Episodios

  • Ep. 186 Improving Health Equity in Pediatric ENT Care with Dr. Jill D'Souza

    Ep. 186 Improving Health Equity in Pediatric ENT Care with Dr. Jill D'Souza
    Aug 13 2024
    In today’s complex healthcare landscape, how can pediatric otolaryngologists help more children access evidence-based, quality care? In this episode, Dr. Jill D’Souza, pediatric otolaryngologist at Children’s Hospital of New Orleans, discusses pediatric health equity in the Gulf South with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS First, Dr. D’Souza defines the “Gulf South” to include parts of Louisiana, Texas, Mississippi, Alabama, and the Florida panhandle. Challenges to healthcare delivery in this region include rural settings, high poverty rates, and difficulties funding out-of-state Medicaid patients. Then, using tonsillectomy and tracheostomy as examples, Dr. D’Souza explains how social factors complicate access to care. She shares her successes connecting underprivileged children to the care they need. Finally, the episode concludes with her thoughts on how interprofessional teamwork powers better pediatric ENT care. --- TIMESTAMPS 00:00 - Introduction 02:17 - Challenges in Pediatric ENT Care 05:43 - Healthcare Inequities in the Gulf South 10:38 - Tracheostomy Education in Rural, Resource-Limited Settings 21:33 - Helping Patients Tackle Financial Challenges 26:52 - Caring for All in Public Hospitals 37:57 - Keeping the Big Picture in Mind --- RESOURCES PearsonRavitz https://pearsonravitz.com/ Dr. Jill D’Souza’s LSU Health Profile: https://www.medschool.lsuhsc.edu/otorhinolaryngology/dsouza_jill.aspx
    Más Menos
    41 m
  • Ep. 185 Price Transparency in Healthcare with Dr. Keith Smith

    Ep. 185 Price Transparency in Healthcare with Dr. Keith Smith
    Aug 9 2024
    38 m
  • Ep. 184 Thyroglossal Duct Cysts in Children: a Comprehensive Approach with Dr. Christopher Liu

    Ep. 184 Thyroglossal Duct Cysts in Children: a Comprehensive Approach with Dr. Christopher Liu
    Aug 6 2024
    What is the best way to manage an infected thyroglossal duct cyst? In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Christopher Liu, associate professor of pediatric otolaryngology at UT Southwestern, to learn about his vast experience with evaluation and management of thyroglossal duct cysts and the nuances of other congenital neck masses. --- 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. Liu describes how thyroglossal duct cysts present. Patients often become aware of their cyst when a parent palpates a midline neck mass or when the cyst gets infected. Then, Dr. Liu describes non-operative management of thyroglossal duct cysts, including antibiotics to treat infection and cases in which drainage is appropriate. The conversation proceeds to surgical strategy, with Dr. Liu describing how his approach to cyst excision evolved over the years. The episode concludes with pearls on post-operative management and potential surgical complications. --- TIMESTAMPS 00:00 - Introduction 02:53 - Understanding Thyroglossal Duct Cysts 11:48 - Managing Infected Thyroglossal Duct Cysts 14:02 - Antibiotic Choices & Drainage Techniques 21:05 - Imaging & Workup 25:39 - Surgical Approach and Techniques 27:29 - Koempel’s Technique for Thyroglossal Duct Cyst Surgery 39:04 - Surgical Complications, Risk of Recurrence, & Post-Operative Care 52:37 - Key Takeaways for Thyroglossal Duct Cyst Surgery --- RESOURCES Dr. Christopher Liu’s UT Southwestern Profile: https://utswmed.org/doctors/christopher-liu/ Jeffrey Koempel, “Thyroglossal Duct Remnant Surgery: A Reliable, Reproducible Approach to the Suprahyoid Region”: https://pubmed.ncbi.nlm.nih.gov/25193588/
    Más Menos
    58 m
  • Ep. 183 Office-Based Ear Tubes in Children with Dr. Shelagh Cofer

