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.
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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.
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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
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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
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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/
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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/
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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/
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.
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