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Departments

Decade-Long Progressive Dysphagia with Intermittent Regurgitation

February 14, 2012

A 78-year-old woman presented with a 10-year history of progressive dysphagia for solid foods and pills, with intermittent regurgitation of pills but not food. No aspiration or weight loss was reported. Her past medical history was significant for breast cancer, hypothyroidism and arthritis. No head and neck masses were appreciated. A modified barium swallow was obtained.

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Voice Disorders in Children Require a Team Approach

February 14, 2012

Although voice disorders in children are not new, recognition of the need to address and treat these disorders in many children is increasing.

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Cloud Computing May Be a Simple Solution for Your EHR Needs

February 14, 2012

Cloud computing is the delivery of your computing needs as a service rather than as a suite of products that you have to purchase and maintain. Why couldn’t we do that with an EMR or EHR for our patients?

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Window of Opportunity: New time frame suggested for cochlear implant surgery in advanced otosclerosis

January 13, 2012

A new treatment algorithm for advanced otosclerosis, based on the clinical experience of Dutch investigators and supported by a literature review they conducted, suggests that the window for successful cochlear implantation (CI) in patients with severe disease is narrower than some otolaryngologists may believe .

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Time to Retire Your White Coat? Plan your exit strategy carefully

January 13, 2012

As the physicians of the baby boomer generation approach their golden years, many have achieved career and financial success and are looking for an arrangement that will allow them to ease into retirement. While you may not be ready to hang up your white coat permanently, you may be interested in working fewer hours and taking less call. Retirement requires more than simply removing your name from the office door, however. If you are a physician nearing retirement, it is important that you plan, discuss and make contractual agreements that will allow you to accomplish your goals and changing needs.

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Turn a Fellowship Into a Career: How to match up with the right program

January 13, 2012

The opportunity to gain more surgical experience as a facial plastics fellow was enticing to Hussein Samji, MD, MPH, as he finished his residency at Stanford University School of Medicine in Palo Alto, Calif., in 2010. But after exposure to some of the more mundane aspects of the subspecialty during screening interviews, Dr. Samji said he knew it wasn’t the career path for him.

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Obstructive Sleep Apnea Options

December 9, 2011

Oral appliances may work better than CPAP for some patients

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Lift Off: A carefully planned retreat can take your practice to the next level

December 9, 2011

Every otolaryngology group needs a chance to evaluate its organization outside the frenetic pace of day-to-day patient care. A practice retreat provides the opportunity to assess your operations, examine your mission and conduct strategic planning in a setting where physicians are relaxed and undistracted.

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Conflicting Curriculums: Ethics education for residents inconsistent across programs

November 5, 2011

A man with moderate dementia who is living in a nursing home is diagnosed with laryngeal cancer. The man is still able to talk and interact with other people. But he doesn’t know what year it is and is unable to make decisions on his own.

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Balloon Sinuplasty Use Continues to Evolve: Procedure may complement traditional sinus surgery

November 5, 2011

Six years after balloon sinuplasty was introduced to the otolaryngology community, it remains an evolving technology. “In my opinion, balloon dilatation has great potential, but it’s still trying to find its proper place in the ENT arena,” said Ralph Metson, MD, clinical professor of otology and laryngology at Harvard Medical School and Massachusetts Eye and Ear Infirmary in Boston.

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