papillomatosis (RRP) has long been managed with repeated surgical debulking, sometimes requiring dozens of procedures over a lifetime. In this episode of BackTable, Dr. Aaron Friedman and guest host Dr. Stephen Schoeff discuss a major shift in care: immune-directed therapy targeting HPV 6 and 11.


---


SYNPOSIS


Dr. Friedman reviews the recent FDA approval of the Precigen product PAPZIMEOS (August 2025), a therapeutic vaccine designed to stimulate HPV-specific T-cell responses. Clinical trial data show that about half of treated adults required no additional surgeries over the following year, with many responders maintaining durable benefit for years. The conversation also covers traditional management strategies, adjuvant therapies like bevacizumab, HPV vaccination, and the evolving algorithm for adult RRP care.

---


TIMESTAMPS


00:00 - Introduction
02:13 - RRP Patient Types and Symptoms
05:06 - Adult vs Juvenile Transmission
10:46 - When to Escalate Treatment
15:40 - Immunotherapy
18:55 - Trial Enrollment, Results and Dosing Rules
26:17 - Durable Long Term Response
30:47 - Who Should Get Treated
32:34 - Logistics And Public Perception
37:50 - Future Research And Prevention


---


Recurrent Respiratory Papillomatosis Foundation Position Statement on the Management of Adults With RRP
https://pubmed.ncbi.nlm.nih.gov/41543033/


Dr. Stephen Schoeff
https://healthy.kaiserpermanente.org/washington/clinicians/stephen-schoeff-6848607


Dr. Aaron Friedman
https://www.uchealth.com/en/provider-profiles/friedman-aaron-d-1609057587

]]> 2540 Ep. 262 Systematic Approach to Pediatric OSA Management with Dr. Tali Lando Not every airway is a tonsil problem. Pediatric obstructive sleep apnea is often more nuanced than it appears, requiring thoughtful evaluation beyond routine surgery. In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. Tali Lando discusses managing pediatric obstructive sleep apnea (OSA) with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Lando shares insights into her clinical practice, outlining a systematic approach to diagnosing and treating pediatric OSA, and emphasizing the value of sleep endoscopy. She explores the spectrum of interventions from adenoidectomy and tonsillectomy to complex airway evaluations and surgical management, while highlighting the roles of sleep studies, obesity, and emerging therapies such as hypoglossal nerve stimulation. Dr. Lando also reflects on balancing a busy clinical career with family life and discusses her two books, Hell & Back: Wife & Mother, Doctor & Patient, Dragon Slayer and Breathless: Surgical Tales from the Brink (and Back). --- TIMESTAMPS 00:00 - Introduction06:21 - When Noisy Breathing Signals More Than Tonsils10:01 - When to Add DISE: Combining T&A with Airway Evaluation18:08 - Turbinates, Septum and Nasal Valve Matter22:03 - Red Flags in Clinic29:12 - When Surgery Helps and When It Doesn’t41:33 - Sleep Studies43:09 - Down Syndrome and OSA55:19 - Finding Hidden Sites of Airway Collapse01:06:13 - Hypoglossal Nerve Stimulation and Advanced Options --- RESOURCES Dr. Tali Lando https://www.wmchealth.org/physician-locator/tali-lando-1548383763?address_id=413 About Dr. Tali – Dr. Tali Lando Tue, 24 Feb 2026 08:00:00 -0000 full BackTable Inc. Not every airway is a tonsil problem. Pediatric obstructive sleep apnea is often more nuanced than it appears, requiring thoughtful evaluation beyond routine surgery. In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. Tali Lando discusses managing pediatric obstructive sleep apnea (OSA) with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Lando shares insights into her clinical practice, outlining a systematic approach to diagnosing and treating pediatric OSA, and emphasizing the value of sleep endoscopy. She explores the spectrum of interventions from adenoidectomy and tonsillectomy to complex airway evaluations and surgical management, while highlighting the roles of sleep studies, obesity, and emerging therapies such as hypoglossal nerve stimulation. Dr. Lando also reflects on balancing a busy clinical career with family life and discusses her two books, Hell & Back: Wife & Mother, Doctor & Patient, Dragon Slayer and Breathless: Surgical Tales from the Brink (and Back). --- TIMESTAMPS 00:00 - Introduction06:21 - When Noisy Breathing Signals More Than Tonsils10:01 - When to Add DISE: Combining T&A with Airway Evaluation18:08 - Turbinates, Septum and Nasal Valve Matter22:03 - Red Flags in Clinic29:12 - When Surgery Helps and When It Doesn’t41:33 - Sleep Studies43:09 - Down Syndrome and OSA55:19 - Finding Hidden Sites of Airway Collapse01:06:13 - Hypoglossal Nerve Stimulation and Advanced Options --- RESOURCES Dr. Tali Lando https://www.wmchealth.org/physician-locator/tali-lando-1548383763?address_id=413 About Dr. Tali – Dr. Tali Lando Not every airway is a tonsil problem. Pediatric obstructive sleep apnea is often more nuanced than it appears, requiring thoughtful evaluation beyond routine surgery. In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. Tali Lando discusses managing pediatric obstructive sleep apnea (OSA) with hosts Dr. Gopi Shah and Dr. Ashley Agan.


---


SYNPOSIS


Dr. Lando shares insights into her clinical practice, outlining a systematic approach to diagnosing and treating pediatric OSA, and emphasizing the value of sleep endoscopy. She explores the spectrum of interventions from adenoidectomy and tonsillectomy to complex airway evaluations and surgical management, while highlighting the roles of sleep studies, obesity, and emerging therapies such as hypoglossal nerve stimulation. Dr. Lando also reflects on balancing a busy clinical career with family life and discusses her two books, Hell & Back: Wife & Mother, Doctor & Patient, Dragon Slayer and Breathless: Surgical Tales from the Brink (and Back).


---


TIMESTAMPS


00:00 - Introduction
06:21 - When Noisy Breathing Signals More Than Tonsils
10:01 - When to Add DISE: Combining T&A with Airway Evaluation
18:08 - Turbinates, Septum and Nasal Valve Matter
22:03 - Red Flags in Clinic
29:12 - When Surgery Helps and When It Doesn’t
41:33 - Sleep Studies
43:09 - Down Syndrome and OSA
55:19 - Finding Hidden Sites of Airway Collapse
01:06:13 - Hypoglossal Nerve Stimulation and Advanced Options


---


RESOURCES


Dr. Tali Lando
https://www.wmchealth.org/physician-locator/tali-lando-1548383763?address_id=413
About Dr. Tali – Dr. Tali Lando

]]> 4448 Ep. 261 Cochlear Implants in the Elderly - Challenges & Solutions with Dr. Cameron Wick Only 7–10% of patients who qualify for cochlear implants actually receive one. Why are so many older adults missing out on life-changing hearing care? In this episode of the BackTable ENT Podcast, guest hosts Dr. Joe Walter Kutz and Dr. Brandon Isaacson are joined by Dr. Cameron Wick of University Hospitals Cleveland Medical Center to discuss cochlear implantation in the elderly population. --- SYNPOSIS The doctors explore common barriers to cochlear implantation, persistently low referral rates, and the substantial benefits these devices can offer older adults. Dr. Wick shares insights from his recent study on patients in their 80s and 90s, highlighting meaningful improvements in speech perception and overall quality of life. The conversation also addresses surgical considerations, postoperative care, the importance of timely intervention, and updated Medicare guidelines. --- TIMESTAMPS 00:00 - Introduction 02:52 - Risks and Benefits of CI in Older Adults11:57 - Handling Anticoagulation During CI Surgery13:59 - Post-Surgery Expectations and Balance Issues16:35 - Next Day Activation and Surgical Considerations19:17 - Assessing Patient Suitability for Cochlear Implants22:45 - Setting Patient Expectations for Cochlear Implants23:39 - Barriers to Cochlear Implant Access28:07 - Importance of Early Identification and Referral31:47 - Postoperative Rehabilitation and Patient Support39:30 - Concluding Thoughts and Acknowledgements --- RESOURCES J. Walter Kutz, M.D.https://utswmed.org/doctors/joe-kutz/ Brandon Isaacson, M.D.https://utswmed.org/doctors/brandon-isaacson/ Cameron Wick, MDhttps://www.uhhospitals.org/doctors/Wick-Cameron-1063737799 Tue, 17 Feb 2026 08:00:00 -0000 full BackTable Inc. Only 7–10% of patients who qualify for cochlear implants actually receive one. Why are so many older adults missing out on life-changing hearing care? In this episode of the BackTable ENT Podcast, guest hosts Dr. Joe Walter Kutz and Dr. Brandon Isaacson are joined by Dr. Cameron Wick of University Hospitals Cleveland Medical Center to discuss cochlear implantation in the elderly population. --- SYNPOSIS The doctors explore common barriers to cochlear implantation, persistently low referral rates, and the substantial benefits these devices can offer older adults. Dr. Wick shares insights from his recent study on patients in their 80s and 90s, highlighting meaningful improvements in speech perception and overall quality of life. The conversation also addresses surgical considerations, postoperative care, the importance of timely intervention, and updated Medicare guidelines. --- TIMESTAMPS 00:00 - Introduction 02:52 - Risks and Benefits of CI in Older Adults11:57 - Handling Anticoagulation During CI Surgery13:59 - Post-Surgery Expectations and Balance Issues16:35 - Next Day Activation and Surgical Considerations19:17 - Assessing Patient Suitability for Cochlear Implants22:45 - Setting Patient Expectations for Cochlear Implants23:39 - Barriers to Cochlear Implant Access28:07 - Importance of Early Identification and Referral31:47 - Postoperative Rehabilitation and Patient Support39:30 - Concluding Thoughts and Acknowledgements --- RESOURCES J. Walter Kutz, M.D.https://utswmed.org/doctors/joe-kutz/ Brandon Isaacson, M.D.https://utswmed.org/doctors/brandon-isaacson/ Cameron Wick, MDhttps://www.uhhospitals.org/doctors/Wick-Cameron-1063737799 Only 7–10% of patients who qualify for cochlear implants actually receive one. Why are so many older adults missing out on life-changing hearing care? In this episode of the BackTable ENT Podcast, guest hosts Dr. Joe Walter Kutz and Dr. Brandon Isaacson are joined by Dr. Cameron Wick of University Hospitals Cleveland Medical Center to discuss cochlear implantation in the elderly population.


---


SYNPOSIS


The doctors explore common barriers to cochlear implantation, persistently low referral rates, and the substantial benefits these devices can offer older adults. Dr. Wick shares insights from his recent study on patients in their 80s and 90s, highlighting meaningful improvements in speech perception and overall quality of life. The conversation also addresses surgical considerations, postoperative care, the importance of timely intervention, and updated Medicare guidelines.


---


TIMESTAMPS


00:00 - Introduction
02:52 - Risks and Benefits of CI in Older Adults
11:57 - Handling Anticoagulation During CI Surgery
13:59 - Post-Surgery Expectations and Balance Issues
16:35 - Next Day Activation and Surgical Considerations
19:17 - Assessing Patient Suitability for Cochlear Implants
22:45 - Setting Patient Expectations for Cochlear Implants
23:39 - Barriers to Cochlear Implant Access
28:07 - Importance of Early Identification and Referral
31:47 - Postoperative Rehabilitation and Patient Support
39:30 - Concluding Thoughts and Acknowledgements


---


RESOURCES


J. Walter Kutz, M.D.
https://utswmed.org/doctors/joe-kutz/


Brandon Isaacson, M.D.
https://utswmed.org/doctors/brandon-isaacson/


Cameron Wick, MD
https://www.uhhospitals.org/doctors/Wick-Cameron-1063737799

]]> 2631 Ep. 260 Clinical Insights on Immunodeficiency & ENT Infections with Dr. Lauren Gunderman At what point does a “routine” sinus or ear infection become a warning sign of immunodeficiency? In this episode of the BackTable ENT Podcast, board-certified allergist-immunologist Dr. Basil Kahwash explores the intersection of immunodeficiency and otolaryngology with Dr. Lauren Gunderman, a pediatric immunologist at Seattle Children’s Hospital. Learn why ENTs should remain vigilant for underlying immune disorders, and how to manage suspected immunodeficiency. --- SYNPOSIS The conversation reviews common signs and symptoms of immunodeficiency, key elements of the diagnostic workup, and when ENT physicians should consider referral to immunology. Dr. Kahwash and Dr. Gunderman discuss the role of family history and genetics, as well as current management strategies, including antibiotic use, immunoglobulin replacement therapy, and lifestyle modifications. Throughout the episode, Dr. Gunderman emphasizes the importance of multidisciplinary collaboration between otolaryngologists and immunologists to improve outcomes for patients with recurrent or severe infections. --- TIMESTAMPS 00:00 - Introduction 02:45 - Understanding Immunodeficiency in ENT08:20 - Common Immunodeficiencies and Indicators11:02 - Basic Immunology Refresher22:13 - Initial Diagnostic Workup25:05 - Challenges in Allergy and Immunology Testing27:57 - When to Refer to an Immunologist34:01 - Antibiotic Stewardship in Immunodeficient Patients46:07 - Advances in Diagnosing Immunodeficiency50:31 - Final Thoughts and Takeaways --- RESOURCES Lauren Michelle Gunderman, MDhttps://www.seattlechildrens.org/directory/lauren-michelle-gunderman/ Tue, 10 Feb 2026 08:00:00 -0000 full BackTable Inc. At what point does a “routine” sinus or ear infection become a warning sign of immunodeficiency? In this episode of the BackTable ENT Podcast, board-certified allergist-immunologist Dr. Basil Kahwash explores the intersection of immunodeficiency and otolaryngology with Dr. Lauren Gunderman, a pediatric immunologist at Seattle Children’s Hospital. Learn why ENTs should remain vigilant for underlying immune disorders, and how to manage suspected immunodeficiency. --- SYNPOSIS The conversation reviews common signs and symptoms of immunodeficiency, key elements of the diagnostic workup, and when ENT physicians should consider referral to immunology. Dr. Kahwash and Dr. Gunderman discuss the role of family history and genetics, as well as current management strategies, including antibiotic use, immunoglobulin replacement therapy, and lifestyle modifications. Throughout the episode, Dr. Gunderman emphasizes the importance of multidisciplinary collaboration between otolaryngologists and immunologists to improve outcomes for patients with recurrent or severe infections. --- TIMESTAMPS 00:00 - Introduction 02:45 - Understanding Immunodeficiency in ENT08:20 - Common Immunodeficiencies and Indicators11:02 - Basic Immunology Refresher22:13 - Initial Diagnostic Workup25:05 - Challenges in Allergy and Immunology Testing27:57 - When to Refer to an Immunologist34:01 - Antibiotic Stewardship in Immunodeficient Patients46:07 - Advances in Diagnosing Immunodeficiency50:31 - Final Thoughts and Takeaways --- RESOURCES Lauren Michelle Gunderman, MDhttps://www.seattlechildrens.org/directory/lauren-michelle-gunderman/ At what point does a “routine” sinus or ear infection become a warning sign of immunodeficiency? In this episode of the BackTable ENT Podcast, board-certified allergist-immunologist Dr. Basil Kahwash explores the intersection of immunodeficiency and otolaryngology with Dr. Lauren Gunderman, a pediatric immunologist at Seattle Children’s Hospital. Learn why ENTs should remain vigilant for underlying immune disorders, and how to manage suspected immunodeficiency.


---


SYNPOSIS


The conversation reviews common signs and symptoms of immunodeficiency, key elements of the diagnostic workup, and when ENT physicians should consider referral to immunology. Dr. Kahwash and Dr. Gunderman discuss the role of family history and genetics, as well as current management strategies, including antibiotic use, immunoglobulin replacement therapy, and lifestyle modifications. Throughout the episode, Dr. Gunderman emphasizes the importance of multidisciplinary collaboration between otolaryngologists and immunologists to improve outcomes for patients with recurrent or severe infections.


---


TIMESTAMPS


00:00 - Introduction
02:45 - Understanding Immunodeficiency in ENT
08:20 - Common Immunodeficiencies and Indicators
11:02 - Basic Immunology Refresher
22:13 - Initial Diagnostic Workup
25:05 - Challenges in Allergy and Immunology Testing
27:57 - When to Refer to an Immunologist
34:01 - Antibiotic Stewardship in Immunodeficient Patients
46:07 - Advances in Diagnosing Immunodeficiency
50:31 - Final Thoughts and Takeaways


---


RESOURCES


Lauren Michelle Gunderman, MD
https://www.seattlechildrens.org/directory/lauren-michelle-gunderman/

]]> 3266 Ep. 259 Understanding Coblation Tonsillectomy: Benefits, Outcomes & Techniques with Dr. Stephen Chorney Can one surgical approach reduce postoperative bleeding, shorten recovery, and save hundreds of dollars per case? In this episode of the BackTable ENT Podcast, Dr. Stephen Chorney, pediatric otolaryngologist at the University of Texas Southwestern Medical Center, joins hosts Dr. Ashley Agan and Dr. Gopi Shah to discuss the benefits and techniques of coblation intracapsular tonsillectomy. Drawing from his extensive clinical experience and findings from his recent Triological thesis, Dr. Chorney reviews the cost effectiveness of coblation intracapsular tonsillectomy compared to traditional extracapsular approaches. --- This podcast is supported by: Smith+Nephew https://www.smith-nephew.com/en-us/health-care-professionals/products/ear-nose-and-throat/coblation-technology-for-adenotonsillectomy#overview --- SYNPOSIS The conversation highlights key advantages of coblation intracapsular tonsillectomy, including lower postoperative bleeding rates, reduced pain, faster recovery, and meaningful economic benefits. Dr. Chorney also shares practical pearls on surgical technique with coblation, equipment settings, and postoperative care, making this episode a valuable resource for surgeons considering or already performing intracapsular tonsillectomy. --- TIMESTAMPS 00:00 - Introduction03:34 - Intracapsular Tonsillectomy: Training and Adoption08:46 - Patient Selection and Surgical Techniques15:50 - Postoperative Care and Pain Management37:26 - Understanding Post-Workout Pain and Recovery38:13 - Comparing Surgical Tools: Microdebrider vs. Coblator38:54 - Visual Cues and Techniques in Tonsillectomy39:22 - Challenges and Solutions in Tonsillectomy Procedures46:37 - Case Studies and Video Demonstrations56:12 - Cost-Effectiveness of Intracapsular Tonsillectomy01:07:19 - Conclusion and Final Thoughts --- RESOURCES Dr. Stephen Chorney https://utswmed.org/doctors/stephen-chorney/ Trio Thesis https://onlinelibrary.wiley.com/doi/full/10.1002/lary.32448 Tue, 03 Feb 2026 08:00:00 -0000 full BackTable Inc. Can one surgical approach reduce postoperative bleeding, shorten recovery, and save hundreds of dollars per case? In this episode of the BackTable ENT Podcast, Dr. Stephen Chorney, pediatric otolaryngologist at the University of Texas Southwestern Medical Center, joins hosts Dr. Ashley Agan and Dr. Gopi Shah to discuss the benefits and techniques of coblation intracapsular tonsillectomy. Drawing from his extensive clinical experience and findings from his recent Triological thesis, Dr. Chorney reviews the cost effectiveness of coblation intracapsular tonsillectomy compared to traditional extracapsular approaches. --- This podcast is supported by: Smith+Nephew https://www.smith-nephew.com/en-us/health-care-professionals/products/ear-nose-and-throat/coblation-technology-for-adenotonsillectomy#overview --- SYNPOSIS The conversation highlights key advantages of coblation intracapsular tonsillectomy, including lower postoperative bleeding rates, reduced pain, faster recovery, and meaningful economic benefits. Dr. Chorney also shares practical pearls on surgical technique with coblation, equipment settings, and postoperative care, making this episode a valuable resource for surgeons considering or already performing intracapsular tonsillectomy. --- TIMESTAMPS 00:00 - Introduction03:34 - Intracapsular Tonsillectomy: Training and Adoption08:46 - Patient Selection and Surgical Techniques15:50 - Postoperative Care and Pain Management37:26 - Understanding Post-Workout Pain and Recovery38:13 - Comparing Surgical Tools: Microdebrider vs. Coblator38:54 - Visual Cues and Techniques in Tonsillectomy39:22 - Challenges and Solutions in Tonsillectomy Procedures46:37 - Case Studies and Video Demonstrations56:12 - Cost-Effectiveness of Intracapsular Tonsillectomy01:07:19 - Conclusion and Final Thoughts --- RESOURCES Dr. Stephen Chorney https://utswmed.org/doctors/stephen-chorney/ Trio Thesis https://onlinelibrary.wiley.com/doi/full/10.1002/lary.32448 Can one surgical approach reduce postoperative bleeding, shorten recovery, and save hundreds of dollars per case? In this episode of the BackTable ENT Podcast, Dr. Stephen Chorney, pediatric otolaryngologist at the University of Texas Southwestern Medical Center, joins hosts Dr. Ashley Agan and Dr. Gopi Shah to discuss the benefits and techniques of coblation intracapsular tonsillectomy. Drawing from his extensive clinical experience and findings from his recent Triological thesis, Dr. Chorney reviews the cost effectiveness of coblation intracapsular tonsillectomy compared to traditional extracapsular approaches.


---


This podcast is supported by:


Smith+Nephew


https://www.smith-nephew.com/en-us/health-care-professionals/products/ear-nose-and-throat/coblation-technology-for-adenotonsillectomy#overview


---


SYNPOSIS


The conversation highlights key advantages of coblation intracapsular tonsillectomy, including lower postoperative bleeding rates, reduced pain, faster recovery, and meaningful economic benefits. Dr. Chorney also shares practical pearls on surgical technique with coblation, equipment settings, and postoperative care, making this episode a valuable resource for surgeons considering or already performing intracapsular tonsillectomy.


---


TIMESTAMPS


00:00 - Introduction
03:34 - Intracapsular Tonsillectomy: Training and Adoption
08:46 - Patient Selection and Surgical Techniques
15:50 - Postoperative Care and Pain Management
37:26 - Understanding Post-Workout Pain and Recovery
38:13 - Comparing Surgical Tools: Microdebrider vs. Coblator
38:54 - Visual Cues and Techniques in Tonsillectomy
39:22 - Challenges and Solutions in Tonsillectomy Procedures
46:37 - Case Studies and Video Demonstrations
56:12 - Cost-Effectiveness of Intracapsular Tonsillectomy
01:07:19 - Conclusion and Final Thoughts


---


RESOURCES


Dr. Stephen Chorney
https://utswmed.org/doctors/stephen-chorney/


Trio Thesis
https://onlinelibrary.wiley.com/doi/full/10.1002/lary.32448

]]> 4283 Ep. 258 Understanding Sublingual vs. Subcutaneous Immunotherapy with Dr. Nikhila Schroeder When allergy meds aren’t enough, how do you choose the form of immunotherapy that will work best for your patient? Board-certified allergist-immunologist Dr. Nikhila Schroeder and host Dr. Basil Kahwash answer that question and more in this episode of the BackTable ENT Podcast. --- SYNPOSIS Dr. Schroeder shares her path from an engineering background to becoming a board-certified pediatric and adult allergist-immunologist, offering insight into how that perspective shapes her approach to patient care. The discussion focuses on the nuances of sublingual immunotherapy (SLIT) versus subcutaneous immunotherapy (SCIT), including administration, efficacy, safety, and patient adherence challenges. They also explore how immunotherapy can modulate the immune system and provide long-term symptom relief. Dr. Schroeder concludes by sharing her vision for the future of allergy immunotherapy, highlighting the accessibility and growing potential of SLIT. This episode offers ENT specialists a practical overview of why understanding and integrating allergy-immunotherapy can benefit both their practice and their patients. --- TIMESTAMPS 00:00 - Introduction05:01 - History and Evolution of Immunotherapy10:36 - Mechanisms of Immunotherapy14:59 - Subcutaneous Immunotherapy: Process and Benefits19:52 - Sublingual Immunotherapy: Process and Benefits27:56 - Comparing Subcutaneous and Sublingual Immunotherapy34:14 - Efficacy Comparison: Allergy Shots vs. SLIT39:51 - Patient Adherence and Treatment Choices41:58 - Contraindications for Allergy Immunotherapy48:58 - Long-term Benefits of Immunotherapy59:26 - Key Takeaways for ENT Professionals --- RESOURCES Dr. Nikhila Schroeder https://allergenuityhealth.com/about-us/ Tue, 27 Jan 2026 08:00:00 -0000 full BackTable Inc. When allergy meds aren’t enough, how do you choose the form of immunotherapy that will work best for your patient? Board-certified allergist-immunologist Dr. Nikhila Schroeder and host Dr. Basil Kahwash answer that question and more in this episode of the BackTable ENT Podcast. --- SYNPOSIS Dr. Schroeder shares her path from an engineering background to becoming a board-certified pediatric and adult allergist-immunologist, offering insight into how that perspective shapes her approach to patient care. The discussion focuses on the nuances of sublingual immunotherapy (SLIT) versus subcutaneous immunotherapy (SCIT), including administration, efficacy, safety, and patient adherence challenges. They also explore how immunotherapy can modulate the immune system and provide long-term symptom relief. Dr. Schroeder concludes by sharing her vision for the future of allergy immunotherapy, highlighting the accessibility and growing potential of SLIT. This episode offers ENT specialists a practical overview of why understanding and integrating allergy-immunotherapy can benefit both their practice and their patients. --- TIMESTAMPS 00:00 - Introduction05:01 - History and Evolution of Immunotherapy10:36 - Mechanisms of Immunotherapy14:59 - Subcutaneous Immunotherapy: Process and Benefits19:52 - Sublingual Immunotherapy: Process and Benefits27:56 - Comparing Subcutaneous and Sublingual Immunotherapy34:14 - Efficacy Comparison: Allergy Shots vs. SLIT39:51 - Patient Adherence and Treatment Choices41:58 - Contraindications for Allergy Immunotherapy48:58 - Long-term Benefits of Immunotherapy59:26 - Key Takeaways for ENT Professionals --- RESOURCES Dr. Nikhila Schroeder https://allergenuityhealth.com/about-us/ When allergy meds aren’t enough, how do you choose the form of immunotherapy that will work best for your patient? Board-certified allergist-immunologist Dr. Nikhila Schroeder and host Dr. Basil Kahwash answer that question and more in this episode of the BackTable ENT Podcast.


---


SYNPOSIS


Dr. Schroeder shares her path from an engineering background to becoming a board-certified pediatric and adult allergist-immunologist, offering insight into how that perspective shapes her approach to patient care. The discussion focuses on the nuances of sublingual immunotherapy (SLIT) versus subcutaneous immunotherapy (SCIT), including administration, efficacy, safety, and patient adherence challenges. They also explore how immunotherapy can modulate the immune system and provide long-term symptom relief. Dr. Schroeder concludes by sharing her vision for the future of allergy immunotherapy, highlighting the accessibility and growing potential of SLIT. This episode offers ENT specialists a practical overview of why understanding and integrating allergy-immunotherapy can benefit both their practice and their patients.


---


TIMESTAMPS


00:00 - Introduction
05:01 - History and Evolution of Immunotherapy
10:36 - Mechanisms of Immunotherapy
14:59 - Subcutaneous Immunotherapy: Process and Benefits
19:52 - Sublingual Immunotherapy: Process and Benefits
27:56 - Comparing Subcutaneous and Sublingual Immunotherapy
34:14 - Efficacy Comparison: Allergy Shots vs. SLIT
39:51 - Patient Adherence and Treatment Choices
41:58 - Contraindications for Allergy Immunotherapy
48:58 - Long-term Benefits of Immunotherapy
59:26 - Key Takeaways for ENT Professionals


---


RESOURCES


Dr. Nikhila Schroeder
https://allergenuityhealth.com/about-us/

]]> 3850 Ep. 257 Understanding Eosinophilic Esophagitis: Diagnosis & Treatment Strategies with Dr. John Leung Think beyond the esophagus. Up to 75% of eosinophilic esophagitis (EoE) patients have ENT-relevant atopic disease that is often best managed with a multidisciplinary approach. Get caught up on best practices in EoE diagnosis and treatment with this episode of the BackTable ENT Podcast, featuring dual board-certified gastroenterologist and allergist-immunologist Dr. John Leung and host Dr. Basil Kahwash. --- SYNPOSIS The discussion covers the definition, symptoms, and diagnosis of EoE, highlighting the role of food and environmental allergies. Dr. Leung and Dr. Kahwash cover diagnostic techniques like endoscopy and emerging non-invasive methods, as well as various treatment options including dietary modifications, pharmacology, and biologics. The doctors also emphasize the importance of multidisciplinary collaboration between gastroenterologists, allergists, and otolaryngologists to provide optimal care for patients with EoE. --- TIMESTAMPS 00:00 - Introduction 03:13 - Understanding Eosinophilic Esophagitis (EoE)05:45 - EoE Symptoms and Diagnosis08:41 - Role of ENT in EoE Diagnosis11:32 - Diagnostic Criteria for EoE16:34 - Treatment Options for EoE20:55 - Role of Allergists and Environmental Allergies23:24 - Pharmacological Management of EoE29:38 - Complications and Risks of EoE36:21 - Follow-Up Endoscopies and Surveillance40:34 - Future Directions in EoE Management45:21 - Conclusion and Final Thoughts --- RESOURCES Dr. John Leunghttps://www.bostonspecialists.org/dr-leung-full-profile Tue, 20 Jan 2026 08:00:00 -0000 full BackTable Inc. Think beyond the esophagus. Up to 75% of eosinophilic esophagitis (EoE) patients have ENT-relevant atopic disease that is often best managed with a multidisciplinary approach. Get caught up on best practices in EoE diagnosis and treatment with this episode of the BackTable ENT Podcast, featuring dual board-certified gastroenterologist and allergist-immunologist Dr. John Leung and host Dr. Basil Kahwash. --- SYNPOSIS The discussion covers the definition, symptoms, and diagnosis of EoE, highlighting the role of food and environmental allergies. Dr. Leung and Dr. Kahwash cover diagnostic techniques like endoscopy and emerging non-invasive methods, as well as various treatment options including dietary modifications, pharmacology, and biologics. The doctors also emphasize the importance of multidisciplinary collaboration between gastroenterologists, allergists, and otolaryngologists to provide optimal care for patients with EoE. --- TIMESTAMPS 00:00 - Introduction 03:13 - Understanding Eosinophilic Esophagitis (EoE)05:45 - EoE Symptoms and Diagnosis08:41 - Role of ENT in EoE Diagnosis11:32 - Diagnostic Criteria for EoE16:34 - Treatment Options for EoE20:55 - Role of Allergists and Environmental Allergies23:24 - Pharmacological Management of EoE29:38 - Complications and Risks of EoE36:21 - Follow-Up Endoscopies and Surveillance40:34 - Future Directions in EoE Management45:21 - Conclusion and Final Thoughts --- RESOURCES Dr. John Leunghttps://www.bostonspecialists.org/dr-leung-full-profile Think beyond the esophagus. Up to 75% of eosinophilic esophagitis (EoE) patients have ENT-relevant atopic disease that is often best managed with a multidisciplinary approach. Get caught up on best practices in EoE diagnosis and treatment with this episode of the BackTable ENT Podcast, featuring dual board-certified gastroenterologist and allergist-immunologist Dr. John Leung and host Dr. Basil Kahwash.


---


SYNPOSIS


The discussion covers the definition, symptoms, and diagnosis of EoE, highlighting the role of food and environmental allergies. Dr. Leung and Dr. Kahwash cover diagnostic techniques like endoscopy and emerging non-invasive methods, as well as various treatment options including dietary modifications, pharmacology, and biologics. The doctors also emphasize the importance of multidisciplinary collaboration between gastroenterologists, allergists, and otolaryngologists to provide optimal care for patients with EoE.


---


TIMESTAMPS


00:00 - Introduction
03:13 - Understanding Eosinophilic Esophagitis (EoE)
05:45 - EoE Symptoms and Diagnosis
08:41 - Role of ENT in EoE Diagnosis
11:32 - Diagnostic Criteria for EoE
16:34 - Treatment Options for EoE
20:55 - Role of Allergists and Environmental Allergies
23:24 - Pharmacological Management of EoE
29:38 - Complications and Risks of EoE
36:21 - Follow-Up Endoscopies and Surveillance
40:34 - Future Directions in EoE Management
45:21 - Conclusion and Final Thoughts


---


RESOURCES


Dr. John Leung
https://www.bostonspecialists.org/dr-leung-full-profile

]]> 2926 Ep. 256 Keys to FESS: Intra-Op Pearls for Optimizing Outcomes in Sinus Surgery with Dr. Dennis Tang The best approach to sinus surgery is the one tailored to the patient in front of you. In this episode of the BackTable ENT podcast, guest host Dr. Satyan Sreenath, rhinologist and Assistant Professor at Indiana University, and Dr. Dennis Tang, rhinologist and Assistant Professor at Cedars-Sinai, discuss advanced surgical techniques and post-operative management strategies in Functional Endoscopic Sinus Surgery (FESS). --- SYNPOSIS The conversation covers the latest practices in intraoperative maneuvers, the use of bioabsorbable materials, and the contentious topic of middle turbinate resections. They review patient cases, surgical approaches, and provide insights into optimizing patient outcomes. Additionally, they emphasize the importance of individualized care tailored to specific chronic sinusitis phenotypes and patient-specific factors. --- TIMESTAMPS 00:00 - Introduction 03:28 - Case Study #1: CRSsNP with Nasal Congestion 04:59 - Factors Influencing Minimal vs. Maximal Surgery 14:23 - Case Study #2: Severe Nasal Polyposis27:56 - Debating the Use of Packing in Sinus Surgery40:24 - Scrutinizing Overhead Costs in Patient Care42:45 - FESS Postoperative Care 43:54 - Evolving Biomaterials in Sinus Surgery49:46 - The Debate on Middle Turbinectomy50:46 - Middle Turbinate Management Strategies01:13:17 - Concluding Thoughts on Surgical Practices --- RESOURCES Dr. Satyan Sreenath https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999 Dr. Dennis Tanghttps://www.cedars-sinai.org/provider/dennis-tang-3316614.html Tue, 13 Jan 2026 08:00:00 -0000 full BackTable Inc. The best approach to sinus surgery is the one tailored to the patient in front of you. In this episode of the BackTable ENT podcast, guest host Dr. Satyan Sreenath, rhinologist and Assistant Professor at Indiana University, and Dr. Dennis Tang, rhinologist and Assistant Professor at Cedars-Sinai, discuss advanced surgical techniques and post-operative management strategies in Functional Endoscopic Sinus Surgery (FESS). --- SYNPOSIS The conversation covers the latest practices in intraoperative maneuvers, the use of bioabsorbable materials, and the contentious topic of middle turbinate resections. They review patient cases, surgical approaches, and provide insights into optimizing patient outcomes. Additionally, they emphasize the importance of individualized care tailored to specific chronic sinusitis phenotypes and patient-specific factors. --- TIMESTAMPS 00:00 - Introduction 03:28 - Case Study #1: CRSsNP with Nasal Congestion 04:59 - Factors Influencing Minimal vs. Maximal Surgery 14:23 - Case Study #2: Severe Nasal Polyposis27:56 - Debating the Use of Packing in Sinus Surgery40:24 - Scrutinizing Overhead Costs in Patient Care42:45 - FESS Postoperative Care 43:54 - Evolving Biomaterials in Sinus Surgery49:46 - The Debate on Middle Turbinectomy50:46 - Middle Turbinate Management Strategies01:13:17 - Concluding Thoughts on Surgical Practices --- RESOURCES Dr. Satyan Sreenath https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999 Dr. Dennis Tanghttps://www.cedars-sinai.org/provider/dennis-tang-3316614.html The best approach to sinus surgery is the one tailored to the patient in front of you. In this episode of the BackTable ENT podcast, guest host Dr. Satyan Sreenath, rhinologist and Assistant Professor at Indiana University, and Dr. Dennis Tang, rhinologist and Assistant Professor at Cedars-Sinai, discuss advanced surgical techniques and post-operative management strategies in Functional Endoscopic Sinus Surgery (FESS).


---


SYNPOSIS


The conversation covers the latest practices in intraoperative maneuvers, the use of bioabsorbable materials, and the contentious topic of middle turbinate resections. They review patient cases, surgical approaches, and provide insights into optimizing patient outcomes. Additionally, they emphasize the importance of individualized care tailored to specific chronic sinusitis phenotypes and patient-specific factors.


---


TIMESTAMPS


00:00 - Introduction
03:28 - Case Study #1: CRSsNP with Nasal Congestion
04:59 - Factors Influencing Minimal vs. Maximal Surgery
14:23 - Case Study #2: Severe Nasal Polyposis
27:56 - Debating the Use of Packing in Sinus Surgery
40:24 - Scrutinizing Overhead Costs in Patient Care
42:45 - FESS Postoperative Care
43:54 - Evolving Biomaterials in Sinus Surgery
49:46 - The Debate on Middle Turbinectomy
50:46 - Middle Turbinate Management Strategies
01:13:17 - Concluding Thoughts on Surgical Practices


---


RESOURCES


Dr. Satyan Sreenath
https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999


Dr. Dennis Tang
https://www.cedars-sinai.org/provider/dennis-tang-3316614.html

]]> 4734 Ep. 255 Antibiotic Allergy vs. Intolerance: Understanding Patient Risk with Dr. Cosby Stone When should an antibiotic allergy actually be tested? In this episode of the BackTable ENT Podcast, guest host Dr. Basil Kahwash, an allergist and immunologist at Ohio ENT & Allergy, sits down with Dr. Cosby Stone, an allergist and immunologist at Vanderbilt University Medical Center, to discuss antibiotic allergies and how to distinguish true allergies from intolerances. --- SYNPOSIS Dr. Stone breaks down common misconceptions around antibiotic allergies, with a focus on penicillin and cephalosporins. The conversation explores how these allergies are evaluated, including when skin testing is appropriate, why inaccurate allergy labels matter, and how confirmed allergies should be managed long term. They also dive into more advanced topics such as drug desensitization, current research in the field, and where the future of drug allergy evaluation is headed. --- TIMESTAMPS 00:00 - Introduction 01:03 - Understanding Antibiotic Allergies07:28 - The Importance of Accurate Allergy Diagnosis10:55 - Key Questions for Diagnosing Allergies17:10 - Implementing Allergy Testing in Healthcare Settings19:06 - Identifying Severe Allergic Reactions26:31 - Interpreting Allergy Skin Testing Procedures33:17 - Penicillin and Cephalosporin Cross-Reactivity37:15 - Drug Desensitization: Indications and Process40:30 - Prognosis and Long-Term Outcomes of Drug Allergies47:22 - Conclusion and Final Thoughts --- RESOURCES Dr. Basil Kahwash https://www.ohioentandallergy.com/physicians/basil-kahwash-md/ Dr. Cosby Stonehttps://www.vanderbilthealth.com/doctors/stone-cosby Tue, 06 Jan 2026 08:00:00 -0000 full BackTable Inc. When should an antibiotic allergy actually be tested? In this episode of the BackTable ENT Podcast, guest host Dr. Basil Kahwash, an allergist and immunologist at Ohio ENT & Allergy, sits down with Dr. Cosby Stone, an allergist and immunologist at Vanderbilt University Medical Center, to discuss antibiotic allergies and how to distinguish true allergies from intolerances. --- SYNPOSIS Dr. Stone breaks down common misconceptions around antibiotic allergies, with a focus on penicillin and cephalosporins. The conversation explores how these allergies are evaluated, including when skin testing is appropriate, why inaccurate allergy labels matter, and how confirmed allergies should be managed long term. They also dive into more advanced topics such as drug desensitization, current research in the field, and where the future of drug allergy evaluation is headed. --- TIMESTAMPS 00:00 - Introduction 01:03 - Understanding Antibiotic Allergies07:28 - The Importance of Accurate Allergy Diagnosis10:55 - Key Questions for Diagnosing Allergies17:10 - Implementing Allergy Testing in Healthcare Settings19:06 - Identifying Severe Allergic Reactions26:31 - Interpreting Allergy Skin Testing Procedures33:17 - Penicillin and Cephalosporin Cross-Reactivity37:15 - Drug Desensitization: Indications and Process40:30 - Prognosis and Long-Term Outcomes of Drug Allergies47:22 - Conclusion and Final Thoughts --- RESOURCES Dr. Basil Kahwash https://www.ohioentandallergy.com/physicians/basil-kahwash-md/ Dr. Cosby Stonehttps://www.vanderbilthealth.com/doctors/stone-cosby When should an antibiotic allergy actually be tested? In this episode of the BackTable ENT Podcast, guest host Dr. Basil Kahwash, an allergist and immunologist at Ohio ENT & Allergy, sits down with Dr. Cosby Stone, an allergist and immunologist at Vanderbilt University Medical Center, to discuss antibiotic allergies and how to distinguish true allergies from intolerances.


---


SYNPOSIS


Dr. Stone breaks down common misconceptions around antibiotic allergies, with a focus on penicillin and cephalosporins. The conversation explores how these allergies are evaluated, including when skin testing is appropriate, why inaccurate allergy labels matter, and how confirmed allergies should be managed long term. They also dive into more advanced topics such as drug desensitization, current research in the field, and where the future of drug allergy evaluation is headed.


---


TIMESTAMPS


00:00 - Introduction
01:03 - Understanding Antibiotic Allergies
07:28 - The Importance of Accurate Allergy Diagnosis
10:55 - Key Questions for Diagnosing Allergies
17:10 - Implementing Allergy Testing in Healthcare Settings
19:06 - Identifying Severe Allergic Reactions
26:31 - Interpreting Allergy Skin Testing Procedures
33:17 - Penicillin and Cephalosporin Cross-Reactivity
37:15 - Drug Desensitization: Indications and Process
40:30 - Prognosis and Long-Term Outcomes of Drug Allergies
47:22 - Conclusion and Final Thoughts


---


RESOURCES


Dr. Basil Kahwash
https://www.ohioentandallergy.com/physicians/basil-kahwash-md/


Dr. Cosby Stone
https://www.vanderbilthealth.com/doctors/stone-cosby

]]> 3098 Ep. 254 Modern ENT Private Practice: Insights and Innovations with Dr. Caleb Masterson “This is the kind of conversation I wish I heard earlier in training.” If you’re thinking about private practice at all, you’ll want to hear this episode of the BackTable ENT Podcast. Private practice otolaryngologist Dr. Caleb Masterson joins host Dr. Ashley Agan for a conversation about what modern ENT private practice can look like when autonomy, leadership, and patient experience take priority. --- SYNPOSIS Dr. Masterson shares his journey from academic medicine to establishing his own private practice, highlighting his motivations for seeking autonomy and the challenges he faced. The discussion covers the importance of creating a patient-centered experience, innovating during the COVID-19 pandemic, and the significance of developing strong leadership within a practice. Dr. Masterson also shares his entrepreneurial ventures, including the creation of a coffee shop within his clinic and the development of an allergy engagement mobile app to enhance patient care. --- TIMESTAMPS 00:00 - Introduction 01:40 - Journey to Private Practice06:36 - COVID-19 Impact and Adaptation09:37 - Building a Successful Team16:37 - Financial Strategies in Private Practice27:59 - Creating an Exceptional Patient Experience30:05 - Community Involvement and Unexpected Outcomes39:53 - The Importance of Autonomy in Healthcare48:41 - Developing Resources for Healthcare Providers51:17 - Innovations in Patient Experience --- RESOURCES Dr. Caleb Mastersonhttps://www.bnbsinusandallergy.com/team-members/caleb-masterson Tue, 30 Dec 2025 08:00:00 -0000 full BackTable Inc. “This is the kind of conversation I wish I heard earlier in training.” If you’re thinking about private practice at all, you’ll want to hear this episode of the BackTable ENT Podcast. Private practice otolaryngologist Dr. Caleb Masterson joins host Dr. Ashley Agan for a conversation about what modern ENT private practice can look like when autonomy, leadership, and patient experience take priority. --- SYNPOSIS Dr. Masterson shares his journey from academic medicine to establishing his own private practice, highlighting his motivations for seeking autonomy and the challenges he faced. The discussion covers the importance of creating a patient-centered experience, innovating during the COVID-19 pandemic, and the significance of developing strong leadership within a practice. Dr. Masterson also shares his entrepreneurial ventures, including the creation of a coffee shop within his clinic and the development of an allergy engagement mobile app to enhance patient care. --- TIMESTAMPS 00:00 - Introduction 01:40 - Journey to Private Practice06:36 - COVID-19 Impact and Adaptation09:37 - Building a Successful Team16:37 - Financial Strategies in Private Practice27:59 - Creating an Exceptional Patient Experience30:05 - Community Involvement and Unexpected Outcomes39:53 - The Importance of Autonomy in Healthcare48:41 - Developing Resources for Healthcare Providers51:17 - Innovations in Patient Experience --- RESOURCES Dr. Caleb Mastersonhttps://www.bnbsinusandallergy.com/team-members/caleb-masterson “This is the kind of conversation I wish I heard earlier in training.” If you’re thinking about private practice at all, you’ll want to hear this episode of the BackTable ENT Podcast. Private practice otolaryngologist Dr. Caleb Masterson joins host Dr. Ashley Agan for a conversation about what modern ENT private practice can look like when autonomy, leadership, and patient experience take priority.


---

SYNPOSIS

Dr. Masterson shares his journey from academic medicine to establishing his own private practice, highlighting his motivations for seeking autonomy and the challenges he faced. The discussion covers the importance of creating a patient-centered experience, innovating during the COVID-19 pandemic, and the significance of developing strong leadership within a practice. Dr. Masterson also shares his entrepreneurial ventures, including the creation of a coffee shop within his clinic and the development of an allergy engagement mobile app to enhance patient care.

---

TIMESTAMPS

00:00 - Introduction
01:40 - Journey to Private Practice
06:36 - COVID-19 Impact and Adaptation
09:37 - Building a Successful Team
16:37 - Financial Strategies in Private Practice
27:59 - Creating an Exceptional Patient Experience
30:05 - Community Involvement and Unexpected Outcomes
39:53 - The Importance of Autonomy in Healthcare
48:41 - Developing Resources for Healthcare Providers
51:17 - Innovations in Patient Experience

---

RESOURCES

Dr. Caleb Masterson
https://www.bnbsinusandallergy.com/team-members/caleb-masterson

]]> 3389 Ep. 253 ENT Women in Industry: Research & Innovation with Dr. Karen Hoffmann How can your clinical experience translate into industry leadership? In this episode of the BackTable ENT Podcast, otolaryngologist Dr. Karen Hoffmann at Piedmont ENT in Atlanta joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss the many opportunities for industry involvement within otolaryngology. --- SYNPOSIS Dr. Hoffmann shares her extensive experience in otology and rhinology, highlighting her involvement in clinical trials, public speaking, and industry collaborations. The discussion focuses on the vast opportunities available for ENTs in industry, addressing how clinical experience can translate into meaningful contributions beyond traditional practice. Dr. Hoffmann offers insights on balancing clinical practice with industry work, the importance of gender diversity in advancing medical tools and practices, and the potential for future innovations in ENT driven by women in the field. --- TIMESTAMPS 00:00 - Introduction02:31 - Opportunities for ENTs in Industry08:43 - Balancing Career and Family16:39 - Navigating Industry Partnerships21:39 - Addressing Criticism in Medicine25:09 - Getting Started with Clinical Trials in Private Practice28:57 - The Role of Mentorship and Networking36:13 - The Importance of Women in Medicine42:10 - Future Opportunities for Women in ENT --- RESOURCES Dr. Karen Hoffmannhttps://www.piedent.com/about-us/providers/karen-hoffmann Tue, 23 Dec 2025 08:00:00 -0000 full BackTable Inc. How can your clinical experience translate into industry leadership? In this episode of the BackTable ENT Podcast, otolaryngologist Dr. Karen Hoffmann at Piedmont ENT in Atlanta joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss the many opportunities for industry involvement within otolaryngology. --- SYNPOSIS Dr. Hoffmann shares her extensive experience in otology and rhinology, highlighting her involvement in clinical trials, public speaking, and industry collaborations. The discussion focuses on the vast opportunities available for ENTs in industry, addressing how clinical experience can translate into meaningful contributions beyond traditional practice. Dr. Hoffmann offers insights on balancing clinical practice with industry work, the importance of gender diversity in advancing medical tools and practices, and the potential for future innovations in ENT driven by women in the field. --- TIMESTAMPS 00:00 - Introduction02:31 - Opportunities for ENTs in Industry08:43 - Balancing Career and Family16:39 - Navigating Industry Partnerships21:39 - Addressing Criticism in Medicine25:09 - Getting Started with Clinical Trials in Private Practice28:57 - The Role of Mentorship and Networking36:13 - The Importance of Women in Medicine42:10 - Future Opportunities for Women in ENT --- RESOURCES Dr. Karen Hoffmannhttps://www.piedent.com/about-us/providers/karen-hoffmann How can your clinical experience translate into industry leadership? In this episode of the BackTable ENT Podcast, otolaryngologist Dr. Karen Hoffmann at Piedmont ENT in Atlanta joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss the many opportunities for industry involvement within otolaryngology.


---


SYNPOSIS


Dr. Hoffmann shares her extensive experience in otology and rhinology, highlighting her involvement in clinical trials, public speaking, and industry collaborations. The discussion focuses on the vast opportunities available for ENTs in industry, addressing how clinical experience can translate into meaningful contributions beyond traditional practice. Dr. Hoffmann offers insights on balancing clinical practice with industry work, the importance of gender diversity in advancing medical tools and practices, and the potential for future innovations in ENT driven by women in the field.


---


TIMESTAMPS


00:00 - Introduction
02:31 - Opportunities for ENTs in Industry
08:43 - Balancing Career and Family
16:39 - Navigating Industry Partnerships
21:39 - Addressing Criticism in Medicine
25:09 - Getting Started with Clinical Trials in Private Practice
28:57 - The Role of Mentorship and Networking
36:13 - The Importance of Women in Medicine
42:10 - Future Opportunities for Women in ENT


---


RESOURCES


Dr. Karen Hoffmann
https://www.piedent.com/about-us/providers/karen-hoffmann

]]> 3105 Ep. 252 The Wealthy Healer: Escaping the 7-year Slump with Robert Glazer, MPA Ever wondered what a high-powered healthcare executive thinks physicians should know about money, leadership, and career longevity? This episode of BackTable ENT features an especially engaging conversation with Bob Glazer, a recently retired healthcare executive, who shares his wisdom on achieving financial and personal abundance with guest host Dr. Ayesha Khalid. --- SYNPOSIS The discussion covers Bob’s extensive career in healthcare administration to key financial strategies for otolaryngologists, including tax planning and long-term financial management. Mr. Glazer emphasizes the importance of balancing career ambitions with personal life, planning for different stages of one's professional journey, and exploring entrepreneurial ventures. With practical advice on leadership, maintaining work-life balance, and continuous self-improvement, Mr. Glazer offers invaluable guidance for both young practitioners and seasoned professionals in healthcare. --- TIMESTAMPS 00:00 - Introduction02:53 - The Importance of Tax Planning for Physicians06:50 - Navigating Early Career Financial Decisions11:40 - Building a Strong Professional Reputation14:51 - The Seven-Year Itch: Seeking New Challenges23:59 - Understanding Risk Tolerance26:25 - Balancing Work and Life as an Otolaryngologist29:37 - Retirement and Rediscovering Hobbies32:36 - Leading Yourself and Crafting Your Life35:37 - Data-Driven Leadership and Career Advice38:43 - Final Takeaways --- RESOURCES Robert Glazerhttps://www.askascent.com/page/RobertGlazerbio Tue, 16 Dec 2025 08:00:00 -0000 full BackTable Inc. Ever wondered what a high-powered healthcare executive thinks physicians should know about money, leadership, and career longevity? This episode of BackTable ENT features an especially engaging conversation with Bob Glazer, a recently retired healthcare executive, who shares his wisdom on achieving financial and personal abundance with guest host Dr. Ayesha Khalid. --- SYNPOSIS The discussion covers Bob’s extensive career in healthcare administration to key financial strategies for otolaryngologists, including tax planning and long-term financial management. Mr. Glazer emphasizes the importance of balancing career ambitions with personal life, planning for different stages of one's professional journey, and exploring entrepreneurial ventures. With practical advice on leadership, maintaining work-life balance, and continuous self-improvement, Mr. Glazer offers invaluable guidance for both young practitioners and seasoned professionals in healthcare. --- TIMESTAMPS 00:00 - Introduction02:53 - The Importance of Tax Planning for Physicians06:50 - Navigating Early Career Financial Decisions11:40 - Building a Strong Professional Reputation14:51 - The Seven-Year Itch: Seeking New Challenges23:59 - Understanding Risk Tolerance26:25 - Balancing Work and Life as an Otolaryngologist29:37 - Retirement and Rediscovering Hobbies32:36 - Leading Yourself and Crafting Your Life35:37 - Data-Driven Leadership and Career Advice38:43 - Final Takeaways --- RESOURCES Robert Glazerhttps://www.askascent.com/page/RobertGlazerbio Ever wondered what a high-powered healthcare executive thinks physicians should know about money, leadership, and career longevity? This episode of BackTable ENT features an especially engaging conversation with Bob Glazer, a recently retired healthcare executive, who shares his wisdom on achieving financial and personal abundance with guest host Dr. Ayesha Khalid.


---


SYNPOSIS


The discussion covers Bob’s extensive career in healthcare administration to key financial strategies for otolaryngologists, including tax planning and long-term financial management. Mr. Glazer emphasizes the importance of balancing career ambitions with personal life, planning for different stages of one's professional journey, and exploring entrepreneurial ventures. With practical advice on leadership, maintaining work-life balance, and continuous self-improvement, Mr. Glazer offers invaluable guidance for both young practitioners and seasoned professionals in healthcare.


---


TIMESTAMPS


00:00 - Introduction
02:53 - The Importance of Tax Planning for Physicians
06:50 - Navigating Early Career Financial Decisions
11:40 - Building a Strong Professional Reputation
14:51 - The Seven-Year Itch: Seeking New Challenges
23:59 - Understanding Risk Tolerance
26:25 - Balancing Work and Life as an Otolaryngologist
29:37 - Retirement and Rediscovering Hobbies
32:36 - Leading Yourself and Crafting Your Life
35:37 - Data-Driven Leadership and Career Advice
38:43 - Final Takeaways


---


RESOURCES


Robert Glazer
https://www.askascent.com/page/RobertGlazerbio

]]> 2858 Ep. 251 Clinical Evaluation and Treatment of Tongue Tie in Pediatric OSA with Dr. Brennan Dodson and Allegra Bereszniewicz M.S., CCC-SLP, QOM Does tongue tie impact pediatric sleep disordered breathing? In this episode of the Back Table ENT Podcast, otolaryngologist Dr. Brennan Dodson and speech language pathologist Allegra Bereszniewicz discuss tongue-tie and the pediatric airway with hosts Dr Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS The discussion covers the anatomy and pathophysiology of tongue tie, surgical techniques for its release, and the importance of pre- and post-operative myofunctional therapy. They delve into patient selection, the impact of tongue tie on sleep-disordered breathing, and contrasting surgical methodologies, including frenuloplasty. The episode also features an insightful case study with visuals, examining Dr. Dodson's surgical approach in detail. Additionally, they touch on insurance considerations and the challenges within current medical practice regarding tongue tie diagnosis and treatment. Check out detailed surgical techniques at the end with case presentations! --- TIMESTAMPS 00:00 - Introduction01:29 - Understanding Tongue Tie and Pediatric Airway06:17 - The Role of Myofunctional Therapy10:37 - Scientific Evidence and Research on Tongue Tie15:52 - Clinical Approaches and Patient Evaluations35:00 - Pre-Op and Post-Op Procedures39:02 - Post-Surgery Recovery and Exercises40:32 - Surgical Techniques and Tools44:31 - Post-Operative Care and Pain Management48:59 - Patient Selection and Considerations01:02:41 - Sleep Studies and Outcome Measures01:12:30 - Incision Techniques and Dissection Tools01:17:24 - Closure and Post-Operative Care01:23:51 - Innovations and Techniques in Surgery01:28:09 - Final Thoughts --- RESOURCES Dr. Brennan Dodson https://www.bridgerent.com/ Allegra Bereszniewicz MS, CCC-SLPhttps://grospeech.com/about/ Tue, 09 Dec 2025 08:00:00 -0000 full BackTable Inc. Does tongue tie impact pediatric sleep disordered breathing? In this episode of the Back Table ENT Podcast, otolaryngologist Dr. Brennan Dodson and speech language pathologist Allegra Bereszniewicz discuss tongue-tie and the pediatric airway with hosts Dr Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS The discussion covers the anatomy and pathophysiology of tongue tie, surgical techniques for its release, and the importance of pre- and post-operative myofunctional therapy. They delve into patient selection, the impact of tongue tie on sleep-disordered breathing, and contrasting surgical methodologies, including frenuloplasty. The episode also features an insightful case study with visuals, examining Dr. Dodson's surgical approach in detail. Additionally, they touch on insurance considerations and the challenges within current medical practice regarding tongue tie diagnosis and treatment. Check out detailed surgical techniques at the end with case presentations! --- TIMESTAMPS 00:00 - Introduction01:29 - Understanding Tongue Tie and Pediatric Airway06:17 - The Role of Myofunctional Therapy10:37 - Scientific Evidence and Research on Tongue Tie15:52 - Clinical Approaches and Patient Evaluations35:00 - Pre-Op and Post-Op Procedures39:02 - Post-Surgery Recovery and Exercises40:32 - Surgical Techniques and Tools44:31 - Post-Operative Care and Pain Management48:59 - Patient Selection and Considerations01:02:41 - Sleep Studies and Outcome Measures01:12:30 - Incision Techniques and Dissection Tools01:17:24 - Closure and Post-Operative Care01:23:51 - Innovations and Techniques in Surgery01:28:09 - Final Thoughts --- RESOURCES Dr. Brennan Dodson https://www.bridgerent.com/ Allegra Bereszniewicz MS, CCC-SLPhttps://grospeech.com/about/ Does tongue tie impact pediatric sleep disordered breathing? In this episode of the Back Table ENT Podcast, otolaryngologist Dr. Brennan Dodson and speech language pathologist Allegra Bereszniewicz discuss tongue-tie and the pediatric airway with hosts Dr Ashley Agan and Dr. Gopi Shah.


---


SYNPOSIS


The discussion covers the anatomy and pathophysiology of tongue tie, surgical techniques for its release, and the importance of pre- and post-operative myofunctional therapy. They delve into patient selection, the impact of tongue tie on sleep-disordered breathing, and contrasting surgical methodologies, including frenuloplasty. The episode also features an insightful case study with visuals, examining Dr. Dodson's surgical approach in detail. Additionally, they touch on insurance considerations and the challenges within current medical practice regarding tongue tie diagnosis and treatment. Check out detailed surgical techniques at the end with case presentations!


---


TIMESTAMPS


00:00 - Introduction
01:29 - Understanding Tongue Tie and Pediatric Airway
06:17 - The Role of Myofunctional Therapy
10:37 - Scientific Evidence and Research on Tongue Tie
15:52 - Clinical Approaches and Patient Evaluations
35:00 - Pre-Op and Post-Op Procedures
39:02 - Post-Surgery Recovery and Exercises
40:32 - Surgical Techniques and Tools
44:31 - Post-Operative Care and Pain Management
48:59 - Patient Selection and Considerations
01:02:41 - Sleep Studies and Outcome Measures
01:12:30 - Incision Techniques and Dissection Tools
01:17:24 - Closure and Post-Operative Care
01:23:51 - Innovations and Techniques in Surgery
01:28:09 - Final Thoughts


---


RESOURCES


Dr. Brennan Dodson
https://www.bridgerent.com/


Allegra Bereszniewicz MS, CCC-SLP
https://grospeech.com/about/

]]> 5531 Ep. 250 Preauricular Pits: Workup & Surgical Management with Dr. Eric Berg and Dr. Eric Gantwerker From asymptomatic dimples to chronic infections—here’s how experts navigate the spectrum of preauricular pits. In this episode of the Back Table ENT podcast, pediatric otolaryngologists Dr. Eric Gantwerker and Dr. Eric Berg discuss the surgical management of Preauricular Pits with host Dr. Gopi Shah. --- SYNPOSIS The conversation covers the etiology of preauricular pits, their presentations, decision-making for excision, surgical techniques, post-operative management, recurrence, and valuable tips in preauricular pit management. The doctors also touch upon collaboration with facial plastics and the importance of communication with families. --- TIMESTAMPS 00:00 - Introduction 03:11 - Common Presentations & Management of Preauricular Pits06:17 - Differential Diagnoses and Imaging13:56 - Surgical Considerations and Techniques18:51 - Managing Recurrent Infections19:07 - Skin Flap Techniques19:55 - Excising Chronic Wounds23:07 - Post-Op Management24:46 - Revision Surgery Insights29:08 - Final Tips and Pearls --- RESOURCES Dr. Eric Gantwerker https://www.northwell.edu/find-care/find-a-doctor/dr-eric-alan-gantwerker-md-ms-1144482662 Dr. Eric Berg https://www.wellstar.org/physicians/eric-berg-md Tue, 02 Dec 2025 08:00:00 -0000 full BackTable Inc. From asymptomatic dimples to chronic infections—here’s how experts navigate the spectrum of preauricular pits. In this episode of the Back Table ENT podcast, pediatric otolaryngologists Dr. Eric Gantwerker and Dr. Eric Berg discuss the surgical management of Preauricular Pits with host Dr. Gopi Shah. --- SYNPOSIS The conversation covers the etiology of preauricular pits, their presentations, decision-making for excision, surgical techniques, post-operative management, recurrence, and valuable tips in preauricular pit management. The doctors also touch upon collaboration with facial plastics and the importance of communication with families. --- TIMESTAMPS 00:00 - Introduction 03:11 - Common Presentations & Management of Preauricular Pits06:17 - Differential Diagnoses and Imaging13:56 - Surgical Considerations and Techniques18:51 - Managing Recurrent Infections19:07 - Skin Flap Techniques19:55 - Excising Chronic Wounds23:07 - Post-Op Management24:46 - Revision Surgery Insights29:08 - Final Tips and Pearls --- RESOURCES Dr. Eric Gantwerker https://www.northwell.edu/find-care/find-a-doctor/dr-eric-alan-gantwerker-md-ms-1144482662 Dr. Eric Berg https://www.wellstar.org/physicians/eric-berg-md From asymptomatic dimples to chronic infections—here’s how experts navigate the spectrum of preauricular pits. In this episode of the Back Table ENT podcast, pediatric otolaryngologists Dr. Eric Gantwerker and Dr. Eric Berg discuss the surgical management of Preauricular Pits with host Dr. Gopi Shah.


---


SYNPOSIS


The conversation covers the etiology of preauricular pits, their presentations, decision-making for excision, surgical techniques, post-operative management, recurrence, and valuable tips in preauricular pit management. The doctors also touch upon collaboration with facial plastics and the importance of communication with families.


---


TIMESTAMPS


00:00 - Introduction
03:11 - Common Presentations & Management of Preauricular Pits
06:17 - Differential Diagnoses and Imaging
13:56 - Surgical Considerations and Techniques
18:51 - Managing Recurrent Infections
19:07 - Skin Flap Techniques
19:55 - Excising Chronic Wounds
23:07 - Post-Op Management
24:46 - Revision Surgery Insights
29:08 - Final Tips and Pearls


---


RESOURCES


Dr. Eric Gantwerker https://www.northwell.edu/find-care/find-a-doctor/dr-eric-alan-gantwerker-md-ms-1144482662


Dr. Eric Berg
https://www.wellstar.org/physicians/eric-berg-md

]]> 2091 Ep. 249 Maximizing Your ENT Away Rotation: Tips for Success with Dr. Viraj Shah Are you a med student with an upcoming away rotation? Get a head start with this episode of the BackTable ENT Podcast. Dr. Viraj Shah, a PGY-4 ENT resident at UT Southwestern and guest host Dr. Quynh-Chi Dang, PGY-1 at UC Davis Medical Center, discuss how to succeed on away rotations. --- SYNPOSIS They cover the basics of away rotations, factors to consider when applying, and effective strategies for excelling both in the operating room and within the residency team. Additionally, they delve into the importance of networking, securing recommendation letters, and making a positive impression through situational awareness and preparation. Personal anecdotes and practical tips make this a valuable listen for medical students gearing up for their rotations. --- TIMESTAMPS 00:00 Introduction 02:33 Diving into Away Rotations05:20 Factors to Consider for Away Rotations22:54 Handling Away Rotation Offers28:33 Succeeding in the OR34:30 Navigating OR Dynamics40:49 Securing Recommendation Letters46:11 Onsite Interviews: Preparation and Presentation50:48 Housing for Away Rotations56:03 Final Tips: Observing Team Dynamics and Being Proactive --- RESOURCES Chi Danghttps://health.ucdavis.edu/otolaryngology/our-team/residents.html Viraj Shah https://www.utsouthwestern.edu/departments/otolaryngology/education-training/residency-program/residents/ Tue, 25 Nov 2025 08:00:00 -0000 full BackTable Inc. Are you a med student with an upcoming away rotation? Get a head start with this episode of the BackTable ENT Podcast. Dr. Viraj Shah, a PGY-4 ENT resident at UT Southwestern and guest host Dr. Quynh-Chi Dang, PGY-1 at UC Davis Medical Center, discuss how to succeed on away rotations. --- SYNPOSIS They cover the basics of away rotations, factors to consider when applying, and effective strategies for excelling both in the operating room and within the residency team. Additionally, they delve into the importance of networking, securing recommendation letters, and making a positive impression through situational awareness and preparation. Personal anecdotes and practical tips make this a valuable listen for medical students gearing up for their rotations. --- TIMESTAMPS 00:00 Introduction 02:33 Diving into Away Rotations05:20 Factors to Consider for Away Rotations22:54 Handling Away Rotation Offers28:33 Succeeding in the OR34:30 Navigating OR Dynamics40:49 Securing Recommendation Letters46:11 Onsite Interviews: Preparation and Presentation50:48 Housing for Away Rotations56:03 Final Tips: Observing Team Dynamics and Being Proactive --- RESOURCES Chi Danghttps://health.ucdavis.edu/otolaryngology/our-team/residents.html Viraj Shah https://www.utsouthwestern.edu/departments/otolaryngology/education-training/residency-program/residents/ Are you a med student with an upcoming away rotation? Get a head start with this episode of the BackTable ENT Podcast. Dr. Viraj Shah, a PGY-4 ENT resident at UT Southwestern and guest host Dr. Quynh-Chi Dang, PGY-1 at UC Davis Medical Center, discuss how to succeed on away rotations.


---


SYNPOSIS


They cover the basics of away rotations, factors to consider when applying, and effective strategies for excelling both in the operating room and within the residency team. Additionally, they delve into the importance of networking, securing recommendation letters, and making a positive impression through situational awareness and preparation. Personal anecdotes and practical tips make this a valuable listen for medical students gearing up for their rotations.


---


TIMESTAMPS


00:00 Introduction
02:33 Diving into Away Rotations
05:20 Factors to Consider for Away Rotations
22:54 Handling Away Rotation Offers
28:33 Succeeding in the OR
34:30 Navigating OR Dynamics
40:49 Securing Recommendation Letters
46:11 Onsite Interviews: Preparation and Presentation
50:48 Housing for Away Rotations
56:03 Final Tips: Observing Team Dynamics and Being Proactive


---


RESOURCES


Chi Dang
https://health.ucdavis.edu/otolaryngology/our-team/residents.html


Viraj Shah
https://www.utsouthwestern.edu/departments/otolaryngology/education-training/residency-program/residents/

]]> 3875 Ep. 248 Understanding Inducible Laryngeal Obstruction: Diagnosis & Management with Dr. Steven Sims From misdiagnosed asthma to anxiety-related breathing issues, inducible laryngeal obstruction is often hiding in plain sight. In this episode of the BackTable ENT Podcast, Dr. Steven Sims from Rush University Medical Center discusses contemporary care for inducible laryngeal obstruction (ILO) with guest host Dr. Stephen Schoeff. --- SYNPOSIS The discussion elaborates on the evolution of the nomenclature surrounding vocal cord dysfunction and the clinical challenges in diagnosing and managing ILO. Dr. Sims shares his approach to patient evaluation, various presentations, and targeted treatment strategies, including the use of neuromodulators, speech pathology, and nerve blocks. He also delves into trauma-informed care, particularly focusing on patients with adverse childhood events and their impact on laryngeal function. The episode highlights the importance of an interdisciplinary approach, especially the role of speech pathologists in treating this complex condition. --- TIMESTAMPS 00:00 - Introduction 01:39 - Understanding Inducible Laryngeal Obstruction04:53 - Patient Presentation and Evaluation07:51 - Management Strategies and Patient Care09:06 - Trauma and Mental Health Considerations19:27 - Interdisciplinary Approach and Additional Testing23:52 - Understanding Subglottic Stenosis and Asthma27:08 - The Role of Botox in Treatment31:49 - Biofeedback and Patient Empowerment34:25 - Exercise-Induced Laryngeal Obstruction39:05 - Advanced Treatment Approaches and Challenges41:06 - Conclusion and Final Thoughts --- RESOURCES Dr. Stephen Schoeff https://www.enthealth.org/find-ent/stephen-s-schoeff/ Dr. H, Steven Sims https://doctors.rush.edu/details/22035 Tue, 18 Nov 2025 08:00:00 -0000 full BackTable Inc. From misdiagnosed asthma to anxiety-related breathing issues, inducible laryngeal obstruction is often hiding in plain sight. In this episode of the BackTable ENT Podcast, Dr. Steven Sims from Rush University Medical Center discusses contemporary care for inducible laryngeal obstruction (ILO) with guest host Dr. Stephen Schoeff. --- SYNPOSIS The discussion elaborates on the evolution of the nomenclature surrounding vocal cord dysfunction and the clinical challenges in diagnosing and managing ILO. Dr. Sims shares his approach to patient evaluation, various presentations, and targeted treatment strategies, including the use of neuromodulators, speech pathology, and nerve blocks. He also delves into trauma-informed care, particularly focusing on patients with adverse childhood events and their impact on laryngeal function. The episode highlights the importance of an interdisciplinary approach, especially the role of speech pathologists in treating this complex condition. --- TIMESTAMPS 00:00 - Introduction 01:39 - Understanding Inducible Laryngeal Obstruction04:53 - Patient Presentation and Evaluation07:51 - Management Strategies and Patient Care09:06 - Trauma and Mental Health Considerations19:27 - Interdisciplinary Approach and Additional Testing23:52 - Understanding Subglottic Stenosis and Asthma27:08 - The Role of Botox in Treatment31:49 - Biofeedback and Patient Empowerment34:25 - Exercise-Induced Laryngeal Obstruction39:05 - Advanced Treatment Approaches and Challenges41:06 - Conclusion and Final Thoughts --- RESOURCES Dr. Stephen Schoeff https://www.enthealth.org/find-ent/stephen-s-schoeff/ Dr. H, Steven Sims https://doctors.rush.edu/details/22035 From misdiagnosed asthma to anxiety-related breathing issues, inducible laryngeal obstruction is often hiding in plain sight. In this episode of the BackTable ENT Podcast, Dr. Steven Sims from Rush University Medical Center discusses contemporary care for inducible laryngeal obstruction (ILO) with guest host Dr. Stephen Schoeff.


---


SYNPOSIS


The discussion elaborates on the evolution of the nomenclature surrounding vocal cord dysfunction and the clinical challenges in diagnosing and managing ILO. Dr. Sims shares his approach to patient evaluation, various presentations, and targeted treatment strategies, including the use of neuromodulators, speech pathology, and nerve blocks. He also delves into trauma-informed care, particularly focusing on patients with adverse childhood events and their impact on laryngeal function. The episode highlights the importance of an interdisciplinary approach, especially the role of speech pathologists in treating this complex condition.


---


TIMESTAMPS


00:00 - Introduction
01:39 - Understanding Inducible Laryngeal Obstruction
04:53 - Patient Presentation and Evaluation
07:51 - Management Strategies and Patient Care
09:06 - Trauma and Mental Health Considerations
19:27 - Interdisciplinary Approach and Additional Testing
23:52 - Understanding Subglottic Stenosis and Asthma
27:08 - The Role of Botox in Treatment
31:49 - Biofeedback and Patient Empowerment
34:25 - Exercise-Induced Laryngeal Obstruction
39:05 - Advanced Treatment Approaches and Challenges
41:06 - Conclusion and Final Thoughts


---


RESOURCES


Dr. Stephen Schoeff
https://www.enthealth.org/find-ent/stephen-s-schoeff/


Dr. H, Steven Sims
https://doctors.rush.edu/details/22035

]]> 2741 Ep. 247 Keynote 689: Implementation & Multidisciplinary Care for Immunotherapy in Head & Neck Cancer with Dr. Adam Luginbuhl, Dr. Jennifer Johnson, Dr. Mihir Patel and Dr. Siddharth Sheth When treating head and neck cancer, how can you tell the difference between true disease progression and pseudoprogression? In this episode of the BackTable Podcast, we discuss the practical implementation of the KEYNOTE-689 trial published in the New England Journal of Medicine, which demonstrated the benefit of adding neoadjuvant and adjuvant immunotherapy to standard head and neck cancer care. Our tumor board panel includes Dr. Mihir Patel, a head and neck surgeon from UNC Chapel Hill, Dr. Siddharth Sheth, a head and neck medical oncologist from UNC, Dr. Jennifer Johnson, a professor of medical oncology and otolaryngology at Sidney Kimmel Comprehensive Cancer Center, and Dr. Adam Luginbuhl, a head and neck surgical oncologist at Thomas Jefferson University. --- SYNPOSIS The doctors address the trial's practical implications, patient selection, case management, dealing with tumor progression, and the integration of multidisciplinary care. They also emphasize the importance of communication, real-world application of trial protocols, and the potential benefits and challenges of such therapies. --- TIMESTAMPS 00:00 - Introduction03:18 - Discussing the New Indication for Immunotherapy11:42 - Challenges and Practical Implementation22:48 - Managing Tumor Progression: A Case Study28:07 - Exploring Treatment Options: Surgery vs. Chemotherapy36:46 - Operational Challenges and Future Directions43:58 - Concluding Thoughts and Future Directions --- RESOURCES Keynote 689https://www.nejm.org/doi/full/10.1056/NEJMoa2415434 Tue, 11 Nov 2025 08:00:00 -0000 full BackTable Inc. When treating head and neck cancer, how can you tell the difference between true disease progression and pseudoprogression? In this episode of the BackTable Podcast, we discuss the practical implementation of the KEYNOTE-689 trial published in the New England Journal of Medicine, which demonstrated the benefit of adding neoadjuvant and adjuvant immunotherapy to standard head and neck cancer care. Our tumor board panel includes Dr. Mihir Patel, a head and neck surgeon from UNC Chapel Hill, Dr. Siddharth Sheth, a head and neck medical oncologist from UNC, Dr. Jennifer Johnson, a professor of medical oncology and otolaryngology at Sidney Kimmel Comprehensive Cancer Center, and Dr. Adam Luginbuhl, a head and neck surgical oncologist at Thomas Jefferson University. --- SYNPOSIS The doctors address the trial's practical implications, patient selection, case management, dealing with tumor progression, and the integration of multidisciplinary care. They also emphasize the importance of communication, real-world application of trial protocols, and the potential benefits and challenges of such therapies. --- TIMESTAMPS 00:00 - Introduction03:18 - Discussing the New Indication for Immunotherapy11:42 - Challenges and Practical Implementation22:48 - Managing Tumor Progression: A Case Study28:07 - Exploring Treatment Options: Surgery vs. Chemotherapy36:46 - Operational Challenges and Future Directions43:58 - Concluding Thoughts and Future Directions --- RESOURCES Keynote 689https://www.nejm.org/doi/full/10.1056/NEJMoa2415434 When treating head and neck cancer, how can you tell the difference between true disease progression and pseudoprogression? In this episode of the BackTable Podcast, we discuss the practical implementation of the KEYNOTE-689 trial published in the New England Journal of Medicine, which demonstrated the benefit of adding neoadjuvant and adjuvant immunotherapy to standard head and neck cancer care. Our tumor board panel includes Dr. Mihir Patel, a head and neck surgeon from UNC Chapel Hill, Dr. Siddharth Sheth, a head and neck medical oncologist from UNC, Dr. Jennifer Johnson, a professor of medical oncology and otolaryngology at Sidney Kimmel Comprehensive Cancer Center, and Dr. Adam Luginbuhl, a head and neck surgical oncologist at Thomas Jefferson University.


---


SYNPOSIS


The doctors address the trial's practical implications, patient selection, case management, dealing with tumor progression, and the integration of multidisciplinary care. They also emphasize the importance of communication, real-world application of trial protocols, and the potential benefits and challenges of such therapies.


---


TIMESTAMPS


00:00 - Introduction
03:18 - Discussing the New Indication for Immunotherapy
11:42 - Challenges and Practical Implementation
22:48 - Managing Tumor Progression: A Case Study
28:07 - Exploring Treatment Options: Surgery vs. Chemotherapy
36:46 - Operational Challenges and Future Directions
43:58 - Concluding Thoughts and Future Directions


---


RESOURCES


Keynote 689
https://www.nejm.org/doi/full/10.1056/NEJMoa2415434

]]> 2978 Ep. 246 How Nasal Obstruction Impacts Sleep Apnea Treatment with Dr. Scott McCusker If your patients still struggle with sleep apnea after other treatments, it might be time to look at the nose. In this episode of the BackTable ENT Podcast, otolaryngologist and facial plastic surgeon Dr. Scott McCusker joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss the impact of nasal airway obstruction on obstructive sleep apnea (OSA).---This podcast is supported by:Aerin Medicalhttps://aerinmedical.com/---SYNPOSISDr. McCusker shares insights on his practice, evaluation techniques for nasal obstruction, and the use of minimally invasive procedures like VivAer. The conversation covers the importance of the septal swell bodies, the effectiveness of nasal treatments on OSA outcomes, and patient management strategies, including when to combine different surgical interventions. The episode also touches on post-operative care and the potential role of new technologies and treatments in enhancing patient outcomes.---RESOURCESDr. Scott McCusker https://ambrdfcs.org/doctors/scott-mccusker-md/ Tue, 04 Nov 2025 08:00:00 -0000 full BackTable Inc. If your patients still struggle with sleep apnea after other treatments, it might be time to look at the nose. In this episode of the BackTable ENT Podcast, otolaryngologist and facial plastic surgeon Dr. Scott McCusker joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss the impact of nasal airway obstruction on obstructive sleep apnea (OSA).---This podcast is supported by:Aerin Medicalhttps://aerinmedical.com/---SYNPOSISDr. McCusker shares insights on his practice, evaluation techniques for nasal obstruction, and the use of minimally invasive procedures like VivAer. The conversation covers the importance of the septal swell bodies, the effectiveness of nasal treatments on OSA outcomes, and patient management strategies, including when to combine different surgical interventions. The episode also touches on post-operative care and the potential role of new technologies and treatments in enhancing patient outcomes.---RESOURCESDr. Scott McCusker https://ambrdfcs.org/doctors/scott-mccusker-md/ If your patients still struggle with sleep apnea after other treatments, it might be time to look at the nose. In this episode of the BackTable ENT Podcast, otolaryngologist and facial plastic surgeon Dr. Scott McCusker joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss the impact of nasal airway obstruction on obstructive sleep apnea (OSA).
---
This podcast is supported by:
Aerin Medical
https://aerinmedical.com/
---
SYNPOSIS
Dr. McCusker shares insights on his practice, evaluation techniques for nasal obstruction, and the use of minimally invasive procedures like VivAer. The conversation covers the importance of the septal swell bodies, the effectiveness of nasal treatments on OSA outcomes, and patient management strategies, including when to combine different surgical interventions. The episode also touches on post-operative care and the potential role of new technologies and treatments in enhancing patient outcomes.
---
RESOURCES
Dr. Scott McCusker
https://ambrdfcs.org/doctors/scott-mccusker-md/

]]> 3014 Ep. 245 Understanding Keynote-689: Immunotherapy for Head & Neck Cancer with Dr. Dylan Roden, Dr. Ravi Uppaluri and Dr. Adam Luginbuhl While the standard for adjuvant head and neck cancer treatment hasn't changed since 2004, a new trial using perioperative pembrolizumab is forcing clinicians to rethink their entire workflow, starting with diagnosis. In this episode of the BackTable Podcast, head and neck surgical oncologist Dr. Adam Luginbuhl is joined by colleagues Dr. Dylan Roden and Dr. Ravindra Uppaluri to discuss the implementation and implications of the Keynote-689 trial, which introduced neoadjuvant and adjuvant immunotherapy for locally advanced head and neck cancer.---SYNPOSISThe doctors discuss the trial details, FDA approval, and practical challenges of integrating this new paradigm into clinical practice. The conversation covers critical points such as the necessity of CPS score testing, timely drug administration, patient monitoring, and the importance of collaboration among multidisciplinary teams.---TIMESTAMPS00:00 - Introduction02:18 - Keynote-689 Trial Explained04:42 - Implementation Challenges and Strategies06:40 - Practical Considerations for CPS Testing13:59 - Case Studies and Real-World Applications30:48 - Future Directions and Final Thoughts---RESOURCESKeynote-689https://www.nejm.org/doi/full/10.1056/NEJMoa24154342004 Cisplatin Phase III Trialhttps://www.nejm.org/doi/full/10.1056/NEJMoa032646 Tue, 28 Oct 2025 07:00:00 -0000 full BackTable Inc. While the standard for adjuvant head and neck cancer treatment hasn't changed since 2004, a new trial using perioperative pembrolizumab is forcing clinicians to rethink their entire workflow, starting with diagnosis. In this episode of the BackTable Podcast, head and neck surgical oncologist Dr. Adam Luginbuhl is joined by colleagues Dr. Dylan Roden and Dr. Ravindra Uppaluri to discuss the implementation and implications of the Keynote-689 trial, which introduced neoadjuvant and adjuvant immunotherapy for locally advanced head and neck cancer.---SYNPOSISThe doctors discuss the trial details, FDA approval, and practical challenges of integrating this new paradigm into clinical practice. The conversation covers critical points such as the necessity of CPS score testing, timely drug administration, patient monitoring, and the importance of collaboration among multidisciplinary teams.---TIMESTAMPS00:00 - Introduction02:18 - Keynote-689 Trial Explained04:42 - Implementation Challenges and Strategies06:40 - Practical Considerations for CPS Testing13:59 - Case Studies and Real-World Applications30:48 - Future Directions and Final Thoughts---RESOURCESKeynote-689https://www.nejm.org/doi/full/10.1056/NEJMoa24154342004 Cisplatin Phase III Trialhttps://www.nejm.org/doi/full/10.1056/NEJMoa032646 While the standard for adjuvant head and neck cancer treatment hasn't changed since 2004, a new trial using perioperative pembrolizumab is forcing clinicians to rethink their entire workflow, starting with diagnosis. In this episode of the BackTable Podcast, head and neck surgical oncologist Dr. Adam Luginbuhl is joined by colleagues Dr. Dylan Roden and Dr. Ravindra Uppaluri to discuss the implementation and implications of the Keynote-689 trial, which introduced neoadjuvant and adjuvant immunotherapy for locally advanced head and neck cancer.
---
SYNPOSIS
The doctors discuss the trial details, FDA approval, and practical challenges of integrating this new paradigm into clinical practice. The conversation covers critical points such as the necessity of CPS score testing, timely drug administration, patient monitoring, and the importance of collaboration among multidisciplinary teams.
---
TIMESTAMPS
00:00 - Introduction
02:18 - Keynote-689 Trial Explained
04:42 - Implementation Challenges and Strategies
06:40 - Practical Considerations for CPS Testing
13:59 - Case Studies and Real-World Applications
30:48 - Future Directions and Final Thoughts
---
RESOURCES
Keynote-689
https://www.nejm.org/doi/full/10.1056/NEJMoa2415434
2004 Cisplatin Phase III Trial
https://www.nejm.org/doi/full/10.1056/NEJMoa032646

]]> 2445 Ep. 244 AI's Role in ENT Physical Exams with Dr. Jonathan Simmonds Endoscopes, AI, and the future of ENT care—otolaryngologist and Presidio CEO Dr. Jonathan Simmonds shares why the tech game is just getting started in this episode of the BackTable ENT Podcast.---SYNPOSISDr. Simmonds shares his journey from the UK to becoming a sinus surgeon in New York, and the founding of Presidio to create affordable endoscopic equipment. They discuss how AI can transform ENT practice, emphasizing the unique position ENTs hold due to their routine use of camera systems in exams. The conversation also tackles the economic aspects of implementing new technology, the importance of capturing clinical data, and the necessity of ENT specialists to advocate for their role in the evolving landscape. Dr. Simmonds offers insights into the various AI tools and the significance of contributing to the development and implementation of AI models in ENT.---TIMESTAMPS00:00 - Introduction03:38 - AI in ENT: Opportunities and Challenges12:46 - Protecting the Role of ENTs17:26 - The Future of ENT Exams24:41 - Ownership of Medical Data: The Ethical Dilemma 30:09 - Human-Like Behavior in AI Models31:18 - The Role of AI in ENT Practice34:30 - Challenges and Opportunities in AI Implementation42:12 - Economic Considerations for AI in Private Practice45:03 - Final Thoughts and Future Directions---RESOURCESDr. Jonathan Simmondshttps://www.summithealth.com/doctors/provider/1538549936 Tue, 21 Oct 2025 07:00:00 -0000 full BackTable Inc. Endoscopes, AI, and the future of ENT care—otolaryngologist and Presidio CEO Dr. Jonathan Simmonds shares why the tech game is just getting started in this episode of the BackTable ENT Podcast.---SYNPOSISDr. Simmonds shares his journey from the UK to becoming a sinus surgeon in New York, and the founding of Presidio to create affordable endoscopic equipment. They discuss how AI can transform ENT practice, emphasizing the unique position ENTs hold due to their routine use of camera systems in exams. The conversation also tackles the economic aspects of implementing new technology, the importance of capturing clinical data, and the necessity of ENT specialists to advocate for their role in the evolving landscape. Dr. Simmonds offers insights into the various AI tools and the significance of contributing to the development and implementation of AI models in ENT.---TIMESTAMPS00:00 - Introduction03:38 - AI in ENT: Opportunities and Challenges12:46 - Protecting the Role of ENTs17:26 - The Future of ENT Exams24:41 - Ownership of Medical Data: The Ethical Dilemma 30:09 - Human-Like Behavior in AI Models31:18 - The Role of AI in ENT Practice34:30 - Challenges and Opportunities in AI Implementation42:12 - Economic Considerations for AI in Private Practice45:03 - Final Thoughts and Future Directions---RESOURCESDr. Jonathan Simmondshttps://www.summithealth.com/doctors/provider/1538549936 Endoscopes, AI, and the future of ENT care—otolaryngologist and Presidio CEO Dr. Jonathan Simmonds shares why the tech game is just getting started in this episode of the BackTable ENT Podcast.
---
SYNPOSIS
Dr. Simmonds shares his journey from the UK to becoming a sinus surgeon in New York, and the founding of Presidio to create affordable endoscopic equipment. They discuss how AI can transform ENT practice, emphasizing the unique position ENTs hold due to their routine use of camera systems in exams. The conversation also tackles the economic aspects of implementing new technology, the importance of capturing clinical data, and the necessity of ENT specialists to advocate for their role in the evolving landscape. Dr. Simmonds offers insights into the various AI tools and the significance of contributing to the development and implementation of AI models in ENT.
---
TIMESTAMPS
00:00 - Introduction
03:38 - AI in ENT: Opportunities and Challenges
12:46 - Protecting the Role of ENTs
17:26 - The Future of ENT Exams
24:41 - Ownership of Medical Data: The Ethical Dilemma
30:09 - Human-Like Behavior in AI Models
31:18 - The Role of AI in ENT Practice
34:30 - Challenges and Opportunities in AI Implementation
42:12 - Economic Considerations for AI in Private Practice
45:03 - Final Thoughts and Future Directions
---
RESOURCES
Dr. Jonathan Simmonds
https://www.summithealth.com/doctors/provider/1538549936

]]> 3100 Ep. 243 Parotid Malignancies: Diagnosis, Biopsy & Treatment Strategies with Dr. Mirabelle Sajisevi When should a parotid mass raise red flags? In this episode of the BackTable ENT podcast, Dr. Mirabelle Sajisevi, head and neck surgeon at the University of Vermont Medical Center, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss her approach to diagnosing and managing parotid malignancies. ---SYNPOSISDr. Sajisevi shares insights from her practice, including the importance of thorough physical exams, the utility of ultrasound and biopsy, and the intricacies of surgical planning. They also cover post-operative care, the role of radiation and chemotherapy, surveillance strategies, and the potential of emerging treatments and technologies.---RESOURCESDr. Mirabelle Sajisevi https://www.uvmhealth.org/providers/mirabelle-sajisevi-md Tue, 14 Oct 2025 07:00:00 -0000 full BackTable Inc. When should a parotid mass raise red flags? In this episode of the BackTable ENT podcast, Dr. Mirabelle Sajisevi, head and neck surgeon at the University of Vermont Medical Center, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss her approach to diagnosing and managing parotid malignancies. ---SYNPOSISDr. Sajisevi shares insights from her practice, including the importance of thorough physical exams, the utility of ultrasound and biopsy, and the intricacies of surgical planning. They also cover post-operative care, the role of radiation and chemotherapy, surveillance strategies, and the potential of emerging treatments and technologies.---RESOURCESDr. Mirabelle Sajisevi https://www.uvmhealth.org/providers/mirabelle-sajisevi-md When should a parotid mass raise red flags? In this episode of the BackTable ENT podcast, Dr. Mirabelle Sajisevi, head and neck surgeon at the University of Vermont Medical Center, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss her approach to diagnosing and managing parotid malignancies.
---
SYNPOSIS
Dr. Sajisevi shares insights from her practice, including the importance of thorough physical exams, the utility of ultrasound and biopsy, and the intricacies of surgical planning. They also cover post-operative care, the role of radiation and chemotherapy, surveillance strategies, and the potential of emerging treatments and technologies.
---
RESOURCES
Dr. Mirabelle Sajisevi
https://www.uvmhealth.org/providers/mirabelle-sajisevi-md

]]> 3358 Ep. 242 Advances in Posterior Nasal Nerve Ablation with Dr. Greg Davis We’re keeping the chronic rhinitis conversation going in this week’s episode of BackTable ENT. Otolaryngologist Dr. Greg Davis joins Dr. Ashley Agan and Dr. Gopi Shah to break down his approach to posterior nasal nerve (PNN) ablation with the NeuroMark Gen 3, including patient prep, anesthesia, technique, and postoperative care.---This podcast is supported by:Neurent Medical http://neuromark.com/---SYNPOSISBeyond his posterior nasal nerve ablation technique, Dr. Davis shares his experiences with the various generations of the NeuroMark device, and also discusses the insurance and billing side of its use. The conversation also touches on topics like eustachian tube dysfunction, chronic cough, and the future of chronic rhinitis treatment.---TIMESTAMPS00:00 - Introduction03:04 - NeuroMark Device Trials04:15 - Patient Presentation and Diagnosis11:50 - Medical Management and Treatment Options21:44 - Procedure Setup and Anesthesia Protocol30:49 - Understanding RF Devices and Their Usage31:13 - Deploying the Device for Turbinate Treatment31:52 - Tips and Tricks for Difficult Anatomy33:58 - Posterior Nasal Nerve Ablation in the OR34:40 - Addressing Posterior Nasal Drainage and Chronic Cough36:51 - Impedance Control vs. Temperature Control RF38:02 - Choosing the Right Device for Patients40:52 - Managing Post-Procedure Care and Risks53:18 - Insurance and Billing56:13 - Final Thoughts and Future Directions---RESOURCESDr. Greg Davis https://www.gregdavismd.com/ 10th International Otolaryngology Underwater Update Coursehttps://ssf.cloud-cme.com/course/courseoverview?P=0&EID=1254 Tue, 07 Oct 2025 07:00:00 -0000 full BackTable Inc. We’re keeping the chronic rhinitis conversation going in this week’s episode of BackTable ENT. Otolaryngologist Dr. Greg Davis joins Dr. Ashley Agan and Dr. Gopi Shah to break down his approach to posterior nasal nerve (PNN) ablation with the NeuroMark Gen 3, including patient prep, anesthesia, technique, and postoperative care.---This podcast is supported by:Neurent Medical http://neuromark.com/---SYNPOSISBeyond his posterior nasal nerve ablation technique, Dr. Davis shares his experiences with the various generations of the NeuroMark device, and also discusses the insurance and billing side of its use. The conversation also touches on topics like eustachian tube dysfunction, chronic cough, and the future of chronic rhinitis treatment.---TIMESTAMPS00:00 - Introduction03:04 - NeuroMark Device Trials04:15 - Patient Presentation and Diagnosis11:50 - Medical Management and Treatment Options21:44 - Procedure Setup and Anesthesia Protocol30:49 - Understanding RF Devices and Their Usage31:13 - Deploying the Device for Turbinate Treatment31:52 - Tips and Tricks for Difficult Anatomy33:58 - Posterior Nasal Nerve Ablation in the OR34:40 - Addressing Posterior Nasal Drainage and Chronic Cough36:51 - Impedance Control vs. Temperature Control RF38:02 - Choosing the Right Device for Patients40:52 - Managing Post-Procedure Care and Risks53:18 - Insurance and Billing56:13 - Final Thoughts and Future Directions---RESOURCESDr. Greg Davis https://www.gregdavismd.com/ 10th International Otolaryngology Underwater Update Coursehttps://ssf.cloud-cme.com/course/courseoverview?P=0&EID=1254 We’re keeping the chronic rhinitis conversation going in this week’s episode of BackTable ENT. Otolaryngologist Dr. Greg Davis joins Dr. Ashley Agan and Dr. Gopi Shah to break down his approach to posterior nasal nerve (PNN) ablation with the NeuroMark Gen 3, including patient prep, anesthesia, technique, and postoperative care.
---
This podcast is supported by:
Neurent Medical
http://neuromark.com/
---
SYNPOSIS
Beyond his posterior nasal nerve ablation technique, Dr. Davis shares his experiences with the various generations of the NeuroMark device, and also discusses the insurance and billing side of its use. The conversation also touches on topics like eustachian tube dysfunction, chronic cough, and the future of chronic rhinitis treatment.
---
TIMESTAMPS
00:00 - Introduction
03:04 - NeuroMark Device Trials
04:15 - Patient Presentation and Diagnosis
11:50 - Medical Management and Treatment Options
21:44 - Procedure Setup and Anesthesia Protocol
30:49 - Understanding RF Devices and Their Usage
31:13 - Deploying the Device for Turbinate Treatment
31:52 - Tips and Tricks for Difficult Anatomy
33:58 - Posterior Nasal Nerve Ablation in the OR
34:40 - Addressing Posterior Nasal Drainage and Chronic Cough
36:51 - Impedance Control vs. Temperature Control RF
38:02 - Choosing the Right Device for Patients
40:52 - Managing Post-Procedure Care and Risks
53:18 - Insurance and Billing
56:13 - Final Thoughts and Future Directions
---
RESOURCES
Dr. Greg Davis
https://www.gregdavismd.com/
10th International Otolaryngology Underwater Update Course
https://ssf.cloud-cme.com/course/courseoverview?P=0&EID=1254

]]> 3729 Ep. 241 Chronic Rhinitis: Emerging Approaches & Treatments with Dr. Dennis Tang So many patients deal with a runny, stuffy nose every day, and sprays only go so far. Let’s talk about what’s new for chronic rhinitis. In this episode of the BackTable ENT podcast, Dr. Dennis Tang, a Rhinologist at Cedars-Sinai Medical Center discusses chronic rhinitis and the latest treatment advancements with hosts Dr. Gopi Shah and Dr. Ashley Agan. ---This podcast is supported by:Aerin Medicalhttps://aerinmedical.com/---SYNPOSISDr. Tang discusses the benefits of posterior nasal nerve (PNN) ablation and the recent approval of the procedure by Cigna Insurance, which expands accessibility for patients. The conversation covers the typical presentation of chronic rhinitis, the procedural details, patient selection, preoperative and postoperative care, and billing considerations. Dr. Tang also touches on the anatomy involved and the technological innovations that are enabling contemporary rhinitis treatment.---TIMESTAMPS00:00 - Introduction03:01 - Insurance Coverage for Posterior Nasal Nerve Ablation04:23 - Patient Presentation, Diagnostic & Treatment Approaches11:07 - Posterior Nasal Nerve (PNN) Ablation Explained17:57 - Physical Examination and In-Office Procedure20:47 - Allergy Patients and Immunotherapy22:21 - Chronic Rhinosinusitis vs. Chronic Rhinitis32:33 - Radiofrequency Ablation Technology39:49 - Procedure Techniques and Anatomical Considerations46:42 - In-Office Procedure Logistics01:06:10 - Final Thoughts ---RESOURCESDr. Dennis Tanghttps://www.cedars-sinai.org/provider/dennis-tang-3316614.html Tue, 30 Sep 2025 07:00:00 -0000 full BackTable Inc. So many patients deal with a runny, stuffy nose every day, and sprays only go so far. Let’s talk about what’s new for chronic rhinitis. In this episode of the BackTable ENT podcast, Dr. Dennis Tang, a Rhinologist at Cedars-Sinai Medical Center discusses chronic rhinitis and the latest treatment advancements with hosts Dr. Gopi Shah and Dr. Ashley Agan. ---This podcast is supported by:Aerin Medicalhttps://aerinmedical.com/---SYNPOSISDr. Tang discusses the benefits of posterior nasal nerve (PNN) ablation and the recent approval of the procedure by Cigna Insurance, which expands accessibility for patients. The conversation covers the typical presentation of chronic rhinitis, the procedural details, patient selection, preoperative and postoperative care, and billing considerations. Dr. Tang also touches on the anatomy involved and the technological innovations that are enabling contemporary rhinitis treatment.---TIMESTAMPS00:00 - Introduction03:01 - Insurance Coverage for Posterior Nasal Nerve Ablation04:23 - Patient Presentation, Diagnostic & Treatment Approaches11:07 - Posterior Nasal Nerve (PNN) Ablation Explained17:57 - Physical Examination and In-Office Procedure20:47 - Allergy Patients and Immunotherapy22:21 - Chronic Rhinosinusitis vs. Chronic Rhinitis32:33 - Radiofrequency Ablation Technology39:49 - Procedure Techniques and Anatomical Considerations46:42 - In-Office Procedure Logistics01:06:10 - Final Thoughts ---RESOURCESDr. Dennis Tanghttps://www.cedars-sinai.org/provider/dennis-tang-3316614.html So many patients deal with a runny, stuffy nose every day, and sprays only go so far. Let’s talk about what’s new for chronic rhinitis. In this episode of the BackTable ENT podcast, Dr. Dennis Tang, a Rhinologist at Cedars-Sinai Medical Center discusses chronic rhinitis and the latest treatment advancements with hosts Dr. Gopi Shah and Dr. Ashley Agan.
---
This podcast is supported by:
Aerin Medical
https://aerinmedical.com/
---
SYNPOSIS
Dr. Tang discusses the benefits of posterior nasal nerve (PNN) ablation and the recent approval of the procedure by Cigna Insurance, which expands accessibility for patients. The conversation covers the typical presentation of chronic rhinitis, the procedural details, patient selection, preoperative and postoperative care, and billing considerations. Dr. Tang also touches on the anatomy involved and the technological innovations that are enabling contemporary rhinitis treatment.
---
TIMESTAMPS
00:00 - Introduction
03:01 - Insurance Coverage for Posterior Nasal Nerve Ablation
04:23 - Patient Presentation, Diagnostic & Treatment Approaches
11:07 - Posterior Nasal Nerve (PNN) Ablation Explained
17:57 - Physical Examination and In-Office Procedure
20:47 - Allergy Patients and Immunotherapy
22:21 - Chronic Rhinosinusitis vs. Chronic Rhinitis
32:33 - Radiofrequency Ablation Technology
39:49 - Procedure Techniques and Anatomical Considerations
46:42 - In-Office Procedure Logistics
01:06:10 - Final Thoughts
---
RESOURCES
Dr. Dennis Tang
https://www.cedars-sinai.org/provider/dennis-tang-3316614.html

]]> 3983 Ep. 240 Intracapsular Tonsillectomy: Monopolar Technique & Applications with Dr. Evan Tobin Is there a different way to do an Intracapsular tonsillectomy without using a microdebrider or a Coblator? In this episode of the BackTable ENT Podcast, otolaryngologist Dr. Evan Tobin from Ohio ENT and Allergy Physicians sits down to discuss the intracapsular technique for tonsillectomy with hosts Dr. Gopi Shah and Dr. Ashley Agan. ---SYNPOSISDr. Tobin shares his journey and practice in Ohio, emphasizing his transition to using intracapsular tonsillectomy with monopolar electrocautery. The discussion covers the historical evolution of tonsillectomy techniques, the benefits of intracapsular tonsillectomy (such as reduced bleed rates and postoperative pain), as well as the practical aspects and indications for different methods. Dr. Tobin presents his technique in detail, supported by video demonstrations and highlights the significance of patient counseling in making surgical decisions.---TIMESTAMPS00:00 - Introduction 04:38 - Tonsillectomy Techniques07:20 - Evolution and Debate of Tonsillectomy Practices11:09 - Personal Experiences and Techniques in Tonsillectomy21:42 - Pain Management and Post-Operative Care29:51 - Shared Decision Making and Future of Tonsillectomy34:53 - Managing Bleeds: A Practical Approach37:51 - Cost Analysis of Tonsillectomy Techniques41:46 - Surgical Techniques and Settings53:06 - Post-Operative Considerations and Outcomes57:33 - Final Thoughts and Recommendations---RESOURCESDr. Evan Tobinhttps://www.ohioentandallergy.com/physicians/evan-tobin-md/ Tue, 23 Sep 2025 07:00:00 -0000 full BackTable Inc. Is there a different way to do an Intracapsular tonsillectomy without using a microdebrider or a Coblator? In this episode of the BackTable ENT Podcast, otolaryngologist Dr. Evan Tobin from Ohio ENT and Allergy Physicians sits down to discuss the intracapsular technique for tonsillectomy with hosts Dr. Gopi Shah and Dr. Ashley Agan. ---SYNPOSISDr. Tobin shares his journey and practice in Ohio, emphasizing his transition to using intracapsular tonsillectomy with monopolar electrocautery. The discussion covers the historical evolution of tonsillectomy techniques, the benefits of intracapsular tonsillectomy (such as reduced bleed rates and postoperative pain), as well as the practical aspects and indications for different methods. Dr. Tobin presents his technique in detail, supported by video demonstrations and highlights the significance of patient counseling in making surgical decisions.---TIMESTAMPS00:00 - Introduction 04:38 - Tonsillectomy Techniques07:20 - Evolution and Debate of Tonsillectomy Practices11:09 - Personal Experiences and Techniques in Tonsillectomy21:42 - Pain Management and Post-Operative Care29:51 - Shared Decision Making and Future of Tonsillectomy34:53 - Managing Bleeds: A Practical Approach37:51 - Cost Analysis of Tonsillectomy Techniques41:46 - Surgical Techniques and Settings53:06 - Post-Operative Considerations and Outcomes57:33 - Final Thoughts and Recommendations---RESOURCESDr. Evan Tobinhttps://www.ohioentandallergy.com/physicians/evan-tobin-md/ Is there a different way to do an Intracapsular tonsillectomy without using a microdebrider or a Coblator? In this episode of the BackTable ENT Podcast, otolaryngologist Dr. Evan Tobin from Ohio ENT and Allergy Physicians sits down to discuss the intracapsular technique for tonsillectomy with hosts Dr. Gopi Shah and Dr. Ashley Agan.
---
SYNPOSIS
Dr. Tobin shares his journey and practice in Ohio, emphasizing his transition to using intracapsular tonsillectomy with monopolar electrocautery. The discussion covers the historical evolution of tonsillectomy techniques, the benefits of intracapsular tonsillectomy (such as reduced bleed rates and postoperative pain), as well as the practical aspects and indications for different methods. Dr. Tobin presents his technique in detail, supported by video demonstrations and highlights the significance of patient counseling in making surgical decisions.
---
TIMESTAMPS
00:00 - Introduction
04:38 - Tonsillectomy Techniques
07:20 - Evolution and Debate of Tonsillectomy Practices
11:09 - Personal Experiences and Techniques in Tonsillectomy
21:42 - Pain Management and Post-Operative Care
29:51 - Shared Decision Making and Future of Tonsillectomy
34:53 - Managing Bleeds: A Practical Approach
37:51 - Cost Analysis of Tonsillectomy Techniques
41:46 - Surgical Techniques and Settings
53:06 - Post-Operative Considerations and Outcomes
57:33 - Final Thoughts and Recommendations
---
RESOURCES
Dr. Evan Tobin
https://www.ohioentandallergy.com/physicians/evan-tobin-md/

]]> 3807 Ep. 239 Measles in ENT: Symptoms, Complications & Vaccine Strategies with Dr. Daniel Chelius and Dr. Romaine Johnson What every ENT needs to know about the resurgence of measles—and how to talk to patients about vaccines. In this episode of the Back Table ENT podcast, Dr. Romaine Johnson and Dr. Daniel Chelius, both pediatric otolaryngologists, talk about the resurgence of measles and vaccine hesitancy with host Dr. Gopi Shah. --- SYNPOSIS They delve into their professional backgrounds, the importance of recognizing symptoms early, and the risks associated with measles, such as otitis media and sensorineural hearing loss. The conversation highlights the role of ENT specialists in identifying and managing the disease, strategies for addressing vaccine hesitancy, and the broader public health implications. They also touch on ways the medical community can tackle misinformation and advocate for vaccinations through collective efforts and patient education. --- TIMESTAMPS 00:00 - Introduction 07:07 - Measles Contagion and Symptoms 23:23 - Complications and Long-term Effects 28:37 - Assessing Respiratory Status and Complications 29:44 - Addressing Common Vaccine Myths 31:18 - Challenges in Vaccination Conversations 32:38 - Personal Stories and Impact of Vaccination Choices 35:00 - Building Trust and Addressing Concerns 38:15 - Approaching Non-Vaccination in Clinical Practice 53:12 - Global Perspective on Vaccination 54:17 - Final Thoughts and Contact Information Tue, 09 Sep 2025 07:00:00 -0000 full BackTable Inc. What every ENT needs to know about the resurgence of measles—and how to talk to patients about vaccines. In this episode of the Back Table ENT podcast, Dr. Romaine Johnson and Dr. Daniel Chelius, both pediatric otolaryngologists, talk about the resurgence of measles and vaccine hesitancy with host Dr. Gopi Shah. --- SYNPOSIS They delve into their professional backgrounds, the importance of recognizing symptoms early, and the risks associated with measles, such as otitis media and sensorineural hearing loss. The conversation highlights the role of ENT specialists in identifying and managing the disease, strategies for addressing vaccine hesitancy, and the broader public health implications. They also touch on ways the medical community can tackle misinformation and advocate for vaccinations through collective efforts and patient education. --- TIMESTAMPS 00:00 - Introduction 07:07 - Measles Contagion and Symptoms 23:23 - Complications and Long-term Effects 28:37 - Assessing Respiratory Status and Complications 29:44 - Addressing Common Vaccine Myths 31:18 - Challenges in Vaccination Conversations 32:38 - Personal Stories and Impact of Vaccination Choices 35:00 - Building Trust and Addressing Concerns 38:15 - Approaching Non-Vaccination in Clinical Practice 53:12 - Global Perspective on Vaccination 54:17 - Final Thoughts and Contact Information What every ENT needs to know about the resurgence of measles—and how to talk to patients about vaccines. In this episode of the Back Table ENT podcast, Dr. Romaine Johnson and Dr. Daniel Chelius, both pediatric otolaryngologists, talk about the resurgence of measles and vaccine hesitancy with host Dr. Gopi Shah.

