BackTable ENT
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Top 10 BackTable ENT Episodes
Goodpods has curated a list of the 10 best BackTable ENT episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to BackTable ENT for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite BackTable ENT episode by adding your comments to the episode page.
Ep. 142 Evaluation and Management of Chronic Frontal Sinusitis in Sweden with Dr. Jens Andersson
BackTable ENT
11/14/23 • 44 min
In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Jens Andersson, practicing ENT at Sweden’s Skåne University Hospital, tackle chronic frontal sinusitis.
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SHOW NOTES
First, Dr. Andersson talks about the Swedish healthcare systems, focusing on access to care and cost. The discussion then shifts to chronic frontal sinusitis. Symptoms associated with this disease include frontal headache, stuffiness, congestion, and low-grade fever. In cases of orbital involvement, patients may complain of proptosis or diplopia. Risk factors include frontal sinus fracture, barotrauma, an immunocompromised state, and dental infection. Most, but not all, patients have involvement of multiple sinuses.
Next, Dr. Andersson illuminates workup and treatment of chronic frontal sinusitis. His physical exam includes close inspection of the oral cavity, anterior rhinoscopy (performed with a microscope), and flexible fiberoptic laryngoscopy. When ordering imaging, he prefers cone-beam CT of the sinuses, though he orders MRI when bony invasion or extra-sinus disease are present.
Finally, the surgeons discuss operative management of chronic frontal sinusitis. Dr. Andersson talks listeners through his pre-operative planning, focusing on how he uses imaging. Moving to the OR, the surgeons share their techniques for operating on the frontal sinus. Dr. Andersson reviews strategies to avoid scarring, use of navigation systems, and post-operative management. Dr. Shah shares pearls from her pediatric sinus practice. The episode finishes with Dr. Andersson’s witty and high-yield advice for otolaryngologists.
06/11/24 • 64 min
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.
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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.
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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
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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
11/07/23 • 57 min
In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Briac Thierry, Pediatric ENT at Necker Hospital for Sick Children in Paris, France, review stridor in newborns, with a special emphasis on laryngomalacia.
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SHOW NOTES
First, Briac and Gopi discuss how a newborn with stridor can present. Though stridor does occur among NICU babies, most of Briac’s patients are referred by outpatient pediatricians. They discuss a list of questions to ask while taking a history and emphasize the importance of assessing growth trends. In the absence of other medical problems, declining weight can suggest severe aerodigestive tract abnormality. Any pathology that narrows the airway can cause stridor: in infants, these include laryngomalacia, vallecular cysts, subglottic cysts, tracheal rings, and bilateral vocal fold immobility.
Then, Briac talks listeners through his physical exam, with special attention paid to flexible fiberoptic laryngoscopy. Briac shares his tips to maximize visualization and clinician ergonomics when scoping a small child. If bilateral vocal fold immobility is suspected, Briac recommends performing a longer fiberoptic exam so that the clinician can determine whether vocal fold immobility is present at rest or due to an uncomfortable child crying.
Next, Gopi and Briac differentiate between mild, moderate, and severe laryngomalacia and the indications for going to the operating room for an airway evaluation. As 20% of children with laryngomalacia have secondary airway lesions, a meticulous laryngoscopy/bronchoscopy is mandatory in these patients when a trip to the OR is required. Moving to the OR, Briac talks about his workflow when performing diagnostic bronchoscopy/laryngoscopy (DLB) to assess various causes of stridor. The episode concludes with Briac’s meditations on airway surgery as a team endeavor.
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RESOURCES
Briac’s Necker Hospital Profile:
https://www.aphp.fr/offre-de-soin/medecin/3168653/061/16
International Pediatric ORL Group (IPOG) Laryngomalacia Consensus Recommendations:
https://www.sciencedirect.com/science/article/abs/pii/S0165587616300519
Pediatric Airway Channel in Paris (@voies_aeriennes):
https://www.youtube.com/@voies_aeriennes
12/22/20 • 35 min
We talk to Dr. Dana Crosby about early career leadership insight.
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EARN CME
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/GOr4sx
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SHOW NOTES
In this episode, Dr. Dana Crosby joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss leadership in Otolaryngology and how to navigate and build a program from the ground up.
Dr. Crosby describes her initial experiences post-Rhinology fellowship starting to build up a small Otolaryngology division into a department as a co-Chair. She discusses the importance of identifying good mentors and resilience in starting out. She continues to speak to the importance of navigating through the best interests of both all the faculty involved as well as the department. Additionally, the importance of reading and constantly learning from books and other resources as such is vital to complement the experiential learning.
