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September 27, 2014

Video of Epley to Treat BPPV (Posterior Canal)

This is the third in a series of videos our practice is producing on inner ear dizziness.  This video  demonstrates how the  Epley maneuver  is performed to treat posterior canal  BPPV . Also demonstrated is what happens within the inner ear when the maneuver is performed correctly. The first video was on  how the inner ear balance system works  which can be watched  here . Of course, you can use this DizzyFix device to ensure you are performing the maneuver correctly. Soon to come are t…
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September 22, 2014

New Video on Tonsillectomy and Adenoidectomy (Re-mastered and in HD)

Back in 2007, I uploaded a video on tonsillectomy and adenoidectomy which may have been cutting age at the time, but much has changed in the YouTube world including the usage of high definition and wide-screen format. I also purchased a new microphone since than so narration does not quite sound like I'm yelling all the time. You can watch the "old" version tonsillectomy and adenoidectomy . And here are the two new videos refreshed for 2012 that have been remastered and in HD…
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September 21, 2014

Video on How the Dix-Hallpike Maneuver Diagnoses BPPV Dizziness

This is the second in a series of videos our practice is producing on inner ear dizziness.  This video  demonstrates how the  Dix-Hallpike maneuver  is performed to diagnose  BPPV . Also demonstrated are the different types of eye-twitching (nystagmus) that suggests what type of BPPV a patient may have. The first video was on  how the inner ear balance system works  which can be watched  here . Soon to come are videos specifically regarding treatment of  BPPV . Watch this  video !���������…
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September 20, 2014

Steroids Helpful After Tonsillectomy?

Pain is perhaps the most common dreaded fear patients have when considering tonsillectomy surgery.  After pain, bleeding is perhaps the 2nd greatest concern patients have. With both these issues, steroids play a key role by helping with one at the expense of the other. In the 2011 Clinical Practice Guideline: Tonsillectomy in Children , the authors strongly recommend giving a single large dose of steroids to help with not just pain, but also nausea and vomiting after surgery. It is not jus…
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September 14, 2014

Video on How the Inner Ear Balance System Works

This is the first in a series of videos our practice is producing on how the inner ear balance system works (and when it doesn't) geared towards the lay public and general patient education. Soon to come are videos specifically regarding treatment of BPPV . Watch this video on YouTube .
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September 10, 2014

Joan Rivers Underwent Unplanned Vocal Cord Biopsy Without Consent

Image by  David Shankbone  of  Wikipedia When it was first reported 8/28/14 that comedian Joan Rivers suffered some type of respiratory arrest during some type of sedated endoscopic procedure, it was unclear exactly what was done and what happened. According to initial reports, the endoscopy was done to "check her vocal cords." Media reports have emerged citing an anonymous source that state an unplanned, un-consented vocal cord biopsy was done during the planned endoscopy pr…
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September 06, 2014

Dr. Chang Quoted in PBS Publication NextAvenue

Image from Here Dr. Chang was quoted in a NextAvenue (PBS)  article discussing vocal cords and their treatment when they are over-used (i.e. nodules ) as in the case with Joan Rivers or under-used (i.e. bowing ). You can read the full article here . This article was written by journalist Michelle Rafter in the wake of Joan Rivers' death from some type of endoscopic "throat" procedure, a not uncommon experience for any patient including the elderly complaining of throat sy…
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September 01, 2014

New Test to Identify People at Risk of Permanent Hearing Loss from Loud Noises

In any industrialized country like the United States, everybody has been exposed to loud noises whether from a lawnmower, playing in a band, shooting guns, or going to a rock concert. It also seems that some people compared to others appear more prone to temporary hearing loss after such loud noise exposure. You know... it's the ringing, fullness, and hearing loss after leaving the loud noise event. And than over a few hours or days, the hearing comes back to normal. This temporary hear…
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