---

SYNPOSIS

They delve into their professional backgrounds, the importance of recognizing symptoms early, and the risks associated with measles, such as otitis media and sensorineural hearing loss. The conversation highlights the role of ENT specialists in identifying and managing the disease, strategies for addressing vaccine hesitancy, and the broader public health implications. They also touch on ways the medical community can tackle misinformation and advocate for vaccinations through collective efforts and patient education.

---

TIMESTAMPS

00:00 - Introduction

07:07 - Measles Contagion and Symptoms

23:23 - Complications and Long-term Effects

28:37 - Assessing Respiratory Status and Complications

29:44 - Addressing Common Vaccine Myths

31:18 - Challenges in Vaccination Conversations

32:38 - Personal Stories and Impact of Vaccination Choices

35:00 - Building Trust and Addressing Concerns

38:15 - Approaching Non-Vaccination in Clinical Practice

53:12 - Global Perspective on Vaccination

54:17 - Final Thoughts and Contact Information

]]> 3456 Ep. 238 How to Perform Pediatric Otoplasty: Techniques & Tips with Dr. Charlotte Célérier How to help children with ear deformities look and feel their best. In this episode of the BackTable ENT Podcast, Dr. Jason Qian from Rady Children's in San Diego and special guest Dr. Charlotte Célérier, a pediatric otolaryngologist at Neckar-Enfants Malades Hospital in Paris, France discuss the technical aspects of pediatric otoplasty with Dr. Gopi Shah. ---SYNPOSISThe conversation covers surgical techniques, patient selection, procedural nuances, and post-operative care for various ear deformities including prominent ears, Stahl's ear, cauliflower ear, and cryptotia. Both experts share their insights on different methodologies, handling complications, and the importance of ensuring the child is motivated for surgery. Learn practical tips and evolving practices in the field of pediatric otoplasty.---TIMESTAMPS00:00 - Introduction 02:22 - Otoplasty Techniques and Patient Referrals05:35 - Terminology and Ear Abnormalities13:16 - Surgical Considerations20:04 - Prepping and Draping for Surgery30:22 - Suturing Techniques33:38 - Instrument Preferences35:12 - Repairing Stahls Ear Deformity37:16 - Cauliflower Ear Challenges38:46 - Cryptotia Repair Techniques40:59 - Post-Operative Care and Managing Complications52:30 - Final Thoughts and Innovations---RESOURCESJason Qian:https://www.rchsd.org/doctors/zhen-jason-qian-md/Charlotte Célérier:https://www.researchgate.net/profile/Charlotte-Celerier Tue, 02 Sep 2025 07:00:00 -0000 full BackTable Inc. How to help children with ear deformities look and feel their best. In this episode of the BackTable ENT Podcast, Dr. Jason Qian from Rady Children's in San Diego and special guest Dr. Charlotte Célérier, a pediatric otolaryngologist at Neckar-Enfants Malades Hospital in Paris, France discuss the technical aspects of pediatric otoplasty with Dr. Gopi Shah. ---SYNPOSISThe conversation covers surgical techniques, patient selection, procedural nuances, and post-operative care for various ear deformities including prominent ears, Stahl's ear, cauliflower ear, and cryptotia. Both experts share their insights on different methodologies, handling complications, and the importance of ensuring the child is motivated for surgery. Learn practical tips and evolving practices in the field of pediatric otoplasty.---TIMESTAMPS00:00 - Introduction 02:22 - Otoplasty Techniques and Patient Referrals05:35 - Terminology and Ear Abnormalities13:16 - Surgical Considerations20:04 - Prepping and Draping for Surgery30:22 - Suturing Techniques33:38 - Instrument Preferences35:12 - Repairing Stahls Ear Deformity37:16 - Cauliflower Ear Challenges38:46 - Cryptotia Repair Techniques40:59 - Post-Operative Care and Managing Complications52:30 - Final Thoughts and Innovations---RESOURCESJason Qian:https://www.rchsd.org/doctors/zhen-jason-qian-md/Charlotte Célérier:https://www.researchgate.net/profile/Charlotte-Celerier How to help children with ear deformities look and feel their best. In this episode of the BackTable ENT Podcast, Dr. Jason Qian from Rady Children's in San Diego and special guest Dr. Charlotte Célérier, a pediatric otolaryngologist at Neckar-Enfants Malades Hospital in Paris, France discuss the technical aspects of pediatric otoplasty with Dr. Gopi Shah.
---
SYNPOSIS
The conversation covers surgical techniques, patient selection, procedural nuances, and post-operative care for various ear deformities including prominent ears, Stahl's ear, cauliflower ear, and cryptotia. Both experts share their insights on different methodologies, handling complications, and the importance of ensuring the child is motivated for surgery. Learn practical tips and evolving practices in the field of pediatric otoplasty.
---
TIMESTAMPS
00:00 - Introduction
02:22 - Otoplasty Techniques and Patient Referrals
05:35 - Terminology and Ear Abnormalities
13:16 - Surgical Considerations
20:04 - Prepping and Draping for Surgery
30:22 - Suturing Techniques
33:38 - Instrument Preferences
35:12 - Repairing Stahls Ear Deformity
37:16 - Cauliflower Ear Challenges
38:46 - Cryptotia Repair Techniques
40:59 - Post-Operative Care and Managing Complications
52:30 - Final Thoughts and Innovations
---
RESOURCES
Jason Qian:
https://www.rchsd.org/doctors/zhen-jason-qian-md/
Charlotte Célérier:
https://www.researchgate.net/profile/Charlotte-Celerier

]]> 3396 Ep. 237 Approaches to Mandibular Osteo Radionecrosis Management with Dr. Eli Gordin and Dr. Ariel Frost Hyperbaric oxygen is out and surgical innovation is in—here’s how the rescue flap is reshaping ORN care. Facial plastic and microvascular surgeons Dr. Ariel Frost and Dr. Eli Gordin join host Dr. Ashley Agan to discuss osteoradionecrosis (ORN) of the mandible.---SYNPOSISThe discussion begins with a detailed overview of the condition and patient presentation, and the impact of radiation therapy. The conversation then delves into historical and contemporary staging systems, highlighting the innovative 'rescue flap' technique developed by Cleveland Clinic. The episode emphasizes the ineffectiveness of hyperbaric oxygen therapy and showcases the superior outcomes and cost-effectiveness of the rescue flap procedure. Practical insights on surgical techniques, patient management, and future directions in treating ORN are also discussed.---TIMESTAMPS00:00 - Introduction 01:26 - Understanding Osteoradionecrosis (ORN)08:49 - Clinical Presentation of ORN13:56 - Diagnosis and Imaging16:58 - Staging and Treatment Options27:39 - Conservative Therapy for ORN37:19 - Understanding Disease Progression and Imaging39:46 - Exploring the Rescue Flap Technique52:46 - Post-Operative Care and Recovery59:20 - Advanced Stages and Bone Grafting01:13:38 - Cost Effectiveness and Referral Guidelines---RESOURCESDr. Ariel Frosthttps://utswmed.org/doctors/ariel-frost/Dr. Eli Gordin https://utswmed.org/doctors/eli-gordin/ Tue, 26 Aug 2025 07:00:00 -0000 full BackTable Inc. Hyperbaric oxygen is out and surgical innovation is in—here’s how the rescue flap is reshaping ORN care. Facial plastic and microvascular surgeons Dr. Ariel Frost and Dr. Eli Gordin join host Dr. Ashley Agan to discuss osteoradionecrosis (ORN) of the mandible.---SYNPOSISThe discussion begins with a detailed overview of the condition and patient presentation, and the impact of radiation therapy. The conversation then delves into historical and contemporary staging systems, highlighting the innovative 'rescue flap' technique developed by Cleveland Clinic. The episode emphasizes the ineffectiveness of hyperbaric oxygen therapy and showcases the superior outcomes and cost-effectiveness of the rescue flap procedure. Practical insights on surgical techniques, patient management, and future directions in treating ORN are also discussed.---TIMESTAMPS00:00 - Introduction 01:26 - Understanding Osteoradionecrosis (ORN)08:49 - Clinical Presentation of ORN13:56 - Diagnosis and Imaging16:58 - Staging and Treatment Options27:39 - Conservative Therapy for ORN37:19 - Understanding Disease Progression and Imaging39:46 - Exploring the Rescue Flap Technique52:46 - Post-Operative Care and Recovery59:20 - Advanced Stages and Bone Grafting01:13:38 - Cost Effectiveness and Referral Guidelines---RESOURCESDr. Ariel Frosthttps://utswmed.org/doctors/ariel-frost/Dr. Eli Gordin https://utswmed.org/doctors/eli-gordin/ Hyperbaric oxygen is out and surgical innovation is in—here’s how the rescue flap is reshaping ORN care. Facial plastic and microvascular surgeons Dr. Ariel Frost and Dr. Eli Gordin join host Dr. Ashley Agan to discuss osteoradionecrosis (ORN) of the mandible.
---
SYNPOSIS
The discussion begins with a detailed overview of the condition and patient presentation, and the impact of radiation therapy. The conversation then delves into historical and contemporary staging systems, highlighting the innovative 'rescue flap' technique developed by Cleveland Clinic. The episode emphasizes the ineffectiveness of hyperbaric oxygen therapy and showcases the superior outcomes and cost-effectiveness of the rescue flap procedure. Practical insights on surgical techniques, patient management, and future directions in treating ORN are also discussed.
---
TIMESTAMPS
00:00 - Introduction
01:26 - Understanding Osteoradionecrosis (ORN)
08:49 - Clinical Presentation of ORN
13:56 - Diagnosis and Imaging
16:58 - Staging and Treatment Options
27:39 - Conservative Therapy for ORN
37:19 - Understanding Disease Progression and Imaging
39:46 - Exploring the Rescue Flap Technique
52:46 - Post-Operative Care and Recovery
59:20 - Advanced Stages and Bone Grafting
01:13:38 - Cost Effectiveness and Referral Guidelines
---
RESOURCES
Dr. Ariel Frost
https://utswmed.org/doctors/ariel-frost/
Dr. Eli Gordin
https://utswmed.org/doctors/eli-gordin/

]]> 4843 Ep. 236 Career Transitions: Coaching and Mentorship in Academic Medicine with Dr. Stacey Ishman Is the advice you’re getting from your mentor really what you need, or is the real breakthrough hidden in your own answers? In this episode of the BackTable ENT podcast, Dr. Gopi Shah welcomes Dr. Stacey Ishman, a chief medical officer, pediatric ENT, real estate investor, syndicator, and career coach for physicians, to discuss transitioning from academic medicine to utilization management. ---SYNPOSISDr. Ishman emphasizes the significance of mentorship and coaching in academic medicine, the difference between the two, and how understanding one's values is crucial for career fulfillment. The conversation addresses common challenges faced by physicians such as setting boundaries, managing time effectively, and achieving work-life balance. Dr. Ishman also shares practical tips for personal and professional growth, encourages networking, and highlights how coaching can help physicians realign their careers with their values. The episode concludes with resources and strategies for physicians feeling burnt out and advice on navigating career transitions.---TIMESTAMPS00:00 - Introduction 03:56 - Mentoring vs. Coaching11:10 - Time Management and Setting Boundaries17:38 - Gender and Equity in Academic Medicine22:18 - Exploring Personal Values23:41 - Time Management Tips for Physicians26:17 - Mid-Career Physician Challenges28:28 - Networking and Self-Promotion30:12 - Translational Skills in Medicine32:04 - Knowing When to Make a Change39:02 - Coaching Programs and Resources---RESOURCESDr. Stacey Ishmanhttps://www.childrensdayton.org/doctors/stacey-ishman-md-mphhttps://www.medicalmentorcoaching.com/ Tue, 19 Aug 2025 07:00:00 -0000 full BackTable Inc. Is the advice you’re getting from your mentor really what you need, or is the real breakthrough hidden in your own answers? In this episode of the BackTable ENT podcast, Dr. Gopi Shah welcomes Dr. Stacey Ishman, a chief medical officer, pediatric ENT, real estate investor, syndicator, and career coach for physicians, to discuss transitioning from academic medicine to utilization management. ---SYNPOSISDr. Ishman emphasizes the significance of mentorship and coaching in academic medicine, the difference between the two, and how understanding one's values is crucial for career fulfillment. The conversation addresses common challenges faced by physicians such as setting boundaries, managing time effectively, and achieving work-life balance. Dr. Ishman also shares practical tips for personal and professional growth, encourages networking, and highlights how coaching can help physicians realign their careers with their values. The episode concludes with resources and strategies for physicians feeling burnt out and advice on navigating career transitions.---TIMESTAMPS00:00 - Introduction 03:56 - Mentoring vs. Coaching11:10 - Time Management and Setting Boundaries17:38 - Gender and Equity in Academic Medicine22:18 - Exploring Personal Values23:41 - Time Management Tips for Physicians26:17 - Mid-Career Physician Challenges28:28 - Networking and Self-Promotion30:12 - Translational Skills in Medicine32:04 - Knowing When to Make a Change39:02 - Coaching Programs and Resources---RESOURCESDr. Stacey Ishmanhttps://www.childrensdayton.org/doctors/stacey-ishman-md-mphhttps://www.medicalmentorcoaching.com/ Is the advice you’re getting from your mentor really what you need, or is the real breakthrough hidden in your own answers? In this episode of the BackTable ENT podcast, Dr. Gopi Shah welcomes Dr. Stacey Ishman, a chief medical officer, pediatric ENT, real estate investor, syndicator, and career coach for physicians, to discuss transitioning from academic medicine to utilization management.
---
SYNPOSIS
Dr. Ishman emphasizes the significance of mentorship and coaching in academic medicine, the difference between the two, and how understanding one's values is crucial for career fulfillment. The conversation addresses common challenges faced by physicians such as setting boundaries, managing time effectively, and achieving work-life balance. Dr. Ishman also shares practical tips for personal and professional growth, encourages networking, and highlights how coaching can help physicians realign their careers with their values. The episode concludes with resources and strategies for physicians feeling burnt out and advice on navigating career transitions.
---
TIMESTAMPS
00:00 - Introduction
03:56 - Mentoring vs. Coaching
11:10 - Time Management and Setting Boundaries
17:38 - Gender and Equity in Academic Medicine
22:18 - Exploring Personal Values
23:41 - Time Management Tips for Physicians
26:17 - Mid-Career Physician Challenges
28:28 - Networking and Self-Promotion
30:12 - Translational Skills in Medicine
32:04 - Knowing When to Make a Change
39:02 - Coaching Programs and Resources
---
RESOURCES
Dr. Stacey Ishman
https://www.childrensdayton.org/doctors/stacey-ishman-md-mph
https://www.medicalmentorcoaching.com/

]]> 2607 Ep. 235 Biologics for Chronic Rhinosinusitis with Nasal Polyps with Dr. Reena Mehta How do we integrate biologics into the existing stepwise treatment model for chronic rhinosinusitis with nasal polyps (CRSwNP)? In this episode, Dr. Reena Mehta, an allergist from Uptown Allergy and Asthma in New Orleans, discusses the use of biologics for treating chronic rhinosinusitis with nasal polyps. ---SYNPOSISDr. Mehta elaborates on the common presentations of patients, the role of biologics such as dupilumab and tezepelumab, and the nuances of patient management post-sinus surgery. Dr. Mehta also covers the workup process, the significance of patient comorbidities like asthma and allergies, and the future perspectives on biologic treatments. Practical aspects of biologic therapy, including insurance hurdles, patient compliance, and the effectiveness of various biologics are thoroughly examined.---TIMESTAMPS00:00 - Introduction 02:27 - Understanding Chronic Rhinosinusitis with Nasal Polyps & Presentation05:22 - Workup and Management of Nasal Polyps07:31 - Treatment Options: Steroids and Biologics15:28 - Tezepelumab: A New Tool in the Toolkit25:03 - Side Effects and Safety of Biologics28:59 - Insurance and Approval Challenges36:14 - Long-Term Safety and Efficacy38:47 - Pediatric Considerations and Future Directions41:37 - Collaboration Between ENT and Allergy Specialists45:07 - Conclusion and Final Thoughts---RESOURCESDr. Reena Mehtahttps://uptownallergyasthma.com/allergist-dr-reena-mehta/ Tue, 12 Aug 2025 07:00:00 -0000 full BackTable Inc. How do we integrate biologics into the existing stepwise treatment model for chronic rhinosinusitis with nasal polyps (CRSwNP)? In this episode, Dr. Reena Mehta, an allergist from Uptown Allergy and Asthma in New Orleans, discusses the use of biologics for treating chronic rhinosinusitis with nasal polyps. ---SYNPOSISDr. Mehta elaborates on the common presentations of patients, the role of biologics such as dupilumab and tezepelumab, and the nuances of patient management post-sinus surgery. Dr. Mehta also covers the workup process, the significance of patient comorbidities like asthma and allergies, and the future perspectives on biologic treatments. Practical aspects of biologic therapy, including insurance hurdles, patient compliance, and the effectiveness of various biologics are thoroughly examined.---TIMESTAMPS00:00 - Introduction 02:27 - Understanding Chronic Rhinosinusitis with Nasal Polyps & Presentation05:22 - Workup and Management of Nasal Polyps07:31 - Treatment Options: Steroids and Biologics15:28 - Tezepelumab: A New Tool in the Toolkit25:03 - Side Effects and Safety of Biologics28:59 - Insurance and Approval Challenges36:14 - Long-Term Safety and Efficacy38:47 - Pediatric Considerations and Future Directions41:37 - Collaboration Between ENT and Allergy Specialists45:07 - Conclusion and Final Thoughts---RESOURCESDr. Reena Mehtahttps://uptownallergyasthma.com/allergist-dr-reena-mehta/ How do we integrate biologics into the existing stepwise treatment model for chronic rhinosinusitis with nasal polyps (CRSwNP)? In this episode, Dr. Reena Mehta, an allergist from Uptown Allergy and Asthma in New Orleans, discusses the use of biologics for treating chronic rhinosinusitis with nasal polyps.
---
SYNPOSIS
Dr. Mehta elaborates on the common presentations of patients, the role of biologics such as dupilumab and tezepelumab, and the nuances of patient management post-sinus surgery. Dr. Mehta also covers the workup process, the significance of patient comorbidities like asthma and allergies, and the future perspectives on biologic treatments. Practical aspects of biologic therapy, including insurance hurdles, patient compliance, and the effectiveness of various biologics are thoroughly examined.
---
TIMESTAMPS
00:00 - Introduction
02:27 - Understanding Chronic Rhinosinusitis with Nasal Polyps & Presentation
05:22 - Workup and Management of Nasal Polyps
07:31 - Treatment Options: Steroids and Biologics
15:28 - Tezepelumab: A New Tool in the Toolkit
25:03 - Side Effects and Safety of Biologics
28:59 - Insurance and Approval Challenges
36:14 - Long-Term Safety and Efficacy
38:47 - Pediatric Considerations and Future Directions
41:37 - Collaboration Between ENT and Allergy Specialists
45:07 - Conclusion and Final Thoughts
---
RESOURCES
Dr. Reena Mehta
https://uptownallergyasthma.com/allergist-dr-reena-mehta/

]]> 3015 Ep. 234 Navigating Midcareer Transitions & Finding Satisfaction in Healthcare with Dr. Tiffany Moon What happens when a high-achieving physician trades perfectionism for purpose? In this episode of the BackTable ENT podcast, Dr. Tiffany Moon, an anesthesiologist, mom, entrepreneur, former Real Housewives of Dallas cast member, and author of the book 'Joy Prescriptions' joins host Dr. Ashley Agan. --- SYNPOSIS Tiffany shares her journey from a driven, high-achieving academic physician to exploring new passions outside of medicine. She discusses her midlife crisis, the inspiration behind her book, and the importance of finding joy through gratitude and letting go of perfectionism. They delve into the challenges of balancing a medical career with motherhood, the decision to go part-time, and the impact of her social media presence. Also, Tiffany introduces her upcoming Lead Her Summit, aimed at empowering female entrepreneurs. The episode wraps up with practical insights on maintaining joy and navigating career transitions. --- TIMESTAMPS 00:00 - Introduction01:37 - Tiffany’s Journey in Medicine03:15 - Writing Joy Prescriptions05:32 - Balancing Medicine and Personal Life12:21 - The Decision to Go Part-Time17:34 - Navigating Career and Personal Goals20:42 - Understanding Joy Interrupted23:05 - Practicing Gratitude in Daily Life25:14 - The Struggle with Control29:57 - Navigating Social Media Fame34:57 - Upcoming Lead Her Summit37:48 - Final Thoughts and Farewell --- RESOURCES Tiffany Moonhttps://www.tiffanymoonmd.com/ LeadHer Summit 2025 (use code BACKTABLE300 for $300 off):https://www.leadhersummit.com/ Tue, 05 Aug 2025 07:00:00 -0000 full BackTable Inc. What happens when a high-achieving physician trades perfectionism for purpose? In this episode of the BackTable ENT podcast, Dr. Tiffany Moon, an anesthesiologist, mom, entrepreneur, former Real Housewives of Dallas cast member, and author of the book 'Joy Prescriptions' joins host Dr. Ashley Agan. --- SYNPOSIS Tiffany shares her journey from a driven, high-achieving academic physician to exploring new passions outside of medicine. She discusses her midlife crisis, the inspiration behind her book, and the importance of finding joy through gratitude and letting go of perfectionism. They delve into the challenges of balancing a medical career with motherhood, the decision to go part-time, and the impact of her social media presence. Also, Tiffany introduces her upcoming Lead Her Summit, aimed at empowering female entrepreneurs. The episode wraps up with practical insights on maintaining joy and navigating career transitions. --- TIMESTAMPS 00:00 - Introduction01:37 - Tiffany’s Journey in Medicine03:15 - Writing Joy Prescriptions05:32 - Balancing Medicine and Personal Life12:21 - The Decision to Go Part-Time17:34 - Navigating Career and Personal Goals20:42 - Understanding Joy Interrupted23:05 - Practicing Gratitude in Daily Life25:14 - The Struggle with Control29:57 - Navigating Social Media Fame34:57 - Upcoming Lead Her Summit37:48 - Final Thoughts and Farewell --- RESOURCES Tiffany Moonhttps://www.tiffanymoonmd.com/ LeadHer Summit 2025 (use code BACKTABLE300 for $300 off):https://www.leadhersummit.com/ What happens when a high-achieving physician trades perfectionism for purpose? In this episode of the BackTable ENT podcast, Dr. Tiffany Moon, an anesthesiologist, mom, entrepreneur, former Real Housewives of Dallas cast member, and author of the book 'Joy Prescriptions' joins host Dr. Ashley Agan.


---


SYNPOSIS


Tiffany shares her journey from a driven, high-achieving academic physician to exploring new passions outside of medicine. She discusses her midlife crisis, the inspiration behind her book, and the importance of finding joy through gratitude and letting go of perfectionism. They delve into the challenges of balancing a medical career with motherhood, the decision to go part-time, and the impact of her social media presence. Also, Tiffany introduces her upcoming Lead Her Summit, aimed at empowering female entrepreneurs. The episode wraps up with practical insights on maintaining joy and navigating career transitions.


---


TIMESTAMPS


00:00 - Introduction
01:37 - Tiffany’s Journey in Medicine
03:15 - Writing Joy Prescriptions
05:32 - Balancing Medicine and Personal Life
12:21 - The Decision to Go Part-Time
17:34 - Navigating Career and Personal Goals
20:42 - Understanding Joy Interrupted
23:05 - Practicing Gratitude in Daily Life
25:14 - The Struggle with Control
29:57 - Navigating Social Media Fame
34:57 - Upcoming Lead Her Summit
37:48 - Final Thoughts and Farewell


---


RESOURCES


Tiffany Moon
https://www.tiffanymoonmd.com/


LeadHer Summit 2025 (use code BACKTABLE300 for $300 off):
https://www.leadhersummit.com/

]]> 2516 Ep. 233 CSF Leaks Part II: Techniques in Endoscopic Repair with Dr. Satyan Sreenath and Dr. Sanjeet Rangarajan A 47 year old male presents with intermittent, unilateral nasal drainage and headache. What do you do? In this episode of the BackTable Podcast, Dr. Satyan Sreenath, a rhinologist at Indiana University, and Dr. Sanjeet Rangarajan, a rhinologist at Case Reserve University, examine complex cases involving CSF leaks and encephaloceles. --- SYNPOSIS The doctors discuss diagnostic approaches, imaging techniques, and innovative surgical methods, using endoscopic and minimally invasive strategies. The conversation highlights the difficulties of diagnosing and surgically repairing these leaks, focusing on their personal experiences and preferred techniques. Through detailed case studies with imaging and surgical videos, they explore the importance of meticulous planning, interdisciplinary collaboration, and adaptive strategies to manage these challenging conditions effectively. A must watch on Youtube! --- TIMESTAMPS 00:00 - Introduction02:17 - Patient Case 1: “Headache and Drippy Nose..”02:58 - Diagnostic Imaging and Findings07:55 - Surgical Approach and Postoperative Care16:52 - Patient Case 2: “Drippy nose and nasal congestion… just allergies right?”17:32 - Diagnostic Imaging and Findings20:21 - Surgical Approach and Postoperative Care29:03 - Patient Case 3: “Runny nose after my MVC 3 years ago…”29:21 - Imaging and Surgical Approach Discussion31:46 - Post-Operative Challenges and Patient Follow-Up42:46 - Patient Case 4: “Continuous nasal drainage BOTH sides”43:31 - Imaging and Findings 44:43 - Surgical Approach for Bilateral Defects56:39 - Final Thoughts --- RESOURCES Dr. Satyan Sreenath profile:https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999 Dr. Sanjeet Rangarajan’s profile:https://www.uhhospitals.org/doctors/Rangarajan-Sanjeet-164956839 Tue, 29 Jul 2025 07:00:00 -0000 full BackTable Inc. A 47 year old male presents with intermittent, unilateral nasal drainage and headache. What do you do? In this episode of the BackTable Podcast, Dr. Satyan Sreenath, a rhinologist at Indiana University, and Dr. Sanjeet Rangarajan, a rhinologist at Case Reserve University, examine complex cases involving CSF leaks and encephaloceles. --- SYNPOSIS The doctors discuss diagnostic approaches, imaging techniques, and innovative surgical methods, using endoscopic and minimally invasive strategies. The conversation highlights the difficulties of diagnosing and surgically repairing these leaks, focusing on their personal experiences and preferred techniques. Through detailed case studies with imaging and surgical videos, they explore the importance of meticulous planning, interdisciplinary collaboration, and adaptive strategies to manage these challenging conditions effectively. A must watch on Youtube! --- TIMESTAMPS 00:00 - Introduction02:17 - Patient Case 1: “Headache and Drippy Nose..”02:58 - Diagnostic Imaging and Findings07:55 - Surgical Approach and Postoperative Care16:52 - Patient Case 2: “Drippy nose and nasal congestion… just allergies right?”17:32 - Diagnostic Imaging and Findings20:21 - Surgical Approach and Postoperative Care29:03 - Patient Case 3: “Runny nose after my MVC 3 years ago…”29:21 - Imaging and Surgical Approach Discussion31:46 - Post-Operative Challenges and Patient Follow-Up42:46 - Patient Case 4: “Continuous nasal drainage BOTH sides”43:31 - Imaging and Findings 44:43 - Surgical Approach for Bilateral Defects56:39 - Final Thoughts --- RESOURCES Dr. Satyan Sreenath profile:https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999 Dr. Sanjeet Rangarajan’s profile:https://www.uhhospitals.org/doctors/Rangarajan-Sanjeet-164956839 A 47 year old male presents with intermittent, unilateral nasal drainage and headache. What do you do? In this episode of the BackTable Podcast, Dr. Satyan Sreenath, a rhinologist at Indiana University, and Dr. Sanjeet Rangarajan, a rhinologist at Case Reserve University, examine complex cases involving CSF leaks and encephaloceles.


---


SYNPOSIS


The doctors discuss diagnostic approaches, imaging techniques, and innovative surgical methods, using endoscopic and minimally invasive strategies. The conversation highlights the difficulties of diagnosing and surgically repairing these leaks, focusing on their personal experiences and preferred techniques. Through detailed case studies with imaging and surgical videos, they explore the importance of meticulous planning, interdisciplinary collaboration, and adaptive strategies to manage these challenging conditions effectively. A must watch on Youtube!


---


TIMESTAMPS


00:00 - Introduction
02:17 - Patient Case 1: “Headache and Drippy Nose..”
02:58 - Diagnostic Imaging and Findings
07:55 - Surgical Approach and Postoperative Care
16:52 - Patient Case 2: “Drippy nose and nasal congestion… just allergies right?”
17:32 - Diagnostic Imaging and Findings
20:21 - Surgical Approach and Postoperative Care
29:03 - Patient Case 3: “Runny nose after my MVC 3 years ago…”
29:21 - Imaging and Surgical Approach Discussion
31:46 - Post-Operative Challenges and Patient Follow-Up
42:46 - Patient Case 4: “Continuous nasal drainage BOTH sides”
43:31 - Imaging and Findings
44:43 - Surgical Approach for Bilateral Defects
56:39 - Final Thoughts


---


RESOURCES


Dr. Satyan Sreenath profile:
https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999


Dr. Sanjeet Rangarajan’s profile:
https://www.uhhospitals.org/doctors/Rangarajan-Sanjeet-164956839

]]> 3675 Ep. 232 CSF Leak Evaluation Part I: Presentation & Management with Dr. Satyan Sreenath and Dr. Sanjeet Rangarajan A patient walks in with a persistent runny nose. Is it allergies, or something more dangerous? In this episode of the BackTable ENT Podcast, two renowned rhinologists, Dr. Satyan Sreenath and Dr. Sanjeet Rangarajan, delve into the evaluation and management of cerebrospinal fluid (CSF) leaks at the anterior skull base with host Dr. Gopi Shah. --- SYNPOSIS The discussion encompasses patient presentations, differential diagnosis, physical examination, and imaging techniques for localization. They also explore the impact of underlying conditions such as idiopathic intracranial hypertension (IIH) and obstructive sleep apnea (OSA) on CSF leaks. Dr. Sreenath and Dr. Rangarjan offer insight into diagnostic strategies, patient management, and surgical planning, providing a comprehensive overview of best practices in managing this complex condition. --- TIMESTAMPS 00:00 - Introduction 02:48 - Patient Presentation and Initial Evaluation04:45 - Common Symptoms and Diagnostic Challenges06:02 - Risk Factors and Etiologies of CSF Leaks10:59 - Management and Treatment Approaches16:55 - Physical Examination and Diagnostic Techniques22:35 - Patient Instructions for Sample Collection24:29 - Differentiating CSF Leaks from Other Conditions26:12 - Endoscopic Examination Techniques30:21 - Imaging and Diagnostic Approaches33:14 - Surgical Planning and Considerations45:23 - Concluding Thoughts --- RESOURCES Satyan Sreenath https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999 Sanjeet Rangarajan https://www.uhhospitals.org/doctors/Rangarajan-Sanjeet-1649568395 Tue, 22 Jul 2025 07:00:00 -0000 full BackTable Inc. A patient walks in with a persistent runny nose. Is it allergies, or something more dangerous? In this episode of the BackTable ENT Podcast, two renowned rhinologists, Dr. Satyan Sreenath and Dr. Sanjeet Rangarajan, delve into the evaluation and management of cerebrospinal fluid (CSF) leaks at the anterior skull base with host Dr. Gopi Shah. --- SYNPOSIS The discussion encompasses patient presentations, differential diagnosis, physical examination, and imaging techniques for localization. They also explore the impact of underlying conditions such as idiopathic intracranial hypertension (IIH) and obstructive sleep apnea (OSA) on CSF leaks. Dr. Sreenath and Dr. Rangarjan offer insight into diagnostic strategies, patient management, and surgical planning, providing a comprehensive overview of best practices in managing this complex condition. --- TIMESTAMPS 00:00 - Introduction 02:48 - Patient Presentation and Initial Evaluation04:45 - Common Symptoms and Diagnostic Challenges06:02 - Risk Factors and Etiologies of CSF Leaks10:59 - Management and Treatment Approaches16:55 - Physical Examination and Diagnostic Techniques22:35 - Patient Instructions for Sample Collection24:29 - Differentiating CSF Leaks from Other Conditions26:12 - Endoscopic Examination Techniques30:21 - Imaging and Diagnostic Approaches33:14 - Surgical Planning and Considerations45:23 - Concluding Thoughts --- RESOURCES Satyan Sreenath https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999 Sanjeet Rangarajan https://www.uhhospitals.org/doctors/Rangarajan-Sanjeet-1649568395 A patient walks in with a persistent runny nose. Is it allergies, or something more dangerous? In this episode of the BackTable ENT Podcast, two renowned rhinologists, Dr. Satyan Sreenath
and Dr. Sanjeet Rangarajan, delve into the evaluation and management of cerebrospinal fluid (CSF) leaks at the anterior skull base with host Dr. Gopi Shah.


---


SYNPOSIS


The discussion encompasses patient presentations, differential diagnosis, physical examination, and imaging techniques for localization. They also explore the impact of underlying conditions such as idiopathic intracranial hypertension (IIH) and obstructive sleep apnea (OSA) on CSF leaks. Dr. Sreenath and Dr. Rangarjan offer insight into diagnostic strategies, patient management, and surgical planning, providing a comprehensive overview of best practices in managing this complex condition.


---


TIMESTAMPS


00:00 - Introduction
02:48 - Patient Presentation and Initial Evaluation
04:45 - Common Symptoms and Diagnostic Challenges
06:02 - Risk Factors and Etiologies of CSF Leaks
10:59 - Management and Treatment Approaches
16:55 - Physical Examination and Diagnostic Techniques
22:35 - Patient Instructions for Sample Collection
24:29 - Differentiating CSF Leaks from Other Conditions
26:12 - Endoscopic Examination Techniques
30:21 - Imaging and Diagnostic Approaches
33:14 - Surgical Planning and Considerations
45:23 - Concluding Thoughts


---


RESOURCES


Satyan Sreenath
https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999


Sanjeet Rangarajan
https://www.uhhospitals.org/doctors/Rangarajan-Sanjeet-1649568395

]]> 2893 Ep. 231 Improving Surgical Outcomes Through Self-Awareness with Dr. Melinda Thacker Let’s talk about what it really means to show up for your patients—and yourself—as a surgeon. In this episode of Backtable ENT, Dr. Mel Thacker, an otolaryngologist and founder of The Empowered Surgeon and the Surgeons with a Purpose Podcast, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss humanity in surgery, and how to stay grounded in a profession that demands so much of us. --- SYNPOSIS Dr. Thacker shares her journey from experiencing anxiety and panic attacks in the operating room to becoming a coach who helps surgeons discover their purpose and practice medicine with greater humanity. They discuss the significance of self-awareness, the importance of protecting oneself as a valuable asset, and how to serve patients with compassion and empathy. Practical advice is offered on shifting mindset, engaging in meaningful connections with patients, and fostering a collaborative, rather than hierarchical, approach in medical practice. --- TIMESTAMPS 00:00 - Introduction03:04 - Discovering Coaching10:52 - Residency Reflections23:06 - Improving Patient Relationships29:48 - Coaching Surgeons and Addressing Emotional Growth37:49 - Serving vs. Fixing: A New Perspective on Patient Care44:09 - Daily Practices for Empathy and Self-Awareness44:40 - Three Essentials for Success in Medicine46:31 - Conclusion and Final Thoughts Tue, 15 Jul 2025 07:00:00 -0000 full BackTable Inc. Let’s talk about what it really means to show up for your patients—and yourself—as a surgeon. In this episode of Backtable ENT, Dr. Mel Thacker, an otolaryngologist and founder of The Empowered Surgeon and the Surgeons with a Purpose Podcast, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss humanity in surgery, and how to stay grounded in a profession that demands so much of us. --- SYNPOSIS Dr. Thacker shares her journey from experiencing anxiety and panic attacks in the operating room to becoming a coach who helps surgeons discover their purpose and practice medicine with greater humanity. They discuss the significance of self-awareness, the importance of protecting oneself as a valuable asset, and how to serve patients with compassion and empathy. Practical advice is offered on shifting mindset, engaging in meaningful connections with patients, and fostering a collaborative, rather than hierarchical, approach in medical practice. --- TIMESTAMPS 00:00 - Introduction03:04 - Discovering Coaching10:52 - Residency Reflections23:06 - Improving Patient Relationships29:48 - Coaching Surgeons and Addressing Emotional Growth37:49 - Serving vs. Fixing: A New Perspective on Patient Care44:09 - Daily Practices for Empathy and Self-Awareness44:40 - Three Essentials for Success in Medicine46:31 - Conclusion and Final Thoughts Let’s talk about what it really means to show up for your patients—and yourself—as a surgeon. In this episode of Backtable ENT, Dr. Mel Thacker, an otolaryngologist and founder of The Empowered Surgeon and the Surgeons with a Purpose Podcast, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss humanity in surgery, and how to stay grounded in a profession that demands so much of us.


---


SYNPOSIS


Dr. Thacker shares her journey from experiencing anxiety and panic attacks in the operating room to becoming a coach who helps surgeons discover their purpose and practice medicine with greater humanity. They discuss the significance of self-awareness, the importance of protecting oneself as a valuable asset, and how to serve patients with compassion and empathy. Practical advice is offered on shifting mindset, engaging in meaningful connections with patients, and fostering a collaborative, rather than hierarchical, approach in medical practice.


---


TIMESTAMPS


00:00 - Introduction
03:04 - Discovering Coaching
10:52 - Residency Reflections
23:06 - Improving Patient Relationships
29:48 - Coaching Surgeons and Addressing Emotional Growth
37:49 - Serving vs. Fixing: A New Perspective on Patient Care
44:09 - Daily Practices for Empathy and Self-Awareness
44:40 - Three Essentials for Success in Medicine
46:31 - Conclusion and Final Thoughts

]]> 2979 Ep. 230 Setting Up an Overseas ENT Career with Dr. Ananya Majumder How hard is it to move your medical practice across the globe? In this episode of BackTable ENT, otolaryngologist Dr. Ananya Majumder discusses her transition from practicing in Fort Worth, Texas to becoming a consultant otolaryngologist at North Shore Hospital in Auckland, New Zealand with host Dr. Gopi Shah. --- SYNPOSIS They explore Dr. Majumder’s career journey, the factors that led her to move abroad, the process of obtaining medical licensing and a visa in New Zealand, and the differences in medical practice and work culture between the U.S. and New Zealand. Dr. Majumder also shares insights into her daily routine, the challenges she faced during the transition, and the benefits of international experience in the medical field. --- TIMESTAMPS 00:00 Introduction 01:40 Journey to New Zealand & Navigating Medical Licensing08:26 Understanding the Healthcare System15:24 Residency and Training Differences21:37 Visa Process and Moving28:49 Daily Practice in New Zealand29:44 Clinic Workflow Differences & Operating Room Culture37:14 Patient Relationships and Challenges42:42 Professional and Personal Growth48:02 Final Thoughts and Advice --- RESOURCES Dr. Ananya Majumder https://www.enthealth.org/find-ent/ananya-majumder/ Tue, 08 Jul 2025 07:00:00 -0000 full BackTable Inc. How hard is it to move your medical practice across the globe? In this episode of BackTable ENT, otolaryngologist Dr. Ananya Majumder discusses her transition from practicing in Fort Worth, Texas to becoming a consultant otolaryngologist at North Shore Hospital in Auckland, New Zealand with host Dr. Gopi Shah. --- SYNPOSIS They explore Dr. Majumder’s career journey, the factors that led her to move abroad, the process of obtaining medical licensing and a visa in New Zealand, and the differences in medical practice and work culture between the U.S. and New Zealand. Dr. Majumder also shares insights into her daily routine, the challenges she faced during the transition, and the benefits of international experience in the medical field. --- TIMESTAMPS 00:00 Introduction 01:40 Journey to New Zealand & Navigating Medical Licensing08:26 Understanding the Healthcare System15:24 Residency and Training Differences21:37 Visa Process and Moving28:49 Daily Practice in New Zealand29:44 Clinic Workflow Differences & Operating Room Culture37:14 Patient Relationships and Challenges42:42 Professional and Personal Growth48:02 Final Thoughts and Advice --- RESOURCES Dr. Ananya Majumder https://www.enthealth.org/find-ent/ananya-majumder/ How hard is it to move your medical practice across the globe? In this episode of BackTable ENT, otolaryngologist Dr. Ananya Majumder discusses her transition from practicing in Fort Worth, Texas to becoming a consultant otolaryngologist at North Shore Hospital in Auckland, New Zealand with host Dr. Gopi Shah.


---


SYNPOSIS


They explore Dr. Majumder’s career journey, the factors that led her to move abroad, the process of obtaining medical licensing and a visa in New Zealand, and the differences in medical practice and work culture between the U.S. and New Zealand. Dr. Majumder also shares insights into her daily routine, the challenges she faced during the transition, and the benefits of international experience in the medical field.


---


TIMESTAMPS


00:00 Introduction
01:40 Journey to New Zealand & Navigating Medical Licensing
08:26 Understanding the Healthcare System
15:24 Residency and Training Differences
21:37 Visa Process and Moving
28:49 Daily Practice in New Zealand
29:44 Clinic Workflow Differences & Operating Room Culture
37:14 Patient Relationships and Challenges
42:42 Professional and Personal Growth
48:02 Final Thoughts and Advice


---


RESOURCES


Dr. Ananya Majumder
https://www.enthealth.org/find-ent/ananya-majumder/

]]> 3106 Ep. 229 Sialendoscopy: Office-Based Techniques and Best Practices with Dr. Wais Rahmati The sour candy myth: why it’s not always the right Rx for salivary gland obstruction. In this episode, Dr. Wais Rahmati, a board-certified otolaryngologist at Mass Eye and Ear and Harvard Medical School, discusses the development of a comprehensive salivary gland center and the focus on office-based sialendoscopy with host Dr. Ashley Agan. --- SYNPOSIS The doctors explore the benefits of incorporating salivary endoscopy in the office setting, including minimally invasive and gland-sparing approaches to treat obstructive salivary gland diseases. Dr. Rahmati shares the criteria for patient selection, techniques in the procedure, and post-operative care. They also touch upon the challenges and strategies for reimbursement and the significance of tracking codes to eventually establish dedicated CPT codes for sialendoscopy. --- TIMESTAMPS 00:00 - Introduction02:40 - History and Evolution of Office-Based Endoscopy05:32 - Understanding Obstructive Salivary Gland Disease09:36 - Patient Selection and Office-Based Procedures14:45 -Imaging and Diagnostic Approaches20:50 - Office Setup and Procedure Details30:38 - Injecting Mucosa for Better Access31:10 - Using Sour Candy to Stimulate Saliva32:29 - Dilation and Anesthesia Techniques37:05 - Handling Stones and Stents40:44 - Treating Stenosis in the Office47:16 - Post-Procedure Care and Instructions49:42 - Billing and Reimbursement Challenges54:43 - Future of Salivary Gland Endoscopy --- RESOURCES Wais Rahmati MD:https://doctors.masseyeandear.org/details/447/rahmatullah-wais_rahmati-rahmati-otolaryngology-head_and_neck_surgery-boston Tue, 01 Jul 2025 07:00:00 -0000 full BackTable Inc. The sour candy myth: why it’s not always the right Rx for salivary gland obstruction. In this episode, Dr. Wais Rahmati, a board-certified otolaryngologist at Mass Eye and Ear and Harvard Medical School, discusses the development of a comprehensive salivary gland center and the focus on office-based sialendoscopy with host Dr. Ashley Agan. --- SYNPOSIS The doctors explore the benefits of incorporating salivary endoscopy in the office setting, including minimally invasive and gland-sparing approaches to treat obstructive salivary gland diseases. Dr. Rahmati shares the criteria for patient selection, techniques in the procedure, and post-operative care. They also touch upon the challenges and strategies for reimbursement and the significance of tracking codes to eventually establish dedicated CPT codes for sialendoscopy. --- TIMESTAMPS 00:00 - Introduction02:40 - History and Evolution of Office-Based Endoscopy05:32 - Understanding Obstructive Salivary Gland Disease09:36 - Patient Selection and Office-Based Procedures14:45 -Imaging and Diagnostic Approaches20:50 - Office Setup and Procedure Details30:38 - Injecting Mucosa for Better Access31:10 - Using Sour Candy to Stimulate Saliva32:29 - Dilation and Anesthesia Techniques37:05 - Handling Stones and Stents40:44 - Treating Stenosis in the Office47:16 - Post-Procedure Care and Instructions49:42 - Billing and Reimbursement Challenges54:43 - Future of Salivary Gland Endoscopy --- RESOURCES Wais Rahmati MD:https://doctors.masseyeandear.org/details/447/rahmatullah-wais_rahmati-rahmati-otolaryngology-head_and_neck_surgery-boston The sour candy myth: why it’s not always the right Rx for salivary gland obstruction. In this episode, Dr. Wais Rahmati, a board-certified otolaryngologist at Mass Eye and Ear and Harvard Medical School, discusses the development of a comprehensive salivary gland center and the focus on office-based sialendoscopy with host Dr. Ashley Agan.


---


SYNPOSIS


The doctors explore the benefits of incorporating salivary endoscopy in the office setting, including minimally invasive and gland-sparing approaches to treat obstructive salivary gland diseases. Dr. Rahmati shares the criteria for patient selection, techniques in the procedure, and post-operative care. They also touch upon the challenges and strategies for reimbursement and the significance of tracking codes to eventually establish dedicated CPT codes for sialendoscopy.


---


TIMESTAMPS


00:00 - Introduction
02:40 - History and Evolution of Office-Based Endoscopy
05:32 - Understanding Obstructive Salivary Gland Disease
09:36 - Patient Selection and Office-Based Procedures
14:45 -Imaging and Diagnostic Approaches
20:50 - Office Setup and Procedure Details
30:38 - Injecting Mucosa for Better Access
31:10 - Using Sour Candy to Stimulate Saliva
32:29 - Dilation and Anesthesia Techniques
37:05 - Handling Stones and Stents
40:44 - Treating Stenosis in the Office
47:16 - Post-Procedure Care and Instructions
49:42 - Billing and Reimbursement Challenges
54:43 - Future of Salivary Gland Endoscopy


---


RESOURCES


Wais Rahmati MD:
https://doctors.masseyeandear.org/details/447/rahmatullah-wais_rahmati-rahmati-otolaryngology-head_and_neck_surgery-boston

]]> 3587 Ep. 228 Sinus Headaches vs. Migraines: Diagnosis and Treatment with Dr. Jessica Lee Sinusitis or migraine? Understanding the difference between rhinogenic and primary headaches could change your treatment algorithm. In this episode of Backtable ENT, Dr. Jessica Lee, an otolaryngologist from Charleston ENT and Allergy, discusses the prevalence and treatment of sinus headaches with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS The doctors discuss how half of sinus infection diagnoses are often misdiagnosed, with many patients having normal CT scans and nasal endoscopies. Dr. Lee emphasizes the importance of distinguishing between sinus-related headaches and migraines, noting that 80% of sinus headache complaints meet migraine criteria. The conversation covers the use of lifestyle medicine, supplements, medications, and the role of neurologists in managing chronic headaches. Dr. Lee also touches on the role of mycotoxins, drawing from evidence-based practices while stressing patient education and collaboration in treatment. --- TIMESTAMPS 00:00 - Introduction 04:10 - Differentiating Sinus Headaches from Other Conditions10:07 - Lifestyle Factors and Migraine Management25:45 - Supplements and Treatments for Migraine30:01 - Iron Supplementation and Dietary Adjustments31:42 - Medication Management for Migraines34:52 - Botox as a Treatment Option44:50 - Mycotoxins and Mold Illness50:11 - Non-Pharmacologic Options for Headaches54:00 - Final Thoughts and Recommendations --- RESOURCES Dr. Jessica Leehttps://charlestonent.com/bio/jessica-lee/ Tue, 24 Jun 2025 07:00:00 -0000 full BackTable Inc. Sinusitis or migraine? Understanding the difference between rhinogenic and primary headaches could change your treatment algorithm. In this episode of Backtable ENT, Dr. Jessica Lee, an otolaryngologist from Charleston ENT and Allergy, discusses the prevalence and treatment of sinus headaches with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS The doctors discuss how half of sinus infection diagnoses are often misdiagnosed, with many patients having normal CT scans and nasal endoscopies. Dr. Lee emphasizes the importance of distinguishing between sinus-related headaches and migraines, noting that 80% of sinus headache complaints meet migraine criteria. The conversation covers the use of lifestyle medicine, supplements, medications, and the role of neurologists in managing chronic headaches. Dr. Lee also touches on the role of mycotoxins, drawing from evidence-based practices while stressing patient education and collaboration in treatment. --- TIMESTAMPS 00:00 - Introduction 04:10 - Differentiating Sinus Headaches from Other Conditions10:07 - Lifestyle Factors and Migraine Management25:45 - Supplements and Treatments for Migraine30:01 - Iron Supplementation and Dietary Adjustments31:42 - Medication Management for Migraines34:52 - Botox as a Treatment Option44:50 - Mycotoxins and Mold Illness50:11 - Non-Pharmacologic Options for Headaches54:00 - Final Thoughts and Recommendations --- RESOURCES Dr. Jessica Leehttps://charlestonent.com/bio/jessica-lee/ Sinusitis or migraine? Understanding the difference between rhinogenic and primary headaches could change your treatment algorithm. In this episode of Backtable ENT, Dr. Jessica Lee, an otolaryngologist from Charleston ENT and Allergy, discusses the prevalence and treatment of sinus headaches with hosts Dr. Gopi Shah and Dr. Ashley Agan.


---


SYNPOSIS


The doctors discuss how half of sinus infection diagnoses are often misdiagnosed, with many patients having normal CT scans and nasal endoscopies. Dr. Lee emphasizes the importance of distinguishing between sinus-related headaches and migraines, noting that 80% of sinus headache complaints meet migraine criteria. The conversation covers the use of lifestyle medicine, supplements, medications, and the role of neurologists in managing chronic headaches. Dr. Lee also touches on the role of mycotoxins, drawing from evidence-based practices while stressing patient education and collaboration in treatment.


---


TIMESTAMPS


00:00 - Introduction
04:10 - Differentiating Sinus Headaches from Other Conditions
10:07 - Lifestyle Factors and Migraine Management
25:45 - Supplements and Treatments for Migraine
30:01 - Iron Supplementation and Dietary Adjustments
31:42 - Medication Management for Migraines
34:52 - Botox as a Treatment Option
44:50 - Mycotoxins and Mold Illness
50:11 - Non-Pharmacologic Options for Headaches
54:00 - Final Thoughts and Recommendations


---


RESOURCES


Dr. Jessica Lee
https://charlestonent.com/bio/jessica-lee/

]]> 3595 Ep. 227 Healthcare Leadership Strategies for Otolaryngologists with Dr. Carol Bradford Leadership isn’t just about saying yes—it’s about knowing when to say no too. In this episode of Backtable ENT, Dr. Carol Bradford, Dean of the Ohio State University College of Medicine and Vice President for Health Sciences at the Ohio State University Wexner Medical Center, shares her leadership journey with hosts Dr. Gopi Shah and Dr. Sunil Verma. --- SYNPOSIS Dr. Bradford shares insights into her journey in otolaryngology, emphasizing the importance of feedback, emotional intelligence, and leadership development. She discusses her experiences in various leadership roles, the significance of maintaining clinical practice, and strategies for fostering future leaders. The conversation touches on the challenges and rewards of leadership in academic medicine, the impact of change, and the enduring mission to improve patient care and education. --- TIMESTAMPS 00:00 - Introduction 04:32 - Role and Responsibilities of a Dean & Balancing Clinical Practice 10:25 - Leadership Development & Mentorship21:41 - Building and Leading Effective Teams28:23 - Challenges in Leadership Roles30:40 - Balancing Academic and Clinical Missions33:41 - Leadership Style and Meeting Management39:07 - Emotional Intelligence in Medicine47:12 - Navigating Change and Future Goals51:45 - Final Advice for Aspiring Leaders --- RESOURCES Dr. Carol Bradford:https://wexnermedical.osu.edu/about-us/our-people/carol-bradford Dr. Sunil Verma:https://www.ucihealth.org/clinicians/sunil-verma-1124279344 Tue, 17 Jun 2025 07:00:00 -0000 full BackTable Inc. Leadership isn’t just about saying yes—it’s about knowing when to say no too. In this episode of Backtable ENT, Dr. Carol Bradford, Dean of the Ohio State University College of Medicine and Vice President for Health Sciences at the Ohio State University Wexner Medical Center, shares her leadership journey with hosts Dr. Gopi Shah and Dr. Sunil Verma. --- SYNPOSIS Dr. Bradford shares insights into her journey in otolaryngology, emphasizing the importance of feedback, emotional intelligence, and leadership development. She discusses her experiences in various leadership roles, the significance of maintaining clinical practice, and strategies for fostering future leaders. The conversation touches on the challenges and rewards of leadership in academic medicine, the impact of change, and the enduring mission to improve patient care and education. --- TIMESTAMPS 00:00 - Introduction 04:32 - Role and Responsibilities of a Dean & Balancing Clinical Practice 10:25 - Leadership Development & Mentorship21:41 - Building and Leading Effective Teams28:23 - Challenges in Leadership Roles30:40 - Balancing Academic and Clinical Missions33:41 - Leadership Style and Meeting Management39:07 - Emotional Intelligence in Medicine47:12 - Navigating Change and Future Goals51:45 - Final Advice for Aspiring Leaders --- RESOURCES Dr. Carol Bradford:https://wexnermedical.osu.edu/about-us/our-people/carol-bradford Dr. Sunil Verma:https://www.ucihealth.org/clinicians/sunil-verma-1124279344 Leadership isn’t just about saying yes—it’s about knowing when to say no too. In this episode of Backtable ENT, Dr. Carol Bradford, Dean of the Ohio State University College of Medicine and Vice President for Health Sciences at the Ohio State University Wexner Medical Center, shares her leadership journey with hosts Dr. Gopi Shah and Dr. Sunil Verma.


---


SYNPOSIS


Dr. Bradford shares insights into her journey in otolaryngology, emphasizing the importance of feedback, emotional intelligence, and leadership development. She discusses her experiences in various leadership roles, the significance of maintaining clinical practice, and strategies for fostering future leaders. The conversation touches on the challenges and rewards of leadership in academic medicine, the impact of change, and the enduring mission to improve patient care and education.


---


TIMESTAMPS


00:00 - Introduction
04:32 - Role and Responsibilities of a Dean & Balancing Clinical Practice
10:25 - Leadership Development & Mentorship
21:41 - Building and Leading Effective Teams
28:23 - Challenges in Leadership Roles
30:40 - Balancing Academic and Clinical Missions
33:41 - Leadership Style and Meeting Management
39:07 - Emotional Intelligence in Medicine
47:12 - Navigating Change and Future Goals
51:45 - Final Advice for Aspiring Leaders


---


RESOURCES


Dr. Carol Bradford:
https://wexnermedical.osu.edu/about-us/our-people/carol-bradford


Dr. Sunil Verma:
https://www.ucihealth.org/clinicians/sunil-verma-1124279344

]]> 3394 Ep. 226 Managing Allergy Symptoms Amid Environmental Changes with Dr. Jennifer Villwock and Dr. William Reisacher Are your allergies getting worse, or is it the environment? In this episode of Backtable ENT, Dr. Jennifer Villwock, a rhinologist at the University of Kansas, and Dr. William Reisacher, an otolaryngologist at New York Presbyterian Hospital, join the podcast to discuss the impact of environmental extremes on the unified airway with hosts Dr. Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS Topics include the increasing prevalence of allergies and asthma due to climate change, the effects of environmental pollutants and particulates on respiratory health, and the role of healthcare providers in educating and advocating for patients. The conversation also addresses practical strategies for managing symptoms, the importance of urban planning and sustainable practices, and the hope that collective individual efforts can lead to meaningful change. --- TIMESTAMPS 00:00 - Introduction 01:43 - Understanding the Unified Airway03:09 - Patient Concerns and Environmental Factors10:24 - Impact of Temperature and CO2 on Allergies14:57 - Barometric Pressure and Migraines21:03 - Pollution, Particulate Matter, and Solutions24:49 - Urban Planning29:32 - Epigenetics and Environmental Impact34:15 - Indoor Air Quality and Mold Issues41:01 - Advocacy and Environmental Health45:46 - Final Thoughts and Hope for the Future --- RESOURCES Dr. Jennifer Villwockhttps://www.kumc.edu/jvillwock.html Dr. William Reisacher https://weillcornell.org/wreisacher Tue, 10 Jun 2025 07:00:00 -0000 full BackTable Inc. Are your allergies getting worse, or is it the environment? In this episode of Backtable ENT, Dr. Jennifer Villwock, a rhinologist at the University of Kansas, and Dr. William Reisacher, an otolaryngologist at New York Presbyterian Hospital, join the podcast to discuss the impact of environmental extremes on the unified airway with hosts Dr. Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS Topics include the increasing prevalence of allergies and asthma due to climate change, the effects of environmental pollutants and particulates on respiratory health, and the role of healthcare providers in educating and advocating for patients. The conversation also addresses practical strategies for managing symptoms, the importance of urban planning and sustainable practices, and the hope that collective individual efforts can lead to meaningful change. --- TIMESTAMPS 00:00 - Introduction 01:43 - Understanding the Unified Airway03:09 - Patient Concerns and Environmental Factors10:24 - Impact of Temperature and CO2 on Allergies14:57 - Barometric Pressure and Migraines21:03 - Pollution, Particulate Matter, and Solutions24:49 - Urban Planning29:32 - Epigenetics and Environmental Impact34:15 - Indoor Air Quality and Mold Issues41:01 - Advocacy and Environmental Health45:46 - Final Thoughts and Hope for the Future --- RESOURCES Dr. Jennifer Villwockhttps://www.kumc.edu/jvillwock.html Dr. William Reisacher https://weillcornell.org/wreisacher Are your allergies getting worse, or is it the environment? In this episode of Backtable ENT, Dr. Jennifer Villwock, a rhinologist at the University of Kansas, and Dr. William Reisacher, an otolaryngologist at New York Presbyterian Hospital, join the podcast to discuss the impact of environmental extremes on the unified airway with hosts Dr. Ashley Agan and Dr. Gopi Shah.


---


SYNPOSIS


Topics include the increasing prevalence of allergies and asthma due to climate change, the effects of environmental pollutants and particulates on respiratory health, and the role of healthcare providers in educating and advocating for patients. The conversation also addresses practical strategies for managing symptoms, the importance of urban planning and sustainable practices, and the hope that collective individual efforts can lead to meaningful change.


---


TIMESTAMPS


00:00 - Introduction
01:43 - Understanding the Unified Airway
03:09 - Patient Concerns and Environmental Factors
10:24 - Impact of Temperature and CO2 on Allergies
14:57 - Barometric Pressure and Migraines
21:03 - Pollution, Particulate Matter, and Solutions
24:49 - Urban Planning
29:32 - Epigenetics and Environmental Impact
34:15 - Indoor Air Quality and Mold Issues
41:01 - Advocacy and Environmental Health
45:46 - Final Thoughts and Hope for the Future


---


RESOURCES


Dr. Jennifer Villwock
https://www.kumc.edu/jvillwock.html


Dr. William Reisacher
https://weillcornell.org/wreisacher

]]> 3052 Ep. 225 Sinusitis and Cognitive Impairment: Exploring the Inflammatory Pathway with Dr. Aria Jafari Chronic sinusitis might be doing more than just clogging your nose–it could be clouding your brain. In this episode of Backtable ENT, Dr. Aria Jafari, an assistant professor at the University of Washington and co-director of the Neuroendocrinology Advanced Sinus and Skull-base Surgery Fellowship, discusses the connection between sinusitis and cognitive dysfunction with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Jafari shares how his interest in this field developed and details his research on the relationship between chronic rhinosinusitis (CRS) and brain function. The conversation highlights the comprehensive impact of sinus inflammation on overall health, emphasizing the importance of viewing CRS as a whole-body condition. They also discuss patient experiences, the methodologies used to assess cognitive dysfunction, potential treatments, and what’s next in the research frontier.---TIMESTAMPS00:00 - Introduction 06:18 - The Impact of CRS on Quality of Life14:02 - Understanding Brain Fog and Cognitive Dysfunction24:29 - Pathophysiology and Theories of Cognitive Dysfunction27:44 - Chronic Inflammation and Cognitive Effects28:59 - Impact of Biologics on Cognitive Function31:28 - Risk Factors for Cognitive Dysfunction35:02 - Olfactory Symptoms 37:13 - Future Research and Treatment Approaches45:31 - Conclusion and Final Thoughts --- RESOURCES Dr. Aria Jafari https://www.uwmedicine.org/bios/aria-jafari Tue, 03 Jun 2025 07:00:00 -0000 full BackTable Inc. Chronic sinusitis might be doing more than just clogging your nose–it could be clouding your brain. In this episode of Backtable ENT, Dr. Aria Jafari, an assistant professor at the University of Washington and co-director of the Neuroendocrinology Advanced Sinus and Skull-base Surgery Fellowship, discusses the connection between sinusitis and cognitive dysfunction with hosts Dr. Gopi Shah and Dr. Ashley Agan. Chronic sinusitis might be doing more than just clogging your nose–it could be clouding your brain. In this episode of Backtable ENT, Dr. Aria Jafari, an assistant professor at the University of Washington and co-director of the Neuroendocrinology Advanced Sinus and Skull-base Surgery Fellowship, discusses the connection between sinusitis and cognitive dysfunction with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Jafari shares how his interest in this field developed and details his research on the relationship between chronic rhinosinusitis (CRS) and brain function. The conversation highlights the comprehensive impact of sinus inflammation on overall health, emphasizing the importance of viewing CRS as a whole-body condition. They also discuss patient experiences, the methodologies used to assess cognitive dysfunction, potential treatments, and what’s next in the research frontier.---TIMESTAMPS00:00 - Introduction 06:18 - The Impact of CRS on Quality of Life14:02 - Understanding Brain Fog and Cognitive Dysfunction24:29 - Pathophysiology and Theories of Cognitive Dysfunction27:44 - Chronic Inflammation and Cognitive Effects28:59 - Impact of Biologics on Cognitive Function31:28 - Risk Factors for Cognitive Dysfunction35:02 - Olfactory Symptoms 37:13 - Future Research and Treatment Approaches45:31 - Conclusion and Final Thoughts --- RESOURCES Dr. Aria Jafari https://www.uwmedicine.org/bios/aria-jafari Chronic sinusitis might be doing more than just clogging your nose–it could be clouding your brain. In this episode of Backtable ENT, Dr. Aria Jafari, an assistant professor at the University of Washington and co-director of the Neuroendocrinology Advanced Sinus and Skull-base Surgery Fellowship, discusses the connection between sinusitis and cognitive dysfunction with hosts Dr. Gopi Shah and Dr. Ashley Agan.


---


SYNPOSIS


Dr. Jafari shares how his interest in this field developed and details his research on the relationship between chronic rhinosinusitis (CRS) and brain function. The conversation highlights the comprehensive impact of sinus inflammation on overall health, emphasizing the importance of viewing CRS as a whole-body condition. They also discuss patient experiences, the methodologies used to assess cognitive dysfunction, potential treatments, and what’s next in the research frontier.
---
TIMESTAMPS
00:00 - Introduction
06:18 - The Impact of CRS on Quality of Life
14:02 - Understanding Brain Fog and Cognitive Dysfunction
24:29 - Pathophysiology and Theories of Cognitive Dysfunction
27:44 - Chronic Inflammation and Cognitive Effects
28:59 - Impact of Biologics on Cognitive Function
31:28 - Risk Factors for Cognitive Dysfunction
35:02 - Olfactory Symptoms
37:13 - Future Research and Treatment Approaches
45:31 - Conclusion and Final Thoughts


---


RESOURCES


Dr. Aria Jafari
https://www.uwmedicine.org/bios/aria-jafari

]]> 3067 Ep. 224 Safety & Preparedness in Office Based Procedures with Dr. Scott Fortune The best doctors aren’t lucky—they’re prepared. Discover how to keep your office safe during in-office procedures. In this episode of BackTable ENT, Dr. Scott Fortune, an otolaryngologist from Allergy and ENT Associates of Middle Tennessee, discusses office-based procedural safety with Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS The doctors delve into the importance of preparedness in handling potential complications, emphasizing the necessity of having the right equipment and protocols in place. Dr. Fortune provides detailed guidelines on managing anesthesia, preventing and handling bleeding, and addressing possible complications such as vasovagal reactions and anaphylaxis. The conversation covers practical tips, including the use of local anesthetics, sedatives, and the importance of patient history and clearance forms. This comprehensive discussion is a valuable resource for ENT professionals looking to enhance the safety and efficacy of their office-based procedures. --- TIMESTAMPS 00:00 - Introduction 01:34 - Discussing Safety in Office Procedures07:47 - Safety Protocols and Equipment19:11 - Anesthesia and Sedation Protocols27:29 - Handling Emergencies and Reversal Agents30:00 - Local Anesthesia and Toxicity38:29 - Effective Anesthesia Techniques for Office Procedures41:25 - Bleeding Control in Office Procedures53:36 - Handling Office Procedure Complications01:00:19 - Final Thoughts and Contact Information --- RESOURCES Dr. Scott Fortune https://www.enthealth.org/find-ent/d-scott-fortune/ Patient Selection, Safety, and Preparedness for Office-Based Otolaryngology Procedureshttps://www.oto.theclinics.com/article/S0030-6665(25)00020-9/abstract AAOA anaphylaxis guidelineshttps://www.aaoallergy.org/wp-content/uploads/2017/05/2015-Clinical-Care-Statements-Anaphylaxis.pdf Tue, 27 May 2025 07:00:00 -0000 full BackTable Inc. The best doctors aren’t lucky—they’re prepared. Discover how to keep your office safe during in-office procedures. In this episode of BackTable ENT, Dr. Scott Fortune, an otolaryngologist from Allergy and ENT Associates of Middle Tennessee, discusses office-based procedural safety with Dr. Gopi Shah and Dr. Ashley Agan. The best doctors aren’t lucky—they’re prepared. Discover how to keep your office safe during in-office procedures. In this episode of BackTable ENT, Dr. Scott Fortune, an otolaryngologist from Allergy and ENT Associates of Middle Tennessee, discusses office-based procedural safety with Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS The doctors delve into the importance of preparedness in handling potential complications, emphasizing the necessity of having the right equipment and protocols in place. Dr. Fortune provides detailed guidelines on managing anesthesia, preventing and handling bleeding, and addressing possible complications such as vasovagal reactions and anaphylaxis. The conversation covers practical tips, including the use of local anesthetics, sedatives, and the importance of patient history and clearance forms. This comprehensive discussion is a valuable resource for ENT professionals looking to enhance the safety and efficacy of their office-based procedures. --- TIMESTAMPS 00:00 - Introduction 01:34 - Discussing Safety in Office Procedures07:47 - Safety Protocols and Equipment19:11 - Anesthesia and Sedation Protocols27:29 - Handling Emergencies and Reversal Agents30:00 - Local Anesthesia and Toxicity38:29 - Effective Anesthesia Techniques for Office Procedures41:25 - Bleeding Control in Office Procedures53:36 - Handling Office Procedure Complications01:00:19 - Final Thoughts and Contact Information --- RESOURCES Dr. Scott Fortune https://www.enthealth.org/find-ent/d-scott-fortune/ Patient Selection, Safety, and Preparedness for Office-Based Otolaryngology Procedureshttps://www.oto.theclinics.com/article/S0030-6665(25)00020-9/abstract AAOA anaphylaxis guidelineshttps://www.aaoallergy.org/wp-content/uploads/2017/05/2015-Clinical-Care-Statements-Anaphylaxis.pdf The best doctors aren’t lucky—they’re prepared. Discover how to keep your office safe during in-office procedures. In this episode of BackTable ENT, Dr. Scott Fortune, an otolaryngologist from Allergy and ENT Associates of Middle Tennessee, discusses office-based procedural safety with Dr. Gopi Shah and Dr. Ashley Agan.


---


SYNPOSIS


The doctors delve into the importance of preparedness in handling potential complications, emphasizing the necessity of having the right equipment and protocols in place. Dr. Fortune provides detailed guidelines on managing anesthesia, preventing and handling bleeding, and addressing possible complications such as vasovagal reactions and anaphylaxis. The conversation covers practical tips, including the use of local anesthetics, sedatives, and the importance of patient history and clearance forms. This comprehensive discussion is a valuable resource for ENT professionals looking to enhance the safety and efficacy of their office-based procedures.


---


TIMESTAMPS


00:00 - Introduction
01:34 - Discussing Safety in Office Procedures
07:47 - Safety Protocols and Equipment
19:11 - Anesthesia and Sedation Protocols
27:29 - Handling Emergencies and Reversal Agents
30:00 - Local Anesthesia and Toxicity
38:29 - Effective Anesthesia Techniques for Office Procedures
41:25 - Bleeding Control in Office Procedures
53:36 - Handling Office Procedure Complications
01:00:19 - Final Thoughts and Contact Information


---


RESOURCES


Dr. Scott Fortune
https://www.enthealth.org/find-ent/d-scott-fortune/


Patient Selection, Safety, and Preparedness for Office-Based Otolaryngology Procedures
https://www.oto.theclinics.com/article/S0030-6665(25)00020-9/abstract


AAOA anaphylaxis guidelines
https://www.aaoallergy.org/wp-content/uploads/2017/05/2015-Clinical-Care-Statements-Anaphylaxis.pdf

]]> 3888 Ep. 223 Evaluation and Management of Bilateral Vocal Fold Paralysis with Dr. James Daniero Never let the sun set on bilateral vocal fold paralysis–timely diagnosis and intervention are key. In this episode of Backtable ENT, Dr. James Daniero, a laryngologist from the University of Virginia, discusses the evaluation and management of bilateral vocal fold paralysis with Dr. Gopi Shah and guest host Dr. Stephen Schoeff.---SYNPOSISThe trio delves into the complexities of diagnosing and managing bilateral vocal fold paralysis in adults, examining etiologies, diagnostic procedures, and current treatment options. They specifically highlight the differences between bilateral vocal fold immobility and paralysis, discuss innovative techniques such as bilateral selective reinnervation and laryngeal pacing, and share practical tips for securing the airway in an acute setting. The episode also emphasizes the evolving nature of treatments and the importance of timely intervention.---TIMESTAMPS00:00 - Introduction 02:05 - Understanding and Diagnosing Bilateral Vocal Fold Paralysis09:19 - Management and Treatment Options25:40 - Tracheotomy Techniques and Considerations31:31 - Exploring Surgical Options for Patients34:22 - Addressing Dysphagia in Airway Surgeries35:50 - Innovative Techniques in Laryngeal Reinnervation39:34 - Patient Selection for Advanced Surgeries47:11 - Laryngeal Pacing: A Future Option54:50 - Final Thoughts and Recommendations---RESOURCESDr. James Daniero https://uvahealth.com/findadoctor/James-Daniero-1386817484Dr. Stephen Schoeff https://www.enthealth.org/find-ent/stephen-s-schoeff/ Tue, 20 May 2025 07:00:00 -0000 full BackTable Inc. Never let the sun set on bilateral vocal fold paralysis–timely diagnosis and intervention are key. In this episode of Backtable ENT, Dr. James Daniero, a laryngologist from the University of Virginia, discusses the evaluation and management of bilateral vocal fold paralysis with Dr. Gopi Shah and guest host Dr. Stephen Schoeff. Never let the sun set on bilateral vocal fold paralysis–timely diagnosis and intervention are key. In this episode of Backtable ENT, Dr. James Daniero, a laryngologist from the University of Virginia, discusses the evaluation and management of bilateral vocal fold paralysis with Dr. Gopi Shah and guest host Dr. Stephen Schoeff.---SYNPOSISThe trio delves into the complexities of diagnosing and managing bilateral vocal fold paralysis in adults, examining etiologies, diagnostic procedures, and current treatment options. They specifically highlight the differences between bilateral vocal fold immobility and paralysis, discuss innovative techniques such as bilateral selective reinnervation and laryngeal pacing, and share practical tips for securing the airway in an acute setting. The episode also emphasizes the evolving nature of treatments and the importance of timely intervention.---TIMESTAMPS00:00 - Introduction 02:05 - Understanding and Diagnosing Bilateral Vocal Fold Paralysis09:19 - Management and Treatment Options25:40 - Tracheotomy Techniques and Considerations31:31 - Exploring Surgical Options for Patients34:22 - Addressing Dysphagia in Airway Surgeries35:50 - Innovative Techniques in Laryngeal Reinnervation39:34 - Patient Selection for Advanced Surgeries47:11 - Laryngeal Pacing: A Future Option54:50 - Final Thoughts and Recommendations---RESOURCESDr. James Daniero https://uvahealth.com/findadoctor/James-Daniero-1386817484Dr. Stephen Schoeff https://www.enthealth.org/find-ent/stephen-s-schoeff/ Never let the sun set on bilateral vocal fold paralysis–timely diagnosis and intervention are key. In this episode of Backtable ENT, Dr. James Daniero, a laryngologist from the University of Virginia, discusses the evaluation and management of bilateral vocal fold paralysis with Dr. Gopi Shah and guest host Dr. Stephen Schoeff.
---
SYNPOSIS
The trio delves into the complexities of diagnosing and managing bilateral vocal fold paralysis in adults, examining etiologies, diagnostic procedures, and current treatment options. They specifically highlight the differences between bilateral vocal fold immobility and paralysis, discuss innovative techniques such as bilateral selective reinnervation and laryngeal pacing, and share practical tips for securing the airway in an acute setting. The episode also emphasizes the evolving nature of treatments and the importance of timely intervention.
---
TIMESTAMPS
00:00 - Introduction
02:05 - Understanding and Diagnosing Bilateral Vocal Fold Paralysis
09:19 - Management and Treatment Options
25:40 - Tracheotomy Techniques and Considerations
31:31 - Exploring Surgical Options for Patients
34:22 - Addressing Dysphagia in Airway Surgeries
35:50 - Innovative Techniques in Laryngeal Reinnervation
39:34 - Patient Selection for Advanced Surgeries
47:11 - Laryngeal Pacing: A Future Option
54:50 - Final Thoughts and Recommendations
---
RESOURCES
Dr. James Daniero
https://uvahealth.com/findadoctor/James-Daniero-1386817484
Dr. Stephen Schoeff
https://www.enthealth.org/find-ent/stephen-s-schoeff/

]]> 3611 Ep. 222 Survivorship in Head and Neck Cancer with Dr. Michael Moore and Heather Starmer, PhD, CCC-SLP What does it take to improve quality of life after head and neck cancer? In this episode of Backtable ENT, guests Dr. Heather Starmer, a speech and language pathologist at Stanford University, and Dr. Michael Moore, a head and neck cancer surgeon at Indiana University explore the topic of head and neck cancer survivorship.---SYNPOSISThe discussion centers on the multifaceted challenges faced by survivors, including dysphagia, dry mouth, chronic pain, and mental health issues. The experts emphasize the importance of early intervention, community support, and comprehensive care to enhance the quality of life for survivors. Various resources, such as the Head and Neck Cancer Alliance, are highlighted to assist patients and providers in navigating survivorship. The conversation also outlines future directions in research and the need for more qualitative studies to better understand long-term survivorship outcomes.---TIMESTAMPS00:00 - Introduction03:23 - Understanding Survivorship & Challenges in Head and Neck Cancer14:06 - Managing Mobility and Lymphedema18:47 - Addressing Chronic Pain and Mental Health21:37 - Dental Care and Trismus Therapy25:58 - Long-Term Survivorship and Quality of Life31:36 - Survivorship Clinics and Multidisciplinary Care34:39 - Resources for Patients and Providers38:49 - Future Research and Educational Gaps---RESOURCESDr. Heather Starmerhttps://med.stanford.edu/profiles/heather-starmerDr. Michael Moorehttps://iuhealth.org/find-providers/provider/michael-g-moore-md-64028 Tue, 13 May 2025 07:00:00 -0000 full BackTable Inc. What does it take to improve quality of life after head and neck cancer? In this episode of Backtable ENT, guests Dr. Heather Starmer, a speech and language pathologist at Stanford University, and Dr. Michael Moore, a head and neck cancer surgeon at Indiana University explore the topic of head and neck cancer survivorship. What does it take to improve quality of life after head and neck cancer? In this episode of Backtable ENT, guests Dr. Heather Starmer, a speech and language pathologist at Stanford University, and Dr. Michael Moore, a head and neck cancer surgeon at Indiana University explore the topic of head and neck cancer survivorship.---SYNPOSISThe discussion centers on the multifaceted challenges faced by survivors, including dysphagia, dry mouth, chronic pain, and mental health issues. The experts emphasize the importance of early intervention, community support, and comprehensive care to enhance the quality of life for survivors. Various resources, such as the Head and Neck Cancer Alliance, are highlighted to assist patients and providers in navigating survivorship. The conversation also outlines future directions in research and the need for more qualitative studies to better understand long-term survivorship outcomes.---TIMESTAMPS00:00 - Introduction03:23 - Understanding Survivorship & Challenges in Head and Neck Cancer14:06 - Managing Mobility and Lymphedema18:47 - Addressing Chronic Pain and Mental Health21:37 - Dental Care and Trismus Therapy25:58 - Long-Term Survivorship and Quality of Life31:36 - Survivorship Clinics and Multidisciplinary Care34:39 - Resources for Patients and Providers38:49 - Future Research and Educational Gaps---RESOURCESDr. Heather Starmerhttps://med.stanford.edu/profiles/heather-starmerDr. Michael Moorehttps://iuhealth.org/find-providers/provider/michael-g-moore-md-64028 What does it take to improve quality of life after head and neck cancer? In this episode of Backtable ENT, guests Dr. Heather Starmer, a speech and language pathologist at Stanford University, and Dr. Michael Moore, a head and neck cancer surgeon at Indiana University explore the topic of head and neck cancer survivorship.
---
SYNPOSIS
The discussion centers on the multifaceted challenges faced by survivors, including dysphagia, dry mouth, chronic pain, and mental health issues. The experts emphasize the importance of early intervention, community support, and comprehensive care to enhance the quality of life for survivors. Various resources, such as the Head and Neck Cancer Alliance, are highlighted to assist patients and providers in navigating survivorship. The conversation also outlines future directions in research and the need for more qualitative studies to better understand long-term survivorship outcomes.
---
TIMESTAMPS
00:00 - Introduction
03:23 - Understanding Survivorship & Challenges in Head and Neck Cancer
14:06 - Managing Mobility and Lymphedema
18:47 - Addressing Chronic Pain and Mental Health
21:37 - Dental Care and Trismus Therapy
25:58 - Long-Term Survivorship and Quality of Life
31:36 - Survivorship Clinics and Multidisciplinary Care
34:39 - Resources for Patients and Providers
38:49 - Future Research and Educational Gaps
---
RESOURCES
Dr. Heather Starmer
https://med.stanford.edu/profiles/heather-starmer
Dr. Michael Moore
https://iuhealth.org/find-providers/provider/michael-g-moore-md-64028

]]> 2863 Ep. 221 Chronic Cough: An Allergist’s Perspective with Dr. Basil Kahwash How can you treat a chronic cough when you’re not sure what’s causing it? In this episode of BackTable ENT, Dr. Basil Kahwash, a board-certified allergist and immunologist from Ohio ENT and Allergy, discusses the complexities of diagnosing and treating chronic cough. ---SYNPOSISDr. Kahwash explains common causes, such as upper airway cough syndrome, allergic rhinitis, and asthma, and delves into the importance of patient history and physical exams in identifying the root cause. The conversation also covers diagnostic tools, including allergy testing, spirometry, and chest X-rays, as well as treatment options like allergy medication, immunotherapy, and cough suppressants. Dr. Kahwash also touches upon new therapies on the horizon and emphasizes the role of multidisciplinary collaboration with ENTs, pulmonologists, GI specialists, and speech therapists in managing chronic cough.---TIMESTAMPS00:00 - Introduction03:20 - Defining Chronic Cough06:47 - Patient Evaluation and Key Questions11:10 - Asthma vs. Allergic Rhinitis Cough18:31 - Red Flags in Chronic Cough30:20 - Diagnostic Testing for Chronic Cough34:46 - ENT Collaboration in Allergy36:08 - Skin Testing vs. Blood Testing for Allergies44:30 - Eosinophilic Esophagitis (EOE) & Upper Airway Cough Syndrome50:28 - Allergy Treatment Pathways01:03:05 - Conclusion and Contact Information---RESOURCESDr. Basil Kahwash https://www.ohioentandallergy.com/physicians/basil-kahwash-md/ Tue, 06 May 2025 07:00:00 -0000 full BackTable Inc. How can you treat a chronic cough when you’re not sure what’s causing it? In this episode of BackTable ENT, Dr. Basil Kahwash, a board-certified allergist and immunologist from Ohio ENT and Allergy, discusses the complexities of diagnosing and treating chronic cough. How can you treat a chronic cough when you’re not sure what’s causing it? In this episode of BackTable ENT, Dr. Basil Kahwash, a board-certified allergist and immunologist from Ohio ENT and Allergy, discusses the complexities of diagnosing and treating chronic cough. ---SYNPOSISDr. Kahwash explains common causes, such as upper airway cough syndrome, allergic rhinitis, and asthma, and delves into the importance of patient history and physical exams in identifying the root cause. The conversation also covers diagnostic tools, including allergy testing, spirometry, and chest X-rays, as well as treatment options like allergy medication, immunotherapy, and cough suppressants. Dr. Kahwash also touches upon new therapies on the horizon and emphasizes the role of multidisciplinary collaboration with ENTs, pulmonologists, GI specialists, and speech therapists in managing chronic cough.---TIMESTAMPS00:00 - Introduction03:20 - Defining Chronic Cough06:47 - Patient Evaluation and Key Questions11:10 - Asthma vs. Allergic Rhinitis Cough18:31 - Red Flags in Chronic Cough30:20 - Diagnostic Testing for Chronic Cough34:46 - ENT Collaboration in Allergy36:08 - Skin Testing vs. Blood Testing for Allergies44:30 - Eosinophilic Esophagitis (EOE) & Upper Airway Cough Syndrome50:28 - Allergy Treatment Pathways01:03:05 - Conclusion and Contact Information---RESOURCESDr. Basil Kahwash https://www.ohioentandallergy.com/physicians/basil-kahwash-md/ How can you treat a chronic cough when you’re not sure what’s causing it? In this episode of BackTable ENT, Dr. Basil Kahwash, a board-certified allergist and immunologist from Ohio ENT and Allergy, discusses the complexities of diagnosing and treating chronic cough.
---
SYNPOSIS
Dr. Kahwash explains common causes, such as upper airway cough syndrome, allergic rhinitis, and asthma, and delves into the importance of patient history and physical exams in identifying the root cause. The conversation also covers diagnostic tools, including allergy testing, spirometry, and chest X-rays, as well as treatment options like allergy medication, immunotherapy, and cough suppressants. Dr. Kahwash also touches upon new therapies on the horizon and emphasizes the role of multidisciplinary collaboration with ENTs, pulmonologists, GI specialists, and speech therapists in managing chronic cough.
---
TIMESTAMPS
00:00 - Introduction
03:20 - Defining Chronic Cough
06:47 - Patient Evaluation and Key Questions
11:10 - Asthma vs. Allergic Rhinitis Cough
18:31 - Red Flags in Chronic Cough
30:20 - Diagnostic Testing for Chronic Cough
34:46 - ENT Collaboration in Allergy
36:08 - Skin Testing vs. Blood Testing for Allergies
44:30 - Eosinophilic Esophagitis (EOE) & Upper Airway Cough Syndrome
50:28 - Allergy Treatment Pathways
01:03:05 - Conclusion and Contact Information
---
RESOURCES
Dr. Basil Kahwash
https://www.ohioentandallergy.com/physicians/basil-kahwash-md/

]]> 3986 Ep. 220 Managing Nasal Polyps: Treatments and Insights with Dr. Martin Citardi Is the future of nasal polyp treatment right under our nose? In this episode of Backtable ENT, Dr. Martin Citardi, a world-renowned rhinologist and skull-based surgeon at UTHealth Houston, discusses the latest advancements in the management of nasal polyps with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- This podcast is supported by:Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS Dr. Citardi shares insights from his comprehensive career, spanning patient care, device, and drug development. The surgeons discuss the evolving treatment landscape, challenges in managing recurrent nasal polyps, the role of steroids and biologics, and the importance of correctly identifying the type of polyps. Additionally, Dr. Citardi emphasizes the need for a better understanding of healthcare economics, particularly concerning the high costs of new treatments. The discussion also touches on the future of research and the need for a system to deploy treatment options effectively. --- TIMESTAMPS 00:00 - Introduction04:39 - Nasal Polyps: Patient Presentation and Initial Examination10:25 - Detailed Examination and Endoscopy Techniques17:26 - Imaging and Lab Workup20:11 - Treatment Strategies and Patient Management31:08 - Managing Patients with Allergies, AERD, and Asthma34:09 - Biologics vs. Surgery: A Comparative Discussion42:50 - Steroid Delivery Methods and Their Effectiveness52:24 - Follow-Up, Long-Term Management and Future Research57:01 - Conclusion and Final Thoughts --- RESOURCES Dr. Martin Citardi’s Profile:https://www.utphysicians.com/provider/martin-j-citardi/ Medtronic ENT:https://www.medtronic.com/en-us/healthcare-professionals/products/ear-nose-throat Tue, 29 Apr 2025 06:00:00 -0000 full BackTable Inc. Is the future of nasal polyp treatment right under our nose? In this episode of Backtable ENT, Dr. Martin Citardi, a world-renowned rhinologist and skull-based surgeon at UTHealth Houston, discusses the latest advancements in the management of nasal polyps with hosts Dr. Gopi Shah and Dr. Ashley Agan. Is the future of nasal polyp treatment right under our nose? In this episode of Backtable ENT, Dr. Martin Citardi, a world-renowned rhinologist and skull-based surgeon at UTHealth Houston, discusses the latest advancements in the management of nasal polyps with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- This podcast is supported by:Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS Dr. Citardi shares insights from his comprehensive career, spanning patient care, device, and drug development. The surgeons discuss the evolving treatment landscape, challenges in managing recurrent nasal polyps, the role of steroids and biologics, and the importance of correctly identifying the type of polyps. Additionally, Dr. Citardi emphasizes the need for a better understanding of healthcare economics, particularly concerning the high costs of new treatments. The discussion also touches on the future of research and the need for a system to deploy treatment options effectively. --- TIMESTAMPS 00:00 - Introduction04:39 - Nasal Polyps: Patient Presentation and Initial Examination10:25 - Detailed Examination and Endoscopy Techniques17:26 - Imaging and Lab Workup20:11 - Treatment Strategies and Patient Management31:08 - Managing Patients with Allergies, AERD, and Asthma34:09 - Biologics vs. Surgery: A Comparative Discussion42:50 - Steroid Delivery Methods and Their Effectiveness52:24 - Follow-Up, Long-Term Management and Future Research57:01 - Conclusion and Final Thoughts --- RESOURCES Dr. Martin Citardi’s Profile:https://www.utphysicians.com/provider/martin-j-citardi/ Medtronic ENT:https://www.medtronic.com/en-us/healthcare-professionals/products/ear-nose-throat Is the future of nasal polyp treatment right under our nose? In this episode of Backtable ENT, Dr. Martin Citardi, a world-renowned rhinologist and skull-based surgeon at UTHealth Houston, discusses the latest advancements in the management of nasal polyps with hosts Dr. Gopi Shah and Dr. Ashley Agan.


---


This podcast is supported by:
Medtronic ENT

https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html


---


SYNPOSIS


Dr. Citardi shares insights from his comprehensive career, spanning patient care, device, and drug development. The surgeons discuss the evolving treatment landscape, challenges in managing recurrent nasal polyps, the role of steroids and biologics, and the importance of correctly identifying the type of polyps. Additionally, Dr. Citardi emphasizes the need for a better understanding of healthcare economics, particularly concerning the high costs of new treatments. The discussion also touches on the future of research and the need for a system to deploy treatment options effectively.

---

TIMESTAMPS


00:00 - Introduction
04:39 - Nasal Polyps: Patient Presentation and Initial Examination
10:25 - Detailed Examination and Endoscopy Techniques
17:26 - Imaging and Lab Workup
20:11 - Treatment Strategies and Patient Management
31:08 - Managing Patients with Allergies, AERD, and Asthma
34:09 - Biologics vs. Surgery: A Comparative Discussion
42:50 - Steroid Delivery Methods and Their Effectiveness
52:24 - Follow-Up, Long-Term Management and Future Research
57:01 - Conclusion and Final Thoughts

---

RESOURCES

Dr. Martin Citardi’s Profile:
https://www.utphysicians.com/provider/martin-j-citardi/

Medtronic ENT:
https://www.medtronic.com/en-us/healthcare-professionals/products/ear-nose-throat

]]> 3563 Ep. 219 New Frontiers in Pediatric Hearing Loss: Implants, Gene Therapy, and CMV with Dr. Daniela Carvalho Are new solutions for pediatric hearing loss finally within earshot? In this episode of the Back Table ENT Podcast, we talk with Dr. Daniela Carvalho, pediatric otolaryngologist and director of the Cochlear Implant Program at Rady Children's Hospital in San Diego. --- SYNPOSIS Dr. Carvalho discusses the latest advancements and practices in the field of pediatric hearing loss, including newer indications for cochlear implants and innovative gene therapies. They delve into the genetic causes of congenital hearing loss, current screening practices, and various gene therapies being tested for hearing deficiencies, such as those involving the OTOF gene and its application through viral vectors. The conversation also touches on the potential for future treatments, including completely implantable cochlear devices and the role of vaccines in preventing CMV-related hearing loss. --- TIMESTAMPS 00:00 - Introduction 01:54 - Understanding Congenital Hearing Loss and Screening 05:41 - Challenges with Older Children and Hearing Loss 08:48 - Cochlear Implants: Indications and Advances 15:59 - Exploring Gene Therapy for Hearing Loss 23:54 - Challenges and Considerations in Gene Therapy 25:23 - Counseling Families on Hearing Loss 27:04 - Future of Genetic Therapy and Cochlear Implants 32:46 - Addressing Congenital CMV 40:59 - Final Thoughts and Future Research --- RESOURCES Dr. Daniela Carvalho https://www.rchsd.org/doctors/daniela-carvalho-md-mmm/ Tue, 22 Apr 2025 06:00:00 -0000 full BackTable Inc. Are new solutions for pediatric hearing loss finally within earshot? In this episode of the Back Table ENT Podcast, we talk with Dr. Daniela Carvalho, pediatric otolaryngologist and director of the Cochlear Implant Program at Rady Children's Hospital in San Diego. Are new solutions for pediatric hearing loss finally within earshot? In this episode of the Back Table ENT Podcast, we talk with Dr. Daniela Carvalho, pediatric otolaryngologist and director of the Cochlear Implant Program at Rady Children's Hospital in San Diego. --- SYNPOSIS Dr. Carvalho discusses the latest advancements and practices in the field of pediatric hearing loss, including newer indications for cochlear implants and innovative gene therapies. They delve into the genetic causes of congenital hearing loss, current screening practices, and various gene therapies being tested for hearing deficiencies, such as those involving the OTOF gene and its application through viral vectors. The conversation also touches on the potential for future treatments, including completely implantable cochlear devices and the role of vaccines in preventing CMV-related hearing loss. --- TIMESTAMPS 00:00 - Introduction 01:54 - Understanding Congenital Hearing Loss and Screening 05:41 - Challenges with Older Children and Hearing Loss 08:48 - Cochlear Implants: Indications and Advances 15:59 - Exploring Gene Therapy for Hearing Loss 23:54 - Challenges and Considerations in Gene Therapy 25:23 - Counseling Families on Hearing Loss 27:04 - Future of Genetic Therapy and Cochlear Implants 32:46 - Addressing Congenital CMV 40:59 - Final Thoughts and Future Research --- RESOURCES Dr. Daniela Carvalho https://www.rchsd.org/doctors/daniela-carvalho-md-mmm/ Are new solutions for pediatric hearing loss finally within earshot? In this episode of the Back Table ENT Podcast, we talk with Dr. Daniela Carvalho, pediatric otolaryngologist and director of the Cochlear Implant Program at Rady Children's Hospital in San Diego.


---


SYNPOSIS


Dr. Carvalho discusses the latest advancements and practices in the field of pediatric hearing loss, including newer indications for cochlear implants and innovative gene therapies. They delve into the genetic causes of congenital hearing loss, current screening practices, and various gene therapies being tested for hearing deficiencies, such as those involving the OTOF gene and its application through viral vectors. The conversation also touches on the potential for future treatments, including completely implantable cochlear devices and the role of vaccines in preventing CMV-related hearing loss.