Dr. Crosby continues to talk about different leadership styles and how they complement each other. She describes a style of allowing everyone to have input, while being aware that certain situations call for quick decision making. She also mentions how best to manage disagreements through open discussion and compromise. Dr. Crosby closes out by discussing the implementation of leadership curriculums in training at all different levels. Although residency is incredibly busy, dedicated leadership skill discussions may be beneficial. Lastly, she ends with the key points about being yourself, leading by example, and being open to new opportunities and learning from each one.
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RESOURCES
Dr. Crosby’s Email: [email protected]
Leadership Books: Good to Great, James Collins
01/07/22 • 61 min
Emergency medicine physician and podcast founder Dr. Gita Pensa and our co-hosts Dr. Chris Beck and Dr. Aaron Fritts discuss methods of navigating malpractice lawsuits, maintaining professional identity, and prioritizing mental health.
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EARN CME
Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/Mfo9EF
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SHOW NOTES
In this episode, emergency medicine physician and podcast founder Dr. Gita Pensa and our co-hosts Dr. Chris Beck and Dr. Aaron Fritts discuss methods of navigating malpractice lawsuits, maintaining professional identity, and prioritizing mental health.
Dr. Pensa starts by outlining her personal experience with a twelve year-long malpractice suit, which inspired her to start her own podcast, “Doctors and Litigation: The L Word.” She says that despite the fact that most physicians will face lawsuits in their career, there is a current lack of physician-centered educational resources over malpractice litigation. To combat this, she encourages physicians to share their experiences and learn from one another.
The doctors walk through major steps of a lawsuit, starting with the process of getting served with papers. Dr. Pensa emphasizes that it is important to recognize that this step could be used as the first tactical move in a lawsuit and designed to make physicians feel uneasy. The next step after getting served should always be to call the insurance carrier and have them start the process of initiating a claim. Dr. Pensa strongly advises against accessing or editing patient charts after getting served, as these actions are recorded in the EMR and can be used against the physician. Finally, Dr. Pensa discusses the process of deposition and how it serves as both a fact-finding mission and a strategic way to distort a physician’s words. She recommends practicing with lawyers to answer deposition questions clearly and concisely.
Throughout the episode, the doctors highlight the importance of maintaining one’s mental health during the litigation process. They advise listeners to seek support from friends, family, colleagues, and professionals, as long as the specific details of the case are not discussed. To close, Dr. Pensa reminds the audience that malpractice lawsuits usually have financial motivations, and they may not be an accurate representation of a physician’s competence or compassion for patients.
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RESOURCES
Doctors and Litigation: The L Word: https://doctorsandlitigation.com/
“The Defendant” by Sarah Charles: https://www.amazon.com/Defendant-Sarah-Charles/dp/0394746635
“Adverse Events, Stress, and Litigation” by Sarah Charles: https://www.amazon.com/Adverse-Events-Stress-Litigation-Physicians/dp/0195171489
“How to Survive a Medical Malpractice Lawsuit” by Ilene Brenner: https://www.amazon.com/How-Survive-Medical-Malpractice-Lawsuit-ebook/dp/B005C65X2M
“When Good Doctors Get Sued” by Angela Dodge and Steven Fitzer: https://www.amazon.com/When-Good-Doctors-Get-Sued/dp/0977751104
11/08/22 • 48 min
In this episode of BackTable ENT, Dr. Varun Varadarajan interviews Dr. Edward Dodson, President of Project Ear and a neurotologist at the Ohio State University Wexner Medical Center, about his humanitarian efforts in the Dominican Republic.
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/nUekSE
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SHOW NOTES
Dr. Dodson was first introduced to Project Ear when he joined his mentor and Project Ear founder, Dr. Paul Lambert, on a mission trip to Dominican Republic in 1995 to perform ear surgeries. Although they could only operate on 12 patients, seeing hundreds of patients waiting in line for medical care was eye-opening for him.
Dr. Dodson then shares about preparations needed for the Project Ear medical mission trips. He emphasizes the importance of their local neurotologist liaison, Dr. Roberto Batista, who helped Project Ear by performing preoperative and postoperative care for patients in exchange for equipment. In the first years of the organization, the doctors had to learn which supplies to bring and how to store them as well as how to organize staff and supplies in order to pass through customs. Dr. Dodson notes that he used to sterilize wasted equipment from American ORs during their first trips. Later, Project Ear was able to partner with Ohio State University and could give credit to residents who participated on the trips and negotiate time for employees to travel. Because the mission hospital they worked with allowed trainees, he was allowed to take senior level American residents to the Dominican Republic. Furthermore, Dr. Dodson also sought out to teach DR residents independently at another hospital and brought them new medical equipment. This initiative led DR residents to be granted permission to participate in Project Ear surgeries as well as rotate at Ohio State. Currently, multiple ENT subspecialties, besides neurotology, and audiology are now represented within Project Ear.
