#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. […]
Author Archives: Aaron Rogers
03
May
May
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 […]
22
Apr
Apr
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 […]
31
Mar
Mar
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 […]
25
Jan
Jan
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 […]
14
Jan
Jan
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 […]
17
Dec
Dec
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? […]
02
Dec
Dec
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 […]
03
Nov
Nov
Nodules or masses of the salivary glands are some of the more common “lumps and bumps” we see. The major salivary glands include the parotid, submandibular and sublingual glands and may produce abnormal salivary tumors. These glands are responsible for creating saliva to keep the mouth lubricated and help keep the teeth healthy. The glands […]
23
Oct
Oct
Ear problems are some of the most common medical issues affecting scuba divers, swimmers and freedivers. Scuba diving is an awesome sport with “professionals and amateurs but no competition”. However as every diver knows, the issues affecting ear pressure is amongst the toughest challenges for enjoyable and successful scuba diving. When diving under water the […]