Episodios

  • Ep. 181 Localized Drug Delivery for CRS with Dr. Rajiv Pandit

    Ep. 181 Localized Drug Delivery for CRS with Dr. Rajiv Pandit
    Jul 16 2024
    Before bringing a new device into your practice, it’s prudent to understand the science behind, indications for, and insurance coverage of that device. In this episode, Dr. Rajiv Pandit, comprehensive otolaryngologist at Dallas ENT Head & Neck Surgery Center, joins BackTable to discuss his success treating sinusitis with drug-eluting stents. --- CHECK OUT OUR SPONSOR Medtronic ENT Propel Implants https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23 --- SYNPOSIS First, Dr. Pandit shares the benefits of localized drug delivery, including fewer systemic steroid effects and improved compliance. He shares his experience deploying Propel and SINUVA stents to treat sinusitis. Then, Dr. Pandit shares his workflow for treating sinusitis, including patient education, anesthesia protocols, stent placement, and billing. The episode wraps with his tips on incorporating a new device into your practice. --- TIMESTAMPS 00:00 - Introduction 02:44 - Dr. Rajiv Pandit’s Path to Treating Sinusitis in Private Practice 04:31 - Understanding Local Drug Delivery for Sinus Disease 06:17 - The Evolution of Propel & Sinuva Sinus Stents 18:33 - Contraindications & Post-Op Protocols 32:35 - Understanding Insurance Coverage & Preauthorization 37:47 - Patient Education & Long-Term Treatment Plans 48:10 - Anesthetic Protocols for In-Office Sinonasal Procedures 54:48 - Bringing Drug-Eluting Sinus Stents to Your Practice --- RESOURCES Dr. Pandit’s Dallas ENT Profile: https://www.dallasent.com/providers/rajiv-pandit Dallas ENT Instagram: https://www.instagram.com/dallas.ent/embed/ Dr. Pandit’s Email: drpandit@dallasent.com
    Más Menos
    1 h
  • Ep. 180 Aural Rehabilitation After Pediatric Cochlear Implantation: Expert Insight from Audiology with Dr. Sarah Cordingley, Aud, CCC-A

    Ep. 180 Aural Rehabilitation After Pediatric Cochlear Implantation: Expert Insight from Audiology with Dr. Sarah Cordingley, Aud, CCC-A
    Jul 9 2024
    Any otolaryngologist or cochlear implant (CI) patient can tell you that the journey to better hearing begins in earnest after CI activation. When the patient in question is a child, what does that journey look like? In this episode of the BackTable ENT podcast, Dr. Sarah Cordingley, audiologist with Peak ENT (Provo, Utah), joins host Dr. Gopi Shah to discuss aural rehabilitation for pediatric CI patients. --- SYNPOSIS First, Dr. Cordingley explains how audiologists work alongside otolaryngologists, social workers, and occupational therapists to prepare patients for cochlear implantation. Since younger patients cannot sit for a standard audiogram, she uses auditory milestones, visual reinforcement audiology (VRA) and conditioned play audiometry (CPA) to assess pediatric hearing loss. Then, she explains how audiologists help patients learn to use their implant, underscoring the importance of regular use, streaming, and participation in structured aural rehabilitation programs. The podcast concludes with a discussion of efforts to increase patient access to cochlear implants. --- TIMESTAMPS 00:00 - Welcome to the BackTable ENT Podcast 05:05 - Audiologists’ Crucial Role in Cochlear Implant Evaluation 13:59 - Implant Activation & Programming 20:11 - The Importance of Family Support in Pediatric Hearing Loss 26:31 - Uses of Telehealth in Audiology 32:49 - Learning to Use New CI Technologies 41:47 - Equitable Access to Cochlear Implants 45:27 - Audiologists & Otolaryngologists: Partners for CI Success --- RESOURCES Dr. Cordingley’s Peak ENT Profile: https://peakent.com/our-healthcare-providers/ Dr. Cordingley’s email: scordingley@peakent.com
    Más Menos
    51 m
  • Ep. 179 Decision Fatigue in Medicine: Insights from Dr. Steven Goudy