Next, Dr. Dodson speaks about Dominican Republic-related topics. He explains that the most common ear conditions he sees are chronic draining ears, perforation, cholesteatomas, congenital atresia, stapedectomy, and otosclerosis. When the COVID-19 pandemic hit, he and his Project Ear colleagues started teaching via Zoom through giving lectures and Grand Rounds talks to Dominican Republic residents. Dr. Dodson and Dr. Varadarajan also reflect on the open-mindedness and creativity required to operate in a resource-limited environment. Dr. Dodson also explains about how he navigated relationships with local ENT doctors in the area.
Finally, he shares advice and resources for doctors looking to start their own medical mission trips. He emphasizes the importance of understanding the time it takes to plan and lead a trip as well as determining that your medical services are actually wanted in the country.
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RESOURCES
Project Ear
https://projectear.org/
Coalition for Global Hearing Health
https://coalitionforglobalhearinghealth.org/
AAO-HNSF Humanitarian Efforts List
https://www.entnet.org/get-involved/humanitarian-efforts/
05/23/23 • 86 min
En este episodio de BackTable ENT, Dr. Carlos Torre entrevista al reumatólogo Dr. Juan Chiossone sobre su trayectoria profesional y su manejo de pacientes con problemas neurotológicos.
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SHOW NOTES
Primero, Dr. Chiossone explica su trasfondo médico, que incluye el entrenamiento en varios lugares como Venezuela e Inglaterra. Se dio cuenta de que tenía un interés en la investigación científica y la microcirugía durante su tiempo en la escuela medical en Caracas. Tuvo la oportunidad de estudiar en Cambridge también y explicó cómo buscó sus mentores y el rol integral que tiene su fellowship en su desarrollo como cirujano. Después de su tiempo en Inglaterra, hizo la decisión de quedarse en la medicina académica y explica más sobre las ventajas y desventajas de trabajar en una práctica privada. Dr. Chiossone hace la transición para explicar cómo obtuvo una posición en la Universidad de Miami y las diferencias entre practicar medicina en Venezuela y los Estados Unidos.
Próximamente, los doctores discuten la evaluación de los pacientes con problemas neurotológicos. Dr. Chiossone nota que el tiempo de presentación de los síntomas es importante, independientemente de si es una pérdida auditiva o problemas con el balance. Para los niños, es crítico diagnosticar los problemas temprano porque la falta de tratamiento puede tener un gran impacto por el resto de sus vidas. Para cada condición, es importante explicar la condición al paciente en vocabulario básico y tener un actitud optimista sobre el tratamiento para mitigar la ansiedad y el estrés del paciente.
Además, Dr. Chissone habla sobre su técnica de implantación coclear, su protocolo de inyecciones intratimpánicos, indicaciones para tubos para los oídos, y su reparación de las perforaciones timpánicas. Finalmente, los doctores comparan las ventajas y desventajas de la cirugía microscópica y la cirugía endoscopia y el impacto de los nuevos audífonos de venta libre.
09/05/23 • 53 min
In this episode of BackTable ENT, Dr. Demetri Arnaoutakis, a facial plastic surgeon, and host Dr. Gopi Shah discuss planning and execution of in-office facelifts.
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SHOW NOTES
First, Demetri and Gopi begin with discussion of the clinic intake visit. During a first visit, Demetri takes time to understand each patient’s goals and priorities as they relate to their appearances. Using this knowledge, he walks each patient through all possible treatment choices, then helps the patient decide the best path forward. He takes a detailed procedural/surgical history and performs a top-down examination of the patient’s face.
Then, Demetri describes different surgical and non-surgical options to improve facial aesthetics. He divides these options into non-invasive (micro-needling, fillers, Botox), minimally invasive (radiofrequency-assisted lipolysis), and surgical (facelift). Demetri explains multiple approaches to facelift, noting that he tends to prefer a deep-plane approach that mobilizes the superficial musculoaponeurotic system (SMAS). Demetri then shares pearls from his practice about optimal incision sites, the importance of acquiring the right instruments, and the addition of tranexamic acid to tumescent anesthesia to reduce risk of hematoma.
Finally, Demetri outlines his post-operative management. In addition to standard post-operative protocols, his patients undergo hyperbaric oxygen treatment to increase oxygen delivery to tissues and lymphatic massage to aid lymph drainage. The episode wraps up with Demetri’s advice to listeners wanting to improve their cosmetic surgical skills.
