BackTable ENT’s Post

In this episode of the BackTable ENT Podcast, thyroid expert Dr. Dana Gibbs, MD speaks with host Dr. Ashley Agan, MD MBA about Hashimoto’s Thyroiditis and hypothyroidism. Despite the high prevalence of Hashimoto’s Thyroiditis (1-2%), the condition is often misunderstood. Otolaryngologists and internists alike will benefit from Dr. Gibbs’ insight into Hashimoto’s presentation, diagnosis, and treatment. First, Dr. Gibbs explains how she shifted her clinical focus from comprehensive otolaryngology to thyroid disease. Recounting her decades-long, personal experience with hypothyroidism, she describes how nonspecific symptoms of fatigue, hair loss, and weight gain can lead clinicians astray. Then, she reviews the pathophysiology and diagnosis of Hashimoto’s Thyroiditis. Using labs and questionnaires, she interrogates the patient’s overall endocrine health, which she addresses using a combination of levothyroxine (T4), liothyronine (T3), and select supplements. She demonstrates how lessons learned treating Hashimoto’s extend to hypothyroidism management more broadly. Finally, the use of integrative medicine strategies to treat thyroid disorders is discussed. Listen now: https://lnkd.in/dyFjBGfg Ram Moorthy Merry Sebelik, MD, FACS, MAMSE Jennifer Kuo Amy Y. Chen, MD, MPH, MBA, FACS Giorgio Grani David Goldenberg MD, FACS Thyroid UK American Thyroid Association, Inc. (ATA) Johnson Thomas, MD, FACE, FEAA C. Christofer Juhlin #Hypothyroidism #HashimotoThyroiditis #Endocrinology #Otolaryngology #BackTable #ENT173

Low testosterone is a common dilemma for men, especially as they age. We are thrilled to get the ball rolling for the 2024 Prostate Health Podcast season with two fantastic guests. The dynamic sibling duo of Amy Pearlman, M.D. and Michelle Pearlman, M.D. shed light on both urology and gastroenterology perspectives and strategies for hormonal optimization. Whether you are navigating the challenges of low testosterone or simply seeking ways to live your best life in 2024 and beyond, this episode is a must-listen. Some of the show highlights to include: ✅ How obesity impacts testosterone levels ✅ How does exercise affect testosterone levels in men? ✅ Foods that support testosterone production and weight loss ✅ How weight loss and stress management impact hormonal health, including testosterone levels ✅ What are the available options for testosterone therapy? Listen in to the full episode on the Prostate Health Podcast website (below) or various Podcast platforms listed below in comments. #menshealth #hormoneoptimization #Testosterone Marius Pharmaceuticals ReThink Testosterone

🫴"Knowing the symptoms is the best part of the diagnosis i guess " We all know "Dysphagia is a medical term for difficulty swallowing."It can be classified according to the phase of impairment But what it actually feels like is very important to know If the impairment lies in the ORAL LEVEL, your patients can have 👇 👉Delay in chewing foods or pain during chewing, sometimes using unilateral dentition for chewing 👉Drooling 👉Excessive salivaton (Sialorrhea) 👉Unable to sense the tastes of foods (dysguesia) 👉Inability to have/chew different consistency 👉Food geeting sticked in mouth 👉Reduced salivaton (xerostomia) 👉Needing frequent liquid intake during Swallowing ( liquid wash) 👉Food residue in mouth (food pocketing in mouth , gums , on tongue or lateral sulcus) 👉Forgetfulness during eating/unnecessarily bolus hold in mouth (commonly associated with neurological impairment) 👉Anterior spilling of food escape during eating or drinking 👉Need head postural change during food intake 👉Reduced mouth opening(Trismus/micro stomia) 👉Burning sensation in oral cavity(lesion/mucositis/ulcers/erythema) 👉Food coming via nose(nasal regurgitation) 👉Repetitive pumping movement of tongue 👉Rocking rolling festination of tongue 👉Difficulty in forming the food for Swallowing (appropriate bolus preparing) 👉Pre mature falling of food 👉Food refusal (maybe specific consistency) 👉Poor oral hygiene/ foul smell (Hilitosis) 👉Frequent slurping after swallowing 👉Needs multiple swallows for completion of meal(Piecemeal deglutition) 👉Unable to hold food in mouth REMEMBER -"Knowing the symptoms is the best part of the diagnosis" 😀 #oncologyresearch #headandneckcancer #neurorehabilitation #dysphagia #strokerehabilitation #oralsurgery #radiationoncology #chemotherapy #swallowing Fortis Healthcare TATA MEMORIAL HOSPITAL Max Healthcare

