We often think about exercising to stay fit as we age–but what about keeping our voices in shape? In this episode of BackTable ENT, Dr. Neel Bhatt, a laryngologist from the University of Washington in Seattle, discusses the intricacies of the aging voice with hosts Dr. Gopi Shah and Dr. Ashley Agan.

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SYNPOSIS

Dr. Bhatt sheds light on the pathophysiology behind vocal fold atrophy, the role of glottic image capture, and the innovative use of the GlottIC (Glottal Image Capture) in measuring vocal fold bowing. They explore the impact of aging on the voice and swallowing, the relationship between vocal fold activity and overall health, and the benefits of voice therapy and procedural interventions in treating age-related voice changes. Overall, this episode summarizes valuable insights into maintaining vocal health as we age.

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TIMESTAMPS

00:00 - Introduction

01:33 - Understanding the Aging Voice and Clinical Presentations

10:41 - Impact of Aging Voice on Quality of Life

15:31 - Pathophysiology of Aging Voice

24:45 - Clinical Examination and Diagnosis

32:09 - Challenges in Scope Exams

39:33 - Swallow Studies: Fees vs. Video Fluoroscopy

41:16 - Management of Age-Related Voice Changes

58:27 - Maintaining Vocal Health with Age

01:01:01 - Conclusion and Contact Information

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RESOURCES

Dr. Neel Bhatt

https://otolaryngology.uw.edu/our-people/faculty/neel-k-bhatt-md

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

Is nasal obstruction the hidden culprit behind CPAP failure in obstructive sleep apnea (OSA) patients? In this episode of BackTable ENT, host Dr. Ashley Agan discusses nasal airway obstruction’s impact on OSA with guests Dr. Keith Matheny and Dr. Ashwin Ananth.

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This podcast is supported by:

Aerin Medical

https://aerinmedical.com/

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SYNPOSIS

The doctors emphasize the crucial role otolaryngologists play in diagnosing and treating nasal obstruction to enhance sleep quality, particularly in patients who struggle with CPAP therapy. They share their approaches to the nasal exam, treatments like VivAer and RhinAer, the importance of sleep endoscopies for CPAP-intolerant patients, and they also debunk some common misconceptions around treating OSA. This is a must-listen for ENTs and clinicians engaged in sleep medicine.

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TIMESTAMPS

00:00 - Introduction

01:57 - Discussion on Nasal Airway Obstruction

06:11 - Evolution of Sleep Disorder Treatments

12:05 - Challenges with CPAP and Alternatives

16:39 - Importance of Nasal Examination

28:44 - Nasal Medication Practices

33:20 - Sleep Endoscopy and CPAP Alternatives

35:44 - Nasal Surgery and OSA Treatment

39:57 - Posterior Nasal Nerve Ablation

46:10 - Final Thoughts and Recommendations

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RESOURCES

Dr. Ashwin Ananth

https://www.esentc.com/dr-ashwin-ananth

Dr. Keith Matheny

https://collincountyent.com/bio/keith-e-matheny/

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

Is there a better way to manage hearing loss before it gets worse? In this episode of BackTable ENT, experts Dr. Sreekant Cherukuri (otolaryngologist) and Dr. Gina Geissler (audiologist) discuss the importance of early intervention in age-related hearing loss, and the various options available beyond traditional hearing aids.

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SYNPOSIS

The doctors emphasize that early use of amplification devices can slow the progression of hearing loss, supported by numerous studies. The discussion covers scenarios where assistive listening devices, such as ClearCast, can serve as effective alternatives or supplements to hearing aids. They also talk about the need for more widespread hearing screenings and the potential applications of such devices across different age groups, including children with auditory processing disorders. This episode also offers a holistic approach to managing hearing loss and details how auditory health affects overall quality of life.

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TIMESTAMPS

00:00 - Introduction

02:45 - Challenges and Solutions in Hearing Aid Accessibility

13:27 - Understanding Hearing Aid Categories and Regulations

18:22 - Screening and Addressing Hearing Loss in Patients

29:20 - Challenges with Traditional Hearing Aids

30:32 - Benefits of Situational Hearing Devices

32:15 - Early Intervention and Brain Health

33:31 - Implementing ClearCast in Clinical Practice

49:26 - Screening and Monitoring Hearing Loss

55:21 - Final Thoughts and Future Developments

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RESOURCES

Dr. Sreekant Cherukuri

https://reliefasi.com/providers/sreekant-cherukuri/

Dr. Gina Geissler

https://geisslerhearing.com/meet-the-team/

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Are you interested in learning basic ENT diagnostics and treatments? In this episode of BackTable ENT, the hosts welcome Dr. Jeffrey LaCour who discusses how he created Compassio Medical Education, an ENT educational platform for advanced practice providers. Dr. LaCour, an otolaryngologist from Hammond, Louisiana, elaborates on his efforts to educate primary care specialists and advanced practice providers through online courses and live webinars.

