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December 31, 2014

December 23, 2014

Deputy Performs Life-Saving Tracheostomy on 12 year old in Car Accident

Image from WYFF4 On Nov 8, 2014, there was a terrible car accident that claimed the lives of 3 young adults and another barely hanging on. EMS workers who arrived on the scene found 12-year-old Cheyenne Queen trapped in the car and barely breathing. A deputy coroner on the scene was called to assess Cheyenne and determined that a trach was the only way to give her a fighting chance at survival. An emergency on-the-field tracheostomy was performed and was felt to have saved her life. On D…
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December 19, 2014

December 18, 2014

How a Tracheostomy Hole Heals Closed (Time Lapse)

When a patient undergoes a tracheostomy , it is not a permanent thing. Once a patient is healthy enough, the tracheostomy tube can be removed and the existing hole in the throat will spontaneously start to heal closed. In a process called healing by secondary intention, the body creates granulation tissue along with scarring that slowly but surely closes the trach opening shut. In the rare situation it does not completely close, a surgical procedure can be performed. Here are some pictures…
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December 13, 2014

Why are Magazines So Old in Doctor Waiting Rooms?

It certainly is a complaint in our practice... Why is it that magazines in doctor waiting rooms (including ours) tend to be so outdated??? And not just old, but the "boring" ones? One factor is that an office staff member has been negligent in replacing old magazines with new ones. Another is that... gasp... patients are stealing the new ones??? Researchers in New Zealand set out to study this common complaint and did find that new magazines tend to "disappear" resultin…
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December 07, 2014

President Obama Sees ENT Doctor

President Obama on Saturday, Dec 6, 2014 saw an ENT for a sore throat several weeks in duration. An Army ENT physician conducted a fiberoptic laryngoscopy which suggested the sore throat was due to acid reflux . The exam apparently " revealed soft tissue swelling in the posterior throat", Mr. Obama's doctor, Ronny L Jackson, said in a statement. Presumably, treatment entailed acid reflux medications as well ask lifestyle changes to minimize the reflux thereby resolving the sor…
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December 05, 2014

Christmas Tree Allergy (Mold and Pollen Studies)

Ever wonder what a live Christmas Tree brings into a home other than happy holiday cheer? For those with Christmas Tree Allergy, a live conifer will also bring allergy and asthma type symptoms that manifest within a week and not uncommonly as soon as 24 hours after introduction into the home. It is estimated that about 7% of allergic patients suffers to some degree, Christmas Tree Allergy. Sneezing, wheezing, nasal congestion, and transitory rashes are the most common symptoms of Christma…
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Video of Deep Head-Hanging to Treat BPPV (Superior Canal)

This is the fifth in a series of videos our practice is producing on inner ear dizziness.  This video  demonstrates how the  Deep Head-Hanging maneuver  is performed to treat superior (or anterior) 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 . The second video was on the  Dix-Hallpike maneuver  to diagnose BPPV and which canal type. …
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December 03, 2014

Are OTC Otoscopes Any Good? (Dr. Mom Pocket Otoscope, etc)

So I was hanging out at Walgreens one day and noticed that there are several models of otoscopes for sale in the pharmacy aisle. The cost of one ran anywhere from $25 to as much as $50 which is quite cheap compared to the "doctor" model which typically is a Welch Allyn and costs several hundred dollars. I was curious to see how good or bad these OTC otoscope models are compared to the Welch Allyn otoscope I use. Here are the models I decided to use for comparison (as seen on Amazon.…
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December 02, 2014

Dr. Chang to Guest Lecture at the Washington Hospital Center in DC

It was with great honor and pleasure that I was asked by the DC Metro Voice and Laryngeal Disorders Study Group to present on a topic of my choice at their quarterly meeting held at the Washington Hospital Center in Washington DC on Dec 12, 2014. I decided to give a talk entitled "Perceptual Evaluation of the Hoarse Voice" chock full of audiovisual examples and audience queries. It was also good to see some familiar faces at the talk including: Dr. Nazaneen Grant - Assistan…
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