Calling Healthcare Professionals! 🌟 : We need 10 minutes of your time to help create diagnostic criteria for Degenerative Cervical Myelopathy (DCM)? Why? Because none exist! We want to tackle long diagnostic delays (~2-5years) but how can we educate healthcare professionals on what to look for, if we haven't agreed it ourselves. Think of it as the "FAST" criteria for stroke, but for DCM. 🚀 How can you help? This survey lists all symptoms and examination findings ever linked to DCM (a lot - no wonder we can't diagnose it well). We need your input to grade their importance in making a diagnosis. Your perspective will help us narrow it down to the top 8 criteria, we can then weight and pilot. 📝 https://lnkd.in/egZbE6ix This is a project led through the Myelopathy.org RECODE-DCM Community, by the Diagnostic Criteria Incubator. Join us in this important initiative and help make a difference. Ten minutes of your time, can help shape the future of DCM diagnosis. Thanks! 🌍💪 https://lnkd.in/een4VWeJ #Healthcare #DCM #MedicalResearch #Survey #Neurology #DiagnosticCriteria #PatientCare

EP314: Navigating Heart Disease - Treatment Options and Beyond: Welcome to my podcast. I am Doctor Warrick Bishop, and I want to help you to live as well as possible for as long as possible. I'm a practising cardiologist, best-selling author, keynote speaker, and the creator of The Healthy Heart Network. I have over 20 years as a specialist cardiologist and a private practice of over 10,000 patients. This episode discusses options for treating heart disease from lifestyle changes to medications, procedures, and surgery. Lifestyle changes like diet, exercise, reducing stress and alcohol are emphasized. Medications are commonly used to lower cholesterol, blood pressure, and prevent blood clots. Procedures include tests, ablation for abnormal heart rhythms, and angiograms. Surgery options covered coronary artery bypass grafting and aortic wrap procedures. The future may bring genetic and stem cell therapies. The podcast encourages listeners to prioritize heart health through joining the Healthy Heart Network. In summary, from lifestyle to cutting-edge therapies, a range of approaches were presented for navigating heart conditions. https://lnkd.in/gvSa8dJ6

At Clarity Lab Solutions, we understand the challenges healthcare providers face when treating patients with #UTIs. Our advanced #hybrid testing #methodology combines #PCR & #Culture techniques to provide you with 24-48 hour turnaround times and #patient #specific #results, not just data-based recommendations. Our hybrid approach ensures the detection of #viable and metabolically active #organisms, enhancing the #reliability of your #diagnosis. We provide antibiotic sensitivity testing in a polymicrobial environment, closely mimicking the in vivo conditions. This helps in identifying the most effective #treatment options for your patients. Trust Clarity Lab Solutions to support your practice with #innovative #diagnostics that make a difference. For more information, visit our website or contact us directly. Together, we can support better patient outcomes and advance healthcare. #UTICare #HealthcareInnovation #PCRTesting #CultureTesting #PatientCare #Diagnostics #UTI #InfectionControl #Urology #WomensHealth #OBGYN

