Episodes
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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.
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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.
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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
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RESOURCES
Dr. Jessica Leehttps://charlestonent.com/bio/jessica-lee/ -
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.
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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.
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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
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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 -
Missing episodes?
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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.
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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.
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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
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RESOURCES
Dr. Jennifer Villwockhttps://www.kumc.edu/jvillwock.html
Dr. William Reisacher https://weillcornell.org/wreisacher -
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.
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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
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RESOURCES
Dr. Aria Jafari https://www.uwmedicine.org/bios/aria-jafari -
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.
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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.
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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
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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 -
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/
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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
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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/
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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.
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This podcast is supported by:Medtronic ENT
https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html
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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.
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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
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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 -
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.
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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.
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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
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RESOURCES
Dr. Daniela Carvalho
https://www.rchsd.org/doctors/daniela-carvalho-md-mmm/ -
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.
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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.
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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
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RESOURCES
Dr. Loria Nahatis’s practice profile:
https://beyondpediatricdentistry.com/dr-loria-nahatis-dds/ -
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.---SYNPOSISThe 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.---TIMESTAMPS00:00 - Introduction02:51 - Climate Change and Its Impact on Health05:07 - Surgical Sustainability: Reducing OR Waste08:27 - Clinic Waste and Efficiency Improvements16:12 - Anesthesia Gases and Environmental Impact23:06 - In-Office Procedures and Telemedicine in ENT28:58 - Global Efforts & Patient Involvement in Sustainability37:03 - Policy Changes and Education for Sustainability39:59 - Future Research and Innovation in ENT42:26 - Final Thoughts and Mentorship---RESOURCESDr. Julie Strychowskyhttps://www.schulich.uwo.ca/paediatricsurgery/people/faculty/Strychowsky,%20Julie.htmlKidane 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 playbookhttps://cascadescanada.ca/
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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.
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This podcast is supported by:
Medtronic ENT
https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html
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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.
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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
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RESOURCES
Medtronic ENT - Sponsor
https://www.medtronic.com/en-us/healthcare-professionals/products.html
Dr. Arif Janjua
https://surgery.med.ubc.ca/people/ajanjua/ -
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!
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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.
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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
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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 -
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.
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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.
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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
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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 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 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.
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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.
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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
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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 -
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.
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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.
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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
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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 -
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.
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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.
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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
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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 -
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.
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This podcast is supported by:
Aerin Medical
https://aerinmedical.com/
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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.
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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
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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 - Show more