---


TIMESTAMPS


00:00 - Introduction

01:54 - Understanding Congenital Hearing Loss and Screening

05:41 - Challenges with Older Children and Hearing Loss

08:48 - Cochlear Implants: Indications and Advances

15:59 - Exploring Gene Therapy for Hearing Loss

23:54 - Challenges and Considerations in Gene Therapy

25:23 - Counseling Families on Hearing Loss

27:04 - Future of Genetic Therapy and Cochlear Implants

32:46 - Addressing Congenital CMV

40:59 - Final Thoughts and Future Research


---


RESOURCES


Dr. Daniela Carvalho

https://www.rchsd.org/doctors/daniela-carvalho-md-mmm/

]]> 2791 Ep. 218 The Role of Dentistry in Pediatric Sleep Disordered Breathing with Dr. Loria Nahatis What role does craniofacial growth play in childhood sleep health? Dr. Loria Nahatis, pediatric dentist from Beyond Pediatric Dentistry in Dallas, Texas, discusses the importance of early intervention in pediatric dentistry, focusing on evaluating and treating children with sleep disordered breathing. --- SYNPOSIS Dr. Nahatis shares her personal experience with her daughter and how noticing sleep-related issues shifted her focus in dental practice. Dr. Nahatis covers various treatment methods such as habit correctors, palatal expanders, and myofunctional therapy. The podcast emphasizes the importance of interdisciplinary collaboration between dentists, ENTs, and other healthcare providers to improve patient outcomes. Key points include the significance of nasal breathing, conservative treatment options, and the impact of jaw and dental structure on overall health. --- TIMESTAMPS 00:00 - The Importance of Screening for Sleep Disorders in Children 06:26 - Treatment Options and Approaches 10:29 - Guidelines and Policies on Sleep Disorders 19:42 - Teeth Grinding and Myofunctional Therapy 27:32 - Imaging and Evaluation Techniques 29:01 - Surgical Considerations and Early Interventions 36:44 - Counseling Families on Oral Appliances 50:12 - Insurance and Cost Considerations 56:15 - Collaborative Approaches and Final Thoughts --- RESOURCES Dr. Loria Nahatis’s practice profile: https://beyondpediatricdentistry.com/dr-loria-nahatis-dds/ Tue, 15 Apr 2025 06:00:00 -0000 full BackTable Inc. What role does craniofacial growth play in childhood sleep health? Dr. Loria Nahatis, pediatric dentist from Beyond Pediatric Dentistry in Dallas, Texas, discusses the importance of early intervention in pediatric dentistry, focusing on evaluating and treating children with sleep disordered breathing. What role does craniofacial growth play in childhood sleep health? Dr. Loria Nahatis, pediatric dentist from Beyond Pediatric Dentistry in Dallas, Texas, discusses the importance of early intervention in pediatric dentistry, focusing on evaluating and treating children with sleep disordered breathing. --- SYNPOSIS Dr. Nahatis shares her personal experience with her daughter and how noticing sleep-related issues shifted her focus in dental practice. Dr. Nahatis covers various treatment methods such as habit correctors, palatal expanders, and myofunctional therapy. The podcast emphasizes the importance of interdisciplinary collaboration between dentists, ENTs, and other healthcare providers to improve patient outcomes. Key points include the significance of nasal breathing, conservative treatment options, and the impact of jaw and dental structure on overall health. --- TIMESTAMPS 00:00 - The Importance of Screening for Sleep Disorders in Children 06:26 - Treatment Options and Approaches 10:29 - Guidelines and Policies on Sleep Disorders 19:42 - Teeth Grinding and Myofunctional Therapy 27:32 - Imaging and Evaluation Techniques 29:01 - Surgical Considerations and Early Interventions 36:44 - Counseling Families on Oral Appliances 50:12 - Insurance and Cost Considerations 56:15 - Collaborative Approaches and Final Thoughts --- RESOURCES Dr. Loria Nahatis’s practice profile: https://beyondpediatricdentistry.com/dr-loria-nahatis-dds/ What role does craniofacial growth play in childhood sleep health? Dr. Loria Nahatis, pediatric dentist from Beyond Pediatric Dentistry in Dallas, Texas, discusses the importance of early intervention in pediatric dentistry, focusing on evaluating and treating children with sleep disordered breathing.


---


SYNPOSIS


Dr. Nahatis shares her personal experience with her daughter and how noticing sleep-related issues shifted her focus in dental practice. Dr. Nahatis covers various treatment methods such as habit correctors, palatal expanders, and myofunctional therapy. The podcast emphasizes the importance of interdisciplinary collaboration between dentists, ENTs, and other healthcare providers to improve patient outcomes. Key points include the significance of nasal breathing, conservative treatment options, and the impact of jaw and dental structure on overall health.


---


TIMESTAMPS


00:00 - The Importance of Screening for Sleep Disorders in Children

06:26 - Treatment Options and Approaches

10:29 - Guidelines and Policies on Sleep Disorders

19:42 - Teeth Grinding and Myofunctional Therapy

27:32 - Imaging and Evaluation Techniques

29:01 - Surgical Considerations and Early Interventions

36:44 - Counseling Families on Oral Appliances

50:12 - Insurance and Cost Considerations

56:15 - Collaborative Approaches and Final Thoughts


---


RESOURCES


Dr. Loria Nahatis’s practice profile:

https://beyondpediatricdentistry.com/dr-loria-nahatis-dds/

]]> 3843 Ep. 217 Environmental Sustainability in ENT with Dr. Julie Strychowsky Operating rooms generate up to 30% of a hospital's waste–what can ENT do to change that? In this episode, Dr. Julie Strychowsky, a pediatric otolaryngologist at London Health Sciences Center in Ontario, discusses environmental sustainability in ENT. --- SYNPOSIS The discussion covers the inefficiencies and environmental impacts of current practices, such as the use of nitrous oxide, disposable equipment, and OR waste. Dr. Strychowsky shares insights on transitioning to more sustainable practices, including the use of reusable and multi-use equipment, standardizing procedures, and patient education initiatives like the ‘Bring Your Own Bag’ campaign. The doctors highlight the importance of climate change, the carbon footprint of healthcare, and the role of policy and innovation in reducing environmental impact. Finally, they discuss resources for further learning and potential areas for research and development in sustainable healthcare practices. --- TIMESTAMPS 00:00 - Introduction 02:51 - Climate Change and Its Impact on Health 05:07 - Surgical Sustainability: Reducing OR Waste 08:27 - Clinic Waste and Efficiency Improvements 16:12 - Anesthesia Gases and Environmental Impact 23:06 - In-Office Procedures and Telemedicine in ENT 28:58 - Global Efforts & Patient Involvement in Sustainability 37:03 - Policy Changes and Education for Sustainability 39:59 - Future Research and Innovation in ENT 42:26 - Final Thoughts and Mentorship --- RESOURCES Dr. Julie Strychowsky https://www.schulich.uwo.ca/paediatricsurgery/people/faculty/Strychowsky,%20Julie.html Kidane J, Thiel CL, Wang K, Rosen CA, Gandhi S. A Comparison of Environmental Impacts Between Reusable and Disposable Flexible Laryngoscopes. Laryngoscope. 2024 Dec 26. doi: 10.1002/lary.31927. Epub ahead of print. PMID: 39723758. https://pubmed.ncbi.nlm.nih.gov/39723758/ Anderson J, Hu H. Environmental Sustainability: Waste Audit Comparison Operating Room and In-Office Laryngeal Surgery. Laryngoscope. 2024 Feb;134(2):803-806. doi: 10.1002/lary.31005. Epub 2023 Sep 2. PMID: 37658737. https://pubmed.ncbi.nlm.nih.gov/37658737/ Cascade OR playbook https://cascadescanada.ca/ Tue, 08 Apr 2025 06:00:00 -0000 full BackTable Inc. Operating rooms generate up to 30% of a hospital's waste–what can ENT do to change that? In this episode, Dr. Julie Strychowsky, a pediatric otolaryngologist at London Health Sciences Center in Ontario, discusses environmental sustainability in ENT. Operating rooms generate up to 30% of a hospital's waste–what can ENT do to change that? In this episode, Dr. Julie Strychowsky, a pediatric otolaryngologist at London Health Sciences Center in Ontario, discusses environmental sustainability in ENT. --- SYNPOSIS The discussion covers the inefficiencies and environmental impacts of current practices, such as the use of nitrous oxide, disposable equipment, and OR waste. Dr. Strychowsky shares insights on transitioning to more sustainable practices, including the use of reusable and multi-use equipment, standardizing procedures, and patient education initiatives like the ‘Bring Your Own Bag’ campaign. The doctors highlight the importance of climate change, the carbon footprint of healthcare, and the role of policy and innovation in reducing environmental impact. Finally, they discuss resources for further learning and potential areas for research and development in sustainable healthcare practices. --- TIMESTAMPS 00:00 - Introduction 02:51 - Climate Change and Its Impact on Health 05:07 - Surgical Sustainability: Reducing OR Waste 08:27 - Clinic Waste and Efficiency Improvements 16:12 - Anesthesia Gases and Environmental Impact 23:06 - In-Office Procedures and Telemedicine in ENT 28:58 - Global Efforts & Patient Involvement in Sustainability 37:03 - Policy Changes and Education for Sustainability 39:59 - Future Research and Innovation in ENT 42:26 - Final Thoughts and Mentorship --- RESOURCES Dr. Julie Strychowsky https://www.schulich.uwo.ca/paediatricsurgery/people/faculty/Strychowsky,%20Julie.html Kidane J, Thiel CL, Wang K, Rosen CA, Gandhi S. A Comparison of Environmental Impacts Between Reusable and Disposable Flexible Laryngoscopes. Laryngoscope. 2024 Dec 26. doi: 10.1002/lary.31927. Epub ahead of print. PMID: 39723758. https://pubmed.ncbi.nlm.nih.gov/39723758/ Anderson J, Hu H. Environmental Sustainability: Waste Audit Comparison Operating Room and In-Office Laryngeal Surgery. Laryngoscope. 2024 Feb;134(2):803-806. doi: 10.1002/lary.31005. Epub 2023 Sep 2. PMID: 37658737. https://pubmed.ncbi.nlm.nih.gov/37658737/ Cascade OR playbook https://cascadescanada.ca/ Operating rooms generate up to 30% of a hospital's waste–what can ENT do to change that? In this episode, Dr. Julie Strychowsky, a pediatric otolaryngologist at London Health Sciences Center in Ontario, discusses environmental sustainability in ENT.


---


SYNPOSIS


The discussion covers the inefficiencies and environmental impacts of current practices, such as the use of nitrous oxide, disposable equipment, and OR waste. Dr. Strychowsky shares insights on transitioning to more sustainable practices, including the use of reusable and multi-use equipment, standardizing procedures, and patient education initiatives like the ‘Bring Your Own Bag’ campaign. The doctors highlight the importance of climate change, the carbon footprint of healthcare, and the role of policy and innovation in reducing environmental impact. Finally, they discuss resources for further learning and potential areas for research and development in sustainable healthcare practices.


---


TIMESTAMPS


00:00 - Introduction

02:51 - Climate Change and Its Impact on Health

05:07 - Surgical Sustainability: Reducing OR Waste

08:27 - Clinic Waste and Efficiency Improvements

16:12 - Anesthesia Gases and Environmental Impact

23:06 - In-Office Procedures and Telemedicine in ENT

28:58 - Global Efforts & Patient Involvement in Sustainability

37:03 - Policy Changes and Education for Sustainability

39:59 - Future Research and Innovation in ENT

42:26 - Final Thoughts and Mentorship



---


RESOURCES


Dr. Julie Strychowsky

https://www.schulich.uwo.ca/paediatricsurgery/people/faculty/Strychowsky,%20Julie.html



Kidane J, Thiel CL, Wang K, Rosen CA, Gandhi S. A Comparison of Environmental Impacts Between Reusable and Disposable Flexible Laryngoscopes. Laryngoscope. 2024 Dec 26. doi: 10.1002/lary.31927. Epub ahead of print. PMID: 39723758.

https://pubmed.ncbi.nlm.nih.gov/39723758/



Anderson J, Hu H. Environmental Sustainability: Waste Audit Comparison Operating Room and In-Office Laryngeal Surgery. Laryngoscope. 2024 Feb;134(2):803-806. doi: 10.1002/lary.31005. Epub 2023 Sep 2. PMID: 37658737.

https://pubmed.ncbi.nlm.nih.gov/37658737/



Cascade OR playbook

https://cascadescanada.ca/

]]> 2840 Ep. 216 Navigation in Sinus and Skull Base Surgery with Dr. Arif Janjua Getting lost on a road trip is one thing, but the stakes are much higher in skull base surgery. In this episode of Backtable ENT, Dr. Arif Janjua, rhinologist and fellowship director at the University of British Columbia, delves into the intricacies and advancements in navigation for sinus and skull base surgery. --- This podcast is supported by: Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS Dr. Janjua touches on his role in the Seattle Science Foundation, emphasizing continuous education and hands-on practice for surgeons. He emphasizes the importance of accuracy in patient tracking and registration, sharing techniques for optimizing navigation system setups by using a combination of tracing and touch points for precise registration. The doctors discuss the advantages of integrating navigation systems with specific instruments like microdebriders and suctions for improved surgical outcomes. Dr. Janjua also shares his preferred navigation tech, how he utilizes specific features in his surgical practice, and what’s on the horizon in sinus and skull base surgery. --- TIMESTAMPS 00:00 - Introduction 04:03 - Understanding Navigation in Sinus Surgery 07:41 - Navigating Instruments and Tools 21:58 - Challenges with Staff Training 22:43 - Choosing and Using Navigation Systems 24:25 - Advancements in Navigation Technology 32:30 - The Future of Navigation Technology 35:03 - Final Thoughts and Contact Information --- RESOURCES Medtronic ENT - Sponsor https://www.medtronic.com/en-us/healthcare-professionals/products.html Dr. Arif Janjua https://surgery.med.ubc.ca/people/ajanjua/ Tue, 01 Apr 2025 06:00:00 -0000 full BackTable Inc. Getting lost on a road trip is one thing, but the stakes are much higher in skull base surgery. In this episode of Backtable ENT, Dr. Arif Janjua, rhinologist and fellowship director at the University of British Columbia, delves into the intricacies and advancements in navigation for sinus and skull base surgery. Getting lost on a road trip is one thing, but the stakes are much higher in skull base surgery. In this episode of Backtable ENT, Dr. Arif Janjua, rhinologist and fellowship director at the University of British Columbia, delves into the intricacies and advancements in navigation for sinus and skull base surgery. --- This podcast is supported by: Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS Dr. Janjua touches on his role in the Seattle Science Foundation, emphasizing continuous education and hands-on practice for surgeons. He emphasizes the importance of accuracy in patient tracking and registration, sharing techniques for optimizing navigation system setups by using a combination of tracing and touch points for precise registration. The doctors discuss the advantages of integrating navigation systems with specific instruments like microdebriders and suctions for improved surgical outcomes. Dr. Janjua also shares his preferred navigation tech, how he utilizes specific features in his surgical practice, and what’s on the horizon in sinus and skull base surgery. --- TIMESTAMPS 00:00 - Introduction 04:03 - Understanding Navigation in Sinus Surgery 07:41 - Navigating Instruments and Tools 21:58 - Challenges with Staff Training 22:43 - Choosing and Using Navigation Systems 24:25 - Advancements in Navigation Technology 32:30 - The Future of Navigation Technology 35:03 - Final Thoughts and Contact Information --- RESOURCES Medtronic ENT - Sponsor https://www.medtronic.com/en-us/healthcare-professionals/products.html Dr. Arif Janjua https://surgery.med.ubc.ca/people/ajanjua/ Getting lost on a road trip is one thing, but the stakes are much higher in skull base surgery. In this episode of Backtable ENT, Dr. Arif Janjua, rhinologist and fellowship director at the University of British Columbia, delves into the intricacies and advancements in navigation for sinus and skull base surgery.


---


This podcast is supported by:


Medtronic ENT

https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html


---


SYNPOSIS


Dr. Janjua touches on his role in the Seattle Science Foundation, emphasizing continuous education and hands-on practice for surgeons. He emphasizes the importance of accuracy in patient tracking and registration, sharing techniques for optimizing navigation system setups by using a combination of tracing and touch points for precise registration. The doctors discuss the advantages of integrating navigation systems with specific instruments like microdebriders and suctions for improved surgical outcomes. Dr. Janjua also shares his preferred navigation tech, how he utilizes specific features in his surgical practice, and what’s on the horizon in sinus and skull base surgery.



---


TIMESTAMPS


00:00 - Introduction

04:03 - Understanding Navigation in Sinus Surgery

07:41 - Navigating Instruments and Tools

21:58 - Challenges with Staff Training

22:43 - Choosing and Using Navigation Systems

24:25 - Advancements in Navigation Technology

32:30 - The Future of Navigation Technology

35:03 - Final Thoughts and Contact Information



---


RESOURCES


Medtronic ENT - Sponsor

https://www.medtronic.com/en-us/healthcare-professionals/products.html



Dr. Arif Janjua

https://surgery.med.ubc.ca/people/ajanjua/

]]> 2471 Ep. 215 Navigating the ENT Residency Match Process with Dr. Johnathan McGinn The road to matching in ENT looks different for every applicant. Dr. Johnathan McGinn, Vice Chair of the Department of Otolaryngology at Penn State, shares how to make yours a success in this episode of the BackTable ENT Podcast, providing an insider’s look at the otolaryngology residency match process. A must listen for aspiring ENTs! --- SYNPOSIS First, Dr. McGinn discusses the impact of applicants’ backgrounds and institutional resources on their evaluations, the evolution of the interview process from virtual to in-person post-COVID, and the introduction and benefits of the signaling process in residency applications. Dr. McGinn also offers valuable advice for medical students on choosing away rotations, obtaining meaningful recommendation letters, and understanding the complexities of the holistic review system. Finally, he emphasizes the importance of mentorship and the personal journey of each applicant. --- TIMESTAMPS 00:00 - Introduction 01:49 - Evolution of the Residency Match Process 07:18 - The Role of Research in Residency Applications 12:11 - Advice for Students Without Home Programs 15:19 - Navigating Away Rotations 21:24 - Geographic Preferences and Signaling 32:25 - Choosing the Right Program for You 38:17 - Virtual vs. In-Person Interviews 42:09 - Application Review Process at Penn State 48:36 - Letters of Recommendation: Tips and Insights 52:28 - Special Considerations for DO Students 58:34 - Final Thoughts and Advice for Applicants --- RESOURCES Dr. Johnathan McGinn https://www.pennstatehealth.org/doctors/johnathan-d-mcginn-md-facs BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Tue, 25 Mar 2025 06:00:00 -0000 full BackTable Inc. The road to matching in ENT looks different for every applicant. Dr. Johnathan McGinn, Vice Chair of the Department of Otolaryngology at Penn State, shares how to make yours a success in this episode of the BackTable ENT Podcast, providing an insider’s look at the otolaryngology residency match process. A must listen for aspiring ENTs! The road to matching in ENT looks different for every applicant. Dr. Johnathan McGinn, Vice Chair of the Department of Otolaryngology at Penn State, shares how to make yours a success in this episode of the BackTable ENT Podcast, providing an insider’s look at the otolaryngology residency match process. A must listen for aspiring ENTs! --- SYNPOSIS First, Dr. McGinn discusses the impact of applicants’ backgrounds and institutional resources on their evaluations, the evolution of the interview process from virtual to in-person post-COVID, and the introduction and benefits of the signaling process in residency applications. Dr. McGinn also offers valuable advice for medical students on choosing away rotations, obtaining meaningful recommendation letters, and understanding the complexities of the holistic review system. Finally, he emphasizes the importance of mentorship and the personal journey of each applicant. --- TIMESTAMPS 00:00 - Introduction 01:49 - Evolution of the Residency Match Process 07:18 - The Role of Research in Residency Applications 12:11 - Advice for Students Without Home Programs 15:19 - Navigating Away Rotations 21:24 - Geographic Preferences and Signaling 32:25 - Choosing the Right Program for You 38:17 - Virtual vs. In-Person Interviews 42:09 - Application Review Process at Penn State 48:36 - Letters of Recommendation: Tips and Insights 52:28 - Special Considerations for DO Students 58:34 - Final Thoughts and Advice for Applicants --- RESOURCES Dr. Johnathan McGinn https://www.pennstatehealth.org/doctors/johnathan-d-mcginn-md-facs BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent The road to matching in ENT looks different for every applicant. Dr. Johnathan McGinn, Vice Chair of the Department of Otolaryngology at Penn State, shares how to make yours a success in this episode of the BackTable ENT Podcast, providing an insider’s look at the otolaryngology residency match process. A must listen for aspiring ENTs!



---


SYNPOSIS


First, Dr. McGinn discusses the impact of applicants’ backgrounds and institutional resources on their evaluations, the evolution of the interview process from virtual to in-person post-COVID, and the introduction and benefits of the signaling process in residency applications. Dr. McGinn also offers valuable advice for medical students on choosing away rotations, obtaining meaningful recommendation letters, and understanding the complexities of the holistic review system. Finally, he emphasizes the importance of mentorship and the personal journey of each applicant.



---


TIMESTAMPS


00:00 - Introduction

01:49 - Evolution of the Residency Match Process

07:18 - The Role of Research in Residency Applications

12:11 - Advice for Students Without Home Programs

15:19 - Navigating Away Rotations

21:24 - Geographic Preferences and Signaling

32:25 - Choosing the Right Program for You

38:17 - Virtual vs. In-Person Interviews

42:09 - Application Review Process at Penn State

48:36 - Letters of Recommendation: Tips and Insights

52:28 - Special Considerations for DO Students

58:34 - Final Thoughts and Advice for Applicants



---


RESOURCES


Dr. Johnathan McGinn

https://www.pennstatehealth.org/doctors/johnathan-d-mcginn-md-facs



BackTable+ for ENT

https://plus.backtable.com/pages/ent



Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

]]> 3820 Ep. 214 Navigating ENT Careers in the Armed Forces with Dr. Matthew Brigger and Dr. Philip Gaudreau What does it take to become a physician in the military, and how does it differ from the civilian path? In this episode of Backtable ENT, Dr. Matthew Brigger and Dr. Philip Gaudreau, discuss their unique career paths in the Navy and how military service shaped their medical practices. --- SYNPOSIS Dr. Brigger, Division Chief of Pediatric Otolaryngology and professor at San Diego Children’s Hospital, and Dr. Gaudreau, pediatric otolaryngologist and associate professor of surgery at the Uniformed Services University practicing at Naval Medical Center San Diego, share their career paths from medical school to serving in the Navy. The conversation delves into the application processes for military and civilian medical schools, differences in training, and how military service instills a sense of purpose and leadership. The episode also covers the intricate balance required to practice in both civilian and military settings, emphasizing the importance of flexibility, resourcefulness, and teamwork. --- TIMESTAMPS 00:00 - Introduction 02:57 - Military Medical Education Pathways 09:29 - Differences in Military and Civilian Medical Training 17:23 - Applying for ENT Residency in the Military 22:04 - Advice for Medical Students 23:16 - Military Medical Career Insights 28:36 - Military and Civilian Practices 31:19 - Leadership and Mentorship in Medicine 34:07 - Transitioning to Civilian Practice 42:44 - Final Thoughts and Reflections --- RESOURCES Dr. Philip Gaudreau https://health.usnews.com/doctors/philip-gaudreau-807965 Dr. Matthew Brigger https://www.rchsd.org/doctors/matthew-brigger-md-mph/ BackTable+ for ENT https://plus.backtable.com/pages/ent Tue, 18 Mar 2025 06:00:00 -0000 full BackTable Inc. What does it take to become a physician in the military, and how does it differ from the civilian path? In this episode of Backtable ENT, Dr. Matthew Brigger and Dr. Philip Gaudreau, discuss their unique career paths in the Navy and how military service shaped their medical practices. What does it take to become a physician in the military, and how does it differ from the civilian path? In this episode of Backtable ENT, Dr. Matthew Brigger and Dr. Philip Gaudreau, discuss their unique career paths in the Navy and how military service shaped their medical practices. --- SYNPOSIS Dr. Brigger, Division Chief of Pediatric Otolaryngology and professor at San Diego Children’s Hospital, and Dr. Gaudreau, pediatric otolaryngologist and associate professor of surgery at the Uniformed Services University practicing at Naval Medical Center San Diego, share their career paths from medical school to serving in the Navy. The conversation delves into the application processes for military and civilian medical schools, differences in training, and how military service instills a sense of purpose and leadership. The episode also covers the intricate balance required to practice in both civilian and military settings, emphasizing the importance of flexibility, resourcefulness, and teamwork. --- TIMESTAMPS 00:00 - Introduction 02:57 - Military Medical Education Pathways 09:29 - Differences in Military and Civilian Medical Training 17:23 - Applying for ENT Residency in the Military 22:04 - Advice for Medical Students 23:16 - Military Medical Career Insights 28:36 - Military and Civilian Practices 31:19 - Leadership and Mentorship in Medicine 34:07 - Transitioning to Civilian Practice 42:44 - Final Thoughts and Reflections --- RESOURCES Dr. Philip Gaudreau https://health.usnews.com/doctors/philip-gaudreau-807965 Dr. Matthew Brigger https://www.rchsd.org/doctors/matthew-brigger-md-mph/ BackTable+ for ENT https://plus.backtable.com/pages/ent What does it take to become a physician in the military, and how does it differ from the civilian path? In this episode of Backtable ENT, Dr. Matthew Brigger and Dr. Philip Gaudreau, discuss their unique career paths in the Navy and how military service shaped their medical practices.


---


SYNPOSIS


Dr. Brigger, Division Chief of Pediatric Otolaryngology and professor at San Diego Children’s Hospital, and Dr. Gaudreau, pediatric otolaryngologist and associate professor of surgery at the Uniformed Services University practicing at Naval Medical Center San Diego, share their career paths from medical school to serving in the Navy. The conversation delves into the application processes for military and civilian medical schools, differences in training, and how military service instills a sense of purpose and leadership. The episode also covers the intricate balance required to practice in both civilian and military settings, emphasizing the importance of flexibility, resourcefulness, and teamwork.



---


TIMESTAMPS


00:00 - Introduction

02:57 - Military Medical Education Pathways

09:29 - Differences in Military and Civilian Medical Training

17:23 - Applying for ENT Residency in the Military

22:04 - Advice for Medical Students

23:16 - Military Medical Career Insights

28:36 - Military and Civilian Practices

31:19 - Leadership and Mentorship in Medicine

34:07 - Transitioning to Civilian Practice

42:44 - Final Thoughts and Reflections



---


RESOURCES


Dr. Philip Gaudreau

https://health.usnews.com/doctors/philip-gaudreau-807965



Dr. Matthew Brigger

https://www.rchsd.org/doctors/matthew-brigger-md-mph/



BackTable+ for ENT

https://plus.backtable.com/pages/ent

]]> 2945 Backtable Brief: Diagnosing Sleep Apnea in Women What if the most common symptoms of obstructive sleep apnea in women aren’t the ones doctors are trained to recognize? In this episode, Dr. Megan Durr, an otolaryngologist from the University of California San Francisco, discusses obstructive sleep apnea in women with host Dr. Gopi Shah.  The doctors explore how symptoms in women differ from men, leading to missed diagnoses. They delve into the lack of literature on the topic and the potential for underrepresented groups to be overlooked. The conversation highlights the need for more inclusive screening tools and the long-term cardiovascular risks women face due to untreated sleep apnea. Dr. Durr emphasizes the importance of better diagnosing and treating sleep apnea in women.  TIMESTAMPS 00:00 - Introduction  00:18 - Recognizing Obstructive Sleep Apnea in Women  00:36 - Pregnancy and Obstructive Sleep Apnea  01:13 - Menopause and Sleep Disorders  01:59 - Underrepresented Groups and OSA 02:47 - Symptoms and Misdiagnosis in Women  04:40 - Screening Questionnaires and Gender Bias  05:59 - Clinical Observations and Gender Disparities  09:39 - Long-term Effects of OSA in Women  CHECK OUT THE FULL EPISODE BackTable ENT Podcast Episode #182 Understanding OSA in Women with Dr. Megan Durr https://www.backtable.com/shows/ent/podcasts/182/understanding-osa-in-women Tue, 11 Mar 2025 06:00:00 -0000 full BackTable Inc. What if the most common symptoms of obstructive sleep apnea in women aren’t the ones doctors are trained to recognize? In this episode, Dr. Megan Durr, an otolaryngologist from the University of California San Francisco, discusses obstructive sleep apnea in women with host Dr. Gopi Shah. What if the most common symptoms of obstructive sleep apnea in women aren’t the ones doctors are trained to recognize? In this episode, Dr. Megan Durr, an otolaryngologist from the University of California San Francisco, discusses obstructive sleep apnea in women with host Dr. Gopi Shah.  The doctors explore how symptoms in women differ from men, leading to missed diagnoses. They delve into the lack of literature on the topic and the potential for underrepresented groups to be overlooked. The conversation highlights the need for more inclusive screening tools and the long-term cardiovascular risks women face due to untreated sleep apnea. Dr. Durr emphasizes the importance of better diagnosing and treating sleep apnea in women.  TIMESTAMPS 00:00 - Introduction  00:18 - Recognizing Obstructive Sleep Apnea in Women  00:36 - Pregnancy and Obstructive Sleep Apnea  01:13 - Menopause and Sleep Disorders  01:59 - Underrepresented Groups and OSA 02:47 - Symptoms and Misdiagnosis in Women  04:40 - Screening Questionnaires and Gender Bias  05:59 - Clinical Observations and Gender Disparities  09:39 - Long-term Effects of OSA in Women  CHECK OUT THE FULL EPISODE BackTable ENT Podcast Episode #182 Understanding OSA in Women with Dr. Megan Durr https://www.backtable.com/shows/ent/podcasts/182/understanding-osa-in-women What if the most common symptoms of obstructive sleep apnea in women aren’t the ones doctors are trained to recognize? In this episode, Dr. Megan Durr, an otolaryngologist from the University of California San Francisco, discusses obstructive sleep apnea in women with host Dr. Gopi Shah. 


The doctors explore how symptoms in women differ from men, leading to missed diagnoses. They delve into the lack of literature on the topic and the potential for underrepresented groups to be overlooked. The conversation highlights the need for more inclusive screening tools and the long-term cardiovascular risks women face due to untreated sleep apnea. Dr. Durr emphasizes the importance of better diagnosing and treating sleep apnea in women. 


TIMESTAMPS


00:00 - Introduction 

00:18 - Recognizing Obstructive Sleep Apnea in Women 

00:36 - Pregnancy and Obstructive Sleep Apnea 

01:13 - Menopause and Sleep Disorders 

01:59 - Underrepresented Groups and OSA

02:47 - Symptoms and Misdiagnosis in Women 

04:40 - Screening Questionnaires and Gender Bias 

05:59 - Clinical Observations and Gender Disparities 

09:39 - Long-term Effects of OSA in Women 


CHECK OUT THE FULL EPISODE


BackTable ENT Podcast Episode #182

Understanding OSA in Women with Dr. Megan Durr

https://www.backtable.com/shows/ent/podcasts/182/understanding-osa-in-women



]]> 791 Ep. 213 Ear Molding for Infants with Dr. Jason Qian What should parents and pediatricians know about early ear molding interventions? In this episode of the BackTable ENT podcast, pediatric otolaryngologist Dr. Jason Qian discusses the practice of ear molding in infants and new advancements in the field with host Dr. Gopi Shah. --- SYNPOSIS Dr. Qian, a surgeon scientist at the University of California, San Diego, shares his journey in integrating ear molding into his clinical practice, explaining the importance of early intervention and the process involved in molding infant ears. They delve into the challenges of billing, different molding techniques, and the growing demand for non-invasive ear correction methods. Dr. Qian also highlights the potential future developments in the field, including enhanced education and simulation models. --- TIMESTAMPS 00:00 - Introduction 01:13 - Understanding Ear Molding in Infants 03:49 - Training and Incorporating Ear Molding 06:06 - Challenges and Success Stories 10:13 - Clinical Workflow and Procedures 30:08 - Billing and Insurance Issues 32:13 - Collaborations and Advanced Techniques 37:42 - Future of Ear Molding and Final Thoughts --- RESOURCES Dr. Jason Qian https://health.usnews.com/doctors/zhen-jason-qian-1078594 BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Tue, 04 Mar 2025 07:00:00 -0000 full BackTable Inc. What should parents and pediatricians know about early ear molding interventions? In this episode of the BackTable ENT podcast, pediatric otolaryngologist Dr. Jason Qian discusses the practice of ear molding in infants and new advancements in the field with host Dr. Gopi Shah. What should parents and pediatricians know about early ear molding interventions? In this episode of the BackTable ENT podcast, pediatric otolaryngologist Dr. Jason Qian discusses the practice of ear molding in infants and new advancements in the field with host Dr. Gopi Shah. --- SYNPOSIS Dr. Qian, a surgeon scientist at the University of California, San Diego, shares his journey in integrating ear molding into his clinical practice, explaining the importance of early intervention and the process involved in molding infant ears. They delve into the challenges of billing, different molding techniques, and the growing demand for non-invasive ear correction methods. Dr. Qian also highlights the potential future developments in the field, including enhanced education and simulation models. --- TIMESTAMPS 00:00 - Introduction 01:13 - Understanding Ear Molding in Infants 03:49 - Training and Incorporating Ear Molding 06:06 - Challenges and Success Stories 10:13 - Clinical Workflow and Procedures 30:08 - Billing and Insurance Issues 32:13 - Collaborations and Advanced Techniques 37:42 - Future of Ear Molding and Final Thoughts --- RESOURCES Dr. Jason Qian https://health.usnews.com/doctors/zhen-jason-qian-1078594 BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent What should parents and pediatricians know about early ear molding interventions? In this episode of the BackTable ENT podcast, pediatric otolaryngologist Dr. Jason Qian discusses the practice of ear molding in infants and new advancements in the field with host Dr. Gopi Shah.



---


SYNPOSIS


Dr. Qian, a surgeon scientist at the University of California, San Diego, shares his journey in integrating ear molding into his clinical practice, explaining the importance of early intervention and the process involved in molding infant ears. They delve into the challenges of billing, different molding techniques, and the growing demand for non-invasive ear correction methods. Dr. Qian also highlights the potential future developments in the field, including enhanced education and simulation models.



---


TIMESTAMPS


00:00 - Introduction

01:13 - Understanding Ear Molding in Infants

03:49 - Training and Incorporating Ear Molding

06:06 - Challenges and Success Stories

10:13 - Clinical Workflow and Procedures

30:08 - Billing and Insurance Issues

32:13 - Collaborations and Advanced Techniques

37:42 - Future of Ear Molding and Final Thoughts



---


RESOURCES


Dr. Jason Qian

https://health.usnews.com/doctors/zhen-jason-qian-1078594



BackTable+ for ENT

https://plus.backtable.com/pages/ent



Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

]]> 2568 Ep. 212 Allergy Immunotherapy and the Microbiome with Dr. Jennifer Villwock Could the key to more effective allergy therapies lie in the nasal microbiome? In this episode of BackTable ENT, Dr. Jennifer Villwock from Kansas University Medical Center discusses the intricacies of treating allergies and sinus issues with hosts Dr. Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS Dr. Villwock begins by highlighting the importance of personalized medicine and the role of the microbiome in immunotherapy. Topics include topical and oral probiotics, the nasal microbiome, intralymphatic immunotherapy, and the significance of accurate allergy testing. Dr. Villwock also shares insights on sublingual and subcutaneous immunotherapy, the future of allergy treatments, and the impact of environmental factors on sinus health. --- TIMESTAMPS 00:00 - Introduction 01:53 - Understanding the Sinus Microbiome 04:34 - The Role of the Microbiome in Health 09:31 - Challenges in Microbiome Research 23:21 - Clinical Decision-Making in Antibiotic Use 25:07 - Exploring Probiotics & Dietary Factors for Sinus Health 30:12 - Immunotherapy and Microbiome 35:47 - Allergy Testing Methods 41:40 - Future Directions in Immunotherapy 44:18 - Conclusion and Final Thoughts --- RESOURCES Jennifer Villwock Profile https://www.kumc.edu/jvillwock.html AAOA 2025 Explorers Course in Allergy and Immunology, Vail, CO. March 27-29, 2025 https://www.aaoallergy.org/education/aaoa-explorers-course-2025/ BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Tue, 25 Feb 2025 07:00:00 -0000 full BackTable Inc. Could the key to more effective allergy therapies lie in the nasal microbiome? In this episode of BackTable ENT, Dr. Jennifer Villwock from Kansas University Medical Center discusses the intricacies of treating allergies and sinus issues with hosts Dr. Ashley Agan and Dr. Gopi Shah. Could the key to more effective allergy therapies lie in the nasal microbiome? In this episode of BackTable ENT, Dr. Jennifer Villwock from Kansas University Medical Center discusses the intricacies of treating allergies and sinus issues with hosts Dr. Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS Dr. Villwock begins by highlighting the importance of personalized medicine and the role of the microbiome in immunotherapy. Topics include topical and oral probiotics, the nasal microbiome, intralymphatic immunotherapy, and the significance of accurate allergy testing. Dr. Villwock also shares insights on sublingual and subcutaneous immunotherapy, the future of allergy treatments, and the impact of environmental factors on sinus health. --- TIMESTAMPS 00:00 - Introduction 01:53 - Understanding the Sinus Microbiome 04:34 - The Role of the Microbiome in Health 09:31 - Challenges in Microbiome Research 23:21 - Clinical Decision-Making in Antibiotic Use 25:07 - Exploring Probiotics & Dietary Factors for Sinus Health 30:12 - Immunotherapy and Microbiome 35:47 - Allergy Testing Methods 41:40 - Future Directions in Immunotherapy 44:18 - Conclusion and Final Thoughts --- RESOURCES Jennifer Villwock Profile https://www.kumc.edu/jvillwock.html AAOA 2025 Explorers Course in Allergy and Immunology, Vail, CO. March 27-29, 2025 https://www.aaoallergy.org/education/aaoa-explorers-course-2025/ BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Could the key to more effective allergy therapies lie in the nasal microbiome? In this episode of BackTable ENT, Dr. Jennifer Villwock from Kansas University Medical Center discusses the intricacies of treating allergies and sinus issues with hosts Dr. Ashley Agan and Dr. Gopi Shah.


---


SYNPOSIS


Dr. Villwock begins by highlighting the importance of personalized medicine and the role of the microbiome in immunotherapy. Topics include topical and oral probiotics, the nasal microbiome, intralymphatic immunotherapy, and the significance of accurate allergy testing. Dr. Villwock also shares insights on sublingual and subcutaneous immunotherapy, the future of allergy treatments, and the impact of environmental factors on sinus health.



---


TIMESTAMPS


00:00 - Introduction

01:53 - Understanding the Sinus Microbiome

04:34 - The Role of the Microbiome in Health

09:31 - Challenges in Microbiome Research

23:21 - Clinical Decision-Making in Antibiotic Use

25:07 - Exploring Probiotics & Dietary Factors for Sinus Health

30:12 - Immunotherapy and Microbiome

35:47 - Allergy Testing Methods

41:40 - Future Directions in Immunotherapy

44:18 - Conclusion and Final Thoughts



---


RESOURCES


Jennifer Villwock Profile

https://www.kumc.edu/jvillwock.html


AAOA 2025 Explorers Course in Allergy and Immunology, Vail, CO. March 27-29, 2025

https://www.aaoallergy.org/education/aaoa-explorers-course-2025/



BackTable+ for ENT

https://plus.backtable.com/pages/ent



Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

]]> 2879 Ep. 211 Aging Voice: The Science and the Art with Dr. Neel Bhatt We often think about exercising to stay fit as we age–but what about keeping our voices in shape? In this episode of BackTable ENT, Dr. Neel Bhatt, a laryngologist from the University of Washington in Seattle, discusses the intricacies of the aging voice with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Bhatt sheds light on the pathophysiology behind vocal fold atrophy, the role of glottic image capture, and the innovative use of the GlottIC (Glottal Image Capture) in measuring vocal fold bowing. They explore the impact of aging on the voice and swallowing, the relationship between vocal fold activity and overall health, and the benefits of voice therapy and procedural interventions in treating age-related voice changes. Overall, this episode summarizes valuable insights into maintaining vocal health as we age. --- TIMESTAMPS 00:00 - Introduction 01:33 - Understanding the Aging Voice and Clinical Presentations 10:41 - Impact of Aging Voice on Quality of Life 15:31 - Pathophysiology of Aging Voice 24:45 - Clinical Examination and Diagnosis 32:09 - Challenges in Scope Exams 39:33 - Swallow Studies: Fees vs. Video Fluoroscopy 41:16 - Management of Age-Related Voice Changes 58:27 - Maintaining Vocal Health with Age 01:01:01 - Conclusion and Contact Information --- RESOURCES Dr. Neel Bhatt https://otolaryngology.uw.edu/our-people/faculty/neel-k-bhatt-md BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Tue, 18 Feb 2025 07:00:00 -0000 full BackTable Inc. We often think about exercising to stay fit as we age–but what about keeping our voices in shape? In this episode of BackTable ENT, Dr. Neel Bhatt, a laryngologist from the University of Washington in Seattle, discusses the intricacies of the aging voice with hosts Dr. Gopi Shah and Dr. Ashley Agan. We often think about exercising to stay fit as we age–but what about keeping our voices in shape? In this episode of BackTable ENT, Dr. Neel Bhatt, a laryngologist from the University of Washington in Seattle, discusses the intricacies of the aging voice with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Bhatt sheds light on the pathophysiology behind vocal fold atrophy, the role of glottic image capture, and the innovative use of the GlottIC (Glottal Image Capture) in measuring vocal fold bowing. They explore the impact of aging on the voice and swallowing, the relationship between vocal fold activity and overall health, and the benefits of voice therapy and procedural interventions in treating age-related voice changes. Overall, this episode summarizes valuable insights into maintaining vocal health as we age. --- TIMESTAMPS 00:00 - Introduction 01:33 - Understanding the Aging Voice and Clinical Presentations 10:41 - Impact of Aging Voice on Quality of Life 15:31 - Pathophysiology of Aging Voice 24:45 - Clinical Examination and Diagnosis 32:09 - Challenges in Scope Exams 39:33 - Swallow Studies: Fees vs. Video Fluoroscopy 41:16 - Management of Age-Related Voice Changes 58:27 - Maintaining Vocal Health with Age 01:01:01 - Conclusion and Contact Information --- RESOURCES Dr. Neel Bhatt https://otolaryngology.uw.edu/our-people/faculty/neel-k-bhatt-md BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent We often think about exercising to stay fit as we age–but what about keeping our voices in shape? In this episode of BackTable ENT, Dr. Neel Bhatt, a laryngologist from the University of Washington in Seattle, discusses the intricacies of the aging voice with hosts Dr. Gopi Shah and Dr. Ashley Agan.


---


SYNPOSIS


Dr. Bhatt sheds light on the pathophysiology behind vocal fold atrophy, the role of glottic image capture, and the innovative use of the GlottIC (Glottal Image Capture) in measuring vocal fold bowing. They explore the impact of aging on the voice and swallowing, the relationship between vocal fold activity and overall health, and the benefits of voice therapy and procedural interventions in treating age-related voice changes. Overall, this episode summarizes valuable insights into maintaining vocal health as we age.



---


TIMESTAMPS


00:00 - Introduction

01:33 - Understanding the Aging Voice and Clinical Presentations

10:41 - Impact of Aging Voice on Quality of Life

15:31 - Pathophysiology of Aging Voice

24:45 - Clinical Examination and Diagnosis

32:09 - Challenges in Scope Exams

39:33 - Swallow Studies: Fees vs. Video Fluoroscopy

41:16 - Management of Age-Related Voice Changes

58:27 - Maintaining Vocal Health with Age

01:01:01 - Conclusion and Contact Information



---


RESOURCES


Dr. Neel Bhatt

https://otolaryngology.uw.edu/our-people/faculty/neel-k-bhatt-md


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

]]> 3873 Ep. 210 Rethinking OSA: Role of the Nose with Dr. Keith Matheny and Dr. Ashwin Ananth Is nasal obstruction the hidden culprit behind CPAP failure in obstructive sleep apnea (OSA) patients? In this episode of BackTable ENT, host Dr. Ashley Agan discusses nasal airway obstruction’s impact on OSA with guests Dr. Keith Matheny and Dr. Ashwin Ananth. --- This podcast is supported by: Aerin Medical https://aerinmedical.com/ --- SYNPOSIS The doctors emphasize the crucial role otolaryngologists play in diagnosing and treating nasal obstruction to enhance sleep quality, particularly in patients who struggle with CPAP therapy. They share their approaches to the nasal exam, treatments like VivAer and RhinAer, the importance of sleep endoscopies for CPAP-intolerant patients, and they also debunk some common misconceptions around treating OSA. This is a must-listen for ENTs and clinicians engaged in sleep medicine. --- TIMESTAMPS 00:00 - Introduction 01:57 - Discussion on Nasal Airway Obstruction 06:11 - Evolution of Sleep Disorder Treatments 12:05 - Challenges with CPAP and Alternatives 16:39 - Importance of Nasal Examination 28:44 - Nasal Medication Practices 33:20 - Sleep Endoscopy and CPAP Alternatives 35:44 - Nasal Surgery and OSA Treatment 39:57 - Posterior Nasal Nerve Ablation 46:10 - Final Thoughts and Recommendations --- RESOURCES Dr. Ashwin Ananth https://www.esentc.com/dr-ashwin-ananth Dr. Keith Matheny https://collincountyent.com/bio/keith-e-matheny/ BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Tue, 11 Feb 2025 07:00:00 -0000 full BackTable Inc. Is nasal obstruction the hidden culprit behind CPAP failure in obstructive sleep apnea (OSA) patients? In this episode of BackTable ENT, host Dr. Ashley Agan discusses nasal airway obstruction’s impact on OSA with guests Dr. Keith Matheny and Dr. Ashwin Ananth. Is nasal obstruction the hidden culprit behind CPAP failure in obstructive sleep apnea (OSA) patients? In this episode of BackTable ENT, host Dr. Ashley Agan discusses nasal airway obstruction’s impact on OSA with guests Dr. Keith Matheny and Dr. Ashwin Ananth. --- This podcast is supported by: Aerin Medical https://aerinmedical.com/ --- SYNPOSIS The doctors emphasize the crucial role otolaryngologists play in diagnosing and treating nasal obstruction to enhance sleep quality, particularly in patients who struggle with CPAP therapy. They share their approaches to the nasal exam, treatments like VivAer and RhinAer, the importance of sleep endoscopies for CPAP-intolerant patients, and they also debunk some common misconceptions around treating OSA. This is a must-listen for ENTs and clinicians engaged in sleep medicine. --- TIMESTAMPS 00:00 - Introduction 01:57 - Discussion on Nasal Airway Obstruction 06:11 - Evolution of Sleep Disorder Treatments 12:05 - Challenges with CPAP and Alternatives 16:39 - Importance of Nasal Examination 28:44 - Nasal Medication Practices 33:20 - Sleep Endoscopy and CPAP Alternatives 35:44 - Nasal Surgery and OSA Treatment 39:57 - Posterior Nasal Nerve Ablation 46:10 - Final Thoughts and Recommendations --- RESOURCES Dr. Ashwin Ananth https://www.esentc.com/dr-ashwin-ananth Dr. Keith Matheny https://collincountyent.com/bio/keith-e-matheny/ BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Is nasal obstruction the hidden culprit behind CPAP failure in obstructive sleep apnea (OSA) patients? In this episode of BackTable ENT, host Dr. Ashley Agan discusses nasal airway obstruction’s impact on OSA with guests Dr. Keith Matheny and Dr. Ashwin Ananth.


---


This podcast is supported by:


Aerin Medical

https://aerinmedical.com/


---


SYNPOSIS


The doctors emphasize the crucial role otolaryngologists play in diagnosing and treating nasal obstruction to enhance sleep quality, particularly in patients who struggle with CPAP therapy. They share their approaches to the nasal exam, treatments like VivAer and RhinAer, the importance of sleep endoscopies for CPAP-intolerant patients, and they also debunk some common misconceptions around treating OSA. This is a must-listen for ENTs and clinicians engaged in sleep medicine.


---


TIMESTAMPS


00:00 - Introduction

01:57 - Discussion on Nasal Airway Obstruction

06:11 - Evolution of Sleep Disorder Treatments

12:05 - Challenges with CPAP and Alternatives

16:39 - Importance of Nasal Examination

28:44 - Nasal Medication Practices

33:20 - Sleep Endoscopy and CPAP Alternatives

35:44 - Nasal Surgery and OSA Treatment

39:57 - Posterior Nasal Nerve Ablation

46:10 - Final Thoughts and Recommendations



---


RESOURCES


Dr. Ashwin Ananth

https://www.esentc.com/dr-ashwin-ananth


Dr. Keith Matheny

https://collincountyent.com/bio/keith-e-matheny/


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

]]> 3323 Ep. 209 Innovations in Management of Age-Related Hearing Loss with Dr. Sreekant Cherukuri and Dr. Gina Geissler Is there a better way to manage hearing loss before it gets worse? In this episode of BackTable ENT, experts Dr. Sreekant Cherukuri (otolaryngologist) and Dr. Gina Geissler (audiologist) discuss the importance of early intervention in age-related hearing loss, and the various options available beyond traditional hearing aids. --- SYNPOSIS The doctors emphasize that early use of amplification devices can slow the progression of hearing loss, supported by numerous studies. The discussion covers scenarios where assistive listening devices, such as ClearCast, can serve as effective alternatives or supplements to hearing aids. They also talk about the need for more widespread hearing screenings and the potential applications of such devices across different age groups, including children with auditory processing disorders. This episode also offers a holistic approach to managing hearing loss and details how auditory health affects overall quality of life. --- TIMESTAMPS 00:00 - Introduction 02:45 - Challenges and Solutions in Hearing Aid Accessibility 13:27 - Understanding Hearing Aid Categories and Regulations 18:22 - Screening and Addressing Hearing Loss in Patients 29:20 - Challenges with Traditional Hearing Aids 30:32 - Benefits of Situational Hearing Devices 32:15 - Early Intervention and Brain Health 33:31 - Implementing ClearCast in Clinical Practice 49:26 - Screening and Monitoring Hearing Loss 55:21 - Final Thoughts and Future Developments --- RESOURCES Dr. Sreekant Cherukuri https://reliefasi.com/providers/sreekant-cherukuri/ Dr. Gina Geissler https://geisslerhearing.com/meet-the-team/ BackTable+ for ENT https://plus.backtable.com/pages/ent Tue, 04 Feb 2025 07:00:00 -0000 full BackTable Inc. Is there a better way to manage hearing loss before it gets worse? In this episode of BackTable ENT, experts Dr. Sreekant Cherukuri (otolaryngologist) and Dr. Gina Geissler (audiologist) discuss the importance of early intervention in age-related hearing loss, and the various options available beyond traditional hearing aids. Is there a better way to manage hearing loss before it gets worse? In this episode of BackTable ENT, experts Dr. Sreekant Cherukuri (otolaryngologist) and Dr. Gina Geissler (audiologist) discuss the importance of early intervention in age-related hearing loss, and the various options available beyond traditional hearing aids. --- SYNPOSIS The doctors emphasize that early use of amplification devices can slow the progression of hearing loss, supported by numerous studies. The discussion covers scenarios where assistive listening devices, such as ClearCast, can serve as effective alternatives or supplements to hearing aids. They also talk about the need for more widespread hearing screenings and the potential applications of such devices across different age groups, including children with auditory processing disorders. This episode also offers a holistic approach to managing hearing loss and details how auditory health affects overall quality of life. --- TIMESTAMPS 00:00 - Introduction 02:45 - Challenges and Solutions in Hearing Aid Accessibility 13:27 - Understanding Hearing Aid Categories and Regulations 18:22 - Screening and Addressing Hearing Loss in Patients 29:20 - Challenges with Traditional Hearing Aids 30:32 - Benefits of Situational Hearing Devices 32:15 - Early Intervention and Brain Health 33:31 - Implementing ClearCast in Clinical Practice 49:26 - Screening and Monitoring Hearing Loss 55:21 - Final Thoughts and Future Developments --- RESOURCES Dr. Sreekant Cherukuri https://reliefasi.com/providers/sreekant-cherukuri/ Dr. Gina Geissler https://geisslerhearing.com/meet-the-team/ BackTable+ for ENT https://plus.backtable.com/pages/ent Is there a better way to manage hearing loss before it gets worse? In this episode of BackTable ENT, experts Dr. Sreekant Cherukuri (otolaryngologist) and Dr. Gina Geissler (audiologist) discuss the importance of early intervention in age-related hearing loss, and the various options available beyond traditional hearing aids.


---


SYNPOSIS


The doctors emphasize that early use of amplification devices can slow the progression of hearing loss, supported by numerous studies. The discussion covers scenarios where assistive listening devices, such as ClearCast, can serve as effective alternatives or supplements to hearing aids. They also talk about the need for more widespread hearing screenings and the potential applications of such devices across different age groups, including children with auditory processing disorders. This episode also offers a holistic approach to managing hearing loss and details how auditory health affects overall quality of life.



---


TIMESTAMPS


00:00 - Introduction

02:45 - Challenges and Solutions in Hearing Aid Accessibility

13:27 - Understanding Hearing Aid Categories and Regulations

18:22 - Screening and Addressing Hearing Loss in Patients

29:20 - Challenges with Traditional Hearing Aids

30:32 - Benefits of Situational Hearing Devices

32:15 - Early Intervention and Brain Health

33:31 - Implementing ClearCast in Clinical Practice

49:26 - Screening and Monitoring Hearing Loss

55:21 - Final Thoughts and Future Developments



---


RESOURCES


Dr. Sreekant Cherukuri

https://reliefasi.com/providers/sreekant-cherukuri/


Dr. Gina Geissler

https://geisslerhearing.com/meet-the-team/


BackTable+ for ENT

https://plus.backtable.com/pages/ent

]]> 3637 Ep. 208 ENT Education for APPs and Other Healthcare Partners with Dr. Jeffrey LaCour Are you interested in learning basic ENT diagnostics and treatments? In this episode of BackTable ENT, the hosts welcome Dr. Jeffrey LaCour who discusses how he created Compassio Medical Education, an ENT educational platform for advanced practice providers. Dr. LaCour, an otolaryngologist from Hammond, Louisiana, elaborates on his efforts to educate primary care specialists and advanced practice providers through online courses and live webinars. --- SYNPOSIS Dr. LaCour describes the structure and impact of his ENT courses, which include dynamic content on ear, nose, and throat diagnostics. Dr. LaCour also highlights the importance of proper ear diagnostics to reduce unnecessary antibiotic usage and shares insights into both the challenges and successes of running an educational startup. Finally, Dr. LaCour details his vision for expanding this educational model to other medical specialties. --- TIMESTAMPS 00:00 - Introduction 03:31 - Developing ENT Courses for APPs 05:25 - Addressing Common ENT Issues 07:10 - Live Webinars and Continuous Learning 12:10 - Building a Supportive Learning Community 16:48 - Teaching Surgical Decision Making 19:03 - Hands-On Courses and Training 22:51 - Subscription Models and Membership 24:56 - Tailoring Curriculum for New Hires 28:42 - Expanding to Other Specialties 34:37 - Conclusion and Contact Information --- RESOURCES Jeffrey LaCour Profile https://www.northoaks.org/find-a-provider/jeffrey-b-lacour-md/ Compassio Medical https://www.compassiomedical.com/ BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Tue, 28 Jan 2025 07:00:00 -0000 full BackTable Inc. Are you interested in learning basic ENT diagnostics and treatments? In this episode of BackTable ENT, the hosts welcome Dr. Jeffrey LaCour who discusses how he created Compassio Medical Education, an ENT educational platform for advanced practice providers. Dr. LaCour, an otolaryngologist from Hammond, Louisiana, elaborates on his efforts to educate primary care specialists and advanced practice providers through online courses and live webinars. Are you interested in learning basic ENT diagnostics and treatments? In this episode of BackTable ENT, the hosts welcome Dr. Jeffrey LaCour who discusses how he created Compassio Medical Education, an ENT educational platform for advanced practice providers. Dr. LaCour, an otolaryngologist from Hammond, Louisiana, elaborates on his efforts to educate primary care specialists and advanced practice providers through online courses and live webinars. --- SYNPOSIS Dr. LaCour describes the structure and impact of his ENT courses, which include dynamic content on ear, nose, and throat diagnostics. Dr. LaCour also highlights the importance of proper ear diagnostics to reduce unnecessary antibiotic usage and shares insights into both the challenges and successes of running an educational startup. Finally, Dr. LaCour details his vision for expanding this educational model to other medical specialties. --- TIMESTAMPS 00:00 - Introduction 03:31 - Developing ENT Courses for APPs 05:25 - Addressing Common ENT Issues 07:10 - Live Webinars and Continuous Learning 12:10 - Building a Supportive Learning Community 16:48 - Teaching Surgical Decision Making 19:03 - Hands-On Courses and Training 22:51 - Subscription Models and Membership 24:56 - Tailoring Curriculum for New Hires 28:42 - Expanding to Other Specialties 34:37 - Conclusion and Contact Information --- RESOURCES Jeffrey LaCour Profile https://www.northoaks.org/find-a-provider/jeffrey-b-lacour-md/ Compassio Medical https://www.compassiomedical.com/ BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Are you interested in learning basic ENT diagnostics and treatments? In this episode of BackTable ENT, the hosts welcome Dr. Jeffrey LaCour who discusses how he created Compassio Medical Education, an ENT educational platform for advanced practice providers. Dr. LaCour, an otolaryngologist from Hammond, Louisiana, elaborates on his efforts to educate primary care specialists and advanced practice providers through online courses and live webinars.



---


SYNPOSIS


Dr. LaCour describes the structure and impact of his ENT courses, which include dynamic content on ear, nose, and throat diagnostics. Dr. LaCour also highlights the importance of proper ear diagnostics to reduce unnecessary antibiotic usage and shares insights into both the challenges and successes of running an educational startup. Finally, Dr. LaCour details his vision for expanding this educational model to other medical specialties.


---


TIMESTAMPS


00:00 - Introduction

03:31 - Developing ENT Courses for APPs

05:25 - Addressing Common ENT Issues

07:10 - Live Webinars and Continuous Learning

12:10 - Building a Supportive Learning Community

16:48 - Teaching Surgical Decision Making

19:03 - Hands-On Courses and Training

22:51 - Subscription Models and Membership

24:56 - Tailoring Curriculum for New Hires

28:42 - Expanding to Other Specialties

34:37 - Conclusion and Contact Information



---


RESOURCES


Jeffrey LaCour Profile

https://www.northoaks.org/find-a-provider/jeffrey-b-lacour-md/


Compassio Medical

https://www.compassiomedical.com/


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

]]> 2284 Ep. 207 Innovations in Bioresorbable ENT Packing Materials with Dr. Satyan Sreenath What role does bioresorbable packing play in improving outcomes for ENT patients? In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah are joined by Dr. Satyan Sreenath, a rhinologist at Indiana University, to discuss the use of bioresorbable packing in ENT surgeries. --- SYNPOSIS First, Dr. Sreenath offers insights into the advancements in sinus and skull base surgery, the types of packing materials available (such as HemoPore, NasoPore, and chitosan-based products), and their application for hemostasis, scar prevention, and patient comfort. The surgeons emphasize the importance of tailored postoperative care and use of nasal irrigations and debridements to optimize healing and surgical results. Dr. Sreenath also mentions the evolving field of drug delivery through bioresorbables and the benefits of exploring new technologies to enhance patient outcomes. --- TIMESTAMPS 00:00 - Introduction 01:53 - Bioresorbables for the Nose 06:44 - Patient Comfort and Postoperative Care 20:18 - Packing Techniques 24:52 - Chitosan-Based Products 32:51 - Techniques for Debridement & Postoperative Management 42:40 - Skull Base Surgery Considerations 55:25 - Nosebleeds and Emergency Care 01:02:05 - Complications and Innovations 01:07:40 - Conclusion --- RESOURCES Dr. Sreenath’s IU profile https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999 BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Tue, 21 Jan 2025 07:00:00 -0000 full BackTable Inc. What role does bioresorbable packing play in improving outcomes for ENT patients? In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah are joined by Dr. Satyan Sreenath, a rhinologist at Indiana University, to discuss the use of bioresorbable packing in ENT surgeries. What role does bioresorbable packing play in improving outcomes for ENT patients? In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah are joined by Dr. Satyan Sreenath, a rhinologist at Indiana University, to discuss the use of bioresorbable packing in ENT surgeries. --- SYNPOSIS First, Dr. Sreenath offers insights into the advancements in sinus and skull base surgery, the types of packing materials available (such as HemoPore, NasoPore, and chitosan-based products), and their application for hemostasis, scar prevention, and patient comfort. The surgeons emphasize the importance of tailored postoperative care and use of nasal irrigations and debridements to optimize healing and surgical results. Dr. Sreenath also mentions the evolving field of drug delivery through bioresorbables and the benefits of exploring new technologies to enhance patient outcomes. --- TIMESTAMPS 00:00 - Introduction 01:53 - Bioresorbables for the Nose 06:44 - Patient Comfort and Postoperative Care 20:18 - Packing Techniques 24:52 - Chitosan-Based Products 32:51 - Techniques for Debridement & Postoperative Management 42:40 - Skull Base Surgery Considerations 55:25 - Nosebleeds and Emergency Care 01:02:05 - Complications and Innovations 01:07:40 - Conclusion --- RESOURCES Dr. Sreenath’s IU profile https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999 BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent What role does bioresorbable packing play in improving outcomes for ENT patients? In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah are joined by Dr. Satyan Sreenath, a rhinologist at Indiana University, to discuss the use of bioresorbable packing in ENT surgeries.


---


SYNPOSIS


First, Dr. Sreenath offers insights into the advancements in sinus and skull base surgery, the types of packing materials available (such as HemoPore, NasoPore, and chitosan-based products), and their application for hemostasis, scar prevention, and patient comfort. The surgeons emphasize the importance of tailored postoperative care and use of nasal irrigations and debridements to optimize healing and surgical results. Dr. Sreenath also mentions the evolving field of drug delivery through bioresorbables and the benefits of exploring new technologies to enhance patient outcomes.



---


TIMESTAMPS


00:00 - Introduction

01:53 - Bioresorbables for the Nose

06:44 - Patient Comfort and Postoperative Care

20:18 - Packing Techniques

24:52 - Chitosan-Based Products

32:51 - Techniques for Debridement & Postoperative Management

42:40 - Skull Base Surgery Considerations

55:25 - Nosebleeds and Emergency Care

01:02:05 - Complications and Innovations

01:07:40 - Conclusion



---


RESOURCES


Dr. Sreenath’s IU profile

https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

]]> 4248 Ep. 206 ENT Hospitalists: Transforming Inpatient Care Models with Dr. Annie Wang How can a dedicated ENT hospitalist improve patient care? In this episode of Backtable ENT Podcast, Dr. Annie Wang, an otolaryngologist at Houston Methodist Hospital, discusses her experience as a hospital-based ENT, also known as an ENT hospitalist, with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Wang talks about the inception and development of her position, the daily responsibilities and challenges she faces, and the positive impact of having a dedicated inpatient ENT service. She also delves into the historical context and future potential of this model in improving patient outcomes and hospital efficiency, highlighting both qualitative and quantitative benefits. The conversation provides valuable insights for ENT departments considering the adoption of a hospitalist model. --- TIMESTAMPS 00:00 - Introduction 02:22 - Hospital-Based ENT Practice Model 04:33 - Daily Routine and Responsibilities 10:55 - Challenges and Solutions in ENT Practice 19:38 - Insights and Advice for New Programs 24:40 - Billing and Financial Tracking in the First Year 25:19 - Challenges and Insights from Inpatient Consults 28:42 - Coordination and Metrics in Patient Care 31:28 - The Value of ENT Hospitalists 43:50 - Vacation Protocols and Final Thoughts --- RESOURCES Dr. Annie Wang’s Profile https://www.houstonmethodist.org/doctor/ran-annie-wang/ BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Tue, 14 Jan 2025 08:00:00 -0000 full BackTable Inc. How can a dedicated ENT hospitalist improve patient care? In this episode of Backtable ENT Podcast, Dr. Annie Wang, an otolaryngologist at Houston Methodist Hospital, discusses her experience as a hospital-based ENT, also known as an ENT hospitalist, with hosts Dr. Gopi Shah and Dr. Ashley Agan. How can a dedicated ENT hospitalist improve patient care? In this episode of Backtable ENT Podcast, Dr. Annie Wang, an otolaryngologist at Houston Methodist Hospital, discusses her experience as a hospital-based ENT, also known as an ENT hospitalist, with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS Dr. Wang talks about the inception and development of her position, the daily responsibilities and challenges she faces, and the positive impact of having a dedicated inpatient ENT service. She also delves into the historical context and future potential of this model in improving patient outcomes and hospital efficiency, highlighting both qualitative and quantitative benefits. The conversation provides valuable insights for ENT departments considering the adoption of a hospitalist model. --- TIMESTAMPS 00:00 - Introduction 02:22 - Hospital-Based ENT Practice Model 04:33 - Daily Routine and Responsibilities 10:55 - Challenges and Solutions in ENT Practice 19:38 - Insights and Advice for New Programs 24:40 - Billing and Financial Tracking in the First Year 25:19 - Challenges and Insights from Inpatient Consults 28:42 - Coordination and Metrics in Patient Care 31:28 - The Value of ENT Hospitalists 43:50 - Vacation Protocols and Final Thoughts --- RESOURCES Dr. Annie Wang’s Profile https://www.houstonmethodist.org/doctor/ran-annie-wang/ BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent How can a dedicated ENT hospitalist improve patient care? In this episode of Backtable ENT Podcast, Dr. Annie Wang, an otolaryngologist at Houston Methodist Hospital, discusses her experience as a hospital-based ENT, also known as an ENT hospitalist, with hosts Dr. Gopi Shah and Dr. Ashley Agan.


---


SYNPOSIS


Dr. Wang talks about the inception and development of her position, the daily responsibilities and challenges she faces, and the positive impact of having a dedicated inpatient ENT service. She also delves into the historical context and future potential of this model in improving patient outcomes and hospital efficiency, highlighting both qualitative and quantitative benefits. The conversation provides valuable insights for ENT departments considering the adoption of a hospitalist model.


---


TIMESTAMPS


00:00 - Introduction

02:22 - Hospital-Based ENT Practice Model

04:33 - Daily Routine and Responsibilities

10:55 - Challenges and Solutions in ENT Practice

19:38 - Insights and Advice for New Programs

24:40 - Billing and Financial Tracking in the First Year

25:19 - Challenges and Insights from Inpatient Consults

28:42 - Coordination and Metrics in Patient Care

31:28 - The Value of ENT Hospitalists

43:50 - Vacation Protocols and Final Thoughts



---


RESOURCES


Dr. Annie Wang’s Profile

https://www.houstonmethodist.org/doctor/ran-annie-wang/


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

]]> 3054 Ep. 205 Weight Loss Medications & Impact on OSA with Dr. John Carter and Dr. Michael Weber How are weight loss medications, like Ozempic, reshaping obstructive sleep apnea care? In this episode of the BackTable ENT podcast, host Dr. Gopi Shah discusses emerging weight loss medications and their impact on obstructive sleep apnea (OSA) with Dr. John Carter, a neurologist and sleep specialist, and Dr. Michael Weber, an otolaryngologist. --- SYNPOSIS The doctors examine optimal candidates for GLP-1 medications, their side effects, and how these drugs integrate into current OSA treatment pathways. The conversation delves into patients’ experiences, new research findings, and the implications for future sleep apnea management and weight loss strategies. In sum, the episode highlights the promising role of GLP-1 medications while addressing potential challenges and unanswered questions. --- TIMESTAMPS 00:00 - Introduction 03:06 - Understanding Weight Loss Medications 06:18 - Impact of Weight Loss on OSA 12:56 - Clinical Trials and Research 18:57 - Future of OSA Management 23:19 - Challenges and Considerations 29:27 - Pediatric Considerations 37:05 - Final Thoughts and Contact Information --- RESOURCES Dr. John Carter Profile https://www.metrohealth.org/physician/john-carter-176808 Dr. Michael Weber https://www.metrohealth.org/physician/michael-weber-174663 BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Tue, 07 Jan 2025 08:00:00 -0000 full BackTable Inc. How are weight loss medications, like Ozempic, reshaping obstructive sleep apnea care? In this episode of the BackTable ENT podcast, host Dr. Gopi Shah discusses emerging weight loss medications and their impact on obstructive sleep apnea (OSA) with Dr. John Carter, a neurologist and sleep specialist, and Dr. Michael Weber, an otolaryngologist. How are weight loss medications, like Ozempic, reshaping obstructive sleep apnea care? In this episode of the BackTable ENT podcast, host Dr. Gopi Shah discusses emerging weight loss medications and their impact on obstructive sleep apnea (OSA) with Dr. John Carter, a neurologist and sleep specialist, and Dr. Michael Weber, an otolaryngologist. --- SYNPOSIS The doctors examine optimal candidates for GLP-1 medications, their side effects, and how these drugs integrate into current OSA treatment pathways. The conversation delves into patients’ experiences, new research findings, and the implications for future sleep apnea management and weight loss strategies. In sum, the episode highlights the promising role of GLP-1 medications while addressing potential challenges and unanswered questions. --- TIMESTAMPS 00:00 - Introduction 03:06 - Understanding Weight Loss Medications 06:18 - Impact of Weight Loss on OSA 12:56 - Clinical Trials and Research 18:57 - Future of OSA Management 23:19 - Challenges and Considerations 29:27 - Pediatric Considerations 37:05 - Final Thoughts and Contact Information --- RESOURCES Dr. John Carter Profile https://www.metrohealth.org/physician/john-carter-176808 Dr. Michael Weber https://www.metrohealth.org/physician/michael-weber-174663 BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent How are weight loss medications, like Ozempic, reshaping obstructive sleep apnea care? In this episode of the BackTable ENT podcast, host Dr. Gopi Shah discusses emerging weight loss medications and their impact on obstructive sleep apnea (OSA) with Dr. John Carter, a neurologist and sleep specialist, and Dr. Michael Weber, an otolaryngologist.


---


SYNPOSIS


The doctors examine optimal candidates for GLP-1 medications, their side effects, and how these drugs integrate into current OSA treatment pathways. The conversation delves into patients’ experiences, new research findings, and the implications for future sleep apnea management and weight loss strategies. In sum, the episode highlights the promising role of GLP-1 medications while addressing potential challenges and unanswered questions.


---


TIMESTAMPS


00:00 - Introduction

03:06 - Understanding Weight Loss Medications

06:18 - Impact of Weight Loss on OSA

12:56 - Clinical Trials and Research

18:57 - Future of OSA Management

23:19 - Challenges and Considerations

29:27 - Pediatric Considerations

37:05 - Final Thoughts and Contact Information



---


RESOURCES


Dr. John Carter Profile

https://www.metrohealth.org/physician/john-carter-176808


Dr. Michael Weber

https://www.metrohealth.org/physician/michael-weber-174663


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

]]> 2423 Ep. 204 Best of Backtable ENT: 2024 Year in Review The BackTable ENT show is closing out 2024 with gratitude, reflections, and plans for the year to come! In this episode of the Backtable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah celebrate a year of growth and milestones, including reaching 200 episodes and expanding their audience. --- SYNPOSIS They highlight key episodes from 2024, covering various discussions like eustachian tube dilation in children, gender diversity in ENT, and unique aspects of treating OSA in women. Featuring guests Dr. Anthony Law, Dr. Jill D’Souza, Dr. Megan Durr, Dr. Dennis Poe, Dr. Daniel Knott, and Dr. Rahul Seth, the episode underscores the podcast’s commitment to delivering meaningful and educational content for practicing ENTs, trainees, and partners in the ENT community. --- TIMESTAMPS 00:00 - Introduction 01:56 - 2024 Highlights 02:40 - Personal and Professional Milestones 03:56 - Audience Demographics and New Initiatives 08:31 - AI and Laryngology with Dr. Anthony Law 15:21 - Challenges in Pediatric ENT with Dr. Jill D’Souza 23:50 - OSA in Women with Dr. Megan Durr 30:23 - Pediatric Eustachian Tube Dilation with Dr. Dennis Poe 37:53 - Gender Diversity in ENT: Education and Advocacy with Drs. Daniel Knott and Rahul Seth 43:46 - Reflections and Gratitude --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent Fri, 27 Dec 2024 08:00:00 -0000 full BackTable Inc. The BackTable ENT show is closing out 2024 with gratitude, reflections, and plans for the year to come! In this episode of the Backtable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah celebrate a year of growth and milestones, including reaching 200 episodes and expanding their audience. The BackTable ENT show is closing out 2024 with gratitude, reflections, and plans for the year to come! In this episode of the Backtable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah celebrate a year of growth and milestones, including reaching 200 episodes and expanding their audience. --- SYNPOSIS They highlight key episodes from 2024, covering various discussions like eustachian tube dilation in children, gender diversity in ENT, and unique aspects of treating OSA in women. Featuring guests Dr. Anthony Law, Dr. Jill D’Souza, Dr. Megan Durr, Dr. Dennis Poe, Dr. Daniel Knott, and Dr. Rahul Seth, the episode underscores the podcast’s commitment to delivering meaningful and educational content for practicing ENTs, trainees, and partners in the ENT community. --- TIMESTAMPS 00:00 - Introduction 01:56 - 2024 Highlights 02:40 - Personal and Professional Milestones 03:56 - Audience Demographics and New Initiatives 08:31 - AI and Laryngology with Dr. Anthony Law 15:21 - Challenges in Pediatric ENT with Dr. Jill D’Souza 23:50 - OSA in Women with Dr. Megan Durr 30:23 - Pediatric Eustachian Tube Dilation with Dr. Dennis Poe 37:53 - Gender Diversity in ENT: Education and Advocacy with Drs. Daniel Knott and Rahul Seth 43:46 - Reflections and Gratitude --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent The BackTable ENT show is closing out 2024 with gratitude, reflections, and plans for the year to come! In this episode of the Backtable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah celebrate a year of growth and milestones, including reaching 200 episodes and expanding their audience.


---


SYNPOSIS


They highlight key episodes from 2024, covering various discussions like eustachian tube dilation in children, gender diversity in ENT, and unique aspects of treating OSA in women. Featuring guests Dr. Anthony Law, Dr. Jill D’Souza, Dr. Megan Durr, Dr. Dennis Poe, Dr. Daniel Knott, and Dr. Rahul Seth, the episode underscores the podcast’s commitment to delivering meaningful and educational content for practicing ENTs, trainees, and partners in the ENT community.


---


TIMESTAMPS


00:00 - Introduction

01:56 - 2024 Highlights

02:40 - Personal and Professional Milestones

03:56 - Audience Demographics and New Initiatives

08:31 - AI and Laryngology with Dr. Anthony Law

15:21 - Challenges in Pediatric ENT with Dr. Jill D’Souza

23:50 - OSA in Women with Dr. Megan Durr

30:23 - Pediatric Eustachian Tube Dilation with Dr. Dennis Poe

37:53 - Gender Diversity in ENT: Education and Advocacy with Drs. Daniel Knott and Rahul Seth

43:46 - Reflections and Gratitude



---


RESOURCES


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

]]> 2999 Ep. 203 Navigating Frontal Sinus Surgery with Dr. P.J. Wormald How can new tools help you be successful in sinus surgery? In this episode of the BackTable ENT Podcast, Dr. Peter-John “PJ” Wormald, Chair of Otolaryngology at Adelaide and Flinders Universities, delves into the complexities of frontal sinus surgery and innovative solutions for common surgical challenges with hosts Dr. Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS The surgeons discuss chronic frontal sinus disease, when to consider surgery, and optimal post-operative care. Dr. Wormald shares his surgical strategies, including the use of innovative technologies like Chitogel and 3D CT planning software for better surgical outcomes. He also touches on the challenges in training new surgeons and the potential for advances in medical simulation to improve surgical education. This thorough discussion offers insights into the latest techniques and innovations in sinus surgery. --- TIMESTAMPS 00:00 - Introduction 03:46 - Understanding Chronic Frontal Sinus Disease 07:57 - Approach to Sinus Surgery 13:27 - Antibiotic and Steroid Use in Sinus Treatment 18:23 - Patient Consultation and Decision Making 22:51 - Training the Next Generation of Surgeons 36:29 - Analyzing Surgical Factors & Predicting Surgical Outcomes 47:37 - Post-Operative Management 59:02 - Biologics and Long-Term Care 01:07:42 - Innovations in Surgical Training & Final Thoughts --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent PJ Wormald Profile https://researchers.adelaide.edu.au/profile/peterj.wormald Free Stryker Software for Windows https://www.dropbox.com/s/r4sodtqv221c5yk/Stryker%20Building%20Blocks%203.6.0%20Windows%20Setup%20-%20FESS%202022.exe?dl=0 Free Stryker Software for Mac https://www.dropbox.com/s/0iac9pmzdz0lqkz/Stryker%20Building%20Blocks%203.6.0%20macOS%20Setup%20-%20FESS%202022.dmg?dl=0 Tue, 17 Dec 2024 08:00:00 -0000 full BackTable Inc. How can new tools help you be successful in sinus surgery? In this episode of the BackTable ENT Podcast, Dr. Peter-John “PJ” Wormald, Chair of Otolaryngology at Adelaide and Flinders Universities, delves into the complexities of frontal sinus surgery and innovative solutions for common surgical challenges with hosts Dr. Ashley Agan and Dr. Gopi Shah. How can new tools help you be successful in sinus surgery? In this episode of the BackTable ENT Podcast, Dr. Peter-John “PJ” Wormald, Chair of Otolaryngology at Adelaide and Flinders Universities, delves into the complexities of frontal sinus surgery and innovative solutions for common surgical challenges with hosts Dr. Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS The surgeons discuss chronic frontal sinus disease, when to consider surgery, and optimal post-operative care. Dr. Wormald shares his surgical strategies, including the use of innovative technologies like Chitogel and 3D CT planning software for better surgical outcomes. He also touches on the challenges in training new surgeons and the potential for advances in medical simulation to improve surgical education. This thorough discussion offers insights into the latest techniques and innovations in sinus surgery. --- TIMESTAMPS 00:00 - Introduction 03:46 - Understanding Chronic Frontal Sinus Disease 07:57 - Approach to Sinus Surgery 13:27 - Antibiotic and Steroid Use in Sinus Treatment 18:23 - Patient Consultation and Decision Making 22:51 - Training the Next Generation of Surgeons 36:29 - Analyzing Surgical Factors & Predicting Surgical Outcomes 47:37 - Post-Operative Management 59:02 - Biologics and Long-Term Care 01:07:42 - Innovations in Surgical Training & Final Thoughts --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent PJ Wormald Profile https://researchers.adelaide.edu.au/profile/peterj.wormald Free Stryker Software for Windows https://www.dropbox.com/s/r4sodtqv221c5yk/Stryker%20Building%20Blocks%203.6.0%20Windows%20Setup%20-%20FESS%202022.exe?dl=0 Free Stryker Software for Mac https://www.dropbox.com/s/0iac9pmzdz0lqkz/Stryker%20Building%20Blocks%203.6.0%20macOS%20Setup%20-%20FESS%202022.dmg?dl=0 How can new tools help you be successful in sinus surgery? In this episode of the BackTable ENT Podcast, Dr. Peter-John “PJ” Wormald, Chair of Otolaryngology at Adelaide and Flinders Universities, delves into the complexities of frontal sinus surgery and innovative solutions for common surgical challenges with hosts Dr. Ashley Agan and Dr. Gopi Shah.


---


SYNPOSIS


The surgeons discuss chronic frontal sinus disease, when to consider surgery, and optimal post-operative care. Dr. Wormald shares his surgical strategies, including the use of innovative technologies like Chitogel and 3D CT planning software for better surgical outcomes. He also touches on the challenges in training new surgeons and the potential for advances in medical simulation to improve surgical education. This thorough discussion offers insights into the latest techniques and innovations in sinus surgery.


---


TIMESTAMPS


00:00 - Introduction

03:46 - Understanding Chronic Frontal Sinus Disease

07:57 - Approach to Sinus Surgery

13:27 - Antibiotic and Steroid Use in Sinus Treatment

18:23 - Patient Consultation and Decision Making

22:51 - Training the Next Generation of Surgeons

36:29 - Analyzing Surgical Factors & Predicting Surgical Outcomes

47:37 - Post-Operative Management

59:02 - Biologics and Long-Term Care

01:07:42 - Innovations in Surgical Training & Final Thoughts


---


RESOURCES


BackTable+ for ENT

https://plus.backtable.com/pages/ent



PJ Wormald Profile

https://researchers.adelaide.edu.au/profile/peterj.wormald



Free Stryker Software for Windows

https://www.dropbox.com/s/r4sodtqv221c5yk/Stryker%20Building%20Blocks%203.6.0%20Windows%20Setup%20-%20FESS%202022.exe?dl=0


Free Stryker Software for Mac

https://www.dropbox.com/s/0iac9pmzdz0lqkz/Stryker%20Building%20Blocks%203.6.0%20macOS%20Setup%20-%20FESS%202022.dmg?dl=0


]]> 4487 Ep. 202 When Otolaryngologists Hold Leadership Positions in Health Systems with Dr. Sunil Verma What does it take for a physician-leader to thrive in today's healthcare landscape? In this episode of the BackTable ENT Podcast, Dr. Sunil Verma has an inspiring conversation with host Dr. Gopi Shah about medicine, leadership, and personal growth. Dr. Verma is a laryngologist, Associate CMO of Ambulatory Care, and Associate Dean at UC Irvine Health. --- SYNPOSIS Dr. Verma shares his journey from clinical practice to holding health system level positions. He discusses the importance of physician leadership, adapting to evolving healthcare systems, and finding personal and professional fulfillment. They also delve into challenges like balancing administrative and clinical roles, the impact of virtual meetings, and the essential need for support within medical teams. Dr. Verma offers insights on making a positive impact within health systems while maintaining personal well-being and growth. --- TIMESTAMPS 00:00 - Introduction 12:41 - Balancing Clinical and Administrative Roles 15:16 - The Importance of Physician Leadership 20:49 - Support Systems and Personal Growth 23:40 - Impact of Physician Leadership on Health Policy 25:43 - The Evolution of Health Systems 33:02 - Physician Burnout and Retention 40:45 - Adapting to Virtual Meetings 44:11 - Advice for Aspiring Leaders 50:45 - Final Thoughts and Pearls of Wisdom --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Dr. Sunil’s UCI profile https://www.ucihealth.org/find-a-doctor/v/sunil-verma Tue, 10 Dec 2024 08:00:00 -0000 full BackTable Inc. What does it take for a physician-leader to thrive in today's healthcare landscape? In this episode of the BackTable ENT Podcast, Dr. Sunil Verma has an inspiring conversation with host Dr. Gopi Shah about medicine, leadership, and personal growth. Dr. Verma is a laryngologist, Associate CMO of Ambulatory Care, and Associate Dean at UC Irvine Health. What does it take for a physician-leader to thrive in today's healthcare landscape? In this episode of the BackTable ENT Podcast, Dr. Sunil Verma has an inspiring conversation with host Dr. Gopi Shah about medicine, leadership, and personal growth. Dr. Verma is a laryngologist, Associate CMO of Ambulatory Care, and Associate Dean at UC Irvine Health. --- SYNPOSIS Dr. Verma shares his journey from clinical practice to holding health system level positions. He discusses the importance of physician leadership, adapting to evolving healthcare systems, and finding personal and professional fulfillment. They also delve into challenges like balancing administrative and clinical roles, the impact of virtual meetings, and the essential need for support within medical teams. Dr. Verma offers insights on making a positive impact within health systems while maintaining personal well-being and growth. --- TIMESTAMPS 00:00 - Introduction 12:41 - Balancing Clinical and Administrative Roles 15:16 - The Importance of Physician Leadership 20:49 - Support Systems and Personal Growth 23:40 - Impact of Physician Leadership on Health Policy 25:43 - The Evolution of Health Systems 33:02 - Physician Burnout and Retention 40:45 - Adapting to Virtual Meetings 44:11 - Advice for Aspiring Leaders 50:45 - Final Thoughts and Pearls of Wisdom --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Dr. Sunil’s UCI profile https://www.ucihealth.org/find-a-doctor/v/sunil-verma What does it take for a physician-leader to thrive in today's healthcare landscape? In this episode of the BackTable ENT Podcast, Dr. Sunil Verma has an inspiring conversation with host Dr. Gopi Shah about medicine, leadership, and personal growth. Dr. Verma is a laryngologist, Associate CMO of Ambulatory Care, and Associate Dean at UC Irvine Health.


---


SYNPOSIS


Dr. Verma shares his journey from clinical practice to holding health system level positions. He discusses the importance of physician leadership, adapting to evolving healthcare systems, and finding personal and professional fulfillment. They also delve into challenges like balancing administrative and clinical roles, the impact of virtual meetings, and the essential need for support within medical teams. Dr. Verma offers insights on making a positive impact within health systems while maintaining personal well-being and growth.


---


TIMESTAMPS


00:00 - Introduction

12:41 - Balancing Clinical and Administrative Roles

15:16 - The Importance of Physician Leadership

20:49 - Support Systems and Personal Growth

23:40 - Impact of Physician Leadership on Health Policy

25:43 - The Evolution of Health Systems

33:02 - Physician Burnout and Retention

40:45 - Adapting to Virtual Meetings

44:11 - Advice for Aspiring Leaders

50:45 - Final Thoughts and Pearls of Wisdom


---


RESOURCES


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Dr. Sunil’s UCI profile

https://www.ucihealth.org/find-a-doctor/v/sunil-verma

]]> 3290 Ep. 201 Trailblazers in ENT: Otolaryngology, Politics and Patient Advocacy with Dr. K.J. Lee As a physician, how would you like to be treated as a patient? A simple shift in perspective can improve both patient care and the medical system at large. In this episode of the BackTable ENT Podcast, hosts Ashley Agan and Gopi Shah are joined by Dr. K.J. Lee, a renowned otolaryngologist, educator, and health policy advisor. --- SYNPOSIS The discussion covers Dr. Lee’s journey into health policy and advocacy, his experiences with political figures like Barack Obama, and the importance of compassionate patient care through his concept of ‘The Patient is U’ (TPIU). Dr. Lee shares insights on the intersection of healthcare and politics, addresses challenges in the current medical system, and emphasizes the need for empathy and good stewardship in medical practice. --- TIMESTAMPS 00:00 - Introduction 03:39 - Dr. Lee’s Journey into Policy and Advocacy 11:46 - The Role of Otolaryngologists in Leadership 15:14 - Practicing TPIU: Treating Patients as You Would Want to Be Treated 20:20 - Dr. Lee’s Early Influences in Malaysia 29:32 - Healthcare Economics and Quality 31:48 - Complexities in Healthcare Decisions 36:31 - Reflections on a Medical Career --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Official TPIU Organization Link https://tpiu.org/about/ TPIU https://tpiu.org/k-j-lee-md-received-the-2024-distinguished-service-award/ Tue, 26 Nov 2024 08:00:00 -0000 full BackTable Inc. As a physician, how would you like to be treated as a patient? A simple shift in perspective can can improve both patient care and the medical system at large. In this episode of the BackTable ENT podcast, hosts Ashley Agan and Gopi Shah are joined by Dr. K.J. Lee, a renowned otolaryngologist, educator, and health policy advisor. As a physician, how would you like to be treated as a patient? A simple shift in perspective can improve both patient care and the medical system at large. In this episode of the BackTable ENT Podcast, hosts Ashley Agan and Gopi Shah are joined by Dr. K.J. Lee, a renowned otolaryngologist, educator, and health policy advisor. --- SYNPOSIS The discussion covers Dr. Lee’s journey into health policy and advocacy, his experiences with political figures like Barack Obama, and the importance of compassionate patient care through his concept of ‘The Patient is U’ (TPIU). Dr. Lee shares insights on the intersection of healthcare and politics, addresses challenges in the current medical system, and emphasizes the need for empathy and good stewardship in medical practice. --- TIMESTAMPS 00:00 - Introduction 03:39 - Dr. Lee’s Journey into Policy and Advocacy 11:46 - The Role of Otolaryngologists in Leadership 15:14 - Practicing TPIU: Treating Patients as You Would Want to Be Treated 20:20 - Dr. Lee’s Early Influences in Malaysia 29:32 - Healthcare Economics and Quality 31:48 - Complexities in Healthcare Decisions 36:31 - Reflections on a Medical Career --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Official TPIU Organization Link https://tpiu.org/about/ TPIU https://tpiu.org/k-j-lee-md-received-the-2024-distinguished-service-award/ As a physician, how would you like to be treated as a patient? A simple shift in perspective can improve both patient care and the medical system at large. In this episode of the BackTable ENT Podcast, hosts Ashley Agan and Gopi Shah are joined by Dr. K.J. Lee, a renowned otolaryngologist, educator, and health policy advisor.


---


SYNPOSIS


The discussion covers Dr. Lee’s journey into health policy and advocacy, his experiences with political figures like Barack Obama, and the importance of compassionate patient care through his concept of ‘The Patient is U’ (TPIU). Dr. Lee shares insights on the intersection of healthcare and politics, addresses challenges in the current medical system, and emphasizes the need for empathy and good stewardship in medical practice.


---


TIMESTAMPS


00:00 - Introduction

03:39 - Dr. Lee’s Journey into Policy and Advocacy

11:46 - The Role of Otolaryngologists in Leadership

15:14 - Practicing TPIU: Treating Patients as You Would Want to Be Treated

20:20 - Dr. Lee’s Early Influences in Malaysia

29:32 - Healthcare Economics and Quality

31:48 - Complexities in Healthcare Decisions

36:31 - Reflections on a Medical Career


---


RESOURCES


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Official TPIU Organization Link

https://tpiu.org/about/



TPIU

https://tpiu.org/k-j-lee-md-received-the-2024-distinguished-service-award/

]]> 2440 Ep. 200 Identifying Parathyroid Glands: Challenges and Innovations with Dr. Michael Singer Can technology improve the accuracy of parathyroid tissue identification during surgery? In this episode of Backtable ENT Podcast, Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Michael Singer, an otolaryngologist specializing in minimally invasive parathyroid and thyroid surgery at Henry Ford Health in Michigan. --- This podcast is supported by: Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS First, Dr. Singer discusses various aspects of identifying parathyroid glands during surgery, differentiating between hypoparathyroidism and hypocalcemia, and the impact of concurrent thyroid disease on patient outcomes. He highlights the importance of continuous improvement and being open to new technologies, specifically the use of autofluorescence and fluorescence imaging to enhance surgical accuracy and patient safety. The conversation also addresses the practical applications of these technologies, including the Medtronic PTeye parathyroid detection system, and their potential to change the approach to thyroid and parathyroid surgeries. Throughout the discussion, Dr. Singer emphasizes the importance of being honest with oneself as a surgeon in order to improve skills and provide the best care for patients. --- TIMESTAMPS 00:00 - Introduction 04:37 - Challenges in Identifying Parathyroid Glands 12:14 - Preoperative Workup and Imaging 16:41 - Understanding Hypoparathyroidism and Hypocalcemia 23:25 - Surgical Techniques and Identifying Parathyroid Glands 33:48 - New Technologies in Parathyroid Surgery 43:15 - Challenges and Benefits of New Surgical Technologies 44:49 - Practical Applications and Personal Experiences 59:33 - Impact of Technology on Surgical Practices 01:08:40 - Final Thoughts and Continuous Learning --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Dr. Singer’s profile https://www.henryford.com/physician-directory/s/singer-michael Tue, 19 Nov 2024 08:00:00 -0000 full BackTable Inc. Can technology improve the accuracy of parathyroid tissue identification during surgery? In this episode of Backtable ENT Podcast, Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Michael Singer, an otolaryngologist specializing in minimally invasive parathyroid and thyroid surgery at Henry Ford Health in Michigan. Can technology improve the accuracy of parathyroid tissue identification during surgery? In this episode of Backtable ENT Podcast, Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Michael Singer, an otolaryngologist specializing in minimally invasive parathyroid and thyroid surgery at Henry Ford Health in Michigan. --- This podcast is supported by: Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS First, Dr. Singer discusses various aspects of identifying parathyroid glands during surgery, differentiating between hypoparathyroidism and hypocalcemia, and the impact of concurrent thyroid disease on patient outcomes. He highlights the importance of continuous improvement and being open to new technologies, specifically the use of autofluorescence and fluorescence imaging to enhance surgical accuracy and patient safety. The conversation also addresses the practical applications of these technologies, including the Medtronic PTeye parathyroid detection system, and their potential to change the approach to thyroid and parathyroid surgeries. Throughout the discussion, Dr. Singer emphasizes the importance of being honest with oneself as a surgeon in order to improve skills and provide the best care for patients. --- TIMESTAMPS 00:00 - Introduction 04:37 - Challenges in Identifying Parathyroid Glands 12:14 - Preoperative Workup and Imaging 16:41 - Understanding Hypoparathyroidism and Hypocalcemia 23:25 - Surgical Techniques and Identifying Parathyroid Glands 33:48 - New Technologies in Parathyroid Surgery 43:15 - Challenges and Benefits of New Surgical Technologies 44:49 - Practical Applications and Personal Experiences 59:33 - Impact of Technology on Surgical Practices 01:08:40 - Final Thoughts and Continuous Learning --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Dr. Singer’s profile https://www.henryford.com/physician-directory/s/singer-michael Can technology improve the accuracy of parathyroid tissue identification during surgery? In this episode of Backtable ENT Podcast, Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Michael Singer, an otolaryngologist specializing in minimally invasive parathyroid and thyroid surgery at Henry Ford Health in Michigan.


---


This podcast is supported by:


Medtronic ENT

https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html


---


SYNPOSIS


First, Dr. Singer discusses various aspects of identifying parathyroid glands during surgery, differentiating between hypoparathyroidism and hypocalcemia, and the impact of concurrent thyroid disease on patient outcomes. He highlights the importance of continuous improvement and being open to new technologies, specifically the use of autofluorescence and fluorescence imaging to enhance surgical accuracy and patient safety. The conversation also addresses the practical applications of these technologies, including the Medtronic PTeye parathyroid detection system, and their potential to change the approach to thyroid and parathyroid surgeries. Throughout the discussion, Dr. Singer emphasizes the importance of being honest with oneself as a surgeon in order to improve skills and provide the best care for patients.


---


TIMESTAMPS


00:00 - Introduction

04:37 - Challenges in Identifying Parathyroid Glands

12:14 - Preoperative Workup and Imaging

16:41 - Understanding Hypoparathyroidism and Hypocalcemia

23:25 - Surgical Techniques and Identifying Parathyroid Glands

33:48 - New Technologies in Parathyroid Surgery

43:15 - Challenges and Benefits of New Surgical Technologies

44:49 - Practical Applications and Personal Experiences

59:33 - Impact of Technology on Surgical Practices

01:08:40 - Final Thoughts and Continuous Learning



---


RESOURCES


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Dr. Singer’s profile

https://www.henryford.com/physician-directory/s/singer-michael

]]> 4564 Ep. 199 Advances in Early Glottic Cancer Treatment Options with Dr. Bharat Panuganti Is a subtle voice change something to ignore? In this episode of the Backtable ENT podcast, hosts Gopi Shah and Dr. Ashley Agan speak with Dr. Bharat Panuganti, a laryngologist from Washington University in St. Louis, about the diagnosis, treatment, and management of early glottic cancer. --- SYNPOSIS First, the doctors discuss the importance of not underestimating voice changes such as dysphonia. Then, they discuss the evolving demographics and risk factors of laryngeal cancers. Dr. Panuganti also explains his approach to using advanced imaging techniques and lasers in treatment. The conversation highlights the necessity of personalized and compassionate patient care, considering both surgical and radiation therapy options. The discussion concludes with advice on the importance of consistent patient follow-up for early detection and treatment of recurrences. --- TIMESTAMPS 00:00 - Introduction 03:09 - Understanding Early Glottic Cancer and Symptoms 08:09 - Physical Examination, FEES and Stroboscopy 14:19 - Intraoperative Imaging Techniques 31:33 - Radiation vs. Surgery: Predicting Outcomes 32:18 - Laser Surgery and Technologial Advances 42:51 - Robotic Surgery 47:13 - Postoperative Care and Patient Counseling 52:53 - Equitable Care and Treatment Choices --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Dr. Bharat Panuganti’s WashU Profile: https://oto.wustl.edu/people/bharat-panuganti-md/ Tue, 12 Nov 2024 08:00:00 -0000 full BackTable Inc. Is a subtle voice change something to ignore? In this episode of the Backtable ENT podcast, hosts Gopi Shah and Dr. Ashley Agan speak with Dr. Bharat Panuganti, a laryngologist from Washington University in St. Louis, about the diagnosis, treatment, and management of early glottic cancer. Is a subtle voice change something to ignore? In this episode of the Backtable ENT podcast, hosts Gopi Shah and Dr. Ashley Agan speak with Dr. Bharat Panuganti, a laryngologist from Washington University in St. Louis, about the diagnosis, treatment, and management of early glottic cancer. --- SYNPOSIS First, the doctors discuss the importance of not underestimating voice changes such as dysphonia. Then, they discuss the evolving demographics and risk factors of laryngeal cancers. Dr. Panuganti also explains his approach to using advanced imaging techniques and lasers in treatment. The conversation highlights the necessity of personalized and compassionate patient care, considering both surgical and radiation therapy options. The discussion concludes with advice on the importance of consistent patient follow-up for early detection and treatment of recurrences. --- TIMESTAMPS 00:00 - Introduction 03:09 - Understanding Early Glottic Cancer and Symptoms 08:09 - Physical Examination, FEES and Stroboscopy 14:19 - Intraoperative Imaging Techniques 31:33 - Radiation vs. Surgery: Predicting Outcomes 32:18 - Laser Surgery and Technologial Advances 42:51 - Robotic Surgery 47:13 - Postoperative Care and Patient Counseling 52:53 - Equitable Care and Treatment Choices --- RESOURCES BackTable+ for ENT https://plus.backtable.com/pages/ent Dr. Bharat Panuganti’s WashU Profile: https://oto.wustl.edu/people/bharat-panuganti-md/ Is a subtle voice change something to ignore? In this episode of the Backtable ENT podcast, hosts Gopi Shah and Dr. Ashley Agan speak with Dr. Bharat Panuganti, a laryngologist from Washington University in St. Louis, about the diagnosis, treatment, and management of early glottic cancer.


---


SYNPOSIS


First, the doctors discuss the importance of not underestimating voice changes such as dysphonia. Then, they discuss the evolving demographics and risk factors of laryngeal cancers. Dr. Panuganti also explains his approach to using advanced imaging techniques and lasers in treatment. The conversation highlights the necessity of personalized and compassionate patient care, considering both surgical and radiation therapy options. The discussion concludes with advice on the importance of consistent patient follow-up for early detection and treatment of recurrences.


