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December 28, 2009

CNN: Metallica Drummer Suffers From Tinnitus & Wears Earplugs When Performing

CNN on Dec 28, 2009 published a story on tinnitus (ringing of the ears) highlighting Metallica drummer, Lars Ulrich. Mr. Ulrich has suffered from tinnitus due to loud noise exposure and started wearing hearing plugs whenever performing to minimize further damage to his ears. "Ulrich said he is concerned about young people, the so-called iPod generation, who listen to loud music, and may not be as vigilant about protecting their ears. 'If you get a scratch on your nose, in a week …
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December 26, 2009

How To Persuade a Specialist to see a Patient Quickly!

With the advent of SmartPhones like the iPhone, communication between not only physicians but also patient-physician has become much easier. To illustrate how such technology has eased communication in order for a patient to be seen quickly by a specialist was recently demonstrated when I received a phone call at home around 9:30PM from the Emergency Room regarding a facial fracture. ER: Dr. Chang, we have a patient here who seems to have a facial fracture on CT. Overall, however, he does …
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December 24, 2009

Recurrent Chronic Sinusitis Often Due to Allergies

A 2009 research paper lends credence that allergies may be a VERY important player in patients who suffer from recurrent sinus infections . Such patients will improve with antibiotics only to have their sinus infection symptoms recur shortly after completing the antibiotics. The research described how allergy exposure to patients resulted in a rapid and radiographically significant response of sinus disease including mucosal thickening and/or opacification. How fast? Within 60 MINUTES!!! …
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December 18, 2009

Website That Calculates Your Cancer Risk From Radiological Tests

In the last few weeks, there's been multiple media reports on the increased risk of cancer with common radiological tests due to radiation exposure, however minimal it may be. Due to this concern, a website called " X-Ray Risk.com " was developed that calculates your increased cancer risk based on type of test, age, and gender. For example, a CT Neck (a common CT test ordered by ENTs) on a 35 year-old male increases cancer risk by 0.046%. A chest x-ray? Only 0.001%. Check …
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New Webpage on Submandibular Gland Surgery

A new webpage has been added to our website describing 3 different submandibular gland surgical procedures: sialolithotomy, submandibular gland resection, and sialendoscopy . This webpage is the third in a series of webpages addressing salivary gland issues including sialadenitis (spit gland infections) and the parotidectomy surgical procedure.
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December 13, 2009

New Treatment Options for Non-Acidic Reflux (LPR)?

It just came to my attention through anecdotal reports that there may be two additional options to treat non-acidic laryngopharyngeal reflux (LPR) causing symptoms of: • Hoarseness • Throat clearing • Phlegmy throat • Cough • Globus (sense of swelling in the throat) Non-acidic reflux is different from the more widely known acid reflux in that traditional medications such as prilosec, zantac, pepcid, etc do not help. Non-acidic reflux basically is when gastric secretions without ac…
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December 12, 2009

New Webpage on Laser Tonsillectomy

A new webpage has been uploaded describing laser tonsillectomy given how often patients come to our office inquiring about it. We do NOT offer laser tonsillectomy and are not aware of anybody in our region who does offer. However, we are slowly compiling a list on the webpage of surgeons who do offer. If you know of somebody not listed, please let us know . The closest surgeon to Virginia who offers laser tonsillectomy that we are aware of is Yosef Krespi in New York City. We offer on…
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December 08, 2009

Dr. Chang Invited as a Guest for Online Radio Talk Show

Dr. Chris Chang has been invited to participate as a guest in an hour long online radio show hosted by Trish Causey of Musical Theatre Talk . The radio show with Dr. Chang will be aired on January 10, 2010 at 5PM. Two other members of the voice team that Dr. Chang works with will also be participating including Sarah Maines (singing voice therapist) and Melissa Mainville (functional voice therapist). More details to come.
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December 06, 2009

Second Stage (of 3) Office Renovations Completed

Over this past weekend, the second stage of 3 office renovations have been completed. One room has been renovated with new flooring, electrical work, paint, and furniture. Electrical work was done by a friend whereas the other renovations were performed by Cornerstone & Son Construction, LLC . Furniture was purchased at Gerstel Office Furniture which is a fantastic place! They basically purchase furniture from companies that have gone bankrupt or undergoing renovations and sell them to t…
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December 03, 2009

New Video on Stopping Nosebleeds by Cautery

A new YouTube video has been uploaded describing how nosebleeds are stopped using silver nitrate cauterization. The video was produced by our office and just in time for the cold and dry air that winter brings along with numerous nosebleeds . The video is part of our collection of videos on our YouTube channel .
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December 01, 2009

Oral Appliances to Help Correct Obstructive Sleep Apnea (OSA)

In the November 2009 issue of ENT Today (vol 4; number 11), there was an interesting article titled "Evaluation and Management of Patients After Unsuccessful Sleep Apnea Surgery." What I found particulary informative was the picture that came with the article which I have reproduced below. It is basically a list of all the companies who make oral appliances specifically for patients with obstructive sleep apnea . How nice! Regardless of the company, they all have the same basic f…
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