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November 25, 2014

Why Aren't Medical Research Papers Available for Free?

Policy Guidelines for the Development and Promotion of Open Access, UNESCO Medical research abstracts are freely available to read from databases like pubmed , but if you want to read the entire paper, only very rarely are they available for free. That's a big bummer for small community physicians as well as lay public who want to know more about a particular medical condition or research findings. Your options are to drive to a medical school library and copy it... or contact one of …
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November 24, 2014

Video of Lempert (BBQ Roll) to Treat BPPV (Horizontal Canal)

This is the fourth in a series of videos our practice is producing on inner ear dizziness.  This video  demonstrates how the  Lempert maneuver  is performed to treat horizontal (or lateral) canal  BPPV . The Lempert maneuver is also known as the barbecue roll. 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 . The second video was on the Dix-Hallpike man…
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November 21, 2014

Young Girl from 0 to 14 Years Old in 4 Minutes

We all have seen an abbreviated version of this video on TV commercials, but here's the complete video showing a beautiful young girl go from age zero to 14 years in 4 minutes. This time lapse video was taken by filming her for 15 seconds every week from the day she was born. Simply amazing!
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November 20, 2014

Hearing the Same Sound at Different Pitches (Diplacusis)

Image courtesy of Stuart Miles at  FreeDigitalPhotos.net One day, a musician patient presented to my clinic with a history of hearing the same pitch that sounded significantly differently between the ears. An A# sound in one ear sounded a half-tone lower in the other. This resulted in music sounding out-of-tune. This phenomenon is known as diplacusis and there are several different flavors. Diplacusis binauralis occurs when you hear the same sound differently in each ear. This conditio…
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November 18, 2014

Sulfa vs Sulfate vs Sulfur vs Sulfite Allergy

Having a "sulfa" allergy is quite common... What is uncommon is understanding that being "sulfa" allergic does not necessarily mean that one is also allergic to sulfates, sulfur, and sulfites. Also, when a patient states that have a sulfa allergy, they typically mean they have a "sulfonamide" allergy. Why is this understanding of significance? It's because there is confusion whether a patient with a sulfa allergy can take sulfate containing medications safe…
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November 17, 2014

How Much Bacteria Gets Transferred During Intimate Kissing?

Researchers in the Netherlands quantified how much bacteria gets transferred from one person to another during an intimate kiss (tongue on tongue action). What they found was that an average of 80 million bacteria gets transferred per 10 seconds of French kissing. How did they come up with this figure? Samples were obtained both before and after an intimate kiss of 10 seconds duration. One partner was  than asked to consume 50 ml of a probiotic yoghurt drink which contained organisms no…
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November 14, 2014

November 13, 2014

November 12, 2014

Oral HPV Can Be Transmitted by Kissing

HPV  transmitted by  oral sex  is the leading cause of  oral  and throat cancer now surpassing throat cancer due to tobacco products and alcohol. The main concern is whether kissing can also transmit HPV. A small John Hopkins study suggested that kissing did not increase risk of oral HPV transmission, but a more recent and larger study conducted at McGill University suggests that open-mouthed kissing actually does increase the risk of oral HPV being transmitted from one partner to the other…
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November 09, 2014

Online Healthcare Plagiarism (Even Among ENTs)

Image courtesy of cooldesign at  FreeDigitalPhotos.net It is not just high school students who are committing plagiarism... it seems to be occurring even among healthcare professionals (even other ENTs) and more astoundingly even among healthcare organizations who portray someone else's work as their own online ! In this day of a digital footprint that can be traced to anybody at anytime, such plagiarism is not only unwarranted from an ethical perspective, but even foolhardy, because…
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November 03, 2014

Dr. Robert Redmon Joins Fauquier ENT

Dr. Robert "Bruce" Redmon has joined Fauquier ENT on Oct 13, 2014. With over 30 years experience in the treatment of pediatric and adult ENT, he brings a wealth of knowledge as well as procedures not historically performed in the practice. With his joining, the following conditions and procedures are now treated at Fauquier ENT: • Thyroid and Parathyroid Surgery • Complex Ear Surgery to Treat Cholesteatoma • Complex Eardrum Repairs • Ossicular Chain Reconstructions • Faci…
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November 01, 2014

Flowchart to Diagnose What Type of BPPV and Proper Treatment

BPPV  (benign paroxysmal positional vertigo) is one of the most common causes of imbalance accounting for about 20% of all dizziness. BPPV is also one of the most easily treated forms of dizziness which can be "cured" 80% of the time with a simple less than 10 minute body maneuver technique. However, the main issue with treatment is that one has to first: 1) Correctly diagnose BPPV using the Dix-Hallpike maneuver 2) Determine what type of BPPV (posterior, lateral, or superior) …
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