    Ep. 179 Decision Fatigue in Medicine: Insights from Dr. Steven Goudy
    Jul 2 2024
    Part of being a doctor is making high-stakes decisions nearly every day. However, making quality choices becomes even harder when you’re inundated with work and not sure where to start. In this episode, Dr. Steven Goudy, Professor of Pediatric Otolaryngology at Emory University (Atlanta), joins host Dr. Gopi Shah to cover decision fatigue. --- SYNPOSIS First, Dr. Goudy defines decision fatigue and explains its relation to clinician burnout. Based on their experience, decision fatigue might look different in an early-career versus a mid-career surgeon, but it will leave both feeling depleted. Then, Dr. Goudy shares strategies to mitigate decision fatigue, including delegation, coaching, and standardization. He uses examples from the business world to illustrate the importance of saying “no” to opportunities you aren’t interested in. Finally, the podcast concludes with a reflection on how your values should guide the choices you make. --- TIMESTAMPS 00:00 - Introduction 01:32 - Decision Fatigue Defined 03:51 - Personal Strategies to Combat Decision Fatigue 06:10 - Decision Fatigue in the Clinic 24:29 - Decision Fatigue in the Operating Room 29:49 - Decision Fatigue at Home 37:37 - Making Choices that Align with Your Values & The Importance of Saying “No” --- RESOURCES Dr. Steven Goudy’s Emory University Profile: https://med.emory.edu/directory/profile/?u=SGOUDY Article on Judges & Decision Fatigue: https://www.pnas.org/doi/10.1073/pnas.1018033108 Article on Orthopedic Surgeons & Decision Fatigue: https://onlinelibrary.wiley.com/doi/full/10.1002/hec.3933 Article on Interruptions in the Trauma OR: https://pubmed.ncbi.nlm.nih.gov/22124638/
    Más Menos
    41 m
  • Ep. 178 Teaching Surgical Residents in the XXI Century: Beyond See One, Do One, Teach One with Dr. Oswaldo Henriquez

    Ep. 178 Teaching Surgical Residents in the XXI Century: Beyond See One, Do One, Teach One with Dr. Oswaldo Henriquez
    Jun 25 2024
    While resident education represents the top priority of most otolaryngology departments, few attending surgeons receive formal training on teaching. In this episode of the BackTable ENT podcast, host Dr. Gopi Shah covers surgical education with Dr. Oswaldo Henriquez, rhinologist at Wellstar Health and adjunct associate professor at Emory School of Medicine. --- CHECK OUT OUR SPONSOR Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23 --- SYNPOSIS First, Dr. Henriquez shares his passion for teaching and learning. In his view, surgeons are career-long learners: even established otolaryngologists benefit from surgical coaching. Then, he describes the unique needs of adult learners. When teaching technical skills, Dr. Henriquez emphasizes providing realistic goals, actionable feedback, and opportunities for supervised practice. When teaching “soft skills,” Dr. Henriquez focuses on modeling the professionalism and compassion he expects of his trainees. Finally, the episode concludes with Dr. Henriquez’s thoughts on teaching as a skill all academic surgeons should hone. --- TIMESTAMPS 00:00 - Introduction 03:29 - Dr. Enriquez’s Journey as a Surgical Educator 07:26 - Teaching Adult Learners 24:14 - Challenges in Modern Surgical Education 31:39 - Setting Goals & Expectations 36:40 - The Importance of Feedback in Surgical Education 43:25 - Modeling & Teaching Surgical “Soft Skills” 53:01 - Learning How to Teach: Lessons From a Surgical Educator --- RESOURCES Dr. Oswaldo Henriquez’s Wellstar Profile: https://www.wellstar.org/physicians/oswaldo-henriquez-md Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html
    Más Menos
    57 m
  • Ep. 177 AI Scribes: Enhancing Patient and Physician Interaction with Elie Toubiana

    Ep. 177 AI Scribes: Enhancing Patient and Physician Interaction with Elie Toubiana
    Jun 21 2024
    Dr. Aditya Bagrodia sits down with Elie Toubiana, founder and CEO of ScribeMD.ai, to discuss the transformative potential of artificial intelligence (AI) in medical documentation. --- SYNPOSIS Their conversation covers the capabilities and benefits of using an AI-driven medical scribe that ensures HIPAA compliance, reduces physician burnout, and enhances patient interactions. Elie also shares his insights about the technology’s adaptability across various medical fields. Finally, Dr. Bagrodia and Elie discuss ethical considerations surrounding applications of AI in other aspects of healthcare, such as medical workup and diagnosis. --- TIMESTAMPS 00:00 - Introduction 06:00 - How ScribeMD AI Works 14:14 - Integration with EMR 20:31 - Legal Considerations with AI Technology 26:34 - Cost Implications of AI Scribes 38:46 - Future of AI in Medical Diagnosis 41:45 - Conclusion and Final Thoughts --- RESOURCES ScribeMD.ai https://www.scribemd.ai/
    Más Menos
    44 m
  • Ep. 176 Advancing Surgical Education: 3D Models and Videos with Dr. François Simon

