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.
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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.
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RESOURCES
Wais Rahmati MD:https://doctors.masseyeandear.org/details/447/rahmatullah-wais_rahmati-rahmati-otolaryngology-head_and_neck_surgery-boston
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59:47
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59:47
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.
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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/
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59:55
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59:55
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.
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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
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56:34
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56:34
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.
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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
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50:52
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50:52
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.
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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 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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