🔬 Study on Long COVID: Focus on Olfactory Dysfunction 🧠👃 A study led by Alna Carolina Mendes Paranhos, Ápio Ricardo Nazareth Dias, Lívia Caroline Machado da Silva, Gisele Vieira Hennemann Koury, Emanuel de Jesus Sousa, Antônio José Cerasi, Givago Silva Souza, Juarez Antônio Simões Quaresma, Luiz Fábio Magno Falcão provides valuable insights into the sociodemographic characteristics and comorbidities of patients with long COVID, particularly those experiencing persistent olfactory dysfunction. 🧐 Findings: ➢Patients with olfactory dysfunction had a longer duration of long COVID symptoms. ➢There was a notable association between ageusia (loss of taste) and olfactory dysfunction. ➢Interestingly, headache and sleep disorders showed an inverse association with olfactory dysfunction. 💡 Implications: This study underscores the importance of understanding the long-term neurological symptoms of COVID-19. The findings highlight the need for targeted rehabilitation strategies for those suffering from persistent olfactory issues post-COVID, and the potential for these symptoms to become permanent sequelae. https://ow.ly/RzCy50Qi3EG #LongCovid #OlfactoryDysfunction #COVID19 #Neurology #PublicHealth #PatientCare #MedicalStudy #HealthcareProfessionals #ClinicalResearch #cme

AccendoWave - A Pain #Data Company Endometriosis causes crippling pain in women, with some spending up to a month of every year debilitated by it. “We’re talking about pain that’s beyond ‘I took two ibuprofen and went to work,’” said Dr. Kristin Riley, chief of minimally invasive gynecologic surgery at Penn State Health Medical Center. “We’re talking about pain that keeps people from living their lives.” The condition involves tissue normally found in the uterus instead growing in the ovaries, bowels, bladder and elsewhere, Riley said. It affects roughly 190 million women around the world. The pain caused by endometriosis ranges from endurable to excruciating, Riley said. Sometimes women can shrug it off, while at other times leaving the house or getting out of bed isn’t an option for days at a time. A Top 4 Global Health Equity Solution and Top 15 Global Remote Monitoring Company, AccendoWave, benchmarks objective brain wave pain data (specialty, gender, age) and has nine #pain databases: Emergency Department, Maternal Health, Oncology, MSK, Medical Surgical, ICU, Women, Adults, Seniors to eliminate bias, improve outcomes and reduce health care costs. If desired, AccendoWave can also create customized pain databases for partners that can be accessed on the Datavant platform. https://lnkd.in/gCwVc-6U

Putting on my Muscular Dystrophy Association clinic. Thinking now about #ALS. Weight loss is a major challenge in ALS. Supporting appetite is important. Many patients are asking about #cannabinoid products. There is not good evidence of this class of drugs playing a major role in this disease, outside of appetitive stimulation. #neuromuscular #neurology https://lnkd.in/ehk6Ucyp

🔴 PERIPHERAL NEUROPATHY 🔴 🔷Broad range of diseases that damage nerves outside the brain and spinal cord. 🔷Other terms for peripheral neuropathy include peripheral neuritis, polyneuropathy, and polyneuritis. 🔸More than 100 types; each is unique 🔸Can be classified as acute or chronic; also, can be predominantly motor, mixed motor and sensory, or predominantly sensory. 🔷🔷Clinical Course 🔸Patients may initially present with altered sensation, pain, weakness, or autonomic symptoms. 🔸Symptoms typically are present distally in the initial stages. 🔸Symptoms may be bilateral or unilateral, symmetrical, or asymmetrical. 🔸Symptoms progress proximally. In advanced stages, distal wasting, weakness, absent deep tendon reflexes, and glove and stocking sensory loss can occur. 💊 Treatments💊 🔺Most treatments are directed toward symptomatic relief of the sensory component of neuropathies. 🔺Systemic and topical treatments may be combined. 🔺If an immune component is involved, treatments include immune modulation. 🔺Recommendations for specific regimens vary with the disease diagnosis. ▫️Prednisone ▫️Immunoglobulin ▫️Plasmapheresis ▫️ Immunosuppressants (cyclosporine, azathioprine, tacrolimus, sirolimus) 🔷 FIRST LINE 🔷 🔺TCA ( nortriptyline, amytripyline) 🔺Gabapentoids ( Gabapentin , pregabalin) 🔺SNRIs ( Duloxetine, Venlafaxine) 🔺Lidocaine 5% topical 🔺Capsaicin 8% topical #neurology #pain #pharmacy #clinical #hospital 🔴Always Remember That #Medicines may #cure but #Pharmacists can #Care.🔴