---


TIMESTAMPS


00:00 - Introduction

03:09 - Understanding Early Glottic Cancer and Symptoms

08:09 - Physical Examination, FEES and Stroboscopy

14:19 - Intraoperative Imaging Techniques

31:33 - Radiation vs. Surgery: Predicting Outcomes

32:18 - Laser Surgery and Technologial Advances

42:51 - Robotic Surgery

47:13 - Postoperative Care and Patient Counseling

52:53 - Equitable Care and Treatment Choices



---


RESOURCES


BackTable+ for ENT

https://plus.backtable.com/pages/ent



Dr. Bharat Panuganti’s WashU Profile:

https://oto.wustl.edu/people/bharat-panuganti-md/

]]> 3683 Ep. 198 Advanced Techniques in Facial Reanimation with Dr. Myriam Loyo Li and Guest Host with Dr. Shiayin Yang From cable grafts to free muscle transfer, surgical treatments for facial paralysis are evolving quickly. In this episode of the Backtable ENT Podcast, Dr. Myriam Loyo Li, facial plastic surgeon at OHSU, joins guest host Dr. Shiayin Yang of Vanderbilt to discuss dynamic procedures for facial paralysis. --- This podcast is supported by: BackTable + ENT https://www.backtable.com/shows/ent --- SYNPOSIS First, the surgeons review workup of flaccid and non-flaccid (synkinetic) facial paralysis. Then, they review the principles of facial reanimation. Topics such as nerve graft selection and staged surgery are covered. Dr. Loyo Li explains her timelines for staged surgery and how patient characteristics affect her decision planning. Finally, the surgeons discuss free muscle transfer – an exciting new technique in the world of facial plastic surgery – to treat facial paralysis. --- TIMESTAMPS 00:00 - Introduction 02:48 - Evaluating and Managing Flaccid Facial Palsy 05:18 - Imaging and Treatment Pathways 07:16 - Nerve Grafting Techniques and Preferences 10:08 - Challenges and Innovations in Facial Reanimation 25:50 - Patient-Centered Approaches and Decision Making 37:30 - Evaluating Facial Nerve Recovery 43:25 - Timing and Criteria for Nerve Transfers 46:41 - Free Muscle Transfer Techniques 49:47 - Innovations in Cross Facial Nerve Grafts 01:06:04 - Exploring Free Strap Muscle Transfers 01:14:05 - The Future of Facial Reanimation --- RESOURCES Dr. Loyo Li’s OHSU Profile: https://www.ohsu.edu/providers/myriam-loyoli-md-mcr Dr. Yang’s Vanderbilt Profile: https://www.vanderbilthealth.com/doctors/yang-shiayin Tue, 05 Nov 2024 08:00:00 -0000 full BackTable Inc. From cable grafts to free muscle transfer, surgical treatments for facial paralysis are evolving quickly. In this episode of the Backtable ENT Podcast, Dr. Myriam Loyo Li, facial plastic surgeon at OHSU, joins guest host Dr. Shiayin Yang of Vanderbilt to discuss dynamic procedures for facial paralysis. From cable grafts to free muscle transfer, surgical treatments for facial paralysis are evolving quickly. In this episode of the Backtable ENT Podcast, Dr. Myriam Loyo Li, facial plastic surgeon at OHSU, joins guest host Dr. Shiayin Yang of Vanderbilt to discuss dynamic procedures for facial paralysis. --- This podcast is supported by: BackTable + ENT https://www.backtable.com/shows/ent --- SYNPOSIS First, the surgeons review workup of flaccid and non-flaccid (synkinetic) facial paralysis. Then, they review the principles of facial reanimation. Topics such as nerve graft selection and staged surgery are covered. Dr. Loyo Li explains her timelines for staged surgery and how patient characteristics affect her decision planning. Finally, the surgeons discuss free muscle transfer – an exciting new technique in the world of facial plastic surgery – to treat facial paralysis. --- TIMESTAMPS 00:00 - Introduction 02:48 - Evaluating and Managing Flaccid Facial Palsy 05:18 - Imaging and Treatment Pathways 07:16 - Nerve Grafting Techniques and Preferences 10:08 - Challenges and Innovations in Facial Reanimation 25:50 - Patient-Centered Approaches and Decision Making 37:30 - Evaluating Facial Nerve Recovery 43:25 - Timing and Criteria for Nerve Transfers 46:41 - Free Muscle Transfer Techniques 49:47 - Innovations in Cross Facial Nerve Grafts 01:06:04 - Exploring Free Strap Muscle Transfers 01:14:05 - The Future of Facial Reanimation --- RESOURCES Dr. Loyo Li’s OHSU Profile: https://www.ohsu.edu/providers/myriam-loyoli-md-mcr Dr. Yang’s Vanderbilt Profile: https://www.vanderbilthealth.com/doctors/yang-shiayin From cable grafts to free muscle transfer, surgical treatments for facial paralysis are evolving quickly. In this episode of the Backtable ENT Podcast, Dr. Myriam Loyo Li, facial plastic surgeon at OHSU, joins guest host Dr. Shiayin Yang of Vanderbilt to discuss dynamic procedures for facial paralysis.


---


This podcast is supported by:


BackTable + ENT

https://www.backtable.com/shows/ent


---


SYNPOSIS


First, the surgeons review workup of flaccid and non-flaccid (synkinetic) facial paralysis. Then, they review the principles of facial reanimation. Topics such as nerve graft selection and staged surgery are covered. Dr. Loyo Li explains her timelines for staged surgery and how patient characteristics affect her decision planning. Finally, the surgeons discuss free muscle transfer – an exciting new technique in the world of facial plastic surgery – to treat facial paralysis.


---


TIMESTAMPS


00:00 - Introduction

02:48 - Evaluating and Managing Flaccid Facial Palsy

05:18 - Imaging and Treatment Pathways

07:16 - Nerve Grafting Techniques and Preferences

10:08 - Challenges and Innovations in Facial Reanimation

25:50 - Patient-Centered Approaches and Decision Making

37:30 - Evaluating Facial Nerve Recovery

43:25 - Timing and Criteria for Nerve Transfers

46:41 - Free Muscle Transfer Techniques

49:47 - Innovations in Cross Facial Nerve Grafts

01:06:04 - Exploring Free Strap Muscle Transfers

01:14:05 - The Future of Facial Reanimation


---


RESOURCES


Dr. Loyo Li’s OHSU Profile:

https://www.ohsu.edu/providers/myriam-loyoli-md-mcr



Dr. Yang’s Vanderbilt Profile:

https://www.vanderbilthealth.com/doctors/yang-shiayin


]]> 4722 Ep. 197 Trailblazers in ENT: Stories from House Clinic with Dr. John House It’s not an overstatement to say that surgeons from The House Clinic revolutionized otology / neurotology in the second half of the twentieth century. In this episode of the BackTable ENT podcast, Dr. John House, son of the clinic’s founder, Howard, discusses the clinic’s fabled history with guest host Dr. Walter Kutz (UT Southwestern). --- SYNPOSIS Dr. House recounts his father’s journey traveling the world to learn from renowned otolaryngologists, ultimately settling in Los Angeles where he established his practice. Working with his brother William, Howard started a clinic that popularized innovative treatments for otosclerosis, acoustic neuroma, and sensorineural hearing loss. While innovations like Howard’s cochlear implant and John’s House’s House-Brackmann Facial Nerve Grading Scale faced resistance at first, they eventually won widespread acceptance. The episode concludes with Dr. Kutz’s moving personal reflection on his time as a fellow at the House Clinic. --- TIMESTAMPS 00:00 - Introduction 05:41 - Dr. Howard House’s Path to Neurotology 17:14 - Dr. Bill House’s Passion Project: The Cochlear Implant 28:39 - Development of the House-Brackmann Facial Nerve Grading System 38:49 - The Evolution of Stapes Surgery 45:14 - House Alumnus Dr. Walter Kutz’s Journey --- RESOURCES Dr. John House’s House Clinic Profile: https://www.houseclinic.com/home/meet-the-team/profile/john-william-house-1/ Dr. Walter Kutz’s UT Southwestern Profile: https://utswmed.org/doctors/joe-kutz/ Tue, 29 Oct 2024 07:00:00 -0000 full BackTable Inc. It’s not an overstatement to say that surgeons from The House Clinic revolutionized otology / neurotology in the second half of the twentieth century. In this episode of the BackTable ENT podcast, Dr. John House, son of the clinic’s founder, Howard, discusses the clinic’s fabled history with guest host Dr. Walter Kutz (UT Southwestern). It’s not an overstatement to say that surgeons from The House Clinic revolutionized otology / neurotology in the second half of the twentieth century. In this episode of the BackTable ENT podcast, Dr. John House, son of the clinic’s founder, Howard, discusses the clinic’s fabled history with guest host Dr. Walter Kutz (UT Southwestern). --- SYNPOSIS Dr. House recounts his father’s journey traveling the world to learn from renowned otolaryngologists, ultimately settling in Los Angeles where he established his practice. Working with his brother William, Howard started a clinic that popularized innovative treatments for otosclerosis, acoustic neuroma, and sensorineural hearing loss. While innovations like Howard’s cochlear implant and John’s House’s House-Brackmann Facial Nerve Grading Scale faced resistance at first, they eventually won widespread acceptance. The episode concludes with Dr. Kutz’s moving personal reflection on his time as a fellow at the House Clinic. --- TIMESTAMPS 00:00 - Introduction 05:41 - Dr. Howard House’s Path to Neurotology 17:14 - Dr. Bill House’s Passion Project: The Cochlear Implant 28:39 - Development of the House-Brackmann Facial Nerve Grading System 38:49 - The Evolution of Stapes Surgery 45:14 - House Alumnus Dr. Walter Kutz’s Journey --- RESOURCES Dr. John House’s House Clinic Profile: https://www.houseclinic.com/home/meet-the-team/profile/john-william-house-1/ Dr. Walter Kutz’s UT Southwestern Profile: https://utswmed.org/doctors/joe-kutz/ It’s not an overstatement to say that surgeons from The House Clinic revolutionized otology / neurotology in the second half of the twentieth century. In this episode of the BackTable ENT podcast, Dr. John House, son of the clinic’s founder, Howard, discusses the clinic’s fabled history with guest host Dr. Walter Kutz (UT Southwestern).


---


SYNPOSIS


Dr. House recounts his father’s journey traveling the world to learn from renowned otolaryngologists, ultimately settling in Los Angeles where he established his practice. Working with his brother William, Howard started a clinic that popularized innovative treatments for otosclerosis, acoustic neuroma, and sensorineural hearing loss. While innovations like Howard’s cochlear implant and John’s House’s House-Brackmann Facial Nerve Grading Scale faced resistance at first, they eventually won widespread acceptance. The episode concludes with Dr. Kutz’s moving personal reflection on his time as a fellow at the House Clinic.



---


TIMESTAMPS


00:00 - Introduction

05:41 - Dr. Howard House’s Path to Neurotology

17:14 - Dr. Bill House’s Passion Project: The Cochlear Implant

28:39 - Development of the House-Brackmann Facial Nerve Grading System

38:49 - The Evolution of Stapes Surgery

45:14 - House Alumnus Dr. Walter Kutz’s Journey


---


RESOURCES


Dr. John House’s House Clinic Profile:

https://www.houseclinic.com/home/meet-the-team/profile/john-william-house-1/


Dr. Walter Kutz’s UT Southwestern Profile:

https://utswmed.org/doctors/joe-kutz/


]]> 3022 Ep. 196 Revolución en Higiene Nasal con Dr. Luisam Tarrats En este episodio de Backable ENT, El Dr. Carlos Torre entrevista al Dr. Luisam Tarrats, un otorrinolaringólogo de Puerto Rico, sobre su práctica médica y su viaje empresarial para construir Burble, una empresa de enjuagues nasales. --- SYNPOSIS Primero, el episodio explora la trayectoria del Dr. Luisam Tarrats, quien decidió regresar a Puerto Rico para mejorar la oferta quirúrgica y enfrentar los desafíos tras el huracán María. Se destaca su innovación empresarial con Burble Inc., una empresa que desarrolló un sistema de irrigación nasal salina aprobado por la FDA. La conversación incluye temas como la importancia de la higiene nasal para la salud y el bienestar, estrategias para emprender en el campo médico, y el balance entre la vida profesional y personal. Se subraya la importancia de educar a médicos y pacientes sobre el uso adecuado de productos de higiene nasal y el papel proactivo de la medicina preventiva. --- TIMESTAMPS 00:00 - Trayectoria profesional del Dr. Luisam Tarrats 03:45 - Fundación y desarrollo de Burble 16:51 - Innovaciones y beneficios del producto Burble 37:40 - Educación y concienciación sobre la higiene nasal 48:03 - Equilibrio entre la vida profesional y personal 58:39 - Consideraciones legales y estructurales 01:16:54 - Consejos para emprendedores aspirantes --- RESOURCES Burble https://letsburble.com/ Tue, 22 Oct 2024 07:00:00 -0000 full BackTable Inc. En este episodio de Backable ENT, El Dr. Carlos Torre entrevista al Dr. Luisam Tarrats, un otorrinolaringólogo de Puerto Rico, sobre su práctica médica y su viaje empresarial para construir Burble, una empresa de enjuagues nasales. En este episodio de Backable ENT, El Dr. Carlos Torre entrevista al Dr. Luisam Tarrats, un otorrinolaringólogo de Puerto Rico, sobre su práctica médica y su viaje empresarial para construir Burble, una empresa de enjuagues nasales. --- SYNPOSIS Primero, el episodio explora la trayectoria del Dr. Luisam Tarrats, quien decidió regresar a Puerto Rico para mejorar la oferta quirúrgica y enfrentar los desafíos tras el huracán María. Se destaca su innovación empresarial con Burble Inc., una empresa que desarrolló un sistema de irrigación nasal salina aprobado por la FDA. La conversación incluye temas como la importancia de la higiene nasal para la salud y el bienestar, estrategias para emprender en el campo médico, y el balance entre la vida profesional y personal. Se subraya la importancia de educar a médicos y pacientes sobre el uso adecuado de productos de higiene nasal y el papel proactivo de la medicina preventiva. --- TIMESTAMPS 00:00 - Trayectoria profesional del Dr. Luisam Tarrats 03:45 - Fundación y desarrollo de Burble 16:51 - Innovaciones y beneficios del producto Burble 37:40 - Educación y concienciación sobre la higiene nasal 48:03 - Equilibrio entre la vida profesional y personal 58:39 - Consideraciones legales y estructurales 01:16:54 - Consejos para emprendedores aspirantes --- RESOURCES Burble https://letsburble.com/ En este episodio de Backable ENT, El Dr. Carlos Torre entrevista al Dr. Luisam Tarrats, un otorrinolaringólogo de Puerto Rico, sobre su práctica médica y su viaje empresarial para construir Burble, una empresa de enjuagues nasales.


---


SYNPOSIS


Primero, el episodio explora la trayectoria del Dr. Luisam Tarrats, quien decidió regresar a Puerto Rico para mejorar la oferta quirúrgica y enfrentar los desafíos tras el huracán María. Se destaca su innovación empresarial con Burble Inc., una empresa que desarrolló un sistema de irrigación nasal salina aprobado por la FDA. La conversación incluye temas como la importancia de la higiene nasal para la salud y el bienestar, estrategias para emprender en el campo médico, y el balance entre la vida profesional y personal. Se subraya la importancia de educar a médicos y pacientes sobre el uso adecuado de productos de higiene nasal y el papel proactivo de la medicina preventiva.


---


TIMESTAMPS


00:00 - Trayectoria profesional del Dr. Luisam Tarrats

03:45 - Fundación y desarrollo de Burble

16:51 - Innovaciones y beneficios del producto Burble

37:40 - Educación y concienciación sobre la higiene nasal

48:03 - Equilibrio entre la vida profesional y personal

58:39 - Consideraciones legales y estructurales

01:16:54 - Consejos para emprendedores aspirantes


---


RESOURCES


Burble

https://letsburble.com/

]]> 5138 Ep. 195 Financial Literacy in ENT: Diversifying Your Learnings and Earnings with Dr. Robert Puchalski Surgeons are fortunate that their work is both fulfilling and well compensated. When this earning potential meets solid financial planning, personal and material satisfaction results. In this episode of BackTable ENT, Dr. Robert Puchalski (South Carolina ENT) discusses financial wellness with guest host Dr. Ayesha Khalid (Cambridge Health Alliance). --- SYNPOSIS First, Dr. Puchalski describes the benefits and challenges of different private practice models, emphasizing the importance of market share. Then, he explores income generation beyond clinical work, including ancillary services and investment. Transitioning to personal finance, he shares financial planning strategies so that practicing medicine is a choice rather than a necessity. The episode wraps with Dr. Puchalski’s thoughts on practicing medicine. --- TIMESTAMPS 00:00 - Introduction 06:56 - Market Share: Why it Matters 10:16 - The Importance of Passive Income & Ancillaries 21:47 - Personal Finance for Physicians 28:13 - Supporting Wellness Through Financial Planning 43:11 - Final Thoughts --- RESOURCES Dr. Robert Puchalski’s SC ENT Profile: https://www.southcarolinaent.com/providers/robert-puchalski Dr. Ayesha Khalid’s Cambridge Health Alliance Profile: https://www.challiance.org/doctors/profile?n=899 Tue, 15 Oct 2024 07:00:00 -0000 full BackTable Inc. Surgeons are fortunate that their work is both fulfilling and well compensated. When this earning potential meets solid financial planning, personal and material satisfaction results. In this episode of BackTable ENT, Dr. Robert Puchalski (South Carolina ENT) discusses financial wellness with guest host Dr. Ayesha Khalid (Cambridge Health Alliance). Surgeons are fortunate that their work is both fulfilling and well compensated. When this earning potential meets solid financial planning, personal and material satisfaction results. In this episode of BackTable ENT, Dr. Robert Puchalski (South Carolina ENT) discusses financial wellness with guest host Dr. Ayesha Khalid (Cambridge Health Alliance). --- SYNPOSIS First, Dr. Puchalski describes the benefits and challenges of different private practice models, emphasizing the importance of market share. Then, he explores income generation beyond clinical work, including ancillary services and investment. Transitioning to personal finance, he shares financial planning strategies so that practicing medicine is a choice rather than a necessity. The episode wraps with Dr. Puchalski’s thoughts on practicing medicine. --- TIMESTAMPS 00:00 - Introduction 06:56 - Market Share: Why it Matters 10:16 - The Importance of Passive Income & Ancillaries 21:47 - Personal Finance for Physicians 28:13 - Supporting Wellness Through Financial Planning 43:11 - Final Thoughts --- RESOURCES Dr. Robert Puchalski’s SC ENT Profile: https://www.southcarolinaent.com/providers/robert-puchalski Dr. Ayesha Khalid’s Cambridge Health Alliance Profile: https://www.challiance.org/doctors/profile?n=899 Surgeons are fortunate that their work is both fulfilling and well compensated. When this earning potential meets solid financial planning, personal and material satisfaction results. In this episode of BackTable ENT, Dr. Robert Puchalski (South Carolina ENT) discusses financial wellness with guest host Dr. Ayesha Khalid (Cambridge Health Alliance).


---


SYNPOSIS


First, Dr. Puchalski describes the benefits and challenges of different private practice models, emphasizing the importance of market share. Then, he explores income generation beyond clinical work, including ancillary services and investment. Transitioning to personal finance, he shares financial planning strategies so that practicing medicine is a choice rather than a necessity. The episode wraps with Dr. Puchalski’s thoughts on practicing medicine.


---


TIMESTAMPS


00:00 - Introduction

06:56 - Market Share: Why it Matters

10:16 - The Importance of Passive Income & Ancillaries

21:47 - Personal Finance for Physicians

28:13 - Supporting Wellness Through Financial Planning

43:11 - Final Thoughts


---


RESOURCES


Dr. Robert Puchalski’s SC ENT Profile: https://www.southcarolinaent.com/providers/robert-puchalski


Dr. Ayesha Khalid’s Cambridge Health Alliance Profile: https://www.challiance.org/doctors/profile?n=899

]]> 2821 Ep. 194 Tinnitus and Migraine: Expert Insight with Dr. Hamid Djalilian Tinnitus remains one of otology’s greatest, most challenging, and unsolved clinical problems. In this episode of the BackTable ENT Podcast, Dr. Hamid Djalilian, chair of otolaryngology at University of California Irvine (UCI), joins guest host and fellow otologist Dr. Walter Kutz (UT Southwestern) to discuss contemporary tinnitus therapy. --- This podcast is supported by: PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Djalilian shares how he got interested in tinnitus. After observing how migraines and tinnitus share many similar triggers, he hypothesized that increased central sensitivity underlies both diseases. He successfully adopted migraine management strategies for his tinnitus patients and found great clinical success. After sharing pathophysiologic similarities between the two diseases, Dr. Djalilian expounds on how he evaluates and treats tinnitus. His discussion includes lifestyle modifications, medication, and emerging surgical therapies. Finally, he advises listeners to think of tinnitus as a manageable condition, rather than a poorly-understood phenomenon. --- TIMESTAMPS 00:00 - Introduction 02:34 - The Challenge of Treating Tinnitus 07:19 - Connecting Tinnitus & Migraine 15:59 - Atypical (Otologic) Migraine & Diagnostic Challenges 19:59 - Managing Tinnitus Triggers 26:27 - Dietary Triggers of Tinnitus 28:44 - The Role of Sleep Quality in Tinnitus 33:04 - Caring for Older Patients with Tinnitus 37:59 - New Therapies for Tinnitus: Sound & Cognitive Behavioral Therapy 44:08 - Neuromodulation: The Future of Tinnitus Therapy? 51:34 - Final Thoughts on Tinnitus Treatment --- RESOURCES BackTable ENT Episode 60 Otologic Manifestations of Migraine with Dr. Hamid Djalilian https://www.backtable.com/shows/ent/podcasts/60/otologic-manifestations-of-migraine Dr. Hamid Djalilian University of California, Irvine Profile: https://www.ent.uci.edu/faculty/hamid-djalilian-md.asp Dr. Hamid Djalilian’s Website: https://hamiddjalilianmd.com/ Fan-Gang Zeng (Hearing and Speech) Lab at UCI: https://faculty.sites.uci.edu/hesplab/ PearsonRavitz: https://pearsonravitz.com/ Tue, 08 Oct 2024 07:00:00 -0000 full BackTable Inc. Tinnitus remains one of otology’s greatest, most challenging, and unsolved clinical problems. In this episode of the BackTable ENT Podcast, Dr. Hamid Djalilian, chair of otolaryngology at University of California Irvine (UCI), joins guest host and fellow otologist Dr. Walter Kutz (UT Southwestern) to discuss contemporary tinnitus therapy. Tinnitus remains one of otology’s greatest, most challenging, and unsolved clinical problems. In this episode of the BackTable ENT Podcast, Dr. Hamid Djalilian, chair of otolaryngology at University of California Irvine (UCI), joins guest host and fellow otologist Dr. Walter Kutz (UT Southwestern) to discuss contemporary tinnitus therapy. --- This podcast is supported by: PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Djalilian shares how he got interested in tinnitus. After observing how migraines and tinnitus share many similar triggers, he hypothesized that increased central sensitivity underlies both diseases. He successfully adopted migraine management strategies for his tinnitus patients and found great clinical success. After sharing pathophysiologic similarities between the two diseases, Dr. Djalilian expounds on how he evaluates and treats tinnitus. His discussion includes lifestyle modifications, medication, and emerging surgical therapies. Finally, he advises listeners to think of tinnitus as a manageable condition, rather than a poorly-understood phenomenon. --- TIMESTAMPS 00:00 - Introduction 02:34 - The Challenge of Treating Tinnitus 07:19 - Connecting Tinnitus & Migraine 15:59 - Atypical (Otologic) Migraine & Diagnostic Challenges 19:59 - Managing Tinnitus Triggers 26:27 - Dietary Triggers of Tinnitus 28:44 - The Role of Sleep Quality in Tinnitus 33:04 - Caring for Older Patients with Tinnitus 37:59 - New Therapies for Tinnitus: Sound & Cognitive Behavioral Therapy 44:08 - Neuromodulation: The Future of Tinnitus Therapy? 51:34 - Final Thoughts on Tinnitus Treatment --- RESOURCES BackTable ENT Episode 60 Otologic Manifestations of Migraine with Dr. Hamid Djalilian https://www.backtable.com/shows/ent/podcasts/60/otologic-manifestations-of-migraine Dr. Hamid Djalilian University of California, Irvine Profile: https://www.ent.uci.edu/faculty/hamid-djalilian-md.asp Dr. Hamid Djalilian’s Website: https://hamiddjalilianmd.com/ Fan-Gang Zeng (Hearing and Speech) Lab at UCI: https://faculty.sites.uci.edu/hesplab/ PearsonRavitz: https://pearsonravitz.com/ Tinnitus remains one of otology’s greatest, most challenging, and unsolved clinical problems. In this episode of the BackTable ENT Podcast, Dr. Hamid Djalilian, chair of otolaryngology at University of California Irvine (UCI), joins guest host and fellow otologist Dr. Walter Kutz (UT Southwestern) to discuss contemporary tinnitus therapy.


---


This podcast is supported by:


PearsonRavitz

https://pearsonravitz.com/backtable


---


SYNPOSIS


First, Dr. Djalilian shares how he got interested in tinnitus. After observing how migraines and tinnitus share many similar triggers, he hypothesized that increased central sensitivity underlies both diseases. He successfully adopted migraine management strategies for his tinnitus patients and found great clinical success. After sharing pathophysiologic similarities between the two diseases, Dr. Djalilian expounds on how he evaluates and treats tinnitus. His discussion includes lifestyle modifications, medication, and emerging surgical therapies. Finally, he advises listeners to think of tinnitus as a manageable condition, rather than a poorly-understood phenomenon.


---


TIMESTAMPS


00:00 - Introduction

02:34 - The Challenge of Treating Tinnitus

07:19 - Connecting Tinnitus & Migraine

15:59 - Atypical (Otologic) Migraine & Diagnostic Challenges

19:59 - Managing Tinnitus Triggers

26:27 - Dietary Triggers of Tinnitus

28:44 - The Role of Sleep Quality in Tinnitus

33:04 - Caring for Older Patients with Tinnitus

37:59 - New Therapies for Tinnitus: Sound & Cognitive Behavioral Therapy

44:08 - Neuromodulation: The Future of Tinnitus Therapy?

51:34 - Final Thoughts on Tinnitus Treatment


---


RESOURCES


BackTable ENT Episode 60 Otologic Manifestations of Migraine with Dr. Hamid Djalilian

https://www.backtable.com/shows/ent/podcasts/60/otologic-manifestations-of-migraine


Dr. Hamid Djalilian University of California, Irvine Profile: https://www.ent.uci.edu/faculty/hamid-djalilian-md.asp


Dr. Hamid Djalilian’s Website:

https://hamiddjalilianmd.com/


Fan-Gang Zeng (Hearing and Speech) Lab at UCI:

https://faculty.sites.uci.edu/hesplab/


PearsonRavitz:

https://pearsonravitz.com/


]]> 3387 Ep. 193 Revolutionizing ENT with Artificial Intelligence with Dr. Mas Takashima Many of us continue to associate “Artificial Intelligence” (AI) with the worst moments in The Terminator, Ex Machina, or The Matrix. Others think first of the known ethical challenges of AI and the potential workforce disruption of widespread AI implementation in healthcare and beyond. Dr. Mas Takashima, AI expert and chair of Houston Methodist’s Otolaryngology Department, wants to change our lingering apprehensions around AI. In this episode, Dr. Takashima interviews his Houston Methodist colleague and guest host Dr. Omar Ahmed. --- SYNPOSIS First, Dr. Takashima shares his journey from video gamer to sinus surgeon and advocate for AI in medicine. He explains relevant concepts such as Generative Preformed Transformer (GPT) and neural network. Then, he and Dr. Ahmed dive into applications of AI to ENT, which include (but aren’t limited to) analysis of CT images, prediction of surgical success, and screening of residency applications. They review the unique challenges of applying this powerful technology to healthcare and emphasize the importance of safeguarding patient privacy in the era of Big Data. Finally, Dr. Takashima challenges his fellow otolaryngologists and researchers to embrace this transformative technology. --- TIMESTAMPS 00:00 - Introduction 11:43 - AI 101 23:26 - Applications of AI in Medicine 31:21 - Current & Emerging Applications of AI in ENT 33:44 - Using AI to Improve Surgical Robotics 39:09 - AI in Personalized Medicine 46:41 - AI in Medical Education 57:23 - Ethics & AI: The Need for an Updated HIPAA 01:02:20 - The Future of AI in ENT --- RESOURCES Dr. Mas Takashima’s Houston Methodist profile: https://www.houstonmethodist.org/doctor/masayoshi-takashima/ Dr. Omar Ahmed’s Houston Methodist profile: https://www.houstonmethodist.org/doctor/omar-g-ahmed/ Tue, 01 Oct 2024 07:00:00 -0000 full BackTable Inc. Many of us continue to associate “Artificial Intelligence” (AI) with the worst moments in The Terminator, Ex Machina, or The Matrix. Others think first of the known ethical challenges of AI and the potential workforce disruption of widespread AI implementation in healthcare and beyond. Dr. Mas Takashima, AI expert and chair of Houston Methodist’s Otolaryngology Department, wants to change our lingering apprehensions around AI. In this episode, Dr. Takashima interviews his Houston Methodist colleague and guest host Dr. Omar Ahmed. Many of us continue to associate “Artificial Intelligence” (AI) with the worst moments in The Terminator, Ex Machina, or The Matrix. Others think first of the known ethical challenges of AI and the potential workforce disruption of widespread AI implementation in healthcare and beyond. Dr. Mas Takashima, AI expert and chair of Houston Methodist’s Otolaryngology Department, wants to change our lingering apprehensions around AI. In this episode, Dr. Takashima interviews his Houston Methodist colleague and guest host Dr. Omar Ahmed. --- SYNPOSIS First, Dr. Takashima shares his journey from video gamer to sinus surgeon and advocate for AI in medicine. He explains relevant concepts such as Generative Preformed Transformer (GPT) and neural network. Then, he and Dr. Ahmed dive into applications of AI to ENT, which include (but aren’t limited to) analysis of CT images, prediction of surgical success, and screening of residency applications. They review the unique challenges of applying this powerful technology to healthcare and emphasize the importance of safeguarding patient privacy in the era of Big Data. Finally, Dr. Takashima challenges his fellow otolaryngologists and researchers to embrace this transformative technology. --- TIMESTAMPS 00:00 - Introduction 11:43 - AI 101 23:26 - Applications of AI in Medicine 31:21 - Current & Emerging Applications of AI in ENT 33:44 - Using AI to Improve Surgical Robotics 39:09 - AI in Personalized Medicine 46:41 - AI in Medical Education 57:23 - Ethics & AI: The Need for an Updated HIPAA 01:02:20 - The Future of AI in ENT --- RESOURCES Dr. Mas Takashima’s Houston Methodist profile: https://www.houstonmethodist.org/doctor/masayoshi-takashima/ Dr. Omar Ahmed’s Houston Methodist profile: https://www.houstonmethodist.org/doctor/omar-g-ahmed/ Many of us continue to associate “Artificial Intelligence” (AI) with the worst moments in The Terminator, Ex Machina, or The Matrix. Others think first of the known ethical challenges of AI and the potential workforce disruption of widespread AI implementation in healthcare and beyond. Dr. Mas Takashima, AI expert and chair of Houston Methodist’s Otolaryngology Department, wants to change our lingering apprehensions around AI. In this episode, Dr. Takashima interviews his Houston Methodist colleague and guest host Dr. Omar Ahmed.


---


SYNPOSIS


First, Dr. Takashima shares his journey from video gamer to sinus surgeon and advocate for AI in medicine. He explains relevant concepts such as Generative Preformed Transformer (GPT) and neural network. Then, he and Dr. Ahmed dive into applications of AI to ENT, which include (but aren’t limited to) analysis of CT images, prediction of surgical success, and screening of residency applications. They review the unique challenges of applying this powerful technology to healthcare and emphasize the importance of safeguarding patient privacy in the era of Big Data. Finally, Dr. Takashima challenges his fellow otolaryngologists and researchers to embrace this transformative technology.


---


TIMESTAMPS


00:00 - Introduction

11:43 - AI 101

23:26 - Applications of AI in Medicine

31:21 - Current & Emerging Applications of AI in ENT

33:44 - Using AI to Improve Surgical Robotics

39:09 - AI in Personalized Medicine

46:41 - AI in Medical Education

57:23 - Ethics & AI: The Need for an Updated HIPAA

01:02:20 - The Future of AI in ENT


---


RESOURCES


Dr. Mas Takashima’s Houston Methodist profile: https://www.houstonmethodist.org/doctor/masayoshi-takashima/


Dr. Omar Ahmed’s Houston Methodist profile: https://www.houstonmethodist.org/doctor/omar-g-ahmed/

]]> 4271 Ep. 192 Safeguarding Physician Wellbeing: Julie Wei’s Journey Many doctors enjoy writing, but how does a meaningful idea become a published book? Just ask Dr. Julie Wei, director of pediatric otolaryngology at Akron Children’s Hospital and author of two books. In this episode of the BackTable ENT podcast, Dr. Wei discusses her third book “Safeguarding Physician Wellbeing” with podcast host Dr. Gopi Shah. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Wei shares her journey to authorship, which grew out of her efforts as an advocate for physician wellness. Then, she delves into topics covered in her book, including personal relationships, finances, fertility, and career growth. Much like operating room time-outs, “Safeguarding Physician Wellbeing” uses checklists at the end of each chapter to provide action items for readers. Drawing from her own experience as a surgeon and writer, Dr. Wei offers practical advice for prospective authors. The podcast wraps with thoughts on the need to prioritize physician wellness in an increasingly productivity-focused healthcare system. --- TIMESTAMPS 00:00 - Introduction 02:28 - Dr. Julie Wei’s Journey to Authorship 08:17 - The Concept of Well-being 16:10 - Checklists: A Tool for Patient Safety & Surgeon Well-Being 30:59 - Empowering Trainees to Speak Up 33:41 - The Importance of Taking Time Off 39:54 - Physician Well-being in the U.S. Healthcare System 44:06 - The Process of Writing A Book 52:45 - Final Thoughts & Encouragement for Aspiring Authors --- RESOURCES Dr. Julie Wei’s Akron Children’s Hospital Profile: https://www.akronchildrens.org/people/Julie-Wei.html “Safeguarding Physician Wellbeing,” Dr. Julie Wei: https://www.amazon.com/Safeguarding-Physician-Wellbeing-Julie-Wei/dp/1032589892 Tue, 24 Sep 2024 07:00:00 -0000 full BackTable Inc. Many doctors enjoy writing, but how does a meaningful idea become a published book? Just ask Dr. Julie Wei, director of pediatric otolaryngology at Akron Children’s Hospital and author of two books. In this episode of the BackTable ENT podcast, Dr. Wei discusses her third book “Safeguarding Physician Wellbeing” with podcast host Dr. Gopi Shah. Many doctors enjoy writing, but how does a meaningful idea become a published book? Just ask Dr. Julie Wei, director of pediatric otolaryngology at Akron Children’s Hospital and author of two books. In this episode of the BackTable ENT podcast, Dr. Wei discusses her third book “Safeguarding Physician Wellbeing” with podcast host Dr. Gopi Shah. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Wei shares her journey to authorship, which grew out of her efforts as an advocate for physician wellness. Then, she delves into topics covered in her book, including personal relationships, finances, fertility, and career growth. Much like operating room time-outs, “Safeguarding Physician Wellbeing” uses checklists at the end of each chapter to provide action items for readers. Drawing from her own experience as a surgeon and writer, Dr. Wei offers practical advice for prospective authors. The podcast wraps with thoughts on the need to prioritize physician wellness in an increasingly productivity-focused healthcare system. --- TIMESTAMPS 00:00 - Introduction 02:28 - Dr. Julie Wei’s Journey to Authorship 08:17 - The Concept of Well-being 16:10 - Checklists: A Tool for Patient Safety & Surgeon Well-Being 30:59 - Empowering Trainees to Speak Up 33:41 - The Importance of Taking Time Off 39:54 - Physician Well-being in the U.S. Healthcare System 44:06 - The Process of Writing A Book 52:45 - Final Thoughts & Encouragement for Aspiring Authors --- RESOURCES Dr. Julie Wei’s Akron Children’s Hospital Profile: https://www.akronchildrens.org/people/Julie-Wei.html “Safeguarding Physician Wellbeing,” Dr. Julie Wei: https://www.amazon.com/Safeguarding-Physician-Wellbeing-Julie-Wei/dp/1032589892 Many doctors enjoy writing, but how does a meaningful idea become a published book? Just ask Dr. Julie Wei, director of pediatric otolaryngology at Akron Children’s Hospital and author of two books. In this episode of the BackTable ENT podcast, Dr. Wei discusses her third book “Safeguarding Physician Wellbeing” with podcast host Dr. Gopi Shah.


---


CHECK OUT OUR SPONSOR


PearsonRavitz

https://pearsonravitz.com/backtable


---


SYNPOSIS


First, Dr. Wei shares her journey to authorship, which grew out of her efforts as an advocate for physician wellness. Then, she delves into topics covered in her book, including personal relationships, finances, fertility, and career growth. Much like operating room time-outs, “Safeguarding Physician Wellbeing” uses checklists at the end of each chapter to provide action items for readers. Drawing from her own experience as a surgeon and writer, Dr. Wei offers practical advice for prospective authors. The podcast wraps with thoughts on the need to prioritize physician wellness in an increasingly productivity-focused healthcare system.


---


TIMESTAMPS


00:00 - Introduction

02:28 - Dr. Julie Wei’s Journey to Authorship

08:17 - The Concept of Well-being

16:10 - Checklists: A Tool for Patient Safety & Surgeon Well-Being

30:59 - Empowering Trainees to Speak Up

33:41 - The Importance of Taking Time Off

39:54 - Physician Well-being in the U.S. Healthcare System

44:06 - The Process of Writing A Book

52:45 - Final Thoughts & Encouragement for Aspiring Authors


---


RESOURCES


Dr. Julie Wei’s Akron Children’s Hospital Profile: https://www.akronchildrens.org/people/Julie-Wei.html


“Safeguarding Physician Wellbeing,” Dr. Julie Wei: https://www.amazon.com/Safeguarding-Physician-Wellbeing-Julie-Wei/dp/1032589892

]]> 3460 Ep. 191 AI in Laryngology: Enhancing Patient Diagnosis with Dr. Anthony Law Artificial Intelligence (AI) already powers search results and chat bots, but what if it could help physicians diagnose cancer? In this episode of the BackTable ENT podcast, laryngologist Dr. Anthony Law of Emory University discusses applications of AI to laryngology with host Dr. Ashley Agan and guest host Dr. Mihir Patel, also of Emory. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Law discusses how he connects his passions for laryngology and machine learning as a surgeon-scientist. Before opening the conversation, he defines terms needed to understand AI in medicine. Then, he discusses his work using deep learning models to identify laryngeal cancer patients based on voice recordings. Ideally, he envisions deploying his model (which is over 90% accurate) to help primary care physicians make timely ENT referrals. Mindful of the impact technology has, Dr. Law reviews technical and ethical concerns accompanying use of AI in medicine, which include underrepresented patient groups in research, patient privacy, and safe use of technology. Finally, he offers insight into the future of AI research more broadly. --- TIMESTAMPS 00:00 - Introduction 04:18 - Understanding Deep Neural Networks 07:13 - Applications of AI in Clinical Practice 15:08 - Data Security and Privacy Concerns 25:09 - Collecting Representative Data 31:13 - Biometrics: The Future of Medicine? 39:12 - Challenges & Costs of AI 42:26 - Final Thoughts & Future Directions --- RESOURCES Pearson Ravitz https://pearsonravitz.com/ Dr. Anthony Law’s Emory University Profile: https://winshipcancer.emory.edu/profiles/law-anthony.php Dr. Anthony Law Lab: https://anthonylaw2.wixsite.com/website “What Our Voice Reveals About Our Health,” Dr. Anthony Law at TedxAtlanta: https://www.youtube.com/watch?v=-J2W5IVCECE Tue, 17 Sep 2024 07:00:00 -0000 full BackTable Inc. Artificial Intelligence (AI) already powers search results and chat bots, but what if it could help physicians diagnose cancer? In this episode of the BackTable ENT podcast, laryngologist Dr. Anthony Law of Emory University discusses applications of AI to laryngology with host Dr. Ashley Agan and guest host Dr. Mihir Patel, also of Emory. Artificial Intelligence (AI) already powers search results and chat bots, but what if it could help physicians diagnose cancer? In this episode of the BackTable ENT podcast, laryngologist Dr. Anthony Law of Emory University discusses applications of AI to laryngology with host Dr. Ashley Agan and guest host Dr. Mihir Patel, also of Emory. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Law discusses how he connects his passions for laryngology and machine learning as a surgeon-scientist. Before opening the conversation, he defines terms needed to understand AI in medicine. Then, he discusses his work using deep learning models to identify laryngeal cancer patients based on voice recordings. Ideally, he envisions deploying his model (which is over 90% accurate) to help primary care physicians make timely ENT referrals. Mindful of the impact technology has, Dr. Law reviews technical and ethical concerns accompanying use of AI in medicine, which include underrepresented patient groups in research, patient privacy, and safe use of technology. Finally, he offers insight into the future of AI research more broadly. --- TIMESTAMPS 00:00 - Introduction 04:18 - Understanding Deep Neural Networks 07:13 - Applications of AI in Clinical Practice 15:08 - Data Security and Privacy Concerns 25:09 - Collecting Representative Data 31:13 - Biometrics: The Future of Medicine? 39:12 - Challenges & Costs of AI 42:26 - Final Thoughts & Future Directions --- RESOURCES Pearson Ravitz https://pearsonravitz.com/ Dr. Anthony Law’s Emory University Profile: https://winshipcancer.emory.edu/profiles/law-anthony.php Dr. Anthony Law Lab: https://anthonylaw2.wixsite.com/website “What Our Voice Reveals About Our Health,” Dr. Anthony Law at TedxAtlanta: https://www.youtube.com/watch?v=-J2W5IVCECE Artificial Intelligence (AI) already powers search results and chat bots, but what if it could help physicians diagnose cancer? In this episode of the BackTable ENT podcast, laryngologist Dr. Anthony Law of Emory University discusses applications of AI to laryngology with host Dr. Ashley Agan and guest host Dr. Mihir Patel, also of Emory.


---


CHECK OUT OUR SPONSOR


PearsonRavitz

https://pearsonravitz.com/backtable


---


SYNPOSIS


First, Dr. Law discusses how he connects his passions for laryngology and machine learning as a surgeon-scientist. Before opening the conversation, he defines terms needed to understand AI in medicine. Then, he discusses his work using deep learning models to identify laryngeal cancer patients based on voice recordings. Ideally, he envisions deploying his model (which is over 90% accurate) to help primary care physicians make timely ENT referrals. Mindful of the impact technology has, Dr. Law reviews technical and ethical concerns accompanying use of AI in medicine, which include underrepresented patient groups in research, patient privacy, and safe use of technology. Finally, he offers insight into the future of AI research more broadly.


---


TIMESTAMPS


00:00 - Introduction

04:18 - Understanding Deep Neural Networks

07:13 - Applications of AI in Clinical Practice

15:08 - Data Security and Privacy Concerns

25:09 - Collecting Representative Data

31:13 - Biometrics: The Future of Medicine?

39:12 - Challenges & Costs of AI

42:26 - Final Thoughts & Future Directions


---


RESOURCES


Pearson Ravitz

https://pearsonravitz.com/


Dr. Anthony Law’s Emory University Profile: https://winshipcancer.emory.edu/profiles/law-anthony.php


Dr. Anthony Law Lab:

https://anthonylaw2.wixsite.com/website


“What Our Voice Reveals About Our Health,” Dr. Anthony Law at TedxAtlanta: https://www.youtube.com/watch?v=-J2W5IVCECE

]]> 2950 Ep. 190 Managing Retropharyngeal Abscesses in Children with Dr. John McClay Nothing is more satisfying than draining an abscess, right? But when is medical management sufficient or even better? In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. John McClay joins host Dr. Gopi Shah to educate listeners on the diagnosis and management of pediatric retropharyngeal abscess (RPA). --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. McClay reviews the symptoms, pathophysiology, and workup of neck abscesses (including RPA) in children. When evaluating any suspected neck abscess, he uses CT results to evaluate its precise size and location. Then, he addresses the role of surgery in treatment of neck abscesses. While many patients will improve with IV antibiotics alone, he mentions that most abscesses lateral to the carotid sheath and greater than 2 cm in size require surgical drainage. Finally, the conversation shifts to cover important topics including antibiotic selection, the role of steroids, and cost-effective care. --- TIMESTAMPS 00:00 - Introduction 03:34 - Pathophysiology & Presentation of Retropharyngeal Abscess 09:54 - Physical Examination in the Child with Suspected Neck Abscess 17:43 - The Importance of CT Scans 31:40 - Treatment of Neck Abscesses: Antibiotics vs Surgery 37:56 - The Role of Steroids in Abscess Treatment 53:41 - Applying Value-Based Care as a Pediatric Otolaryngologist 55:44 - Recap & Final Pearls --- RESOURCES Dr. McClay’s website: https://www.johnmcclaymd.com/pediatric-sinus-center/ Pearson Ravitz https://pearsonravitz.com/ McClay JE, Murray AD, Booth T. Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography. Arch Otolaryngol Head Neck Surg. 2003 Nov;129(11):1207-12. Johnson RF. Emergency department visits, hospitalizations, and readmissions of patients with a peritonsillar abscess. Laryngoscope. 2017 Oct;127 Suppl 5:S1-S9. Tue, 10 Sep 2024 07:00:00 -0000 full BackTable Inc. Nothing is more satisfying than draining an abscess, right? But when is medical management sufficient or even better? In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. John McClay joins host Dr. Gopi Shah to educate listeners on the diagnosis and management of pediatric retropharyngeal abscess (RPA). Nothing is more satisfying than draining an abscess, right? But when is medical management sufficient or even better? In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. John McClay joins host Dr. Gopi Shah to educate listeners on the diagnosis and management of pediatric retropharyngeal abscess (RPA). --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. McClay reviews the symptoms, pathophysiology, and workup of neck abscesses (including RPA) in children. When evaluating any suspected neck abscess, he uses CT results to evaluate its precise size and location. Then, he addresses the role of surgery in treatment of neck abscesses. While many patients will improve with IV antibiotics alone, he mentions that most abscesses lateral to the carotid sheath and greater than 2 cm in size require surgical drainage. Finally, the conversation shifts to cover important topics including antibiotic selection, the role of steroids, and cost-effective care. --- TIMESTAMPS 00:00 - Introduction 03:34 - Pathophysiology & Presentation of Retropharyngeal Abscess 09:54 - Physical Examination in the Child with Suspected Neck Abscess 17:43 - The Importance of CT Scans 31:40 - Treatment of Neck Abscesses: Antibiotics vs Surgery 37:56 - The Role of Steroids in Abscess Treatment 53:41 - Applying Value-Based Care as a Pediatric Otolaryngologist 55:44 - Recap & Final Pearls --- RESOURCES Dr. McClay’s website: https://www.johnmcclaymd.com/pediatric-sinus-center/ Pearson Ravitz https://pearsonravitz.com/ McClay JE, Murray AD, Booth T. Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography. Arch Otolaryngol Head Neck Surg. 2003 Nov;129(11):1207-12. Johnson RF. Emergency department visits, hospitalizations, and readmissions of patients with a peritonsillar abscess. Laryngoscope. 2017 Oct;127 Suppl 5:S1-S9. Nothing is more satisfying than draining an abscess, right? But when is medical management sufficient or even better? In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. John McClay joins host Dr. Gopi Shah to educate listeners on the diagnosis and management of pediatric retropharyngeal abscess (RPA).


---


CHECK OUT OUR SPONSOR


PearsonRavitz

https://pearsonravitz.com/backtable


---


SYNPOSIS


First, Dr. McClay reviews the symptoms, pathophysiology, and workup of neck abscesses (including RPA) in children. When evaluating any suspected neck abscess, he uses CT results to evaluate its precise size and location. Then, he addresses the role of surgery in treatment of neck abscesses. While many patients will improve with IV antibiotics alone, he mentions that most abscesses lateral to the carotid sheath and greater than 2 cm in size require surgical drainage. Finally, the conversation shifts to cover important topics including antibiotic selection, the role of steroids, and cost-effective care.


---


TIMESTAMPS


00:00 - Introduction

03:34 - Pathophysiology & Presentation of Retropharyngeal Abscess

09:54 - Physical Examination in the Child with Suspected Neck Abscess

17:43 - The Importance of CT Scans

31:40 - Treatment of Neck Abscesses: Antibiotics vs Surgery

37:56 - The Role of Steroids in Abscess Treatment

53:41 - Applying Value-Based Care as a Pediatric Otolaryngologist

55:44 - Recap & Final Pearls


---


RESOURCES


Dr. McClay’s website:

https://www.johnmcclaymd.com/pediatric-sinus-center/


Pearson Ravitz

https://pearsonravitz.com/



McClay JE, Murray AD, Booth T. Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography. Arch Otolaryngol Head Neck Surg. 2003 Nov;129(11):1207-12.


Johnson RF. Emergency department visits, hospitalizations, and readmissions of patients with a peritonsillar abscess. Laryngoscope. 2017 Oct;127 Suppl 5:S1-S9.

]]> 3576 Ep. 189 Rhinoplasty Fundamentals and Beyond: In-Depth with Dr. Patrick Cleveland Rhinoplasty stands out as one of the most transformative yet technically challenging procedures in facial plastic surgery. In this episode of the BackTable ENT Podcast, rhinoplasty expert Dr. Patrick Cleveland of West Palm Beach shares his approach to the procedure with host Dr. Gopi Shah. --- SYNPOSIS First, Dr. Cleveland addresses the initial rhinoplasty consultation, including patient history, physical exam, and photo documentation. Then, the surgeons delve into technical approaches to rhinoplasty. Tackling valuable topics including graft choices, cartilage sources for revision rhinoplasty, and tools used. Dr. Cleveland offers lessons to help any otolaryngologist improve their knowledge of this essential surgery. Finally, the episode concludes with a survey of contemporary trends in rhinoplasty. --- TIMESTAMPS 00:00 - Introduction 03:28 - Fundamentals of Rhinoplasty 04:19 - Interviewing Patients & Identifying Red Flags 10:25 - Physical Exam for Rhinoplasty 15:14 - The Importance of Photo Documentation 30:26 - Cephalic Trim & Turnover Flap Techniques 32:52 - Tip Supporting Grafts and Cartilage Harvesting 36:46 - Instruments for Rhinoplasty 39:42 - Sourcing Cartilage in Revision Rhinoplasty 49:20 - Post-operative Care & Complications 56:07 - Future Directions in Rhinoplasty --- RESOURCES Patrick Cleveland Facial Plastic Surgery: https://www.drpatrickcleveland.com/ Deformity, etiology, solution, sequence (DESS): Facial analysis in rhinoplasty: https://pubmed.ncbi.nlm.nih.gov/37952257/ Tue, 03 Sep 2024 07:00:00 -0000 full BackTable Inc. Rhinoplasty stands out as one of the most transformative yet technically challenging procedures in facial plastic surgery. In this episode of the BackTable ENT Podcast, rhinoplasty expert Dr. Patrick Cleveland of West Palm Beach shares his approach to the procedure with host Dr. Gopi Shah. Rhinoplasty stands out as one of the most transformative yet technically challenging procedures in facial plastic surgery. In this episode of the BackTable ENT Podcast, rhinoplasty expert Dr. Patrick Cleveland of West Palm Beach shares his approach to the procedure with host Dr. Gopi Shah. --- SYNPOSIS First, Dr. Cleveland addresses the initial rhinoplasty consultation, including patient history, physical exam, and photo documentation. Then, the surgeons delve into technical approaches to rhinoplasty. Tackling valuable topics including graft choices, cartilage sources for revision rhinoplasty, and tools used. Dr. Cleveland offers lessons to help any otolaryngologist improve their knowledge of this essential surgery. Finally, the episode concludes with a survey of contemporary trends in rhinoplasty. --- TIMESTAMPS 00:00 - Introduction 03:28 - Fundamentals of Rhinoplasty 04:19 - Interviewing Patients & Identifying Red Flags 10:25 - Physical Exam for Rhinoplasty 15:14 - The Importance of Photo Documentation 30:26 - Cephalic Trim & Turnover Flap Techniques 32:52 - Tip Supporting Grafts and Cartilage Harvesting 36:46 - Instruments for Rhinoplasty 39:42 - Sourcing Cartilage in Revision Rhinoplasty 49:20 - Post-operative Care & Complications 56:07 - Future Directions in Rhinoplasty --- RESOURCES Patrick Cleveland Facial Plastic Surgery: https://www.drpatrickcleveland.com/ Deformity, etiology, solution, sequence (DESS): Facial analysis in rhinoplasty: https://pubmed.ncbi.nlm.nih.gov/37952257/ Rhinoplasty stands out as one of the most transformative yet technically challenging procedures in facial plastic surgery. In this episode of the BackTable ENT Podcast, rhinoplasty expert Dr. Patrick Cleveland of West Palm Beach shares his approach to the procedure with host Dr. Gopi Shah.


---


SYNPOSIS


First, Dr. Cleveland addresses the initial rhinoplasty consultation, including patient history, physical exam, and photo documentation. Then, the surgeons delve into technical approaches to rhinoplasty. Tackling valuable topics including graft choices, cartilage sources for revision rhinoplasty, and tools used. Dr. Cleveland offers lessons to help any otolaryngologist improve their knowledge of this essential surgery. Finally, the episode concludes with a survey of contemporary trends in rhinoplasty.


---


TIMESTAMPS


00:00 - Introduction

03:28 - Fundamentals of Rhinoplasty

04:19 - Interviewing Patients & Identifying Red Flags

10:25 - Physical Exam for Rhinoplasty

15:14 - The Importance of Photo Documentation

30:26 - Cephalic Trim & Turnover Flap Techniques

32:52 - Tip Supporting Grafts and Cartilage Harvesting

36:46 - Instruments for Rhinoplasty

39:42 - Sourcing Cartilage in Revision Rhinoplasty

49:20 - Post-operative Care & Complications

56:07 - Future Directions in Rhinoplasty


---


RESOURCES


Patrick Cleveland Facial Plastic Surgery:

https://www.drpatrickcleveland.com/


Deformity, etiology, solution, sequence (DESS): Facial analysis in rhinoplasty: https://pubmed.ncbi.nlm.nih.gov/37952257/

]]> 3775 Ep. 188 Surgical Management of Synkinesis and Static Procedures for Flaccid Facial Palsy with Dr. Shiayin Yang Facial nerve injury affects each patient in a unique way. Accordingly, surgical treatment of facial paralysis must be meticulously planned and personalized. In this episode, Dr. Shiayin Yang, Associate Professor of Otolaryngology at Vanderbilt University, addresses management of synkinesis and static procedures for flaccid facial palsy with host Dr. Ashley Agan. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Yang reviews the difference between flaccid and non-flaccid (including synkinetic) facial paralysis. She describes her approach to facial paralysis, which includes clarifying the patient’s diagnosis and thoroughly examining the facial nerve function. Dr. Yang then transitions the conversation to surgical solutions, emphasizing dual goals of restoring symmetry and function. She divides her discussion to first tackle synkinesis and then static procedures for flaccid paralysis. Procedures discussed include Botox, brow lift, blepharoplasty, myectomy, and neurectomy as well as lower eyelid and midface procedures and temporalis tendon transfer. While surgical approaches to the two conditions differ, eye protection represents an important theme throughout. The episode concludes with Dr. Yang’s pearls for approaching these complex surgical problems and a reminder of how facial paralysis affects patients’ emotional health. --- TIMESTAMPS 00:00 - Introduction 02:36 - Understanding Flaccid & Non-Flaccid Facial Paralysis 07:13 - Botox for Facial Synkinesis 12:38 - History-Taking & Physical Exam in Facial Paralysis 15:07 - Surgical Management of Synkinesis 30:47 - Patient Counseling and Motivation 32:47 - Static Procedures for Flaccid Facial Palsy 37:26 - Nuances of Peri-Ocular Procedures 43:42 - Lower Eyelid & Midface Considerations 53:00 - Dynamic Surgery Options 56:56 - Final Surgical Pearls --- RESOURCES Dr. Shiayin Yang’s Vanderbilt University Profile: https://www.vanderbilthealth.com/doctors/yang-shiayin BackTable ENT Episode 151- Navigating Synkinesis: From Diagnosis to Comprehensive Care with Dr. Shiayin Yang https://open.spotify.com/episode/1JucnHB8tNC5qRW6u82ie8?si=ba729d3f3e164d6f Tue, 27 Aug 2024 07:00:00 -0000 full BackTable Inc. Facial nerve injury affects each patient in a unique way. Accordingly, surgical treatment of facial paralysis must be meticulously planned and personalized. In this episode, Dr. Shiayin Yang, Associate Professor of Otolaryngology at Vanderbilt University, addresses management of synkinesis and static procedures for flaccid facial palsy with host Dr. Ashley Agan. Facial nerve injury affects each patient in a unique way. Accordingly, surgical treatment of facial paralysis must be meticulously planned and personalized. In this episode, Dr. Shiayin Yang, Associate Professor of Otolaryngology at Vanderbilt University, addresses management of synkinesis and static procedures for flaccid facial palsy with host Dr. Ashley Agan. --- CHECK OUT OUR SPONSOR PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS First, Dr. Yang reviews the difference between flaccid and non-flaccid (including synkinetic) facial paralysis. She describes her approach to facial paralysis, which includes clarifying the patient’s diagnosis and thoroughly examining the facial nerve function. Dr. Yang then transitions the conversation to surgical solutions, emphasizing dual goals of restoring symmetry and function. She divides her discussion to first tackle synkinesis and then static procedures for flaccid paralysis. Procedures discussed include Botox, brow lift, blepharoplasty, myectomy, and neurectomy as well as lower eyelid and midface procedures and temporalis tendon transfer. While surgical approaches to the two conditions differ, eye protection represents an important theme throughout. The episode concludes with Dr. Yang’s pearls for approaching these complex surgical problems and a reminder of how facial paralysis affects patients’ emotional health. --- TIMESTAMPS 00:00 - Introduction 02:36 - Understanding Flaccid & Non-Flaccid Facial Paralysis 07:13 - Botox for Facial Synkinesis 12:38 - History-Taking & Physical Exam in Facial Paralysis 15:07 - Surgical Management of Synkinesis 30:47 - Patient Counseling and Motivation 32:47 - Static Procedures for Flaccid Facial Palsy 37:26 - Nuances of Peri-Ocular Procedures 43:42 - Lower Eyelid & Midface Considerations 53:00 - Dynamic Surgery Options 56:56 - Final Surgical Pearls --- RESOURCES Dr. Shiayin Yang’s Vanderbilt University Profile: https://www.vanderbilthealth.com/doctors/yang-shiayin BackTable ENT Episode 151- Navigating Synkinesis: From Diagnosis to Comprehensive Care with Dr. Shiayin Yang https://open.spotify.com/episode/1JucnHB8tNC5qRW6u82ie8?si=ba729d3f3e164d6f Facial nerve injury affects each patient in a unique way. Accordingly, surgical treatment of facial paralysis must be meticulously planned and personalized. In this episode, Dr. Shiayin Yang, Associate Professor of Otolaryngology at Vanderbilt University, addresses management of synkinesis and static procedures for flaccid facial palsy with host Dr. Ashley Agan.


---


CHECK OUT OUR SPONSOR


PearsonRavitz

https://pearsonravitz.com/backtable


---


SYNPOSIS


First, Dr. Yang reviews the difference between flaccid and non-flaccid (including synkinetic) facial paralysis. She describes her approach to facial paralysis, which includes clarifying the patient’s diagnosis and thoroughly examining the facial nerve function. Dr. Yang then transitions the conversation to surgical solutions, emphasizing dual goals of restoring symmetry and function. She divides her discussion to first tackle synkinesis and then static procedures for flaccid paralysis. Procedures discussed include Botox, brow lift, blepharoplasty, myectomy, and neurectomy as well as lower eyelid and midface procedures and temporalis tendon transfer. While surgical approaches to the two conditions differ, eye protection represents an important theme throughout. The episode concludes with Dr. Yang’s pearls for approaching these complex surgical problems and a reminder of how facial paralysis affects patients’ emotional health.


---


TIMESTAMPS


00:00 - Introduction

02:36 - Understanding Flaccid & Non-Flaccid Facial Paralysis

07:13 - Botox for Facial Synkinesis

12:38 - History-Taking & Physical Exam in Facial Paralysis

15:07 - Surgical Management of Synkinesis

30:47 - Patient Counseling and Motivation

32:47 - Static Procedures for Flaccid Facial Palsy

37:26 - Nuances of Peri-Ocular Procedures

43:42 - Lower Eyelid & Midface Considerations

53:00 - Dynamic Surgery Options

56:56 - Final Surgical Pearls


---


RESOURCES


Dr. Shiayin Yang’s Vanderbilt University Profile: https://www.vanderbilthealth.com/doctors/yang-shiayin


BackTable ENT Episode 151- Navigating Synkinesis: From Diagnosis to Comprehensive Care with Dr. Shiayin Yang

https://open.spotify.com/episode/1JucnHB8tNC5qRW6u82ie8?si=ba729d3f3e164d6f

]]> 3704 Ep. 187 Boosting Your ENT Practice with Allergy Services with Dr. Michelle Liu Adding allergy services to your practice can improve your comprehensive ENT care. When otolaryngologists treat allergies, they more effectively address related conditions, such as sinusitis and otitis media. In this episode, Dr. Michelle Liu, general ENT in Fairfax, Virginia, shares her wisdom on starting an otolaryngologic allergy practice with host Dr. Ashley Agan. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23 --- SYNPOSIS First, Dr. Liu summarizes her journey to treating allergy as an otolaryngologist. She finds the continuity of care and personal connections that accompany allergy care fulfilling. Then, she describes the different testing and treatment modalities used in her clinic. While subcutaneous immunotherapy is more common, sublingual immunotherapy offers an appealing needle-free alternative for some patients. Finally, she explains the logistics of starting an allergy practice, including finances, continuing education, and safety considerations for immunotherapy initiation. --- TIMESTAMPS 00:00 - Introduction 03:36 - Dr. Liu’s Medical Journey: From Military Resident to Civilian Otolaryngologist 08:46 - Adding Allergy Testing to Your Practice 28:44 - Adding Immunotherapy to Your Practice 31:22 - Patient Selection & Financial Considerations 39:39 - Pediatric Allergy 45:09 - Emergency Preparedness in Allergy Clinics 49:15 - Sublingual Immunotherapy & Tablets 53:48 - Continuing Medical Education in Allergy --- RESOURCES Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html Dr. Michelle Liu’s Inova Profile: https://www.inova.org/doctors/michelle-f-liu-md Otolaryngology Associates’ Facebook Page: https://www.facebook.com/otoassoc/ American Academy of Otolaryngologic Allergy: https://www.aaoallergy.org/ Tue, 20 Aug 2024 07:00:00 -0000 full BackTable Inc. Adding allergy services to your practice can improve your comprehensive ENT care. When otolaryngologists treat allergies, they more effectively address related conditions, such as sinusitis and otitis media. In this episode, Dr. Michelle Liu, general ENT in Fairfax, Virginia, shares her wisdom on starting an otolaryngologic allergy practice with host Dr. Ashley Agan. Adding allergy services to your practice can improve your comprehensive ENT care. When otolaryngologists treat allergies, they more effectively address related conditions, such as sinusitis and otitis media. In this episode, Dr. Michelle Liu, general ENT in Fairfax, Virginia, shares her wisdom on starting an otolaryngologic allergy practice with host Dr. Ashley Agan. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23 --- SYNPOSIS First, Dr. Liu summarizes her journey to treating allergy as an otolaryngologist. She finds the continuity of care and personal connections that accompany allergy care fulfilling. Then, she describes the different testing and treatment modalities used in her clinic. While subcutaneous immunotherapy is more common, sublingual immunotherapy offers an appealing needle-free alternative for some patients. Finally, she explains the logistics of starting an allergy practice, including finances, continuing education, and safety considerations for immunotherapy initiation. --- TIMESTAMPS 00:00 - Introduction 03:36 - Dr. Liu’s Medical Journey: From Military Resident to Civilian Otolaryngologist 08:46 - Adding Allergy Testing to Your Practice 28:44 - Adding Immunotherapy to Your Practice 31:22 - Patient Selection & Financial Considerations 39:39 - Pediatric Allergy 45:09 - Emergency Preparedness in Allergy Clinics 49:15 - Sublingual Immunotherapy & Tablets 53:48 - Continuing Medical Education in Allergy --- RESOURCES Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html Dr. Michelle Liu’s Inova Profile: https://www.inova.org/doctors/michelle-f-liu-md Otolaryngology Associates’ Facebook Page: https://www.facebook.com/otoassoc/ American Academy of Otolaryngologic Allergy: https://www.aaoallergy.org/ Adding allergy services to your practice can improve your comprehensive ENT care. When otolaryngologists treat allergies, they more effectively address related conditions, such as sinusitis and otitis media. In this episode, Dr. Michelle Liu, general ENT in Fairfax, Virginia, shares her wisdom on starting an otolaryngologic allergy practice with host Dr. Ashley Agan.


---


CHECK OUT OUR SPONSOR


Medtronic ENT

https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23


---


SYNPOSIS


First, Dr. Liu summarizes her journey to treating allergy as an otolaryngologist. She finds the continuity of care and personal connections that accompany allergy care fulfilling. Then, she describes the different testing and treatment modalities used in her clinic. While subcutaneous immunotherapy is more common, sublingual immunotherapy offers an appealing needle-free alternative for some patients. Finally, she explains the logistics of starting an allergy practice, including finances, continuing education, and safety considerations for immunotherapy initiation.


---


TIMESTAMPS


00:00 - Introduction

03:36 - Dr. Liu’s Medical Journey: From Military Resident to Civilian Otolaryngologist

08:46 - Adding Allergy Testing to Your Practice

28:44 - Adding Immunotherapy to Your Practice

31:22 - Patient Selection & Financial Considerations

39:39 - Pediatric Allergy

45:09 - Emergency Preparedness in Allergy Clinics

49:15 - Sublingual Immunotherapy & Tablets

53:48 - Continuing Medical Education in Allergy


---


RESOURCES


Medtronic ENT

https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html


Dr. Michelle Liu’s Inova Profile:

https://www.inova.org/doctors/michelle-f-liu-md


Otolaryngology Associates’ Facebook Page:

https://www.facebook.com/otoassoc/


American Academy of Otolaryngologic Allergy:

https://www.aaoallergy.org/

]]> 3527 Ep. 186 Improving Health Equity in Pediatric ENT Care with Dr. Jill D'Souza In today’s complex healthcare landscape, how can pediatric otolaryngologists help more children access evidence-based, quality care? In this episode, Dr. Jill D’Souza, pediatric otolaryngologist at Children’s Hospital of New Orleans, discusses pediatric health equity in the Gulf South with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS First, Dr. D’Souza defines the “Gulf South” to include parts of Louisiana, Texas, Mississippi, Alabama, and the Florida panhandle. Challenges to healthcare delivery in this region include rural settings, high poverty rates, and difficulties funding out-of-state Medicaid patients. Then, using tonsillectomy and tracheostomy as examples, Dr. D’Souza explains how social factors complicate access to care. She shares her successes connecting underprivileged children to the care they need. Finally, the episode concludes with her thoughts on how interprofessional teamwork powers better pediatric ENT care. --- TIMESTAMPS 00:00 - Introduction 02:17 - Challenges in Pediatric ENT Care 05:43 - Healthcare Inequities in the Gulf South 10:38 - Tracheostomy Education in Rural, Resource-Limited Settings 21:33 - Helping Patients Tackle Financial Challenges 26:52 - Caring for All in Public Hospitals 37:57 - Keeping the Big Picture in Mind --- RESOURCES PearsonRavitz https://pearsonravitz.com/ Dr. Jill D’Souza’s LSU Health Profile: https://www.medschool.lsuhsc.edu/otorhinolaryngology/dsouza_jill.aspx Tue, 13 Aug 2024 07:00:00 -0000 full BackTable Inc. In today’s complex healthcare landscape, how can pediatric otolaryngologists help more children access evidence-based, quality care? In this episode, Dr. Jill D’Souza, pediatric otolaryngologist at Children’s Hospital of New Orleans, discusses pediatric health equity in the Gulf South with hosts Dr. Gopi Shah and Dr. Ashley Agan. In today’s complex healthcare landscape, how can pediatric otolaryngologists help more children access evidence-based, quality care? In this episode, Dr. Jill D’Souza, pediatric otolaryngologist at Children’s Hospital of New Orleans, discusses pediatric health equity in the Gulf South with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS First, Dr. D’Souza defines the “Gulf South” to include parts of Louisiana, Texas, Mississippi, Alabama, and the Florida panhandle. Challenges to healthcare delivery in this region include rural settings, high poverty rates, and difficulties funding out-of-state Medicaid patients. Then, using tonsillectomy and tracheostomy as examples, Dr. D’Souza explains how social factors complicate access to care. She shares her successes connecting underprivileged children to the care they need. Finally, the episode concludes with her thoughts on how interprofessional teamwork powers better pediatric ENT care. --- TIMESTAMPS 00:00 - Introduction 02:17 - Challenges in Pediatric ENT Care 05:43 - Healthcare Inequities in the Gulf South 10:38 - Tracheostomy Education in Rural, Resource-Limited Settings 21:33 - Helping Patients Tackle Financial Challenges 26:52 - Caring for All in Public Hospitals 37:57 - Keeping the Big Picture in Mind --- RESOURCES PearsonRavitz https://pearsonravitz.com/ Dr. Jill D’Souza’s LSU Health Profile: https://www.medschool.lsuhsc.edu/otorhinolaryngology/dsouza_jill.aspx In today’s complex healthcare landscape, how can pediatric otolaryngologists help more children access evidence-based, quality care? In this episode, Dr. Jill D’Souza, pediatric otolaryngologist at Children’s Hospital of New Orleans, discusses pediatric health equity in the Gulf South with hosts Dr. Gopi Shah and Dr. Ashley Agan.


---


SYNPOSIS


First, Dr. D’Souza defines the “Gulf South” to include parts of Louisiana, Texas, Mississippi, Alabama, and the Florida panhandle. Challenges to healthcare delivery in this region include rural settings, high poverty rates, and difficulties funding out-of-state Medicaid patients. Then, using tonsillectomy and tracheostomy as examples, Dr. D’Souza explains how social factors complicate access to care. She shares her successes connecting underprivileged children to the care they need. Finally, the episode concludes with her thoughts on how interprofessional teamwork powers better pediatric ENT care.


---


TIMESTAMPS


00:00 - Introduction

02:17 - Challenges in Pediatric ENT Care

05:43 - Healthcare Inequities in the Gulf South

10:38 - Tracheostomy Education in Rural, Resource-Limited Settings

21:33 - Helping Patients Tackle Financial Challenges

26:52 - Caring for All in Public Hospitals

37:57 - Keeping the Big Picture in Mind


---


RESOURCES


PearsonRavitz

https://pearsonravitz.com/


Dr. Jill D’Souza’s LSU Health Profile: https://www.medschool.lsuhsc.edu/otorhinolaryngology/dsouza_jill.aspx

]]> 2518 Ep. 185 Price Transparency in Healthcare with Dr. Keith Smith Fri, 09 Aug 2024 07:00:00 -0000 full BackTable Inc. 2335 Ep. 184 Thyroglossal Duct Cysts in Children: a Comprehensive Approach with Dr. Christopher Liu What is the best way to manage an infected thyroglossal duct cyst? In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Christopher Liu, associate professor of pediatric otolaryngology at UT Southwestern, to learn about his vast experience with evaluation and management of thyroglossal duct cysts and the nuances of other congenital neck masses. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS First, Dr. Liu describes how thyroglossal duct cysts present. Patients often become aware of their cyst when a parent palpates a midline neck mass or when the cyst gets infected. Then, Dr. Liu describes non-operative management of thyroglossal duct cysts, including antibiotics to treat infection and cases in which drainage is appropriate. The conversation proceeds to surgical strategy, with Dr. Liu describing how his approach to cyst excision evolved over the years. The episode concludes with pearls on post-operative management and potential surgical complications. --- TIMESTAMPS 00:00 - Introduction 02:53 - Understanding Thyroglossal Duct Cysts 11:48 - Managing Infected Thyroglossal Duct Cysts 14:02 - Antibiotic Choices & Drainage Techniques 21:05 - Imaging & Workup 25:39 - Surgical Approach and Techniques 27:29 - Koempel’s Technique for Thyroglossal Duct Cyst Surgery 39:04 - Surgical Complications, Risk of Recurrence, & Post-Operative Care 52:37 - Key Takeaways for Thyroglossal Duct Cyst Surgery --- RESOURCES Dr. Christopher Liu’s UT Southwestern Profile: https://utswmed.org/doctors/christopher-liu/ Jeffrey Koempel, “Thyroglossal Duct Remnant Surgery: A Reliable, Reproducible Approach to the Suprahyoid Region”: https://pubmed.ncbi.nlm.nih.gov/25193588/ Tue, 06 Aug 2024 07:00:00 -0000 full BackTable Inc. What is the best way to manage an infected thyroglossal duct cyst? In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Christopher Liu, associate professor of pediatric otolaryngology at UT Southwestern, to learn about his vast experience with evaluation and management of thyroglossal duct cysts and the nuances of other congenital neck masses. What is the best way to manage an infected thyroglossal duct cyst? In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Christopher Liu, associate professor of pediatric otolaryngology at UT Southwestern, to learn about his vast experience with evaluation and management of thyroglossal duct cysts and the nuances of other congenital neck masses. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS First, Dr. Liu describes how thyroglossal duct cysts present. Patients often become aware of their cyst when a parent palpates a midline neck mass or when the cyst gets infected. Then, Dr. Liu describes non-operative management of thyroglossal duct cysts, including antibiotics to treat infection and cases in which drainage is appropriate. The conversation proceeds to surgical strategy, with Dr. Liu describing how his approach to cyst excision evolved over the years. The episode concludes with pearls on post-operative management and potential surgical complications. --- TIMESTAMPS 00:00 - Introduction 02:53 - Understanding Thyroglossal Duct Cysts 11:48 - Managing Infected Thyroglossal Duct Cysts 14:02 - Antibiotic Choices & Drainage Techniques 21:05 - Imaging & Workup 25:39 - Surgical Approach and Techniques 27:29 - Koempel’s Technique for Thyroglossal Duct Cyst Surgery 39:04 - Surgical Complications, Risk of Recurrence, & Post-Operative Care 52:37 - Key Takeaways for Thyroglossal Duct Cyst Surgery --- RESOURCES Dr. Christopher Liu’s UT Southwestern Profile: https://utswmed.org/doctors/christopher-liu/ Jeffrey Koempel, “Thyroglossal Duct Remnant Surgery: A Reliable, Reproducible Approach to the Suprahyoid Region”: https://pubmed.ncbi.nlm.nih.gov/25193588/ What is the best way to manage an infected thyroglossal duct cyst? In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Christopher Liu, associate professor of pediatric otolaryngology at UT Southwestern, to learn about his vast experience with evaluation and management of thyroglossal duct cysts and the nuances of other congenital neck masses.


---


CHECK OUT OUR SPONSOR


Medtronic ENT

https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html


---


SYNPOSIS


First, Dr. Liu describes how thyroglossal duct cysts present. Patients often become aware of their cyst when a parent palpates a midline neck mass or when the cyst gets infected. Then, Dr. Liu describes non-operative management of thyroglossal duct cysts, including antibiotics to treat infection and cases in which drainage is appropriate. The conversation proceeds to surgical strategy, with Dr. Liu describing how his approach to cyst excision evolved over the years. The episode concludes with pearls on post-operative management and potential surgical complications.


---


TIMESTAMPS


00:00 - Introduction

02:53 - Understanding Thyroglossal Duct Cysts

11:48 - Managing Infected Thyroglossal Duct Cysts

14:02 - Antibiotic Choices & Drainage Techniques

21:05 - Imaging & Workup

25:39 - Surgical Approach and Techniques

27:29 - Koempel’s Technique for Thyroglossal Duct Cyst Surgery

39:04 - Surgical Complications, Risk of Recurrence, & Post-Operative Care

52:37 - Key Takeaways for Thyroglossal Duct Cyst Surgery


---


RESOURCES


Dr. Christopher Liu’s UT Southwestern Profile:

https://utswmed.org/doctors/christopher-liu/


Jeffrey Koempel, “Thyroglossal Duct Remnant Surgery: A Reliable, Reproducible Approach to the Suprahyoid Region”:

https://pubmed.ncbi.nlm.nih.gov/25193588/

]]> 3519 Ep. 183 Office-Based Ear Tubes in Children with Dr. Shelagh Cofer Given that recurrent otitis media can expose children to hearing loss, delayed speech development, and repeated antibiotic use, it is not at all surprising that ear tube insertion is the most common ambulatory procedure performed in the United States. But what if there was a way to insert ear tubes in children without going to the operating room? In this episode, host Dr. Ashley Agan speaks with Dr. Shelagh Cofer, pediatric otolaryngologist at the Mayo Clinic, about the Hummingbird Tympanostomy Tube insertion system. --- CHECK OUT OUR SPONSOR Hummingbird PE Ear Tubes https://www.hummingbirdeartubes.com/physicians/hummingbird-tts-device/ --- SYNPOSIS First, Dr. Cofer reviews the epidemiology of pediatric otitis media. When a child has 3 ear infections in three months or 5-7 in a year, tympanostomy tubes are indicated. Wanting to facilitate this procedure, Dr. Cofer brought the in-office Hummingbird tympanostomy tube system to her practice as one of the principal investigators in the clinical trials. After reviewing how the device was developed, she walks listeners through how she uses it, including how to avoid pitfalls such as “dunking” a tube. Finally, she shares feedback from parents whose children had ear tubes inserted using the Hummingbird system. --- TIMESTAMPS 00:00 - Introduction 02:25 - Ear Infections & Ear Tubes 09:34 - Selecting Patients for In-Office Ear Tube Placement 15:50 - Inserting Ear Tubes in the Office: A Step-by-Step Guide 34:33 - Benefits of In-Office Ear Tube Placement 42:35 - Avoiding & Mitigating Complications from Ear Tube Insertion 56:23 - Parent Feedback on the Hummingbird System --- RESOURCES Dr. Shelagh Cofer’s Mayo Clinic Profile: https://www.mayoclinic.org/biographies/cofer-shelagh-a-m-d/bio-20055176 Hummingbird TTS Website: https://www.hummingbirdeartubes.com/ Tue, 30 Jul 2024 07:00:00 -0000 full BackTable Inc. Given that recurrent otitis media can expose children to hearing loss, delayed speech development, and repeated antibiotic use, it is not at all surprising that ear tube insertion is the most common ambulatory procedure performed in the United States. But what if there was a way to insert ear tubes in children without going to the operating room? In this episode, host Dr. Ashley Agan speaks with Dr. Shelagh Cofer, pediatric otolaryngologist at the Mayo Clinic, about the Hummingbird Tympanostomy Tube insertion system. Given that recurrent otitis media can expose children to hearing loss, delayed speech development, and repeated antibiotic use, it is not at all surprising that ear tube insertion is the most common ambulatory procedure performed in the United States. But what if there was a way to insert ear tubes in children without going to the operating room? In this episode, host Dr. Ashley Agan speaks with Dr. Shelagh Cofer, pediatric otolaryngologist at the Mayo Clinic, about the Hummingbird Tympanostomy Tube insertion system. --- CHECK OUT OUR SPONSOR Hummingbird PE Ear Tubes https://www.hummingbirdeartubes.com/physicians/hummingbird-tts-device/ --- SYNPOSIS First, Dr. Cofer reviews the epidemiology of pediatric otitis media. When a child has 3 ear infections in three months or 5-7 in a year, tympanostomy tubes are indicated. Wanting to facilitate this procedure, Dr. Cofer brought the in-office Hummingbird tympanostomy tube system to her practice as one of the principal investigators in the clinical trials. After reviewing how the device was developed, she walks listeners through how she uses it, including how to avoid pitfalls such as “dunking” a tube. Finally, she shares feedback from parents whose children had ear tubes inserted using the Hummingbird system. --- TIMESTAMPS 00:00 - Introduction 02:25 - Ear Infections & Ear Tubes 09:34 - Selecting Patients for In-Office Ear Tube Placement 15:50 - Inserting Ear Tubes in the Office: A Step-by-Step Guide 34:33 - Benefits of In-Office Ear Tube Placement 42:35 - Avoiding & Mitigating Complications from Ear Tube Insertion 56:23 - Parent Feedback on the Hummingbird System --- RESOURCES Dr. Shelagh Cofer’s Mayo Clinic Profile: https://www.mayoclinic.org/biographies/cofer-shelagh-a-m-d/bio-20055176 Hummingbird TTS Website: https://www.hummingbirdeartubes.com/ Given that recurrent otitis media can expose children to hearing loss, delayed speech development, and repeated antibiotic use, it is not at all surprising that ear tube insertion is the most common ambulatory procedure performed in the United States. But what if there was a way to insert ear tubes in children without going to the operating room? In this episode, host Dr. Ashley Agan speaks with Dr. Shelagh Cofer, pediatric otolaryngologist at the Mayo Clinic, about the Hummingbird Tympanostomy Tube insertion system.


---


CHECK OUT OUR SPONSOR


Hummingbird PE Ear Tubes

https://www.hummingbirdeartubes.com/physicians/hummingbird-tts-device/


---


SYNPOSIS


First, Dr. Cofer reviews the epidemiology of pediatric otitis media. When a child has 3 ear infections in three months or 5-7 in a year, tympanostomy tubes are indicated. Wanting to facilitate this procedure, Dr. Cofer brought the in-office Hummingbird tympanostomy tube system to her practice as one of the principal investigators in the clinical trials. After reviewing how the device was developed, she walks listeners through how she uses it, including how to avoid pitfalls such as “dunking” a tube. Finally, she shares feedback from parents whose children had ear tubes inserted using the Hummingbird system.


---


TIMESTAMPS


00:00 - Introduction

02:25 - Ear Infections & Ear Tubes

09:34 - Selecting Patients for In-Office Ear Tube Placement

15:50 - Inserting Ear Tubes in the Office: A Step-by-Step Guide

34:33 - Benefits of In-Office Ear Tube Placement

42:35 - Avoiding & Mitigating Complications from Ear Tube Insertion

56:23 - Parent Feedback on the Hummingbird System


---


RESOURCES


Dr. Shelagh Cofer’s Mayo Clinic Profile: https://www.mayoclinic.org/biographies/cofer-shelagh-a-m-d/bio-20055176


Hummingbird TTS Website:

https://www.hummingbirdeartubes.com/

]]> 3881 Ep. 182 Understanding OSA in Women with Dr. Megan Durr Epidemiological studies reveal that women make up 25% of all obstructive sleep apnea (OSA) patients, yet only 11% of patients carrying OSA diagnoses are women. What drives this disparity? In this episode of the BackTable ENT Podcast, sleep surgeon and UCSF Associate Professor Dr. Megan Durr joins host Dr. Gopi Shah to discuss OSA in women. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS First, Dr. Durr recounts her path to sleep surgery, including her interest in women’s sleep issues, which grew out of discussions with her female friends experiencing pregnancy-related sleep disturbances. When asked why OSA is under-diagnosed in women, Dr. Durr underscores how women’s OSA symptoms – mental fog, memory issues, and insomnia – are relatively nonspecific. While it presents differently in women, OSA increases the risk of heart failure, hypertension, and dementia in all patients, regardless of sex. Then, Dr. Durr shares her physical exam and testing strategies to uncover OSA in female patients. Once diagnosed, she advocates multimodal treatment, including CPAP, weight loss, and surgery. The podcast concludes with discussion of how ENTs can eliminate barriers to better sleep in women, underrepresented minorities, and low-income patients. --- TIMESTAMPS 00:00 - Welcome to the BackTable ENT Podcast 03:06 - Dr. Megan Durr’s Background & Journey 08:15 - Challenges Diagnosing Sleep Apnea in Women 14:55 - Long-term Effects of Sleep Apnea in Women 20:06 - Hormonal Influences on Sleep Apnea 29:56 - CPAP & Oral Devices in Women with OSA 32:21 - Positional Therapy & Surgery in Women with OSA 36:34 - Weight Loss to Combat OSA 41:04 - Countering Disparities in OSA Treatment 48:06 - Identifying & Caring For “Unseen” OSA Patients: A Team Effort --- RESOURCES Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html Dr. Durr’s UCSF Profile: https://ohns.ucsf.edu/megan-durr Dr. Durr’s X: https://x.com/drmegandurr Tue, 23 Jul 2024 07:00:00 -0000 full BackTable Inc. Epidemiological studies reveal that women make up 25% of all obstructive sleep apnea (OSA) patients, yet only 11% of patients carrying OSA diagnoses are women. What drives this disparity? In this episode of the BackTable ENT Podcast, sleep surgeon and UCSF Associate Professor Dr. Megan Durr joins host Dr. Gopi Shah to discuss OSA in women. Epidemiological studies reveal that women make up 25% of all obstructive sleep apnea (OSA) patients, yet only 11% of patients carrying OSA diagnoses are women. What drives this disparity? In this episode of the BackTable ENT Podcast, sleep surgeon and UCSF Associate Professor Dr. Megan Durr joins host Dr. Gopi Shah to discuss OSA in women. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS First, Dr. Durr recounts her path to sleep surgery, including her interest in women’s sleep issues, which grew out of discussions with her female friends experiencing pregnancy-related sleep disturbances. When asked why OSA is under-diagnosed in women, Dr. Durr underscores how women’s OSA symptoms – mental fog, memory issues, and insomnia – are relatively nonspecific. While it presents differently in women, OSA increases the risk of heart failure, hypertension, and dementia in all patients, regardless of sex. Then, Dr. Durr shares her physical exam and testing strategies to uncover OSA in female patients. Once diagnosed, she advocates multimodal treatment, including CPAP, weight loss, and surgery. The podcast concludes with discussion of how ENTs can eliminate barriers to better sleep in women, underrepresented minorities, and low-income patients. --- TIMESTAMPS 00:00 - Welcome to the BackTable ENT Podcast 03:06 - Dr. Megan Durr’s Background & Journey 08:15 - Challenges Diagnosing Sleep Apnea in Women 14:55 - Long-term Effects of Sleep Apnea in Women 20:06 - Hormonal Influences on Sleep Apnea 29:56 - CPAP & Oral Devices in Women with OSA 32:21 - Positional Therapy & Surgery in Women with OSA 36:34 - Weight Loss to Combat OSA 41:04 - Countering Disparities in OSA Treatment 48:06 - Identifying & Caring For “Unseen” OSA Patients: A Team Effort --- RESOURCES Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html Dr. Durr’s UCSF Profile: https://ohns.ucsf.edu/megan-durr Dr. Durr’s X: https://x.com/drmegandurr Epidemiological studies reveal that women make up 25% of all obstructive sleep apnea (OSA) patients, yet only 11% of patients carrying OSA diagnoses are women. What drives this disparity? In this episode of the BackTable ENT Podcast, sleep surgeon and UCSF Associate Professor Dr. Megan Durr joins host Dr. Gopi Shah to discuss OSA in women.


---


CHECK OUT OUR SPONSOR


Medtronic ENT

https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html


---


SYNPOSIS


First, Dr. Durr recounts her path to sleep surgery, including her interest in women’s sleep issues, which grew out of discussions with her female friends experiencing pregnancy-related sleep disturbances. When asked why OSA is under-diagnosed in women, Dr. Durr underscores how women’s OSA symptoms – mental fog, memory issues, and insomnia – are relatively nonspecific. While it presents differently in women, OSA increases the risk of heart failure, hypertension, and dementia in all patients, regardless of sex. Then, Dr. Durr shares her physical exam and testing strategies to uncover OSA in female patients. Once diagnosed, she advocates multimodal treatment, including CPAP, weight loss, and surgery.


The podcast concludes with discussion of how ENTs can eliminate barriers to better sleep in women, underrepresented minorities, and low-income patients.


---


TIMESTAMPS


00:00 - Welcome to the BackTable ENT Podcast

03:06 - Dr. Megan Durr’s Background & Journey

08:15 - Challenges Diagnosing Sleep Apnea in Women

14:55 - Long-term Effects of Sleep Apnea in Women

20:06 - Hormonal Influences on Sleep Apnea

29:56 - CPAP & Oral Devices in Women with OSA

32:21 - Positional Therapy & Surgery in Women with OSA

36:34 - Weight Loss to Combat OSA

41:04 - Countering Disparities in OSA Treatment

48:06 - Identifying & Caring For “Unseen” OSA Patients: A Team Effort


---


RESOURCES


Medtronic ENT

https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html


Dr. Durr’s UCSF Profile:

https://ohns.ucsf.edu/megan-durr


Dr. Durr’s X:

https://x.com/drmegandurr

]]> 3121 Ep. 181 Localized Drug Delivery for CRS with Dr. Rajiv Pandit Before bringing a new device into your practice, it’s prudent to understand the science behind, indications for, and insurance coverage of that device. In this episode, Dr. Rajiv Pandit, comprehensive otolaryngologist at Dallas ENT Head & Neck Surgery Center, joins BackTable to discuss his success treating sinusitis with drug-eluting stents. --- CHECK OUT OUR SPONSOR Medtronic ENT Propel Implants https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS First, Dr. Pandit shares the benefits of localized drug delivery, including fewer systemic steroid effects and improved compliance. He shares his experience deploying Propel and SINUVA stents to treat sinusitis. Then, Dr. Pandit shares his workflow for treating sinusitis, including patient education, anesthesia protocols, stent placement, and billing. The episode wraps with his tips on incorporating a new device into your practice. --- TIMESTAMPS 00:00 - Introduction 02:44 - Dr. Rajiv Pandit’s Path to Treating Sinusitis in Private Practice 04:31 - Understanding Local Drug Delivery for Sinus Disease 06:17 - The Evolution of Propel & Sinuva Sinus Stents 18:33 - Contraindications & Post-Op Protocols 32:35 - Understanding Insurance Coverage & Preauthorization 37:47 - Patient Education & Long-Term Treatment Plans 48:10 - Anesthetic Protocols for In-Office Sinonasal Procedures 54:48 - Bringing Drug-Eluting Sinus Stents to Your Practice --- RESOURCES Dr. Pandit’s Dallas ENT Profile: https://www.dallasent.com/providers/rajiv-pandit Dallas ENT Instagram: https://www.instagram.com/dallas.ent/embed/ Dr. Pandit’s Email: drpandit@dallasent.com Tue, 16 Jul 2024 07:00:00 -0000 full BackTable Inc. Before bringing a new device into your practice, it’s prudent to understand the science behind, indications for, and insurance coverage of that device. In this episode, Dr. Rajiv Pandit, comprehensive otolaryngologist at Dallas ENT Head & Neck Surgery Center, joins BackTable to discuss his success treating sinusitis with drug-eluting stents. Before bringing a new device into your practice, it’s prudent to understand the science behind, indications for, and insurance coverage of that device. In this episode, Dr. Rajiv Pandit, comprehensive otolaryngologist at Dallas ENT Head & Neck Surgery Center, joins BackTable to discuss his success treating sinusitis with drug-eluting stents. --- CHECK OUT OUR SPONSOR Medtronic ENT Propel Implants https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS First, Dr. Pandit shares the benefits of localized drug delivery, including fewer systemic steroid effects and improved compliance. He shares his experience deploying Propel and SINUVA stents to treat sinusitis. Then, Dr. Pandit shares his workflow for treating sinusitis, including patient education, anesthesia protocols, stent placement, and billing. The episode wraps with his tips on incorporating a new device into your practice. --- TIMESTAMPS 00:00 - Introduction 02:44 - Dr. Rajiv Pandit’s Path to Treating Sinusitis in Private Practice 04:31 - Understanding Local Drug Delivery for Sinus Disease 06:17 - The Evolution of Propel & Sinuva Sinus Stents 18:33 - Contraindications & Post-Op Protocols 32:35 - Understanding Insurance Coverage & Preauthorization 37:47 - Patient Education & Long-Term Treatment Plans 48:10 - Anesthetic Protocols for In-Office Sinonasal Procedures 54:48 - Bringing Drug-Eluting Sinus Stents to Your Practice --- RESOURCES Dr. Pandit’s Dallas ENT Profile: https://www.dallasent.com/providers/rajiv-pandit Dallas ENT Instagram: https://www.instagram.com/dallas.ent/embed/ Dr. Pandit’s Email: drpandit@dallasent.com Before bringing a new device into your practice, it’s prudent to understand the science behind, indications for, and insurance coverage of that device. In this episode, Dr. Rajiv Pandit, comprehensive otolaryngologist at Dallas ENT Head & Neck Surgery Center, joins BackTable to discuss his success treating sinusitis with drug-eluting stents.


---


CHECK OUT OUR SPONSOR


Medtronic ENT Propel Implants

https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html


---


SYNPOSIS


First, Dr. Pandit shares the benefits of localized drug delivery, including fewer systemic steroid effects and improved compliance. He shares his experience deploying Propel and SINUVA stents to treat sinusitis. Then, Dr. Pandit shares his workflow for treating sinusitis, including patient education, anesthesia protocols, stent placement, and billing. The episode wraps with his tips on incorporating a new device into your practice.


---


TIMESTAMPS


00:00 - Introduction

02:44 - Dr. Rajiv Pandit’s Path to Treating Sinusitis in Private Practice

04:31 - Understanding Local Drug Delivery for Sinus Disease

06:17 - The Evolution of Propel & Sinuva Sinus Stents

18:33 - Contraindications & Post-Op Protocols

32:35 - Understanding Insurance Coverage & Preauthorization

37:47 - Patient Education & Long-Term Treatment Plans

48:10 - Anesthetic Protocols for In-Office Sinonasal Procedures

54:48 - Bringing Drug-Eluting Sinus Stents to Your Practice


---


RESOURCES


Dr. Pandit’s Dallas ENT Profile:

https://www.dallasent.com/providers/rajiv-pandit


Dallas ENT Instagram:

https://www.instagram.com/dallas.ent/embed/


Dr. Pandit’s Email:

drpandit@dallasent.com

]]> 3680 Ep. 180 Aural Rehabilitation After Pediatric Cochlear Implantation: Expert Insight from Audiology with Dr. Sarah Cordingley, Aud, CCC-A Any otolaryngologist or cochlear implant (CI) patient can tell you that the journey to better hearing begins in earnest after CI activation. When the patient in question is a child, what does that journey look like? In this episode of the BackTable ENT podcast, Dr. Sarah Cordingley, audiologist with Peak ENT (Provo, Utah), joins host Dr. Gopi Shah to discuss aural rehabilitation for pediatric CI patients. --- SYNPOSIS First, Dr. Cordingley explains how audiologists work alongside otolaryngologists, social workers, and occupational therapists to prepare patients for cochlear implantation. Since younger patients cannot sit for a standard audiogram, she uses auditory milestones, visual reinforcement audiology (VRA) and conditioned play audiometry (CPA) to assess pediatric hearing loss. Then, she explains how audiologists help patients learn to use their implant, underscoring the importance of regular use, streaming, and participation in structured aural rehabilitation programs. The podcast concludes with a discussion of efforts to increase patient access to cochlear implants. --- TIMESTAMPS 00:00 - Welcome to the BackTable ENT Podcast 05:05 - Audiologists’ Crucial Role in Cochlear Implant Evaluation 13:59 - Implant Activation & Programming 20:11 - The Importance of Family Support in Pediatric Hearing Loss 26:31 - Uses of Telehealth in Audiology 32:49 - Learning to Use New CI Technologies 41:47 - Equitable Access to Cochlear Implants 45:27 - Audiologists & Otolaryngologists: Partners for CI Success --- RESOURCES Dr. Cordingley’s Peak ENT Profile: https://peakent.com/our-healthcare-providers/ Dr. Cordingley’s email: scordingley@peakent.com Tue, 09 Jul 2024 07:00:00 -0000 full BackTable Inc. Any otolaryngologist or cochlear implant (CI) patient can tell you that the journey to better hearing begins in earnest after CI activation. When the patient in question is a child, what does that journey look like? In this episode of the BackTable ENT podcast, Dr. Sarah Cordingley, audiologist with Peak ENT (Provo, Utah), joins host Dr. Gopi Shah to discuss aural rehabilitation for pediatric CI patients. Any otolaryngologist or cochlear implant (CI) patient can tell you that the journey to better hearing begins in earnest after CI activation. When the patient in question is a child, what does that journey look like? In this episode of the BackTable ENT podcast, Dr. Sarah Cordingley, audiologist with Peak ENT (Provo, Utah), joins host Dr. Gopi Shah to discuss aural rehabilitation for pediatric CI patients. --- SYNPOSIS First, Dr. Cordingley explains how audiologists work alongside otolaryngologists, social workers, and occupational therapists to prepare patients for cochlear implantation. Since younger patients cannot sit for a standard audiogram, she uses auditory milestones, visual reinforcement audiology (VRA) and conditioned play audiometry (CPA) to assess pediatric hearing loss. Then, she explains how audiologists help patients learn to use their implant, underscoring the importance of regular use, streaming, and participation in structured aural rehabilitation programs. The podcast concludes with a discussion of efforts to increase patient access to cochlear implants. --- TIMESTAMPS 00:00 - Welcome to the BackTable ENT Podcast 05:05 - Audiologists’ Crucial Role in Cochlear Implant Evaluation 13:59 - Implant Activation & Programming 20:11 - The Importance of Family Support in Pediatric Hearing Loss 26:31 - Uses of Telehealth in Audiology 32:49 - Learning to Use New CI Technologies 41:47 - Equitable Access to Cochlear Implants 45:27 - Audiologists & Otolaryngologists: Partners for CI Success --- RESOURCES Dr. Cordingley’s Peak ENT Profile: https://peakent.com/our-healthcare-providers/ Dr. Cordingley’s email: scordingley@peakent.com Any otolaryngologist or cochlear implant (CI) patient can tell you that the journey to better hearing begins in earnest after CI activation. When the patient in question is a child, what does that journey look like? In this episode of the BackTable ENT podcast, Dr. Sarah Cordingley, audiologist with Peak ENT (Provo, Utah), joins host Dr. Gopi Shah to discuss aural rehabilitation for pediatric CI patients.


---


SYNPOSIS


First, Dr. Cordingley explains how audiologists work alongside otolaryngologists, social workers, and occupational therapists to prepare patients for cochlear implantation. Since younger patients cannot sit for a standard audiogram, she uses auditory milestones, visual reinforcement audiology (VRA) and conditioned play audiometry (CPA) to assess pediatric hearing loss. Then, she explains how audiologists help patients learn to use their implant, underscoring the importance of regular use, streaming, and participation in structured aural rehabilitation programs. The podcast concludes with a discussion of efforts to increase patient access to cochlear implants.


---


TIMESTAMPS


00:00 - Welcome to the BackTable ENT Podcast

05:05 - Audiologists’ Crucial Role in Cochlear Implant Evaluation

13:59 - Implant Activation & Programming

20:11 - The Importance of Family Support in Pediatric Hearing Loss

26:31 - Uses of Telehealth in Audiology

32:49 - Learning to Use New CI Technologies

41:47 - Equitable Access to Cochlear Implants

45:27 - Audiologists & Otolaryngologists: Partners for CI Success


---


RESOURCES


Dr. Cordingley’s Peak ENT Profile:

https://peakent.com/our-healthcare-providers/


Dr. Cordingley’s email:

scordingley@peakent.com

]]> 3142 Ep. 179 Decision Fatigue in Medicine: Insights from Dr. Steven Goudy Part of being a doctor is making high-stakes decisions nearly every day. However, making quality choices becomes even harder when you’re inundated with work and not sure where to start. In this episode, Dr. Steven Goudy, Professor of Pediatric Otolaryngology at Emory University (Atlanta), joins host Dr. Gopi Shah to cover decision fatigue. --- SYNPOSIS First, Dr. Goudy defines decision fatigue and explains its relation to clinician burnout. Based on their experience, decision fatigue might look different in an early-career versus a mid-career surgeon, but it will leave both feeling depleted. Then, Dr. Goudy shares strategies to mitigate decision fatigue, including delegation, coaching, and standardization. He uses examples from the business world to illustrate the importance of saying “no” to opportunities you aren’t interested in. Finally, the podcast concludes with a reflection on how your values should guide the choices you make. --- TIMESTAMPS 00:00 - Introduction 01:32 - Decision Fatigue Defined 03:51 - Personal Strategies to Combat Decision Fatigue 06:10 - Decision Fatigue in the Clinic 24:29 - Decision Fatigue in the Operating Room 29:49 - Decision Fatigue at Home 37:37 - Making Choices that Align with Your Values & The Importance of Saying “No” --- RESOURCES Dr. Steven Goudy’s Emory University Profile: https://med.emory.edu/directory/profile/?u=SGOUDY Article on Judges & Decision Fatigue: https://www.pnas.org/doi/10.1073/pnas.1018033108 Article on Orthopedic Surgeons & Decision Fatigue: https://onlinelibrary.wiley.com/doi/full/10.1002/hec.3933 Article on Interruptions in the Trauma OR: https://pubmed.ncbi.nlm.nih.gov/22124638/ Tue, 02 Jul 2024 07:00:00 -0000 full BackTable Inc. Part of being a doctor is making high-stakes decisions nearly every day. However, making quality choices becomes even harder when you’re inundated with work and not sure where to start. In this episode, Dr. Steven Goudy, Professor of Pediatric Otolaryngology at Emory University (Atlanta), joins host Dr. Gopi Shah to cover decision fatigue. Part of being a doctor is making high-stakes decisions nearly every day. However, making quality choices becomes even harder when you’re inundated with work and not sure where to start. In this episode, Dr. Steven Goudy, Professor of Pediatric Otolaryngology at Emory University (Atlanta), joins host Dr. Gopi Shah to cover decision fatigue. --- SYNPOSIS First, Dr. Goudy defines decision fatigue and explains its relation to clinician burnout. Based on their experience, decision fatigue might look different in an early-career versus a mid-career surgeon, but it will leave both feeling depleted. Then, Dr. Goudy shares strategies to mitigate decision fatigue, including delegation, coaching, and standardization. He uses examples from the business world to illustrate the importance of saying “no” to opportunities you aren’t interested in. Finally, the podcast concludes with a reflection on how your values should guide the choices you make. --- TIMESTAMPS 00:00 - Introduction 01:32 - Decision Fatigue Defined 03:51 - Personal Strategies to Combat Decision Fatigue 06:10 - Decision Fatigue in the Clinic 24:29 - Decision Fatigue in the Operating Room 29:49 - Decision Fatigue at Home 37:37 - Making Choices that Align with Your Values & The Importance of Saying “No” --- RESOURCES Dr. Steven Goudy’s Emory University Profile: https://med.emory.edu/directory/profile/?u=SGOUDY Article on Judges & Decision Fatigue: https://www.pnas.org/doi/10.1073/pnas.1018033108 Article on Orthopedic Surgeons & Decision Fatigue: https://onlinelibrary.wiley.com/doi/full/10.1002/hec.3933 Article on Interruptions in the Trauma OR: https://pubmed.ncbi.nlm.nih.gov/22124638/ Part of being a doctor is making high-stakes decisions nearly every day. However, making quality choices becomes even harder when you’re inundated with work and not sure where to start. In this episode, Dr. Steven Goudy, Professor of Pediatric Otolaryngology at Emory University (Atlanta), joins host Dr. Gopi Shah to cover decision fatigue.