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RESOURCES
Dr. Arnaoutakis’ website:
https://www.drdemetrimd.com/
05/04/23 • 83 min
In this episode of BackTable ENT, Dr. Varun Varadarajan speaks with Michael Johnson, a business lawyer, about advice for negotiating academic and hospital employment contracts.
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EARN CME
Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/0aliK0
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SHOW NOTES
First, the doctors talk about the RVU system of compensation used by many hospitals and academic centers. They discuss what the price per RVU means and additional bonuses after the expected RVU goal is met. Michael adds that it may be beneficial to negotiate for more resources to earn more RVUs instead of negotiating more compensation, as the former strategy can lead to higher compensation. Additionally, he notes that subspecialty clinicians and surgeons have more leverage to negotiate their contracts if they are the first subspecialists in a large system. He recommends that physicians start negotiating at least a year in advance of their anticipated start date. They also discuss the compensation models based on productivity versus a flat salary.
Then, the doctors explain how to handle verbal offers from academic centers. Michael recommends talking to multiple employers at a time when starting the hiring process in order to weigh multiple options. However, he recommends physicians to be upfront about where they are interviewing with each employer. He notes that some academic institutions will send a letter of appointment, and not an employment contract, but physicians can still negotiate for firm deal breakers in the letter of appointment. He then explains different clauses in the contracts, such as restrictive covenants (non-compete and non-solicit clauses), non-disclosure agreements, and malpractice tail insurance. He advises against comparing salary offers to the MGMA compensation data, as different jobs require different obligations. Instead, he recommends making sure that the compensation matches the job obligations.
Finally, the doctors end the episode with reviewing common employer tactics, such as pressuring doctors to sign contracts quickly and only offering negotiation on the base salary and signing bonus. Michael explains that it is worthwhile to engage in higher levels of administration in the negotiation process if necessary.
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RESOURCES
Michael Johnson’s Website:
https://www.michaeljohnsonlegal.com/physician-contracts/
Michael Johnson’s Instagram:
https://www.instagram.com/physiciancontracts/
Episode 45- Private Equity: Savior or Existential Threat?
https://www.backtable.com/shows/ent/podcasts/45/private-equity-savior-or-existential-threat
04/02/24 • 63 min
In this episode, Pediatric Speech Language Pathologist (SLP) Olivia Brooks (University of Florida Shands Hospital) shares her experience performing inpatient fiberoptic endoscopic evaluation of swallowing (FEES) with host Dr. Gopi Shah.
First, Olivia reviews the presentation of swallowing disorders in infants. She explains differences between the two most common swallowing tests: videofluoroscopic swallow study (VFSS) and (FEES). Then, she reviews how she uses patient comorbidities and the physical exam to select the appropriate test for each infant. Underscoring the importance of collaboration across care teams, she describes her role performing swallow studies in the NICU and pediatric CVICU. She then shares tips on equipment, ergonomics, and teamwork while performing bedside FEES. The podcast wraps with her advice about working on an interprofessional team to care for children with swallowing disorders.
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CHECK OUT OUR SPONSOR
Karl Storz Tele Pack
https://www.karlstorz.com/
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SHOW NOTES
00:00 - Introduction
06:26 - The Importance of a Comprehensive Evaluation
13:00 - Choosing Between VFSS & FEES
22:44 - The Evolution of Inpatient Bedside FEES
31:27 - The Role of Speech Pathologists in Swallow Assessment
33:23 - Collaboration between Speech Pathologists & Otolaryngologists
35:31 - Developing Safety Protocols for Bedside FEES
41:21 - Equipment for Bedside FEES
53:20 - Differences between the NICU and the CVICU
01:00:03 - Final Thoughts and Advice Regarding Swallow Studies
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RESOURCES
KARL STORZ ENT Products:
https://www.karlstorznetwork1.com/ent
Olivia Brooks CCC-SLP’s UF Profile
https://ufhealth.org/doctors/olivia-a-brooks/bio
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FAQ
How many episodes does BackTable ENT have?
BackTable ENT currently has 215 episodes available.
What topics does BackTable ENT cover?
The podcast is about Health & Fitness, Medicine, Podcasts and Education.
What is the most popular episode on BackTable ENT?
The episode title 'Ep. 30 Revision Endoscopic Sinus Surgery with Dr. Ashleigh Halderman' is the most popular.
What is the average episode length on BackTable ENT?
The average episode length on BackTable ENT is 55 minutes.
How often are episodes of BackTable ENT released?
Episodes of BackTable ENT are typically released every 7 days.
When was the first episode of BackTable ENT?
The first episode of BackTable ENT was released on Sep 9, 2020.
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