Top Ad

Shareholic Button


July 24, 2016

Local ENT Surgeon Missed Rare Sinus Pathology on CT Scan

Ditto in right maxillary sinus cavity.
A well-respected ENT surgeon in Warrenton, VA created a uproar in the medical community when it was discovered that he failed to detect a rare sinus pathology on a CT sinus scan. This parasitic growth was easily discovered by the patient's teenager son within seconds of looking at the CT scan in spite of still being in high school.

It's called a "Ditto" claimed John Smith, 14, son of the patient who suffered from this missed pathology. "It is one of the most rare Pokemon Go creatures and would have done much to allow my mom and I to achieve Pokedex together" said John. "Who would have imagined that this most rare of rare creatures would be found in little old Warrenton, let alone in my mom's sinus cavity!"

"I can't believe the ENT Dr. Chang missed it!!! I mean, it's right there!!!" cried John Smith with obvious disbelief.
Ditto creature in
Pokemon Go
NEJM 2016 July 20;375(3)

The patient reported that in Dr. Chang's defense, her sinus pain and pressure was not over the right cheek region where Ditto was seen on the CT scan, but stated "That's no excuse."

In his defense, Dr. Chang stated that "I thought the radiologist meant ditto as in 'similar or repeated thing'."

"How was I supposed to know that he [radiologist] meant 'Ditto' and not ditto," Dr. Chang said with sadness.

"If I had only known he meant 'Ditto', I would have also performed endoscopic sinus surgery on not just the left side, but also the right maxillary sinus cavity where Ditto was seen... I would have been actually able to capture Ditto in a specimen cup... a medical first!"

But alas, on repeat CT Sinus scan, it was no longer there much to everybody's dismay.

Given this verifiable documentation, it is now thought that Pokemon Go creatures may be the source of human pathology that previously have been filed away as medical mysteries. Indeed, Pokemon Go creatures may be a more common germ than even staph and strep.

With graciousness, the patient allowed the CT sinus scan to be reproduced for others to see if they can find what Dr. Chang initially missed.


Please note, in case you haven't figured it out yet, this blog post is a work of satire.


Related Posts Widget For Blogger with Thumbnails

July 22, 2016

Narrow Nose Causing Nasal Obstruction [Video]



new video has been produced showing how a narrow, pinched nose causing nasal obstruction is corrected with a nose job. In the vast majority of patients suffering from nasal obstruction, allergy control, septoplasty, and/or turbinate reduction will resolve the nasal obstruction. However, in some individuals, their nose is just very narrow and needs to be wider to allow a larger passageway for breathing to occur.

This video demonstrates how a too narrow nose causing nasal obstruction can be made wider.

This video was created with Dr. Stephen Park who is a Professor and Vice-Chair of Otolaryngology, Division Chief of Facial Plastic Surgery.

This is the fourth of 5 videos that will be created describing the most common rhinoplasty procedures.

The first was nasal hump removal which can be watched here.
The second was the saddle nose deformity rhinoplasty.
The third was the bulbous nose rhinoplasty.

Please keep in mind that although Dr. Chang may have helped produce these rhinoplasty videos, he does not actually perform them.





July 07, 2016

Large Bulbous Nose Rhinoplasty [VIDEO]



new video has been produced showing how a large nasal tip or bulbous nose is corrected. This video was created with Dr. Stephen Park who is a Professor and Vice-Chair of Otolaryngology, Division Chief of Facial Plastic Surgery.

This is the third of 5 videos that will be created describing the most common rhinoplasty procedures.

The first was nasal hump removal which can be watched here.
The second was the saddle nose deformity rhinoplasty.

Please keep in mind that although Dr. Chang may have helped produce these rhinoplasty videos, he does not actually perform them.



July 06, 2016

Sarah Silverman Suffered From Epiglottitis

Photo by Joan Kirby in Wikipedia
Comedian and actress Sarah Silverman reported on her Facebook page that she suffered from epiglottitis last week that required intubation and an ICU stay at Cedars Sinai Hospital last week.  Apparently, her symptoms started with a simple sore throat.


The normal epiglottis is a very thin flap of tissue that closes over the windpipe when swallowing preventing food/liquids from going down the wrong way. Shown by the blue arrow in the picture below, when the epiglottis becomes infected, it can swell in size to even obstruct the airway leading to death by asphyxiation. Indeed, epiglottitis is what is thought to have killed our first President George Washington.

Fortunately, epiglottitis is quite rare ever since the introduction and regular use of the Hib vaccine in the 1980s. Although rare, it is a problem that still occurs intermittently even today. Each time I've encountered it in the past, I unfortunately was always in a situation where video recording of the endoscopic exam was not possible.

Until one day, a patient with epiglottitis did walk into my clinic and I WAS able to video-record the endoscopic exam.

Briefly, this patient developed a severe sore throat with difficulty swallowing that occurred suddenly over a 24 hour period of time. Patient reported the severe sore throat was localized to the base of tongue region.

Without further ado, here's the endoscopic examination both before treatment and than again 1 week later after a course of antibiotics and steroids.

Note the markedly swollen epiglottis before treatment. Even after treatment, the epiglottis is still mildly swollen though much improved. Normal is shown in the picture above.

video


Source:
Sarah Silverman: I almost died last week. Page Six 7/6/16

June 30, 2016

Dr. Chang to Become Chair-Elect of AAO-HNS Committee

It has recently been announced that Dr. Chang will become the new Chair-Elect of the Public and Media Relations Committee within the American Academy of Otolaryngology - Head and Neck Surgery (AAO-HNS), an international organization for ENT surgeons. This one year term from 2016-2017 will subsequently transition to position of Chairperson for 2017-2019. He has been a committee member since 2014.







June 24, 2016

Saddle Nose Deformity Nose Job [VIDEO]


new video has been produced showing how a "saddle nose" or "ski-slope nose" is corrected. This video was created with Dr. Stephen Park who is a Professor and Vice-Chair of Otolaryngology, Division Chief of Facial Plastic Surgery.

A saddle nose deformity is when the nose bends downward between the forehead and tip of nose resulting in a shape similar in appearance to a ski jump slope. It could be congenital or acquired. Acquired causes include prior rhinoplasty, intranasal drug abuse (most commonly cocaine), excessive decongestant nasal spray use (afrin, zicam, 4way, etc), trauma, etc.

This is the second of 5 videos that will be created describing the most common rhinoplasty procedures.

The first was nasal hump removal which can be watched here.

Please keep in mind that although Dr. Chang may have helped produce these rhinoplasty videos, he does not actually perform them.


Banner Map







ad lump in throat clogged ears

Amazon