---


SYNPOSIS


First, Dr. Goudy defines decision fatigue and explains its relation to clinician burnout. Based on their experience, decision fatigue might look different in an early-career versus a mid-career surgeon, but it will leave both feeling depleted. Then, Dr. Goudy shares strategies to mitigate decision fatigue, including delegation, coaching, and standardization. He uses examples from the business world to illustrate the importance of saying “no” to opportunities you aren’t interested in. Finally, the podcast concludes with a reflection on how your values should guide the choices you make.


---


TIMESTAMPS


00:00 - Introduction

01:32 - Decision Fatigue Defined

03:51 - Personal Strategies to Combat Decision Fatigue

06:10 - Decision Fatigue in the Clinic

24:29 - Decision Fatigue in the Operating Room

29:49 - Decision Fatigue at Home

37:37 - Making Choices that Align with Your Values & The Importance of Saying “No”


---


RESOURCES


Dr. Steven Goudy’s Emory University Profile: https://med.emory.edu/directory/profile/?u=SGOUDY


Article on Judges & Decision Fatigue:

https://www.pnas.org/doi/10.1073/pnas.1018033108


Article on Orthopedic Surgeons & Decision Fatigue:

https://onlinelibrary.wiley.com/doi/full/10.1002/hec.3933


Article on Interruptions in the Trauma OR:

https://pubmed.ncbi.nlm.nih.gov/22124638/

]]> 2504 Ep. 178 Teaching Surgical Residents in the XXI Century: Beyond See One, Do One, Teach One with Dr. Oswaldo Henriquez While resident education represents the top priority of most otolaryngology departments, few attending surgeons receive formal training on teaching. In this episode of the BackTable ENT podcast, host Dr. Gopi Shah covers surgical education with Dr. Oswaldo Henriquez, rhinologist at Wellstar Health and adjunct associate professor at Emory School of Medicine. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS First, Dr. Henriquez shares his passion for teaching and learning. In his view, surgeons are career-long learners: even established otolaryngologists benefit from surgical coaching. Then, he describes the unique needs of adult learners. When teaching technical skills, Dr. Henriquez emphasizes providing realistic goals, actionable feedback, and opportunities for supervised practice. When teaching “soft skills,” Dr. Henriquez focuses on modeling the professionalism and compassion he expects of his trainees. Finally, the episode concludes with Dr. Henriquez’s thoughts on teaching as a skill all academic surgeons should hone. --- TIMESTAMPS 00:00 - Introduction 03:29 - Dr. Enriquez’s Journey as a Surgical Educator 07:26 - Teaching Adult Learners 24:14 - Challenges in Modern Surgical Education 31:39 - Setting Goals & Expectations 36:40 - The Importance of Feedback in Surgical Education 43:25 - Modeling & Teaching Surgical “Soft Skills” 53:01 - Learning How to Teach: Lessons From a Surgical Educator --- RESOURCES Dr. Oswaldo Henriquez’s Wellstar Profile: https://www.wellstar.org/physicians/oswaldo-henriquez-md Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html Tue, 25 Jun 2024 07:00:00 -0000 full BackTable Inc. While resident education represents the top priority of most otolaryngology departments, few attending surgeons receive formal training on teaching. In this episode of the BackTable ENT podcast, host Dr. Gopi Shah covers surgical education with Dr. Oswaldo Henriquez, rhinologist at Wellstar Health and adjunct associate professor at Emory School of Medicine. While resident education represents the top priority of most otolaryngology departments, few attending surgeons receive formal training on teaching. In this episode of the BackTable ENT podcast, host Dr. Gopi Shah covers surgical education with Dr. Oswaldo Henriquez, rhinologist at Wellstar Health and adjunct associate professor at Emory School of Medicine. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS First, Dr. Henriquez shares his passion for teaching and learning. In his view, surgeons are career-long learners: even established otolaryngologists benefit from surgical coaching. Then, he describes the unique needs of adult learners. When teaching technical skills, Dr. Henriquez emphasizes providing realistic goals, actionable feedback, and opportunities for supervised practice. When teaching “soft skills,” Dr. Henriquez focuses on modeling the professionalism and compassion he expects of his trainees. Finally, the episode concludes with Dr. Henriquez’s thoughts on teaching as a skill all academic surgeons should hone. --- TIMESTAMPS 00:00 - Introduction 03:29 - Dr. Enriquez’s Journey as a Surgical Educator 07:26 - Teaching Adult Learners 24:14 - Challenges in Modern Surgical Education 31:39 - Setting Goals & Expectations 36:40 - The Importance of Feedback in Surgical Education 43:25 - Modeling & Teaching Surgical “Soft Skills” 53:01 - Learning How to Teach: Lessons From a Surgical Educator --- RESOURCES Dr. Oswaldo Henriquez’s Wellstar Profile: https://www.wellstar.org/physicians/oswaldo-henriquez-md Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html While resident education represents the top priority of most otolaryngology departments, few attending surgeons receive formal training on teaching. In this episode of the BackTable ENT podcast, host Dr. Gopi Shah covers surgical education with Dr. Oswaldo Henriquez, rhinologist at Wellstar Health and adjunct associate professor at Emory School of Medicine.


---


CHECK OUT OUR SPONSOR


Medtronic ENT

https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html


---


SYNPOSIS


First, Dr. Henriquez shares his passion for teaching and learning. In his view, surgeons are career-long learners: even established otolaryngologists benefit from surgical coaching. Then, he describes the unique needs of adult learners. When teaching technical skills, Dr. Henriquez emphasizes providing realistic goals, actionable feedback, and opportunities for supervised practice. When teaching “soft skills,” Dr. Henriquez focuses on modeling the professionalism and compassion he expects of his trainees. Finally, the episode concludes with Dr. Henriquez’s thoughts on teaching as a skill all academic surgeons should hone.


---


TIMESTAMPS


00:00 - Introduction

03:29 - Dr. Enriquez’s Journey as a Surgical Educator

07:26 - Teaching Adult Learners

24:14 - Challenges in Modern Surgical Education

31:39 - Setting Goals & Expectations

36:40 - The Importance of Feedback in Surgical Education

43:25 - Modeling & Teaching Surgical “Soft Skills”

53:01 - Learning How to Teach: Lessons From a Surgical Educator


---


RESOURCES


Dr. Oswaldo Henriquez’s Wellstar Profile:

https://www.wellstar.org/physicians/oswaldo-henriquez-md


Medtronic ENT

https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html

]]> 3431 Ep. 177 AI Scribes: Enhancing Patient and Physician Interaction with Elie Toubiana Dr. Aditya Bagrodia sits down with Elie Toubiana, founder and CEO of ScribeMD.ai, to discuss the transformative potential of artificial intelligence (AI) in medical documentation. --- SYNPOSIS Their conversation covers the capabilities and benefits of using an AI-driven medical scribe that ensures HIPAA compliance, reduces physician burnout, and enhances patient interactions. Elie also shares his insights about the technology’s adaptability across various medical fields. Finally, Dr. Bagrodia and Elie discuss ethical considerations surrounding applications of AI in other aspects of healthcare, such as medical workup and diagnosis. --- TIMESTAMPS 00:00 - Introduction 06:00 - How ScribeMD AI Works 14:14 - Integration with EMR 20:31 - Legal Considerations with AI Technology 26:34 - Cost Implications of AI Scribes 38:46 - Future of AI in Medical Diagnosis 41:45 - Conclusion and Final Thoughts --- RESOURCES ScribeMD.ai https://www.scribemd.ai/ Fri, 21 Jun 2024 07:00:00 -0000 full BackTable Inc. Dr. Aditya Bagrodia sits down with Elie Toubiana, founder and CEO of ScribeMD.ai, to discuss the transformative potential of artificial intelligence (AI) in medical documentation. Dr. Aditya Bagrodia sits down with Elie Toubiana, founder and CEO of ScribeMD.ai, to discuss the transformative potential of artificial intelligence (AI) in medical documentation. --- SYNPOSIS Their conversation covers the capabilities and benefits of using an AI-driven medical scribe that ensures HIPAA compliance, reduces physician burnout, and enhances patient interactions. Elie also shares his insights about the technology’s adaptability across various medical fields. Finally, Dr. Bagrodia and Elie discuss ethical considerations surrounding applications of AI in other aspects of healthcare, such as medical workup and diagnosis. --- TIMESTAMPS 00:00 - Introduction 06:00 - How ScribeMD AI Works 14:14 - Integration with EMR 20:31 - Legal Considerations with AI Technology 26:34 - Cost Implications of AI Scribes 38:46 - Future of AI in Medical Diagnosis 41:45 - Conclusion and Final Thoughts --- RESOURCES ScribeMD.ai https://www.scribemd.ai/ Dr. Aditya Bagrodia sits down with Elie Toubiana, founder and CEO of ScribeMD.ai, to discuss the transformative potential of artificial intelligence (AI) in medical documentation.


---


SYNPOSIS


Their conversation covers the capabilities and benefits of using an AI-driven medical scribe that ensures HIPAA compliance, reduces physician burnout, and enhances patient interactions. Elie also shares his insights about the technology’s adaptability across various medical fields. Finally, Dr. Bagrodia and Elie discuss ethical considerations surrounding applications of AI in other aspects of healthcare, such as medical workup and diagnosis.


---


TIMESTAMPS


00:00 - Introduction

06:00 - How ScribeMD AI Works

14:14 - Integration with EMR

20:31 - Legal Considerations with AI Technology

26:34 - Cost Implications of AI Scribes

38:46 - Future of AI in Medical Diagnosis

41:45 - Conclusion and Final Thoughts


---


RESOURCES


ScribeMD.ai

https://www.scribemd.ai/

]]> 2682 Ep. 176 Advancing Surgical Education: 3D Models and Videos with Dr. François Simon While the mantra “see one, do one, teach one” once guided surgical education, nowadays, technologies like 3D printed models and realistic surgical videos allow trainees to safely gain hands-on experience. In this episode of the BackTable ENT podcast, Dr. François Simon, pediatric otolaryngologist at Necker Hospital for Sick Children (Paris, France) joins host Dr. Gopi Shah to discuss technological innovations in surgical education. --- SYNPOSIS First, Dr. Simon explains how 3D printing technology expands trainees’ anatomical knowledge. He speaks to his experience working alongside a 3D printing engineer to develop models used to teach otoscopy and ear surgery. Then, Dr. Simon tackles the role of videos in surgical education. His conversation with Dr. Shah focuses on the composition, ethics, and distribution of effective educational videos. Finally, Dr. Simon discusses how attending surgeons can leverage technology to maximize trainee learning in the operating room. --- TIMESTAMPS 00:00 - Introduction 02:36 - Embracing 3D Printing in Surgical Education 14:32 - Collaborating with Engineers to Produce High-Fidelity Anatomic Models 17:59 - The Future of 3D Printing in Medicine 20:44 - The Role of Video in Surgical Education 24:59 - Creating Effective Educational Videos 34:49 - How to Distribute Your Video to its Target Audience 36:23 - Ethical Considerations: Patient Consent & Privacy 44:56 - Final Thoughts & Resources for Educators --- RESOURCES 3D Printed Model to Teach Otoscopy: https://www.m3d-print.com/en/products/otoscopic-simulator-tympano/ Dr. Simon’s Guide to Making an Effective Surgical Video: https://videos-chirurgicales.u-paris.fr/en/ IVORY (Instructional Videos in Otorhinolaryngology by YO-IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat: https://onlinelibrary.wiley.com/doi/full/10.1002/lary.29020 Tue, 18 Jun 2024 07:00:00 -0000 full BackTable Inc. While the mantra “see one, do one, teach one” once guided surgical education, nowadays, technologies like 3D printed models and realistic surgical videos allow trainees to safely gain hands-on experience. In this episode of the BackTable ENT podcast, Dr. François Simon, pediatric otolaryngologist at Necker Hospital for Sick Children (Paris, France) joins host Dr. Gopi Shah to discuss technological innovations in surgical education. While the mantra “see one, do one, teach one” once guided surgical education, nowadays, technologies like 3D printed models and realistic surgical videos allow trainees to safely gain hands-on experience. In this episode of the BackTable ENT podcast, Dr. François Simon, pediatric otolaryngologist at Necker Hospital for Sick Children (Paris, France) joins host Dr. Gopi Shah to discuss technological innovations in surgical education. --- SYNPOSIS First, Dr. Simon explains how 3D printing technology expands trainees’ anatomical knowledge. He speaks to his experience working alongside a 3D printing engineer to develop models used to teach otoscopy and ear surgery. Then, Dr. Simon tackles the role of videos in surgical education. His conversation with Dr. Shah focuses on the composition, ethics, and distribution of effective educational videos. Finally, Dr. Simon discusses how attending surgeons can leverage technology to maximize trainee learning in the operating room. --- TIMESTAMPS 00:00 - Introduction 02:36 - Embracing 3D Printing in Surgical Education 14:32 - Collaborating with Engineers to Produce High-Fidelity Anatomic Models 17:59 - The Future of 3D Printing in Medicine 20:44 - The Role of Video in Surgical Education 24:59 - Creating Effective Educational Videos 34:49 - How to Distribute Your Video to its Target Audience 36:23 - Ethical Considerations: Patient Consent & Privacy 44:56 - Final Thoughts & Resources for Educators --- RESOURCES 3D Printed Model to Teach Otoscopy: https://www.m3d-print.com/en/products/otoscopic-simulator-tympano/ Dr. Simon’s Guide to Making an Effective Surgical Video: https://videos-chirurgicales.u-paris.fr/en/ IVORY (Instructional Videos in Otorhinolaryngology by YO-IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat: https://onlinelibrary.wiley.com/doi/full/10.1002/lary.29020 While the mantra “see one, do one, teach one” once guided surgical education, nowadays, technologies like 3D printed models and realistic surgical videos allow trainees to safely gain hands-on experience. In this episode of the BackTable ENT podcast, Dr. François Simon, pediatric otolaryngologist at Necker Hospital for Sick Children (Paris, France) joins host Dr. Gopi Shah to discuss technological innovations in surgical education.


---


SYNPOSIS


First, Dr. Simon explains how 3D printing technology expands trainees’ anatomical knowledge. He speaks to his experience working alongside a 3D printing engineer to develop models used to teach otoscopy and ear surgery. Then, Dr. Simon tackles the role of videos in surgical education. His conversation with Dr. Shah focuses on the composition, ethics, and distribution of effective educational videos. Finally, Dr. Simon discusses how attending surgeons can leverage technology to maximize trainee learning in the operating room.


---


TIMESTAMPS


00:00 - Introduction

02:36 - Embracing 3D Printing in Surgical Education

14:32 - Collaborating with Engineers to Produce High-Fidelity Anatomic Models

17:59 - The Future of 3D Printing in Medicine

20:44 - The Role of Video in Surgical Education

24:59 - Creating Effective Educational Videos

34:49 - How to Distribute Your Video to its Target Audience

36:23 - Ethical Considerations: Patient Consent & Privacy

44:56 - Final Thoughts & Resources for Educators


---


RESOURCES


3D Printed Model to Teach Otoscopy:

https://www.m3d-print.com/en/products/otoscopic-simulator-tympano/


Dr. Simon’s Guide to Making an Effective Surgical Video:

https://videos-chirurgicales.u-paris.fr/en/


IVORY (Instructional Videos in Otorhinolaryngology by YO-IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat: https://onlinelibrary.wiley.com/doi/full/10.1002/lary.29020

]]> 2905 Ep. 175 Understanding Atypical LPR: Beyond the Larynx with Dr. Inna Husain In this episode, laryngologist Dr. Inna Husain joins host Dr. Ashley Agan for a deep dive into laryngopharyngeal reflux (LPR) to illuminate patient presentation, diagnostic tests, and future directions in LPR research. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS The episode begins with a recap of Episode 83, in which Dr. Husain explained LPR fundamentals. Continuing from where they left off, the surgeons discuss various presentations of LPR, emphasizing the distinctions between acidic/non-acidic and direct/indirect reflux. Then, they review tests used to diagnose LPR and role of collaboration with gastroenterology colleagues. Dr. Husain shares her therapeutic approach to LPR, which includes lifestyle modifications for all patients, alginates for those with mechanical reflux, and nerve blocks for those with neurally mediated symptoms. The podcast wraps with a discussion of hot topics in LPR research. --- TIMESTAMPS 00:00 - Introduction 01:01 - Sponsor Spotlight: Medtronic ENT Innovations 04:37 - Summary of BackTable Episode 83 on Laryngopharyngeal Reflux (LPR) 08:34 - Typical vs. Atypical Presentations of LPR 23:36 - Dr. Husain’s Personal Experience with LPR 38:27 - Diagnosing LPR 46:43 - Lifestyle & Dietary Changes for LPR 50:53 - Hot Topics in Contemporary LPR Research 53:17 - The Brain-Gut Connection & LPR --- RESOURCES BackTable ENT Episode 83: “Laryngopharyngeal Reflux with Dr. Inna Hussain:” https://www.backtable.com/shows/ent/podcasts/83/laryngopharyngeal-reflux Medtronic ENT www.medtronicent.com Dr. Inna Husain’s Community Healthcare System profile: https://www.comhs.org/find-a-doctor/h/husain-inna Dr. Inna Husain’s X: https://x.com/drinnahusain Dr. Inna Husain’s Instagram: https://www.instagram.com/innahusainmd/ Dr. Inna Husain’s TikTok: https://www.tiktok.com/@throatdoc Tue, 11 Jun 2024 07:00:00 -0000 full BackTable Inc. In this episode, laryngologist Dr. Inna Husain joins host Dr. Ashley Agan for a deep dive into laryngopharyngeal reflux (LPR) to illuminate patient presentation, diagnostic tests, and future directions in LPR research. In this episode, laryngologist Dr. Inna Husain joins host Dr. Ashley Agan for a deep dive into laryngopharyngeal reflux (LPR) to illuminate patient presentation, diagnostic tests, and future directions in LPR research. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS The episode begins with a recap of Episode 83, in which Dr. Husain explained LPR fundamentals. Continuing from where they left off, the surgeons discuss various presentations of LPR, emphasizing the distinctions between acidic/non-acidic and direct/indirect reflux. Then, they review tests used to diagnose LPR and role of collaboration with gastroenterology colleagues. Dr. Husain shares her therapeutic approach to LPR, which includes lifestyle modifications for all patients, alginates for those with mechanical reflux, and nerve blocks for those with neurally mediated symptoms. The podcast wraps with a discussion of hot topics in LPR research. --- TIMESTAMPS 00:00 - Introduction 01:01 - Sponsor Spotlight: Medtronic ENT Innovations 04:37 - Summary of BackTable Episode 83 on Laryngopharyngeal Reflux (LPR) 08:34 - Typical vs. Atypical Presentations of LPR 23:36 - Dr. Husain’s Personal Experience with LPR 38:27 - Diagnosing LPR 46:43 - Lifestyle & Dietary Changes for LPR 50:53 - Hot Topics in Contemporary LPR Research 53:17 - The Brain-Gut Connection & LPR --- RESOURCES BackTable ENT Episode 83: “Laryngopharyngeal Reflux with Dr. Inna Hussain:” https://www.backtable.com/shows/ent/podcasts/83/laryngopharyngeal-reflux Medtronic ENT www.medtronicent.com Dr. Inna Husain’s Community Healthcare System profile: https://www.comhs.org/find-a-doctor/h/husain-inna Dr. Inna Husain’s X: https://x.com/drinnahusain Dr. Inna Husain’s Instagram: https://www.instagram.com/innahusainmd/ Dr. Inna Husain’s TikTok: https://www.tiktok.com/@throatdoc In this episode, laryngologist Dr. Inna Husain joins host Dr. Ashley Agan for a deep dive into laryngopharyngeal reflux (LPR) to illuminate patient presentation, diagnostic tests, and future directions in LPR research.


---


CHECK OUT OUR SPONSOR


Medtronic ENT

https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html


---


SYNPOSIS


The episode begins with a recap of Episode 83, in which Dr. Husain explained LPR fundamentals. Continuing from where they left off, the surgeons discuss various presentations of LPR, emphasizing the distinctions between acidic/non-acidic and direct/indirect reflux. Then, they review tests used to diagnose LPR and role of collaboration with gastroenterology colleagues. Dr. Husain shares her therapeutic approach to LPR, which includes lifestyle modifications for all patients, alginates for those with mechanical reflux, and nerve blocks for those with neurally mediated symptoms. The podcast wraps with a discussion of hot topics in LPR research.


---


TIMESTAMPS


00:00 - Introduction

01:01 - Sponsor Spotlight: Medtronic ENT Innovations

04:37 - Summary of BackTable Episode 83 on Laryngopharyngeal Reflux (LPR)

08:34 - Typical vs. Atypical Presentations of LPR

23:36 - Dr. Husain’s Personal Experience with LPR

38:27 - Diagnosing LPR

46:43 - Lifestyle & Dietary Changes for LPR

50:53 - Hot Topics in Contemporary LPR Research

53:17 - The Brain-Gut Connection & LPR


---


RESOURCES


BackTable ENT Episode 83: “Laryngopharyngeal Reflux with Dr. Inna Hussain:” https://www.backtable.com/shows/ent/podcasts/83/laryngopharyngeal-reflux


Medtronic ENT

www.medtronicent.com


Dr. Inna Husain’s Community Healthcare System profile: https://www.comhs.org/find-a-doctor/h/husain-inna


Dr. Inna Husain’s X:

https://x.com/drinnahusain


Dr. Inna Husain’s Instagram:

https://www.instagram.com/innahusainmd/


Dr. Inna Husain’s TikTok:

https://www.tiktok.com/@throatdoc

]]> 3933 Ep. 174 Advanced Navigation Systems for FESS: Enhancing Safety with Dr. Raj Sindwani In this episode, Dr. Raj Sindwani, rhinologist at the Cleveland Clinic, joins host Dr. Gopi Shah to discuss advanced navigation systems, such as virtual reality (VR), to improve functional endoscopic sinus surgery (FESS). --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SYNPOSIS First, Dr. Sindwani shares how he combines pre-operative imaging data and navigation to plan successful surgeries. Then, he delves into features available in newer navigation systems, including target/anti-target technology, which notifies surgeons as their instruments approach critical structures. He covers topics relevant to navigation in clinical practice, including reimbursement, patient counseling, and troubleshooting in the OR. The episode concludes with a short conversation on the future of navigation-assisted FESS. --- TIMESTAMPS 00:00 - When to Use Navigation 10:42 - Harnessing Augmented Reality for Better Surgical Planning 20:43 - Registering Landmarks with Navigation 22:27 - How Navigation Systems Enhance Surgical Education 27:53 - Navigation in Office-Based Procedures 35:05 - Troubleshooting Problems with Navigation Systems 42:25 - The Future of Navigation-Assisted FESS --- RESOURCES Stryker ENT Products: https://www.stryker.com/us/en/ent.html Dr. Sindwani’s Cleveland Clinic Profile: https://my.clevelandclinic.org/staff/14102-raj-sindwani Tue, 04 Jun 2024 07:00:00 -0000 full BackTable Inc. In this episode, Dr. Raj Sindwani, rhinologist at the Cleveland Clinic, joins host Dr. Gopi Shah to discuss advanced navigation systems, such as virtual reality (VR), to improve functional endoscopic sinus surgery (FESS). In this episode, Dr. Raj Sindwani, rhinologist at the Cleveland Clinic, joins host Dr. Gopi Shah to discuss advanced navigation systems, such as virtual reality (VR), to improve functional endoscopic sinus surgery (FESS). --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SYNPOSIS First, Dr. Sindwani shares how he combines pre-operative imaging data and navigation to plan successful surgeries. Then, he delves into features available in newer navigation systems, including target/anti-target technology, which notifies surgeons as their instruments approach critical structures. He covers topics relevant to navigation in clinical practice, including reimbursement, patient counseling, and troubleshooting in the OR. The episode concludes with a short conversation on the future of navigation-assisted FESS. --- TIMESTAMPS 00:00 - When to Use Navigation 10:42 - Harnessing Augmented Reality for Better Surgical Planning 20:43 - Registering Landmarks with Navigation 22:27 - How Navigation Systems Enhance Surgical Education 27:53 - Navigation in Office-Based Procedures 35:05 - Troubleshooting Problems with Navigation Systems 42:25 - The Future of Navigation-Assisted FESS --- RESOURCES Stryker ENT Products: https://www.stryker.com/us/en/ent.html Dr. Sindwani’s Cleveland Clinic Profile: https://my.clevelandclinic.org/staff/14102-raj-sindwani In this episode, Dr. Raj Sindwani, rhinologist at the Cleveland Clinic, joins host Dr. Gopi Shah to discuss advanced navigation systems, such as virtual reality (VR), to improve functional endoscopic sinus surgery (FESS).


---


CHECK OUT OUR SPONSOR


Stryker ENT

https://ent.stryker.com


---


SYNPOSIS


First, Dr. Sindwani shares how he combines pre-operative imaging data and navigation to plan successful surgeries. Then, he delves into features available in newer navigation systems, including target/anti-target technology, which notifies surgeons as their instruments approach critical structures. He covers topics relevant to navigation in clinical practice, including reimbursement, patient counseling, and troubleshooting in the OR. The episode concludes with a short conversation on the future of navigation-assisted FESS.


---


TIMESTAMPS


00:00 - When to Use Navigation

10:42 - Harnessing Augmented Reality for Better Surgical Planning

20:43 - Registering Landmarks with Navigation

22:27 - How Navigation Systems Enhance Surgical Education

27:53 - Navigation in Office-Based Procedures

35:05 - Troubleshooting Problems with Navigation Systems

42:25 - The Future of Navigation-Assisted FESS


---


RESOURCES


Stryker ENT Products:

https://www.stryker.com/us/en/ent.html


Dr. Sindwani’s Cleveland Clinic Profile:

https://my.clevelandclinic.org/staff/14102-raj-sindwani

]]> 2807 Ep. 173 Hypothyroidism Unmasked: The ENT’s Diagnostic Journey with Dr. Dana Gibbs In this episode of the BackTable ENT Podcast, thyroid expert Dr. Dana Gibbs speaks with host Dr. Ashley Agan about Hashimoto’s Thyroiditis and hypothyroidism. Despite the high prevalence of Hashimoto’s Thyroiditis (1-2%), the condition is often misunderstood. Otolaryngologists and internists alike will benefit from Dr. Gibbs’ insight into Hashimoto’s presentation, diagnosis, and treatment. --- SYNPOSIS First, Dr. Gibbs explains how she shifted her clinical focus from comprehensive otolaryngology to thyroid disease. Recounting her decades-long, personal experience with hypothyroidism, she describes how nonspecific symptoms of fatigue, hair loss, and weight gain can lead clinicians astray. Then, she reviews the pathophysiology and diagnosis of Hashimoto’s Thyroiditis. Using labs and questionnaires, she interrogates the patient’s overall endocrine health, which she addresses using a combination of levothyroxine (T4), liothyronine (T3), and select supplements. She demonstrates how lessons learned treating Hashimoto’s extend to hypothyroidism management more broadly. Finally, the use of integrative medicine strategies to treat thyroid disorders is discussed. --- TIMESTAMPS 00:00 - Introduction 02:33 - Dr. Gibbs’ Personal Experience with Hypothyroidism 11:32 - Understanding Hashimoto’s Thyroiditis 18:26 - Hashimoto’s: A Challenging Diagnosis 33:17 - The Role of Stress in Thyroid Disease 35:04 - Thyroid Medications 51:21 - The Role of Surgery in Managing Hypothyroidism 55:01 - An Integrative Medicine Perspective on Hypothyroidism 59:27 - Final Thoughts on Hashimoto’s & Hypothyroidism --- RESOURCES Dr. Gibbs’ Consultants in Metabolism Profile: https://www.danagibbsmd.com/ Dr. Gibbs’ Instagram: https://www.instagram.com/danagibbsmd/ Tue, 28 May 2024 07:00:00 -0000 full BackTable Inc. In this episode of the BackTable ENT Podcast, thyroid expert Dr. Dana Gibbs speaks with host Dr. Ashley Agan about Hashimoto’s Thyroiditis and hypothyroidism. Despite the high prevalence of Hashimoto’s Thyroiditis (1-2%), the condition is often misunderstood. Otolaryngologists and internists alike will benefit from Dr. Gibbs’ insight into Hashimoto’s presentation, diagnosis, and treatment. In this episode of the BackTable ENT Podcast, thyroid expert Dr. Dana Gibbs speaks with host Dr. Ashley Agan about Hashimoto’s Thyroiditis and hypothyroidism. Despite the high prevalence of Hashimoto’s Thyroiditis (1-2%), the condition is often misunderstood. Otolaryngologists and internists alike will benefit from Dr. Gibbs’ insight into Hashimoto’s presentation, diagnosis, and treatment. --- SYNPOSIS First, Dr. Gibbs explains how she shifted her clinical focus from comprehensive otolaryngology to thyroid disease. Recounting her decades-long, personal experience with hypothyroidism, she describes how nonspecific symptoms of fatigue, hair loss, and weight gain can lead clinicians astray. Then, she reviews the pathophysiology and diagnosis of Hashimoto’s Thyroiditis. Using labs and questionnaires, she interrogates the patient’s overall endocrine health, which she addresses using a combination of levothyroxine (T4), liothyronine (T3), and select supplements. She demonstrates how lessons learned treating Hashimoto’s extend to hypothyroidism management more broadly. Finally, the use of integrative medicine strategies to treat thyroid disorders is discussed. --- TIMESTAMPS 00:00 - Introduction 02:33 - Dr. Gibbs’ Personal Experience with Hypothyroidism 11:32 - Understanding Hashimoto’s Thyroiditis 18:26 - Hashimoto’s: A Challenging Diagnosis 33:17 - The Role of Stress in Thyroid Disease 35:04 - Thyroid Medications 51:21 - The Role of Surgery in Managing Hypothyroidism 55:01 - An Integrative Medicine Perspective on Hypothyroidism 59:27 - Final Thoughts on Hashimoto’s & Hypothyroidism --- RESOURCES Dr. Gibbs’ Consultants in Metabolism Profile: https://www.danagibbsmd.com/ Dr. Gibbs’ Instagram: https://www.instagram.com/danagibbsmd/ In this episode of the BackTable ENT Podcast, thyroid expert Dr. Dana Gibbs speaks with host Dr. Ashley Agan about Hashimoto’s Thyroiditis and hypothyroidism. Despite the high prevalence of Hashimoto’s Thyroiditis (1-2%), the condition is often misunderstood. Otolaryngologists and internists alike will benefit from Dr. Gibbs’ insight into Hashimoto’s presentation, diagnosis, and treatment.


---


SYNPOSIS


First, Dr. Gibbs explains how she shifted her clinical focus from comprehensive otolaryngology to thyroid disease. Recounting her decades-long, personal experience with hypothyroidism, she describes how nonspecific symptoms of fatigue, hair loss, and weight gain can lead clinicians astray. Then, she reviews the pathophysiology and diagnosis of Hashimoto’s Thyroiditis. Using labs and questionnaires, she interrogates the patient’s overall endocrine health, which she addresses using a combination of levothyroxine (T4), liothyronine (T3), and select supplements. She demonstrates how lessons learned treating Hashimoto’s extend to hypothyroidism management more broadly. Finally, the use of integrative medicine strategies to treat thyroid disorders is discussed.


---


TIMESTAMPS


00:00 - Introduction

02:33 - Dr. Gibbs’ Personal Experience with Hypothyroidism

11:32 - Understanding Hashimoto’s Thyroiditis

18:26 - Hashimoto’s: A Challenging Diagnosis

33:17 - The Role of Stress in Thyroid Disease

35:04 - Thyroid Medications

51:21 - The Role of Surgery in Managing Hypothyroidism

55:01 - An Integrative Medicine Perspective on Hypothyroidism

59:27 - Final Thoughts on Hashimoto’s & Hypothyroidism


---


RESOURCES


Dr. Gibbs’ Consultants in Metabolism Profile:

https://www.danagibbsmd.com/


Dr. Gibbs’ Instagram:

https://www.instagram.com/danagibbsmd/

]]> 4075 Ep. 172 HPV and Oropharyngeal Cancer: Evolving Insights and Implications with Dr. Mihir Patel In this episode, Dr. Mihir Patel, Professor of Otolaryngology at Emory University and expert in Transoral Robotic Surgery (TORS), discusses HPV-positive head and neck cancer with host Dr. Ashley Agan. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS Dr. Patel opens by briefly sharing his journey to head & neck surgery, and, more specifically, expertise in TORS. After, Dr. Patel explains the epidemiology and pathophysiology of HPV-caused cancers, which frequently present as painless neck masses. Then, Dr. Patel describes workup and treatment of these cancers. He shares surgical strategies, paying special attention to cases of unknown primary lesions. He underscores the importance of collaboration with medical and radiation oncologists, particularly given the rapid pace of treatment innovation. Finally, Dr. Agan and Dr. Patel examine how increased HPV vaccine uptake could drastically lower the burden of this disease in the coming decades. --- TIMESTAMPS 00:00 - Introduction 05:26 - The Evolution of HPV-Related Oropharyngeal Cancer Treatment 17:26 - Contemporary Diagnostics for Head & Neck Cancer 24:39 - Surgical Strategies for Unknown Primary Lesions 38:15 - The Role of ctDNA in Cancer Management 46:10 - Advancements in HPV-Driven Cancer Treatment 53:30 - The Future of Cancer Screening and Vaccination 01:01:54 - Vaccination: A Tool for Cancer Prevention --- RESOURCES Medtronic ENT: https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html Dr. Mihir Patel’s Emory University Profile: https://winshipcancer.emory.edu/bios/faculty/patel-mihir-r.html AVOID Trial: https://pubmed.ncbi.nlm.nih.gov/31785337/ Tue, 21 May 2024 07:00:00 -0000 full BackTable Inc. In this episode, Dr. Mihir Patel, Professor of Otolaryngology at Emory University and expert in Transoral Robotic Surgery (TORS), discusses HPV-positive head and neck cancer with host Dr. Ashley Agan. In this episode, Dr. Mihir Patel, Professor of Otolaryngology at Emory University and expert in Transoral Robotic Surgery (TORS), discusses HPV-positive head and neck cancer with host Dr. Ashley Agan. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS Dr. Patel opens by briefly sharing his journey to head & neck surgery, and, more specifically, expertise in TORS. After, Dr. Patel explains the epidemiology and pathophysiology of HPV-caused cancers, which frequently present as painless neck masses. Then, Dr. Patel describes workup and treatment of these cancers. He shares surgical strategies, paying special attention to cases of unknown primary lesions. He underscores the importance of collaboration with medical and radiation oncologists, particularly given the rapid pace of treatment innovation. Finally, Dr. Agan and Dr. Patel examine how increased HPV vaccine uptake could drastically lower the burden of this disease in the coming decades. --- TIMESTAMPS 00:00 - Introduction 05:26 - The Evolution of HPV-Related Oropharyngeal Cancer Treatment 17:26 - Contemporary Diagnostics for Head & Neck Cancer 24:39 - Surgical Strategies for Unknown Primary Lesions 38:15 - The Role of ctDNA in Cancer Management 46:10 - Advancements in HPV-Driven Cancer Treatment 53:30 - The Future of Cancer Screening and Vaccination 01:01:54 - Vaccination: A Tool for Cancer Prevention --- RESOURCES Medtronic ENT: https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html Dr. Mihir Patel’s Emory University Profile: https://winshipcancer.emory.edu/bios/faculty/patel-mihir-r.html AVOID Trial: https://pubmed.ncbi.nlm.nih.gov/31785337/ In this episode, Dr. Mihir Patel, Professor of Otolaryngology at Emory University and expert in Transoral Robotic Surgery (TORS), discusses HPV-positive head and neck cancer with host Dr. Ashley Agan.


---


CHECK OUT OUR SPONSOR


Medtronic ENT

https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html


---


SYNPOSIS


Dr. Patel opens by briefly sharing his journey to head & neck surgery, and, more specifically, expertise in TORS. After, Dr. Patel explains the epidemiology and pathophysiology of HPV-caused cancers, which frequently present as painless neck masses. Then, Dr. Patel describes workup and treatment of these cancers. He shares surgical strategies, paying special attention to cases of unknown primary lesions. He underscores the importance of collaboration with medical and radiation oncologists, particularly given the rapid pace of treatment innovation. Finally, Dr. Agan and Dr. Patel examine how increased HPV vaccine uptake could drastically lower the burden of this disease in the coming decades.


---


TIMESTAMPS


00:00 - Introduction

05:26 - The Evolution of HPV-Related Oropharyngeal Cancer Treatment

17:26 - Contemporary Diagnostics for Head & Neck Cancer

24:39 - Surgical Strategies for Unknown Primary Lesions

38:15 - The Role of ctDNA in Cancer Management

46:10 - Advancements in HPV-Driven Cancer Treatment

53:30 - The Future of Cancer Screening and Vaccination

01:01:54 - Vaccination: A Tool for Cancer Prevention


---


RESOURCES


Medtronic ENT:

https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html


Dr. Mihir Patel’s Emory University Profile:

https://winshipcancer.emory.edu/bios/faculty/patel-mihir-r.html


AVOID Trial:

https://pubmed.ncbi.nlm.nih.gov/31785337/

]]> 4059 Ep. 171 Workforce Analysis and Why It’s Important with Dr. Andrew J. Tompkins In this episode, hosts Dr. Ashley Agan and Dr. Gopi Shah discuss the ENT workforce with Dr. Andrew (“AJ”) Tompkins, an Ohio-based comprehensive otolaryngologist and member of the American Academy of Otolaryngology-Head and Neck Surgery’s socioeconomic task force. --- SYNPOSIS First, Dr. Tompkins provides an overview of the ENT workforce from trainee to retiree stages. He describes his work with the Academy’s socioeconomic task force, which provides important feedback on the number, location and work environments of practicing otolaryngologists. He emphasizes participation in the Academy’s workforce survey as the source of this data. Offering a sneak preview of 2023 survey results, Dr. Tompkins underscores the need to increase resident exposure to private practice settings and to plan for how treatment breakthroughs (such as the HPV vaccine) might affect future workforce needs. The surgeons finish by discussing necessary improvements in resident selection and continuing education. --- TIMESTAMPS 00:00 - Introduction 03:09 - Exploring the ENT Workforce: A Provocative Topic 08:09 - Unpacking the Challenges of ENT Workforce Data 22:16 - The Impact of Fellowship Training & Practice Shifts 31:59 - Previewing 2023 Data Insights 37:09 - Addressing Workforce Distribution and Access Issues 43:30 - How Technology & Training Influence the ENT Workforce 56:20 - Collaborations & Future Directions 01:01:24 - Concluding Thoughts on Workforce Dynamics --- RESOURCES Dr. Andrew Tompkins’ Ohio ENT & Allergy Profile: https://www.ohioentandallergy.com/physicians/andrew-tompkins-md-mba/ Triological Society Otolaryngology Workforce Analysis from 2016: https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.26238 “The 2022 Otolaryngology Workforce” Report from AAO-HNS: https://www.entnet.org/wp-content/uploads/2023/07/2022-Otolaryngology-Workforce.pdf Tompkins AJ. The Otolaryngology Workforce, Part I: Supply. ENTtoday. May 2022. https://www.enttoday.org/article/some-studies-predict-a-shortage-of-otolaryngologists-do-the-numbers-support-them/ Tompkins AJ. The Otolaryngology Workforce, Part II: Structure &amp; Rethinking Supply. ENTtoday. June 2022. https://www.enttoday.org/article/transparent-regular-data-vital-to-reworking-how-we-think-about-workforce-supply/ Tompkins AJ. The Otolaryngology Workforce, Part III: Competition &amp; Future Design. ENTtoday. July 2022. https://www.enttoday.org/article/tips-for-creating-a-dynamic-otolaryngology-workforce/ Tue, 14 May 2024 07:00:00 -0000 full BackTable Inc. In this episode, hosts Dr. Ashley Agan and Dr. Gopi Shah discuss the ENT workforce with Dr. Andrew (“AJ”) Tompkins, an Ohio-based comprehensive otolaryngologist and member of the American Academy of Otolaryngology-Head and Neck Surgery’s socioeconomic task force. In this episode, hosts Dr. Ashley Agan and Dr. Gopi Shah discuss the ENT workforce with Dr. Andrew (“AJ”) Tompkins, an Ohio-based comprehensive otolaryngologist and member of the American Academy of Otolaryngology-Head and Neck Surgery’s socioeconomic task force. --- SYNPOSIS First, Dr. Tompkins provides an overview of the ENT workforce from trainee to retiree stages. He describes his work with the Academy’s socioeconomic task force, which provides important feedback on the number, location and work environments of practicing otolaryngologists. He emphasizes participation in the Academy’s workforce survey as the source of this data. Offering a sneak preview of 2023 survey results, Dr. Tompkins underscores the need to increase resident exposure to private practice settings and to plan for how treatment breakthroughs (such as the HPV vaccine) might affect future workforce needs. The surgeons finish by discussing necessary improvements in resident selection and continuing education. --- TIMESTAMPS 00:00 - Introduction 03:09 - Exploring the ENT Workforce: A Provocative Topic 08:09 - Unpacking the Challenges of ENT Workforce Data 22:16 - The Impact of Fellowship Training & Practice Shifts 31:59 - Previewing 2023 Data Insights 37:09 - Addressing Workforce Distribution and Access Issues 43:30 - How Technology & Training Influence the ENT Workforce 56:20 - Collaborations & Future Directions 01:01:24 - Concluding Thoughts on Workforce Dynamics --- RESOURCES Dr. Andrew Tompkins’ Ohio ENT & Allergy Profile: https://www.ohioentandallergy.com/physicians/andrew-tompkins-md-mba/ Triological Society Otolaryngology Workforce Analysis from 2016: https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.26238 “The 2022 Otolaryngology Workforce” Report from AAO-HNS: https://www.entnet.org/wp-content/uploads/2023/07/2022-Otolaryngology-Workforce.pdf Tompkins AJ. The Otolaryngology Workforce, Part I: Supply. ENTtoday. May 2022. https://www.enttoday.org/article/some-studies-predict-a-shortage-of-otolaryngologists-do-the-numbers-support-them/ Tompkins AJ. The Otolaryngology Workforce, Part II: Structure &amp; Rethinking Supply. ENTtoday. June 2022. https://www.enttoday.org/article/transparent-regular-data-vital-to-reworking-how-we-think-about-workforce-supply/ Tompkins AJ. The Otolaryngology Workforce, Part III: Competition &amp; Future Design. ENTtoday. July 2022. https://www.enttoday.org/article/tips-for-creating-a-dynamic-otolaryngology-workforce/ In this episode, hosts Dr. Ashley Agan and Dr. Gopi Shah discuss the ENT workforce with Dr. Andrew (“AJ”) Tompkins, an Ohio-based comprehensive otolaryngologist and member of the American Academy of Otolaryngology-Head and Neck Surgery’s socioeconomic task force.


---


SYNPOSIS


First, Dr. Tompkins provides an overview of the ENT workforce from trainee to retiree stages. He describes his work with the Academy’s socioeconomic task force, which provides important feedback on the number, location and work environments of practicing otolaryngologists. He emphasizes participation in the Academy’s workforce survey as the source of this data. Offering a sneak preview of 2023 survey results, Dr. Tompkins underscores the need to increase resident exposure to private practice settings and to plan for how treatment breakthroughs (such as the HPV vaccine) might affect future workforce needs. The surgeons finish by discussing necessary improvements in resident selection and continuing education.


---


TIMESTAMPS


00:00 - Introduction

03:09 - Exploring the ENT Workforce: A Provocative Topic

08:09 - Unpacking the Challenges of ENT Workforce Data

22:16 - The Impact of Fellowship Training & Practice Shifts

31:59 - Previewing 2023 Data Insights

37:09 - Addressing Workforce Distribution and Access Issues

43:30 - How Technology & Training Influence the ENT Workforce

56:20 - Collaborations & Future Directions

01:01:24 - Concluding Thoughts on Workforce Dynamics


---


RESOURCES


Dr. Andrew Tompkins’ Ohio ENT & Allergy Profile:

https://www.ohioentandallergy.com/physicians/andrew-tompkins-md-mba/


Triological Society Otolaryngology Workforce Analysis from 2016: https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.26238


“The 2022 Otolaryngology Workforce” Report from AAO-HNS:

https://www.entnet.org/wp-content/uploads/2023/07/2022-Otolaryngology-Workforce.pdf


Tompkins AJ. The Otolaryngology Workforce, Part I: Supply. ENTtoday. May 2022.

https://www.enttoday.org/article/some-studies-predict-a-shortage-of-otolaryngologists-do-the-numbers-support-them/


Tompkins AJ. The Otolaryngology Workforce, Part II: Structure &amp; Rethinking Supply. ENTtoday. June 2022.

https://www.enttoday.org/article/transparent-regular-data-vital-to-reworking-how-we-think-about-workforce-supply/


Tompkins AJ. The Otolaryngology Workforce, Part III: Competition &amp; Future Design. ENTtoday. July 2022.

https://www.enttoday.org/article/tips-for-creating-a-dynamic-otolaryngology-workforce/

]]> 3963 Ep. 170 ENT Advocacy: Strategies and Impact with Dr. Peter Manes In this episode of the BackTable ENT podcast, Dr. Pete Manes, associate professor of rhinology at Yale, discusses political advocacy with host Dr. Ashley Agan. --- SYNPOSIS Dr. Manes begins by explaining how a life-long interest in government underlies his work as a physician-advocate with the American Academy of Otolaryngology-Head &amp; Neck Surgery. Currently, he serves as the Academy’s Coordinator of Health Policy, where he contributes to private payer advocacy and Academy position statements. Drawing on this experience, he explains political challenges associated with being a smaller specialty, roles played by of Action Committees (PACs), and steps in legislative advocacy. Then, he shifts focus to cover how the Academy works with private payers to ensure fair reimbursement. The podcast concludes with resources to connect otolaryngologists with advocacy work. --- TIMESTAMPS 00:00 - Introduction 01:02 - Dr. Pete Manes’s Advocacy Role 08:04 - The Importance of Advocacy in Medicine 20:24 - Scope of Practice and Physician Payment Reform 30:02 - Building Relationships for Healthcare Advocacy 37:12 - Navigating Insurance Companies for Patient Advocacy 42:33 - Utilizing Position Statements in Healthcare Advocacy 48:29 - Accessing Academy Resources for Healthcare Advocacy 50:43 - Exploring Opportunities for Engagement and Advocacy --- RESOURCES Dr. Pete Manes’s Yale University Profile: https://medicine.yale.edu/surgery/otolaryngology/profile/rpeter-manes/ American Academy of Head & Neck Surgery (AAO-HNS) Position Statements: https://www.entnet.org/business-of-medicine/position-statements/ AAO-HNS Health Policy Contact: healthpolicy@entnet.org Tue, 07 May 2024 07:00:00 -0000 full BackTable Inc. In this episode of the BackTable ENT podcast, Dr. Pete Manes, associate professor of rhinology at Yale, discusses political advocacy with host Dr. Ashley Agan. In this episode of the BackTable ENT podcast, Dr. Pete Manes, associate professor of rhinology at Yale, discusses political advocacy with host Dr. Ashley Agan. --- SYNPOSIS Dr. Manes begins by explaining how a life-long interest in government underlies his work as a physician-advocate with the American Academy of Otolaryngology-Head &amp; Neck Surgery. Currently, he serves as the Academy’s Coordinator of Health Policy, where he contributes to private payer advocacy and Academy position statements. Drawing on this experience, he explains political challenges associated with being a smaller specialty, roles played by of Action Committees (PACs), and steps in legislative advocacy. Then, he shifts focus to cover how the Academy works with private payers to ensure fair reimbursement. The podcast concludes with resources to connect otolaryngologists with advocacy work. --- TIMESTAMPS 00:00 - Introduction 01:02 - Dr. Pete Manes’s Advocacy Role 08:04 - The Importance of Advocacy in Medicine 20:24 - Scope of Practice and Physician Payment Reform 30:02 - Building Relationships for Healthcare Advocacy 37:12 - Navigating Insurance Companies for Patient Advocacy 42:33 - Utilizing Position Statements in Healthcare Advocacy 48:29 - Accessing Academy Resources for Healthcare Advocacy 50:43 - Exploring Opportunities for Engagement and Advocacy --- RESOURCES Dr. Pete Manes’s Yale University Profile: https://medicine.yale.edu/surgery/otolaryngology/profile/rpeter-manes/ American Academy of Head & Neck Surgery (AAO-HNS) Position Statements: https://www.entnet.org/business-of-medicine/position-statements/ AAO-HNS Health Policy Contact: healthpolicy@entnet.org In this episode of the BackTable ENT podcast, Dr. Pete Manes, associate professor of rhinology at Yale, discusses political advocacy with host Dr. Ashley Agan.


---


SYNPOSIS


Dr. Manes begins by explaining how a life-long interest in government underlies his work as a physician-advocate with the American Academy of Otolaryngology-Head &amp; Neck Surgery. Currently, he serves as the Academy’s Coordinator of Health Policy, where he contributes to private payer advocacy and Academy position statements. Drawing on this experience, he explains political challenges associated with being a smaller specialty, roles played by of Action Committees (PACs), and steps in legislative advocacy. Then, he shifts focus to cover how the Academy works with private payers to ensure fair reimbursement. The podcast concludes with resources to connect otolaryngologists with advocacy work.


---


TIMESTAMPS


00:00 - Introduction

01:02 - Dr. Pete Manes’s Advocacy Role

08:04 - The Importance of Advocacy in Medicine

20:24 - Scope of Practice and Physician Payment Reform

30:02 - Building Relationships for Healthcare Advocacy

37:12 - Navigating Insurance Companies for Patient Advocacy

42:33 - Utilizing Position Statements in Healthcare Advocacy

48:29 - Accessing Academy Resources for Healthcare Advocacy

50:43 - Exploring Opportunities for Engagement and Advocacy


---


RESOURCES


Dr. Pete Manes’s Yale University Profile:

https://medicine.yale.edu/surgery/otolaryngology/profile/rpeter-manes/


American Academy of Head & Neck Surgery (AAO-HNS) Position Statements:

https://www.entnet.org/business-of-medicine/position-statements/


AAO-HNS Health Policy Contact:

healthpolicy@entnet.org

]]> 3602 Ep. 169 Navigating Type I Laryngeal Clefts in Children with Dr. Hamdy El-Hakim In this episode, Dr. Hamdy El-Hakim, pediatric airway surgeon and Associate Professor at the University of Alberta, joins host Dr. Gopi Shah to review laryngeal clefts in children. First, Dr. El-Hakim describes the presentation of laryngeal clefts. Affected children have coughing fits bad enough to cause watery eyes and “blue spells.” These fits are sometimes misattributed to other airway abnormalities or GERD. Then, discussion shifts to the workup of laryngeal clefts. All patients with a suspected laryngeal cleft need a comprehensive physical exam, a risk factor assessment and a swallow assessment, most commonly a FEES. Many patients will also require a diagnostic laryngoscopy with bronchoscopy (DLB). Dr. El-Hakim advises listeners on performing this test in children. Treatment of laryngeal clefts include thickened feeds, injection laryngoplasty, or surgical repair. Finally, Dr. El-Hakim advises listeners on compassionate care for families living with this condition. --- SHOW NOTES 00:00 - Introduction 03:39 - Laryngeal Clefts in Children: Diagnosis & Classification 06:36 - Presentation of Laryngeal Cleft 12:07 - Risk Factors & Associated Conditions 21:38 - Physical Examination Insights and Diagnostic Approaches 30:15 - The Role of FEES and Modified Barium Swallow in Diagnosis 37:37 - Navigating Pediatric Swallowing Disorders: Strategies and Challenges 41:12 - The Complexities of Diagnosing & Treating Laryngeal Cleft 45:28 - Surgical Techniques & Postoperative Care 01:03:13 - Evaluating Success Post-Surgery 01:09:20 - Final Thoughts: The Impact of Pediatric Dysphagia on Families --- RESOURCES Dr. Hamdy El-Hakim’s University of Alberta Profile: https://www.ualberta.ca/airway-research/iarc-team/hamdy-el-hakim.html Article demonstrating superiority of cold steel relative to laser in type I laryngeal cleft repair: https://pubmed.ncbi.nlm.nih.gov/34184769/ Tue, 30 Apr 2024 07:00:00 -0000 full BackTable Inc. In this episode, Dr. Hamdy El-Hakim, pediatric airway surgeon and Associate Professor at the University of Alberta, joins host Dr. Gopi Shah to review laryngeal clefts in children. In this episode, Dr. Hamdy El-Hakim, pediatric airway surgeon and Associate Professor at the University of Alberta, joins host Dr. Gopi Shah to review laryngeal clefts in children. First, Dr. El-Hakim describes the presentation of laryngeal clefts. Affected children have coughing fits bad enough to cause watery eyes and “blue spells.” These fits are sometimes misattributed to other airway abnormalities or GERD. Then, discussion shifts to the workup of laryngeal clefts. All patients with a suspected laryngeal cleft need a comprehensive physical exam, a risk factor assessment and a swallow assessment, most commonly a FEES. Many patients will also require a diagnostic laryngoscopy with bronchoscopy (DLB). Dr. El-Hakim advises listeners on performing this test in children. Treatment of laryngeal clefts include thickened feeds, injection laryngoplasty, or surgical repair. Finally, Dr. El-Hakim advises listeners on compassionate care for families living with this condition. --- SHOW NOTES 00:00 - Introduction 03:39 - Laryngeal Clefts in Children: Diagnosis & Classification 06:36 - Presentation of Laryngeal Cleft 12:07 - Risk Factors & Associated Conditions 21:38 - Physical Examination Insights and Diagnostic Approaches 30:15 - The Role of FEES and Modified Barium Swallow in Diagnosis 37:37 - Navigating Pediatric Swallowing Disorders: Strategies and Challenges 41:12 - The Complexities of Diagnosing & Treating Laryngeal Cleft 45:28 - Surgical Techniques & Postoperative Care 01:03:13 - Evaluating Success Post-Surgery 01:09:20 - Final Thoughts: The Impact of Pediatric Dysphagia on Families --- RESOURCES Dr. Hamdy El-Hakim’s University of Alberta Profile: https://www.ualberta.ca/airway-research/iarc-team/hamdy-el-hakim.html Article demonstrating superiority of cold steel relative to laser in type I laryngeal cleft repair: https://pubmed.ncbi.nlm.nih.gov/34184769/ In this episode, Dr. Hamdy El-Hakim, pediatric airway surgeon and Associate Professor at the University of Alberta, joins host Dr. Gopi Shah to review laryngeal clefts in children.


First, Dr. El-Hakim describes the presentation of laryngeal clefts. Affected children have coughing fits bad enough to cause watery eyes and “blue spells.” These fits are sometimes misattributed to other airway abnormalities or GERD. Then, discussion shifts to the workup of laryngeal clefts. All patients with a suspected laryngeal cleft need a comprehensive physical exam, a risk factor assessment and a swallow assessment, most commonly a FEES. Many patients will also require a diagnostic laryngoscopy with bronchoscopy (DLB). Dr. El-Hakim advises listeners on performing this test in children. Treatment of laryngeal clefts include thickened feeds, injection laryngoplasty, or surgical repair. Finally, Dr. El-Hakim advises listeners on compassionate care for families living with this condition.


---


SHOW NOTES


00:00 - Introduction

03:39 - Laryngeal Clefts in Children: Diagnosis & Classification

06:36 - Presentation of Laryngeal Cleft

12:07 - Risk Factors & Associated Conditions

21:38 - Physical Examination Insights and Diagnostic Approaches

30:15 - The Role of FEES and Modified Barium Swallow in Diagnosis

37:37 - Navigating Pediatric Swallowing Disorders: Strategies and Challenges

41:12 - The Complexities of Diagnosing & Treating Laryngeal Cleft

45:28 - Surgical Techniques & Postoperative Care

01:03:13 - Evaluating Success Post-Surgery

01:09:20 - Final Thoughts: The Impact of Pediatric Dysphagia on Families


---


RESOURCES


Dr. Hamdy El-Hakim’s University of Alberta Profile:

https://www.ualberta.ca/airway-research/iarc-team/hamdy-el-hakim.html


Article demonstrating superiority of cold steel relative to laser in type I laryngeal cleft repair:

https://pubmed.ncbi.nlm.nih.gov/34184769/

]]> 4509 Ep. 168 The Art of Negotiation: Securing Worth for Clinicians with Dr. Mark Royer In this episode, Dr. Mark Royer, private practice otolaryngologist and medical director of ENTLocums.com, joins BackTable to discuss salary negotiation for physicians. Dr. Royer begins by using his personal career journey to highlight the importance of negotiation skills. Then, he describes how to develop these skills. Throughout the episode, Dr. Royer emphasizes the importance of knowing one’s value as a surgical subspecialist and tailoring your strategy to best suit your employer’s perspective and your needs. Relevant topics covered include selecting a practice, starting salaries, RVUs, locums, and non-compete agreements. Dr. Royer concludes by encouraging otolaryngologists to reflect on what they truly want out of their careers as they approach the negotiation table. --- SHOW NOTES 00:00 - Introduction 01:22 - Salary Negotiation 05:24 - Dr. Royer’s Journey from Residency to Entrepreneurship 10:16 - Negotiating Your Salary: Essential Tips and Strategies 26:27 - Different Approaches to Negotiation: Hospital vs. Private Practice 28:40 - Exploring the World of Locum Tenens 31:59 - Mid-Career Physician Negotiations and Raises 41:26 - Mastering Negotiation Tactics and Strategies: Tips from “Never Split the Difference” 47:38 - Navigating Non-Compete Clauses & Final Thoughts --- RESOURCES ENT Surgery Solutions, LLC: https://www.entlocums.com/ BackTable ENT Episode 57, “Locums Opportunities in ENT with Dr. Allison Royer:” https://www.backtable.com/shows/ent/podcasts/57/locums-opportunities-in-ent BackTable ENT Episode 107, “How Do I Negotiate My Physician Contract? Part I with Michael Johnson Jr., Esq:” https://www.backtable.com/shows/ent/podcasts/107/how-do-i-negotiate-my-physician-contract-part-i BackTable ENT Episode 108, “How Do I Negotiate My Physician Contract? Part II with Michael Johnson Jr., Esq:” https://www.backtable.com/shows/ent/podcasts/108/how-do-i-negotiate-my-physician-contract-part-ii “Never Split the Difference” by Chris Voss: https://www.amazon.com/Never-Split-Difference-Negotiating-Depended/dp/0062407805 Tue, 23 Apr 2024 07:00:00 -0000 full BackTable Inc. In this episode, Dr. Mark Royer, private practice otolaryngologist and medical director of ENTLocums.com, joins BackTable to discuss salary negotiation for physicians. In this episode, Dr. Mark Royer, private practice otolaryngologist and medical director of ENTLocums.com, joins BackTable to discuss salary negotiation for physicians. Dr. Royer begins by using his personal career journey to highlight the importance of negotiation skills. Then, he describes how to develop these skills. Throughout the episode, Dr. Royer emphasizes the importance of knowing one’s value as a surgical subspecialist and tailoring your strategy to best suit your employer’s perspective and your needs. Relevant topics covered include selecting a practice, starting salaries, RVUs, locums, and non-compete agreements. Dr. Royer concludes by encouraging otolaryngologists to reflect on what they truly want out of their careers as they approach the negotiation table. --- SHOW NOTES 00:00 - Introduction 01:22 - Salary Negotiation 05:24 - Dr. Royer’s Journey from Residency to Entrepreneurship 10:16 - Negotiating Your Salary: Essential Tips and Strategies 26:27 - Different Approaches to Negotiation: Hospital vs. Private Practice 28:40 - Exploring the World of Locum Tenens 31:59 - Mid-Career Physician Negotiations and Raises 41:26 - Mastering Negotiation Tactics and Strategies: Tips from “Never Split the Difference” 47:38 - Navigating Non-Compete Clauses & Final Thoughts --- RESOURCES ENT Surgery Solutions, LLC: https://www.entlocums.com/ BackTable ENT Episode 57, “Locums Opportunities in ENT with Dr. Allison Royer:” https://www.backtable.com/shows/ent/podcasts/57/locums-opportunities-in-ent BackTable ENT Episode 107, “How Do I Negotiate My Physician Contract? Part I with Michael Johnson Jr., Esq:” https://www.backtable.com/shows/ent/podcasts/107/how-do-i-negotiate-my-physician-contract-part-i BackTable ENT Episode 108, “How Do I Negotiate My Physician Contract? Part II with Michael Johnson Jr., Esq:” https://www.backtable.com/shows/ent/podcasts/108/how-do-i-negotiate-my-physician-contract-part-ii “Never Split the Difference” by Chris Voss: https://www.amazon.com/Never-Split-Difference-Negotiating-Depended/dp/0062407805 In this episode, Dr. Mark Royer, private practice otolaryngologist and medical director of ENTLocums.com, joins BackTable to discuss salary negotiation for physicians.


Dr. Royer begins by using his personal career journey to highlight the importance of negotiation skills. Then, he describes how to develop these skills. Throughout the episode, Dr. Royer emphasizes the importance of knowing one’s value as a surgical subspecialist and tailoring your strategy to best suit your employer’s perspective and your needs. Relevant topics covered include selecting a practice, starting salaries, RVUs, locums, and non-compete agreements. Dr. Royer concludes by encouraging otolaryngologists to reflect on what they truly want out of their careers as they approach the negotiation table.


---


SHOW NOTES


00:00 - Introduction

01:22 - Salary Negotiation

05:24 - Dr. Royer’s Journey from Residency to Entrepreneurship

10:16 - Negotiating Your Salary: Essential Tips and Strategies

26:27 - Different Approaches to Negotiation: Hospital vs. Private Practice

28:40 - Exploring the World of Locum Tenens

31:59 - Mid-Career Physician Negotiations and Raises

41:26 - Mastering Negotiation Tactics and Strategies: Tips from “Never Split the Difference”

47:38 - Navigating Non-Compete Clauses & Final Thoughts


---


RESOURCES


ENT Surgery Solutions, LLC:

https://www.entlocums.com/


BackTable ENT Episode 57, “Locums Opportunities in ENT with Dr. Allison Royer:”

https://www.backtable.com/shows/ent/podcasts/57/locums-opportunities-in-ent


BackTable ENT Episode 107, “How Do I Negotiate My Physician Contract? Part I with Michael Johnson Jr., Esq:”

https://www.backtable.com/shows/ent/podcasts/107/how-do-i-negotiate-my-physician-contract-part-i


BackTable ENT Episode 108, “How Do I Negotiate My Physician Contract? Part II with Michael Johnson Jr., Esq:”

https://www.backtable.com/shows/ent/podcasts/108/how-do-i-negotiate-my-physician-contract-part-ii


“Never Split the Difference” by Chris Voss:

https://www.amazon.com/Never-Split-Difference-Negotiating-Depended/dp/0062407805

]]> 3320 Ep. 167 Reimbursement Realities in Today’s Medical Practices with Dr. Gavin Setzen In this episode, Dr. Gavin Setzen of Albany ENT & Allergy Services addresses the current landscape of insurance reimbursement with host Dr. Ashley Agan. The episode opens by reviewing the current state of healthcare financing, where climbing costs, declining reimbursement, and continued consolidation of medical groups confront physician-owned private practices. Mindful of this context, Dr. Setzen describes his experiences tackling reimbursement challenges. Recounting his successes, Dr. Setzen encourages physicians to base their claims in evidence-based medicine, enlist allies (such as patient unions), and develop relationships with insurers. He then provides strategies to efficiently manage Prior Authorizations, including Peer-to-Peer conversations. Finally, Dr. Setzen shares how coordinating one’s reimbursement strategy with colleagues and advocacy groups helps increase odds of success. --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SHOW NOTES 00:00 - Introduction 01:55 - Dr. Gavin Setzen’s Journey and Practice Insights 05:30 - The Challenges of Healthcare Landscape and Insurance 10:06 - Innovations in ENT: Navigating New Technologies & Reimbursement Challenges 20:23 - Strategies for Overcoming Insurance Denials 52:30 - The Importance of Data and Collaboration in Patient Advocacy 55:19 - Closing Thoughts --- RESOURCES Dr. Setzen’s Albany ENT & Allergy Services Profile: https://albanyentandallergy.com/bio/gavin-setzen/ Tue, 16 Apr 2024 07:00:00 -0000 full BackTable Inc. In this episode, Dr. Gavin Setzen of Albany ENT & Allergy Services addresses the current landscape of insurance reimbursement with host Dr. Ashley Agan. In this episode, Dr. Gavin Setzen of Albany ENT & Allergy Services addresses the current landscape of insurance reimbursement with host Dr. Ashley Agan. The episode opens by reviewing the current state of healthcare financing, where climbing costs, declining reimbursement, and continued consolidation of medical groups confront physician-owned private practices. Mindful of this context, Dr. Setzen describes his experiences tackling reimbursement challenges. Recounting his successes, Dr. Setzen encourages physicians to base their claims in evidence-based medicine, enlist allies (such as patient unions), and develop relationships with insurers. He then provides strategies to efficiently manage Prior Authorizations, including Peer-to-Peer conversations. Finally, Dr. Setzen shares how coordinating one’s reimbursement strategy with colleagues and advocacy groups helps increase odds of success. --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SHOW NOTES 00:00 - Introduction 01:55 - Dr. Gavin Setzen’s Journey and Practice Insights 05:30 - The Challenges of Healthcare Landscape and Insurance 10:06 - Innovations in ENT: Navigating New Technologies & Reimbursement Challenges 20:23 - Strategies for Overcoming Insurance Denials 52:30 - The Importance of Data and Collaboration in Patient Advocacy 55:19 - Closing Thoughts --- RESOURCES Dr. Setzen’s Albany ENT & Allergy Services Profile: https://albanyentandallergy.com/bio/gavin-setzen/ In this episode, Dr. Gavin Setzen of Albany ENT & Allergy Services addresses the current landscape of insurance reimbursement with host Dr. Ashley Agan.


The episode opens by reviewing the current state of healthcare financing, where climbing costs, declining reimbursement, and continued consolidation of medical groups confront physician-owned private practices. Mindful of this context, Dr. Setzen describes his experiences tackling reimbursement challenges. Recounting his successes, Dr. Setzen encourages physicians to base their claims in evidence-based medicine, enlist allies (such as patient unions), and develop relationships with insurers. He then provides strategies to efficiently manage Prior Authorizations, including Peer-to-Peer conversations. Finally, Dr. Setzen shares how coordinating one’s reimbursement strategy with colleagues and advocacy groups helps increase odds of success.


---


CHECK OUT OUR SPONSOR


Stryker ENT

https://ent.stryker.com


---


SHOW NOTES


00:00 - Introduction

01:55 - Dr. Gavin Setzen’s Journey and Practice Insights

05:30 - The Challenges of Healthcare Landscape and Insurance

10:06 - Innovations in ENT: Navigating New Technologies & Reimbursement Challenges

20:23 - Strategies for Overcoming Insurance Denials

52:30 - The Importance of Data and Collaboration in Patient Advocacy

55:19 - Closing Thoughts


---


RESOURCES


Dr. Setzen’s Albany ENT & Allergy Services Profile:

https://albanyentandallergy.com/bio/gavin-setzen/

]]> 3561 Ep. 166 The Human Side of Surgery: Confronting Burnout Together with Dr. Herdley Paolini, Dr. Julie Wei and Dr. Anthony Sheyn In this episode, pediatric otolaryngologist Dr. Julie Wei (Akron Children’s Hospital) and psychologist Dr. Herdley Paolini discuss surgeon burnout with guest host, pediatric otolaryngologist Dr. Anthony Sheyn (Le Bonheur Children’s Hospital). First, Dr. Paolini reviews causes of surgeon burnout, drawing on three decades of experience working in physician wellness. Then, Dr. Sheyn and Dr. Wei discuss steps they’ve taken to combat burnout. Dr. Wei illuminates challenges unique to female surgeons, including higher levels of emotional exhaustion, fertility struggles, and ‘mom guilt.’ Then, the discussion shifts to address the roles that healthcare administration and medical education play in surgeon burnout. The podcast concludes with Dr. Wei’s experience advocating for needed changes in her hospital’s call policies. --- SHOW NOTES 00:00 - Introduction 03:18 - Operating Through Challenges: Dr. Wei’s Experience with Burnout 06:02 - Exploring Causes of Surgeon Burnout with Dr. Paolini 16:03 - Squashing the Stigma: Embracing Vulnerability in Surgery 25:37 - The Power of Advocacy and Building a Case for Wellness Programs 31:06 - Early Interventions and Transforming Medical Education 34:10 - Balancing Professional & Personal Life As A Surgeon 42:47 - Initiating System Changes for Physician Well-being --- RESOURCES Dr. Anthony Sheyn’s Le Bonheur Children’s Hospital Profile: https://www.lebonheur.org/doctors/anthony-sheyn Dr. Julie Wei’s Akron Children’s Hospital Profile: https://akronchildrens.org/people/Julie-Wei.html About Dr. Herdley Paolini: https://www.physicianintegration.org/about “Safeguarding Physician Wellbeing” by Dr. Julie Wei: https://www.routledge.com/Safeguarding-Physician-Wellbeing-Using-Checklists-for-Personal-Professional-and-Psychological-Safety/Wei/p/book/9781032589893 “Inside the Mind of a Physician: Illuminating the Mystery of How Doctors Think, What they Feel, and Why they Do the Things They Do” by Dr. Herdley Paolini: https://www.amazon.com/Inside-Mind-Physician-Illuminating-Publishing/dp/0982040903 Tue, 09 Apr 2024 07:00:00 -0000 full BackTable Inc. In this episode, pediatric otolaryngologist Dr. Julie Wei (Akron Children’s Hospital) and psychologist Dr. Herdley Paolini discuss surgeon burnout with guest host, pediatric otolaryngologist Dr. Anthony Sheyn (Le Bonheur Children’s Hospital). In this episode, pediatric otolaryngologist Dr. Julie Wei (Akron Children’s Hospital) and psychologist Dr. Herdley Paolini discuss surgeon burnout with guest host, pediatric otolaryngologist Dr. Anthony Sheyn (Le Bonheur Children’s Hospital). First, Dr. Paolini reviews causes of surgeon burnout, drawing on three decades of experience working in physician wellness. Then, Dr. Sheyn and Dr. Wei discuss steps they’ve taken to combat burnout. Dr. Wei illuminates challenges unique to female surgeons, including higher levels of emotional exhaustion, fertility struggles, and ‘mom guilt.’ Then, the discussion shifts to address the roles that healthcare administration and medical education play in surgeon burnout. The podcast concludes with Dr. Wei’s experience advocating for needed changes in her hospital’s call policies. --- SHOW NOTES 00:00 - Introduction 03:18 - Operating Through Challenges: Dr. Wei’s Experience with Burnout 06:02 - Exploring Causes of Surgeon Burnout with Dr. Paolini 16:03 - Squashing the Stigma: Embracing Vulnerability in Surgery 25:37 - The Power of Advocacy and Building a Case for Wellness Programs 31:06 - Early Interventions and Transforming Medical Education 34:10 - Balancing Professional & Personal Life As A Surgeon 42:47 - Initiating System Changes for Physician Well-being --- RESOURCES Dr. Anthony Sheyn’s Le Bonheur Children’s Hospital Profile: https://www.lebonheur.org/doctors/anthony-sheyn Dr. Julie Wei’s Akron Children’s Hospital Profile: https://akronchildrens.org/people/Julie-Wei.html About Dr. Herdley Paolini: https://www.physicianintegration.org/about “Safeguarding Physician Wellbeing” by Dr. Julie Wei: https://www.routledge.com/Safeguarding-Physician-Wellbeing-Using-Checklists-for-Personal-Professional-and-Psychological-Safety/Wei/p/book/9781032589893 “Inside the Mind of a Physician: Illuminating the Mystery of How Doctors Think, What they Feel, and Why they Do the Things They Do” by Dr. Herdley Paolini: https://www.amazon.com/Inside-Mind-Physician-Illuminating-Publishing/dp/0982040903 In this episode, pediatric otolaryngologist Dr. Julie Wei (Akron Children’s Hospital) and psychologist Dr. Herdley Paolini discuss surgeon burnout with guest host, pediatric otolaryngologist Dr. Anthony Sheyn (Le Bonheur Children’s Hospital).


First, Dr. Paolini reviews causes of surgeon burnout, drawing on three decades of experience working in physician wellness. Then, Dr. Sheyn and Dr. Wei discuss steps they’ve taken to combat burnout. Dr. Wei illuminates challenges unique to female surgeons, including higher levels of emotional exhaustion, fertility struggles, and ‘mom guilt.’ Then, the discussion shifts to address the roles that healthcare administration and medical education play in surgeon burnout. The podcast concludes with Dr. Wei’s experience advocating for needed changes in her hospital’s call policies.


---


SHOW NOTES


00:00 - Introduction

03:18 - Operating Through Challenges: Dr. Wei’s Experience with Burnout

06:02 - Exploring Causes of Surgeon Burnout with Dr. Paolini

16:03 - Squashing the Stigma: Embracing Vulnerability in Surgery

25:37 - The Power of Advocacy and Building a Case for Wellness Programs

31:06 - Early Interventions and Transforming Medical Education

34:10 - Balancing Professional & Personal Life As A Surgeon

42:47 - Initiating System Changes for Physician Well-being


---


RESOURCES


Dr. Anthony Sheyn’s Le Bonheur Children’s Hospital Profile:

https://www.lebonheur.org/doctors/anthony-sheyn


Dr. Julie Wei’s Akron Children’s Hospital Profile:

https://akronchildrens.org/people/Julie-Wei.html


About Dr. Herdley Paolini:

https://www.physicianintegration.org/about


“Safeguarding Physician Wellbeing” by Dr. Julie Wei:

https://www.routledge.com/Safeguarding-Physician-Wellbeing-Using-Checklists-for-Personal-Professional-and-Psychological-Safety/Wei/p/book/9781032589893


“Inside the Mind of a Physician: Illuminating the Mystery of How Doctors Think, What they Feel, and Why they Do the Things They Do” by Dr. Herdley Paolini:

https://www.amazon.com/Inside-Mind-Physician-Illuminating-Publishing/dp/0982040903

]]> 3031 Ep. 165 Implementing FEES for Infants in CVICU and NICU with Olivia Brooks, SLP In this episode, Pediatric Speech Language Pathologist (SLP) Olivia Brooks (University of Florida Shands Hospital) shares her experience performing inpatient fiberoptic endoscopic evaluation of swallowing (FEES) with host Dr. Gopi Shah. First, Olivia reviews the presentation of swallowing disorders in infants. She explains differences between the two most common swallowing tests: videofluoroscopic swallow study (VFSS) and (FEES). Then, she reviews how she uses patient comorbidities and the physical exam to select the appropriate test for each infant. Underscoring the importance of collaboration across care teams, she describes her role performing swallow studies in the NICU and pediatric CVICU. She then shares tips on equipment, ergonomics, and teamwork while performing bedside FEES. The podcast wraps with her advice about working on an interprofessional team to care for children with swallowing disorders. --- CHECK OUT OUR SPONSOR Karl Storz Tele Pack https://www.karlstorz.com/ --- SHOW NOTES 00:00 - Introduction 06:26 - The Importance of a Comprehensive Evaluation 13:00 - Choosing Between VFSS & FEES 22:44 - The Evolution of Inpatient Bedside FEES 31:27 - The Role of Speech Pathologists in Swallow Assessment 33:23 - Collaboration between Speech Pathologists & Otolaryngologists 35:31 - Developing Safety Protocols for Bedside FEES 41:21 - Equipment for Bedside FEES 53:20 - Differences between the NICU and the CVICU 01:00:03 - Final Thoughts and Advice Regarding Swallow Studies --- RESOURCES KARL STORZ ENT Products: https://www.karlstorznetwork1.com/ent Olivia Brooks CCC-SLP’s UF Profile https://ufhealth.org/doctors/olivia-a-brooks/bio Tue, 02 Apr 2024 07:00:00 -0000 full BackTable Inc. In this episode, Pediatric Speech Language Pathologist (SLP) Olivia Brooks (University of Florida Shands Hospital) shares her experience performing inpatient fiberoptic endoscopic evaluation of swallowing (FEES) with host Dr. Gopi Shah. In this episode, Pediatric Speech Language Pathologist (SLP) Olivia Brooks (University of Florida Shands Hospital) shares her experience performing inpatient fiberoptic endoscopic evaluation of swallowing (FEES) with host Dr. Gopi Shah. First, Olivia reviews the presentation of swallowing disorders in infants. She explains differences between the two most common swallowing tests: videofluoroscopic swallow study (VFSS) and (FEES). Then, she reviews how she uses patient comorbidities and the physical exam to select the appropriate test for each infant. Underscoring the importance of collaboration across care teams, she describes her role performing swallow studies in the NICU and pediatric CVICU. She then shares tips on equipment, ergonomics, and teamwork while performing bedside FEES. The podcast wraps with her advice about working on an interprofessional team to care for children with swallowing disorders. --- CHECK OUT OUR SPONSOR Karl Storz Tele Pack https://www.karlstorz.com/ --- SHOW NOTES 00:00 - Introduction 06:26 - The Importance of a Comprehensive Evaluation 13:00 - Choosing Between VFSS & FEES 22:44 - The Evolution of Inpatient Bedside FEES 31:27 - The Role of Speech Pathologists in Swallow Assessment 33:23 - Collaboration between Speech Pathologists & Otolaryngologists 35:31 - Developing Safety Protocols for Bedside FEES 41:21 - Equipment for Bedside FEES 53:20 - Differences between the NICU and the CVICU 01:00:03 - Final Thoughts and Advice Regarding Swallow Studies --- RESOURCES KARL STORZ ENT Products: https://www.karlstorznetwork1.com/ent Olivia Brooks CCC-SLP’s UF Profile https://ufhealth.org/doctors/olivia-a-brooks/bio In this episode, Pediatric Speech Language Pathologist (SLP) Olivia Brooks (University of Florida Shands Hospital) shares her experience performing inpatient fiberoptic endoscopic evaluation of swallowing (FEES) with host Dr. Gopi Shah.


First, Olivia reviews the presentation of swallowing disorders in infants. She explains differences between the two most common swallowing tests: videofluoroscopic swallow study (VFSS) and (FEES). Then, she reviews how she uses patient comorbidities and the physical exam to select the appropriate test for each infant. Underscoring the importance of collaboration across care teams, she describes her role performing swallow studies in the NICU and pediatric CVICU. She then shares tips on equipment, ergonomics, and teamwork while performing bedside FEES. The podcast wraps with her advice about working on an interprofessional team to care for children with swallowing disorders.


---


CHECK OUT OUR SPONSOR


Karl Storz Tele Pack

https://www.karlstorz.com/


---


SHOW NOTES


00:00 - Introduction

06:26 - The Importance of a Comprehensive Evaluation

13:00 - Choosing Between VFSS & FEES

22:44 - The Evolution of Inpatient Bedside FEES

31:27 - The Role of Speech Pathologists in Swallow Assessment

33:23 - Collaboration between Speech Pathologists & Otolaryngologists

35:31 - Developing Safety Protocols for Bedside FEES

41:21 - Equipment for Bedside FEES

53:20 - Differences between the NICU and the CVICU

01:00:03 - Final Thoughts and Advice Regarding Swallow Studies


---


RESOURCES


KARL STORZ ENT Products:

https://www.karlstorznetwork1.com/ent


Olivia Brooks CCC-SLP’s UF Profile

https://ufhealth.org/doctors/olivia-a-brooks/bio

]]> 3863 Ep. 164 Chronic Invasive Fungal Sinusitis: Diagnosis and Management with Dr. Ashleigh Halderman In this episode, Dr. Ashleigh Halderman, Rhinologist and Associate Professor at the University of Texas Southwestern Medical Center, discusses chronic invasive fungal sinusitis with hosts Dr. Gopi Shah and Dr. Ashley Agan, First, Dr. Halderman outlines her advocacy work as President of the Texas Association of Otolaryngology. Then, the discussion transitions to chronic invasive fungal sinusitis. Dr. Halderman defines the disease, describes typical patient presentation, and reviews concerning imaging findings. Until biopsy can clinch the diagnosis, she maintains a high index of suspicion in cases of bizarre clinical presentation or facial paresthesia. The surgeons then shift their attention to management, which consists of culture-directed antifungals and judicious surgical intervention. Dr. Halderman wraps up the episode by sharing her pearls for operative management and long-term surveillance. --- SHOW NOTES 00:00 - Introduction 02:10 - Exploring the Texas Association of Otolaryngology 05:58 - Understanding Chronic Invasive Fungal Sinusitis: Types & Treatments 20:25 - Diagnostic Challenges and Imaging Insights 27:07 - Navigating Diagnostic Challenges and Treatment Options 29:40 - The Role of Biopsy in Confirming Fungal Infections 30:52 - Surgical Considerations and Pre-Operative Strategies 40:29 - Surveillance Strategies: Managing Chronic Invasive Fungal Sinusitis 46:34 - The Future of Surgical & Antifungal Therapies for Chronic Invasive Fungal Sinusitis --- RESOURCES Dr. Ashleigh Halderman’s UT Southwestern Profile: https://utswmed.org/doctors/ashleigh-halderman/ BackTable ENT Episode 30, “Revision Endoscopic Sinus Surgery" https://www.backtable.com/shows/ent/podcasts/30/revision-endoscopic-sinus-surgery Texas Association of Otolarynogology: https://www.taohns.org/ Tue, 26 Mar 2024 07:00:00 -0000 full BackTable Inc. In this episode, Dr. Ashleigh Halderman, Rhinologist and Associate Professor at the University of Texas Southwestern Medical Center, discusses chronic invasive fungal sinusitis with hosts Dr. Gopi Shah and Dr. Ashley Agan, In this episode, Dr. Ashleigh Halderman, Rhinologist and Associate Professor at the University of Texas Southwestern Medical Center, discusses chronic invasive fungal sinusitis with hosts Dr. Gopi Shah and Dr. Ashley Agan, First, Dr. Halderman outlines her advocacy work as President of the Texas Association of Otolaryngology. Then, the discussion transitions to chronic invasive fungal sinusitis. Dr. Halderman defines the disease, describes typical patient presentation, and reviews concerning imaging findings. Until biopsy can clinch the diagnosis, she maintains a high index of suspicion in cases of bizarre clinical presentation or facial paresthesia. The surgeons then shift their attention to management, which consists of culture-directed antifungals and judicious surgical intervention. Dr. Halderman wraps up the episode by sharing her pearls for operative management and long-term surveillance. --- SHOW NOTES 00:00 - Introduction 02:10 - Exploring the Texas Association of Otolaryngology 05:58 - Understanding Chronic Invasive Fungal Sinusitis: Types & Treatments 20:25 - Diagnostic Challenges and Imaging Insights 27:07 - Navigating Diagnostic Challenges and Treatment Options 29:40 - The Role of Biopsy in Confirming Fungal Infections 30:52 - Surgical Considerations and Pre-Operative Strategies 40:29 - Surveillance Strategies: Managing Chronic Invasive Fungal Sinusitis 46:34 - The Future of Surgical & Antifungal Therapies for Chronic Invasive Fungal Sinusitis --- RESOURCES Dr. Ashleigh Halderman’s UT Southwestern Profile: https://utswmed.org/doctors/ashleigh-halderman/ BackTable ENT Episode 30, “Revision Endoscopic Sinus Surgery" https://www.backtable.com/shows/ent/podcasts/30/revision-endoscopic-sinus-surgery Texas Association of Otolarynogology: https://www.taohns.org/ In this episode, Dr. Ashleigh Halderman, Rhinologist and Associate Professor at the University of Texas Southwestern Medical Center, discusses chronic invasive fungal sinusitis with hosts Dr. Gopi Shah and Dr. Ashley Agan,


First, Dr. Halderman outlines her advocacy work as President of the Texas Association of Otolaryngology. Then, the discussion transitions to chronic invasive fungal sinusitis. Dr. Halderman defines the disease, describes typical patient presentation, and reviews concerning imaging findings. Until biopsy can clinch the diagnosis, she maintains a high index of suspicion in cases of bizarre clinical presentation or facial paresthesia. The surgeons then shift their attention to management, which consists of culture-directed antifungals and judicious surgical intervention. Dr. Halderman wraps up the episode by sharing her pearls for operative management and long-term surveillance.


---


SHOW NOTES


00:00 - Introduction

02:10 - Exploring the Texas Association of Otolaryngology

05:58 - Understanding Chronic Invasive Fungal Sinusitis: Types & Treatments

20:25 - Diagnostic Challenges and Imaging Insights

27:07 - Navigating Diagnostic Challenges and Treatment Options

29:40 - The Role of Biopsy in Confirming Fungal Infections

30:52 - Surgical Considerations and Pre-Operative Strategies

40:29 - Surveillance Strategies: Managing Chronic Invasive Fungal Sinusitis

46:34 - The Future of Surgical & Antifungal Therapies for Chronic Invasive Fungal Sinusitis


---


RESOURCES


Dr. Ashleigh Halderman’s UT Southwestern Profile:

https://utswmed.org/doctors/ashleigh-halderman/


BackTable ENT Episode 30, “Revision Endoscopic Sinus Surgery"

https://www.backtable.com/shows/ent/podcasts/30/revision-endoscopic-sinus-surgery


Texas Association of Otolarynogology:

https://www.taohns.org/

]]> 3048 Ep. 163 Evolving Paths: Navigating Career Transitions in Medicine with Dr. Jennifer Villwock Tue, 19 Mar 2024 07:00:00 -0000 full BackTable Inc. 3016 Ep. 162 Pediatric Open Airway Surgery: It’s All About the Decision-Making with Dr. Sohit P. Kanotra In this episode, Dr. Sohit Kanotra, director of UCLA’s Complex Pediatric Airway Program, discusses open airway surgery in children with host Dr. Gopi Shah. First, the surgeons review the presentation of pediatric airway stenosis, which causes stridor in younger children and exercise intolerance in older ones. Drawing on his experience at UCLA, Dr. Kanotra addresses how to build a pediatric airway program, emphasizing the importance of relationships with the NICU and PICU. He advises airway surgeons to coordinate with these units to share protocols, organize conferences, and assist with bedside swallow assessments. Then, the discussion transitions to pre-operative evaluation of and contemporary strategies in pediatric airway reconstruction. Dr. Kanotra shares pearls for surgical planning, operative technique, and post-operative management. The episode concludes with Dr. Kanotra’s high-level advice to fellow pediatric airway surgeons. --- SHOW NOTES 00:00 - Introduction 03:03 - Building UCLA’s Complex Airway Program 09:37 - Decision-Making in Pediatric Open Airway Surgery 20:10 - Pediatric Airway Surgery: A Multidisciplinary Effort 32:24 - Preoperative Assessment for Open Airway Surgery 38:16 - Evaluating the Airway: Techniques & Tools 39:34 - Planning for Open Airway Surgery 40:15 - Understanding Expansion & Resection Procedures 56:58 - Using Release Maneuvers in Pediatric Open Airway Surgery 01:00:29 - Post-operative Management and Follow-up 01:06:33 - Concluding Thoughts & Pearls --- RESOURCES Dr. Sohit Kanotra’s UCLA Profile https://www.uclahealth.org/providers/sohit-kanotra Tue, 12 Mar 2024 07:00:00 -0000 full BackTable Inc. In this episode, Dr. Sohit Kanotra, director of UCLA’s Complex Pediatric Airway Program, discusses open airway surgery in children with host Dr. Gopi Shah. In this episode, Dr. Sohit Kanotra, director of UCLA’s Complex Pediatric Airway Program, discusses open airway surgery in children with host Dr. Gopi Shah. First, the surgeons review the presentation of pediatric airway stenosis, which causes stridor in younger children and exercise intolerance in older ones. Drawing on his experience at UCLA, Dr. Kanotra addresses how to build a pediatric airway program, emphasizing the importance of relationships with the NICU and PICU. He advises airway surgeons to coordinate with these units to share protocols, organize conferences, and assist with bedside swallow assessments. Then, the discussion transitions to pre-operative evaluation of and contemporary strategies in pediatric airway reconstruction. Dr. Kanotra shares pearls for surgical planning, operative technique, and post-operative management. The episode concludes with Dr. Kanotra’s high-level advice to fellow pediatric airway surgeons. --- SHOW NOTES 00:00 - Introduction 03:03 - Building UCLA’s Complex Airway Program 09:37 - Decision-Making in Pediatric Open Airway Surgery 20:10 - Pediatric Airway Surgery: A Multidisciplinary Effort 32:24 - Preoperative Assessment for Open Airway Surgery 38:16 - Evaluating the Airway: Techniques & Tools 39:34 - Planning for Open Airway Surgery 40:15 - Understanding Expansion & Resection Procedures 56:58 - Using Release Maneuvers in Pediatric Open Airway Surgery 01:00:29 - Post-operative Management and Follow-up 01:06:33 - Concluding Thoughts & Pearls --- RESOURCES Dr. Sohit Kanotra’s UCLA Profile https://www.uclahealth.org/providers/sohit-kanotra In this episode, Dr. Sohit Kanotra, director of UCLA’s Complex Pediatric Airway Program, discusses open airway surgery in children with host Dr. Gopi Shah.


First, the surgeons review the presentation of pediatric airway stenosis, which causes stridor in younger children and exercise intolerance in older ones. Drawing on his experience at UCLA, Dr. Kanotra addresses how to build a pediatric airway program, emphasizing the importance of relationships with the NICU and PICU. He advises airway surgeons to coordinate with these units to share protocols, organize conferences, and assist with bedside swallow assessments. Then, the discussion transitions to pre-operative evaluation of and contemporary strategies in pediatric airway reconstruction. Dr. Kanotra shares pearls for surgical planning, operative technique, and post-operative management. The episode concludes with Dr. Kanotra’s high-level advice to fellow pediatric airway surgeons.


---


SHOW NOTES


00:00 - Introduction

03:03 - Building UCLA’s Complex Airway Program

09:37 - Decision-Making in Pediatric Open Airway Surgery

20:10 - Pediatric Airway Surgery: A Multidisciplinary Effort

32:24 - Preoperative Assessment for Open Airway Surgery

38:16 - Evaluating the Airway: Techniques & Tools

39:34 - Planning for Open Airway Surgery

40:15 - Understanding Expansion & Resection Procedures

56:58 - Using Release Maneuvers in Pediatric Open Airway Surgery

01:00:29 - Post-operative Management and Follow-up

01:06:33 - Concluding Thoughts & Pearls


---


RESOURCES


Dr. Sohit Kanotra’s UCLA Profile

https://www.uclahealth.org/providers/sohit-kanotra

]]> 4350 Ep. 161 Idiopathic Subglottic Stenosis Evaluation and Management with Dr. Stephen Schoeff In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan talk to Dr. Stephen Schoeff, laryngologist at Kaiser Permanente (Tacoma, WA) about subglottic stenosis in adults. Dr. Schoeff introduces subglottic stenosis (SS) as a rare condition affecting adult women of all ages. Patients complain of progressive dyspnea, declining exercise tolerance, and mucus sensation. Sometimes confused for asthma, globus sensation, LPR, or paradoxical vocal fold motion, SS is diagnosed when airway scarring and narrowing is visible on laryngoscopy. After describing workup, Dr. Schoeff reviews etiologies of SS, including iatrogenic, idiopathic, and autoimmune. Treatment options for SS include cricotracheal resection, endoscopic dilation, and airway steroid injections. Dr. Schoeff concludes the episode by sharing his success using periodic airway steroid injections for treatment of SS. --- SHOW NOTES 00:00 - Introduction 01:21 - Dr. Schoeff’s Journey & Practice 08:28 - Symptoms & Differential Diagnosis 12:31 - Physical Examination & Diagnosis 27:23 - Introduction to Endoscopic Dilation 28:57 - Steroid Injections as a Management Option 31:24 - The Three Big Categories of Treatment 33:05 - How Steroids Address Disease Pathophysiology 38:58 - Technique for Airway Dilation 49:06 - Deciding on Cricotracheal Resection 51:14 - How Insurance Affects Treatment Options 55:05 - Final Thoughts & Pearls Tue, 05 Mar 2024 08:00:00 -0000 full BackTable Inc. In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan talk to Dr. Stephen Schoeff, laryngologist at Kaiser Permanente (Tacoma, WA) about subglottic stenosis in adults. In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan talk to Dr. Stephen Schoeff, laryngologist at Kaiser Permanente (Tacoma, WA) about subglottic stenosis in adults. Dr. Schoeff introduces subglottic stenosis (SS) as a rare condition affecting adult women of all ages. Patients complain of progressive dyspnea, declining exercise tolerance, and mucus sensation. Sometimes confused for asthma, globus sensation, LPR, or paradoxical vocal fold motion, SS is diagnosed when airway scarring and narrowing is visible on laryngoscopy. After describing workup, Dr. Schoeff reviews etiologies of SS, including iatrogenic, idiopathic, and autoimmune. Treatment options for SS include cricotracheal resection, endoscopic dilation, and airway steroid injections. Dr. Schoeff concludes the episode by sharing his success using periodic airway steroid injections for treatment of SS. --- SHOW NOTES 00:00 - Introduction 01:21 - Dr. Schoeff’s Journey & Practice 08:28 - Symptoms & Differential Diagnosis 12:31 - Physical Examination & Diagnosis 27:23 - Introduction to Endoscopic Dilation 28:57 - Steroid Injections as a Management Option 31:24 - The Three Big Categories of Treatment 33:05 - How Steroids Address Disease Pathophysiology 38:58 - Technique for Airway Dilation 49:06 - Deciding on Cricotracheal Resection 51:14 - How Insurance Affects Treatment Options 55:05 - Final Thoughts & Pearls In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan talk to Dr. Stephen Schoeff, laryngologist at Kaiser Permanente (Tacoma, WA) about subglottic stenosis in adults.


Dr. Schoeff introduces subglottic stenosis (SS) as a rare condition affecting adult women of all ages. Patients complain of progressive dyspnea, declining exercise tolerance, and mucus sensation. Sometimes confused for asthma, globus sensation, LPR, or paradoxical vocal fold motion, SS is diagnosed when airway scarring and narrowing is visible on laryngoscopy. After describing workup, Dr. Schoeff reviews etiologies of SS, including iatrogenic, idiopathic, and autoimmune. Treatment options for SS include cricotracheal resection, endoscopic dilation, and airway steroid injections. Dr. Schoeff concludes the episode by sharing his success using periodic airway steroid injections for treatment of SS.


---


SHOW NOTES


00:00 - Introduction

01:21 - Dr. Schoeff’s Journey & Practice

08:28 - Symptoms & Differential Diagnosis

12:31 - Physical Examination & Diagnosis

27:23 - Introduction to Endoscopic Dilation

28:57 - Steroid Injections as a Management Option

31:24 - The Three Big Categories of Treatment

33:05 - How Steroids Address Disease Pathophysiology

38:58 - Technique for Airway Dilation

49:06 - Deciding on Cricotracheal Resection

51:14 - How Insurance Affects Treatment Options

55:05 - Final Thoughts & Pearls

]]> 3546 Ep. 160 What I Wish I Knew My 1st Year Out in Practice with Dr. Christopher Gentile In this episode, hosts Dr. Ashley Agan and Dr. Gopi Shah discuss the transition from residency to private practice with Dr. Christopher Gentile of Northeast Atlanta ENT. First, Dr. Gentile briefly describes his career journey from medical school to private practice. Shedding light on the residency to private practice transition, he addresses the challenges of adapting to a new clinical environment and negotiating an employment contract. Then, he dives into the day-to-day realities of private practice. He advises young otolaryngologists to build strong connections with their clinic team, which includes practice managers, medical assistants, and fellow surgeons. By advocating for themselves, young otolaryngologists can balance their load of surgical cases and pursue areas of clinical interest. Finally, he shares tips on choosing a first job out of residency. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/2jhXN8 --- SHOW NOTES 00:00 - Introduction 01:36 - Dr. Gentile’s Journey and Current Practice 08:03 - Determining How Your Contract is Structured 12:02 - Tips for Negotiating Contracts 15:16 - Understanding Patient Scheduling & Practice Structure 20:35 - The Struggles of Balancing Work & Personal Life 24:18 - The Importance of Building a Team Around You 26:37 - Establishing Yourself in a New Practice 31:39 - The Job Hunting Experience: Lessons Learned 38:24 - Final Thoughts & Advice for New Graduates --- RESOURCES Dr. Gentile’s Northeast Atlanta ENT Profile: https://northeastatlantaent.com/christopher-gentile-m-d/ Tue, 27 Feb 2024 08:00:00 -0000 full BackTable Inc. In this episode, hosts Dr. Ashley Agan and Dr. Gopi Shah discuss the transition from residency to private practice with Dr. Christopher Gentile of Northeast Atlanta ENT. In this episode, hosts Dr. Ashley Agan and Dr. Gopi Shah discuss the transition from residency to private practice with Dr. Christopher Gentile of Northeast Atlanta ENT. First, Dr. Gentile briefly describes his career journey from medical school to private practice. Shedding light on the residency to private practice transition, he addresses the challenges of adapting to a new clinical environment and negotiating an employment contract. Then, he dives into the day-to-day realities of private practice. He advises young otolaryngologists to build strong connections with their clinic team, which includes practice managers, medical assistants, and fellow surgeons. By advocating for themselves, young otolaryngologists can balance their load of surgical cases and pursue areas of clinical interest. Finally, he shares tips on choosing a first job out of residency. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/2jhXN8 --- SHOW NOTES 00:00 - Introduction 01:36 - Dr. Gentile’s Journey and Current Practice 08:03 - Determining How Your Contract is Structured 12:02 - Tips for Negotiating Contracts 15:16 - Understanding Patient Scheduling & Practice Structure 20:35 - The Struggles of Balancing Work & Personal Life 24:18 - The Importance of Building a Team Around You 26:37 - Establishing Yourself in a New Practice 31:39 - The Job Hunting Experience: Lessons Learned 38:24 - Final Thoughts & Advice for New Graduates --- RESOURCES Dr. Gentile’s Northeast Atlanta ENT Profile: https://northeastatlantaent.com/christopher-gentile-m-d/ In this episode, hosts Dr. Ashley Agan and Dr. Gopi Shah discuss the transition from residency to private practice with Dr. Christopher Gentile of Northeast Atlanta ENT.


First, Dr. Gentile briefly describes his career journey from medical school to private practice. Shedding light on the residency to private practice transition, he addresses the challenges of adapting to a new clinical environment and negotiating an employment contract. Then, he dives into the day-to-day realities of private practice. He advises young otolaryngologists to build strong connections with their clinic team, which includes practice managers, medical assistants, and fellow surgeons. By advocating for themselves, young otolaryngologists can balance their load of surgical cases and pursue areas of clinical interest. Finally, he shares tips on choosing a first job out of residency.