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SYNPOSIS

Dr. LaCour describes the structure and impact of his ENT courses, which include dynamic content on ear, nose, and throat diagnostics. Dr. LaCour also highlights the importance of proper ear diagnostics to reduce unnecessary antibiotic usage and shares insights into both the challenges and successes of running an educational startup. Finally, Dr. LaCour details his vision for expanding this educational model to other medical specialties.

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TIMESTAMPS

00:00 - Introduction

03:31 - Developing ENT Courses for APPs

05:25 - Addressing Common ENT Issues

07:10 - Live Webinars and Continuous Learning

12:10 - Building a Supportive Learning Community

16:48 - Teaching Surgical Decision Making

19:03 - Hands-On Courses and Training

22:51 - Subscription Models and Membership

24:56 - Tailoring Curriculum for New Hires

28:42 - Expanding to Other Specialties

34:37 - Conclusion and Contact Information

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RESOURCES

Jeffrey LaCour Profile

https://www.northoaks.org/find-a-provider/jeffrey-b-lacour-md/

Compassio Medical

https://www.compassiomedical.com/

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

What role does bioresorbable packing play in improving outcomes for ENT patients? In this episode of BackTable ENT, hosts Dr. Ashley Agan and Dr. Gopi Shah are joined by Dr. Satyan Sreenath, a rhinologist at Indiana University, to discuss the use of bioresorbable packing in ENT surgeries.

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SYNPOSIS

First, Dr. Sreenath offers insights into the advancements in sinus and skull base surgery, the types of packing materials available (such as HemoPore, NasoPore, and chitosan-based products), and their application for hemostasis, scar prevention, and patient comfort. The surgeons emphasize the importance of tailored postoperative care and use of nasal irrigations and debridements to optimize healing and surgical results. Dr. Sreenath also mentions the evolving field of drug delivery through bioresorbables and the benefits of exploring new technologies to enhance patient outcomes.

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TIMESTAMPS

00:00 - Introduction

01:53 - Bioresorbables for the Nose

06:44 - Patient Comfort and Postoperative Care

20:18 - Packing Techniques

24:52 - Chitosan-Based Products

32:51 - Techniques for Debridement & Postoperative Management

42:40 - Skull Base Surgery Considerations

55:25 - Nosebleeds and Emergency Care

01:02:05 - Complications and Innovations

01:07:40 - Conclusion

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RESOURCES

Dr. Sreenath’s IU profile

https://iuhealth.org/find-providers/provider/satyan-b-sreenath-md-1821999

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

How can a dedicated ENT hospitalist improve patient care? In this episode of Backtable ENT Podcast, Dr. Annie Wang, an otolaryngologist at Houston Methodist Hospital, discusses her experience as a hospital-based ENT, also known as an ENT hospitalist, with hosts Dr. Gopi Shah and Dr. Ashley Agan.

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SYNPOSIS

Dr. Wang talks about the inception and development of her position, the daily responsibilities and challenges she faces, and the positive impact of having a dedicated inpatient ENT service. She also delves into the historical context and future potential of this model in improving patient outcomes and hospital efficiency, highlighting both qualitative and quantitative benefits. The conversation provides valuable insights for ENT departments considering the adoption of a hospitalist model.

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TIMESTAMPS

00:00 - Introduction

02:22 - Hospital-Based ENT Practice Model

04:33 - Daily Routine and Responsibilities

10:55 - Challenges and Solutions in ENT Practice

19:38 - Insights and Advice for New Programs

24:40 - Billing and Financial Tracking in the First Year

25:19 - Challenges and Insights from Inpatient Consults

28:42 - Coordination and Metrics in Patient Care

31:28 - The Value of ENT Hospitalists

43:50 - Vacation Protocols and Final Thoughts

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RESOURCES

Dr. Annie Wang’s Profile

https://www.houstonmethodist.org/doctor/ran-annie-wang/

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

How are weight loss medications, like Ozempic, reshaping obstructive sleep apnea care? In this episode of the BackTable ENT podcast, host Dr. Gopi Shah discusses emerging weight loss medications and their impact on obstructive sleep apnea (OSA) with Dr. John Carter, a neurologist and sleep specialist, and Dr. Michael Weber, an otolaryngologist.

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SYNPOSIS

The doctors examine optimal candidates for GLP-1 medications, their side effects, and how these drugs integrate into current OSA treatment pathways. The conversation delves into patients’ experiences, new research findings, and the implications for future sleep apnea management and weight loss strategies. In sum, the episode highlights the promising role of GLP-1 medications while addressing potential challenges and unanswered questions.

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TIMESTAMPS

00:00 - Introduction

03:06 - Understanding Weight Loss Medications

06:18 - Impact of Weight Loss on OSA

12:56 - Clinical Trials and Research

18:57 - Future of OSA Management

23:19 - Challenges and Considerations

29:27 - Pediatric Considerations

37:05 - Final Thoughts and Contact Information

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RESOURCES

Dr. John Carter Profile

https://www.metrohealth.org/physician/john-carter-176808

Dr. Michael Weber

https://www.metrohealth.org/physician/michael-weber-174663

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

The BackTable ENT show is closing out 2024 with gratitude, reflections, and plans for the year to come! In this episode of the Backtable ENT Podcast, hosts Dr. Ashley Agan and Dr. Gopi Shah celebrate a year of growth and milestones, including reaching 200 episodes and expanding their audience.

