Author Archives: Aaron Rogers

Respironics CPAP BIPAP APAP machine recall

June 14th 2021 Philips Respironics announced a recall of ALL of their CPAP, BIPAP and APAP respiratory devices manufactured in the past several years.  The problem had to do with microscopic breakdown of certain components within the air circuit apparatus and respiratory problems that some patients have developed. Fortunately our practice has always used ResMed […]

Is hearing loss costing you $20,000 a year?

The numbers may be a little bit dated now, certainly higher in today’s terms. A good article from 2012 broke down some of the occupational expenses of untreated hearing loss. Most notably, the average employee with any degree of untreated hearing loss earned about $11,000 less than their peers. For severe untreated hearing loss this […]

Keeping Your Data Safe with Encrypted Drives

#hipaa Today I am reminded of a significant medical information privacy risk. Nearly all of my ENT colleagues occasionally perform image guided sinus surgery. This requires transferring patient CT scan images over to a hospital computer for use during surgery. The typical way these images are transferred as with an unencrypted CD or DVD drive. […]

Can Yoga Cause Vertigo?

Vertigo and Dizziness treated at Advanced ENT Associates

A certain kind of vertigo, or a “spinning dizziness”, could be triggered by certain yoga positions.  Benign paroxysmal position vertigo (“BPPV“) is a condition of the inner ear where tiny crystals become dislodged and incorrectly stimulate the wrong balance nerves in one ear.  This classically causes spells of dizziness lasting 30 seconds or so when […]

What your skull bones have to do with EAR PRESSURE

Came across this today –> Recently I was reading a CT scan of the temporal bone (ear and skull) on a a nice older man with pain and pressure in the ears when flying. He has not been diagnosed with an ear infection as an adult, but gets excessive pain and pressure that seems to […]

Eustachian Tube Anatomy for Dilation

This is just a quick video post of eustachian tube anatomy that we are able to capture this week.  There is a little bit of blood in the patient’s nasopharynx here from procedure we did at the same setting just before we made the video.  This is the patient’s right eustachian tube, we are passing […]

Specific Bacterial & Fungal ID with PCR

Wild enough, now “PCR test” or “rtPCR” is almost a household name thanks to the COVID-19 pandemic.  PCR testing is a highly specific and sensitive way to test for genetic material from all sorts of living things.  It is used in forensics, microbiology research and most importantly in healthcare. Not only are we testing nasal […]

Can I double-up my Allergy Meds?

Dr. Rogers

When should I take a second antihistamine? For years now there are medical protocols to take more than one antihistamine tablet daily for certain allergic-like conditions. I see a lot of people in my office trying to mix and match various over-the-counter medications to get a good effect, when what often will work is simply […]

Mild or Asymptomatic COVID-19? What to do

With serious illness related to Coronavirus running rampant in the country right now, also running rampant are people with mild symptoms or even no symptoms.  Many people are screening positive – maybe testing purely as a result of an exposure or as part of a screening program.  What do you do if you screen positive? […]

Antihistamines and Your Heart Risk

Runny Nose / Vasomotor rhinitis

Every week I see allergic patients who are avoiding antihistamine medications because of a concern about their heart or blood pressure. But Most of this worry is outdated and unneeded. Firstly, let’s discuss the antihistamines themselves: (a) older generation antihistamines like diphenhydramine (Benadryl), hydroxyzine (Ararat, Vistaril) or chlorpheneramine (Chlor-Trimeton) are messier chemicals with more side […]