---


EARN CME


Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/2jhXN8


---


SHOW NOTES


00:00 - Introduction

01:36 - Dr. Gentile’s Journey and Current Practice

08:03 - Determining How Your Contract is Structured

12:02 - Tips for Negotiating Contracts

15:16 - Understanding Patient Scheduling & Practice Structure

20:35 - The Struggles of Balancing Work & Personal Life

24:18 - The Importance of Building a Team Around You

26:37 - Establishing Yourself in a New Practice

31:39 - The Job Hunting Experience: Lessons Learned

38:24 - Final Thoughts & Advice for New Graduates


---


RESOURCES


Dr. Gentile’s Northeast Atlanta ENT Profile:

https://northeastatlantaent.com/christopher-gentile-m-d/

]]> 2546 Ep. 159 Eustachian Tube Dilation in the Pediatric Population with Dr. Dennis Poe In this episode, host Dr. Ashley Agan discusses eustachian tube (ET) dilation with Dr. Dennis Poe, neurotologist and Professor of Otolaryngology at Harvard Medical School. First, the surgeons describe clinically meaningful differences between adult and pediatric ETs. Then, Dr. Poe reviews workup of pediatric ET disorders. Since inflammation accounts for most ET dysfunction, controlling comorbid allergies and/or performing adenoidectomy provides relief to some patients. For patients with continued symptoms, balloon dilation – now approved for children as young as eight years of age– directly counteracts obstructive inflammation in the tube lumen. To conclude, Dr. Poe describes how to select patients for, perform, and avoid complications of balloon dilation. --- CHECK OUT OUR SPONSOR Acclarent AERA Eustachian Tube Balloon Dilation System https://www.jnjmedtech.com/en-US/product/Acclarent-aera-eustachian-tube-balloon-dilation-system --- SHOW NOTES 00:00 - Introduction 04:03 - Understanding Eustachian Tube Anatomy 07:22 - Causes of Eustachian Tube Dysfunction in Children 12:53 - Examination and Diagnosis of Eustachian Tube Dysfunction 19:10 - Treatment Options for Eustachian Tube Dysfunction 27:05 - Avoiding Unpredictable Injury and Scarring During Balloon Dilation 31:51 - Contraindications and Precautions for Balloon Dilation 37:49 - Understanding Risks & Complications of Balloon Dilation 48:34 - Closing Remarks & Future Prospects --- RESOURCES Dr. Dennis Poe’s Harvard Profile: https://oto.hms.harvard.edu/people/dennis-poe BackTable ENT Ep. 40 – “Diagnosis & Management of Eustachian Tube Disorders with Dr. Dennis Poe:” https://www.backtable.com/shows/ent/podcasts/40/diagnosis-management-of-eustachian-tube-disorders American Academy of Otolaryngology-Head and Neck Surgery Clinical Practice Guideline: Otitis Media with Effusion (Update): https://www.entnet.org/quality-practice/quality-products/clinical-practice-guidelines/ome/ “Complications of Eustachian Tube Balloon Dilation: Manufacturer and User Facility Device Experience (MAUDE) Database Analysis and Literature Review,” Chisolm, P.F. et al: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10731503/ Tue, 20 Feb 2024 08:00:00 -0000 full BackTable Inc. In this episode, host Dr. Ashley Agan discusses eustachian tube (ET) dilation with Dr. Dennis Poe, neurotologist and Professor of Otolaryngology at Harvard Medical School. In this episode, host Dr. Ashley Agan discusses eustachian tube (ET) dilation with Dr. Dennis Poe, neurotologist and Professor of Otolaryngology at Harvard Medical School. First, the surgeons describe clinically meaningful differences between adult and pediatric ETs. Then, Dr. Poe reviews workup of pediatric ET disorders. Since inflammation accounts for most ET dysfunction, controlling comorbid allergies and/or performing adenoidectomy provides relief to some patients. For patients with continued symptoms, balloon dilation – now approved for children as young as eight years of age– directly counteracts obstructive inflammation in the tube lumen. To conclude, Dr. Poe describes how to select patients for, perform, and avoid complications of balloon dilation. --- CHECK OUT OUR SPONSOR Acclarent AERA Eustachian Tube Balloon Dilation System https://www.jnjmedtech.com/en-US/product/Acclarent-aera-eustachian-tube-balloon-dilation-system --- SHOW NOTES 00:00 - Introduction 04:03 - Understanding Eustachian Tube Anatomy 07:22 - Causes of Eustachian Tube Dysfunction in Children 12:53 - Examination and Diagnosis of Eustachian Tube Dysfunction 19:10 - Treatment Options for Eustachian Tube Dysfunction 27:05 - Avoiding Unpredictable Injury and Scarring During Balloon Dilation 31:51 - Contraindications and Precautions for Balloon Dilation 37:49 - Understanding Risks & Complications of Balloon Dilation 48:34 - Closing Remarks & Future Prospects --- RESOURCES Dr. Dennis Poe’s Harvard Profile: https://oto.hms.harvard.edu/people/dennis-poe BackTable ENT Ep. 40 – “Diagnosis & Management of Eustachian Tube Disorders with Dr. Dennis Poe:” https://www.backtable.com/shows/ent/podcasts/40/diagnosis-management-of-eustachian-tube-disorders American Academy of Otolaryngology-Head and Neck Surgery Clinical Practice Guideline: Otitis Media with Effusion (Update): https://www.entnet.org/quality-practice/quality-products/clinical-practice-guidelines/ome/ “Complications of Eustachian Tube Balloon Dilation: Manufacturer and User Facility Device Experience (MAUDE) Database Analysis and Literature Review,” Chisolm, P.F. et al: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10731503/ In this episode, host Dr. Ashley Agan discusses eustachian tube (ET) dilation with Dr. Dennis Poe, neurotologist and Professor of Otolaryngology at Harvard Medical School.


First, the surgeons describe clinically meaningful differences between adult and pediatric ETs. Then, Dr. Poe reviews workup of pediatric ET disorders. Since inflammation accounts for most ET dysfunction, controlling comorbid allergies and/or performing adenoidectomy provides relief to some patients. For patients with continued symptoms, balloon dilation – now approved for children as young as eight years of age– directly counteracts obstructive inflammation in the tube lumen. To conclude, Dr. Poe describes how to select patients for, perform, and avoid complications of balloon dilation.


---


CHECK OUT OUR SPONSOR


Acclarent AERA Eustachian Tube Balloon Dilation System

https://www.jnjmedtech.com/en-US/product/Acclarent-aera-eustachian-tube-balloon-dilation-system


---


SHOW NOTES


00:00 - Introduction

04:03 - Understanding Eustachian Tube Anatomy

07:22 - Causes of Eustachian Tube Dysfunction in Children

12:53 - Examination and Diagnosis of Eustachian Tube Dysfunction

19:10 - Treatment Options for Eustachian Tube Dysfunction

27:05 - Avoiding Unpredictable Injury and Scarring During Balloon Dilation

31:51 - Contraindications and Precautions for Balloon Dilation

37:49 - Understanding Risks & Complications of Balloon Dilation

48:34 - Closing Remarks & Future Prospects


---


RESOURCES


Dr. Dennis Poe’s Harvard Profile:

https://oto.hms.harvard.edu/people/dennis-poe


BackTable ENT Ep. 40 – “Diagnosis & Management of Eustachian Tube Disorders with Dr. Dennis Poe:”

https://www.backtable.com/shows/ent/podcasts/40/diagnosis-management-of-eustachian-tube-disorders


American Academy of Otolaryngology-Head and Neck Surgery Clinical Practice Guideline: Otitis Media with Effusion (Update):

https://www.entnet.org/quality-practice/quality-products/clinical-practice-guidelines/ome/


“Complications of Eustachian Tube Balloon Dilation: Manufacturer and User Facility Device Experience (MAUDE) Database Analysis and Literature Review,” Chisolm, P.F. et al: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10731503/

]]> 3125 Ep. 158 Nasal Airway Management: Evolving Practices in Diagnosis and Treatment with Dr. Nora Perkins In this episode, Dr. Nora Perkins (Albany ENT & Allergy Services), discusses in-office procedural management of nasal airway obstruction with hosts Dr. Ashley Agan and Dr. Gopi Shah. First, the surgeons discuss the advantages of in-office procedures. Then, Dr. Perkins describes different presentations of nasal airway obstruction and their medical management. Diving deeper, Dr. Perkins shares her procedural workflow, including anesthetic protocols, her VivAer Aerin device technique, and billing considerations. Finally, the episode concludes with Dr. Perkins’ advice to otolaryngologists interested in performing more in-office procedures. --- CHECK OUT OUR SPONSOR Aerin Medical https://aerinmedical.com/ --- SHOW NOTES 00:00 - Introduction 02:07 - Discussion of Nasal Airway Obstruction 08:21 - The Patient with Nasal Airway Obstruction 15:29 - Medical Management of Nasal Airway Obstruction 26:17 - The Aerin VivAer RF Ablation Device 32:12 - Anatomical Considerations and Treatment Options 35:10 - Anesthetic Protocol & Patient Comfort 47:56 - Long-term Outcomes and Quality of Life 49:42 - Billing and Insurance Considerations --- RESOURCES Dr. Nora Perkins’ Albany ENT & Allergy Services Profile: https://albanyentandallergy.com/bio/nora-w-perkins/ Aerin VivAer Website: https://vivaer.com/ Tue, 13 Feb 2024 08:00:00 -0000 full BackTable Inc. In this episode, Dr. Nora Perkins (Albany ENT & Allergy Services), discusses in-office procedural management of nasal airway obstruction with hosts Dr. Ashley Agan and Dr. Gopi Shah. In this episode, Dr. Nora Perkins (Albany ENT & Allergy Services), discusses in-office procedural management of nasal airway obstruction with hosts Dr. Ashley Agan and Dr. Gopi Shah. First, the surgeons discuss the advantages of in-office procedures. Then, Dr. Perkins describes different presentations of nasal airway obstruction and their medical management. Diving deeper, Dr. Perkins shares her procedural workflow, including anesthetic protocols, her VivAer Aerin device technique, and billing considerations. Finally, the episode concludes with Dr. Perkins’ advice to otolaryngologists interested in performing more in-office procedures. --- CHECK OUT OUR SPONSOR Aerin Medical https://aerinmedical.com/ --- SHOW NOTES 00:00 - Introduction 02:07 - Discussion of Nasal Airway Obstruction 08:21 - The Patient with Nasal Airway Obstruction 15:29 - Medical Management of Nasal Airway Obstruction 26:17 - The Aerin VivAer RF Ablation Device 32:12 - Anatomical Considerations and Treatment Options 35:10 - Anesthetic Protocol & Patient Comfort 47:56 - Long-term Outcomes and Quality of Life 49:42 - Billing and Insurance Considerations --- RESOURCES Dr. Nora Perkins’ Albany ENT & Allergy Services Profile: https://albanyentandallergy.com/bio/nora-w-perkins/ Aerin VivAer Website: https://vivaer.com/ In this episode, Dr. Nora Perkins (Albany ENT & Allergy Services), discusses in-office procedural management of nasal airway obstruction with hosts Dr. Ashley Agan and Dr. Gopi Shah.


First, the surgeons discuss the advantages of in-office procedures. Then, Dr. Perkins describes different presentations of nasal airway obstruction and their medical management. Diving deeper, Dr. Perkins shares her procedural workflow, including anesthetic protocols, her VivAer Aerin device technique, and billing considerations. Finally, the episode concludes with Dr. Perkins’ advice to otolaryngologists interested in performing more in-office procedures.


---


CHECK OUT OUR SPONSOR


Aerin Medical

https://aerinmedical.com/


---


SHOW NOTES


00:00 - Introduction

02:07 - Discussion of Nasal Airway Obstruction

08:21 - The Patient with Nasal Airway Obstruction

15:29 - Medical Management of Nasal Airway Obstruction

26:17 - The Aerin VivAer RF Ablation Device

32:12 - Anatomical Considerations and Treatment Options

35:10 - Anesthetic Protocol & Patient Comfort

47:56 - Long-term Outcomes and Quality of Life

49:42 - Billing and Insurance Considerations


---


RESOURCES


Dr. Nora Perkins’ Albany ENT & Allergy Services Profile:

https://albanyentandallergy.com/bio/nora-w-perkins/


Aerin VivAer Website:

https://vivaer.com/

]]> 3684 Ep. 157 Working Together: Language Development in Deaf and Hard of Hearing Children with Dr. Anita Jeyakumar In this episode, Dr. Anita Jeyakumar, pediatric ENT at Mercy Health (Youngstown, Ohio) discusses language for Deaf and Hard of Hearing (HoH) children with podcast host Dr. Gopi Shah. First, Dr. Jeyakumar explains the difference between speech and language. She then introduces the concept of “language nutrition,” which describes social exposure to rich and varied language. Acknowledging that language fluency–spoken or visual such as American Sign Language–underlies success, she shares strategies to foster these skills in Deaf and HoH children. Dr. Jeyakumar describes resources that support these patients, including early intervention services for children under age three and school-based resources for older children. She reviews assistive technologies including hearing aids, cochlear implants, and closed captioning. To conclude, she urges physician advocacy to better support the needs of Deaf and HoH children. --- SHOW NOTES 00:00 - Introduction 02:08 - Understanding Language and Speech 04:23 - The Concept of Language Nutrition 07:53 - Addressing Speech Delay in Children 21:32 - The Role of Technology in Supporting Deaf and HoH Children 24:10 - Promoting Health Equity for Deaf and HoH Children 27:52 - Resources for Families of Deaf and HoH Children --- RESOURCES Dr. Anita Jeyakumar’s Mercy Health Profile: https://www.mercy.com/find-a-doctor/physicians/anita-s-jeyakumar/1985497 Hands & Voices Guide By Your Side™: https://www.handsandvoices.org/gbys/ American Speech-Language-Hearing Association (ASHA): https://www.asha.org/ American Cochlear Implant Alliance (ACI Alliance): https://www.acialliance.org/ A.G. Bell Association for the Deaf & Hard of Hearing: https://www.agbell.org/ Tue, 06 Feb 2024 08:00:00 -0000 full BackTable Inc. In this episode, Dr. Anita Jeyakumar, pediatric ENT at Mercy Health (Youngstown, Ohio) discusses language for Deaf and Hard of Hearing (HoH) children with podcast host Dr. Gopi Shah. In this episode, Dr. Anita Jeyakumar, pediatric ENT at Mercy Health (Youngstown, Ohio) discusses language for Deaf and Hard of Hearing (HoH) children with podcast host Dr. Gopi Shah. First, Dr. Jeyakumar explains the difference between speech and language. She then introduces the concept of “language nutrition,” which describes social exposure to rich and varied language. Acknowledging that language fluency–spoken or visual such as American Sign Language–underlies success, she shares strategies to foster these skills in Deaf and HoH children. Dr. Jeyakumar describes resources that support these patients, including early intervention services for children under age three and school-based resources for older children. She reviews assistive technologies including hearing aids, cochlear implants, and closed captioning. To conclude, she urges physician advocacy to better support the needs of Deaf and HoH children. --- SHOW NOTES 00:00 - Introduction 02:08 - Understanding Language and Speech 04:23 - The Concept of Language Nutrition 07:53 - Addressing Speech Delay in Children 21:32 - The Role of Technology in Supporting Deaf and HoH Children 24:10 - Promoting Health Equity for Deaf and HoH Children 27:52 - Resources for Families of Deaf and HoH Children --- RESOURCES Dr. Anita Jeyakumar’s Mercy Health Profile: https://www.mercy.com/find-a-doctor/physicians/anita-s-jeyakumar/1985497 Hands & Voices Guide By Your Side™: https://www.handsandvoices.org/gbys/ American Speech-Language-Hearing Association (ASHA): https://www.asha.org/ American Cochlear Implant Alliance (ACI Alliance): https://www.acialliance.org/ A.G. Bell Association for the Deaf & Hard of Hearing: https://www.agbell.org/ In this episode, Dr. Anita Jeyakumar, pediatric ENT at Mercy Health (Youngstown, Ohio) discusses language for Deaf and Hard of Hearing (HoH) children with podcast host Dr. Gopi Shah.


First, Dr. Jeyakumar explains the difference between speech and language. She then introduces the concept of “language nutrition,” which describes social exposure to rich and varied language. Acknowledging that language fluency–spoken or visual such as American Sign Language–underlies success, she shares strategies to foster these skills in Deaf and HoH children. Dr. Jeyakumar describes resources that support these patients, including early intervention services for children under age three and school-based resources for older children. She reviews assistive technologies including hearing aids, cochlear implants, and closed captioning. To conclude, she urges physician advocacy to better support the needs of Deaf and HoH children.


---


SHOW NOTES


00:00 - Introduction

02:08 - Understanding Language and Speech

04:23 - The Concept of Language Nutrition

07:53 - Addressing Speech Delay in Children

21:32 - The Role of Technology in Supporting Deaf and HoH Children

24:10 - Promoting Health Equity for Deaf and HoH Children

27:52 - Resources for Families of Deaf and HoH Children


---


RESOURCES


Dr. Anita Jeyakumar’s Mercy Health Profile:

https://www.mercy.com/find-a-doctor/physicians/anita-s-jeyakumar/1985497


Hands & Voices Guide By Your Side™:

https://www.handsandvoices.org/gbys/


American Speech-Language-Hearing Association (ASHA):

https://www.asha.org/


American Cochlear Implant Alliance (ACI Alliance):

https://www.acialliance.org/


A.G. Bell Association for the Deaf & Hard of Hearing:

https://www.agbell.org/

]]> 2344 Ep. 156 RefluxRaft: A New Option Beyond Conventional Therapy with Dr. Spencer Payne In this episode, Dr. Spencer Payne, a rhinologist at the University of Virginia School of Medicine, shares his journey developing RefluxRaft, a natural, alginate-based reflux therapy, with host Dr. Ashley Agan. First, Dr. Payne describes how his research interests and father’s premature death spurred his interest in functional medicine. Wary of side effects associated with conventional reflux medications, he teamed up with fellow UVA faculty member and laryngologist Dr. James (Jim) Daniero to develop RefluxRaft, a natural dietary supplement. Starting from his initial concept, Dr. Payne delves into challenges marketing, manufacturing, and distributing RefluxRaft. He then explains how RefluxRaft uses alginates to combine with stomach acid and form a gel-like “raft” that stops movement of acid into the esophagus. The episode concludes with an overview of how to dose and order RefluxRaft. --- SHOW NOTES 00:00 - Introduction 03:45 - Holistic Approaches to Medicine 06:46 - Functional Medicine Perspective on Reflux 08:54 - Dietary Modifications for Reflux Patients 17:07 - The Development of RefluxRaft 20:00 - From Concept to Prototype: The Kitchen Lab Experiments 20:57 - The Business Side: Marketing, Manufacturing, & Logistics 27:21 - The Product: Understanding Alginates & Their Benefits 36:29 - The Future: New Flavors & Holistic Reflux Therapies --- RESOURCES Dr. Payne’s UVA Profile https://med.virginia.edu/otolaryngology/faculty/spencer-c-payne-m-d/ Dr. Daniero’s UVA Profile: https://med.virginia.edu/otolaryngology/faculty/james-j-daniero-m-d-m-s/ RefluxRaft: Natural Reflux Relief: https://refluxraft.com/ RefluxRaft YouTube Channel: https://www.youtube.com/@refluxraft Tue, 30 Jan 2024 08:00:00 -0000 full BackTable Inc. In this episode, Dr. Spencer Payne, a rhinologist at the University of Virginia School of Medicine, shares his journey developing RefluxRaft, a natural, alginate-based reflux therapy, with host Dr. Ashley Agan. In this episode, Dr. Spencer Payne, a rhinologist at the University of Virginia School of Medicine, shares his journey developing RefluxRaft, a natural, alginate-based reflux therapy, with host Dr. Ashley Agan. First, Dr. Payne describes how his research interests and father’s premature death spurred his interest in functional medicine. Wary of side effects associated with conventional reflux medications, he teamed up with fellow UVA faculty member and laryngologist Dr. James (Jim) Daniero to develop RefluxRaft, a natural dietary supplement. Starting from his initial concept, Dr. Payne delves into challenges marketing, manufacturing, and distributing RefluxRaft. He then explains how RefluxRaft uses alginates to combine with stomach acid and form a gel-like “raft” that stops movement of acid into the esophagus. The episode concludes with an overview of how to dose and order RefluxRaft. --- SHOW NOTES 00:00 - Introduction 03:45 - Holistic Approaches to Medicine 06:46 - Functional Medicine Perspective on Reflux 08:54 - Dietary Modifications for Reflux Patients 17:07 - The Development of RefluxRaft 20:00 - From Concept to Prototype: The Kitchen Lab Experiments 20:57 - The Business Side: Marketing, Manufacturing, & Logistics 27:21 - The Product: Understanding Alginates & Their Benefits 36:29 - The Future: New Flavors & Holistic Reflux Therapies --- RESOURCES Dr. Payne’s UVA Profile https://med.virginia.edu/otolaryngology/faculty/spencer-c-payne-m-d/ Dr. Daniero’s UVA Profile: https://med.virginia.edu/otolaryngology/faculty/james-j-daniero-m-d-m-s/ RefluxRaft: Natural Reflux Relief: https://refluxraft.com/ RefluxRaft YouTube Channel: https://www.youtube.com/@refluxraft In this episode, Dr. Spencer Payne, a rhinologist at the University of Virginia School of Medicine, shares his journey developing RefluxRaft, a natural, alginate-based reflux therapy, with host Dr. Ashley Agan.


First, Dr. Payne describes how his research interests and father’s premature death spurred his interest in functional medicine. Wary of side effects associated with conventional reflux medications, he teamed up with fellow UVA faculty member and laryngologist Dr. James (Jim) Daniero to develop RefluxRaft, a natural dietary supplement. Starting from his initial concept, Dr. Payne delves into challenges marketing, manufacturing, and distributing RefluxRaft. He then explains how RefluxRaft uses alginates to combine with stomach acid and form a gel-like “raft” that stops movement of acid into the esophagus. The episode concludes with an overview of how to dose and order RefluxRaft.


---


SHOW NOTES


00:00 - Introduction

03:45 - Holistic Approaches to Medicine

06:46 - Functional Medicine Perspective on Reflux

08:54 - Dietary Modifications for Reflux Patients

17:07 - The Development of RefluxRaft

20:00 - From Concept to Prototype: The Kitchen Lab Experiments

20:57 - The Business Side: Marketing, Manufacturing, & Logistics

27:21 - The Product: Understanding Alginates & Their Benefits

36:29 - The Future: New Flavors & Holistic Reflux Therapies


---


RESOURCES


Dr. Payne’s UVA Profile

https://med.virginia.edu/otolaryngology/faculty/spencer-c-payne-m-d/


Dr. Daniero’s UVA Profile:

https://med.virginia.edu/otolaryngology/faculty/james-j-daniero-m-d-m-s/


RefluxRaft: Natural Reflux Relief:

https://refluxraft.com/


RefluxRaft YouTube Channel:

https://www.youtube.com/@refluxraft


]]> 2502 Ep. 155 The Third-Party-Free Model: Redefining Patient Care with Dr. Gerard Gianoli In this episode, Dr. Gerard Gianoli of The Ear & Balance Institute (Covington, Louisiana), joins host Dr. Ashley Agan to discuss his experience with the third-party-free practice model. First, Dr. Gianoli describes how his work treating vestibular disorders spurred his interest in the third-party-free practice model, where patients pay upfront for services, then submit insurance claims for reimbursement as appropriate. Dr. Gianoli walks listeners through his practice’s transition, focusing on referral patterns and patient concerns. Then, the surgeons speak to the model’s advantages, including reduced rates of physician burnout, higher-value patient care, and reduced administrative burden. Looking ahead, Dr. Gianoli assesses the role of third-party-free practices in the U.S. healthcare landscape. Finally, the episode wraps with a discussion of Dr. Gianoli’s recent book on Third Mobile Window Syndrome. --- SHOW NOTES 00:00 - Introduction 05:34 - Transitioning to a Third-Party-Free Practice 07:48 - The Financial Impact of Going Third-Party-Free 12:11 - Benefits of a Third-Party-Free Practice 27:28 - Navigating Surgery Costs in a Third-Party-Free Practice 32:01 - Determining Prices in a Cash-Based Practice 35:10 - The Importance of Patient Education in Medical Practice 38:15 - Drawbacks of the Third-Party-Free Model 52:32 - Trends in Physician Practice Models 56:38 - Dr. Gianoli’s Book on Third Mobile Window Syndrome --- RESOURCES Dr. Gianoli’s physician profile at the Ear & Balance Institute: https://earandbalance.net/dr-gianoli/ Dr. Gianoli’s Wall Street Journal Editorial from January 2015: “Saying Goodbye to Third-Party Medical Payments.” https://www.wsj.com/articles/gerard-j-gianoli-saying-goodbye-to-third-party-medical-payments-1421280968 “Third Mobile Window Syndrome of the Ear: Superior Semicircular Canal Dehiscence and Associated Disorders,” edited by Gerard Gianoli and Philippa Thomson: https://link.springer.com/book/10.1007/978-3-031-16586-3 “The Private Practice Solution: Reclaiming Physician Autonomy and Restoring the Doctor-Patient Relationship,” by Grace Torres-Hodges: https://www.amazon.com/Private-Practice-Solution-Doctor-Patient-Relationship/dp/B0CK3QR1XX Tue, 23 Jan 2024 08:00:00 -0000 full BackTable Inc. In this episode, Dr. Gerard Gianoli of The Ear & Balance Institute (Covington, Louisiana), joins host Dr. Ashley Agan to discuss his experience with the third-party-free practice model. In this episode, Dr. Gerard Gianoli of The Ear & Balance Institute (Covington, Louisiana), joins host Dr. Ashley Agan to discuss his experience with the third-party-free practice model. First, Dr. Gianoli describes how his work treating vestibular disorders spurred his interest in the third-party-free practice model, where patients pay upfront for services, then submit insurance claims for reimbursement as appropriate. Dr. Gianoli walks listeners through his practice’s transition, focusing on referral patterns and patient concerns. Then, the surgeons speak to the model’s advantages, including reduced rates of physician burnout, higher-value patient care, and reduced administrative burden. Looking ahead, Dr. Gianoli assesses the role of third-party-free practices in the U.S. healthcare landscape. Finally, the episode wraps with a discussion of Dr. Gianoli’s recent book on Third Mobile Window Syndrome. --- SHOW NOTES 00:00 - Introduction 05:34 - Transitioning to a Third-Party-Free Practice 07:48 - The Financial Impact of Going Third-Party-Free 12:11 - Benefits of a Third-Party-Free Practice 27:28 - Navigating Surgery Costs in a Third-Party-Free Practice 32:01 - Determining Prices in a Cash-Based Practice 35:10 - The Importance of Patient Education in Medical Practice 38:15 - Drawbacks of the Third-Party-Free Model 52:32 - Trends in Physician Practice Models 56:38 - Dr. Gianoli’s Book on Third Mobile Window Syndrome --- RESOURCES Dr. Gianoli’s physician profile at the Ear & Balance Institute: https://earandbalance.net/dr-gianoli/ Dr. Gianoli’s Wall Street Journal Editorial from January 2015: “Saying Goodbye to Third-Party Medical Payments.” https://www.wsj.com/articles/gerard-j-gianoli-saying-goodbye-to-third-party-medical-payments-1421280968 “Third Mobile Window Syndrome of the Ear: Superior Semicircular Canal Dehiscence and Associated Disorders,” edited by Gerard Gianoli and Philippa Thomson: https://link.springer.com/book/10.1007/978-3-031-16586-3 “The Private Practice Solution: Reclaiming Physician Autonomy and Restoring the Doctor-Patient Relationship,” by Grace Torres-Hodges: https://www.amazon.com/Private-Practice-Solution-Doctor-Patient-Relationship/dp/B0CK3QR1XX In this episode, Dr. Gerard Gianoli of The Ear & Balance Institute (Covington, Louisiana), joins host Dr. Ashley Agan to discuss his experience with the third-party-free practice model.


First, Dr. Gianoli describes how his work treating vestibular disorders spurred his interest in the third-party-free practice model, where patients pay upfront for services, then submit insurance claims for reimbursement as appropriate. Dr. Gianoli walks listeners through his practice’s transition, focusing on referral patterns and patient concerns. Then, the surgeons speak to the model’s advantages, including reduced rates of physician burnout, higher-value patient care, and reduced administrative burden. Looking ahead, Dr. Gianoli assesses the role of third-party-free practices in the U.S. healthcare landscape. Finally, the episode wraps with a discussion of Dr. Gianoli’s recent book on Third Mobile Window Syndrome.


---


SHOW NOTES


00:00 - Introduction

05:34 - Transitioning to a Third-Party-Free Practice

07:48 - The Financial Impact of Going Third-Party-Free

12:11 - Benefits of a Third-Party-Free Practice

27:28 - Navigating Surgery Costs in a Third-Party-Free Practice

32:01 - Determining Prices in a Cash-Based Practice

35:10 - The Importance of Patient Education in Medical Practice

38:15 - Drawbacks of the Third-Party-Free Model

52:32 - Trends in Physician Practice Models

56:38 - Dr. Gianoli’s Book on Third Mobile Window Syndrome


---


RESOURCES


Dr. Gianoli’s physician profile at the Ear & Balance Institute:

https://earandbalance.net/dr-gianoli/


Dr. Gianoli’s Wall Street Journal Editorial from January 2015: “Saying Goodbye to Third-Party Medical Payments.”

https://www.wsj.com/articles/gerard-j-gianoli-saying-goodbye-to-third-party-medical-payments-1421280968


“Third Mobile Window Syndrome of the Ear: Superior Semicircular Canal Dehiscence and Associated Disorders,” edited by Gerard Gianoli and Philippa Thomson:

https://link.springer.com/book/10.1007/978-3-031-16586-3


“The Private Practice Solution: Reclaiming Physician Autonomy and Restoring the Doctor-Patient Relationship,” by Grace Torres-Hodges:

https://www.amazon.com/Private-Practice-Solution-Doctor-Patient-Relationship/dp/B0CK3QR1XX

]]> 3683 Ep. 154 Labyrinthitis Unpacked: Clinical Perspectives and Management with Dr. Sujana Chandrasekhar In this episode, Dr. Sujana Chandrasekhar, neurotologist with New York City’s ENT and Allergy Associates, joins host Dr. Ashley Agan to discuss labyrinthitis. The podcast begins by reviewing the clinical presentation of labyrinthitis, drawing on Dr. Agan’s personal experience with the condition. Then, Dr. Chandrasekhar explains in-depth the physical exam of the dizzy patient, focusing on differentiating central vestibular lesions (such as strokes) from peripheral ones (such as labyrinthitis). While labyrinthitis is a self-limited condition, Dr. Chandrasekhar shares strategies to mitigate the associated nausea, imbalance, and hearing loss patients find debilitating. Finally, the surgeons discuss how vestibular physical therapy and adequate rest enable prompt recovery. --- SHOW NOTES 00:00 - Introduction 01:22 - Discussion of and Personal Experience with Labyrinthitis 08:14 - Recovery and Treatment of Labyrinthitis 11:01 - Examination and Workup of Labyrinthitis 16:11 - Understanding Nystagmus in Labyrinthitis 20:29 - Further Testing and Examination for Labyrinthitis 33:49 - Treatment for Labyrinthitis 40:53 - The Role of Physical Therapy 43:12 - Follow-up and Recovery --- RESOURCES Dr. Chandrasekhar’s ENT and Allergy Associates Profile: https://www.entandallergy.com/find-a-doctor/sujana-s-chandrasekhar-md-facs/ Backtable ENT Ep. 87 – “Sudden Sensorineural Hearing Loss with Dr. Sujana Chandrasekhar:” https://www.backtable.com/shows/ent/podcasts/87/sudden-sensorineural-hearing-loss “The Ten-Minute Examination of the Dizzy Patient,” J.A. Goebel: https://pubmed.ncbi.nlm.nih.gov/11774054/ “She’s On Call” Podcast featuring Dr. Sujana Chandrasekhar and Dr. Maurina Kurian: https://podcasts.apple.com/us/podcast/shes-on-call-weekly-medical-show/id1582727930 “Otolaryngologic Clinics” Podcast hosted by Consulting Editor Sujana S. Chandrasekhar, features in-depth discussions and commentary on the articles in each issue by the guest editors themselves. Otolaryngologic Clinics (Elsevier) on Apple Podcasts Tue, 16 Jan 2024 08:00:00 -0000 full BackTable Inc. In this episode, Dr. Sujana Chandrasekhar, neurotologist with New York City’s ENT and Allergy Associates, joins host Dr. Ashley Agan to discuss labyrinthitis. In this episode, Dr. Sujana Chandrasekhar, neurotologist with New York City’s ENT and Allergy Associates, joins host Dr. Ashley Agan to discuss labyrinthitis. The podcast begins by reviewing the clinical presentation of labyrinthitis, drawing on Dr. Agan’s personal experience with the condition. Then, Dr. Chandrasekhar explains in-depth the physical exam of the dizzy patient, focusing on differentiating central vestibular lesions (such as strokes) from peripheral ones (such as labyrinthitis). While labyrinthitis is a self-limited condition, Dr. Chandrasekhar shares strategies to mitigate the associated nausea, imbalance, and hearing loss patients find debilitating. Finally, the surgeons discuss how vestibular physical therapy and adequate rest enable prompt recovery. --- SHOW NOTES 00:00 - Introduction 01:22 - Discussion of and Personal Experience with Labyrinthitis 08:14 - Recovery and Treatment of Labyrinthitis 11:01 - Examination and Workup of Labyrinthitis 16:11 - Understanding Nystagmus in Labyrinthitis 20:29 - Further Testing and Examination for Labyrinthitis 33:49 - Treatment for Labyrinthitis 40:53 - The Role of Physical Therapy 43:12 - Follow-up and Recovery --- RESOURCES Dr. Chandrasekhar’s ENT and Allergy Associates Profile: https://www.entandallergy.com/find-a-doctor/sujana-s-chandrasekhar-md-facs/ Backtable ENT Ep. 87 – “Sudden Sensorineural Hearing Loss with Dr. Sujana Chandrasekhar:” https://www.backtable.com/shows/ent/podcasts/87/sudden-sensorineural-hearing-loss “The Ten-Minute Examination of the Dizzy Patient,” J.A. Goebel: https://pubmed.ncbi.nlm.nih.gov/11774054/ “She’s On Call” Podcast featuring Dr. Sujana Chandrasekhar and Dr. Maurina Kurian: https://podcasts.apple.com/us/podcast/shes-on-call-weekly-medical-show/id1582727930 “Otolaryngologic Clinics” Podcast hosted by Consulting Editor Sujana S. Chandrasekhar, features in-depth discussions and commentary on the articles in each issue by the guest editors themselves. Otolaryngologic Clinics (Elsevier) on Apple Podcasts In this episode, Dr. Sujana Chandrasekhar, neurotologist with New York City’s ENT and Allergy Associates, joins host Dr. Ashley Agan to discuss labyrinthitis.


The podcast begins by reviewing the clinical presentation of labyrinthitis, drawing on Dr. Agan’s personal experience with the condition. Then, Dr. Chandrasekhar explains in-depth the physical exam of the dizzy patient, focusing on differentiating central vestibular lesions (such as strokes) from peripheral ones (such as labyrinthitis). While labyrinthitis is a self-limited condition, Dr. Chandrasekhar shares strategies to mitigate the associated nausea, imbalance, and hearing loss patients find debilitating. Finally, the surgeons discuss how vestibular physical therapy and adequate rest enable prompt recovery.


---


SHOW NOTES


00:00 - Introduction

01:22 - Discussion of and Personal Experience with Labyrinthitis

08:14 - Recovery and Treatment of Labyrinthitis

11:01 - Examination and Workup of Labyrinthitis

16:11 - Understanding Nystagmus in Labyrinthitis

20:29 - Further Testing and Examination for Labyrinthitis

33:49 - Treatment for Labyrinthitis

40:53 - The Role of Physical Therapy

43:12 - Follow-up and Recovery


---


RESOURCES


Dr. Chandrasekhar’s ENT and Allergy Associates Profile: https://www.entandallergy.com/find-a-doctor/sujana-s-chandrasekhar-md-facs/


Backtable ENT Ep. 87 – “Sudden Sensorineural Hearing Loss with Dr. Sujana Chandrasekhar:” https://www.backtable.com/shows/ent/podcasts/87/sudden-sensorineural-hearing-loss


“The Ten-Minute Examination of the Dizzy Patient,” J.A. Goebel: https://pubmed.ncbi.nlm.nih.gov/11774054/


“She’s On Call” Podcast featuring Dr. Sujana Chandrasekhar and Dr. Maurina Kurian: https://podcasts.apple.com/us/podcast/shes-on-call-weekly-medical-show/id1582727930


“Otolaryngologic Clinics” Podcast hosted by Consulting Editor Sujana S. Chandrasekhar, features in-depth discussions and commentary on the articles in each issue by the guest editors themselves.

Otolaryngologic Clinics (Elsevier) on Apple Podcasts

]]> 3508 Ep. 153 Ultrasound Applications in Pediatric ENT with Dr. Elton Lambert In this episode, Dr. Gopi Shah, welcomes Dr. Elton Lambert, a pediatric otolaryngologist at Texas Children’s Hospital in Houston, to discuss the use of ultrasound in pediatric otolaryngology. First, the surgeons delve into why ultrasound offers a precise and convenient method for diagnosing pathologies ranging from parotitis to vocal fold immobility in children. Dr. Lambert describes treating sialorrhea with ultrasound-guided Botox injections. From this point, the discussion transitions to the use of ultrasound for voice and airway issues. Use of ultrasound provides additional detail to complement (or occasionally replace) flexible scope exams in children with vocal cord immobility. The discussion finishes with Dr. Lambert’s pearls to successfully obtain and document ultrasound results. --- SHOW NOTES 00:00 - Introduction 02:10 - Understanding Ultrasound in Pediatric Otolaryngology 05:35 - Training and Incorporation of Ultrasound in Medical Curriculum 08:43 - Ultrasound for Salivary Pathology in Children 14:04 - Salivary Botox Injections 25:34 - Ultrasound for Voice and Airway in Children 29:59 - Vocal Cord Immobility Post Cardiac Surgery 30:23 - Ultrasound for Vocal Cord Mobility 30:45 - Detecting Nodules and Granulomas with Ultrasound 32:38 - Ultrasound for Laryngomalacia 34:52 - Ultrasound for Subglottic Stenosis 41:55 - Ultrasound for Tracheostomy Patients 45:43 - Ultrasound for Dysphagia 50:38 - Documenting Ultrasound Findings 53:37 - Limitations of Ultrasound 56:21 - Final Thoughts on Ultrasound in Pediatric Otolaryngology --- RESOURCES Dr. Lambert’s Texas Children’s Hospital Profile: https://www.texaschildrens.org/find-a-doctor/elton-m-lambert-md Dr. Lambert’s Contact: emashela@texaschildrens.org Tue, 09 Jan 2024 08:00:00 -0000 full BackTable Inc. In this episode, Dr. Gopi Shah, welcomes Dr. Elton Lambert, a pediatric otolaryngologist at Texas Children’s Hospital in Houston, to discuss the use of ultrasound in pediatric otolaryngology. In this episode, Dr. Gopi Shah, welcomes Dr. Elton Lambert, a pediatric otolaryngologist at Texas Children’s Hospital in Houston, to discuss the use of ultrasound in pediatric otolaryngology. First, the surgeons delve into why ultrasound offers a precise and convenient method for diagnosing pathologies ranging from parotitis to vocal fold immobility in children. Dr. Lambert describes treating sialorrhea with ultrasound-guided Botox injections. From this point, the discussion transitions to the use of ultrasound for voice and airway issues. Use of ultrasound provides additional detail to complement (or occasionally replace) flexible scope exams in children with vocal cord immobility. The discussion finishes with Dr. Lambert’s pearls to successfully obtain and document ultrasound results. --- SHOW NOTES 00:00 - Introduction 02:10 - Understanding Ultrasound in Pediatric Otolaryngology 05:35 - Training and Incorporation of Ultrasound in Medical Curriculum 08:43 - Ultrasound for Salivary Pathology in Children 14:04 - Salivary Botox Injections 25:34 - Ultrasound for Voice and Airway in Children 29:59 - Vocal Cord Immobility Post Cardiac Surgery 30:23 - Ultrasound for Vocal Cord Mobility 30:45 - Detecting Nodules and Granulomas with Ultrasound 32:38 - Ultrasound for Laryngomalacia 34:52 - Ultrasound for Subglottic Stenosis 41:55 - Ultrasound for Tracheostomy Patients 45:43 - Ultrasound for Dysphagia 50:38 - Documenting Ultrasound Findings 53:37 - Limitations of Ultrasound 56:21 - Final Thoughts on Ultrasound in Pediatric Otolaryngology --- RESOURCES Dr. Lambert’s Texas Children’s Hospital Profile: https://www.texaschildrens.org/find-a-doctor/elton-m-lambert-md Dr. Lambert’s Contact: emashela@texaschildrens.org In this episode, Dr. Gopi Shah, welcomes Dr. Elton Lambert, a pediatric otolaryngologist at Texas Children’s Hospital in Houston, to discuss the use of ultrasound in pediatric otolaryngology.


First, the surgeons delve into why ultrasound offers a precise and convenient method for diagnosing pathologies ranging from parotitis to vocal fold immobility in children. Dr. Lambert describes treating sialorrhea with ultrasound-guided Botox injections. From this point, the discussion transitions to the use of ultrasound for voice and airway issues. Use of ultrasound provides additional detail to complement (or occasionally replace) flexible scope exams in children with vocal cord immobility. The discussion finishes with Dr. Lambert’s pearls to successfully obtain and document ultrasound results.


---


SHOW NOTES


00:00 - Introduction

02:10 - Understanding Ultrasound in Pediatric Otolaryngology

05:35 - Training and Incorporation of Ultrasound in Medical Curriculum

08:43 - Ultrasound for Salivary Pathology in Children

14:04 - Salivary Botox Injections

25:34 - Ultrasound for Voice and Airway in Children

29:59 - Vocal Cord Immobility Post Cardiac Surgery

30:23 - Ultrasound for Vocal Cord Mobility

30:45 - Detecting Nodules and Granulomas with Ultrasound

32:38 - Ultrasound for Laryngomalacia

34:52 - Ultrasound for Subglottic Stenosis

41:55 - Ultrasound for Tracheostomy Patients

45:43 - Ultrasound for Dysphagia

50:38 - Documenting Ultrasound Findings

53:37 - Limitations of Ultrasound

56:21 - Final Thoughts on Ultrasound in Pediatric Otolaryngology


---


RESOURCES


Dr. Lambert’s Texas Children’s Hospital Profile:

https://www.texaschildrens.org/find-a-doctor/elton-m-lambert-md


Dr. Lambert’s Contact:

emashela@texaschildrens.org

]]> 3724 Ep. 152 Understanding Health Equity Research with Kevin Sykes, PhD, MPH In this episode, Dr. Kevin Sykes, PhD, MPH, director of clinical research at Baylor Scott & White Health in Dallas, explores health equity research in otolaryngology with host Dr. Gopi Shah. First, Dr. Sykes underscores how historical injustices contribute to health disparities seen today, using differences in life expectancy as an example. He then addresses challenges with assessing head & neck cancer outcomes, including small sample sizes, limited community participation, and data aggregation. Speaking to study design, Dr. Sykes shares his experience working with community health workers, whom he finds invaluable for their ability to build relationships with research participants. Finally, Dr. Shah and Dr. Sykes brainstorm how health equity research can shape public health policies and medical education. --- SHOW NOTES 00:00 – Introduction 01:29 – Understanding Health Equity Research 09:44 – The Role of Social Determinants in Health Equity 12:00 – The Importance of Community Representation in Research 14:34 – Challenges in Health Equity Research 17:32 – The Role of Community Health Workers in Research 26:00 – Designing a Health Equity Research Study 30:48 – The Role of Qualitative Data in Health Equity Research 32:39 – Understanding Racial Differences in Treatment Choices 33:30 – The Power of Qualitative Data in Uncovering Lived Experiences 35:32 – The Rigor and Challenges of Qualitative Research 42:35 – The Impact of Health Equity Research on Policy and Advocacy 48:33 – The Role of Medical Education in Health Equity Research 56:54 – Resources and Recommendations for Health Equity ResearcH --- RESOURCES Backtable ENT Episode 98, “Health Equity Collaborative in ENT with Dr. Alexander Chiu and Dr. Romaine Johnson:” https://www.backtable.com/shows/ent/podcasts/98/health-equity-collaborative-in-ent Backtable ENT Episode 31, “Mentorship Feedback & Coaching with Dr. Carrie Francis:” https://www.backtable.com/shows/ent/podcasts/31/mentorship-feedback-coaching Backtable ENT Episode 129, “American Head and Neck Society Scholarship for Underrepresented Minority Medical Students with Dr. Tammara Watts:” https://www.backtable.com/shows/ent/podcasts/129/american-head-neck-society-scholarship-for-underrepresented-minority-medical-students Tue, 02 Jan 2024 06:00:00 -0000 full BackTable Inc. In this episode, Dr. Kevin Sykes, PhD, MPH, director of clinical research at Baylor Scott & White Health in Dallas, explores health equity research in otolaryngology with host Dr. Gopi Shah. In this episode, Dr. Kevin Sykes, PhD, MPH, director of clinical research at Baylor Scott & White Health in Dallas, explores health equity research in otolaryngology with host Dr. Gopi Shah. First, Dr. Sykes underscores how historical injustices contribute to health disparities seen today, using differences in life expectancy as an example. He then addresses challenges with assessing head & neck cancer outcomes, including small sample sizes, limited community participation, and data aggregation. Speaking to study design, Dr. Sykes shares his experience working with community health workers, whom he finds invaluable for their ability to build relationships with research participants. Finally, Dr. Shah and Dr. Sykes brainstorm how health equity research can shape public health policies and medical education. --- SHOW NOTES 00:00 – Introduction 01:29 – Understanding Health Equity Research 09:44 – The Role of Social Determinants in Health Equity 12:00 – The Importance of Community Representation in Research 14:34 – Challenges in Health Equity Research 17:32 – The Role of Community Health Workers in Research 26:00 – Designing a Health Equity Research Study 30:48 – The Role of Qualitative Data in Health Equity Research 32:39 – Understanding Racial Differences in Treatment Choices 33:30 – The Power of Qualitative Data in Uncovering Lived Experiences 35:32 – The Rigor and Challenges of Qualitative Research 42:35 – The Impact of Health Equity Research on Policy and Advocacy 48:33 – The Role of Medical Education in Health Equity Research 56:54 – Resources and Recommendations for Health Equity ResearcH --- RESOURCES Backtable ENT Episode 98, “Health Equity Collaborative in ENT with Dr. Alexander Chiu and Dr. Romaine Johnson:” https://www.backtable.com/shows/ent/podcasts/98/health-equity-collaborative-in-ent Backtable ENT Episode 31, “Mentorship Feedback & Coaching with Dr. Carrie Francis:” https://www.backtable.com/shows/ent/podcasts/31/mentorship-feedback-coaching Backtable ENT Episode 129, “American Head and Neck Society Scholarship for Underrepresented Minority Medical Students with Dr. Tammara Watts:” https://www.backtable.com/shows/ent/podcasts/129/american-head-neck-society-scholarship-for-underrepresented-minority-medical-students In this episode, Dr. Kevin Sykes, PhD, MPH, director of clinical research at Baylor Scott & White Health in Dallas, explores health equity research in otolaryngology with host Dr. Gopi Shah.


First, Dr. Sykes underscores how historical injustices contribute to health disparities seen today, using differences in life expectancy as an example. He then addresses challenges with assessing head & neck cancer outcomes, including small sample sizes, limited community participation, and data aggregation. Speaking to study design, Dr. Sykes shares his experience working with community health workers, whom he finds invaluable for their ability to build relationships with research participants. Finally, Dr. Shah and Dr. Sykes brainstorm how health equity research can shape public health policies and medical education.


---


SHOW NOTES


00:00 – Introduction

01:29 – Understanding Health Equity Research

09:44 – The Role of Social Determinants in Health Equity

12:00 – The Importance of Community Representation in Research

14:34 – Challenges in Health Equity Research

17:32 – The Role of Community Health Workers in Research

26:00 – Designing a Health Equity Research Study

30:48 – The Role of Qualitative Data in Health Equity Research

32:39 – Understanding Racial Differences in Treatment Choices

33:30 – The Power of Qualitative Data in Uncovering Lived Experiences

35:32 – The Rigor and Challenges of Qualitative Research

42:35 – The Impact of Health Equity Research on Policy and Advocacy

48:33 – The Role of Medical Education in Health Equity Research

56:54 – Resources and Recommendations for Health Equity ResearcH


---


RESOURCES


Backtable ENT Episode 98, “Health Equity Collaborative in ENT with Dr. Alexander Chiu and Dr. Romaine Johnson:” https://www.backtable.com/shows/ent/podcasts/98/health-equity-collaborative-in-ent


Backtable ENT Episode 31, “Mentorship Feedback & Coaching with Dr. Carrie Francis:” https://www.backtable.com/shows/ent/podcasts/31/mentorship-feedback-coaching


Backtable ENT Episode 129, “American Head and Neck Society Scholarship for Underrepresented Minority Medical Students with Dr. Tammara Watts:” https://www.backtable.com/shows/ent/podcasts/129/american-head-neck-society-scholarship-for-underrepresented-minority-medical-students

]]> 3785 Ep. 151 Navigating Synkinesis: From Diagnosis to Comprehensive Care with Dr. Shiayin Yang In this episode, host Dr. Ashley Agan discusses management of synkinesis with Dr. Shiayin (Shi) Yang, facial plastic surgeon at Vanderbilt University Medical Center. The surgeons begin by defining synkinesis, a condition in which voluntary facial muscle movement triggers involuntary contraction of other facial muscles. Though the pathophysiology of synkinesis remains incompletely understood, damage to and aberrant “rewiring” of the facial nerve is thought to trigger these symptoms. Causes of synkinesis include Bell’s Palsy, facial tumors, and intra-operative injury. Dr. Yang explains the importance of appropriate patient counseling, especially given the misperception that synkinesis is a “disease of vanity.” The discussion then transitions to treatment options, including physical therapy, Botox injections, and surgical intervention (including myectomy and selective neurectomy). The podcast finishes with Dr. Yang’s insights into the mental health impact of synkinesis. --- SHOW NOTES 00:00 – Introduction 02:26 – Understanding Synkinesis 05:08 – Common Patient Presentations 06:11 – Importance of Early Treatment and Patient Education 07:48 – Referral and Timeliness of Treatment 09:35 – Pathophysiology of Nerve Rewiring 12:11 – Workup and Diagnosis 17:57 – Treatment Options: Botox Therapy 25:51 – Treatment Options: Surgical Interventions 30:31 – Long-term Management and Expectations 33:27 – Eye Protection in Facial Paralysis 37:16 – Mental Health Impact of Synkinesis 38:27 – Conclusion and Contact Information --- RESOURCES Dr. Yang’s Vanderbilt University Medical Center profile: https://search.vanderbilthealth.com/doctors/yang-shiayin Tue, 26 Dec 2023 06:00:00 -0000 full BackTable Inc. In this episode, host Dr. Ashley Agan discusses management of synkinesis with Dr. Shiayin (Shi) Yang, facial plastic surgeon at Vanderbilt University Medical Center. In this episode, host Dr. Ashley Agan discusses management of synkinesis with Dr. Shiayin (Shi) Yang, facial plastic surgeon at Vanderbilt University Medical Center. The surgeons begin by defining synkinesis, a condition in which voluntary facial muscle movement triggers involuntary contraction of other facial muscles. Though the pathophysiology of synkinesis remains incompletely understood, damage to and aberrant “rewiring” of the facial nerve is thought to trigger these symptoms. Causes of synkinesis include Bell’s Palsy, facial tumors, and intra-operative injury. Dr. Yang explains the importance of appropriate patient counseling, especially given the misperception that synkinesis is a “disease of vanity.” The discussion then transitions to treatment options, including physical therapy, Botox injections, and surgical intervention (including myectomy and selective neurectomy). The podcast finishes with Dr. Yang’s insights into the mental health impact of synkinesis. --- SHOW NOTES 00:00 – Introduction 02:26 – Understanding Synkinesis 05:08 – Common Patient Presentations 06:11 – Importance of Early Treatment and Patient Education 07:48 – Referral and Timeliness of Treatment 09:35 – Pathophysiology of Nerve Rewiring 12:11 – Workup and Diagnosis 17:57 – Treatment Options: Botox Therapy 25:51 – Treatment Options: Surgical Interventions 30:31 – Long-term Management and Expectations 33:27 – Eye Protection in Facial Paralysis 37:16 – Mental Health Impact of Synkinesis 38:27 – Conclusion and Contact Information --- RESOURCES Dr. Yang’s Vanderbilt University Medical Center profile: https://search.vanderbilthealth.com/doctors/yang-shiayin In this episode, host Dr. Ashley Agan discusses management of synkinesis with Dr. Shiayin (Shi) Yang, facial plastic surgeon at Vanderbilt University Medical Center.


The surgeons begin by defining synkinesis, a condition in which voluntary facial muscle movement triggers involuntary contraction of other facial muscles. Though the pathophysiology of synkinesis remains incompletely understood, damage to and aberrant “rewiring” of the facial nerve is thought to trigger these symptoms. Causes of synkinesis include Bell’s Palsy, facial tumors, and intra-operative injury. Dr. Yang explains the importance of appropriate patient counseling, especially given the misperception that synkinesis is a “disease of vanity.” The discussion then transitions to treatment options, including physical therapy, Botox injections, and surgical intervention (including myectomy and selective neurectomy). The podcast finishes with Dr. Yang’s insights into the mental health impact of synkinesis.


---


SHOW NOTES


00:00 – Introduction

02:26 – Understanding Synkinesis

05:08 – Common Patient Presentations

06:11 – Importance of Early Treatment and Patient Education

07:48 – Referral and Timeliness of Treatment

09:35 – Pathophysiology of Nerve Rewiring

12:11 – Workup and Diagnosis

17:57 – Treatment Options: Botox Therapy

25:51 – Treatment Options: Surgical Interventions

30:31 – Long-term Management and Expectations

33:27 – Eye Protection in Facial Paralysis

37:16 – Mental Health Impact of Synkinesis

38:27 – Conclusion and Contact Information


---


RESOURCES


Dr. Yang’s Vanderbilt University Medical Center profile:

https://search.vanderbilthealth.com/doctors/yang-shiayin

]]> 2497 Ep. 150 ENT and Gender Diversity: Breaking Down Barriers in Patient Care with Dr. Daniel Knott and Dr. Rahul Seth In this episode, Dr. Gopi Shah discusses the role of ENT in gender-affirming care with facial plastic surgeons Dr. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery. This episode is the second half of a two-part series featuring Drs. Knott and Seth. First, the surgeons emphasize the importance of understanding terms related to gender identity and using patients’ correct pronouns. Relative to the general population, transgender individuals face higher rates of poverty, unemployment, and serious mental illness, all of which shape their interaction with the healthcare system. Then, using California as a case study, doctors Knott and Seth discuss strategies that successfully increase access to gender-affirming care. The episode finishes by addressing how insurance coverage, clinical research, education and advocacy shape gender-affirming care. --- SHOW NOTES 00:00 - Introduction to the Podcast 01:23 - Understanding Transgender and Gender Diverse Individuals 03:06 - Challenges Faced by Transgender and Gender Diverse Individuals 08:55 - The Role of Otolaryngologists in Gender Affirming Care 17:02 - The Impact of Insurance and State Laws on Access to Care 28:40 - The Importance of Education and Advocacy in Gender Affirming Care 40:21 - Closing Thoughts and Final Remarks --- RESOURCES Dr. Knott's and Dr. Seth’s Facial Plastic Clinic: https://ohns.ucsf.edu/facialplastics Backtable ENT Ep. 148 – “Facial Masculinization in Gender Affirming Care with Dr. P Daniel Knott and Dr. Rahul Seth:” https://www.backtable.com/shows/ent/podcasts/148/facial-masculinization-in-gender-affirming-care Backtable ENT Ep. 125 - “Gender Affirming Voice Care with Sara Schneider MS, CCC-SLP and Dr. Mark Courey:” https://www.backtable.com/shows/ent/podcasts/125/gender-affirming-voice-care Backtable ENT Ep. 27 – “Facial Feminization with Dr. Sarah Saxon:” https://www.backtable.com/shows/ent/podcasts/27/facial-feminization Operative Techniques in Otolaryngology chapter covering facial masculinization surgery: https://www.optecoto.com/article/S1043-1810(23)00011-8/fulltext ENTtoday: “Gender Affirmation Surgery in California,” Suresh Mohan, MD, Rahul Seth, MD, and Daniel Knott, MD: https://www.enttoday.org/article/gender-affirmation-surgery-in-california/ ENTtoday: “Transgender Care: Otolaryngologists Can Help Fill an Unmet Need for This Patient Population,” P. Daniel Knott, MD and Rahul Seth, MD https://www.enttoday.org/article/transgender-care-otolaryngologists-can-help-fill-an-unmet-need-for-this-patient-population/ Otolaryngologic Clinics of America August 2022 issue – “Gender Affirmation Surgery in Otolaryngology:” https://www.oto.theclinics.com/issue/S0030-6665(22)X0004-2 “National Variation of Insurance Coverage for Gender-Affirming Facial Feminization Surgery,” S. Gadkaree et al.: https://pubmed.ncbi.nlm.nih.gov/32865436/ Thu, 21 Dec 2023 06:00:00 -0000 full BackTable Inc. In this episode, Dr. Gopi Shah discusses the role of ENT in gender-affirming care with facial plastic surgeons Dr. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery. This episode is the second half of a two-part series featuring Drs. Knott and Seth. In this episode, Dr. Gopi Shah discusses the role of ENT in gender-affirming care with facial plastic surgeons Dr. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery. This episode is the second half of a two-part series featuring Drs. Knott and Seth. First, the surgeons emphasize the importance of understanding terms related to gender identity and using patients’ correct pronouns. Relative to the general population, transgender individuals face higher rates of poverty, unemployment, and serious mental illness, all of which shape their interaction with the healthcare system. Then, using California as a case study, doctors Knott and Seth discuss strategies that successfully increase access to gender-affirming care. The episode finishes by addressing how insurance coverage, clinical research, education and advocacy shape gender-affirming care. --- SHOW NOTES 00:00 - Introduction to the Podcast 01:23 - Understanding Transgender and Gender Diverse Individuals 03:06 - Challenges Faced by Transgender and Gender Diverse Individuals 08:55 - The Role of Otolaryngologists in Gender Affirming Care 17:02 - The Impact of Insurance and State Laws on Access to Care 28:40 - The Importance of Education and Advocacy in Gender Affirming Care 40:21 - Closing Thoughts and Final Remarks --- RESOURCES Dr. Knott's and Dr. Seth’s Facial Plastic Clinic: https://ohns.ucsf.edu/facialplastics Backtable ENT Ep. 148 – “Facial Masculinization in Gender Affirming Care with Dr. P Daniel Knott and Dr. Rahul Seth:” https://www.backtable.com/shows/ent/podcasts/148/facial-masculinization-in-gender-affirming-care Backtable ENT Ep. 125 - “Gender Affirming Voice Care with Sara Schneider MS, CCC-SLP and Dr. Mark Courey:” https://www.backtable.com/shows/ent/podcasts/125/gender-affirming-voice-care Backtable ENT Ep. 27 – “Facial Feminization with Dr. Sarah Saxon:” https://www.backtable.com/shows/ent/podcasts/27/facial-feminization Operative Techniques in Otolaryngology chapter covering facial masculinization surgery: https://www.optecoto.com/article/S1043-1810(23)00011-8/fulltext ENTtoday: “Gender Affirmation Surgery in California,” Suresh Mohan, MD, Rahul Seth, MD, and Daniel Knott, MD: https://www.enttoday.org/article/gender-affirmation-surgery-in-california/ ENTtoday: “Transgender Care: Otolaryngologists Can Help Fill an Unmet Need for This Patient Population,” P. Daniel Knott, MD and Rahul Seth, MD https://www.enttoday.org/article/transgender-care-otolaryngologists-can-help-fill-an-unmet-need-for-this-patient-population/ Otolaryngologic Clinics of America August 2022 issue – “Gender Affirmation Surgery in Otolaryngology:” https://www.oto.theclinics.com/issue/S0030-6665(22)X0004-2 “National Variation of Insurance Coverage for Gender-Affirming Facial Feminization Surgery,” S. Gadkaree et al.: https://pubmed.ncbi.nlm.nih.gov/32865436/ In this episode, Dr. Gopi Shah discusses the role of ENT in gender-affirming care with facial plastic surgeons Dr. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery. This episode is the second half of a two-part series featuring Drs. Knott and Seth.


First, the surgeons emphasize the importance of understanding terms related to gender identity and using patients’ correct pronouns. Relative to the general population, transgender individuals face higher rates of poverty, unemployment, and serious mental illness, all of which shape their interaction with the healthcare system. Then, using California as a case study, doctors Knott and Seth discuss strategies that successfully increase access to gender-affirming care. The episode finishes by addressing how insurance coverage, clinical research, education and advocacy shape gender-affirming care.


---


SHOW NOTES


00:00 - Introduction to the Podcast

01:23 - Understanding Transgender and Gender Diverse Individuals

03:06 - Challenges Faced by Transgender and Gender Diverse Individuals

08:55 - The Role of Otolaryngologists in Gender Affirming Care

17:02 - The Impact of Insurance and State Laws on Access to Care

28:40 - The Importance of Education and Advocacy in Gender Affirming Care

40:21 - Closing Thoughts and Final Remarks


---


RESOURCES


Dr. Knott's and Dr. Seth’s Facial Plastic Clinic:

https://ohns.ucsf.edu/facialplastics


Backtable ENT Ep. 148 – “Facial Masculinization in Gender Affirming Care with Dr. P Daniel Knott and Dr. Rahul Seth:”

https://www.backtable.com/shows/ent/podcasts/148/facial-masculinization-in-gender-affirming-care


Backtable ENT Ep. 125 - “Gender Affirming Voice Care with Sara Schneider MS, CCC-SLP and Dr. Mark Courey:”

https://www.backtable.com/shows/ent/podcasts/125/gender-affirming-voice-care


Backtable ENT Ep. 27 – “Facial Feminization with Dr. Sarah Saxon:”

https://www.backtable.com/shows/ent/podcasts/27/facial-feminization


Operative Techniques in Otolaryngology chapter covering facial masculinization surgery:

https://www.optecoto.com/article/S1043-1810(23)00011-8/fulltext


ENTtoday: “Gender Affirmation Surgery in California,” Suresh Mohan, MD, Rahul Seth, MD, and Daniel Knott, MD:

https://www.enttoday.org/article/gender-affirmation-surgery-in-california/


ENTtoday: “Transgender Care: Otolaryngologists Can Help Fill an Unmet Need for This Patient Population,” P. Daniel Knott, MD and Rahul Seth, MD

https://www.enttoday.org/article/transgender-care-otolaryngologists-can-help-fill-an-unmet-need-for-this-patient-population/


Otolaryngologic Clinics of America August 2022 issue – “Gender Affirmation Surgery in Otolaryngology:” https://www.oto.theclinics.com/issue/S0030-6665(22)X0004-2


“National Variation of Insurance Coverage for Gender-Affirming Facial Feminization Surgery,” S. Gadkaree et al.:

https://pubmed.ncbi.nlm.nih.gov/32865436/

]]> 2739 Ep. 149 Innovating Recognition in Healthcare with nDorse with Dr. Rohan Walvekar In this episode of Back Table ENT, host Dr. Gopi Shah explores the entrepreneurial journey of Dr. Rohan Walvekar, an otolaryngologist at Louisiana State University-New Orleans and innovator/CEO of nDorse, a team engagement software application. Dr. Walvekar shares his experience in launching ‘nDorse’ — his novel team engagement software designed for healthcare providers. This idea was sparked from his realization that daily contributions and positivity within the healthcare space could be better recognized with real time feedback. He noticed that hospital nursing turnover was high, which could have been attributed to insufficient engagement and connection with coworkers. The nDorse software application can be used by anyone in an organization and allows users to post meaningful recognitions (via messages, emojis, pictures, GIFs) for their coworkers, with the ability to tag recognitions to the organization’s specific mission and values. Since its implementation, nDorse has been adopted even in various educational and financial institutional settings. Dr. Walvekar describes his journey to creating the application, including the software building process, initial sales, mentors, and the nDorse team. He also offers advice for physician entrepreneurs about being thoughtful with innovation and resilience in the startup sphere. --- SHOW NOTES 00:00 Introduction to the Podcast 02:46 A Focus on Real Time Recognition for Coworkers 04:48 Introduction to nDorse: A Team Engagement Software 13:06 Market Research and a Minimum Viable Product 20:16 Product Launch and First Customers 23:04 Financing the Project 26:03 Pitching to New Clients 29:00 Team Members and Mentors 31:44 Balancing Innovation with Clinical Practice 36:20 Challenges During the Entrepreneurship Journey --- RESOURCES nDorse: https://www.ndorse.net/ BackTable ENT Ep. 115- Management of the Plunging Ranula: https://www.backtable.com/shows/ent/podcasts/115/management-of-the-plunging-ranula Healthcare Plus Solutions Group: https://healthcareplussg.com/ Tue, 19 Dec 2023 06:00:00 -0000 full BackTable Inc. In this episode of Back Table ENT, host Dr. Gopi Shah explores the entrepreneurial journey of Dr. Rohan Walvekar, an otolaryngologist at Louisiana State University-New Orleans and innovator/CEO of nDorse, a team engagement software application. In this episode of Back Table ENT, host Dr. Gopi Shah explores the entrepreneurial journey of Dr. Rohan Walvekar, an otolaryngologist at Louisiana State University-New Orleans and innovator/CEO of nDorse, a team engagement software application. Dr. Walvekar shares his experience in launching ‘nDorse’ — his novel team engagement software designed for healthcare providers. This idea was sparked from his realization that daily contributions and positivity within the healthcare space could be better recognized with real time feedback. He noticed that hospital nursing turnover was high, which could have been attributed to insufficient engagement and connection with coworkers. The nDorse software application can be used by anyone in an organization and allows users to post meaningful recognitions (via messages, emojis, pictures, GIFs) for their coworkers, with the ability to tag recognitions to the organization’s specific mission and values. Since its implementation, nDorse has been adopted even in various educational and financial institutional settings. Dr. Walvekar describes his journey to creating the application, including the software building process, initial sales, mentors, and the nDorse team. He also offers advice for physician entrepreneurs about being thoughtful with innovation and resilience in the startup sphere. --- SHOW NOTES 00:00 Introduction to the Podcast 02:46 A Focus on Real Time Recognition for Coworkers 04:48 Introduction to nDorse: A Team Engagement Software 13:06 Market Research and a Minimum Viable Product 20:16 Product Launch and First Customers 23:04 Financing the Project 26:03 Pitching to New Clients 29:00 Team Members and Mentors 31:44 Balancing Innovation with Clinical Practice 36:20 Challenges During the Entrepreneurship Journey --- RESOURCES nDorse: https://www.ndorse.net/ BackTable ENT Ep. 115- Management of the Plunging Ranula: https://www.backtable.com/shows/ent/podcasts/115/management-of-the-plunging-ranula Healthcare Plus Solutions Group: https://healthcareplussg.com/ In this episode of Back Table ENT, host Dr. Gopi Shah explores the entrepreneurial journey of Dr. Rohan Walvekar, an otolaryngologist at Louisiana State University-New Orleans and innovator/CEO of nDorse, a team engagement software application.


Dr. Walvekar shares his experience in launching ‘nDorse’ — his novel team engagement software designed for healthcare providers. This idea was sparked from his realization that daily contributions and positivity within the healthcare space could be better recognized with real time feedback. He noticed that hospital nursing turnover was high, which could have been attributed to insufficient engagement and connection with coworkers.


The nDorse software application can be used by anyone in an organization and allows users to post meaningful recognitions (via messages, emojis, pictures, GIFs) for their coworkers, with the ability to tag recognitions to the organization’s specific mission and values. Since its implementation, nDorse has been adopted even in various educational and financial institutional settings. Dr. Walvekar describes his journey to creating the application, including the software building process, initial sales, mentors, and the nDorse team. He also offers advice for physician entrepreneurs about being thoughtful with innovation and resilience in the startup sphere.


---


SHOW NOTES


00:00 Introduction to the Podcast

02:46 A Focus on Real Time Recognition for Coworkers

04:48 Introduction to nDorse: A Team Engagement Software

13:06 Market Research and a Minimum Viable Product

20:16 Product Launch and First Customers

23:04 Financing the Project

26:03 Pitching to New Clients

29:00 Team Members and Mentors

31:44 Balancing Innovation with Clinical Practice

36:20 Challenges During the Entrepreneurship Journey


---


RESOURCES


nDorse:

https://www.ndorse.net/


BackTable ENT Ep. 115- Management of the Plunging Ranula:

https://www.backtable.com/shows/ent/podcasts/115/management-of-the-plunging-ranula


Healthcare Plus Solutions Group:

https://healthcareplussg.com/

]]> 2570 Ep. 148 Facial Masculinization in Gender Affirming Care with Dr. P. Daniel Knott and Dr. Rahul Seth In this episode, Dr. Gopi Shah discusses facial masculinization surgery with facial plastic surgeons Dr. P. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery. First, the surgeons begin by defining gender terminology, facial analysis, and surgical planning as they relate to gender-affirming care. Narrowing in on facial masculinization, they address common surgical procedures including augmentation rhinoplasty, buccal fat removal, reverse brow lifts, chin implants, and thyroid cartilage augmentation. Then, Dr. Knott and Dr. Seth describe the challenge of maintaining a natural appearance while enlarging facial features. In many cases, non-operative adjuncts, such as fillers and Botox, assist in this goal. Finally, Dr. Knott emphasizes the importance of management of the hair in gender-affirming care. --- SHOW NOTES 00:00 - Introduction 05:43 - Importance of Gender Terminology 13:00 - Facial Analysis in Gender Affirming Care 21:45 - Approach to Facial Masculinization 24:11 - Impact of Hormone Therapy 32:56 - Role of Technology in Gender Affirming Care 35:22 - Using Fillers and Botox in Facial Plastic Surgery 36:28 - The Importance of Intentionality in Achieving Patient Goals 37:39 - Exploring Surgical Options for Facial Modification 39:15 - Understanding the Process of Brow Projection Surgery 45:10 - The Process and Challenges of Rhinoplasty 51:31 - The Process and Challenges of Mandible Augmentation 59:20 - The Process and Challenges of Thyroid Cartilage Augmentation --- RESOURCES Dr. Rahul Seth’s Golden State Plastic Surgery profile: https://www.goldenstatedermatology.com/staff/rahul-seth-md-facs/ Dr. Daniel Knott’s UCSF profile: https://www.ucsfhealth.org/providers/dr-p-daniel-knott Operative Techniques in Otolaryngology chapter covering facial masculinization surgery: https://www.optecoto.com/article/S1043-1810(23)00011-8/fulltext Article on three-dimensional morphology to assess gender differences in facial appearance: https://pubmed.ncbi.nlm.nih.gov/35357226/ ENTtoday: “Transgender Care: Otolaryngologists Can Help Fill an Unmet Need for this Patient Population,” Daniel Knott, MD, and Rahul Seth, MD: https://www.enttoday.org/article/transgender-care-otolaryngologists-can-help-fill-an-unmet-need-for-this-patient-population/ ENTtoday: “Gender Affirmation Surgery in California,” Suresh Mohan, MD, Rahul Seth, MD, and Daniel Knott, MD: https://www.enttoday.org/article/gender-affirmation-surgery-in-california/ Otolaryngologic Clinics of America August 2022 issue – “Gender Affirmation Surgery in Otolaryngology”: https://www.oto.theclinics.com/issue/S0030-6665(22)X0004-2 Thu, 14 Dec 2023 06:00:00 -0000 full BackTable Inc. In this episode, Dr. Gopi Shah discusses facial masculinization surgery with facial plastic surgeons Dr. P. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery. In this episode, Dr. Gopi Shah discusses facial masculinization surgery with facial plastic surgeons Dr. P. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery. First, the surgeons begin by defining gender terminology, facial analysis, and surgical planning as they relate to gender-affirming care. Narrowing in on facial masculinization, they address common surgical procedures including augmentation rhinoplasty, buccal fat removal, reverse brow lifts, chin implants, and thyroid cartilage augmentation. Then, Dr. Knott and Dr. Seth describe the challenge of maintaining a natural appearance while enlarging facial features. In many cases, non-operative adjuncts, such as fillers and Botox, assist in this goal. Finally, Dr. Knott emphasizes the importance of management of the hair in gender-affirming care. --- SHOW NOTES 00:00 - Introduction 05:43 - Importance of Gender Terminology 13:00 - Facial Analysis in Gender Affirming Care 21:45 - Approach to Facial Masculinization 24:11 - Impact of Hormone Therapy 32:56 - Role of Technology in Gender Affirming Care 35:22 - Using Fillers and Botox in Facial Plastic Surgery 36:28 - The Importance of Intentionality in Achieving Patient Goals 37:39 - Exploring Surgical Options for Facial Modification 39:15 - Understanding the Process of Brow Projection Surgery 45:10 - The Process and Challenges of Rhinoplasty 51:31 - The Process and Challenges of Mandible Augmentation 59:20 - The Process and Challenges of Thyroid Cartilage Augmentation --- RESOURCES Dr. Rahul Seth’s Golden State Plastic Surgery profile: https://www.goldenstatedermatology.com/staff/rahul-seth-md-facs/ Dr. Daniel Knott’s UCSF profile: https://www.ucsfhealth.org/providers/dr-p-daniel-knott Operative Techniques in Otolaryngology chapter covering facial masculinization surgery: https://www.optecoto.com/article/S1043-1810(23)00011-8/fulltext Article on three-dimensional morphology to assess gender differences in facial appearance: https://pubmed.ncbi.nlm.nih.gov/35357226/ ENTtoday: “Transgender Care: Otolaryngologists Can Help Fill an Unmet Need for this Patient Population,” Daniel Knott, MD, and Rahul Seth, MD: https://www.enttoday.org/article/transgender-care-otolaryngologists-can-help-fill-an-unmet-need-for-this-patient-population/ ENTtoday: “Gender Affirmation Surgery in California,” Suresh Mohan, MD, Rahul Seth, MD, and Daniel Knott, MD: https://www.enttoday.org/article/gender-affirmation-surgery-in-california/ Otolaryngologic Clinics of America August 2022 issue – “Gender Affirmation Surgery in Otolaryngology”: https://www.oto.theclinics.com/issue/S0030-6665(22)X0004-2 In this episode, Dr. Gopi Shah discusses facial masculinization surgery with facial plastic surgeons Dr. P. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery.


First, the surgeons begin by defining gender terminology, facial analysis, and surgical planning as they relate to gender-affirming care. Narrowing in on facial masculinization, they address common surgical procedures including augmentation rhinoplasty, buccal fat removal, reverse brow lifts, chin implants, and thyroid cartilage augmentation. Then, Dr. Knott and Dr. Seth describe the challenge of maintaining a natural appearance while enlarging facial features. In many cases, non-operative adjuncts, such as fillers and Botox, assist in this goal. Finally, Dr. Knott emphasizes the importance of management of the hair in gender-affirming care.


---


SHOW NOTES


00:00 - Introduction

05:43 - Importance of Gender Terminology

13:00 - Facial Analysis in Gender Affirming Care

21:45 - Approach to Facial Masculinization

24:11 - Impact of Hormone Therapy

32:56 - Role of Technology in Gender Affirming Care

35:22 - Using Fillers and Botox in Facial Plastic Surgery

36:28 - The Importance of Intentionality in Achieving Patient Goals

37:39 - Exploring Surgical Options for Facial Modification

39:15 - Understanding the Process of Brow Projection Surgery

45:10 - The Process and Challenges of Rhinoplasty

51:31 - The Process and Challenges of Mandible Augmentation

59:20 - The Process and Challenges of Thyroid Cartilage Augmentation


---


RESOURCES


Dr. Rahul Seth’s Golden State Plastic Surgery profile:

https://www.goldenstatedermatology.com/staff/rahul-seth-md-facs/


Dr. Daniel Knott’s UCSF profile:

https://www.ucsfhealth.org/providers/dr-p-daniel-knott


Operative Techniques in Otolaryngology chapter covering facial masculinization surgery:

https://www.optecoto.com/article/S1043-1810(23)00011-8/fulltext


Article on three-dimensional morphology to assess gender differences in facial appearance: https://pubmed.ncbi.nlm.nih.gov/35357226/


ENTtoday: “Transgender Care: Otolaryngologists Can Help Fill an Unmet Need for this Patient Population,” Daniel Knott, MD, and Rahul Seth, MD: https://www.enttoday.org/article/transgender-care-otolaryngologists-can-help-fill-an-unmet-need-for-this-patient-population/


ENTtoday: “Gender Affirmation Surgery in California,” Suresh Mohan, MD, Rahul Seth, MD, and Daniel Knott, MD:

https://www.enttoday.org/article/gender-affirmation-surgery-in-california/


Otolaryngologic Clinics of America August 2022 issue – “Gender Affirmation Surgery in Otolaryngology”:

https://www.oto.theclinics.com/issue/S0030-6665(22)X0004-2

]]> 4174 Ep. 147 Latest Innovations in Rhinitis Treatment: A Comprehensive Guide with Dr. Omar Ahmed In this episode, Dr. Gopi Shah and Dr. Ashley Agan invite Dr. Omar Ahmed, rhinologist at Houston Methodist Hospital, to discuss innovative treatments for chronic rhinitis. First, Dr. Ahmed shares his experience with treating chronic rhinitis using medications, in-office procedures, and surgery. Patients who fail to respond to medication find rhinitis relief up to 95% of the time following posterior nasal nerve ablation. He explains the difference between radiofrequency ablation (RhinAer and Neurent) and cryoablation (ClariFix). Then, Dr. Ahmed explains relevant anatomy, patient counseling, and potential adverse effects of ablation. Finally, he touches on recent developments in billing for these treatments. --- CHECK OUT OUR SPONSOR Aerin Medical https://aerinmedical.com/ --- SHOW NOTES 00:00 - Introduction 04:11 - Discussion on Chronic Rhinitis and Office-Based Procedures 07:03 - Understanding Rhinitis Patients and Their Symptoms 09:27 - Examination, Workup, and Treatment for Rhinitis Patients 24:03 - Surgical Treatments for Rhinitis 29:44 - Overview of In-Office Procedures for Rhinitis 36:50 - The Impact of Anatomical Challenges on the Procedure 43:20 - Post-Procedure Instructions and Potential Complications 52:29 - Understanding the New Billing and CPT Approval --- RESOURCES RhinAer Chronic Rhinitis Treatment https://rhinaer.com/hcp/ Dr. Ahmed’s Houston Methodist Profile: https://www.houstonmethodist.org/doctor/omar-g-ahmed/ Tue, 12 Dec 2023 06:00:00 -0000 full BackTable Inc. In this episode, Dr. Gopi Shah and Dr. Ashley Agan invite Dr. Omar Ahmed, rhinologist at Houston Methodist Hospital, to discuss innovative treatments for chronic rhinitis. In this episode, Dr. Gopi Shah and Dr. Ashley Agan invite Dr. Omar Ahmed, rhinologist at Houston Methodist Hospital, to discuss innovative treatments for chronic rhinitis. First, Dr. Ahmed shares his experience with treating chronic rhinitis using medications, in-office procedures, and surgery. Patients who fail to respond to medication find rhinitis relief up to 95% of the time following posterior nasal nerve ablation. He explains the difference between radiofrequency ablation (RhinAer and Neurent) and cryoablation (ClariFix). Then, Dr. Ahmed explains relevant anatomy, patient counseling, and potential adverse effects of ablation. Finally, he touches on recent developments in billing for these treatments. --- CHECK OUT OUR SPONSOR Aerin Medical https://aerinmedical.com/ --- SHOW NOTES 00:00 - Introduction 04:11 - Discussion on Chronic Rhinitis and Office-Based Procedures 07:03 - Understanding Rhinitis Patients and Their Symptoms 09:27 - Examination, Workup, and Treatment for Rhinitis Patients 24:03 - Surgical Treatments for Rhinitis 29:44 - Overview of In-Office Procedures for Rhinitis 36:50 - The Impact of Anatomical Challenges on the Procedure 43:20 - Post-Procedure Instructions and Potential Complications 52:29 - Understanding the New Billing and CPT Approval --- RESOURCES RhinAer Chronic Rhinitis Treatment https://rhinaer.com/hcp/ Dr. Ahmed’s Houston Methodist Profile: https://www.houstonmethodist.org/doctor/omar-g-ahmed/ In this episode, Dr. Gopi Shah and Dr. Ashley Agan invite Dr. Omar Ahmed, rhinologist at Houston Methodist Hospital, to discuss innovative treatments for chronic rhinitis.


First, Dr. Ahmed shares his experience with treating chronic rhinitis using medications, in-office procedures, and surgery. Patients who fail to respond to medication find rhinitis relief up to 95% of the time following posterior nasal nerve ablation. He explains the difference between radiofrequency ablation (RhinAer and Neurent) and cryoablation (ClariFix). Then, Dr. Ahmed explains relevant anatomy, patient counseling, and potential adverse effects of ablation. Finally, he touches on recent developments in billing for these treatments.


---


CHECK OUT OUR SPONSOR


Aerin Medical

https://aerinmedical.com/


---


SHOW NOTES


00:00 - Introduction

04:11 - Discussion on Chronic Rhinitis and Office-Based Procedures

07:03 - Understanding Rhinitis Patients and Their Symptoms

09:27 - Examination, Workup, and Treatment for Rhinitis Patients

24:03 - Surgical Treatments for Rhinitis

29:44 - Overview of In-Office Procedures for Rhinitis

36:50 - The Impact of Anatomical Challenges on the Procedure

43:20 - Post-Procedure Instructions and Potential Complications

52:29 - Understanding the New Billing and CPT Approval


---


RESOURCES


RhinAer Chronic Rhinitis Treatment

https://rhinaer.com/hcp/


Dr. Ahmed’s Houston Methodist Profile:

https://www.houstonmethodist.org/doctor/omar-g-ahmed/

]]> 3530 Ep. 146 In-Office Laryngology Procedures: A Deep Dive with Dr. Lesley Childs In this episode, Dr. Ashley Agan and Dr. Gopi Shah cover in-office laryngology procedures with Dr. Lesley Childs, Associate Professor of Laryngology, Neuro-Laryngology, and Professional Voice at the University of Texas Southwestern Medical Center. The surgeons cover laryngologic diseases commonly treated in the clinic. Dr. Childs describes procedures she performs, including video stroboscopy for mucosal wave assessment, steroid injections for subglottic stenosis, and Botox injections for neurologic voice disorders. She also speaks to the benefits of treating patients in-office, anesthesia for in-office procedures, and the role her medical assistants play during various in-office procedures. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/GrOWrn --- SHOW NOTES 00:00 Introduction 02:58 In-Office Laryngology Procedures Overview 03:49 Understanding Video Stroboscopy 05:27 Preparing for In-Office Procedures 08:09 Procedure Techniques and Patient Positioning 13:40 Anesthetic Protocol for Different Procedures 15:11 Handling Patient Reactions and Complications 26:11 Botox Injections and Anesthetic Considerations 29:08 Understanding False Vocal Folds and Abraham Cannula 35:01 Understanding the Process of Vocal Fold Botox Injections 36:06 The Risks and Challenges of Vocal Fold Injections 40:41 The Process of Vocal Fold Augmentation 52:33 The Use of Lasers in Vocal Fold Procedures 53:40 The Evolution of Vocal Fold Procedures Over Time Tue, 05 Dec 2023 06:00:00 -0000 full BackTable Inc. In this episode, Dr. Ashley Agan and Dr. Gopi Shah cover in-office laryngology procedures with Dr. Lesley Childs, Associate Professor of Laryngology, Neuro-Laryngology, and Professional Voice at the University of Texas Southwestern Medical Center. In this episode, Dr. Ashley Agan and Dr. Gopi Shah cover in-office laryngology procedures with Dr. Lesley Childs, Associate Professor of Laryngology, Neuro-Laryngology, and Professional Voice at the University of Texas Southwestern Medical Center. The surgeons cover laryngologic diseases commonly treated in the clinic. Dr. Childs describes procedures she performs, including video stroboscopy for mucosal wave assessment, steroid injections for subglottic stenosis, and Botox injections for neurologic voice disorders. She also speaks to the benefits of treating patients in-office, anesthesia for in-office procedures, and the role her medical assistants play during various in-office procedures. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/GrOWrn --- SHOW NOTES 00:00 Introduction 02:58 In-Office Laryngology Procedures Overview 03:49 Understanding Video Stroboscopy 05:27 Preparing for In-Office Procedures 08:09 Procedure Techniques and Patient Positioning 13:40 Anesthetic Protocol for Different Procedures 15:11 Handling Patient Reactions and Complications 26:11 Botox Injections and Anesthetic Considerations 29:08 Understanding False Vocal Folds and Abraham Cannula 35:01 Understanding the Process of Vocal Fold Botox Injections 36:06 The Risks and Challenges of Vocal Fold Injections 40:41 The Process of Vocal Fold Augmentation 52:33 The Use of Lasers in Vocal Fold Procedures 53:40 The Evolution of Vocal Fold Procedures Over Time In this episode, Dr. Ashley Agan and Dr. Gopi Shah cover in-office laryngology procedures with Dr. Lesley Childs, Associate Professor of Laryngology, Neuro-Laryngology, and Professional Voice at the University of Texas Southwestern Medical Center.


The surgeons cover laryngologic diseases commonly treated in the clinic. Dr. Childs describes procedures she performs, including video stroboscopy for mucosal wave assessment, steroid injections for subglottic stenosis, and Botox injections for neurologic voice disorders. She also speaks to the benefits of treating patients in-office, anesthesia for in-office procedures, and the role her medical assistants play during various in-office procedures.


---


EARN CME


Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/GrOWrn


---


SHOW NOTES


00:00 Introduction

02:58 In-Office Laryngology Procedures Overview

03:49 Understanding Video Stroboscopy

05:27 Preparing for In-Office Procedures

08:09 Procedure Techniques and Patient Positioning

13:40 Anesthetic Protocol for Different Procedures

15:11 Handling Patient Reactions and Complications

26:11 Botox Injections and Anesthetic Considerations

29:08 Understanding False Vocal Folds and Abraham Cannula

35:01 Understanding the Process of Vocal Fold Botox Injections

36:06 The Risks and Challenges of Vocal Fold Injections

40:41 The Process of Vocal Fold Augmentation

52:33 The Use of Lasers in Vocal Fold Procedures

53:40 The Evolution of Vocal Fold Procedures Over Time

]]> 3509 Ep. 145 Understanding Drug Repurposing in Head and Neck Cancer: An Interview with Dr. Nicole Schmitt In this podcast, Dr. Gopi Shah invites Dr. Nicole Schmitt, an associate professor in the Department of Otolaryngology at Emory University to discuss drug repurposing for head and neck cancer. Dr. Schmitt explains that drug repurposing involves using a drug developed for one purpose for an entirely different purpose. She highlights some of the main drugs being repurposed for head and neck cancer treatment, including statins and NSAIDs. For example, Dr. Schmitt shares how manipulating cholesterol levels can enhance antineoplastic T lymphocyte responses to increase survival and treatment tolerability. The surgeons then consider the therapeutic, safety, and financial benefits of repurposed drugs. Special attention is given to drug repurposing in HPV-positive cancer. Lastly, Dr. Schmitt describes the pleiotropic effect and how it applies to drug repurposing efforts. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/EgX3zL --- SHOW NOTES 0:00 - Drug Repurposing and Cancer Treatment 08:40 - Statins and NSAIDs for Head and Neck Cancer 12:18 - Enhancing Tumor Control With Pre-Surgery Drugs 22:14 - Treatment of Pre-Malignant Lesions With Repurposed Drugs Thu, 30 Nov 2023 06:00:00 -0000 full BackTable Inc. In this podcast, Dr. Gopi Shah invites Dr. Nicole Schmitt, an associate professor in the Department of Otolaryngology at Emory University to discuss drug repurposing for head and neck cancer. In this podcast, Dr. Gopi Shah invites Dr. Nicole Schmitt, an associate professor in the Department of Otolaryngology at Emory University to discuss drug repurposing for head and neck cancer. Dr. Schmitt explains that drug repurposing involves using a drug developed for one purpose for an entirely different purpose. She highlights some of the main drugs being repurposed for head and neck cancer treatment, including statins and NSAIDs. For example, Dr. Schmitt shares how manipulating cholesterol levels can enhance antineoplastic T lymphocyte responses to increase survival and treatment tolerability. The surgeons then consider the therapeutic, safety, and financial benefits of repurposed drugs. Special attention is given to drug repurposing in HPV-positive cancer. Lastly, Dr. Schmitt describes the pleiotropic effect and how it applies to drug repurposing efforts. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/EgX3zL --- SHOW NOTES 0:00 - Drug Repurposing and Cancer Treatment 08:40 - Statins and NSAIDs for Head and Neck Cancer 12:18 - Enhancing Tumor Control With Pre-Surgery Drugs 22:14 - Treatment of Pre-Malignant Lesions With Repurposed Drugs In this podcast, Dr. Gopi Shah invites Dr. Nicole Schmitt, an associate professor in the Department of Otolaryngology at Emory University to discuss drug repurposing for head and neck cancer.


Dr. Schmitt explains that drug repurposing involves using a drug developed for one purpose for an entirely different purpose. She highlights some of the main drugs being repurposed for head and neck cancer treatment, including statins and NSAIDs. For example, Dr. Schmitt shares how manipulating cholesterol levels can enhance antineoplastic T lymphocyte responses to increase survival and treatment tolerability. The surgeons then consider the therapeutic, safety, and financial benefits of repurposed drugs. Special attention is given to drug repurposing in HPV-positive cancer. Lastly, Dr. Schmitt describes the pleiotropic effect and how it applies to drug repurposing efforts.


---


EARN CME


Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/EgX3zL


---


SHOW NOTES


0:00 - Drug Repurposing and Cancer Treatment

08:40 - Statins and NSAIDs for Head and Neck Cancer

12:18 - Enhancing Tumor Control With Pre-Surgery Drugs

22:14 - Treatment of Pre-Malignant Lesions With Repurposed Drugs

]]> 1691 Ep. 144 Managing the Difficult Airway Through Innovation: The Adroit Surgical Story with Dr. Nilesh Vasan In this episode, Dr. Eric Gantwerker and Dr. Nilesh Vasan, Founder/CEO of Adroit Surgical and Head & Neck Surgeon at University of Oklahoma (OU Health), discuss the development of Adroit Surgical. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/4Wi8D5 --- SHOW NOTES First, Dr. Vasan describes his surgical training and lifelong passion for invention. Originally from New Zealand, Dr. Vasan completed a head & neck fellowship at OU Health. His surgical experience includes private and academic practice. During his time in private practice, Dr. Vasan worked on interdisciplinary teams to manage difficult airways. He credits this experience with sparking his interest in developing better tools for intubation. Next, Dr. Gantwerker and Dr. Vasan review the development of Adroit Surgical’s first product, the Vie-Scope. The battery-powered Vie-Scope combines superior visualization with portability to facilitate intubation across settings. Hoping to improve visualization during hand-held laryngoscopy, Dr. Vasan sketched a modified anterior commissure laryngoscope that would become the Vie-Scope. He then worked with an experienced patent attorney who helped him develop and notarize his innovation. Then, the surgeons cover advice to building networks. A pitch competition in Oklahoma City connected Dr. Vasan with associates whose complementary expertise helped grow Adroit Surgical. Dr. Vasan then worked alongside a well-connected distributor who raised awareness of the Vie-Scope in his target markets. Today, the Vie-Scope enables successful first-pass intubation in emergent and operating room settings. --- RESOURCES Adroit Surgical: https://adroitsurgical.com/ “Crossing the Chasm” by Geoffrey Moore https://www.amazon.com/Crossing-Chasm-3rd-Disruptive-Mainstream/dp/0062292986 “Creativity, Inc: Overcoming the Unseen Forces that Stand in the Way of True Innovation” Ed Catmull & Amy Wallace https://www.amazon.com/Creativity-Inc-Overcoming-Unseen-Inspiration/dp/0812993012 Tue, 28 Nov 2023 06:00:00 -0000 full BackTable Inc. In this episode, Dr. Eric Gantwerker and Dr. Nilesh Vasan, Founder/CEO of Adroit Surgical and Head & Neck Surgeon at University of Oklahoma (OU Health), discuss the development of Adroit Surgical. In this episode, Dr. Eric Gantwerker and Dr. Nilesh Vasan, Founder/CEO of Adroit Surgical and Head & Neck Surgeon at University of Oklahoma (OU Health), discuss the development of Adroit Surgical. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/4Wi8D5 --- SHOW NOTES First, Dr. Vasan describes his surgical training and lifelong passion for invention. Originally from New Zealand, Dr. Vasan completed a head & neck fellowship at OU Health. His surgical experience includes private and academic practice. During his time in private practice, Dr. Vasan worked on interdisciplinary teams to manage difficult airways. He credits this experience with sparking his interest in developing better tools for intubation. Next, Dr. Gantwerker and Dr. Vasan review the development of Adroit Surgical’s first product, the Vie-Scope. The battery-powered Vie-Scope combines superior visualization with portability to facilitate intubation across settings. Hoping to improve visualization during hand-held laryngoscopy, Dr. Vasan sketched a modified anterior commissure laryngoscope that would become the Vie-Scope. He then worked with an experienced patent attorney who helped him develop and notarize his innovation. Then, the surgeons cover advice to building networks. A pitch competition in Oklahoma City connected Dr. Vasan with associates whose complementary expertise helped grow Adroit Surgical. Dr. Vasan then worked alongside a well-connected distributor who raised awareness of the Vie-Scope in his target markets. Today, the Vie-Scope enables successful first-pass intubation in emergent and operating room settings. --- RESOURCES Adroit Surgical: https://adroitsurgical.com/ “Crossing the Chasm” by Geoffrey Moore https://www.amazon.com/Crossing-Chasm-3rd-Disruptive-Mainstream/dp/0062292986 “Creativity, Inc: Overcoming the Unseen Forces that Stand in the Way of True Innovation” Ed Catmull & Amy Wallace https://www.amazon.com/Creativity-Inc-Overcoming-Unseen-Inspiration/dp/0812993012 In this episode, Dr. Eric Gantwerker and Dr. Nilesh Vasan, Founder/CEO of Adroit Surgical and Head & Neck Surgeon at University of Oklahoma (OU Health), discuss the development of Adroit Surgical.


---


EARN CME


Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/4Wi8D5


---


SHOW NOTES


First, Dr. Vasan describes his surgical training and lifelong passion for invention. Originally from New Zealand, Dr. Vasan completed a head & neck fellowship at OU Health. His surgical experience includes private and academic practice. During his time in private practice, Dr. Vasan worked on interdisciplinary teams to manage difficult airways. He credits this experience with sparking his interest in developing better tools for intubation.


Next, Dr. Gantwerker and Dr. Vasan review the development of Adroit Surgical’s first product, the Vie-Scope. The battery-powered Vie-Scope combines superior visualization with portability to facilitate intubation across settings. Hoping to improve visualization during hand-held laryngoscopy, Dr. Vasan sketched a modified anterior commissure laryngoscope that would become the Vie-Scope. He then worked with an experienced patent attorney who helped him develop and notarize his innovation.


Then, the surgeons cover advice to building networks. A pitch competition in Oklahoma City connected Dr. Vasan with associates whose complementary expertise helped grow Adroit Surgical. Dr. Vasan then worked alongside a well-connected distributor who raised awareness of the Vie-Scope in his target markets. Today, the Vie-Scope enables successful first-pass intubation in emergent and operating room settings.


---


RESOURCES


Adroit Surgical:

https://adroitsurgical.com/


“Crossing the Chasm” by Geoffrey Moore

https://www.amazon.com/Crossing-Chasm-3rd-Disruptive-Mainstream/dp/0062292986


“Creativity, Inc: Overcoming the Unseen Forces that Stand in the Way of True Innovation” Ed Catmull & Amy Wallace

https://www.amazon.com/Creativity-Inc-Overcoming-Unseen-Inspiration/dp/0812993012

]]> 3844 Ep. 143 The Future of Otolaryngology: A Collaborative Approach with Dr. Gene Brown Tue, 21 Nov 2023 06:00:00 -0000 full BackTable Inc. 3120 Ep. 142 Evaluation and Management of Chronic Frontal Sinusitis in Sweden with Dr. Jens Andersson In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Jens Andersson, practicing ENT at Sweden’s Skåne University Hospital, tackle chronic frontal sinusitis. --- SHOW NOTES First, Dr. Andersson talks about the Swedish healthcare systems, focusing on access to care and cost. The discussion then shifts to chronic frontal sinusitis. Symptoms associated with this disease include frontal headache, stuffiness, congestion, and low-grade fever. In cases of orbital involvement, patients may complain of proptosis or diplopia. Risk factors include frontal sinus fracture, barotrauma, an immunocompromised state, and dental infection. Most, but not all, patients have involvement of multiple sinuses. Next, Dr. Andersson illuminates workup and treatment of chronic frontal sinusitis. His physical exam includes close inspection of the oral cavity, anterior rhinoscopy (performed with a microscope), and flexible fiberoptic laryngoscopy. When ordering imaging, he prefers cone-beam CT of the sinuses, though he orders MRI when bony invasion or extra-sinus disease are present. Finally, the surgeons discuss operative management of chronic frontal sinusitis. Dr. Andersson talks listeners through his pre-operative planning, focusing on how he uses imaging. Moving to the OR, the surgeons share their techniques for operating on the frontal sinus. Dr. Andersson reviews strategies to avoid scarring, use of navigation systems, and post-operative management. Dr. Shah shares pearls from her pediatric sinus practice. The episode finishes with Dr. Andersson’s witty and high-yield advice for otolaryngologists. Tue, 14 Nov 2023 06:00:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Jens Andersson, practicing ENT at Sweden’s Skåne University Hospital, tackle chronic frontal sinusitis. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Jens Andersson, practicing ENT at Sweden’s Skåne University Hospital, tackle chronic frontal sinusitis. --- SHOW NOTES First, Dr. Andersson talks about the Swedish healthcare systems, focusing on access to care and cost. The discussion then shifts to chronic frontal sinusitis. Symptoms associated with this disease include frontal headache, stuffiness, congestion, and low-grade fever. In cases of orbital involvement, patients may complain of proptosis or diplopia. Risk factors include frontal sinus fracture, barotrauma, an immunocompromised state, and dental infection. Most, but not all, patients have involvement of multiple sinuses. Next, Dr. Andersson illuminates workup and treatment of chronic frontal sinusitis. His physical exam includes close inspection of the oral cavity, anterior rhinoscopy (performed with a microscope), and flexible fiberoptic laryngoscopy. When ordering imaging, he prefers cone-beam CT of the sinuses, though he orders MRI when bony invasion or extra-sinus disease are present. Finally, the surgeons discuss operative management of chronic frontal sinusitis. Dr. Andersson talks listeners through his pre-operative planning, focusing on how he uses imaging. Moving to the OR, the surgeons share their techniques for operating on the frontal sinus. Dr. Andersson reviews strategies to avoid scarring, use of navigation systems, and post-operative management. Dr. Shah shares pearls from her pediatric sinus practice. The episode finishes with Dr. Andersson’s witty and high-yield advice for otolaryngologists. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Jens Andersson, practicing ENT at Sweden’s Skåne University Hospital, tackle chronic frontal sinusitis.


---


SHOW NOTES


First, Dr. Andersson talks about the Swedish healthcare systems, focusing on access to care and cost. The discussion then shifts to chronic frontal sinusitis. Symptoms associated with this disease include frontal headache, stuffiness, congestion, and low-grade fever. In cases of orbital involvement, patients may complain of proptosis or diplopia. Risk factors include frontal sinus fracture, barotrauma, an immunocompromised state, and dental infection. Most, but not all, patients have involvement of multiple sinuses.


Next, Dr. Andersson illuminates workup and treatment of chronic frontal sinusitis. His physical exam includes close inspection of the oral cavity, anterior rhinoscopy (performed with a microscope), and flexible fiberoptic laryngoscopy. When ordering imaging, he prefers cone-beam CT of the sinuses, though he orders MRI when bony invasion or extra-sinus disease are present.