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SYNPOSIS

They highlight key episodes from 2024, covering various discussions like eustachian tube dilation in children, gender diversity in ENT, and unique aspects of treating OSA in women. Featuring guests Dr. Anthony Law, Dr. Jill D’Souza, Dr. Megan Durr, Dr. Dennis Poe, Dr. Daniel Knott, and Dr. Rahul Seth, the episode underscores the podcast’s commitment to delivering meaningful and educational content for practicing ENTs, trainees, and partners in the ENT community.

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TIMESTAMPS

00:00 - Introduction

01:56 - 2024 Highlights

02:40 - Personal and Professional Milestones

03:56 - Audience Demographics and New Initiatives

08:31 - AI and Laryngology with Dr. Anthony Law

15:21 - Challenges in Pediatric ENT with Dr. Jill D’Souza

23:50 - OSA in Women with Dr. Megan Durr

30:23 - Pediatric Eustachian Tube Dilation with Dr. Dennis Poe

37:53 - Gender Diversity in ENT: Education and Advocacy with Drs. Daniel Knott and Rahul Seth

43:46 - Reflections and Gratitude

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RESOURCES

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent

How can new tools help you be successful in sinus surgery? In this episode of the BackTable ENT Podcast, Dr. Peter-John “PJ” Wormald, Chair of Otolaryngology at Adelaide and Flinders Universities, delves into the complexities of frontal sinus surgery and innovative solutions for common surgical challenges with hosts Dr. Ashley Agan and Dr. Gopi Shah.

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SYNPOSIS

The surgeons discuss chronic frontal sinus disease, when to consider surgery, and optimal post-operative care. Dr. Wormald shares his surgical strategies, including the use of innovative technologies like Chitogel and 3D CT planning software for better surgical outcomes. He also touches on the challenges in training new surgeons and the potential for advances in medical simulation to improve surgical education. This thorough discussion offers insights into the latest techniques and innovations in sinus surgery.

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TIMESTAMPS

00:00 - Introduction

03:46 - Understanding Chronic Frontal Sinus Disease

07:57 - Approach to Sinus Surgery

13:27 - Antibiotic and Steroid Use in Sinus Treatment

18:23 - Patient Consultation and Decision Making

22:51 - Training the Next Generation of Surgeons

36:29 - Analyzing Surgical Factors & Predicting Surgical Outcomes

47:37 - Post-Operative Management

59:02 - Biologics and Long-Term Care

01:07:42 - Innovations in Surgical Training & Final Thoughts

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RESOURCES

BackTable+ for ENT

https://plus.backtable.com/pages/ent

PJ Wormald Profile

https://researchers.adelaide.edu.au/profile/peterj.wormald

Free Stryker Software for Windows

https://www.dropbox.com/s/r4sodtqv221c5yk/Stryker%20Building%20Blocks%203.6.0%20Windows%20Setup%20-%20FESS%202022.exe?dl=0

Free Stryker Software for Mac

https://www.dropbox.com/s/0iac9pmzdz0lqkz/Stryker%20Building%20Blocks%203.6.0%20macOS%20Setup%20-%20FESS%202022.dmg?dl=0

What does it take for a physician-leader to thrive in today's healthcare landscape? In this episode of the BackTable ENT Podcast, Dr. Sunil Verma has an inspiring conversation with host Dr. Gopi Shah about medicine, leadership, and personal growth. Dr. Verma is a laryngologist, Associate CMO of Ambulatory Care, and Associate Dean at UC Irvine Health.

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SYNPOSIS

Dr. Verma shares his journey from clinical practice to holding health system level positions. He discusses the importance of physician leadership, adapting to evolving healthcare systems, and finding personal and professional fulfillment. They also delve into challenges like balancing administrative and clinical roles, the impact of virtual meetings, and the essential need for support within medical teams. Dr. Verma offers insights on making a positive impact within health systems while maintaining personal well-being and growth.

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TIMESTAMPS

00:00 - Introduction

12:41 - Balancing Clinical and Administrative Roles

15:16 - The Importance of Physician Leadership

20:49 - Support Systems and Personal Growth

23:40 - Impact of Physician Leadership on Health Policy

25:43 - The Evolution of Health Systems

33:02 - Physician Burnout and Retention

40:45 - Adapting to Virtual Meetings

44:11 - Advice for Aspiring Leaders

50:45 - Final Thoughts and Pearls of Wisdom

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RESOURCES

BackTable+ for ENT

https://plus.backtable.com/pages/ent

Dr. Sunil’s UCI profile

https://www.ucihealth.org/find-a-doctor/v/sunil-verma