    Ep. 176 Advancing Surgical Education: 3D Models and Videos with Dr. François Simon
    Jun 18 2024
    While the mantra “see one, do one, teach one” once guided surgical education, nowadays, technologies like 3D printed models and realistic surgical videos allow trainees to safely gain hands-on experience. In this episode of the BackTable ENT podcast, Dr. François Simon, pediatric otolaryngologist at Necker Hospital for Sick Children (Paris, France) joins host Dr. Gopi Shah to discuss technological innovations in surgical education. --- SYNPOSIS First, Dr. Simon explains how 3D printing technology expands trainees’ anatomical knowledge. He speaks to his experience working alongside a 3D printing engineer to develop models used to teach otoscopy and ear surgery. Then, Dr. Simon tackles the role of videos in surgical education. His conversation with Dr. Shah focuses on the composition, ethics, and distribution of effective educational videos. Finally, Dr. Simon discusses how attending surgeons can leverage technology to maximize trainee learning in the operating room. --- TIMESTAMPS 00:00 - Introduction 02:36 - Embracing 3D Printing in Surgical Education 14:32 - Collaborating with Engineers to Produce High-Fidelity Anatomic Models 17:59 - The Future of 3D Printing in Medicine 20:44 - The Role of Video in Surgical Education 24:59 - Creating Effective Educational Videos 34:49 - How to Distribute Your Video to its Target Audience 36:23 - Ethical Considerations: Patient Consent & Privacy 44:56 - Final Thoughts & Resources for Educators --- RESOURCES 3D Printed Model to Teach Otoscopy: https://www.m3d-print.com/en/products/otoscopic-simulator-tympano/ Dr. Simon’s Guide to Making an Effective Surgical Video: https://videos-chirurgicales.u-paris.fr/en/ IVORY (Instructional Videos in Otorhinolaryngology by YO-IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat: https://onlinelibrary.wiley.com/doi/full/10.1002/lary.29020
    Más Menos
    48 m
  • Ep. 175 Understanding Atypical LPR: Beyond the Larynx with Dr. Inna Husain

    Ep. 175 Understanding Atypical LPR: Beyond the Larynx with Dr. Inna Husain
    Jun 11 2024
    In this episode, laryngologist Dr. Inna Husain joins host Dr. Ashley Agan for a deep dive into laryngopharyngeal reflux (LPR) to illuminate patient presentation, diagnostic tests, and future directions in LPR research. --- SYNPOSIS The episode begins with a recap of Episode 83, in which Dr. Husain explained LPR fundamentals. Continuing from where they left off, the surgeons discuss various presentations of LPR, emphasizing the distinctions between acidic/non-acidic and direct/indirect reflux. Then, they review tests used to diagnose LPR and role of collaboration with gastroenterology colleagues. Dr. Husain shares her therapeutic approach to LPR, which includes lifestyle modifications for all patients, alginates for those with mechanical reflux, and nerve blocks for those with neurally mediated symptoms. The podcast wraps with a discussion of hot topics in LPR research. --- TIMESTAMPS 00:00 - Introduction 01:01 - Sponsor Spotlight: Medtronic ENT Innovations 04:37 - Summary of BackTable Episode 83 on Laryngopharyngeal Reflux (LPR) 08:34 - Typical vs. Atypical Presentations of LPR 23:36 - Dr. Husain’s Personal Experience with LPR 38:27 - Diagnosing LPR 46:43 - Lifestyle & Dietary Changes for LPR 50:53 - Hot Topics in Contemporary LPR Research 53:17 - The Brain-Gut Connection & LPR --- RESOURCES BackTable ENT Episode 83: “Laryngopharyngeal Reflux with Dr. Inna Hussain:” https://www.backtable.com/shows/ent/podcasts/83/laryngopharyngeal-reflux Medtronic ENT www.medtronicent.com Dr. Inna Husain’s Community Healthcare System profile: https://www.comhs.org/find-a-doctor/h/husain-inna Dr. Inna Husain’s X: https://x.com/drinnahusain Dr. Inna Husain’s Instagram: https://www.instagram.com/innahusainmd/ Dr. Inna Husain’s TikTok: https://www.tiktok.com/@throatdoc
    Más Menos
    1 h y 5 m
  • Ep. 174 Advanced Navigation Systems for FESS: Enhancing Safety with Dr. Raj Sindwani

    Ep. 174 Advanced Navigation Systems for FESS: Enhancing Safety with Dr. Raj Sindwani
    Jun 4 2024
    In this episode, Dr. Raj Sindwani, rhinologist at the Cleveland Clinic, joins host Dr. Gopi Shah to discuss advanced navigation systems, such as virtual reality (VR), to improve functional endoscopic sinus surgery (FESS). --- CHECK OUT OUR SPONSOR Stryker ENT https://ent.stryker.com --- SYNPOSIS First, Dr. Sindwani shares how he combines pre-operative imaging data and navigation to plan successful surgeries. Then, he delves into features available in newer navigation systems, including target/anti-target technology, which notifies surgeons as their instruments approach critical structures. He covers topics relevant to navigation in clinical practice, including reimbursement, patient counseling, and troubleshooting in the OR. The episode concludes with a short conversation on the future of navigation-assisted FESS. --- TIMESTAMPS 00:00 - When to Use Navigation 10:42 - Harnessing Augmented Reality for Better Surgical Planning 20:43 - Registering Landmarks with Navigation 22:27 - How Navigation Systems Enhance Surgical Education 27:53 - Navigation in Office-Based Procedures 35:05 - Troubleshooting Problems with Navigation Systems 42:25 - The Future of Navigation-Assisted FESS --- RESOURCES Stryker ENT Products: https://www.stryker.com/us/en/ent.html Dr. Sindwani’s Cleveland Clinic Profile: https://my.clevelandclinic.org/staff/14102-raj-sindwani
    Más Menos
    46 m