Finally, the surgeons discuss operative management of chronic frontal sinusitis. Dr. Andersson talks listeners through his pre-operative planning, focusing on how he uses imaging. Moving to the OR, the surgeons share their techniques for operating on the frontal sinus. Dr. Andersson reviews strategies to avoid scarring, use of navigation systems, and post-operative management. Dr. Shah shares pearls from her pediatric sinus practice. The episode finishes with Dr. Andersson’s witty and high-yield advice for otolaryngologists.

]]> 2706 Ep. 141 Stridor in Newborns: Evaluation and Management with Dr. Briac Thierry In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Briac Thierry, Pediatric ENT at Necker Hospital for Sick Children in Paris, France, review stridor in newborns, with a special emphasis on laryngomalacia. --- SHOW NOTES First, Briac and Gopi discuss how a newborn with stridor can present. Though stridor does occur among NICU babies, most of Briac’s patients are referred by outpatient pediatricians. They discuss a list of questions to ask while taking a history and emphasize the importance of assessing growth trends. In the absence of other medical problems, declining weight can suggest severe aerodigestive tract abnormality. Any pathology that narrows the airway can cause stridor: in infants, these include laryngomalacia, vallecular cysts, subglottic cysts, tracheal rings, and bilateral vocal fold immobility. Then, Briac talks listeners through his physical exam, with special attention paid to flexible fiberoptic laryngoscopy. Briac shares his tips to maximize visualization and clinician ergonomics when scoping a small child. If bilateral vocal fold immobility is suspected, Briac recommends performing a longer fiberoptic exam so that the clinician can determine whether vocal fold immobility is present at rest or due to an uncomfortable child crying. Next, Gopi and Briac differentiate between mild, moderate, and severe laryngomalacia and the indications for going to the operating room for an airway evaluation. As 20% of children with laryngomalacia have secondary airway lesions, a meticulous laryngoscopy/bronchoscopy is mandatory in these patients when a trip to the OR is required. Moving to the OR, Briac talks about his workflow when performing diagnostic bronchoscopy/laryngoscopy (DLB) to assess various causes of stridor. The episode concludes with Briac’s meditations on airway surgery as a team endeavor. --- RESOURCES Briac’s Necker Hospital Profile: https://www.aphp.fr/offre-de-soin/medecin/3168653/061/16 International Pediatric ORL Group (IPOG) Laryngomalacia Consensus Recommendations: https://www.sciencedirect.com/science/article/abs/pii/S0165587616300519 Pediatric Airway Channel in Paris (@voies_aeriennes): https://www.youtube.com/@voies_aeriennes Tue, 07 Nov 2023 06:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Briac Thierry, Pediatric ENT at Necker Hospital for Sick Children in Paris, France, review stridor in newborns, with a special emphasis on laryngomalacia. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Briac Thierry, Pediatric ENT at Necker Hospital for Sick Children in Paris, France, review stridor in newborns, with a special emphasis on laryngomalacia. --- SHOW NOTES First, Briac and Gopi discuss how a newborn with stridor can present. Though stridor does occur among NICU babies, most of Briac’s patients are referred by outpatient pediatricians. They discuss a list of questions to ask while taking a history and emphasize the importance of assessing growth trends. In the absence of other medical problems, declining weight can suggest severe aerodigestive tract abnormality. Any pathology that narrows the airway can cause stridor: in infants, these include laryngomalacia, vallecular cysts, subglottic cysts, tracheal rings, and bilateral vocal fold immobility. Then, Briac talks listeners through his physical exam, with special attention paid to flexible fiberoptic laryngoscopy. Briac shares his tips to maximize visualization and clinician ergonomics when scoping a small child. If bilateral vocal fold immobility is suspected, Briac recommends performing a longer fiberoptic exam so that the clinician can determine whether vocal fold immobility is present at rest or due to an uncomfortable child crying. Next, Gopi and Briac differentiate between mild, moderate, and severe laryngomalacia and the indications for going to the operating room for an airway evaluation. As 20% of children with laryngomalacia have secondary airway lesions, a meticulous laryngoscopy/bronchoscopy is mandatory in these patients when a trip to the OR is required. Moving to the OR, Briac talks about his workflow when performing diagnostic bronchoscopy/laryngoscopy (DLB) to assess various causes of stridor. The episode concludes with Briac’s meditations on airway surgery as a team endeavor. --- RESOURCES Briac’s Necker Hospital Profile: https://www.aphp.fr/offre-de-soin/medecin/3168653/061/16 International Pediatric ORL Group (IPOG) Laryngomalacia Consensus Recommendations: https://www.sciencedirect.com/science/article/abs/pii/S0165587616300519 Pediatric Airway Channel in Paris (@voies_aeriennes): https://www.youtube.com/@voies_aeriennes In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Briac Thierry, Pediatric ENT at Necker Hospital for Sick Children in Paris, France, review stridor in newborns, with a special emphasis on laryngomalacia.


---


SHOW NOTES


First, Briac and Gopi discuss how a newborn with stridor can present. Though stridor does occur among NICU babies, most of Briac’s patients are referred by outpatient pediatricians. They discuss a list of questions to ask while taking a history and emphasize the importance of assessing growth trends. In the absence of other medical problems, declining weight can suggest severe aerodigestive tract abnormality. Any pathology that narrows the airway can cause stridor: in infants, these include laryngomalacia, vallecular cysts, subglottic cysts, tracheal rings, and bilateral vocal fold immobility.


Then, Briac talks listeners through his physical exam, with special attention paid to flexible fiberoptic laryngoscopy. Briac shares his tips to maximize visualization and clinician ergonomics when scoping a small child. If bilateral vocal fold immobility is suspected, Briac recommends performing a longer fiberoptic exam so that the clinician can determine whether vocal fold immobility is present at rest or due to an uncomfortable child crying.


Next, Gopi and Briac differentiate between mild, moderate, and severe laryngomalacia and the indications for going to the operating room for an airway evaluation. As 20% of children with laryngomalacia have secondary airway lesions, a meticulous laryngoscopy/bronchoscopy is mandatory in these patients when a trip to the OR is required. Moving to the OR, Briac talks about his workflow when performing diagnostic bronchoscopy/laryngoscopy (DLB) to assess various causes of stridor. The episode concludes with Briac’s meditations on airway surgery as a team endeavor.


---


RESOURCES


Briac’s Necker Hospital Profile:

https://www.aphp.fr/offre-de-soin/medecin/3168653/061/16


International Pediatric ORL Group (IPOG) Laryngomalacia Consensus Recommendations:

https://www.sciencedirect.com/science/article/abs/pii/S0165587616300519


Pediatric Airway Channel in Paris (@voies_aeriennes):

https://www.youtube.com/@voies_aeriennes

]]> 3492 Ep. 140 Unpacking DEI: Advancing Patient Care in Otolaryngology with Dr. Erynne Faucett In this episode of BackTable ENT, Dr. Gopi Shah sits down with pediatric Otolaryngologist, Dr. Erynne Faucett at the University California Davis-Sacramento to discuss diversity, equity, and inclusion (DEI) in the field in Otolaryngology and its importance. --- SHOW NOTES The episode begins with Erynne breaking down what DEI means to her. She mentions how there is a misconception in grouping diversity, equity, and inclusion all together but instead needing to look at each element individually for what they mean, instead of just “checking off a check box.” Connecting to this, Erynne brings up the importance of DEI efforts in the field of Otolaryngology as it reflects the importance of patient care, in a population that is constantly evolving in diversity, and it emphasizes the role of diversifying the field to match the patient population. Focusing on DEI efforts, at UCSD-Sacramento where Erynne practices, she mentions the DEI efforts that her department has made in recruiting diverse residents and attendings. She emphasizes to continue to push the narrative for why it is important within the field and further, how it impacts patient care. Erynne then delves into DEI initiatives within the Otolaryngology workforce from her perspective of being a part of the Academy of Otolaryngology DEI committee and mentions her work in building curriculum teaching DEI for residents and the challenges that comes with it. Gopi and Erynne then end the episode talking about efforts in delivering equitable care, health equity research and recent legislative actions in certain areas of the U.S that have restricted DEI efforts. Erynne emphasizes that even in areas across the country with bans against DEI initiatives, it is still important to speak up about these issues, to continue to teach and educate policy makers to see the impact of these bans on marginalized communities and that DEI efforts aren’t political but instead a human rights initiative. --- RESOURCES American Academy of Otolaryngology Advocacy: https://www.entnet.org/advocacy/ --- The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery. Get notified when new episodes drop! Subscribe to the BackTable ENT Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular otolaryngology updates. Apple ► https://podcasts.apple.com/us/podcast/backtable-ent/id1531545163 Spotify ► https://open.spotify.com/show/37rFUMANPeGURdmNkn2Vi7 YouTube ► https://www.youtube.com/channel/UCoI12lCyYggbdB-OC68wGlg?sub_confirmation=1 Twitter ► https://twitter.com/_backtableENT​ LinkedIn ► https://www.linkedin.com/company/backtable-ent/ Instagram ► https://www.instagram.com/_backtableent/ Newsletter ► https://www.backtable.com/shows/ent/subscribe Thu, 02 Nov 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Gopi Shah sits down with pediatric Otolaryngologist, Dr. Erynne Faucett at the University California Davis-Sacramento to discuss diversity, equity, and inclusion (DEI) in the field in Otolaryngology and its importance. In this episode of BackTable ENT, Dr. Gopi Shah sits down with pediatric Otolaryngologist, Dr. Erynne Faucett at the University California Davis-Sacramento to discuss diversity, equity, and inclusion (DEI) in the field in Otolaryngology and its importance. --- SHOW NOTES The episode begins with Erynne breaking down what DEI means to her. She mentions how there is a misconception in grouping diversity, equity, and inclusion all together but instead needing to look at each element individually for what they mean, instead of just “checking off a check box.” Connecting to this, Erynne brings up the importance of DEI efforts in the field of Otolaryngology as it reflects the importance of patient care, in a population that is constantly evolving in diversity, and it emphasizes the role of diversifying the field to match the patient population. Focusing on DEI efforts, at UCSD-Sacramento where Erynne practices, she mentions the DEI efforts that her department has made in recruiting diverse residents and attendings. She emphasizes to continue to push the narrative for why it is important within the field and further, how it impacts patient care. Erynne then delves into DEI initiatives within the Otolaryngology workforce from her perspective of being a part of the Academy of Otolaryngology DEI committee and mentions her work in building curriculum teaching DEI for residents and the challenges that comes with it. Gopi and Erynne then end the episode talking about efforts in delivering equitable care, health equity research and recent legislative actions in certain areas of the U.S that have restricted DEI efforts. Erynne emphasizes that even in areas across the country with bans against DEI initiatives, it is still important to speak up about these issues, to continue to teach and educate policy makers to see the impact of these bans on marginalized communities and that DEI efforts aren’t political but instead a human rights initiative. --- RESOURCES American Academy of Otolaryngology Advocacy: https://www.entnet.org/advocacy/ --- The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery. Get notified when new episodes drop! Subscribe to the BackTable ENT Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular otolaryngology updates. Apple ► https://podcasts.apple.com/us/podcast/backtable-ent/id1531545163 Spotify ► https://open.spotify.com/show/37rFUMANPeGURdmNkn2Vi7 YouTube ► https://www.youtube.com/channel/UCoI12lCyYggbdB-OC68wGlg?sub_confirmation=1 Twitter ► https://twitter.com/_backtableENT​ LinkedIn ► https://www.linkedin.com/company/backtable-ent/ Instagram ► https://www.instagram.com/_backtableent/ Newsletter ► https://www.backtable.com/shows/ent/subscribe In this episode of BackTable ENT, Dr. Gopi Shah sits down with pediatric Otolaryngologist, Dr. Erynne Faucett at the University California Davis-Sacramento to discuss diversity, equity, and inclusion (DEI) in the field in Otolaryngology and its importance.


---


SHOW NOTES


The episode begins with Erynne breaking down what DEI means to her. She mentions how there is a misconception in grouping diversity, equity, and inclusion all together but instead needing to look at each element individually for what they mean, instead of just “checking off a check box.” Connecting to this, Erynne brings up the importance of DEI efforts in the field of Otolaryngology as it reflects the importance of patient care, in a population that is constantly evolving in diversity, and it emphasizes the role of diversifying the field to match the patient population.


Focusing on DEI efforts, at UCSD-Sacramento where Erynne practices, she mentions the DEI efforts that her department has made in recruiting diverse residents and attendings. She emphasizes to continue to push the narrative for why it is important within the field and further, how it impacts patient care.


Erynne then delves into DEI initiatives within the Otolaryngology workforce from her perspective of being a part of the Academy of Otolaryngology DEI committee and mentions her work in building curriculum teaching DEI for residents and the challenges that comes with it.


Gopi and Erynne then end the episode talking about efforts in delivering equitable care, health equity research and recent legislative actions in certain areas of the U.S that have restricted DEI efforts. Erynne emphasizes that even in areas across the country with bans against DEI initiatives, it is still important to speak up about these issues, to continue to teach and educate policy makers to see the impact of these bans on marginalized communities and that DEI efforts aren’t political but instead a human rights initiative.


---


RESOURCES


American Academy of Otolaryngology Advocacy:

https://www.entnet.org/advocacy/


---


The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery.


Get notified when new episodes drop! Subscribe to the BackTable ENT Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular otolaryngology updates.


Apple ► https://podcasts.apple.com/us/podcast/backtable-ent/id1531545163

Spotify ► https://open.spotify.com/show/37rFUMANPeGURdmNkn2Vi7

YouTube ► https://www.youtube.com/channel/UCoI12lCyYggbdB-OC68wGlg?sub_confirmation=1

Twitter ► https://twitter.com/_backtableENT​

LinkedIn ► https://www.linkedin.com/company/backtable-ent/

Instagram ► https://www.instagram.com/_backtableent/

Newsletter ► https://www.backtable.com/shows/ent/subscribe

]]> 2604 Ep. 139 Radiofrequency Ablation: Modern Management of Thyroid Nodules with Dr. David Goldenberg In this episode of BackTable ENT, Dr. Gopi Shah and Dr. David Goldenberg, head and neck surgeon and department chair at PennState Health in Pennsylvania, discuss radiofrequency ablation (RFA) of thyroid nodules. --- SHOW NOTES First, Gopi and David review workup of thyroid nodules. Before considering RFA, patients need thyroid function tests, ultrasound imaging, and a biopsy showing benign disease. In David’s opinion, radiofrequency ablation is a good option for benign nodules larger than two centimeters that are enlarging and causing compressive symptoms. RFA is not appropriate for malignant disease, with the potential application for papillary microcarcinoma, which is currently being evaluated in other parts of the world. Next, David outlines how he performs RFA. Using a combination of mild sedation, local anesthesia, and regional anesthesia, he performs this procedure in-office under continuous ultrasound guidance. Radiofrequency ablation uses heat to cause coagulative necrosis of nodular tissue. After cervical block and anesthetization of the thyroid capsule, David introduces the RFA probe through a small midline neck incision. Drawing on the “moving shock technique,” he moves the RFA probe back and forth, watching for signs of tissue necrosis on ultrasound. Complications of RFA are similar to those of thyroid surgery, but they occur at lower rates due to the less invasive nature of this procedure. Finally, the conversation places RFA in a larger context for the thyroid surgeon. RFA patients return to the clinic that same week for a physical exam. Surveillance ultrasounds occur six and twelve months post-procedure. David counsels his patients that their nodule will not shrink immediately, and may swell in the days following their procedure. However, he expects the nodule to shrink 50-80% in the year following RFA. The podcast wraps up with an overview of how to bring RFA to your practice. --- RESOURCES David’s Penn State Profile: https://www.pennstatehealth.org/doctors/david-goldenberg-md-facs Tue, 31 Oct 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. David Goldenberg, head and neck surgeon and department chair at PennState Health in Pennsylvania, discuss radiofrequency ablation (RFA) of thyroid nodules. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. David Goldenberg, head and neck surgeon and department chair at PennState Health in Pennsylvania, discuss radiofrequency ablation (RFA) of thyroid nodules. --- SHOW NOTES First, Gopi and David review workup of thyroid nodules. Before considering RFA, patients need thyroid function tests, ultrasound imaging, and a biopsy showing benign disease. In David’s opinion, radiofrequency ablation is a good option for benign nodules larger than two centimeters that are enlarging and causing compressive symptoms. RFA is not appropriate for malignant disease, with the potential application for papillary microcarcinoma, which is currently being evaluated in other parts of the world. Next, David outlines how he performs RFA. Using a combination of mild sedation, local anesthesia, and regional anesthesia, he performs this procedure in-office under continuous ultrasound guidance. Radiofrequency ablation uses heat to cause coagulative necrosis of nodular tissue. After cervical block and anesthetization of the thyroid capsule, David introduces the RFA probe through a small midline neck incision. Drawing on the “moving shock technique,” he moves the RFA probe back and forth, watching for signs of tissue necrosis on ultrasound. Complications of RFA are similar to those of thyroid surgery, but they occur at lower rates due to the less invasive nature of this procedure. Finally, the conversation places RFA in a larger context for the thyroid surgeon. RFA patients return to the clinic that same week for a physical exam. Surveillance ultrasounds occur six and twelve months post-procedure. David counsels his patients that their nodule will not shrink immediately, and may swell in the days following their procedure. However, he expects the nodule to shrink 50-80% in the year following RFA. The podcast wraps up with an overview of how to bring RFA to your practice. --- RESOURCES David’s Penn State Profile: https://www.pennstatehealth.org/doctors/david-goldenberg-md-facs In this episode of BackTable ENT, Dr. Gopi Shah and Dr. David Goldenberg, head and neck surgeon and department chair at PennState Health in Pennsylvania, discuss radiofrequency ablation (RFA) of thyroid nodules.


---


SHOW NOTES


First, Gopi and David review workup of thyroid nodules. Before considering RFA, patients need thyroid function tests, ultrasound imaging, and a biopsy showing benign disease. In David’s opinion, radiofrequency ablation is a good option for benign nodules larger than two centimeters that are enlarging and causing compressive symptoms. RFA is not appropriate for malignant disease, with the potential application for papillary microcarcinoma, which is currently being evaluated in other parts of the world.


Next, David outlines how he performs RFA. Using a combination of mild sedation, local anesthesia, and regional anesthesia, he performs this procedure in-office under continuous ultrasound guidance. Radiofrequency ablation uses heat to cause coagulative necrosis of nodular tissue. After cervical block and anesthetization of the thyroid capsule, David introduces the RFA probe through a small midline neck incision. Drawing on the “moving shock technique,” he moves the RFA probe back and forth, watching for signs of tissue necrosis on ultrasound. Complications of RFA are similar to those of thyroid surgery, but they occur at lower rates due to the less invasive nature of this procedure.


Finally, the conversation places RFA in a larger context for the thyroid surgeon. RFA patients return to the clinic that same week for a physical exam. Surveillance ultrasounds occur six and twelve months post-procedure. David counsels his patients that their nodule will not shrink immediately, and may swell in the days following their procedure. However, he expects the nodule to shrink 50-80% in the year following RFA. The podcast wraps up with an overview of how to bring RFA to your practice.


---


RESOURCES


David’s Penn State Profile:

https://www.pennstatehealth.org/doctors/david-goldenberg-md-facs

]]> 2191 Ep. 138 Crafting Clinical Care Pathways in Pediatric ENT with Dr. Anthony Sheyn and Dr. Jennifer Lavin In this episode of BackTable ENT, Dr. Gopi Shah sits down with Dr. Anthony Sheyn, associate professor of otolaryngology at the University of Tennesse-Memphis and Dr. Jennifer Lavin, associate professor of otolaryngology at Northwestern University-Feinberg, to talk about what clinical care pathways are and their usage in the field of pediatric otolaryngology. --- SHOW NOTES First, the doctors discuss their journey into their current roles and then transition into answering the question of what clinical care pathways are. Jennifer explains clinical care pathways being standardized protocols and algorithms, which help in further developing other ways to standardize interventions. Jennifer brings up an example about tonsillectomies at her institution, where if a child is under the age of 5, opioids aren’t offered as an medication option. Next, Anthony and Jennifer talk about the challenges in getting buy-in for standardized care from stakeholders and deciding who plans out clinical care pathways. Jennifer and Anthony emphasize the importance of getting individuals involved in patient care as stakeholders, such as pharmacists, anesthesiologists, and nurses. Anthony then mentions how clinical care pathways work for both high and low volume procedures using examples from his own institution. Finally, Jennifer and Anthony share resources in finding current clinical care pathways that have been implemented at other institutions, such as ones posted by the American Society of Pediatric Otolaryngology (ASPO) and American College of Surgeons. --- RESOURCES ACS Quality Programs: https://www.facs.org/quality-programs/?page=1 ASPO Clinical Care Pathways: https://aspo.us/page/StandardizedRoutinePerioperativeCareofthePediatricOtolaryngologyPatient Thu, 26 Oct 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Gopi Shah sits down with Dr. Anthony Sheyn, associate professor of otolaryngology at the University of Tennesse-Memphis and Dr. Jennifer Lavin, associate professor of otolaryngology at Northwestern University-Feinberg, to talk about what clinical care pathways are and their usage in the field of pediatric otolaryngology. In this episode of BackTable ENT, Dr. Gopi Shah sits down with Dr. Anthony Sheyn, associate professor of otolaryngology at the University of Tennesse-Memphis and Dr. Jennifer Lavin, associate professor of otolaryngology at Northwestern University-Feinberg, to talk about what clinical care pathways are and their usage in the field of pediatric otolaryngology. --- SHOW NOTES First, the doctors discuss their journey into their current roles and then transition into answering the question of what clinical care pathways are. Jennifer explains clinical care pathways being standardized protocols and algorithms, which help in further developing other ways to standardize interventions. Jennifer brings up an example about tonsillectomies at her institution, where if a child is under the age of 5, opioids aren’t offered as an medication option. Next, Anthony and Jennifer talk about the challenges in getting buy-in for standardized care from stakeholders and deciding who plans out clinical care pathways. Jennifer and Anthony emphasize the importance of getting individuals involved in patient care as stakeholders, such as pharmacists, anesthesiologists, and nurses. Anthony then mentions how clinical care pathways work for both high and low volume procedures using examples from his own institution. Finally, Jennifer and Anthony share resources in finding current clinical care pathways that have been implemented at other institutions, such as ones posted by the American Society of Pediatric Otolaryngology (ASPO) and American College of Surgeons. --- RESOURCES ACS Quality Programs: https://www.facs.org/quality-programs/?page=1 ASPO Clinical Care Pathways: https://aspo.us/page/StandardizedRoutinePerioperativeCareofthePediatricOtolaryngologyPatient In this episode of BackTable ENT, Dr. Gopi Shah sits down with Dr. Anthony Sheyn, associate professor of otolaryngology at the University of Tennesse-Memphis and Dr. Jennifer Lavin, associate professor of otolaryngology at Northwestern University-Feinberg, to talk about what clinical care pathways are and their usage in the field of pediatric otolaryngology.


---


SHOW NOTES


First, the doctors discuss their journey into their current roles and then transition into answering the question of what clinical care pathways are. Jennifer explains clinical care pathways being standardized protocols and algorithms, which help in further developing other ways to standardize interventions. Jennifer brings up an example about tonsillectomies at her institution, where if a child is under the age of 5, opioids aren’t offered as an medication option.


Next, Anthony and Jennifer talk about the challenges in getting buy-in for standardized care from stakeholders and deciding who plans out clinical care pathways. Jennifer and Anthony emphasize the importance of getting individuals involved in patient care as stakeholders, such as pharmacists, anesthesiologists, and nurses.


Anthony then mentions how clinical care pathways work for both high and low volume procedures using examples from his own institution. Finally, Jennifer and Anthony share resources in finding current clinical care pathways that have been implemented at other institutions, such as ones posted by the American Society of Pediatric Otolaryngology (ASPO) and American College of Surgeons.


---


RESOURCES


ACS Quality Programs:

https://www.facs.org/quality-programs/?page=1


ASPO Clinical Care Pathways:

https://aspo.us/page/StandardizedRoutinePerioperativeCareofthePediatricOtolaryngologyPatient

]]> 1932 Ep. 137 Balloon Sinuplasty: Evolution, Efficacy and Expert Insights with Dr. Ayesha Khalid In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Ayesha Khalid, rhinologist with Cambridge Health Alliance in Massachusetts, discuss balloon sinuplasty indications, techniques, and post-operative management. --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SHOW NOTES First, Ayesha reviews the history of balloon sinuplasty. Originally used in cardiology, otolaryngologists adopted balloons as a less-invasive option to widen sinus ostia. Over time, balloon sinuplasty transitioned from being an operative procedure to one that can be done in-office with select patients. In Ayesha’s experience, facial pain and nasal stuffiness are the symptoms most responsive to balloon sinuplasty. Then, the conversation shifts to application of balloon technology. Rather than thinking about balloon procedures and traditional functional sinus surgery as mutually exclusive, Ayesha sees them as complementary tools. Patients with straightforward sinusitis or barotrauma often improve with an in-office balloon procedure and sinus rinses. When scheduling an in-office balloon procedure, Ayesha counsels on the odds of success (over seventy percent) and possible need for further surgery. For example, patients with polyp disease might be better suited to a more traditional sinus surgery. Even in these cases, Ayesha uses balloons to widen ostia, as they inflict less trauma than traditional sinus instrumentation. Ayesha then walks listeners through her preparation for and performance of an in-office balloon procedure. Finally, Ayesha fits balloon sinuplasty into the larger context of sinusitis treatment. She emphasizes the importance of sinus rinses for sinusitis patients both pre-and post-operatively. She sees patients one week, one month, and then three months following any balloon procedure. Depending on the nature of their disease, patients sometimes require steroids or biologics after their balloon, but most report improvement of their sinus symptoms. Ayesha leaves listeners with advice on expanding one’s procedural toolkit as a practicing ENT. Tue, 24 Oct 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Ayesha Khalid, rhinologist with Cambridge Health Alliance in Massachusetts, discuss balloon sinuplasty indications, techniques, and post-operative management. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Ayesha Khalid, rhinologist with Cambridge Health Alliance in Massachusetts, discuss balloon sinuplasty indications, techniques, and post-operative management. --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SHOW NOTES First, Ayesha reviews the history of balloon sinuplasty. Originally used in cardiology, otolaryngologists adopted balloons as a less-invasive option to widen sinus ostia. Over time, balloon sinuplasty transitioned from being an operative procedure to one that can be done in-office with select patients. In Ayesha’s experience, facial pain and nasal stuffiness are the symptoms most responsive to balloon sinuplasty. Then, the conversation shifts to application of balloon technology. Rather than thinking about balloon procedures and traditional functional sinus surgery as mutually exclusive, Ayesha sees them as complementary tools. Patients with straightforward sinusitis or barotrauma often improve with an in-office balloon procedure and sinus rinses. When scheduling an in-office balloon procedure, Ayesha counsels on the odds of success (over seventy percent) and possible need for further surgery. For example, patients with polyp disease might be better suited to a more traditional sinus surgery. Even in these cases, Ayesha uses balloons to widen ostia, as they inflict less trauma than traditional sinus instrumentation. Ayesha then walks listeners through her preparation for and performance of an in-office balloon procedure. Finally, Ayesha fits balloon sinuplasty into the larger context of sinusitis treatment. She emphasizes the importance of sinus rinses for sinusitis patients both pre-and post-operatively. She sees patients one week, one month, and then three months following any balloon procedure. Depending on the nature of their disease, patients sometimes require steroids or biologics after their balloon, but most report improvement of their sinus symptoms. Ayesha leaves listeners with advice on expanding one’s procedural toolkit as a practicing ENT. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Ayesha Khalid, rhinologist with Cambridge Health Alliance in Massachusetts, discuss balloon sinuplasty indications, techniques, and post-operative management.


---


CHECK OUT OUR SPONSOR


Stryker ENT

https://ent.stryker.com


---


SHOW NOTES


First, Ayesha reviews the history of balloon sinuplasty. Originally used in cardiology, otolaryngologists adopted balloons as a less-invasive option to widen sinus ostia. Over time, balloon sinuplasty transitioned from being an operative procedure to one that can be done in-office with select patients. In Ayesha’s experience, facial pain and nasal stuffiness are the symptoms most responsive to balloon sinuplasty.


Then, the conversation shifts to application of balloon technology. Rather than thinking about balloon procedures and traditional functional sinus surgery as mutually exclusive, Ayesha sees them as complementary tools. Patients with straightforward sinusitis or barotrauma often improve with an in-office balloon procedure and sinus rinses. When scheduling an in-office balloon procedure, Ayesha counsels on the odds of success (over seventy percent) and possible need for further surgery. For example, patients with polyp disease might be better suited to a more traditional sinus surgery. Even in these cases, Ayesha uses balloons to widen ostia, as they inflict less trauma than traditional sinus instrumentation. Ayesha then walks listeners through her preparation for and performance of an in-office balloon procedure.


Finally, Ayesha fits balloon sinuplasty into the larger context of sinusitis treatment. She emphasizes the importance of sinus rinses for sinusitis patients both pre-and post-operatively. She sees patients one week, one month, and then three months following any balloon procedure. Depending on the nature of their disease, patients sometimes require steroids or biologics after their balloon, but most report improvement of their sinus symptoms. Ayesha leaves listeners with advice on expanding one’s procedural toolkit as a practicing ENT.

]]> 3856 Ep. 136 Oido, Nariz y Juegos: Gamificación en Otorrino con Dr. Serafin Sanchez En este episodio de BackTable ENT, Dr. Cristóbal Langdon de Hospital Sant Joan de Déu Barcelona y Dr. Serafín Sánchez de Hospital Universitario Virgen Macarena de Sevilla discuten los beneficios educativos de gamificación en la otorrinolaringología. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/gTK7d5 --- SHOW NOTES Dr. Sánchez relata su viaje personal hacia la especialidad de otorrinolaringología. Originario de Salamanca, su conexión con la medicina le llevó a formarse en un programa en Sevilla. Optó por ese lugar específicamente debido a la gran autonomía que se ofrece a los residentes. Con Con el tiempo, logró consolidarse como profesor de otorrinolaringología en su hospital actual. Más allá de su trabajo clínico, lo que realmente le apasiona es poder guiar y compartir sus conocimientos con la próxima generación de médicos. Su entusiasmo por enseñar y aprender de sus alumnos es palpable cada día. El Dr. Sánchez nos introduce con entusiasmo a la gamificación, un enfoque interactivo de aprendizaje inspirado en videojuegos. Esta técnica, dice, combina juego y educación para capturar la atención, especialmente de los jóvenes. Aunque valora los métodos tradicionales, los considera a veces monótonos. En la gamificación, los estudiantes se transforman en “jugadores” enfrentando desafíos, compitiendo y colaborando en equipo. Sin embargo, el Dr.Langdon recuerda que la investigación sobre gamificación en educación aún es incipiente. El Dr. Sánchez reconoce sus limitaciones, como los retos de evaluación y la necesidad de creatividad en el diseño. Propone involucrar a antiguos estudiantes para aportar perspectiva. Con visión, imagina un escenario donde médicos, enfermeros y docentes aprenden conceptos audiológicos a través de juegos. Para él, la gamificación puede revolucionar la enseñanza. El Dr. Sánchez, con una chispa de pasión, comparte la estructura típica de sus sesiones de gamificación. Divide a los estudiantes en equipos multidisciplinarios de cuatro o cinco miembros. Estos grupos enfrentan historias clínicas y deben colaborar para resolverlas. Observa que la diversidad enriquece y da lugar a soluciones más creativas. A veces, integra realidad aumentada en desafíos estilo “escape room”. Ambos doctores subrayan cómo la conexión humana y el trabajo en equipo cobraron más relevancia postpandemia. Dr. Sánchez concluye recordando los retos y recompensas de implementar la gamificación en su institución. Thu, 19 Oct 2023 05:05:00 -0000 full BackTable Inc. En este episodio de BackTable ENT, Dr. Cristóbal Langdon de Hospital Sant Joan de Déu Barcelona y Dr. Serafín Sánchez de Hospital Universitario Virgen Macarena de Sevilla discuten los beneficios educativos de gamificación en la otorrinolaringología. En este episodio de BackTable ENT, Dr. Cristóbal Langdon de Hospital Sant Joan de Déu Barcelona y Dr. Serafín Sánchez de Hospital Universitario Virgen Macarena de Sevilla discuten los beneficios educativos de gamificación en la otorrinolaringología. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/gTK7d5 --- SHOW NOTES Dr. Sánchez relata su viaje personal hacia la especialidad de otorrinolaringología. Originario de Salamanca, su conexión con la medicina le llevó a formarse en un programa en Sevilla. Optó por ese lugar específicamente debido a la gran autonomía que se ofrece a los residentes. Con Con el tiempo, logró consolidarse como profesor de otorrinolaringología en su hospital actual. Más allá de su trabajo clínico, lo que realmente le apasiona es poder guiar y compartir sus conocimientos con la próxima generación de médicos. Su entusiasmo por enseñar y aprender de sus alumnos es palpable cada día. El Dr. Sánchez nos introduce con entusiasmo a la gamificación, un enfoque interactivo de aprendizaje inspirado en videojuegos. Esta técnica, dice, combina juego y educación para capturar la atención, especialmente de los jóvenes. Aunque valora los métodos tradicionales, los considera a veces monótonos. En la gamificación, los estudiantes se transforman en “jugadores” enfrentando desafíos, compitiendo y colaborando en equipo. Sin embargo, el Dr.Langdon recuerda que la investigación sobre gamificación en educación aún es incipiente. El Dr. Sánchez reconoce sus limitaciones, como los retos de evaluación y la necesidad de creatividad en el diseño. Propone involucrar a antiguos estudiantes para aportar perspectiva. Con visión, imagina un escenario donde médicos, enfermeros y docentes aprenden conceptos audiológicos a través de juegos. Para él, la gamificación puede revolucionar la enseñanza. El Dr. Sánchez, con una chispa de pasión, comparte la estructura típica de sus sesiones de gamificación. Divide a los estudiantes en equipos multidisciplinarios de cuatro o cinco miembros. Estos grupos enfrentan historias clínicas y deben colaborar para resolverlas. Observa que la diversidad enriquece y da lugar a soluciones más creativas. A veces, integra realidad aumentada en desafíos estilo “escape room”. Ambos doctores subrayan cómo la conexión humana y el trabajo en equipo cobraron más relevancia postpandemia. Dr. Sánchez concluye recordando los retos y recompensas de implementar la gamificación en su institución. En este episodio de BackTable ENT, Dr. Cristóbal Langdon de Hospital Sant Joan de Déu Barcelona y Dr. Serafín Sánchez de Hospital Universitario Virgen Macarena de Sevilla discuten los beneficios educativos de gamificación en la otorrinolaringología.


---


EARN CME


Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/gTK7d5


---


SHOW NOTES


Dr. Sánchez relata su viaje personal hacia la especialidad de otorrinolaringología. Originario de Salamanca, su conexión con la medicina le llevó a formarse en un programa en Sevilla. Optó por ese lugar específicamente debido a la gran autonomía que se ofrece a los residentes. Con Con el tiempo, logró consolidarse como profesor de otorrinolaringología en su hospital actual. Más allá de su trabajo clínico, lo que realmente le apasiona es poder guiar y compartir sus conocimientos con la próxima generación de médicos. Su entusiasmo por enseñar y aprender de sus alumnos es palpable cada día.


El Dr. Sánchez nos introduce con entusiasmo a la gamificación, un enfoque interactivo de aprendizaje inspirado en videojuegos. Esta técnica, dice, combina juego y educación para capturar la atención, especialmente de los jóvenes. Aunque valora los métodos tradicionales, los considera a veces monótonos. En la gamificación, los estudiantes se transforman en “jugadores” enfrentando desafíos, compitiendo y colaborando en equipo. Sin embargo, el Dr.Langdon recuerda que la investigación sobre gamificación en educación aún es incipiente. El Dr. Sánchez reconoce sus limitaciones, como los retos de evaluación y la necesidad de creatividad en el diseño. Propone involucrar a antiguos estudiantes para aportar perspectiva. Con visión, imagina un escenario donde médicos, enfermeros y docentes aprenden conceptos audiológicos a través de juegos. Para él, la gamificación puede revolucionar la enseñanza.


El Dr. Sánchez, con una chispa de pasión, comparte la estructura típica de sus sesiones de gamificación. Divide a los estudiantes en equipos multidisciplinarios de cuatro o cinco miembros. Estos grupos enfrentan historias clínicas y deben colaborar para resolverlas. Observa que la diversidad enriquece y da lugar a soluciones más creativas. A veces, integra realidad aumentada en desafíos estilo “escape room”. Ambos doctores subrayan cómo la conexión humana y el trabajo en equipo cobraron más relevancia postpandemia. Dr. Sánchez concluye recordando los retos y recompensas de implementar la gamificación en su institución.

]]> 3517 Ep. 135 Cutaneous SCC: Evaluating Risks and Navigating Complex Surgical Reconstruction with Dr. Gina Jefferson In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah sit down with Dr. Gina Jefferson, professor and division chief of head and neck surgery at the University of Mississippi, to discuss the challenges of cutaneous squamous cell carcinoma (CSCC). --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, Gina discusses how patients are referred to her practice, as many of her patients have been diagnosed and or previously treated by another provider. Then Gina talks about risk factors for CSCC which includes UV exposure, age, fair skin, genetic disposition and immunosuppressed patients. Next, Gina discusses the challenges of taking a biopsy for potential CSCC depending on the size and location of the lesion. Gina also discusses the use of excisional biopsies on smaller lesions whereas a punch biopsy is more helpful for a larger lesion or one that is on a difficult area such as the eyelid or nose. A punch biopsy helps in assessing depth of invasion to help in staging and diagnosis. From a treatment perspective, Gina shares her considerations when approaching reconstruction. She is mainly concerned about how to close the defect without causing significant deformity,if the patient is going to have exposed bone, or if there is the potential for radiation. Gina also mentions that areas such as the eyelid and nose are difficult places to reconstruct due to potentially injuring nearby structures, such as the lacrimal system. In difficult cases such as these, she may count on colleagues in ophthalmology to help out in the reconstruction. Lastly, the hosts and Gina discuss post surgical management of CSCC patients and when radiation may be considered. Gina explains what follow up for these patients may look like and the role of surveillance imaging through PET scans. Tue, 17 Oct 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah sit down with Dr. Gina Jefferson, professor and division chief of head and neck surgery at the University of Mississippi, to discuss the challenges of cutaneous squamous cell carcinoma (CSCC). In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah sit down with Dr. Gina Jefferson, professor and division chief of head and neck surgery at the University of Mississippi, to discuss the challenges of cutaneous squamous cell carcinoma (CSCC). --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, Gina discusses how patients are referred to her practice, as many of her patients have been diagnosed and or previously treated by another provider. Then Gina talks about risk factors for CSCC which includes UV exposure, age, fair skin, genetic disposition and immunosuppressed patients. Next, Gina discusses the challenges of taking a biopsy for potential CSCC depending on the size and location of the lesion. Gina also discusses the use of excisional biopsies on smaller lesions whereas a punch biopsy is more helpful for a larger lesion or one that is on a difficult area such as the eyelid or nose. A punch biopsy helps in assessing depth of invasion to help in staging and diagnosis. From a treatment perspective, Gina shares her considerations when approaching reconstruction. She is mainly concerned about how to close the defect without causing significant deformity,if the patient is going to have exposed bone, or if there is the potential for radiation. Gina also mentions that areas such as the eyelid and nose are difficult places to reconstruct due to potentially injuring nearby structures, such as the lacrimal system. In difficult cases such as these, she may count on colleagues in ophthalmology to help out in the reconstruction. Lastly, the hosts and Gina discuss post surgical management of CSCC patients and when radiation may be considered. Gina explains what follow up for these patients may look like and the role of surveillance imaging through PET scans. In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah sit down with Dr. Gina Jefferson, professor and division chief of head and neck surgery at the University of Mississippi, to discuss the challenges of cutaneous squamous cell carcinoma (CSCC).


---


CHECK OUT OUR SPONSOR


Cook Medical Otolaryngology

https://www.cookmedical.com/otolaryngology


---


SHOW NOTES


First, Gina discusses how patients are referred to her practice, as many of her patients have been diagnosed and or previously treated by another provider. Then Gina talks about risk factors for CSCC which includes UV exposure, age, fair skin, genetic disposition and immunosuppressed patients.


Next, Gina discusses the challenges of taking a biopsy for potential CSCC depending on the size and location of the lesion. Gina also discusses the use of excisional biopsies on smaller lesions whereas a punch biopsy is more helpful for a larger lesion or one that is on a difficult area such as the eyelid or nose. A punch biopsy helps in assessing depth of invasion to help in staging and diagnosis.


From a treatment perspective, Gina shares her considerations when approaching reconstruction. She is mainly concerned about how to close the defect without causing significant deformity,if the patient is going to have exposed bone, or if there is the potential for radiation. Gina also mentions that areas such as the eyelid and nose are difficult places to reconstruct due to potentially injuring nearby structures, such as the lacrimal system. In difficult cases such as these, she may count on colleagues in ophthalmology to help out in the reconstruction.


Lastly, the hosts and Gina discuss post surgical management of CSCC patients and when radiation may be considered. Gina explains what follow up for these patients may look like and the role of surveillance imaging through PET scans.

]]> 3769 Ep. 134 The Tympa Health Journey: From Clinical Challenge to Tech Solution with Dr. Krishan Ramdoo In this episode, Dr. Gopi Shah interviews Dr. Krishan Ramdoo, CEO and founder of TympaHealth, a London-based startup that has developed an all-in-one device for hearing health assessment which incorporates otoscopy and microsuction functionalities. --- SHOW NOTES Krishan is an ENT surgeon with a Ph.D. in global hearing health. In the early years of his career, while serving as a junior resident on the geriatric service, Krishan encountered a significant number of patients with undiagnosed hearing loss. He realized that this issue extended beyond just geriatric patients. Recognizing the scarcity of specialists and their lengthy waitlists, Krishan conceived the idea of developing a device to assess prevalent ear conditions such as hearing loss, cerumen impaction, and infections through a more accessible approach for primary care clinicians. The TympaHealth device is a specialized otoscope that connects to a mobile viewing device, enabling high-definition imaging of the tympanic membrane. It also incorporates a spacing mechanism to facilitate cerumen removal with use of a standard suction probe, eliminating the need for a microscope. Additionally, the device is accompanied by headphones for accurate hearing screening assessments. TympaHealth offers a training program for healthcare clinicians to administer the service. In case of uncertainty regarding a finding, clinicians can alert a specialist for remote review and guidance with just one click. TympaHealth recently launched in the US and is currently conducting pilot studies. Then, the hosts discuss the challenges of establishing a startup, including attracting investigators and building a diverse team. For physicians interested in entrepreneurship, Krishan highlights networking events as a way to gain insight into the commercial world and master the art of giving compelling pitches to potential investors. --- RESOURCES AI in Clinical Medicine: Section III Ch. 24 https://www.wiley.com/en-gb/AI+in+Clinical+Medicine:+A+Practical+Guide+for+Healthcare+Professionals-p-9781119790648 Tympa Health https://tympahealth.com/ Tue, 10 Oct 2023 05:05:00 -0000 full BackTable Inc. In this episode, Dr. Gopi Shah interviews Dr. Krishan Ramdoo, CEO and founder of TympaHealth, a London-based startup that has developed an all-in-one device for hearing health assessment which incorporates otoscopy and microsuction functionalities. In this episode, Dr. Gopi Shah interviews Dr. Krishan Ramdoo, CEO and founder of TympaHealth, a London-based startup that has developed an all-in-one device for hearing health assessment which incorporates otoscopy and microsuction functionalities. --- SHOW NOTES Krishan is an ENT surgeon with a Ph.D. in global hearing health. In the early years of his career, while serving as a junior resident on the geriatric service, Krishan encountered a significant number of patients with undiagnosed hearing loss. He realized that this issue extended beyond just geriatric patients. Recognizing the scarcity of specialists and their lengthy waitlists, Krishan conceived the idea of developing a device to assess prevalent ear conditions such as hearing loss, cerumen impaction, and infections through a more accessible approach for primary care clinicians. The TympaHealth device is a specialized otoscope that connects to a mobile viewing device, enabling high-definition imaging of the tympanic membrane. It also incorporates a spacing mechanism to facilitate cerumen removal with use of a standard suction probe, eliminating the need for a microscope. Additionally, the device is accompanied by headphones for accurate hearing screening assessments. TympaHealth offers a training program for healthcare clinicians to administer the service. In case of uncertainty regarding a finding, clinicians can alert a specialist for remote review and guidance with just one click. TympaHealth recently launched in the US and is currently conducting pilot studies. Then, the hosts discuss the challenges of establishing a startup, including attracting investigators and building a diverse team. For physicians interested in entrepreneurship, Krishan highlights networking events as a way to gain insight into the commercial world and master the art of giving compelling pitches to potential investors. --- RESOURCES AI in Clinical Medicine: Section III Ch. 24 https://www.wiley.com/en-gb/AI+in+Clinical+Medicine:+A+Practical+Guide+for+Healthcare+Professionals-p-9781119790648 Tympa Health https://tympahealth.com/ In this episode, Dr. Gopi Shah interviews Dr. Krishan Ramdoo, CEO and founder of TympaHealth, a London-based startup that has developed an all-in-one device for hearing health assessment which incorporates otoscopy and microsuction functionalities.


---


SHOW NOTES


Krishan is an ENT surgeon with a Ph.D. in global hearing health. In the early years of his career, while serving as a junior resident on the geriatric service, Krishan encountered a significant number of patients with undiagnosed hearing loss. He realized that this issue extended beyond just geriatric patients. Recognizing the scarcity of specialists and their lengthy waitlists, Krishan conceived the idea of developing a device to assess prevalent ear conditions such as hearing loss, cerumen impaction, and infections through a more accessible approach for primary care clinicians.


The TympaHealth device is a specialized otoscope that connects to a mobile viewing device, enabling high-definition imaging of the tympanic membrane. It also incorporates a spacing mechanism to facilitate cerumen removal with use of a standard suction probe, eliminating the need for a microscope. Additionally, the device is accompanied by headphones for accurate hearing screening assessments. TympaHealth offers a training program for healthcare clinicians to administer the service. In case of uncertainty regarding a finding, clinicians can alert a specialist for remote review and guidance with just one click. TympaHealth recently launched in the US and is currently conducting pilot studies.


Then, the hosts discuss the challenges of establishing a startup, including attracting investigators and building a diverse team. For physicians interested in entrepreneurship, Krishan highlights networking events as a way to gain insight into the commercial world and master the art of giving compelling pitches to potential investors.


---


RESOURCES


AI in Clinical Medicine: Section III Ch. 24

https://www.wiley.com/en-gb/AI+in+Clinical+Medicine:+A+Practical+Guide+for+Healthcare+Professionals-p-9781119790648


Tympa Health

https://tympahealth.com/

]]> 2592 Ep. 133 Evolving Pediatric Airway Surgery: A Look at Education and Outreach in India with Dr. Deepak Mehta In this episode of BackTable ENT, Dr. Shah and Dr. Deepak Mehta, pediatric otolaryngologist and director of the complex airway program at Texas Children’s Hospital, discuss Deepak’s work advancing pediatric airway surgery in India. This unique episode addresses the challenges and rewards of building a sustainable global health collaboration. --- SHOW NOTES First, Gopi asks Deepak about his path to global surgery. Deepak’s commitment to surgical education includes his appointment as an associate professor at Baylor College of Medicine and role as founder of Csurgeries, the first peer-reviewed platform for surgical videos. Interested in finding a way to contribute to the country where he completed medical school, Deepak built on his experience as an innovator and educator to start an annual course in Bangalore for pediatric ENTs throughout South Asia. From this point, he began building a team of experts to deepen knowledge of pediatric airway surgery in the region. Next, Deepak describes efforts to advance pediatric airway surgery in India. The centerpiece of his efforts remains his annual Bangalore course, which provides live surgical education in both endoscopic and open airway procedures. Patient education represents another important piece: given India’s linguistic diversity, he’s developed a pediatric tracheostomy parent handbook available in multiple different languages. While resources are a challenge to all global surgery efforts, Deepak’s found success using foundation funds to purchase supplies in India. The episode rounds out with an invitation to BackTable listeners to engage with global surgery. Deepak is always looking for new lecturers at his Bangalore course. Benefits accrue to both educators and attendees: by connecting with an international network of surgeons, those involved gain exposure to new surgical approaches and new colleagues. --- RESOURCES Dr. Mehta’s Texas Children’s Hospital profile: https://www.texaschildrens.org/find-a-doctor/deepak-mehta-md Csurgeries: The leading platform for peer-reviewed surgical videos https://csurgeries.com/ Tue, 03 Oct 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Shah and Dr. Deepak Mehta, pediatric otolaryngologist and director of the complex airway program at Texas Children’s Hospital, discuss Deepak’s work advancing pediatric airway surgery in India. This unique episode addresses the challenges and rewards of building a sustainable global health collaboration. In this episode of BackTable ENT, Dr. Shah and Dr. Deepak Mehta, pediatric otolaryngologist and director of the complex airway program at Texas Children’s Hospital, discuss Deepak’s work advancing pediatric airway surgery in India. This unique episode addresses the challenges and rewards of building a sustainable global health collaboration. --- SHOW NOTES First, Gopi asks Deepak about his path to global surgery. Deepak’s commitment to surgical education includes his appointment as an associate professor at Baylor College of Medicine and role as founder of Csurgeries, the first peer-reviewed platform for surgical videos. Interested in finding a way to contribute to the country where he completed medical school, Deepak built on his experience as an innovator and educator to start an annual course in Bangalore for pediatric ENTs throughout South Asia. From this point, he began building a team of experts to deepen knowledge of pediatric airway surgery in the region. Next, Deepak describes efforts to advance pediatric airway surgery in India. The centerpiece of his efforts remains his annual Bangalore course, which provides live surgical education in both endoscopic and open airway procedures. Patient education represents another important piece: given India’s linguistic diversity, he’s developed a pediatric tracheostomy parent handbook available in multiple different languages. While resources are a challenge to all global surgery efforts, Deepak’s found success using foundation funds to purchase supplies in India. The episode rounds out with an invitation to BackTable listeners to engage with global surgery. Deepak is always looking for new lecturers at his Bangalore course. Benefits accrue to both educators and attendees: by connecting with an international network of surgeons, those involved gain exposure to new surgical approaches and new colleagues. --- RESOURCES Dr. Mehta’s Texas Children’s Hospital profile: https://www.texaschildrens.org/find-a-doctor/deepak-mehta-md Csurgeries: The leading platform for peer-reviewed surgical videos https://csurgeries.com/ In this episode of BackTable ENT, Dr. Shah and Dr. Deepak Mehta, pediatric otolaryngologist and director of the complex airway program at Texas Children’s Hospital, discuss Deepak’s work advancing pediatric airway surgery in India. This unique episode addresses the challenges and rewards of building a sustainable global health collaboration.


---


SHOW NOTES


First, Gopi asks Deepak about his path to global surgery. Deepak’s commitment to surgical education includes his appointment as an associate professor at Baylor College of Medicine and role as founder of Csurgeries, the first peer-reviewed platform for surgical videos. Interested in finding a way to contribute to the country where he completed medical school, Deepak built on his experience as an innovator and educator to start an annual course in Bangalore for pediatric ENTs throughout South Asia. From this point, he began building a team of experts to deepen knowledge of pediatric airway surgery in the region.


Next, Deepak describes efforts to advance pediatric airway surgery in India. The centerpiece of his efforts remains his annual Bangalore course, which provides live surgical education in both endoscopic and open airway procedures. Patient education represents another important piece: given India’s linguistic diversity, he’s developed a pediatric tracheostomy parent handbook available in multiple different languages. While resources are a challenge to all global surgery efforts, Deepak’s found success using foundation funds to purchase supplies in India.


The episode rounds out with an invitation to BackTable listeners to engage with global surgery. Deepak is always looking for new lecturers at his Bangalore course. Benefits accrue to both educators and attendees: by connecting with an international network of surgeons, those involved gain exposure to new surgical approaches and new colleagues.


---


RESOURCES


Dr. Mehta’s Texas Children’s Hospital profile: https://www.texaschildrens.org/find-a-doctor/deepak-mehta-md


Csurgeries: The leading platform for peer-reviewed surgical videos

https://csurgeries.com/

]]> 2743 Ep. 132 Challenges and Innovations in Pediatric Dysphagia Management with Dr. Nikhila Raol In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Nikhila Raol, pediatric otolaryngologist at Children’s Healthcare of Atlanta and Associate Professor at Emory University, discuss management of pediatric dysphagia. --- SHOW NOTES First, Nikhila explains her educational background, starting from training in Texas to going to Atlanta to join Children’s Healthcare of Atlanta. Previously, she spent time in Boston getting her Masters of Public Health because she wanted to develop a niche focused on population health. This degree then sparked the idea of focusing on swallowing disorders in the pediatric population. Then, Nikhila delves into how a child with dysphagia usually presents. These children typically have issues with breastfeeding, coughing, choking, and may even refuse food. In older children, they usually bring forth issues to their parents to prompt evaluation. Red flags to pay attention to in young children with dysphagia include weight loss and significant nasal congestion. Next, Nikhila and Gopi discuss physical examination including evaluation of latch, tongue tie, nasal cavity and Nikhila’s tips for performing a FEES (Fiberoptic Endoscopic Evaluation of Swallow) in infants. Nikhila also mentions the value of having an SLP (Speech Language Pathologist) for every patient with dysphagia and involving GI colleagues to broaden her workup of complicated patients. The episode concludes with a discussion on how to choose between various treatment modalities such as injection or repair of a laryngeal cleft, and Nikhila’s Fulbright project happening in India. Tue, 26 Sep 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Nikhila Raol, pediatric otolaryngologist at Children’s Healthcare of Atlanta and Associate Professor at Emory University, discuss management of pediatric dysphagia. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Nikhila Raol, pediatric otolaryngologist at Children’s Healthcare of Atlanta and Associate Professor at Emory University, discuss management of pediatric dysphagia. --- SHOW NOTES First, Nikhila explains her educational background, starting from training in Texas to going to Atlanta to join Children’s Healthcare of Atlanta. Previously, she spent time in Boston getting her Masters of Public Health because she wanted to develop a niche focused on population health. This degree then sparked the idea of focusing on swallowing disorders in the pediatric population. Then, Nikhila delves into how a child with dysphagia usually presents. These children typically have issues with breastfeeding, coughing, choking, and may even refuse food. In older children, they usually bring forth issues to their parents to prompt evaluation. Red flags to pay attention to in young children with dysphagia include weight loss and significant nasal congestion. Next, Nikhila and Gopi discuss physical examination including evaluation of latch, tongue tie, nasal cavity and Nikhila’s tips for performing a FEES (Fiberoptic Endoscopic Evaluation of Swallow) in infants. Nikhila also mentions the value of having an SLP (Speech Language Pathologist) for every patient with dysphagia and involving GI colleagues to broaden her workup of complicated patients. The episode concludes with a discussion on how to choose between various treatment modalities such as injection or repair of a laryngeal cleft, and Nikhila’s Fulbright project happening in India. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Nikhila Raol, pediatric otolaryngologist at Children’s Healthcare of Atlanta and Associate Professor at Emory University, discuss management of pediatric dysphagia.


---


SHOW NOTES


First, Nikhila explains her educational background, starting from training in Texas to going to Atlanta to join Children’s Healthcare of Atlanta. Previously, she spent time in Boston getting her Masters of Public Health because she wanted to develop a niche focused on population health. This degree then sparked the idea of focusing on swallowing disorders in the pediatric population.


Then, Nikhila delves into how a child with dysphagia usually presents. These children typically have issues with breastfeeding, coughing, choking, and may even refuse food. In older children, they usually bring forth issues to their parents to prompt evaluation. Red flags to pay attention to in young children with dysphagia include weight loss and significant nasal congestion.


Next, Nikhila and Gopi discuss physical examination including evaluation of latch, tongue tie, nasal cavity and Nikhila’s tips for performing a FEES (Fiberoptic Endoscopic Evaluation of Swallow) in infants. Nikhila also mentions the value of having an SLP (Speech Language Pathologist) for every patient with dysphagia and involving GI colleagues to broaden her workup of complicated patients. The episode concludes with a discussion on how to choose between various treatment modalities such as injection or repair of a laryngeal cleft, and Nikhila’s Fulbright project happening in India.

]]> 3754 Ep. 131 In-Office Ear Tubes in Children with Dr. Jordan Schramm In this episode of BackTable ENT, Dr. Jordan Schramm of Peak Pediatric ENT in Provo, Utah, chats with hosts Dr. Gopi Shah and Dr. Ashley Agan about in-office ear tubes for children. --- CHECK OUT OUR SPONSOR Smith & Nephew ENT Solutions https://smith-nephew.com --- SHOW NOTES First, Jordan describes the technology behind in-office tube placement. Jordan uses the Tula ® Tympanostomy system (available from Smith + Nephew) to insert ear tubes in-office. Tula offers an integrated tympanostomy solution that combines local anesthetic with tube insertion. With the Tula system, a gentle current numbs the tympanic membrane in 10-15 minutes, after which a pre-packaged delivery device allows the operator to insert a tube by simply placing the device on a patient’s eardrum and then clicking a button. Next, the discussion shifts towards Jordan’s personal experience with the Tula system. Gopi, Ashley, and Jordan compare Tula tubes with conventional T-tubes. Jordan emphasizes that almost all children needing tubes are candidates, though normal ear anatomy and motivated parents make the procedure easier. Jordan then offers additional practical technical pearls about the Tula system. Finally, Jordan shares how his experience with in-office ear tubes pushed the boundaries of in-office procedures. Given that ear tube placement in the OR requires general anesthesia, time off of work and facility fees are major challenges to traditional tympanostomy tube placement. For this reason, many of his families are excited to help their children hear better with an in-office procedure. He finishes with his tips for training clinic staff, working with insurance companies, and counseling families on the procedure. --- RESOURCES Jordan’s Peak Pediatric ENT Profile: https://utahpedsent.com/doctors.php Tula Tube System (for Physicians): https://tulatubes.com/physicians/tula-tympanostomy-system/ Article comparing outcomes of Tula tubes with conventional ear tubes (mentioned by Jordan): https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.336 Thu, 21 Sep 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Jordan Schramm of Peak Pediatric ENT in Provo, Utah, chats with hosts Dr. Gopi Shah and Dr. Ashley Agan about in-office ear tubes for children. In this episode of BackTable ENT, Dr. Jordan Schramm of Peak Pediatric ENT in Provo, Utah, chats with hosts Dr. Gopi Shah and Dr. Ashley Agan about in-office ear tubes for children. --- CHECK OUT OUR SPONSOR Smith & Nephew ENT Solutions https://smith-nephew.com --- SHOW NOTES First, Jordan describes the technology behind in-office tube placement. Jordan uses the Tula ® Tympanostomy system (available from Smith + Nephew) to insert ear tubes in-office. Tula offers an integrated tympanostomy solution that combines local anesthetic with tube insertion. With the Tula system, a gentle current numbs the tympanic membrane in 10-15 minutes, after which a pre-packaged delivery device allows the operator to insert a tube by simply placing the device on a patient’s eardrum and then clicking a button. Next, the discussion shifts towards Jordan’s personal experience with the Tula system. Gopi, Ashley, and Jordan compare Tula tubes with conventional T-tubes. Jordan emphasizes that almost all children needing tubes are candidates, though normal ear anatomy and motivated parents make the procedure easier. Jordan then offers additional practical technical pearls about the Tula system. Finally, Jordan shares how his experience with in-office ear tubes pushed the boundaries of in-office procedures. Given that ear tube placement in the OR requires general anesthesia, time off of work and facility fees are major challenges to traditional tympanostomy tube placement. For this reason, many of his families are excited to help their children hear better with an in-office procedure. He finishes with his tips for training clinic staff, working with insurance companies, and counseling families on the procedure. --- RESOURCES Jordan’s Peak Pediatric ENT Profile: https://utahpedsent.com/doctors.php Tula Tube System (for Physicians): https://tulatubes.com/physicians/tula-tympanostomy-system/ Article comparing outcomes of Tula tubes with conventional ear tubes (mentioned by Jordan): https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.336 In this episode of BackTable ENT, Dr. Jordan Schramm of Peak Pediatric ENT in Provo, Utah, chats with hosts Dr. Gopi Shah and Dr. Ashley Agan about in-office ear tubes for children.


---


CHECK OUT OUR SPONSOR


Smith & Nephew ENT Solutions

https://smith-nephew.com


---


SHOW NOTES


First, Jordan describes the technology behind in-office tube placement. Jordan uses the Tula ® Tympanostomy system (available from Smith + Nephew) to insert ear tubes in-office. Tula offers an integrated tympanostomy solution that combines local anesthetic with tube insertion. With the Tula system, a gentle current numbs the tympanic membrane in 10-15 minutes, after which a pre-packaged delivery device allows the operator to insert a tube by simply placing the device on a patient’s eardrum and then clicking a button.


Next, the discussion shifts towards Jordan’s personal experience with the Tula system. Gopi, Ashley, and Jordan compare Tula tubes with conventional T-tubes. Jordan emphasizes that almost all children needing tubes are candidates, though normal ear anatomy and motivated parents make the procedure easier. Jordan then offers additional practical technical pearls about the Tula system.


Finally, Jordan shares how his experience with in-office ear tubes pushed the boundaries of in-office procedures. Given that ear tube placement in the OR requires general anesthesia, time off of work and facility fees are major challenges to traditional tympanostomy tube placement. For this reason, many of his families are excited to help their children hear better with an in-office procedure. He finishes with his tips for training clinic staff, working with insurance companies, and counseling families on the procedure.


---


RESOURCES


Jordan’s Peak Pediatric ENT Profile:

https://utahpedsent.com/doctors.php


Tula Tube System (for Physicians):

https://tulatubes.com/physicians/tula-tympanostomy-system/


Article comparing outcomes of Tula tubes with conventional ear tubes (mentioned by Jordan):

https://aao-hnsfjournals.onlinelibrary.wiley.com/doi/10.1002/ohn.336

]]> 3375 Ep. 130 Surgical Ergonomics: The Unseen Risk to Surgeon Wellbeing with Dr. Geeta Lal In this episode of BackTable ENT, Drs. Julie Wei and Geeta Lal, a surgical oncologist at the University of Iowa and current president of the Society of Surgical Ergonomics, discuss the importance of ergonomics in surgery. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/TLTDzV --- SHOW NOTES First, Julie and Geeta share their stories that have shaped their perspectives on the importance of ergonomics. Geeta details her journey of getting involved in the ergonomics industry dating back to 2016 after having persistent jaw pain. After consulting multiple physicians who offered her narcotics as a solution to her myofascial pain, Geena was inspired to start educating physicians about ergonomics. Geeta and Julie disclosed that from a survey from physicians, 80% of surgeons are in pain. Geeta then discusses her daily routine for incorporating ergonomics during surgeries. She explains the importance of postural awareness in areas such as table height, laparoscopic machinery, and cameras in order to prevent excessive head and back strain. Furthermore, Geeta defines an “ergonomic timeout”, which are distinct moments to confirm that equipment is in the optimal position, thus mitigating potential risk of injury. Furthermore, Geeta and Julie note which surgical specialities are far worse in surgical ergonomics. Geeta also shares how she obtained her current role of president of the Society of Surgical Ergonomics. Finally, Geeta and Julie discuss misconceptions in the area of surgical ergonomics and barriers that are present amongst the surgery community when discussing physician pain. --- RESOURCES Society of Surgical Ergonomics: https://www.societyofsurgicalergonomics.org/ Dr. Geeta Lal’s Website: https://surgicalergonomics.com/about/ Dr. Julie Wei’s Article on Surgical Ergonomics in Physician Wellbeing: https://www.enttoday.org/article/how-surgical-ergonomics-impact-surgeon-wellbeing-outcomes-and-careers/ Tue, 19 Sep 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Drs. Julie Wei and Geeta Lal, a surgical oncologist at the University of Iowa and current president of the Society of Surgical Ergonomics, discuss the importance of ergonomics in surgery. In this episode of BackTable ENT, Drs. Julie Wei and Geeta Lal, a surgical oncologist at the University of Iowa and current president of the Society of Surgical Ergonomics, discuss the importance of ergonomics in surgery. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/TLTDzV --- SHOW NOTES First, Julie and Geeta share their stories that have shaped their perspectives on the importance of ergonomics. Geeta details her journey of getting involved in the ergonomics industry dating back to 2016 after having persistent jaw pain. After consulting multiple physicians who offered her narcotics as a solution to her myofascial pain, Geena was inspired to start educating physicians about ergonomics. Geeta and Julie disclosed that from a survey from physicians, 80% of surgeons are in pain. Geeta then discusses her daily routine for incorporating ergonomics during surgeries. She explains the importance of postural awareness in areas such as table height, laparoscopic machinery, and cameras in order to prevent excessive head and back strain. Furthermore, Geeta defines an “ergonomic timeout”, which are distinct moments to confirm that equipment is in the optimal position, thus mitigating potential risk of injury. Furthermore, Geeta and Julie note which surgical specialities are far worse in surgical ergonomics. Geeta also shares how she obtained her current role of president of the Society of Surgical Ergonomics. Finally, Geeta and Julie discuss misconceptions in the area of surgical ergonomics and barriers that are present amongst the surgery community when discussing physician pain. --- RESOURCES Society of Surgical Ergonomics: https://www.societyofsurgicalergonomics.org/ Dr. Geeta Lal’s Website: https://surgicalergonomics.com/about/ Dr. Julie Wei’s Article on Surgical Ergonomics in Physician Wellbeing: https://www.enttoday.org/article/how-surgical-ergonomics-impact-surgeon-wellbeing-outcomes-and-careers/ In this episode of BackTable ENT, Drs. Julie Wei and Geeta Lal, a surgical oncologist at the University of Iowa and current president of the Society of Surgical Ergonomics, discuss the importance of ergonomics in surgery.


---


EARN CME


Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/TLTDzV


---


SHOW NOTES


First, Julie and Geeta share their stories that have shaped their perspectives on the importance of ergonomics. Geeta details her journey of getting involved in the ergonomics industry dating back to 2016 after having persistent jaw pain. After consulting multiple physicians who offered her narcotics as a solution to her myofascial pain, Geena was inspired to start educating physicians about ergonomics. Geeta and Julie disclosed that from a survey from physicians, 80% of surgeons are in pain.


Geeta then discusses her daily routine for incorporating ergonomics during surgeries. She explains the importance of postural awareness in areas such as table height, laparoscopic machinery, and cameras in order to prevent excessive head and back strain. Furthermore, Geeta defines an “ergonomic timeout”, which are distinct moments to confirm that equipment is in the optimal position, thus mitigating potential risk of injury. Furthermore, Geeta and Julie note which surgical specialities are far worse in surgical ergonomics. Geeta also shares how she obtained her current role of president of the Society of Surgical Ergonomics.


Finally, Geeta and Julie discuss misconceptions in the area of surgical ergonomics and barriers that are present amongst the surgery community when discussing physician pain.


---


RESOURCES


Society of Surgical Ergonomics:

https://www.societyofsurgicalergonomics.org/


Dr. Geeta Lal’s Website:

https://surgicalergonomics.com/about/


Dr. Julie Wei’s Article on Surgical Ergonomics in Physician Wellbeing:

https://www.enttoday.org/article/how-surgical-ergonomics-impact-surgeon-wellbeing-outcomes-and-careers/

]]> 3334 Ep. 129 American Head and Neck Society Scholarship for Underrepresented Minority Medical Students with Dr. Tammara Watts In this episode of BackTable ENT, Dr. Tammara Watts, surgeon-scientist at Duke University, sits down with host Dr. Gopi Shah to discuss two exciting scholarship opportunities for medical students available through the American Head & Neck Society (AHNS). --- SHOW NOTES Fewer than 5% of practicing otolaryngologists identify as members of underrepresented minority groups (URM), and these scholarships directly address that disparity. Gopi and Tammara then transition to discussing the importance of diversity in otolaryngology more broadly. First, Tammara expounds on what is gained by having a workforce that includes individuals with diverse backgrounds and experiences. Through the Dr. Eddie Méndez Research Fellowship and the Myers’ Family Summer Fellowship, AHNS provides unique opportunities for aspiring otolaryngologists who identify as URM to connect with future colleagues. The Research Fellowship provides $10,000 to a medical student interested in spending one year immersed in otolaryngology research. It is unique in that AHNS provides a list of mentors (with bio-sketches) that interested applicants can connect with to formulate a research plan before applying. The Myers’ Family Summer Fellowship financially supports a rising MS2 or MS3 student to gain exposure in Head & Neck Surgery. Next, Tammara offers tips on cultivating successful mentor-mentee relationships, emphasizing that mentors enjoy supporting their future colleagues, and that it is easier to do so when the mentee takes initiative. Finally, Tammara shares her philosophy regarding DEI. Though otolaryngologic patients come from all walks of life, their surgeons can’t always conceptualize how their experiences influence their care. By supporting URM students interested in ENT, she (along with her AHNS colleagues) are helping create a workforce that can better understand and heal. --- RESOURCES AHNS’s Dr. Eddie Méndez Fellowship: https://www.ahns.info/dr-eddie-mendez-research-fellowship/ AHNS’s Myers’ Family Summer Fellowship in Otolaryngology: https://www.ahns.info/myers-summer-fellowship/ Dr. Tammara Watts MD, PhD’s Duke University Profile: https://headnecksurgery.duke.edu/profile/tammara-lynn-watts Thu, 14 Sep 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Tammara Watts, surgeon-scientist at Duke University, sits down with host Dr. Gopi Shah to discuss two exciting scholarship opportunities for medical students available through the American Head & Neck Society (AHNS). In this episode of BackTable ENT, Dr. Tammara Watts, surgeon-scientist at Duke University, sits down with host Dr. Gopi Shah to discuss two exciting scholarship opportunities for medical students available through the American Head & Neck Society (AHNS). --- SHOW NOTES Fewer than 5% of practicing otolaryngologists identify as members of underrepresented minority groups (URM), and these scholarships directly address that disparity. Gopi and Tammara then transition to discussing the importance of diversity in otolaryngology more broadly. First, Tammara expounds on what is gained by having a workforce that includes individuals with diverse backgrounds and experiences. Through the Dr. Eddie Méndez Research Fellowship and the Myers’ Family Summer Fellowship, AHNS provides unique opportunities for aspiring otolaryngologists who identify as URM to connect with future colleagues. The Research Fellowship provides $10,000 to a medical student interested in spending one year immersed in otolaryngology research. It is unique in that AHNS provides a list of mentors (with bio-sketches) that interested applicants can connect with to formulate a research plan before applying. The Myers’ Family Summer Fellowship financially supports a rising MS2 or MS3 student to gain exposure in Head & Neck Surgery. Next, Tammara offers tips on cultivating successful mentor-mentee relationships, emphasizing that mentors enjoy supporting their future colleagues, and that it is easier to do so when the mentee takes initiative. Finally, Tammara shares her philosophy regarding DEI. Though otolaryngologic patients come from all walks of life, their surgeons can’t always conceptualize how their experiences influence their care. By supporting URM students interested in ENT, she (along with her AHNS colleagues) are helping create a workforce that can better understand and heal. --- RESOURCES AHNS’s Dr. Eddie Méndez Fellowship: https://www.ahns.info/dr-eddie-mendez-research-fellowship/ AHNS’s Myers’ Family Summer Fellowship in Otolaryngology: https://www.ahns.info/myers-summer-fellowship/ Dr. Tammara Watts MD, PhD’s Duke University Profile: https://headnecksurgery.duke.edu/profile/tammara-lynn-watts In this episode of BackTable ENT, Dr. Tammara Watts, surgeon-scientist at Duke University, sits down with host Dr. Gopi Shah to discuss two exciting scholarship opportunities for medical students available through the American Head & Neck Society (AHNS).


---


SHOW NOTES


Fewer than 5% of practicing otolaryngologists identify as members of underrepresented minority groups (URM), and these scholarships directly address that disparity. Gopi and Tammara then transition to discussing the importance of diversity in otolaryngology more broadly.


First, Tammara expounds on what is gained by having a workforce that includes individuals with diverse backgrounds and experiences. Through the Dr. Eddie Méndez Research Fellowship and the Myers’ Family Summer Fellowship, AHNS provides unique opportunities for aspiring otolaryngologists who identify as URM to connect with future colleagues. The Research Fellowship provides $10,000 to a medical student interested in spending one year immersed in otolaryngology research. It is unique in that AHNS provides a list of mentors (with bio-sketches) that interested applicants can connect with to formulate a research plan before applying. The Myers’ Family Summer Fellowship financially supports a rising MS2 or MS3 student to gain exposure in Head & Neck Surgery.


Next, Tammara offers tips on cultivating successful mentor-mentee relationships, emphasizing that mentors enjoy supporting their future colleagues, and that it is easier to do so when the mentee takes initiative. Finally, Tammara shares her philosophy regarding DEI. Though otolaryngologic patients come from all walks of life, their surgeons can’t always conceptualize how their experiences influence their care. By supporting URM students interested in ENT, she (along with her AHNS colleagues) are helping create a workforce that can better understand and heal.


---


RESOURCES


AHNS’s Dr. Eddie Méndez Fellowship:

https://www.ahns.info/dr-eddie-mendez-research-fellowship/


AHNS’s Myers’ Family Summer Fellowship in Otolaryngology:

https://www.ahns.info/myers-summer-fellowship/


Dr. Tammara Watts MD, PhD’s Duke University Profile:

https://headnecksurgery.duke.edu/profile/tammara-lynn-watts

]]> 2395 Ep. 128 Free Flaps 101 with Dr. Eli Gordin In this episode of BackTable ENT, Dr. Eli Gordin, microvascular surgeon at UT Southwestern, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss free flap surgery. This high-yield episode walks listeners through the basics of microvascular surgery, from indications to management of surgical complications. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, the surgeons discuss pre-operative management of free flap patients. The most common indications for microvascular surgery in otolaryngology include head & neck cancers. In his pre-operative clinic visits with free flap patients, Eli answers questions about surgery, hospital stay, and recovery. In his experience, patients often don’t understand the extensive nature of these surgeries prior to this visit, so he spends time explaining what a flap is and what the hospital course will look like. Then, Eli speaks about his experience with virtual surgical planning, which entails remote meetings with engineers. He admits that the learning curve to virtual surgical planning is steep, but that contemplating reconstruction with the help of virtual planning helps him better account for details at the time of surgery. Gopi and Ashley then inquire about surgery and peri-operative management of these patients. Eli addresses vital topics including surgical technique, fluid management, and thrombosis risk. Finally, the podcast addresses post-operative management of free flap patients. Eli briefly outlines his free flap protocol, emphasizing physical exam signs that indicate need for an OR takeback. He leaves listeners with an important insight: when surgeons have any doubts regarding the viability of a flap, they must return to the OR quickly: the best look they can get at a troubled flap is the one obtained in the OR. Tue, 12 Sep 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Eli Gordin, microvascular surgeon at UT Southwestern, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss free flap surgery. This high-yield episode walks listeners through the basics of microvascular surgery, from indications to management of surgical complications. In this episode of BackTable ENT, Dr. Eli Gordin, microvascular surgeon at UT Southwestern, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss free flap surgery. This high-yield episode walks listeners through the basics of microvascular surgery, from indications to management of surgical complications. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, the surgeons discuss pre-operative management of free flap patients. The most common indications for microvascular surgery in otolaryngology include head & neck cancers. In his pre-operative clinic visits with free flap patients, Eli answers questions about surgery, hospital stay, and recovery. In his experience, patients often don’t understand the extensive nature of these surgeries prior to this visit, so he spends time explaining what a flap is and what the hospital course will look like. Then, Eli speaks about his experience with virtual surgical planning, which entails remote meetings with engineers. He admits that the learning curve to virtual surgical planning is steep, but that contemplating reconstruction with the help of virtual planning helps him better account for details at the time of surgery. Gopi and Ashley then inquire about surgery and peri-operative management of these patients. Eli addresses vital topics including surgical technique, fluid management, and thrombosis risk. Finally, the podcast addresses post-operative management of free flap patients. Eli briefly outlines his free flap protocol, emphasizing physical exam signs that indicate need for an OR takeback. He leaves listeners with an important insight: when surgeons have any doubts regarding the viability of a flap, they must return to the OR quickly: the best look they can get at a troubled flap is the one obtained in the OR. In this episode of BackTable ENT, Dr. Eli Gordin, microvascular surgeon at UT Southwestern, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss free flap surgery. This high-yield episode walks listeners through the basics of microvascular surgery, from indications to management of surgical complications.


---


CHECK OUT OUR SPONSOR


Cook Medical Otolaryngology

https://www.cookmedical.com/otolaryngology


---


SHOW NOTES


First, the surgeons discuss pre-operative management of free flap patients. The most common indications for microvascular surgery in otolaryngology include head & neck cancers. In his pre-operative clinic visits with free flap patients, Eli answers questions about surgery, hospital stay, and recovery. In his experience, patients often don’t understand the extensive nature of these surgeries prior to this visit, so he spends time explaining what a flap is and what the hospital course will look like.


Then, Eli speaks about his experience with virtual surgical planning, which entails remote meetings with engineers. He admits that the learning curve to virtual surgical planning is steep, but that contemplating reconstruction with the help of virtual planning helps him better account for details at the time of surgery. Gopi and Ashley then inquire about surgery and peri-operative management of these patients. Eli addresses vital topics including surgical technique, fluid management, and thrombosis risk.


Finally, the podcast addresses post-operative management of free flap patients. Eli briefly outlines his free flap protocol, emphasizing physical exam signs that indicate need for an OR takeback. He leaves listeners with an important insight: when surgeons have any doubts regarding the viability of a flap, they must return to the OR quickly: the best look they can get at a troubled flap is the one obtained in the OR.

]]> 4850 Ep. 127 In-Office Facelifts with Dr. Demetri Arnaoutakis In this episode of BackTable ENT, Dr. Demetri Arnaoutakis, a facial plastic surgeon, and host Dr. Gopi Shah discuss planning and execution of in-office facelifts. --- SHOW NOTES First, Demetri and Gopi begin with discussion of the clinic intake visit. During a first visit, Demetri takes time to understand each patient’s goals and priorities as they relate to their appearances. Using this knowledge, he walks each patient through all possible treatment choices, then helps the patient decide the best path forward. He takes a detailed procedural/surgical history and performs a top-down examination of the patient’s face. Then, Demetri describes different surgical and non-surgical options to improve facial aesthetics. He divides these options into non-invasive (micro-needling, fillers, Botox), minimally invasive (radiofrequency-assisted lipolysis), and surgical (facelift). Demetri explains multiple approaches to facelift, noting that he tends to prefer a deep-plane approach that mobilizes the superficial musculoaponeurotic system (SMAS). Demetri then shares pearls from his practice about optimal incision sites, the importance of acquiring the right instruments, and the addition of tranexamic acid to tumescent anesthesia to reduce risk of hematoma. Finally, Demetri outlines his post-operative management. In addition to standard post-operative protocols, his patients undergo hyperbaric oxygen treatment to increase oxygen delivery to tissues and lymphatic massage to aid lymph drainage. The episode wraps up with Demetri’s advice to listeners wanting to improve their cosmetic surgical skills. --- RESOURCES Dr. Arnaoutakis’ website: https://www.drdemetrimd.com/ Tue, 05 Sep 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Demetri Arnaoutakis, a facial plastic surgeon, and host Dr. Gopi Shah discuss planning and execution of in-office facelifts. In this episode of BackTable ENT, Dr. Demetri Arnaoutakis, a facial plastic surgeon, and host Dr. Gopi Shah discuss planning and execution of in-office facelifts. --- SHOW NOTES First, Demetri and Gopi begin with discussion of the clinic intake visit. During a first visit, Demetri takes time to understand each patient’s goals and priorities as they relate to their appearances. Using this knowledge, he walks each patient through all possible treatment choices, then helps the patient decide the best path forward. He takes a detailed procedural/surgical history and performs a top-down examination of the patient’s face. Then, Demetri describes different surgical and non-surgical options to improve facial aesthetics. He divides these options into non-invasive (micro-needling, fillers, Botox), minimally invasive (radiofrequency-assisted lipolysis), and surgical (facelift). Demetri explains multiple approaches to facelift, noting that he tends to prefer a deep-plane approach that mobilizes the superficial musculoaponeurotic system (SMAS). Demetri then shares pearls from his practice about optimal incision sites, the importance of acquiring the right instruments, and the addition of tranexamic acid to tumescent anesthesia to reduce risk of hematoma. Finally, Demetri outlines his post-operative management. In addition to standard post-operative protocols, his patients undergo hyperbaric oxygen treatment to increase oxygen delivery to tissues and lymphatic massage to aid lymph drainage. The episode wraps up with Demetri’s advice to listeners wanting to improve their cosmetic surgical skills. --- RESOURCES Dr. Arnaoutakis’ website: https://www.drdemetrimd.com/ In this episode of BackTable ENT, Dr. Demetri Arnaoutakis, a facial plastic surgeon, and host Dr. Gopi Shah discuss planning and execution of in-office facelifts.


---


SHOW NOTES


First, Demetri and Gopi begin with discussion of the clinic intake visit. During a first visit, Demetri takes time to understand each patient’s goals and priorities as they relate to their appearances. Using this knowledge, he walks each patient through all possible treatment choices, then helps the patient decide the best path forward. He takes a detailed procedural/surgical history and performs a top-down examination of the patient’s face.


Then, Demetri describes different surgical and non-surgical options to improve facial aesthetics. He divides these options into non-invasive (micro-needling, fillers, Botox), minimally invasive (radiofrequency-assisted lipolysis), and surgical (facelift). Demetri explains multiple approaches to facelift, noting that he tends to prefer a deep-plane approach that mobilizes the superficial musculoaponeurotic system (SMAS). Demetri then shares pearls from his practice about optimal incision sites, the importance of acquiring the right instruments, and the addition of tranexamic acid to tumescent anesthesia to reduce risk of hematoma.


Finally, Demetri outlines his post-operative management. In addition to standard post-operative protocols, his patients undergo hyperbaric oxygen treatment to increase oxygen delivery to tissues and lymphatic massage to aid lymph drainage. The episode wraps up with Demetri’s advice to listeners wanting to improve their cosmetic surgical skills.


---


RESOURCES


Dr. Arnaoutakis’ website:

https://www.drdemetrimd.com/

]]> 3286 Ep. 126 Odontogenic Sinusitis with Dr. John Craig In this week’s episode of Backtable ENT, Dr. Ashley Agan and Dr. Gopi Shah talk with Dr. John Craig, chief of Rhinology and co-director of the Skull Base Center at Henry Ford Health in Detroit, about odontogenic sinusitis (ODS). --- SHOW NOTES The episode begins by hearing about John’s path to rhinology and his work and research interests in ODS. First, John defines ODS and contrasts it with chronic rhinosinusitis (CRS). He notes that the cardinal symptoms of CRS are the same as ODS but for ODS, these symptoms are unilateral, such as unilateral nasal obstruction, unilateral nasal drainage and unilateral facial pressure. Also, a foul smell is a very common symptom of ODS. The conversation then transitions to discussing the role of dental history in ruling in ODS. John explains his oral exam process and questions he asks related to a patient’s dental history such as upper dental pain, root canals, extractions, dental implants and dental bridges. Interestingly, current research has shown only 20-40% of patients have dental symptoms such as dental pain. The group discusses how insurance coverage plays a role in the treatment management patients with ODS may undergo, and John notes the importance of collaborating with dental providers for endodontic testing and imaging that includes dental roots. John further delves into what he is looking for on an endoscopy exam including unilateral purulent drainage from the middle meatus, edema and polyps. CT sinus usually shows unilateral maxillary sinus opacification. Then, John explains how he groups patients in two groups, treatable and untreatable dental pathologies, to help in deciding management of patients with ODS. Treating the sinus and the treatable dental pathology (i.e.-closure of oroantral fistula) will help the condition resolve in the majority of cases. Timing of treating the dental pathology and sinus surgery is complicated, but taking into account the patient’s symptom burden can help decide timing of these procedures. When there is no treatable dental pathology, management options include antibiotics (to temporize symptoms) and endoscopic sinus surgery (ESS) with 98% success. The episode concludes with the group discussing the role of ESS for ODS. --- RESOURCES PubMed (Link to John’s list of Publications): https://pubmed.ncbi.nlm.nih.gov/?term=Craig%20JR&cauthor_id=32656998 Tue, 29 Aug 2023 05:05:00 -0000 full BackTable Inc. In this week’s episode of Backtable ENT, Dr. Ashley Agan and Dr. Gopi Shah talk with Dr. John Craig, chief of Rhinology and co-director of the Skull Base Center at Henry Ford Health in Detroit, about odontogenic sinusitis (ODS). In this week’s episode of Backtable ENT, Dr. Ashley Agan and Dr. Gopi Shah talk with Dr. John Craig, chief of Rhinology and co-director of the Skull Base Center at Henry Ford Health in Detroit, about odontogenic sinusitis (ODS). --- SHOW NOTES The episode begins by hearing about John’s path to rhinology and his work and research interests in ODS. First, John defines ODS and contrasts it with chronic rhinosinusitis (CRS). He notes that the cardinal symptoms of CRS are the same as ODS but for ODS, these symptoms are unilateral, such as unilateral nasal obstruction, unilateral nasal drainage and unilateral facial pressure. Also, a foul smell is a very common symptom of ODS. The conversation then transitions to discussing the role of dental history in ruling in ODS. John explains his oral exam process and questions he asks related to a patient’s dental history such as upper dental pain, root canals, extractions, dental implants and dental bridges. Interestingly, current research has shown only 20-40% of patients have dental symptoms such as dental pain. The group discusses how insurance coverage plays a role in the treatment management patients with ODS may undergo, and John notes the importance of collaborating with dental providers for endodontic testing and imaging that includes dental roots. John further delves into what he is looking for on an endoscopy exam including unilateral purulent drainage from the middle meatus, edema and polyps. CT sinus usually shows unilateral maxillary sinus opacification. Then, John explains how he groups patients in two groups, treatable and untreatable dental pathologies, to help in deciding management of patients with ODS. Treating the sinus and the treatable dental pathology (i.e.-closure of oroantral fistula) will help the condition resolve in the majority of cases. Timing of treating the dental pathology and sinus surgery is complicated, but taking into account the patient’s symptom burden can help decide timing of these procedures. When there is no treatable dental pathology, management options include antibiotics (to temporize symptoms) and endoscopic sinus surgery (ESS) with 98% success. The episode concludes with the group discussing the role of ESS for ODS. --- RESOURCES PubMed (Link to John’s list of Publications): https://pubmed.ncbi.nlm.nih.gov/?term=Craig%20JR&cauthor_id=32656998 In this week’s episode of Backtable ENT, Dr. Ashley Agan and Dr. Gopi Shah talk with Dr. John Craig, chief of Rhinology and co-director of the Skull Base Center at Henry Ford Health in Detroit, about odontogenic sinusitis (ODS).


---


SHOW NOTES


The episode begins by hearing about John’s path to rhinology and his work and research interests in ODS. First, John defines ODS and contrasts it with chronic rhinosinusitis (CRS). He notes that the cardinal symptoms of CRS are the same as ODS but for ODS, these symptoms are unilateral, such as unilateral nasal obstruction, unilateral nasal drainage and unilateral facial pressure. Also, a foul smell is a very common symptom of ODS.


The conversation then transitions to discussing the role of dental history in ruling in ODS. John explains his oral exam process and questions he asks related to a patient’s dental history such as upper dental pain, root canals, extractions, dental implants and dental bridges. Interestingly, current research has shown only 20-40% of patients have dental symptoms such as dental pain. The group discusses how insurance coverage plays a role in the treatment management patients with ODS may undergo, and John notes the importance of collaborating with dental providers for endodontic testing and imaging that includes dental roots.


John further delves into what he is looking for on an endoscopy exam including unilateral purulent drainage from the middle meatus, edema and polyps. CT sinus usually shows unilateral maxillary sinus opacification.


Then, John explains how he groups patients in two groups, treatable and untreatable dental pathologies, to help in deciding management of patients with ODS. Treating the sinus and the treatable dental pathology (i.e.-closure of oroantral fistula) will help the condition resolve in the majority of cases. Timing of treating the dental pathology and sinus surgery is complicated, but taking into account the patient’s symptom burden can help decide timing of these procedures. When there is no treatable dental pathology, management options include antibiotics (to temporize symptoms) and endoscopic sinus surgery (ESS) with 98% success. The episode concludes with the group discussing the role of ESS for ODS.


---


RESOURCES


PubMed (Link to John’s list of Publications):

https://pubmed.ncbi.nlm.nih.gov/?term=Craig%20JR&cauthor_id=32656998

]]> 3670 Ep. 125 Gender Affirming Voice Care with Sarah Schneider MS, CCC-SLP and Dr. Mark Courey In this episode of BackTable ENT, Dr. Mark Courey (chief of otolaryngology at Mount Sinai) and Sarah Schneider (Speech Language Pathologist at UCSF) join host Dr. Gopi Shah to discuss voice care for transgender patients. --- SHOW NOTES First, Mark and Sarah define terms relevant to transgender healthcare and offer tips on welcoming transgender patients to clinic. They describe how voice care fits into the overall process of transition, and why patients seek care for voice-related concerns at different points in their journey. Gopi asks about collaboration with other specialties, and Mark discusses collaboration with other clinicians in a patient-centered transgender care team. The conversation then shifts to workup and treatment of voice-related concerns. In Sarah’s experience, trans women present with voice fatigue if they are overly reliant on pitch modulation. By addressing pitch, articulation, rate of speech, volume, and resonance, Sarah helps her patients achieve a more feminine communication style while minimizing physical strain. Mark outlines his physical exam and process of history-taking as they relate to voice concerns. They also address the role of laryngoscopy in transgender patient populations. Finally, Sarah and Mark address the importance of duration and goals of voice therapy. Both she and Mark emphasize the need to monitor progress over sessions of voice therapy. Delving into surgical management, Mark addresses the indications for, steps in, and complications of voice-modifying surgery. To wrap up, Sarah and Mark encourage listeners to educate their fellow clinicians regarding voice care for transgender patients. --- RESOURCES https://www.enttoday.org/article/gender-affirmation-surgery-in-california/ https://www.enttoday.org/article/analyzing-the-latest-gender-affirming-care-restrictions-in-state-laws/ Sarah’s Twitter: https://twitter.com/scharx16 Sarah’s UCSF Profile: https://transcare.ucsf.edu/team/sarah-schneider Mark’s Mount Sinai Profile: https://profiles.mountsinai.org/mark-s-courey Tue, 22 Aug 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Mark Courey (chief of otolaryngology at Mount Sinai) and Sarah Schneider (Speech Language Pathologist at UCSF) join host Dr. Gopi Shah to discuss voice care for transgender patients. In this episode of BackTable ENT, Dr. Mark Courey (chief of otolaryngology at Mount Sinai) and Sarah Schneider (Speech Language Pathologist at UCSF) join host Dr. Gopi Shah to discuss voice care for transgender patients. --- SHOW NOTES First, Mark and Sarah define terms relevant to transgender healthcare and offer tips on welcoming transgender patients to clinic. They describe how voice care fits into the overall process of transition, and why patients seek care for voice-related concerns at different points in their journey. Gopi asks about collaboration with other specialties, and Mark discusses collaboration with other clinicians in a patient-centered transgender care team. The conversation then shifts to workup and treatment of voice-related concerns. In Sarah’s experience, trans women present with voice fatigue if they are overly reliant on pitch modulation. By addressing pitch, articulation, rate of speech, volume, and resonance, Sarah helps her patients achieve a more feminine communication style while minimizing physical strain. Mark outlines his physical exam and process of history-taking as they relate to voice concerns. They also address the role of laryngoscopy in transgender patient populations. Finally, Sarah and Mark address the importance of duration and goals of voice therapy. Both she and Mark emphasize the need to monitor progress over sessions of voice therapy. Delving into surgical management, Mark addresses the indications for, steps in, and complications of voice-modifying surgery. To wrap up, Sarah and Mark encourage listeners to educate their fellow clinicians regarding voice care for transgender patients. --- RESOURCES https://www.enttoday.org/article/gender-affirmation-surgery-in-california/ https://www.enttoday.org/article/analyzing-the-latest-gender-affirming-care-restrictions-in-state-laws/ Sarah’s Twitter: https://twitter.com/scharx16 Sarah’s UCSF Profile: https://transcare.ucsf.edu/team/sarah-schneider Mark’s Mount Sinai Profile: https://profiles.mountsinai.org/mark-s-courey In this episode of BackTable ENT, Dr. Mark Courey (chief of otolaryngology at Mount Sinai) and Sarah Schneider (Speech Language Pathologist at UCSF) join host Dr. Gopi Shah to discuss voice care for transgender patients.


---


SHOW NOTES


First, Mark and Sarah define terms relevant to transgender healthcare and offer tips on welcoming transgender patients to clinic. They describe how voice care fits into the overall process of transition, and why patients seek care for voice-related concerns at different points in their journey. Gopi asks about collaboration with other specialties, and Mark discusses collaboration with other clinicians in a patient-centered transgender care team.


The conversation then shifts to workup and treatment of voice-related concerns. In Sarah’s experience, trans women present with voice fatigue if they are overly reliant on pitch modulation. By addressing pitch, articulation, rate of speech, volume, and resonance, Sarah helps her patients achieve a more feminine communication style while minimizing physical strain. Mark outlines his physical exam and process of history-taking as they relate to voice concerns. They also address the role of laryngoscopy in transgender patient populations.


Finally, Sarah and Mark address the importance of duration and goals of voice therapy. Both she and Mark emphasize the need to monitor progress over sessions of voice therapy. Delving into surgical management, Mark addresses the indications for, steps in, and complications of voice-modifying surgery. To wrap up, Sarah and Mark encourage listeners to educate their fellow clinicians regarding voice care for transgender patients.


---


RESOURCES

https://www.enttoday.org/article/gender-affirmation-surgery-in-california/


https://www.enttoday.org/article/analyzing-the-latest-gender-affirming-care-restrictions-in-state-laws/


Sarah’s Twitter:

https://twitter.com/scharx16


Sarah’s UCSF Profile:

https://transcare.ucsf.edu/team/sarah-schneider


Mark’s Mount Sinai Profile:

https://profiles.mountsinai.org/mark-s-courey

]]> 5524 Ep. 124 The Role of Speech Pathology in Professional Voice Care with Sarah Quintana, MS, CCC-SLP In this episode of BackTable ENT, Dr. Gopi Shah is joined with speech language pathologist (SLP) Sarah Quintana, MS, CCC-SLP from Louisiana State University-Shreveport who specializes in gender-affirming voice, singing, voice rehabilitation, and remote service delivery models. Sarah and Gopi discuss the role of speech language pathology in the care of those with professional voices. --- SHOW NOTES First, Sarah delves into her background of being a singer and how this influenced her to become an SLP who works with professional voices. Next, they talk about the type of patients Sarah sees at the voice center and how she assesses patients. She expands on the types of questions she asks and explains her systematic approach of using a stroboscope to look at vocal cord function. Next, Sarah and Gopi discuss the other individuals who make up the voice care team and also talk about the distinction between a voice coach, voice trainer, and voice teacher. Additionally, they delineate the roles of voice rehabilitation versus vocal habitation. Sarah also explains how she works with laryngologists to provide multidisciplinary care for professional voice patients. Finally, Gopi and Sarah close out the episode by discussing voice conservation, the role of equitable healthcare in the field of SLP, and Sarah’s interest in remote service delivery options. Tue, 15 Aug 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Gopi Shah is joined with speech language pathologist (SLP) Sarah Quintana, MS, CCC-SLP from Louisiana State University-Shreveport who specializes in gender-affirming voice, singing, voice rehabilitation, and remote service delivery models. Sarah and Gopi discuss the role of speech language pathology in the care of those with professional voices. In this episode of BackTable ENT, Dr. Gopi Shah is joined with speech language pathologist (SLP) Sarah Quintana, MS, CCC-SLP from Louisiana State University-Shreveport who specializes in gender-affirming voice, singing, voice rehabilitation, and remote service delivery models. Sarah and Gopi discuss the role of speech language pathology in the care of those with professional voices. --- SHOW NOTES First, Sarah delves into her background of being a singer and how this influenced her to become an SLP who works with professional voices. Next, they talk about the type of patients Sarah sees at the voice center and how she assesses patients. She expands on the types of questions she asks and explains her systematic approach of using a stroboscope to look at vocal cord function. Next, Sarah and Gopi discuss the other individuals who make up the voice care team and also talk about the distinction between a voice coach, voice trainer, and voice teacher. Additionally, they delineate the roles of voice rehabilitation versus vocal habitation. Sarah also explains how she works with laryngologists to provide multidisciplinary care for professional voice patients. Finally, Gopi and Sarah close out the episode by discussing voice conservation, the role of equitable healthcare in the field of SLP, and Sarah’s interest in remote service delivery options. In this episode of BackTable ENT, Dr. Gopi Shah is joined with speech language pathologist (SLP) Sarah Quintana, MS, CCC-SLP from Louisiana State University-Shreveport who specializes in gender-affirming voice, singing, voice rehabilitation, and remote service delivery models. Sarah and Gopi discuss the role of speech language pathology in the care of those with professional voices.


---


SHOW NOTES


First, Sarah delves into her background of being a singer and how this influenced her to become an SLP who works with professional voices. Next, they talk about the type of patients Sarah sees at the voice center and how she assesses patients. She expands on the types of questions she asks and explains her systematic approach of using a stroboscope to look at vocal cord function. Next, Sarah and Gopi discuss the other individuals who make up the voice care team and also talk about the distinction between a voice coach, voice trainer, and voice teacher. Additionally, they delineate the roles of voice rehabilitation versus vocal habitation. Sarah also explains how she works with laryngologists to provide multidisciplinary care for professional voice patients.


Finally, Gopi and Sarah close out the episode by discussing voice conservation, the role of equitable healthcare in the field of SLP, and Sarah’s interest in remote service delivery options.

]]> 2734 Ep. 123 Health Equity Research in Pediatric Head and Neck Cancer with Dr. Daniel Chelius and Dr. Jeffrey Rastatter, Hosted by Dr. Anthony Sheyn In this episode of BackTable ENT, pediatric otolaryngologists Dr. Anthony Sheyn (St. Jude Children’s Hospital & Le Bonheur Children’s Hospital), Dr. Jeffrey Rastatter (Lurie Children’s Hospital of Chicago), and Dr. Daniel Chelius (Texas Children’s Hospital), discuss challenges and research in health equity in pediatric head and neck cancer care. --- SHOW NOTES First, the surgeons define the Social Determinants of Health (SDoH) and explain how studying these factors improves care. They share memories of when they first reckoned with health inequities as clinicians. For Dr. Chelius, this was during medical school, when he observed end-stage renal disease patients’ access to dialysis (and thus lifespan) depended on their insurance status, income, and education. Moving into his residency, he realized that similar forces shaped how patients accessed cancer care. As a young attending, Dr. Sheyn noticed that many of his patients missed appointments for logistical or financial reasons, which piqued his interest in characterizing how SDoH influence pediatric cancer care. Next, the doctors discuss health equity research. Though they’re based at different institutions, the three surgeons collaborate to study how SDoH affect pediatric head and neck cancer outcomes. Dr. Rastatter shares his work identifying how different SDoH– including socioeconomic status, household composition, housing/transportation, and minority/language status – interact to affect access to cancer care. Dr. Chelius speaks to the importance of social work, advanced practice providers, and transportation services in connecting patients to care. The podcast concludes with a discussion of how tertiary care centers can better collaborate with community clinicians to ensure pediatric patients with rare cancers get the workup and treatment they need. Tue, 08 Aug 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, pediatric otolaryngologists Dr. Anthony Sheyn (St. Jude Children’s Hospital & Le Bonheur Children’s Hospital), Dr. Jeffrey Rastatter (Lurie Children’s Hospital of Chicago), and Dr. Daniel Chelius (Texas Children’s Hospital), discuss challenges and research in health equity in pediatric head and neck cancer care. In this episode of BackTable ENT, pediatric otolaryngologists Dr. Anthony Sheyn (St. Jude Children’s Hospital & Le Bonheur Children’s Hospital), Dr. Jeffrey Rastatter (Lurie Children’s Hospital of Chicago), and Dr. Daniel Chelius (Texas Children’s Hospital), discuss challenges and research in health equity in pediatric head and neck cancer care. --- SHOW NOTES First, the surgeons define the Social Determinants of Health (SDoH) and explain how studying these factors improves care. They share memories of when they first reckoned with health inequities as clinicians. For Dr. Chelius, this was during medical school, when he observed end-stage renal disease patients’ access to dialysis (and thus lifespan) depended on their insurance status, income, and education. Moving into his residency, he realized that similar forces shaped how patients accessed cancer care. As a young attending, Dr. Sheyn noticed that many of his patients missed appointments for logistical or financial reasons, which piqued his interest in characterizing how SDoH influence pediatric cancer care. Next, the doctors discuss health equity research. Though they’re based at different institutions, the three surgeons collaborate to study how SDoH affect pediatric head and neck cancer outcomes. Dr. Rastatter shares his work identifying how different SDoH– including socioeconomic status, household composition, housing/transportation, and minority/language status – interact to affect access to cancer care. Dr. Chelius speaks to the importance of social work, advanced practice providers, and transportation services in connecting patients to care. The podcast concludes with a discussion of how tertiary care centers can better collaborate with community clinicians to ensure pediatric patients with rare cancers get the workup and treatment they need. In this episode of BackTable ENT, pediatric otolaryngologists Dr. Anthony Sheyn (St. Jude Children’s Hospital & Le Bonheur Children’s Hospital), Dr. Jeffrey Rastatter (Lurie Children’s Hospital of Chicago), and Dr. Daniel Chelius (Texas Children’s Hospital), discuss challenges and research in health equity in pediatric head and neck cancer care.