    Ep. 183 Office-Based Ear Tubes in Children with Dr. Shelagh Cofer
    Jul 30 2024
    Given that recurrent otitis media can expose children to hearing loss, delayed speech development, and repeated antibiotic use, it is not at all surprising that ear tube insertion is the most common ambulatory procedure performed in the United States. But what if there was a way to insert ear tubes in children without going to the operating room? In this episode, host Dr. Ashley Agan speaks with Dr. Shelagh Cofer, pediatric otolaryngologist at the Mayo Clinic, about the Hummingbird Tympanostomy Tube insertion system. --- CHECK OUT OUR SPONSOR Hummingbird PE Ear Tubes https://www.hummingbirdeartubes.com/physicians/hummingbird-tts-device/ --- SYNPOSIS First, Dr. Cofer reviews the epidemiology of pediatric otitis media. When a child has 3 ear infections in three months or 5-7 in a year, tympanostomy tubes are indicated. Wanting to facilitate this procedure, Dr. Cofer brought the in-office Hummingbird tympanostomy tube system to her practice as one of the principal investigators in the clinical trials. After reviewing how the device was developed, she walks listeners through how she uses it, including how to avoid pitfalls such as “dunking” a tube. Finally, she shares feedback from parents whose children had ear tubes inserted using the Hummingbird system. --- TIMESTAMPS 00:00 - Introduction 02:25 - Ear Infections & Ear Tubes 09:34 - Selecting Patients for In-Office Ear Tube Placement 15:50 - Inserting Ear Tubes in the Office: A Step-by-Step Guide 34:33 - Benefits of In-Office Ear Tube Placement 42:35 - Avoiding & Mitigating Complications from Ear Tube Insertion 56:23 - Parent Feedback on the Hummingbird System --- RESOURCES Dr. Shelagh Cofer’s Mayo Clinic Profile: https://www.mayoclinic.org/biographies/cofer-shelagh-a-m-d/bio-20055176 Hummingbird TTS Website: https://www.hummingbirdeartubes.com/
    Más Menos
    1 h y 4 m
  • Ep. 182 Understanding OSA in Women with Dr. Megan Durr

    Ep. 182 Understanding OSA in Women with Dr. Megan Durr
    Jul 23 2024
    Epidemiological studies reveal that women make up 25% of all obstructive sleep apnea (OSA) patients, yet only 11% of patients carrying OSA diagnoses are women. What drives this disparity? In this episode of the BackTable ENT Podcast, sleep surgeon and UCSF Associate Professor Dr. Megan Durr joins host Dr. Gopi Shah to discuss OSA in women. --- 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. Durr recounts her path to sleep surgery, including her interest in women’s sleep issues, which grew out of discussions with her female friends experiencing pregnancy-related sleep disturbances. When asked why OSA is under-diagnosed in women, Dr. Durr underscores how women’s OSA symptoms – mental fog, memory issues, and insomnia – are relatively nonspecific. While it presents differently in women, OSA increases the risk of heart failure, hypertension, and dementia in all patients, regardless of sex. Then, Dr. Durr shares her physical exam and testing strategies to uncover OSA in female patients. Once diagnosed, she advocates multimodal treatment, including CPAP, weight loss, and surgery. The podcast concludes with discussion of how ENTs can eliminate barriers to better sleep in women, underrepresented minorities, and low-income patients. --- TIMESTAMPS 00:00 - Welcome to the BackTable ENT Podcast 03:06 - Dr. Megan Durr’s Background & Journey 08:15 - Challenges Diagnosing Sleep Apnea in Women 14:55 - Long-term Effects of Sleep Apnea in Women 20:06 - Hormonal Influences on Sleep Apnea 29:56 - CPAP & Oral Devices in Women with OSA 32:21 - Positional Therapy & Surgery in Women with OSA 36:34 - Weight Loss to Combat OSA 41:04 - Countering Disparities in OSA Treatment 48:06 - Identifying & Caring For “Unseen” OSA Patients: A Team Effort --- RESOURCES Medtronic ENT https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html Dr. Durr’s UCSF Profile: https://ohns.ucsf.edu/megan-durr Dr. Durr’s X: https://x.com/drmegandurr
    Más Menos
    51 m
  • 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