---


SHOW NOTES


First, the surgeons define the Social Determinants of Health (SDoH) and explain how studying these factors improves care. They share memories of when they first reckoned with health inequities as clinicians. For Dr. Chelius, this was during medical school, when he observed end-stage renal disease patients’ access to dialysis (and thus lifespan) depended on their insurance status, income, and education. Moving into his residency, he realized that similar forces shaped how patients accessed cancer care. As a young attending, Dr. Sheyn noticed that many of his patients missed appointments for logistical or financial reasons, which piqued his interest in characterizing how SDoH influence pediatric cancer care.


Next, the doctors discuss health equity research. Though they’re based at different institutions, the three surgeons collaborate to study how SDoH affect pediatric head and neck cancer outcomes. Dr. Rastatter shares his work identifying how different SDoH– including socioeconomic status, household composition, housing/transportation, and minority/language status – interact to affect access to cancer care. Dr. Chelius speaks to the importance of social work, advanced practice providers, and transportation services in connecting patients to care. The podcast concludes with a discussion of how tertiary care centers can better collaborate with community clinicians to ensure pediatric patients with rare cancers get the workup and treatment they need.

]]> 2807 Ep. 122 Evaluation and Management of Patients with Olfactory Dysfunction with Dr. Zara Patel In this episode of BackTable ENT, Dr. Zara Patel, director of endoscopic skull base surgery and professor of otolaryngology at Stanford, joins Dr. Shah to discuss the physiology behind olfactory dysfunction and evidence-based cutting-edge therapies. --- SHOW NOTES First, Dr. Shah and Dr. Patel outline different patterns of olfactory dysfunction and their etiologies. Damage to the olfactory system can result from inflammation, trauma, or neurodegeneration affecting olfactory bulb neurons. However, smell-based symptoms are common in migraine and seizure auras, so taking a thorough medical history is important in all patients. Also, they review “red-flag” medications contributing to smell loss. Next, Dr. Shah asks Dr. Patel about the workup of patients with olfactory disturbance. Dr. Patel recommends rigid nasal endoscopy with and without decongestion for all patients with olfactory complaints. Unless another medical issue is suggested from the patient’s history, Dr. Patel does not routinely order labs for smell disturbance. The role of imaging is addressed, including use of MRIs for prognostication. The doctors then cover evidence-based management of olfactory dysfunction. In cases where inflammation causes olfactory disturbance – such as post-viral etiologies – steroid therapy can help restore smell. To have effect, the drug must reach the olfactory cleft, so Dr. Patel prefers nasal rinses with budesonide over intranasal or oral steroids. Then, Dr. Shah shares her experience treating patients with olfactory training. Dr. Patel explains the neural basis of training and instructs clinicians on how to counsel patients for best outcomes. Finally, Dr. Patel shares her expertise on hot topics in olfactory research, like the science behind platelet-rich plasma (PRP) for smell loss. She also reviews situations in which dietary supplements can improve symptoms. They end the episode with insights regarding equitable care of patients with smell-based symptoms. --- RESOURCES Dr. Patel’s Stanford profile https://profiles.stanford.edu/zara-patel JAMA Patient Handout on Olfactory Training: https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2782042 International Consensus Statement on Allergy and Rhinology: Olfaction https://onlinelibrary.wiley.com/doi/10.1002/alr.22929 Tue, 01 Aug 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Zara Patel, director of endoscopic skull base surgery and professor of otolaryngology at Stanford, joins Dr. Shah to discuss the physiology behind olfactory dysfunction and evidence-based cutting-edge therapies. In this episode of BackTable ENT, Dr. Zara Patel, director of endoscopic skull base surgery and professor of otolaryngology at Stanford, joins Dr. Shah to discuss the physiology behind olfactory dysfunction and evidence-based cutting-edge therapies. --- SHOW NOTES First, Dr. Shah and Dr. Patel outline different patterns of olfactory dysfunction and their etiologies. Damage to the olfactory system can result from inflammation, trauma, or neurodegeneration affecting olfactory bulb neurons. However, smell-based symptoms are common in migraine and seizure auras, so taking a thorough medical history is important in all patients. Also, they review “red-flag” medications contributing to smell loss. Next, Dr. Shah asks Dr. Patel about the workup of patients with olfactory disturbance. Dr. Patel recommends rigid nasal endoscopy with and without decongestion for all patients with olfactory complaints. Unless another medical issue is suggested from the patient’s history, Dr. Patel does not routinely order labs for smell disturbance. The role of imaging is addressed, including use of MRIs for prognostication. The doctors then cover evidence-based management of olfactory dysfunction. In cases where inflammation causes olfactory disturbance – such as post-viral etiologies – steroid therapy can help restore smell. To have effect, the drug must reach the olfactory cleft, so Dr. Patel prefers nasal rinses with budesonide over intranasal or oral steroids. Then, Dr. Shah shares her experience treating patients with olfactory training. Dr. Patel explains the neural basis of training and instructs clinicians on how to counsel patients for best outcomes. Finally, Dr. Patel shares her expertise on hot topics in olfactory research, like the science behind platelet-rich plasma (PRP) for smell loss. She also reviews situations in which dietary supplements can improve symptoms. They end the episode with insights regarding equitable care of patients with smell-based symptoms. --- RESOURCES Dr. Patel’s Stanford profile https://profiles.stanford.edu/zara-patel JAMA Patient Handout on Olfactory Training: https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2782042 International Consensus Statement on Allergy and Rhinology: Olfaction https://onlinelibrary.wiley.com/doi/10.1002/alr.22929 In this episode of BackTable ENT, Dr. Zara Patel, director of endoscopic skull base surgery and professor of otolaryngology at Stanford, joins Dr. Shah to discuss the physiology behind olfactory dysfunction and evidence-based cutting-edge therapies.


---


SHOW NOTES


First, Dr. Shah and Dr. Patel outline different patterns of olfactory dysfunction and their etiologies. Damage to the olfactory system can result from inflammation, trauma, or neurodegeneration affecting olfactory bulb neurons. However, smell-based symptoms are common in migraine and seizure auras, so taking a thorough medical history is important in all patients. Also, they review “red-flag” medications contributing to smell loss.


Next, Dr. Shah asks Dr. Patel about the workup of patients with olfactory disturbance. Dr. Patel recommends rigid nasal endoscopy with and without decongestion for all patients with olfactory complaints. Unless another medical issue is suggested from the patient’s history, Dr. Patel does not routinely order labs for smell disturbance. The role of imaging is addressed, including use of MRIs for prognostication.


The doctors then cover evidence-based management of olfactory dysfunction. In cases where inflammation causes olfactory disturbance – such as post-viral etiologies – steroid therapy can help restore smell. To have effect, the drug must reach the olfactory cleft, so Dr. Patel prefers nasal rinses with budesonide over intranasal or oral steroids. Then, Dr. Shah shares her experience treating patients with olfactory training. Dr. Patel explains the neural basis of training and instructs clinicians on how to counsel patients for best outcomes.


Finally, Dr. Patel shares her expertise on hot topics in olfactory research, like the science behind platelet-rich plasma (PRP) for smell loss. She also reviews situations in which dietary supplements can improve symptoms. They end the episode with insights regarding equitable care of patients with smell-based symptoms.


---


RESOURCES


Dr. Patel’s Stanford profile

https://profiles.stanford.edu/zara-patel


JAMA Patient Handout on Olfactory Training:

https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2782042


International Consensus Statement on Allergy and Rhinology:

Olfaction https://onlinelibrary.wiley.com/doi/10.1002/alr.22929

]]> 5129 Ep. 121 Recruiting the Next Generation of Otolaryngologists with Robert Glazer In this episode of BackTable ENT, Robert Glazer, executive vice president of ENT and Allergy Associates LLP joins Dr. Ashley Agan to speak about his process for recruiting the next generation of otolaryngologists, things otolaryngologists should look for in choosing a practice to join, and general tips and advice for otolaryngology residents to think of in their plans post residency. --- SHOW NOTES Dr. Agan begins the episode by having Robert Glazer discuss his background in the healthcare field with over 40 years of healthcare experience in finance and operations, managed care contracting, physician recruitment, and healthcare marketing. Glazer discusses his beginnings in healthcare starting back in 1976 by getting a job as a clerk in NYU medical center in the grants and contracts division, helping physicians fill out grants for their medical research. During his nine years at NYU he went and got his masters degree in public administration with a focus on healthcare, and takes us through how these early jobs and his further promotions, led him to ENT & Allergy Associates LLP. Next, Glazer explains what he looks for in recruiting otolaryngologists to his practice and advice for resident physicians looking to apply to the job market. Residents should take into consideration different practices and the importance of networking and meeting individuals at a particular practice. Glazer tries to meet candidates in their PGY2 and PGY3 years to get to know them and learn more about why they are interested in being in the NYC region. He also discusses some of the key questions that residents should be asking during the interview trail and discusses the importance of transparency in learning more about a practice. Lastly, Glazer talks about strategies that he has found to be successful in recruiting new otolaryngologists to his practice and discusses COVID has changed recruitment and how physicians can manage burnout post-COVID. --- RESOURCES ENT and Allergy Associates, LLP: https://www.entandallergy.com Tue, 25 Jul 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Robert Glazer, executive vice president of ENT and Allergy Associates LLP joins Dr. Ashley Agan to speak about his process for recruiting the next generation of otolaryngologists, things otolaryngologists should look for in choosing a practice to join, and general tips and advice for otolaryngology residents to think of in their plans post residency. In this episode of BackTable ENT, Robert Glazer, executive vice president of ENT and Allergy Associates LLP joins Dr. Ashley Agan to speak about his process for recruiting the next generation of otolaryngologists, things otolaryngologists should look for in choosing a practice to join, and general tips and advice for otolaryngology residents to think of in their plans post residency. --- SHOW NOTES Dr. Agan begins the episode by having Robert Glazer discuss his background in the healthcare field with over 40 years of healthcare experience in finance and operations, managed care contracting, physician recruitment, and healthcare marketing. Glazer discusses his beginnings in healthcare starting back in 1976 by getting a job as a clerk in NYU medical center in the grants and contracts division, helping physicians fill out grants for their medical research. During his nine years at NYU he went and got his masters degree in public administration with a focus on healthcare, and takes us through how these early jobs and his further promotions, led him to ENT & Allergy Associates LLP. Next, Glazer explains what he looks for in recruiting otolaryngologists to his practice and advice for resident physicians looking to apply to the job market. Residents should take into consideration different practices and the importance of networking and meeting individuals at a particular practice. Glazer tries to meet candidates in their PGY2 and PGY3 years to get to know them and learn more about why they are interested in being in the NYC region. He also discusses some of the key questions that residents should be asking during the interview trail and discusses the importance of transparency in learning more about a practice. Lastly, Glazer talks about strategies that he has found to be successful in recruiting new otolaryngologists to his practice and discusses COVID has changed recruitment and how physicians can manage burnout post-COVID. --- RESOURCES ENT and Allergy Associates, LLP: https://www.entandallergy.com In this episode of BackTable ENT, Robert Glazer, executive vice president of ENT and Allergy Associates LLP joins Dr. Ashley Agan to speak about his process for recruiting the next generation of otolaryngologists, things otolaryngologists should look for in choosing a practice to join, and general tips and advice for otolaryngology residents to think of in their plans post residency.


---


SHOW NOTES


Dr. Agan begins the episode by having Robert Glazer discuss his background in the healthcare field with over 40 years of healthcare experience in finance and operations, managed care contracting, physician recruitment, and healthcare marketing. Glazer discusses his beginnings in healthcare starting back in 1976 by getting a job as a clerk in NYU medical center in the grants and contracts division, helping physicians fill out grants for their medical research. During his nine years at NYU he went and got his masters degree in public administration with a focus on healthcare, and takes us through how these early jobs and his further promotions, led him to ENT & Allergy Associates LLP.


Next, Glazer explains what he looks for in recruiting otolaryngologists to his practice and advice for resident physicians looking to apply to the job market. Residents should take into consideration different practices and the importance of networking and meeting individuals at a particular practice. Glazer tries to meet candidates in their PGY2 and PGY3 years to get to know them and learn more about why they are interested in being in the NYC region. He also discusses some of the key questions that residents should be asking during the interview trail and discusses the importance of transparency in learning more about a practice.


Lastly, Glazer talks about strategies that he has found to be successful in recruiting new otolaryngologists to his practice and discusses COVID has changed recruitment and how physicians can manage burnout post-COVID.


---


RESOURCES


ENT and Allergy Associates, LLP:

https://www.entandallergy.com

]]> 3554 Ep. 120 Evaluation and Management of Cholesteatoma with Dr. Gauri Mankekar In this episode of BackTable ENT, Dr. Shah and Dr. Gauri Mankekar, assistant professor of Otolaryngology at LSU Health Shreveport, discuss cholesteatoma workup and surgical management. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, Drs. Shah and Mankekar review the basics of cholesteatoma: types, etiology, clinical presentation, and physical exam findings. Doctors should suspect cholesteatoma when they encounter a patient experiencing painless, malodorous ear drainage. Dr. Mankekar underscores the importance of tailoring the physical exam to each patient’s history and needs. For example, when evaluating children for potential cholesteatoma, she works to gain the child’s trust before examining the ear, sometimes using an initial visit to focus on rapport and deferring the exam to the second visit. Next, the surgeons address workup of cholesteatoma, which should include audiometry, CT scan, and culture of ear drainage (if present). All patients with cholesteatoma require long-term surveillance, as recurrence can happen more than five years after initial treatment. Dr. Shah advises that doctors approach the topic of surveillance by emphasizing the importance of creating a safe ear. Dr. Mankekar then shares tips on how to help patients understand the chronicity of their disease. Then, the surgeons discuss cholesteatoma operative techniques. Dr. Mankekar leads listeners through her approach to cholesteatoma surgery, from review of CT scans to supplies used in the OR. Dr. Shah delineates common challenges in ear surgery, such as “hard to reach areas”, and Dr. Mankekar shares technical strategies she uses in the OR. They then review the role of endoscopic tympanoplasty, ossicular chain reconstruction, and canal wall down mastoidectomy. As with her ear exam, Dr. Mankekar closely tailors each operation to the patient’s particular pathology. Finally, Dr. Mankekar summarizes her strategy for patient-centered, long-term management of cholesteatoma. --- RESOURCES Dr. Mankekar’s Profile: https://www.ochsnerlsuhs.org/doctors/gauri-mankekar Tue, 18 Jul 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Shah and Dr. Gauri Mankekar, assistant professor of Otolaryngology at LSU Health Shreveport, discuss cholesteatoma workup and surgical management. In this episode of BackTable ENT, Dr. Shah and Dr. Gauri Mankekar, assistant professor of Otolaryngology at LSU Health Shreveport, discuss cholesteatoma workup and surgical management. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, Drs. Shah and Mankekar review the basics of cholesteatoma: types, etiology, clinical presentation, and physical exam findings. Doctors should suspect cholesteatoma when they encounter a patient experiencing painless, malodorous ear drainage. Dr. Mankekar underscores the importance of tailoring the physical exam to each patient’s history and needs. For example, when evaluating children for potential cholesteatoma, she works to gain the child’s trust before examining the ear, sometimes using an initial visit to focus on rapport and deferring the exam to the second visit. Next, the surgeons address workup of cholesteatoma, which should include audiometry, CT scan, and culture of ear drainage (if present). All patients with cholesteatoma require long-term surveillance, as recurrence can happen more than five years after initial treatment. Dr. Shah advises that doctors approach the topic of surveillance by emphasizing the importance of creating a safe ear. Dr. Mankekar then shares tips on how to help patients understand the chronicity of their disease. Then, the surgeons discuss cholesteatoma operative techniques. Dr. Mankekar leads listeners through her approach to cholesteatoma surgery, from review of CT scans to supplies used in the OR. Dr. Shah delineates common challenges in ear surgery, such as “hard to reach areas”, and Dr. Mankekar shares technical strategies she uses in the OR. They then review the role of endoscopic tympanoplasty, ossicular chain reconstruction, and canal wall down mastoidectomy. As with her ear exam, Dr. Mankekar closely tailors each operation to the patient’s particular pathology. Finally, Dr. Mankekar summarizes her strategy for patient-centered, long-term management of cholesteatoma. --- RESOURCES Dr. Mankekar’s Profile: https://www.ochsnerlsuhs.org/doctors/gauri-mankekar In this episode of BackTable ENT, Dr. Shah and Dr. Gauri Mankekar, assistant professor of Otolaryngology at LSU Health Shreveport, discuss cholesteatoma workup and surgical management.


---


CHECK OUT OUR SPONSOR


Cook Medical Otolaryngology

https://www.cookmedical.com/otolaryngology


---


SHOW NOTES


First, Drs. Shah and Mankekar review the basics of cholesteatoma: types, etiology, clinical presentation, and physical exam findings. Doctors should suspect cholesteatoma when they encounter a patient experiencing painless, malodorous ear drainage. Dr. Mankekar underscores the importance of tailoring the physical exam to each patient’s history and needs. For example, when evaluating children for potential cholesteatoma, she works to gain the child’s trust before examining the ear, sometimes using an initial visit to focus on rapport and deferring the exam to the second visit.


Next, the surgeons address workup of cholesteatoma, which should include audiometry, CT scan, and culture of ear drainage (if present). All patients with cholesteatoma require long-term surveillance, as recurrence can happen more than five years after initial treatment. Dr. Shah advises that doctors approach the topic of surveillance by emphasizing the importance of creating a safe ear. Dr. Mankekar then shares tips on how to help patients understand the chronicity of their disease.


Then, the surgeons discuss cholesteatoma operative techniques. Dr. Mankekar leads listeners through her approach to cholesteatoma surgery, from review of CT scans to supplies used in the OR. Dr. Shah delineates common challenges in ear surgery, such as “hard to reach areas”, and Dr. Mankekar shares technical strategies she uses in the OR. They then review the role of endoscopic tympanoplasty, ossicular chain reconstruction, and canal wall down mastoidectomy. As with her ear exam, Dr. Mankekar closely tailors each operation to the patient’s particular pathology. Finally, Dr. Mankekar summarizes her strategy for patient-centered, long-term management of cholesteatoma.


---


RESOURCES


Dr. Mankekar’s Profile:

https://www.ochsnerlsuhs.org/doctors/gauri-mankekar

]]> 3373 Ep. 119 Children with Complex Sleep Apnea with Dr. Javan Nation In this episode of BackTable ENT, Dr. Javan Nation, a pediatric otolaryngologist from Rady’s Children Hospital in San Diego, joins Dr. Shah to speak about the assessment and management of children with complex obstructive sleep apnea. --- SHOW NOTES Dr. Nation and Gopi begin the episode by discussing some of the presentations and patient populations of young children who may be coming into the office with sleep apnea. Dr. Nation also discusses his approach in conducting a physical exam, including assessing their breathing and posture to identify if a pediatric patient may have sleep apnea. Next, Drs. Nation and Gopi discuss important history taking skills that will help the larger interdisciplinary team, such as pulmonologist or craniofacial surgeon. Dr. Nation mentions that while controversial for some clinicians, he assesses teeth grinding and thumb sucking at young ages, among other physical exam findings. Dr. Nation evaluates the role of imaging, specifically CT imaging, and explains how he uses these results to communicate to families and patients. Additionally, Dr. Nation explains his approach for looking at sleep study results. Lastly Dr. Nation summarizes how he uses sleep endoscopy in some patients to decide whether or not to recommend patients for tonsillectomy. He also explores the potential role of hypoglossal nerve stimulator in pediatric patients with sleep apnea and indications for patients getting a tracheostomy for treating obstructive sleep apnea. --- RESOURCES SENTAC (Society for Ear, Nose, Throat Advancement in Children) https://sentac.org/ Tue, 11 Jul 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Javan Nation, a pediatric otolaryngologist from Rady’s Children Hospital in San Diego, joins Dr. Shah to speak about the assessment and management of children with complex obstructive sleep apnea. In this episode of BackTable ENT, Dr. Javan Nation, a pediatric otolaryngologist from Rady’s Children Hospital in San Diego, joins Dr. Shah to speak about the assessment and management of children with complex obstructive sleep apnea. --- SHOW NOTES Dr. Nation and Gopi begin the episode by discussing some of the presentations and patient populations of young children who may be coming into the office with sleep apnea. Dr. Nation also discusses his approach in conducting a physical exam, including assessing their breathing and posture to identify if a pediatric patient may have sleep apnea. Next, Drs. Nation and Gopi discuss important history taking skills that will help the larger interdisciplinary team, such as pulmonologist or craniofacial surgeon. Dr. Nation mentions that while controversial for some clinicians, he assesses teeth grinding and thumb sucking at young ages, among other physical exam findings. Dr. Nation evaluates the role of imaging, specifically CT imaging, and explains how he uses these results to communicate to families and patients. Additionally, Dr. Nation explains his approach for looking at sleep study results. Lastly Dr. Nation summarizes how he uses sleep endoscopy in some patients to decide whether or not to recommend patients for tonsillectomy. He also explores the potential role of hypoglossal nerve stimulator in pediatric patients with sleep apnea and indications for patients getting a tracheostomy for treating obstructive sleep apnea. --- RESOURCES SENTAC (Society for Ear, Nose, Throat Advancement in Children) https://sentac.org/ In this episode of BackTable ENT, Dr. Javan Nation, a pediatric otolaryngologist from Rady’s Children Hospital in San Diego, joins Dr. Shah to speak about the assessment and management of children with complex obstructive sleep apnea.


---


SHOW NOTES


Dr. Nation and Gopi begin the episode by discussing some of the presentations and patient populations of young children who may be coming into the office with sleep apnea. Dr. Nation also discusses his approach in conducting a physical exam, including assessing their breathing and posture to identify if a pediatric patient may have sleep apnea.


Next, Drs. Nation and Gopi discuss important history taking skills that will help the larger interdisciplinary team, such as pulmonologist or craniofacial surgeon. Dr. Nation mentions that while controversial for some clinicians, he assesses teeth grinding and thumb sucking at young ages, among other physical exam findings. Dr. Nation evaluates the role of imaging, specifically CT imaging, and explains how he uses these results to communicate to families and patients. Additionally, Dr. Nation explains his approach for looking at sleep study results.


Lastly Dr. Nation summarizes how he uses sleep endoscopy in some patients to decide whether or not to recommend patients for tonsillectomy. He also explores the potential role of hypoglossal nerve stimulator in pediatric patients with sleep apnea and indications for patients getting a tracheostomy for treating obstructive sleep apnea.


---


RESOURCES


SENTAC (Society for Ear, Nose, Throat Advancement in Children)

https://sentac.org/

]]> 4730 Ep. 118 Expert Strategies for Achieving Success in Medical Research in Otolaryngology with Dr. Matthew Carlson In this episode of BackTable ENT, Dr. Walter Kutz (UT Southwestern, Dallas, TX), and guest Dr. Matthew (Matt) Carlson (Mayo Clinic, Rochester, MN) discuss high-yield research tips for medical students and physicians. --- SHOW NOTES Dr. Carlson begins the episode by describing how one can approach scholarly activity so that research is genuinely an enjoyable pursuit. Dr. Carlson emphasizes organization throughout all stages, from idea generation to project management. The work of a diverse team – in terms of individual background, skills, and seniority – helps guide good ideas to publication. With this setup, research mirrors medicine’s chain of command: residents mentor medical students on a day-to-day basis, and principal investigators are able to manage on a high level. Both surgeons agree that the skills of statisticians and institutional research coordinators are indispensable for ensuring data quality and working with the IRB, respectively. Next, Drs. Kutz and Carlson dive deeper into the research process. Dr. Carlson starts projects by diving into PubMed and identifying how his project can address yet-unanswered questions. Drs. Carlson and Kutz discuss resources they employ to insure data and manuscript integrity. Regardless of the manuscript’s topic, clarity of style and good grammar are non-negotiable. From the perspective of a researcher and reviewer, Dr. Carlson finds that sloppy writing leads one to question whether data analysis is similarly disorganized. Then, Dr. Carlson explains how his research group manages to publish, on average, one manuscript a week. He attributes this productivity to organization, clear expectations for all involved, and genuine enthusiasm for investigation all contribute to this impressive statistic. Dr. Kutz comments that output is better when trainees are encouraged, rather than mandated, to take on research projects. Finally, Drs. Kutz and Carlson discuss how artificial intelligence and open-access journals could alter the research landscape in the near future. As a parting thought, Dr. Carlson encourages listeners to build a good team and be generous with mentees. --- RESOURCES The Dip: A Little Book that Teaches You When to Quit (and When to Stick), Seth Godin Grammarly https://www.grammarly.com/ Dr. Carlson’s Research Profile https://www.mayo.edu/research/faculty/carlson-matthew-l-m-d/bio-20113086 Tue, 04 Jul 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Walter Kutz (UT Southwestern, Dallas, TX), and guest Dr. Matthew (Matt) Carlson (Mayo Clinic, Rochester, MN) discuss high-yield research tips for medical students and physicians. In this episode of BackTable ENT, Dr. Walter Kutz (UT Southwestern, Dallas, TX), and guest Dr. Matthew (Matt) Carlson (Mayo Clinic, Rochester, MN) discuss high-yield research tips for medical students and physicians. --- SHOW NOTES Dr. Carlson begins the episode by describing how one can approach scholarly activity so that research is genuinely an enjoyable pursuit. Dr. Carlson emphasizes organization throughout all stages, from idea generation to project management. The work of a diverse team – in terms of individual background, skills, and seniority – helps guide good ideas to publication. With this setup, research mirrors medicine’s chain of command: residents mentor medical students on a day-to-day basis, and principal investigators are able to manage on a high level. Both surgeons agree that the skills of statisticians and institutional research coordinators are indispensable for ensuring data quality and working with the IRB, respectively. Next, Drs. Kutz and Carlson dive deeper into the research process. Dr. Carlson starts projects by diving into PubMed and identifying how his project can address yet-unanswered questions. Drs. Carlson and Kutz discuss resources they employ to insure data and manuscript integrity. Regardless of the manuscript’s topic, clarity of style and good grammar are non-negotiable. From the perspective of a researcher and reviewer, Dr. Carlson finds that sloppy writing leads one to question whether data analysis is similarly disorganized. Then, Dr. Carlson explains how his research group manages to publish, on average, one manuscript a week. He attributes this productivity to organization, clear expectations for all involved, and genuine enthusiasm for investigation all contribute to this impressive statistic. Dr. Kutz comments that output is better when trainees are encouraged, rather than mandated, to take on research projects. Finally, Drs. Kutz and Carlson discuss how artificial intelligence and open-access journals could alter the research landscape in the near future. As a parting thought, Dr. Carlson encourages listeners to build a good team and be generous with mentees. --- RESOURCES The Dip: A Little Book that Teaches You When to Quit (and When to Stick), Seth Godin Grammarly https://www.grammarly.com/ Dr. Carlson’s Research Profile https://www.mayo.edu/research/faculty/carlson-matthew-l-m-d/bio-20113086 In this episode of BackTable ENT, Dr. Walter Kutz (UT Southwestern, Dallas, TX), and guest Dr. Matthew (Matt) Carlson (Mayo Clinic, Rochester, MN) discuss high-yield research tips for medical students and physicians.


---


SHOW NOTES


Dr. Carlson begins the episode by describing how one can approach scholarly activity so that research is genuinely an enjoyable pursuit. Dr. Carlson emphasizes organization throughout all stages, from idea generation to project management. The work of a diverse team – in terms of individual background, skills, and seniority – helps guide good ideas to publication. With this setup, research mirrors medicine’s chain of command: residents mentor medical students on a day-to-day basis, and principal investigators are able to manage on a high level. Both surgeons agree that the skills of statisticians and institutional research coordinators are indispensable for ensuring data quality and working with the IRB, respectively.


Next, Drs. Kutz and Carlson dive deeper into the research process. Dr. Carlson starts projects by diving into PubMed and identifying how his project can address yet-unanswered questions. Drs. Carlson and Kutz discuss resources they employ to insure data and manuscript integrity. Regardless of the manuscript’s topic, clarity of style and good grammar are non-negotiable. From the perspective of a researcher and reviewer, Dr. Carlson finds that sloppy writing leads one to question whether data analysis is similarly disorganized.


Then, Dr. Carlson explains how his research group manages to publish, on average, one manuscript a week. He attributes this productivity to organization, clear expectations for all involved, and genuine enthusiasm for investigation all contribute to this impressive statistic. Dr. Kutz comments that output is better when trainees are encouraged, rather than mandated, to take on research projects. Finally, Drs. Kutz and Carlson discuss how artificial intelligence and open-access journals could alter the research landscape in the near future. As a parting thought, Dr. Carlson encourages listeners to build a good team and be generous with mentees.


---


RESOURCES


The Dip: A Little Book that Teaches You When to Quit (and When to Stick), Seth Godin


Grammarly

https://www.grammarly.com/


Dr. Carlson’s Research Profile

https://www.mayo.edu/research/faculty/carlson-matthew-l-m-d/bio-20113086

]]> 2690 Ep. 117 Advanced Endoscopy Techniques in the Management of Zenker's Diverticulum with Dr. Shumon Dhar In this episode of BackTable ENT, Dr. Agan and UT Southwestern laryngologist Dr. Shumon Dhar discuss new approaches like flexible scope techniques to managing Zenker's diverticulum. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, the doctors summarize flexible endoscopy techniques and hybrid techniques for treating patients with Zenker's diverticulum. They discuss the ideal candidates and how endoscopic Zenker's surgery has changed to achieve better results and lower rates of postoperative complications. Specifically, they discuss the importance of removing the muscular and mucosal septum of the Zenker's pouch to reduce the risk of postoperative complications. Additionally, they examine the importance of creating a watertight mucosal seal, the use of distal attachment caps, and the importance of getting a good visualization of the septum for a successful surgery. They also discuss the role of intubation and general anesthesia and cover the use of gastrostomy tubes for patients with dysphagia. Next, Dr. Dhar explains the types of advanced energy devices used when performing the myotomy for the treatment of Zenker's diverticulum. He also goes into depth about the learning curve associated with this procedure and discuss the rate limiting factors when considering the wide-spread use of this technique. The doctors then comment on the differences between a Z-POEM, rigid, and flexible endoscopic surgical techniques. Ultimately, Dr. Dhar believes that having a variety of tools at one's disposal to be able to offer patients the best option for their needs is the key to successful treatment. Finally, they discuss the importance of post-operative care for patients with Zenker's diverticulum. They explore the use of clips, the avoidance of positive pressure, the use of NG tubes, and an ideal post-operative diet. --- RESOURCES Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology/ Tue, 27 Jun 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Agan and UT Southwestern laryngologist Dr. Shumon Dhar discuss new approaches like flexible scope techniques to managing Zenker's diverticulum. In this episode of BackTable ENT, Dr. Agan and UT Southwestern laryngologist Dr. Shumon Dhar discuss new approaches like flexible scope techniques to managing Zenker's diverticulum. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, the doctors summarize flexible endoscopy techniques and hybrid techniques for treating patients with Zenker's diverticulum. They discuss the ideal candidates and how endoscopic Zenker's surgery has changed to achieve better results and lower rates of postoperative complications. Specifically, they discuss the importance of removing the muscular and mucosal septum of the Zenker's pouch to reduce the risk of postoperative complications. Additionally, they examine the importance of creating a watertight mucosal seal, the use of distal attachment caps, and the importance of getting a good visualization of the septum for a successful surgery. They also discuss the role of intubation and general anesthesia and cover the use of gastrostomy tubes for patients with dysphagia. Next, Dr. Dhar explains the types of advanced energy devices used when performing the myotomy for the treatment of Zenker's diverticulum. He also goes into depth about the learning curve associated with this procedure and discuss the rate limiting factors when considering the wide-spread use of this technique. The doctors then comment on the differences between a Z-POEM, rigid, and flexible endoscopic surgical techniques. Ultimately, Dr. Dhar believes that having a variety of tools at one's disposal to be able to offer patients the best option for their needs is the key to successful treatment. Finally, they discuss the importance of post-operative care for patients with Zenker's diverticulum. They explore the use of clips, the avoidance of positive pressure, the use of NG tubes, and an ideal post-operative diet. --- RESOURCES Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology/ In this episode of BackTable ENT, Dr. Agan and UT Southwestern laryngologist Dr. Shumon Dhar discuss new approaches like flexible scope techniques to managing Zenker's diverticulum.


---


CHECK OUT OUR SPONSOR


Cook Medical Otolaryngology

https://www.cookmedical.com/otolaryngology


---


SHOW NOTES


First, the doctors summarize flexible endoscopy techniques and hybrid techniques for treating patients with Zenker's diverticulum. They discuss the ideal candidates and how endoscopic Zenker's surgery has changed to achieve better results and lower rates of postoperative complications. Specifically, they discuss the importance of removing the muscular and mucosal septum of the Zenker's pouch to reduce the risk of postoperative complications.


Additionally, they examine the importance of creating a watertight mucosal seal, the use of distal attachment caps, and the importance of getting a good visualization of the septum for a successful surgery. They also discuss the role of intubation and general anesthesia and cover the use of gastrostomy tubes for patients with dysphagia. Next, Dr. Dhar explains the types of advanced energy devices used when performing the myotomy for the treatment of Zenker's diverticulum. He also goes into depth about the learning curve associated with this procedure and discuss the rate limiting factors when considering the wide-spread use of this technique. The doctors then comment on the differences between a Z-POEM, rigid, and flexible endoscopic surgical techniques. Ultimately, Dr. Dhar believes that having a variety of tools at one's disposal to be able to offer patients the best option for their needs is the key to successful treatment.


Finally, they discuss the importance of post-operative care for patients with Zenker's diverticulum. They explore the use of clips, the avoidance of positive pressure, the use of NG tubes, and an ideal post-operative diet.


---


RESOURCES


Cook Medical Otolaryngology

https://www.cookmedical.com/otolaryngology/

]]> 3692 Ep. 116 Chronic Cough with Dr. Karuna Dewan In this episode of BackTable ENT, Dr. Shah and Dr. Karuna Dewan discuss diagnosis, workup and medical therapy for chronic cough in adults. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, they discuss the array of surveys used to quantify and assess the severity of the cough, as well as the importance of physical exam and laryngoscopy for an accurate diagnosis. They also outline various diagnoses that could be contributing to the chronic cough. Next, the critical role of speech pathologists in dysphagia diagnosis and management is explored. Dr. Dewan emphasizes the importance of the scope exam, as well as how speech pathologists are integral to the dysphagia diagnosis. Various testing options are discussed, such as modified barium swallow, esophagram, and pulmonary function testing. She then delves into how to decide which tests are necessary for each patient. Then, they discuss various treatments and medications for chronic coughing, including reflux medications, proton pump inhibitors, and steroids. They explore the importance of taking into account the potential side effects of these medications and of monitoring them closely. Additionally, they evaluate the efficacy of Tessalon perles, over the counter cough suppressants, and the two-arm approach for treating neurogenic cough. They also explain paradoxical vocal cord motion, its symptoms, and how it is treated with therapy and an ipratropium bromide inhaler. Procedures, like the superior laryngeal nerve block injections, may be effective for treating chronic cough. Finally, the doctors reflect on the use of social media for professional purposes. They consider how to best use Twitter and Instagram to promote oneself, and the importance of having an easily accessible profile on the Internet. They also touch on the importance of developing an online presence in order to stay connected and visible in the professional world. Tue, 20 Jun 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Shah and Dr. Karuna Dewan discuss diagnosis, workup and medical therapy for chronic cough in adults. In this episode of BackTable ENT, Dr. Shah and Dr. Karuna Dewan discuss diagnosis, workup and medical therapy for chronic cough in adults. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, they discuss the array of surveys used to quantify and assess the severity of the cough, as well as the importance of physical exam and laryngoscopy for an accurate diagnosis. They also outline various diagnoses that could be contributing to the chronic cough. Next, the critical role of speech pathologists in dysphagia diagnosis and management is explored. Dr. Dewan emphasizes the importance of the scope exam, as well as how speech pathologists are integral to the dysphagia diagnosis. Various testing options are discussed, such as modified barium swallow, esophagram, and pulmonary function testing. She then delves into how to decide which tests are necessary for each patient. Then, they discuss various treatments and medications for chronic coughing, including reflux medications, proton pump inhibitors, and steroids. They explore the importance of taking into account the potential side effects of these medications and of monitoring them closely. Additionally, they evaluate the efficacy of Tessalon perles, over the counter cough suppressants, and the two-arm approach for treating neurogenic cough. They also explain paradoxical vocal cord motion, its symptoms, and how it is treated with therapy and an ipratropium bromide inhaler. Procedures, like the superior laryngeal nerve block injections, may be effective for treating chronic cough. Finally, the doctors reflect on the use of social media for professional purposes. They consider how to best use Twitter and Instagram to promote oneself, and the importance of having an easily accessible profile on the Internet. They also touch on the importance of developing an online presence in order to stay connected and visible in the professional world. In this episode of BackTable ENT, Dr. Shah and Dr. Karuna Dewan discuss diagnosis, workup and medical therapy for chronic cough in adults.


---


CHECK OUT OUR SPONSOR


Cook Medical Otolaryngology

https://www.cookmedical.com/otolaryngology


---


SHOW NOTES


First, they discuss the array of surveys used to quantify and assess the severity of the cough, as well as the importance of physical exam and laryngoscopy for an accurate diagnosis. They also outline various diagnoses that could be contributing to the chronic cough.


Next, the critical role of speech pathologists in dysphagia diagnosis and management is explored. Dr. Dewan emphasizes the importance of the scope exam, as well as how speech pathologists are integral to the dysphagia diagnosis. Various testing options are discussed, such as modified barium swallow, esophagram, and pulmonary function testing. She then delves into how to decide which tests are necessary for each patient. Then, they discuss various treatments and medications for chronic coughing, including reflux medications, proton pump inhibitors, and steroids. They explore the importance of taking into account the potential side effects of these medications and of monitoring them closely. Additionally, they evaluate the efficacy of Tessalon perles, over the counter cough suppressants, and the two-arm approach for treating neurogenic cough. They also explain paradoxical vocal cord motion, its symptoms, and how it is treated with therapy and an ipratropium bromide inhaler. Procedures, like the superior laryngeal nerve block injections, may be effective for treating chronic cough.


Finally, the doctors reflect on the use of social media for professional purposes. They consider how to best use Twitter and Instagram to promote oneself, and the importance of having an easily accessible profile on the Internet. They also touch on the importance of developing an online presence in order to stay connected and visible in the professional world.

]]> 3210 Ep. 115 Management of the Plunging Ranula with Dr. Rohan Walveker In this episode of BackTable ENT, Dr. Agan and Dr. Shah invite Dr. Rohan Walvekar, Chair in Head and Neck Surgery at Louisiana State University, to discuss his experience with innovating procedures for sialendoscopy and ranula excision. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, Dr. Walvekar shares his insights on how to differentiate between cysts and sublingual gland masses. He explains the importance of examining the normal side of the floor of the mouth and comparing it to the abnormal side. He also discusses the advantages of using ultrasound in the office and when to consider imaging such as CT or MRI. Finally, he explains the importance of understanding different malformation types when making treatment decisions. Next, Dr. Rohan Walvekar talks about the importance of being familiar with the floor of mouth anatomy to avoid injuring the lingual nerve. He also explains his preferred approach to intubation and emphasizes the importance of examining the papilla. Familiarity with floor of mouth anatomy is important for safe cannulation of the duct. Dr. Walvekar's stent is designed to have a flange that anchors itself to the floor of the mouth and can be used for both parotid and submandibular ducts. The stent helps to identify the duct and ensure the incision for the sublingual gland removal is made in the right place. Dr. Walvekar explains his approach to decompressing a pseudocyst, which includes transoral dissection and, if needed, aspirating with a thick 18 gauge needle. Finally, he discusses the importance of not injuring the submandibular duct and lingual nerve during closure and the possible use of a transcervical approach if needed. --- RESOURCES Walvekar Salivary Duct Stent: https://hoodlabs.com/salivary-management/walvekar-salivary-duct-stent/ Tue, 13 Jun 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Agan and Dr. Shah invite Dr. Rohan Walvekar, Chair in Head and Neck Surgery at Louisiana State University, to discuss his experience with innovating procedures for sialendoscopy and ranula excision. In this episode of BackTable ENT, Dr. Agan and Dr. Shah invite Dr. Rohan Walvekar, Chair in Head and Neck Surgery at Louisiana State University, to discuss his experience with innovating procedures for sialendoscopy and ranula excision. --- CHECK OUT OUR SPONSOR Cook Medical Otolaryngology https://www.cookmedical.com/otolaryngology --- SHOW NOTES First, Dr. Walvekar shares his insights on how to differentiate between cysts and sublingual gland masses. He explains the importance of examining the normal side of the floor of the mouth and comparing it to the abnormal side. He also discusses the advantages of using ultrasound in the office and when to consider imaging such as CT or MRI. Finally, he explains the importance of understanding different malformation types when making treatment decisions. Next, Dr. Rohan Walvekar talks about the importance of being familiar with the floor of mouth anatomy to avoid injuring the lingual nerve. He also explains his preferred approach to intubation and emphasizes the importance of examining the papilla. Familiarity with floor of mouth anatomy is important for safe cannulation of the duct. Dr. Walvekar's stent is designed to have a flange that anchors itself to the floor of the mouth and can be used for both parotid and submandibular ducts. The stent helps to identify the duct and ensure the incision for the sublingual gland removal is made in the right place. Dr. Walvekar explains his approach to decompressing a pseudocyst, which includes transoral dissection and, if needed, aspirating with a thick 18 gauge needle. Finally, he discusses the importance of not injuring the submandibular duct and lingual nerve during closure and the possible use of a transcervical approach if needed. --- RESOURCES Walvekar Salivary Duct Stent: https://hoodlabs.com/salivary-management/walvekar-salivary-duct-stent/ In this episode of BackTable ENT, Dr. Agan and Dr. Shah invite Dr. Rohan Walvekar, Chair in Head and Neck Surgery at Louisiana State University, to discuss his experience with innovating procedures for sialendoscopy and ranula excision.


---


CHECK OUT OUR SPONSOR


Cook Medical Otolaryngology

https://www.cookmedical.com/otolaryngology


---


SHOW NOTES


First, Dr. Walvekar shares his insights on how to differentiate between cysts and sublingual gland masses. He explains the importance of examining the normal side of the floor of the mouth and comparing it to the abnormal side. He also discusses the advantages of using ultrasound in the office and when to consider imaging such as CT or MRI. Finally, he explains the importance of understanding different malformation types when making treatment decisions. Next, Dr. Rohan Walvekar talks about the importance of being familiar with the floor of mouth anatomy to avoid injuring the lingual nerve. He also explains his preferred approach to intubation and emphasizes the importance of examining the papilla.


Familiarity with floor of mouth anatomy is important for safe cannulation of the duct. Dr. Walvekar's stent is designed to have a flange that anchors itself to the floor of the mouth and can be used for both parotid and submandibular ducts. The stent helps to identify the duct and ensure the incision for the sublingual gland removal is made in the right place. Dr. Walvekar explains his approach to decompressing a pseudocyst, which includes transoral dissection and, if needed, aspirating with a thick 18 gauge needle. Finally, he discusses the importance of not injuring the submandibular duct and lingual nerve during closure and the possible use of a transcervical approach if needed.


---


RESOURCES


Walvekar Salivary Duct Stent:

https://hoodlabs.com/salivary-management/walvekar-salivary-duct-stent/

]]> 3761 Ep. 114 Mentorship: a Practical Guide with Dr. David Haynes In this episode of BackTable ENT, Dr. Walter Kutz and Dr. David Haynes, program director of the Neurotology Fellowship at Vanderbilt University, discuss the importance of mentoring for both ENT trainees and faculty. --- SHOW NOTES First, Dr. Haynes explores the concept of mastering a skill, the importance of coaching, and deliberate practice. He also talks about the importance of having mentors with adequate standards and expectations, and how having this type of relationship between mentor and mentee requires commitment on both sides. Additionally, he notes that the knowledge passed down from mentors is generational and cumulative. The doctors also discuss the importance of having a growth mindset, which they believe is just as important as having surgical skills. They compare the role of a mentor to that of a coach and explain that even the best athletes have coaches to help them improve. For medical trainees to be coachable, they have to have a positive attitude and willingness to learn. Finally, Dr. Haynes emphasizes the importance of taking classes to learn professionalism. Then, Dr. Haynes shares stories about his own mentors and discusses how they have had a profound influence on my career. The doctors explain the benefit of having mentors both within and outside their organizations, as well as the difficulty of having a formal mentorship program due to the demands of the medical profession. Finally, they agree that the quality, not the quantity of time, spent with mentors counts. Tue, 06 Jun 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Walter Kutz and Dr. David Haynes, program director of the Neurotology Fellowship at Vanderbilt University, discuss the importance of mentoring for both ENT trainees and faculty. In this episode of BackTable ENT, Dr. Walter Kutz and Dr. David Haynes, program director of the Neurotology Fellowship at Vanderbilt University, discuss the importance of mentoring for both ENT trainees and faculty. --- SHOW NOTES First, Dr. Haynes explores the concept of mastering a skill, the importance of coaching, and deliberate practice. He also talks about the importance of having mentors with adequate standards and expectations, and how having this type of relationship between mentor and mentee requires commitment on both sides. Additionally, he notes that the knowledge passed down from mentors is generational and cumulative. The doctors also discuss the importance of having a growth mindset, which they believe is just as important as having surgical skills. They compare the role of a mentor to that of a coach and explain that even the best athletes have coaches to help them improve. For medical trainees to be coachable, they have to have a positive attitude and willingness to learn. Finally, Dr. Haynes emphasizes the importance of taking classes to learn professionalism. Then, Dr. Haynes shares stories about his own mentors and discusses how they have had a profound influence on my career. The doctors explain the benefit of having mentors both within and outside their organizations, as well as the difficulty of having a formal mentorship program due to the demands of the medical profession. Finally, they agree that the quality, not the quantity of time, spent with mentors counts. In this episode of BackTable ENT, Dr. Walter Kutz and Dr. David Haynes, program director of the Neurotology Fellowship at Vanderbilt University, discuss the importance of mentoring for both ENT trainees and faculty.


---


SHOW NOTES


First, Dr. Haynes explores the concept of mastering a skill, the importance of coaching, and deliberate practice. He also talks about the importance of having mentors with adequate standards and expectations, and how having this type of relationship between mentor and mentee requires commitment on both sides. Additionally, he notes that the knowledge passed down from mentors is generational and cumulative. The doctors also discuss the importance of having a growth mindset, which they believe is just as important as having surgical skills. They compare the role of a mentor to that of a coach and explain that even the best athletes have coaches to help them improve. For medical trainees to be coachable, they have to have a positive attitude and willingness to learn. Finally, Dr. Haynes emphasizes the importance of taking classes to learn professionalism.


Then, Dr. Haynes shares stories about his own mentors and discusses how they have had a profound influence on my career. The doctors explain the benefit of having mentors both within and outside their organizations, as well as the difficulty of having a formal mentorship program due to the demands of the medical profession. Finally, they agree that the quality, not the quantity of time, spent with mentors counts.

]]> 2455 Ep. 113 Intracranial Complications of Acute Sinusitis in Children with Dr. Amanda Stapleton This week on the BackTable ENT podcast, Dr. Gopi Shah and Dr. Amanda Stapleton, a pediatric otolaryngologist from UPMC Children's Hospital of Pittsburgh, chat about the unique challenges of treating pediatric sinus and skull base diseases, orbital complications, and biofilm-covered Moraxella. They discuss source control, biofilm, and her research focused on the bacteriology of pediatric chronic sinusitis and patients with cystic fibrosis. --- SHOW NOTES First, they discuss how to recognize the signs and symptoms of pediatric patients who present with orbital or intracranial abscesses and how age and location of the abscess can influence treatment decisions. They also explain how to distinguish between intracranial and orbital abscesses and how to recognize the symptoms of sphenoid sinusitis. Both doctors emphasize the importance of involving infectious disease colleagues to evaluate antibiotic coverage and surgical indications. Next, the doctors discuss the techniques for sinus surgery, including the use of a scope for visualization, warm irrigations, navigation, and augmented reality systems in the acute setting. Dr. Stapleton also provides tips on when to remove a middle turbinate and the importance of source control, especially in patients under the age of seven. An adenoidectomy may be necessary if the patient has had multiple colds throughout the winter and the decision is made to take down the lamina to drain an abscess pocket. Finally, the doctors discuss the follow up process for children with chronic sinusitis, which may include office endoscopy and allergy testing, and discuss the rare cases of intracranial abscesses. In addition to being vigilant and proactive in monitoring the potential for repeat infections, imaging to detect any scarring or residual mucosal inflammation that might have resulted from the initial infection is also helpful. Tue, 30 May 2023 05:05:00 -0000 full BackTable Inc. This week on the BackTable ENT podcast, Dr. Gopi Shah and Dr. Amanda Stapleton, a pediatric otolaryngologist from UPMC Children's Hospital of Pittsburgh, chat about the unique challenges of treating pediatric sinus and skull base diseases, orbital complications, and biofilm-covered Moraxella. They discuss source control, biofilm, and her research focused on the bacteriology of pediatric chronic sinusitis and patients with cystic fibrosis. This week on the BackTable ENT podcast, Dr. Gopi Shah and Dr. Amanda Stapleton, a pediatric otolaryngologist from UPMC Children's Hospital of Pittsburgh, chat about the unique challenges of treating pediatric sinus and skull base diseases, orbital complications, and biofilm-covered Moraxella. They discuss source control, biofilm, and her research focused on the bacteriology of pediatric chronic sinusitis and patients with cystic fibrosis. --- SHOW NOTES First, they discuss how to recognize the signs and symptoms of pediatric patients who present with orbital or intracranial abscesses and how age and location of the abscess can influence treatment decisions. They also explain how to distinguish between intracranial and orbital abscesses and how to recognize the symptoms of sphenoid sinusitis. Both doctors emphasize the importance of involving infectious disease colleagues to evaluate antibiotic coverage and surgical indications. Next, the doctors discuss the techniques for sinus surgery, including the use of a scope for visualization, warm irrigations, navigation, and augmented reality systems in the acute setting. Dr. Stapleton also provides tips on when to remove a middle turbinate and the importance of source control, especially in patients under the age of seven. An adenoidectomy may be necessary if the patient has had multiple colds throughout the winter and the decision is made to take down the lamina to drain an abscess pocket. Finally, the doctors discuss the follow up process for children with chronic sinusitis, which may include office endoscopy and allergy testing, and discuss the rare cases of intracranial abscesses. In addition to being vigilant and proactive in monitoring the potential for repeat infections, imaging to detect any scarring or residual mucosal inflammation that might have resulted from the initial infection is also helpful. This week on the BackTable ENT podcast, Dr. Gopi Shah and Dr. Amanda Stapleton, a pediatric otolaryngologist from UPMC Children's Hospital of Pittsburgh, chat about the unique challenges of treating pediatric sinus and skull base diseases, orbital complications, and biofilm-covered Moraxella. They discuss source control, biofilm, and her research focused on the bacteriology of pediatric chronic sinusitis and patients with cystic fibrosis.


---


SHOW NOTES


First, they discuss how to recognize the signs and symptoms of pediatric patients who present with orbital or intracranial abscesses and how age and location of the abscess can influence treatment decisions. They also explain how to distinguish between intracranial and orbital abscesses and how to recognize the symptoms of sphenoid sinusitis. Both doctors emphasize the importance of involving infectious disease colleagues to evaluate antibiotic coverage and surgical indications.


Next, the doctors discuss the techniques for sinus surgery, including the use of a scope for visualization, warm irrigations, navigation, and augmented reality systems in the acute setting. Dr. Stapleton also provides tips on when to remove a middle turbinate and the importance of source control, especially in patients under the age of seven. An adenoidectomy may be necessary if the patient has had multiple colds throughout the winter and the decision is made to take down the lamina to drain an abscess pocket.


Finally, the doctors discuss the follow up process for children with chronic sinusitis, which may include office endoscopy and allergy testing, and discuss the rare cases of intracranial abscesses. In addition to being vigilant and proactive in monitoring the potential for repeat infections, imaging to detect any scarring or residual mucosal inflammation that might have resulted from the initial infection is also helpful.

]]> 3389 Ep. 112 Manejo de Condiciones Neurotologicas con Dr. Juan Chiosone En este episodio de BackTable ENT, Dr. Carlos Torre entrevista al reumatólogo Dr. Juan Chiossone sobre su trayectoria profesional y su manejo de pacientes con problemas neurotológicos. --- SHOW NOTES Primero, Dr. Chiossone explica su trasfondo médico, que incluye el entrenamiento en varios lugares como Venezuela e Inglaterra. Se dio cuenta de que tenía un interés en la investigación científica y la microcirugía durante su tiempo en la escuela medical en Caracas. Tuvo la oportunidad de estudiar en Cambridge también y explicó cómo buscó sus mentores y el rol integral que tiene su fellowship en su desarrollo como cirujano. Después de su tiempo en Inglaterra, hizo la decisión de quedarse en la medicina académica y explica más sobre las ventajas y desventajas de trabajar en una práctica privada. Dr. Chiossone hace la transición para explicar cómo obtuvo una posición en la Universidad de Miami y las diferencias entre practicar medicina en Venezuela y los Estados Unidos. Próximamente, los doctores discuten la evaluación de los pacientes con problemas neurotológicos. Dr. Chiossone nota que el tiempo de presentación de los síntomas es importante, independientemente de si es una pérdida auditiva o problemas con el balance. Para los niños, es crítico diagnosticar los problemas temprano porque la falta de tratamiento puede tener un gran impacto por el resto de sus vidas. Para cada condición, es importante explicar la condición al paciente en vocabulario básico y tener un actitud optimista sobre el tratamiento para mitigar la ansiedad y el estrés del paciente. Además, Dr. Chissone habla sobre su técnica de implantación coclear, su protocolo de inyecciones intratimpánicos, indicaciones para tubos para los oídos, y su reparación de las perforaciones timpánicas. Finalmente, los doctores comparan las ventajas y desventajas de la cirugía microscópica y la cirugía endoscopia y el impacto de los nuevos audífonos de venta libre. Tue, 23 May 2023 05:05:00 -0000 full BackTable Inc. En este episodio de BackTable ENT, Dr. Carlos Torre entrevista al reumatólogo Dr. Juan Chiossone sobre su trayectoria profesional y su manejo de pacientes con problemas neurotológicos. En este episodio de BackTable ENT, Dr. Carlos Torre entrevista al reumatólogo Dr. Juan Chiossone sobre su trayectoria profesional y su manejo de pacientes con problemas neurotológicos. --- SHOW NOTES Primero, Dr. Chiossone explica su trasfondo médico, que incluye el entrenamiento en varios lugares como Venezuela e Inglaterra. Se dio cuenta de que tenía un interés en la investigación científica y la microcirugía durante su tiempo en la escuela medical en Caracas. Tuvo la oportunidad de estudiar en Cambridge también y explicó cómo buscó sus mentores y el rol integral que tiene su fellowship en su desarrollo como cirujano. Después de su tiempo en Inglaterra, hizo la decisión de quedarse en la medicina académica y explica más sobre las ventajas y desventajas de trabajar en una práctica privada. Dr. Chiossone hace la transición para explicar cómo obtuvo una posición en la Universidad de Miami y las diferencias entre practicar medicina en Venezuela y los Estados Unidos. Próximamente, los doctores discuten la evaluación de los pacientes con problemas neurotológicos. Dr. Chiossone nota que el tiempo de presentación de los síntomas es importante, independientemente de si es una pérdida auditiva o problemas con el balance. Para los niños, es crítico diagnosticar los problemas temprano porque la falta de tratamiento puede tener un gran impacto por el resto de sus vidas. Para cada condición, es importante explicar la condición al paciente en vocabulario básico y tener un actitud optimista sobre el tratamiento para mitigar la ansiedad y el estrés del paciente. Además, Dr. Chissone habla sobre su técnica de implantación coclear, su protocolo de inyecciones intratimpánicos, indicaciones para tubos para los oídos, y su reparación de las perforaciones timpánicas. Finalmente, los doctores comparan las ventajas y desventajas de la cirugía microscópica y la cirugía endoscopia y el impacto de los nuevos audífonos de venta libre. En este episodio de BackTable ENT, Dr. Carlos Torre entrevista al reumatólogo Dr. Juan Chiossone sobre su trayectoria profesional y su manejo de pacientes con problemas neurotológicos.


---


SHOW NOTES


Primero, Dr. Chiossone explica su trasfondo médico, que incluye el entrenamiento en varios lugares como Venezuela e Inglaterra. Se dio cuenta de que tenía un interés en la investigación científica y la microcirugía durante su tiempo en la escuela medical en Caracas. Tuvo la oportunidad de estudiar en Cambridge también y explicó cómo buscó sus mentores y el rol integral que tiene su fellowship en su desarrollo como cirujano. Después de su tiempo en Inglaterra, hizo la decisión de quedarse en la medicina académica y explica más sobre las ventajas y desventajas de trabajar en una práctica privada. Dr. Chiossone hace la transición para explicar cómo obtuvo una posición en la Universidad de Miami y las diferencias entre practicar medicina en Venezuela y los Estados Unidos.


Próximamente, los doctores discuten la evaluación de los pacientes con problemas neurotológicos. Dr. Chiossone nota que el tiempo de presentación de los síntomas es importante, independientemente de si es una pérdida auditiva o problemas con el balance. Para los niños, es crítico diagnosticar los problemas temprano porque la falta de tratamiento puede tener un gran impacto por el resto de sus vidas. Para cada condición, es importante explicar la condición al paciente en vocabulario básico y tener un actitud optimista sobre el tratamiento para mitigar la ansiedad y el estrés del paciente.


Además, Dr. Chissone habla sobre su técnica de implantación coclear, su protocolo de inyecciones intratimpánicos, indicaciones para tubos para los oídos, y su reparación de las perforaciones timpánicas. Finalmente, los doctores comparan las ventajas y desventajas de la cirugía microscópica y la cirugía endoscopia y el impacto de los nuevos audífonos de venta libre.

]]> 5289 Ep. 111 Pediatric Cochlear Implant Program in Costa Rica with Dr. Adriana Vega Thu, 18 May 2023 05:05:00 -0000 full BackTable Inc. 2450 Ep. 110 Intracapsular Tonsillectomy in Children with Dr. Kevin Huoh In this episode of BackTable ENT, Dr. Shah interviews pediatric otolaryngologist Dr. Kevin Huoh about intracapsular tonsillectomy, including the postoperative benefits of the procedure and his personal techniques. --- CHECK OUT OUR SPONSOR Smith & Nephew ENT Solutions https://smith-nephew.com --- SHOW NOTES First, Dr. Huoh explains the principle behind intracapsular tonsillectomy. This technique involves removing the tonsil but leaving the capsule intact to protect muscles of the pharyngeal wall and lateral vessels. When he performs this procedure on patients, he notices that their recovery period is less painful and their lower risk of hemorrhages when compared to extracapsular tonsillectomy patients. According to the literature, there is only 3% risk of tonsil regrowth, but he considers regrowth a safer complication than tonsillar hemorrhage. His postoperative recovery regimen includes Tylenol or Motrin for 24 hours, and his patients can start on a regular diet immediately after surgery. Then, he and Dr. Shah discuss differences between American and European guidelines on intracapsular tonsillectomy. Next, Dr. Huoh explains the type of equipment he uses and his intracapsular tonsillectomy technique. He encourages surgeons to follow their tonsillar regrowth rate, as this data can inform surgeons on whether they are removing enough tissue during the procedure. Additionally, he also emphasizes that it is never too late to learn a new procedure like intracapsular tonsillectomy. He finds it easy to add on an intracapsular tonsillectomy as a minor procedure if he is already taking a patient to the OR for another surgery because of the minimal risks of the procedure. Finally, Dr. Shah and Dr. Huoh discuss tonsillectomies in adults and children with recurrent peritonsillar abscesses. --- RESOURCES Smith + Nephew Coblation Technology for Adenotonsillectomy https://www.smith-nephew.com/en/health-care-professionals/products/ear-nose-and-throat/coblation-technology-for-adenotonsillectomy#overview Tue, 16 May 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Shah interviews pediatric otolaryngologist Dr. Kevin Huoh about intracapsular tonsillectomy, including the postoperative benefits of the procedure and his personal techniques. In this episode of BackTable ENT, Dr. Shah interviews pediatric otolaryngologist Dr. Kevin Huoh about intracapsular tonsillectomy, including the postoperative benefits of the procedure and his personal techniques. --- CHECK OUT OUR SPONSOR Smith & Nephew ENT Solutions https://smith-nephew.com --- SHOW NOTES First, Dr. Huoh explains the principle behind intracapsular tonsillectomy. This technique involves removing the tonsil but leaving the capsule intact to protect muscles of the pharyngeal wall and lateral vessels. When he performs this procedure on patients, he notices that their recovery period is less painful and their lower risk of hemorrhages when compared to extracapsular tonsillectomy patients. According to the literature, there is only 3% risk of tonsil regrowth, but he considers regrowth a safer complication than tonsillar hemorrhage. His postoperative recovery regimen includes Tylenol or Motrin for 24 hours, and his patients can start on a regular diet immediately after surgery. Then, he and Dr. Shah discuss differences between American and European guidelines on intracapsular tonsillectomy. Next, Dr. Huoh explains the type of equipment he uses and his intracapsular tonsillectomy technique. He encourages surgeons to follow their tonsillar regrowth rate, as this data can inform surgeons on whether they are removing enough tissue during the procedure. Additionally, he also emphasizes that it is never too late to learn a new procedure like intracapsular tonsillectomy. He finds it easy to add on an intracapsular tonsillectomy as a minor procedure if he is already taking a patient to the OR for another surgery because of the minimal risks of the procedure. Finally, Dr. Shah and Dr. Huoh discuss tonsillectomies in adults and children with recurrent peritonsillar abscesses. --- RESOURCES Smith + Nephew Coblation Technology for Adenotonsillectomy https://www.smith-nephew.com/en/health-care-professionals/products/ear-nose-and-throat/coblation-technology-for-adenotonsillectomy#overview In this episode of BackTable ENT, Dr. Shah interviews pediatric otolaryngologist Dr. Kevin Huoh about intracapsular tonsillectomy, including the postoperative benefits of the procedure and his personal techniques.


---


CHECK OUT OUR SPONSOR


Smith & Nephew ENT Solutions

https://smith-nephew.com


---


SHOW NOTES


First, Dr. Huoh explains the principle behind intracapsular tonsillectomy. This technique involves removing the tonsil but leaving the capsule intact to protect muscles of the pharyngeal wall and lateral vessels. When he performs this procedure on patients, he notices that their recovery period is less painful and their lower risk of hemorrhages when compared to extracapsular tonsillectomy patients. According to the literature, there is only 3% risk of tonsil regrowth, but he considers regrowth a safer complication than tonsillar hemorrhage. His postoperative recovery regimen includes Tylenol or Motrin for 24 hours, and his patients can start on a regular diet immediately after surgery. Then, he and Dr. Shah discuss differences between American and European guidelines on intracapsular tonsillectomy.


Next, Dr. Huoh explains the type of equipment he uses and his intracapsular tonsillectomy technique. He encourages surgeons to follow their tonsillar regrowth rate, as this data can inform surgeons on whether they are removing enough tissue during the procedure. Additionally, he also emphasizes that it is never too late to learn a new procedure like intracapsular tonsillectomy. He finds it easy to add on an intracapsular tonsillectomy as a minor procedure if he is already taking a patient to the OR for another surgery because of the minimal risks of the procedure. Finally, Dr. Shah and Dr. Huoh discuss tonsillectomies in adults and children with recurrent peritonsillar abscesses.


---


RESOURCES


Smith + Nephew Coblation Technology for Adenotonsillectomy

https://www.smith-nephew.com/en/health-care-professionals/products/ear-nose-and-throat/coblation-technology-for-adenotonsillectomy#overview

]]> 2429 Ep. 109 Cryotherapy for Chronic Rhinitis and Nasal Congestion with Dr. Jeff Suh In this episode of BackTable ENT, Dr. Shah interviews rhinologist Dr. Jeffrey Suh (UCLA) about cryotherapy as a new treatment for chronic rhinitis. --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SHOW NOTES First, the doctors discuss the typical presentation of a patient with rhinitis. Although all rhinitis patients present with a chief complaint of a runny nose, there are different subtypes of rhinitis, such as allergic rhinitis, gustatory rhinitis, and exercise-induced. Environmental exposures, duration of symptoms, and the presence of other symptoms should be elicited, as differentiating between allergic and non-allergic rhinitis changes treatment options. Next, Dr. Suh explains how he performs a physical exam in rhinitis patients. He uses a rigid endoscope to make sure there is not another cause of rhinitis. He is sure to premedicate patients with a lidocaine and Afrin nasal spray before using the endoscope. CT scans of the sinuses may be helpful if patients have drainage, polyps, or notable inflammation. In general, Dr. Suh will pursue medical treatment options before considering procedural options. For allergic rhinitis patients, he educates patients about understanding their triggers for allergies and prescribes nasal steroid sprays and antihistamines. In non-allergic rhinitis patients, he recommends ipratropium bromide, which can also be used as a trial to see if cryotherapy would resolve their symptoms. He notes that sprays need to be used for at least 1 month before they show effects and that they should be used 30 minutes before trigger exposure for allergic rhinitis patients. He does not think that saline rinses help much with rhinitis, as they contain no medications to reduce swelling and dampen nerve stimulation. Next, Dr. Suh explains two procedural options for chronic rhinitis: radioablation therapy and cryotherapy. Both procedures have similar success rates, but he prefers to use cryotherapy in patients with non-allergic rhinitis who have a positive response to ipratropium bromide. The procedure involves inserting balloon a into the middle meatus of the nasal cavity and in order to deliver liquid nitrogen to the nasal mucosa overlying the posterior nasal nerve. He explains different considerations for performing cryotherapy in the office versus in the OR. He also explains his anesthesia protocol and how to mitigate the common post-operative complaint of an “ice cream headache”, which he prophylactically treats with gabapentin. Radiofrequency ablation with the RhinAer procedure also targets the posterior nasal nerve, but it has other complications, like damaging other nerves that allow for the tearing of eyes. He chooses the cryotherapy option more often because it does not require as good visibility as the radiofrequency ablation therapy does. Finally, he explains his postoperative care regimen which includes starting the patient back on their usual nasal sprays. His patients take 2 weeks to see results, and cryotherapy is effective in 80% of his patients. He notes that patients with recurrent rhinitis may need recurrent treatments. --- RESOURCES Stryker ENT https://www.stryker.com/us/en/portfolios/medical-surgical-equipment/ent.html Stryker ClariFix Cryotherapy https://clarifix.com/ RhinAer Radiofrequency Ablation https://rhinaer.com/ Tue, 09 May 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Shah interviews rhinologist Dr. Jeffrey Suh (UCLA) about cryotherapy as a new treatment for chronic rhinitis. In this episode of BackTable ENT, Dr. Shah interviews rhinologist Dr. Jeffrey Suh (UCLA) about cryotherapy as a new treatment for chronic rhinitis. --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SHOW NOTES First, the doctors discuss the typical presentation of a patient with rhinitis. Although all rhinitis patients present with a chief complaint of a runny nose, there are different subtypes of rhinitis, such as allergic rhinitis, gustatory rhinitis, and exercise-induced. Environmental exposures, duration of symptoms, and the presence of other symptoms should be elicited, as differentiating between allergic and non-allergic rhinitis changes treatment options. Next, Dr. Suh explains how he performs a physical exam in rhinitis patients. He uses a rigid endoscope to make sure there is not another cause of rhinitis. He is sure to premedicate patients with a lidocaine and Afrin nasal spray before using the endoscope. CT scans of the sinuses may be helpful if patients have drainage, polyps, or notable inflammation. In general, Dr. Suh will pursue medical treatment options before considering procedural options. For allergic rhinitis patients, he educates patients about understanding their triggers for allergies and prescribes nasal steroid sprays and antihistamines. In non-allergic rhinitis patients, he recommends ipratropium bromide, which can also be used as a trial to see if cryotherapy would resolve their symptoms. He notes that sprays need to be used for at least 1 month before they show effects and that they should be used 30 minutes before trigger exposure for allergic rhinitis patients. He does not think that saline rinses help much with rhinitis, as they contain no medications to reduce swelling and dampen nerve stimulation. Next, Dr. Suh explains two procedural options for chronic rhinitis: radioablation therapy and cryotherapy. Both procedures have similar success rates, but he prefers to use cryotherapy in patients with non-allergic rhinitis who have a positive response to ipratropium bromide. The procedure involves inserting balloon a into the middle meatus of the nasal cavity and in order to deliver liquid nitrogen to the nasal mucosa overlying the posterior nasal nerve. He explains different considerations for performing cryotherapy in the office versus in the OR. He also explains his anesthesia protocol and how to mitigate the common post-operative complaint of an “ice cream headache”, which he prophylactically treats with gabapentin. Radiofrequency ablation with the RhinAer procedure also targets the posterior nasal nerve, but it has other complications, like damaging other nerves that allow for the tearing of eyes. He chooses the cryotherapy option more often because it does not require as good visibility as the radiofrequency ablation therapy does. Finally, he explains his postoperative care regimen which includes starting the patient back on their usual nasal sprays. His patients take 2 weeks to see results, and cryotherapy is effective in 80% of his patients. He notes that patients with recurrent rhinitis may need recurrent treatments. --- RESOURCES Stryker ENT https://www.stryker.com/us/en/portfolios/medical-surgical-equipment/ent.html Stryker ClariFix Cryotherapy https://clarifix.com/ RhinAer Radiofrequency Ablation https://rhinaer.com/ In this episode of BackTable ENT, Dr. Shah interviews rhinologist Dr. Jeffrey Suh (UCLA) about cryotherapy as a new treatment for chronic rhinitis.


---


CHECK OUT OUR SPONSOR


Stryker ENT

https://ent.stryker.com


---


SHOW NOTES


First, the doctors discuss the typical presentation of a patient with rhinitis. Although all rhinitis patients present with a chief complaint of a runny nose, there are different subtypes of rhinitis, such as allergic rhinitis, gustatory rhinitis, and exercise-induced. Environmental exposures, duration of symptoms, and the presence of other symptoms should be elicited, as differentiating between allergic and non-allergic rhinitis changes treatment options. Next, Dr. Suh explains how he performs a physical exam in rhinitis patients. He uses a rigid endoscope to make sure there is not another cause of rhinitis. He is sure to premedicate patients with a lidocaine and Afrin nasal spray before using the endoscope. CT scans of the sinuses may be helpful if patients have drainage, polyps, or notable inflammation.


In general, Dr. Suh will pursue medical treatment options before considering procedural options. For allergic rhinitis patients, he educates patients about understanding their triggers for allergies and prescribes nasal steroid sprays and antihistamines. In non-allergic rhinitis patients, he recommends ipratropium bromide, which can also be used as a trial to see if cryotherapy would resolve their symptoms. He notes that sprays need to be used for at least 1 month before they show effects and that they should be used 30 minutes before trigger exposure for allergic rhinitis patients. He does not think that saline rinses help much with rhinitis, as they contain no medications to reduce swelling and dampen nerve stimulation.


Next, Dr. Suh explains two procedural options for chronic rhinitis: radioablation therapy and cryotherapy. Both procedures have similar success rates, but he prefers to use cryotherapy in patients with non-allergic rhinitis who have a positive response to ipratropium bromide. The procedure involves inserting balloon a into the middle meatus of the nasal cavity and in order to deliver liquid nitrogen to the nasal mucosa overlying the posterior nasal nerve. He explains different considerations for performing cryotherapy in the office versus in the OR. He also explains his anesthesia protocol and how to mitigate the common post-operative complaint of an “ice cream headache”, which he prophylactically treats with gabapentin. Radiofrequency ablation with the RhinAer procedure also targets the posterior nasal nerve, but it has other complications, like damaging other nerves that allow for the tearing of eyes. He chooses the cryotherapy option more often because it does not require as good visibility as the radiofrequency ablation therapy does.


Finally, he explains his postoperative care regimen which includes starting the patient back on their usual nasal sprays. His patients take 2 weeks to see results, and cryotherapy is effective in 80% of his patients. He notes that patients with recurrent rhinitis may need recurrent treatments.


---


RESOURCES


Stryker ENT

https://www.stryker.com/us/en/portfolios/medical-surgical-equipment/ent.html


Stryker ClariFix Cryotherapy

https://clarifix.com/


RhinAer Radiofrequency Ablation

https://rhinaer.com/

]]> 3544 Ep. 108 How Do I Negotiate My Physician Contract? Part II with Michael Johnson Jr. Esq In this episode of BackTable ENT, Dr. Varun Varadarajan speaks with Michael Johnson, a business lawyer, about advice for negotiating academic and hospital employment contracts. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/0aliK0 --- SHOW NOTES First, the doctors talk about the RVU system of compensation used by many hospitals and academic centers. They discuss what the price per RVU means and additional bonuses after the expected RVU goal is met. Michael adds that it may be beneficial to negotiate for more resources to earn more RVUs instead of negotiating more compensation, as the former strategy can lead to higher compensation. Additionally, he notes that subspecialty clinicians and surgeons have more leverage to negotiate their contracts if they are the first subspecialists in a large system. He recommends that physicians start negotiating at least a year in advance of their anticipated start date. They also discuss the compensation models based on productivity versus a flat salary. Then, the doctors explain how to handle verbal offers from academic centers. Michael recommends talking to multiple employers at a time when starting the hiring process in order to weigh multiple options. However, he recommends physicians to be upfront about where they are interviewing with each employer. He notes that some academic institutions will send a letter of appointment, and not an employment contract, but physicians can still negotiate for firm deal breakers in the letter of appointment. He then explains different clauses in the contracts, such as restrictive covenants (non-compete and non-solicit clauses), non-disclosure agreements, and malpractice tail insurance. He advises against comparing salary offers to the MGMA compensation data, as different jobs require different obligations. Instead, he recommends making sure that the compensation matches the job obligations. Finally, the doctors end the episode with reviewing common employer tactics, such as pressuring doctors to sign contracts quickly and only offering negotiation on the base salary and signing bonus. Michael explains that it is worthwhile to engage in higher levels of administration in the negotiation process if necessary. --- RESOURCES Michael Johnson’s Website: https://www.michaeljohnsonlegal.com/physician-contracts/ Michael Johnson’s Instagram: https://www.instagram.com/physiciancontracts/ Episode 45- Private Equity: Savior or Existential Threat? https://www.backtable.com/shows/ent/podcasts/45/private-equity-savior-or-existential-threat Thu, 04 May 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Varun Varadarajan speaks with Michael Johnson, a business lawyer, about advice for negotiating academic and hospital employment contracts. In this episode of BackTable ENT, Dr. Varun Varadarajan speaks with Michael Johnson, a business lawyer, about advice for negotiating academic and hospital employment contracts. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/0aliK0 --- SHOW NOTES First, the doctors talk about the RVU system of compensation used by many hospitals and academic centers. They discuss what the price per RVU means and additional bonuses after the expected RVU goal is met. Michael adds that it may be beneficial to negotiate for more resources to earn more RVUs instead of negotiating more compensation, as the former strategy can lead to higher compensation. Additionally, he notes that subspecialty clinicians and surgeons have more leverage to negotiate their contracts if they are the first subspecialists in a large system. He recommends that physicians start negotiating at least a year in advance of their anticipated start date. They also discuss the compensation models based on productivity versus a flat salary. Then, the doctors explain how to handle verbal offers from academic centers. Michael recommends talking to multiple employers at a time when starting the hiring process in order to weigh multiple options. However, he recommends physicians to be upfront about where they are interviewing with each employer. He notes that some academic institutions will send a letter of appointment, and not an employment contract, but physicians can still negotiate for firm deal breakers in the letter of appointment. He then explains different clauses in the contracts, such as restrictive covenants (non-compete and non-solicit clauses), non-disclosure agreements, and malpractice tail insurance. He advises against comparing salary offers to the MGMA compensation data, as different jobs require different obligations. Instead, he recommends making sure that the compensation matches the job obligations. Finally, the doctors end the episode with reviewing common employer tactics, such as pressuring doctors to sign contracts quickly and only offering negotiation on the base salary and signing bonus. Michael explains that it is worthwhile to engage in higher levels of administration in the negotiation process if necessary. --- RESOURCES Michael Johnson’s Website: https://www.michaeljohnsonlegal.com/physician-contracts/ Michael Johnson’s Instagram: https://www.instagram.com/physiciancontracts/ Episode 45- Private Equity: Savior or Existential Threat? https://www.backtable.com/shows/ent/podcasts/45/private-equity-savior-or-existential-threat In this episode of BackTable ENT, Dr. Varun Varadarajan speaks with Michael Johnson, a business lawyer, about advice for negotiating academic and hospital employment contracts.


---


EARN CME


Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/0aliK0


---


SHOW NOTES


First, the doctors talk about the RVU system of compensation used by many hospitals and academic centers. They discuss what the price per RVU means and additional bonuses after the expected RVU goal is met. Michael adds that it may be beneficial to negotiate for more resources to earn more RVUs instead of negotiating more compensation, as the former strategy can lead to higher compensation. Additionally, he notes that subspecialty clinicians and surgeons have more leverage to negotiate their contracts if they are the first subspecialists in a large system. He recommends that physicians start negotiating at least a year in advance of their anticipated start date. They also discuss the compensation models based on productivity versus a flat salary.


Then, the doctors explain how to handle verbal offers from academic centers. Michael recommends talking to multiple employers at a time when starting the hiring process in order to weigh multiple options. However, he recommends physicians to be upfront about where they are interviewing with each employer. He notes that some academic institutions will send a letter of appointment, and not an employment contract, but physicians can still negotiate for firm deal breakers in the letter of appointment. He then explains different clauses in the contracts, such as restrictive covenants (non-compete and non-solicit clauses), non-disclosure agreements, and malpractice tail insurance. He advises against comparing salary offers to the MGMA compensation data, as different jobs require different obligations. Instead, he recommends making sure that the compensation matches the job obligations.


Finally, the doctors end the episode with reviewing common employer tactics, such as pressuring doctors to sign contracts quickly and only offering negotiation on the base salary and signing bonus. Michael explains that it is worthwhile to engage in higher levels of administration in the negotiation process if necessary.


---


RESOURCES


Michael Johnson’s Website:

https://www.michaeljohnsonlegal.com/physician-contracts/


Michael Johnson’s Instagram:

https://www.instagram.com/physiciancontracts/


Episode 45- Private Equity: Savior or Existential Threat?

https://www.backtable.com/shows/ent/podcasts/45/private-equity-savior-or-existential-threat

]]> 5143 Ep. 107 How Do I Negotiate my Physician Contract? Part I with Michael Johnson Jr. Esq In this episode of BackTable ENT, Dr. Varun Varadarajan speaks with Michael Johnson, a business lawyer, about evaluating and negotiating physician employment contracts in private practice and academic settings. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/nqV1Cs --- SHOW NOTES First Michael explains how hiring a contract lawyer can help physicians understand their employment contracts and prioritize their negotiations. He notes that there are pros and cons to all of these contracts, but they are not written to be read very easily by people without legal backgrounds to understand. He adds that although local lawyers may have intimate knowledge of the geographic area, finding a physician contract lawyer is most important. Then, he explains the “trinity of physician contracts”, which are the three most important factors of employment: compensation, obligations, and exit strategy. Additional clauses include non-compete clauses, non-solicit clauses, and malpractice tail expenses. He explains that accepting a base salary does not prevent future salary negotiations. Next, Michael talks about private practice contract considerations, such as business risks, salary growth, the potential of selling the practice, private equity, and partnership tracks. He advises delaying partnership track if buy-in is too high or if the physician has different financial priorities. Advantages to partnership include more decision-making, autonomy, and ancillary revenue. Other factors he advises to research before signing a contract include payer mix distribution and the distribution of patients. He briefly explains what hospital recruitment agreements are. Although they may offer more competitive salaries than a stand alone private practice contract, they are often more complicated to understand. Then, he discusses academic medicine contracts, which can offer different opportunities than just increased profits. He warns physicians to be aware of changes in administration and department turnover, as these events can lead to unplanned and unwanted shifts in obligations. He also notes that through the RVU system, teaching and administrative duties are not compensated. Thus, one of his goals is to protect physicians from being overworked. --- RESOURCES Michael Johnson’s Website: https://www.michaeljohnsonlegal.com/physician-contracts/ Michael Johnson’s Instagram: https://www.instagram.com/physiciancontracts/ Episode 45- Private Equity: Savior or Existential Threat? https://www.backtable.com/shows/ent/podcasts/45/private-equity-savior-or-existential-threat Tue, 02 May 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Varun Varadarajan speaks with Michael Johnson, a business lawyer, about evaluating and negotiating physician employment contracts in private practice and academic settings. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/nqV1Cs --- SHOW NOTES First Michael explains how hiring a contract lawyer can help physicians understand their employment contracts and prioritize their negotiations. He notes that there are pros and cons to all of these contracts, but they are not written to be read very easily by people without legal backgrounds to understand. He adds that although local lawyers may have intimate knowledge of the geographic area, finding a physician contract lawyer is most important. Then, he explains the “trinity of physician contracts”, which are the three most important factors of employment: compensation, obligations, and exit strategy. Additional clauses include non-compete clauses, non-solicit clauses, and malpractice tail expenses. He explains that accepting a base salary does not prevent future salary negotiations. Next, Michael talks about private practice contract considerations, such as business risks, salary growth, the potential of selling the practice, private equity, and partnership tracks. He advises delaying partnership track if buy-in is too high or if the physician has different financial priorities. Advantages to partnership include more decision-making, autonomy, and ancillary revenue. Other factors he advises to research before signing a contract include payer mix distribution and the distribution of patients. He briefly explains what hospital recruitment agreements are. Although they may offer more competitive salaries than a stand alone private practice contract, they are often more complicated to understand. Then, he discusses academic medicine contracts, which can offer different opportunities than just increased profits. He warns physicians to be aware of changes in administration and department turnover, as these events can lead to unplanned and unwanted shifts in obligations. He also notes that through the RVU system, teaching and administrative duties are not compensated. Thus, one of his goals is to protect physicians from being overworked. --- RESOURCES Michael Johnson’s Website: https://www.michaeljohnsonlegal.com/physician-contracts/ Michael Johnson’s Instagram: https://www.instagram.com/physiciancontracts/ Episode 45- Private Equity: Savior or Existential Threat? https://www.backtable.com/shows/ent/podcasts/45/private-equity-savior-or-existential-threat In this episode of BackTable ENT, Dr. Varun Varadarajan speaks with Michael Johnson, a business lawyer, about evaluating and negotiating physician employment contracts in private practice and academic settings.


---


EARN CME


Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/nqV1Cs


---


SHOW NOTES


First Michael explains how hiring a contract lawyer can help physicians understand their employment contracts and prioritize their negotiations. He notes that there are pros and cons to all of these contracts, but they are not written to be read very easily by people without legal backgrounds to understand. He adds that although local lawyers may have intimate knowledge of the geographic area, finding a physician contract lawyer is most important. Then, he explains the “trinity of physician contracts”, which are the three most important factors of employment: compensation, obligations, and exit strategy. Additional clauses include non-compete clauses, non-solicit clauses, and malpractice tail expenses. He explains that accepting a base salary does not prevent future salary negotiations.


Next, Michael talks about private practice contract considerations, such as business risks, salary growth, the potential of selling the practice, private equity, and partnership tracks. He advises delaying partnership track if buy-in is too high or if the physician has different financial priorities. Advantages to partnership include more decision-making, autonomy, and ancillary revenue. Other factors he advises to research before signing a contract include payer mix distribution and the distribution of patients. He briefly explains what hospital recruitment agreements are. Although they may offer more competitive salaries than a stand alone private practice contract, they are often more complicated to understand.


Then, he discusses academic medicine contracts, which can offer different opportunities than just increased profits. He warns physicians to be aware of changes in administration and department turnover, as these events can lead to unplanned and unwanted shifts in obligations. He also notes that through the RVU system, teaching and administrative duties are not compensated. Thus, one of his goals is to protect physicians from being overworked.


---


RESOURCES


Michael Johnson’s Website:

https://www.michaeljohnsonlegal.com/physician-contracts/


Michael Johnson’s Instagram:

https://www.instagram.com/physiciancontracts/


Episode 45- Private Equity: Savior or Existential Threat?

https://www.backtable.com/shows/ent/podcasts/45/private-equity-savior-or-existential-threat

]]> 5306 Ep. 106 Operating Room Innovation: the ExplORer Surgical Story with Dr. Alexander Langerman In this episode, host Dr. Bryan Hartley interviews head and neck surgeon and entrepreneur Dr. Alex Langerman about the story of his startup, ExplORer Surgical and his idea generation advice for physician-innovators. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/5yb4nD --- SHOW NOTES Dr. Langerman starts by describing his journey into head and neck surgery and his University of Chicago research lab, where he conducted research over improvements in the operating room (OR) setting. The idea to make the OR more efficient stemmed from a conversation with a medical student who wondered why so many operating tools were opened and laid out, but never used. This question led him on a tour of different ORs around the country, where he learned that a lot of his colleagues shared the same frustrations about inefficiencies in the OR. When he returned to his institution, he visited different surgical departments and integrated their concerns into a roadmap of aspects that could be improved upon. We also discuss the value of bringing in non-physicians who have fresh perspectives. Dr. Langerman sought feedback and help from business and design students, which eventually led to the incorporation of his company, ExplORer Surgical, and a pitch at the New Venture Challenge Competition. While he worked on communication with surgeons about minimizing waste in the OR, his co-founder, Jennifer Fried, led the effort to find investors. The company’s inflection point occurred when they shifted the focus away from healthcare institutions and towards medical device companies. The ExplORer Surgical app became a playbook that device companies could use to educate operators and ensure that their devices were being implemented in the exact way that they were intended to be used, thus ensuring consistent outcomes and minimizing complications. It also offers a way for sales representatives to virtually teleconference into the OR and guide operators through the procedure. During COVID, this technology became incredibly useful to ensure that collaboration between the OR and medical device companies could still continue. The company was eventually acquired by GHX Medical in 2021. Dr. Langerman encourages physician entrepreneurs to try “idea harvesting,” defined as pitching your idea to others, in the effort to see what resonates with them and learn how to improve your pitch. Additionally, finding a team of business professionals that can help run day-to-day operations is a great way to free up time and energy for further idea generation. --- RESOURCES Dr. Alex Langerman Website: https://alexanderlangerman.com/ New Venture Challenge Competition: https://polsky.uchicago.edu/programs-events/new-venture-challenge/ SBIR and STTR Grants: https://www.sbir.gov/about Social Physics by Alex Pentland: https://www.penguinrandomhouse.com/books/314230/social-physics-by-alex-pentland/ Tue, 25 Apr 2023 05:05:00 -0000 full BackTable Inc. In this episode, host Dr. Bryan Hartley interviews head and neck surgeon and entrepreneur Dr. Alex Langerman about the story of his startup, ExplORer Surgical and his idea generation advice for physician-innovators. In this episode, host Dr. Bryan Hartley interviews head and neck surgeon and entrepreneur Dr. Alex Langerman about the story of his startup, ExplORer Surgical and his idea generation advice for physician-innovators. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/5yb4nD --- SHOW NOTES Dr. Langerman starts by describing his journey into head and neck surgery and his University of Chicago research lab, where he conducted research over improvements in the operating room (OR) setting. The idea to make the OR more efficient stemmed from a conversation with a medical student who wondered why so many operating tools were opened and laid out, but never used. This question led him on a tour of different ORs around the country, where he learned that a lot of his colleagues shared the same frustrations about inefficiencies in the OR. When he returned to his institution, he visited different surgical departments and integrated their concerns into a roadmap of aspects that could be improved upon. We also discuss the value of bringing in non-physicians who have fresh perspectives. Dr. Langerman sought feedback and help from business and design students, which eventually led to the incorporation of his company, ExplORer Surgical, and a pitch at the New Venture Challenge Competition. While he worked on communication with surgeons about minimizing waste in the OR, his co-founder, Jennifer Fried, led the effort to find investors. The company’s inflection point occurred when they shifted the focus away from healthcare institutions and towards medical device companies. The ExplORer Surgical app became a playbook that device companies could use to educate operators and ensure that their devices were being implemented in the exact way that they were intended to be used, thus ensuring consistent outcomes and minimizing complications. It also offers a way for sales representatives to virtually teleconference into the OR and guide operators through the procedure. During COVID, this technology became incredibly useful to ensure that collaboration between the OR and medical device companies could still continue. The company was eventually acquired by GHX Medical in 2021. Dr. Langerman encourages physician entrepreneurs to try “idea harvesting,” defined as pitching your idea to others, in the effort to see what resonates with them and learn how to improve your pitch. Additionally, finding a team of business professionals that can help run day-to-day operations is a great way to free up time and energy for further idea generation. --- RESOURCES Dr. Alex Langerman Website: https://alexanderlangerman.com/ New Venture Challenge Competition: https://polsky.uchicago.edu/programs-events/new-venture-challenge/ SBIR and STTR Grants: https://www.sbir.gov/about Social Physics by Alex Pentland: https://www.penguinrandomhouse.com/books/314230/social-physics-by-alex-pentland/ In this episode, host Dr. Bryan Hartley interviews head and neck surgeon and entrepreneur Dr. Alex Langerman about the story of his startup, ExplORer Surgical and his idea generation advice for physician-innovators.


---


EARN CME


Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/5yb4nD


---


SHOW NOTES


Dr. Langerman starts by describing his journey into head and neck surgery and his University of Chicago research lab, where he conducted research over improvements in the operating room (OR) setting. The idea to make the OR more efficient stemmed from a conversation with a medical student who wondered why so many operating tools were opened and laid out, but never used. This question led him on a tour of different ORs around the country, where he learned that a lot of his colleagues shared the same frustrations about inefficiencies in the OR. When he returned to his institution, he visited different surgical departments and integrated their concerns into a roadmap of aspects that could be improved upon.


We also discuss the value of bringing in non-physicians who have fresh perspectives. Dr. Langerman sought feedback and help from business and design students, which eventually led to the incorporation of his company, ExplORer Surgical, and a pitch at the New Venture Challenge Competition. While he worked on communication with surgeons about minimizing waste in the OR, his co-founder, Jennifer Fried, led the effort to find investors. The company’s inflection point occurred when they shifted the focus away from healthcare institutions and towards medical device companies. The ExplORer Surgical app became a playbook that device companies could use to educate operators and ensure that their devices were being implemented in the exact way that they were intended to be used, thus ensuring consistent outcomes and minimizing complications. It also offers a way for sales representatives to virtually teleconference into the OR and guide operators through the procedure. During COVID, this technology became incredibly useful to ensure that collaboration between the OR and medical device companies could still continue. The company was eventually acquired by GHX Medical in 2021.


Dr. Langerman encourages physician entrepreneurs to try “idea harvesting,” defined as pitching your idea to others, in the effort to see what resonates with them and learn how to improve your pitch. Additionally, finding a team of business professionals that can help run day-to-day operations is a great way to free up time and energy for further idea generation.


---


RESOURCES


Dr. Alex Langerman Website:

https://alexanderlangerman.com/


New Venture Challenge Competition:

https://polsky.uchicago.edu/programs-events/new-venture-challenge/


SBIR and STTR Grants:

https://www.sbir.gov/about


Social Physics by Alex Pentland:

https://www.penguinrandomhouse.com/books/314230/social-physics-by-alex-pentland/

]]> 3723 Ep. 105 Difficult Conversations with Dr. Melanie Sulistio In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Melanie Sulistio, associate dean of student affairs at UT Southwestern, talk about the importance and art of having difficult discussions with patients and medical colleagues. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/ZCPAAr --- SHOW NOTES First, Dr. Sulistio explains why the humanity in medicine is centered on a foundation of communication between patients and physicians. She emphasizes that scientific advancements cannot help society if physicians cannot communicate them to their patients. Then, she gives examples of obstacles that may make communication challenging, such as an unfortunate diagnosis, language barriers, family dynamics, biases, cultural backgrounds, and different goals and priorities of each party. She suggests strategies to overcome these barriers, such as scheduling the appropriate length of time to share the news, checking that it is a good time for the patient to receive the news, and making sure the provider themselves are emotionally ready to share news. She encourages providers to show emotion, but not to the point that the patient has to comfort them. Dr. Sulistio also emphasizes including the support system of the patient in the discussion and evaluating what the patient understands about their condition before beginning the discussion. She warns against assuming that you know what the patient is feeling, bringing up personal experiences, and apologizing inauthentically. Body language cues are also important, such as eye contact and pulling up a chair to meet the patient at their level. She recommends speaking to the nurses, techs, and medical assistants about the patient before entering their room, as they have the most exposure to the patient everyday. Next, the doctors discuss how to deal with language barriers and translation services. Dr. Sulistio notes that physician humility is an important aspect to these discussions, as providers should never make non-English speaking patients feel like a burden to treat. She notes that although wording may be lost in translation, physicians need to remind themselves to speak to the patient instead of to the translator. Finally, Dr. Sulistio gives advice about having difficult conversations with medical colleagues and trainees. Before entering these discussions, she makes sure to check on her own implicit biases and emotions. She proposes the idea of compassionate assumption, or believing that other people are always doing the best they can in every scenario. In her opinion, simulation is the best method for teaching medical trainees how to navigate difficult conversations. --- RESOURCES Dr, Sulistio’s Grand Rounds Presentation at the Mayo Clinic: https://mssvideoupload.mayo.edu/media/Creating+a+Culture+of+Diversity+on+a+Personal+Level%2C+Navigating+Hard+Conversations/1_58oap0g7 Think Again: The Power of Knowing What You Don’t Know by Adam Grant: https://www.amazon.com/s?k=think+again+adam+grant+paperback&hvadid=496397429222 Brené Brown podcasts: https://brenebrown.com/podcasts/ Abraham Verghese books: https://www.abrahamverghese.org/books/ Atul Gawande books: http://atulgawande.com/books/ Tue, 18 Apr 2023 05:05:00 -0000 full BackTable Inc. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Melanie Sulistio, associate dean of student affairs at UT Southwestern, talk about the importance and art of having difficult discussions with patients and medical colleagues. In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Melanie Sulistio, associate dean of student affairs at UT Southwestern, talk about the importance and art of having difficult discussions with patients and medical colleagues. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/ZCPAAr --- SHOW NOTES First, Dr. Sulistio explains why the humanity in medicine is centered on a foundation of communication between patients and physicians. She emphasizes that scientific advancements cannot help society if physicians cannot communicate them to their patients. Then, she gives examples of obstacles that may make communication challenging, such as an unfortunate diagnosis, language barriers, family dynamics, biases, cultural backgrounds, and different goals and priorities of each party. She suggests strategies to overcome these barriers, such as scheduling the appropriate length of time to share the news, checking that it is a good time for the patient to receive the news, and making sure the provider themselves are emotionally ready to share news. She encourages providers to show emotion, but not to the point that the patient has to comfort them. Dr. Sulistio also emphasizes including the support system of the patient in the discussion and evaluating what the patient understands about their condition before beginning the discussion. She warns against assuming that you know what the patient is feeling, bringing up personal experiences, and apologizing inauthentically. Body language cues are also important, such as eye contact and pulling up a chair to meet the patient at their level. She recommends speaking to the nurses, techs, and medical assistants about the patient before entering their room, as they have the most exposure to the patient everyday. Next, the doctors discuss how to deal with language barriers and translation services. Dr. Sulistio notes that physician humility is an important aspect to these discussions, as providers should never make non-English speaking patients feel like a burden to treat. She notes that although wording may be lost in translation, physicians need to remind themselves to speak to the patient instead of to the translator. Finally, Dr. Sulistio gives advice about having difficult conversations with medical colleagues and trainees. Before entering these discussions, she makes sure to check on her own implicit biases and emotions. She proposes the idea of compassionate assumption, or believing that other people are always doing the best they can in every scenario. In her opinion, simulation is the best method for teaching medical trainees how to navigate difficult conversations. --- RESOURCES Dr, Sulistio’s Grand Rounds Presentation at the Mayo Clinic: https://mssvideoupload.mayo.edu/media/Creating+a+Culture+of+Diversity+on+a+Personal+Level%2C+Navigating+Hard+Conversations/1_58oap0g7 Think Again: The Power of Knowing What You Don’t Know by Adam Grant: https://www.amazon.com/s?k=think+again+adam+grant+paperback&hvadid=496397429222 Brené Brown podcasts: https://brenebrown.com/podcasts/ Abraham Verghese books: https://www.abrahamverghese.org/books/ Atul Gawande books: http://atulgawande.com/books/ In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Melanie Sulistio, associate dean of student affairs at UT Southwestern, talk about the importance and art of having difficult discussions with patients and medical colleagues.


---


EARN CME


Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/ZCPAAr


---


SHOW NOTES


First, Dr. Sulistio explains why the humanity in medicine is centered on a foundation of communication between patients and physicians. She emphasizes that scientific advancements cannot help society if physicians cannot communicate them to their patients. Then, she gives examples of obstacles that may make communication challenging, such as an unfortunate diagnosis, language barriers, family dynamics, biases, cultural backgrounds, and different goals and priorities of each party.


She suggests strategies to overcome these barriers, such as scheduling the appropriate length of time to share the news, checking that it is a good time for the patient to receive the news, and making sure the provider themselves are emotionally ready to share news. She encourages providers to show emotion, but not to the point that the patient has to comfort them. Dr. Sulistio also emphasizes including the support system of the patient in the discussion and evaluating what the patient understands about their condition before beginning the discussion. She warns against assuming that you know what the patient is feeling, bringing up personal experiences, and apologizing inauthentically. Body language cues are also important, such as eye contact and pulling up a chair to meet the patient at their level. She recommends speaking to the nurses, techs, and medical assistants about the patient before entering their room, as they have the most exposure to the patient everyday.


Next, the doctors discuss how to deal with language barriers and translation services. Dr. Sulistio notes that physician humility is an important aspect to these discussions, as providers should never make non-English speaking patients feel like a burden to treat. She notes that although wording may be lost in translation, physicians need to remind themselves to speak to the patient instead of to the translator.


Finally, Dr. Sulistio gives advice about having difficult conversations with medical colleagues and trainees. Before entering these discussions, she makes sure to check on her own implicit biases and emotions. She proposes the idea of compassionate assumption, or believing that other people are always doing the best they can in every scenario. In her opinion, simulation is the best method for teaching medical trainees how to navigate difficult conversations.


---


RESOURCES


Dr, Sulistio’s Grand Rounds Presentation at the Mayo Clinic:

https://mssvideoupload.mayo.edu/media/Creating+a+Culture+of+Diversity+on+a+Personal+Level%2C+Navigating+Hard+Conversations/1_58oap0g7


Think Again: The Power of Knowing What You Don’t Know by Adam Grant:

https://www.amazon.com/s?k=think+again+adam+grant+paperback&hvadid=496397429222


Brené Brown podcasts:

https://brenebrown.com/podcasts/


Abraham Verghese books:

https://www.abrahamverghese.org/books/


Atul Gawande books:

http://atulgawande.com/books/

]]> 3784