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Showing posts with label washington post. Show all posts
Showing posts with label washington post. Show all posts

Thursday, 26 May 2011

The Vocal Problems of Professional Singers

Posted on 05:31 by Unknown
The Washington Post on May 20, 2011 published a great article on the travails of opera singers regarding their vocal cords and the stresses placed on them (the singers and their vocal cords).

The opera singer (as well as any other professional singer) are the Olympic athletes of the voice.  As such, peak performance is mandatory in order to sustain a successful career. Just as an Olympic sprinter measures their success in milliseconds... the professional singer is judged by the most minute inflections, variances, irregularities of their voice. Never mind the back-biting and gossip.

99.9% is not good enough in this cut-throat world when anything less than 100% perfection is considered failure.

As such, the demands placed on the vocal cords are tremendous and rather than pulled hamstrings of a world-class sprinter, vocal cord swelling let alone nodules or muscle tension dysphonia can cut a career short.

Push the voice too hard... and they can get damaged, especially when vocal technique gets sacrificed to perform pieces beyond appropriate range (and even ability). Even professional opera singers have vocal instructors and coaches... a point I regularly make with amateur singers with injured vocal cords when they argue against the necessity of voice therapy and singing lessons ("I already know how to sing!").

Read the Washington Post story here.

I did want to point out that there was one error in the story...

Near the end of the story, it is stated that Giuseppe Filanoti had thyroid surgery. Although this can affect the voice, it is NOT vocal cord surgery as reported.
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Posted in dysphonia, hoarseness, injury, larynx, opera, professional, singer, vocal, vocal cords, voicebox, washington post, wp | No comments

Monday, 31 January 2011

Why Do We Have Earwax?

Posted on 14:01 by Unknown
This question was addressed in today's Washington Post.

The question itself wasn't really addressed, but the article did contain good general information.

Read more about earwax here.

Read the Washington Post article here.

Watch a video of earwax being removed by an ENT specialist under the microscope:

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Posted in cerumen, ear, earwax, washington post, wp | No comments

Tuesday, 31 August 2010

WP: Physicians Use Photos From Patients' Cell Phones to Guide Healthcare

Posted on 05:10 by Unknown
The Washington Post on Aug 31, 2010, published an interesting story where emergency physicians at George Washington Medical Center enabled patients to take a picture of their wound on their cell phone and transmit it to the ER where a physician will take a look and come up with diagnosis and appropriately triage the patient.

In this study, they found that 90% of diagnosis made by this method came out accurate!

What many people may not realize is that some form of "online" consultation including pictures is already being used by physicians including our practice!

At least in our practice, for security purposes, a patient can email us WITH picture attachment using our online email form. This technically can be done via cell phone, but must occur via our website.

Our practice has received over 100 emails in the past 6 months since it was first offered, 25% of which contained picture attachments (typically CT or MRI images).

Read the Washington Post article here.

Check out our email submission form here.
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Posted in cell phone, email, online, picture, washington post | No comments

Tuesday, 27 July 2010

WP Medical Mystery: Sudden Hearing Loss

Posted on 10:26 by Unknown
The Washington Post on 7/27/10 published a story in its Medical Mystery segment describing a patient who had sudden onset of hearing loss in one ear with tinnitus (or buzzing in the ear). This sudden hearing loss is known as sudden sensorineural hearing loss and is considered an urgent issue for which a patient needs to see an ENT as soon as possible.

Why? Because treatment is most effective if given within 4 weeks of hearing loss onset. Treatment is with either high dose prednisone and/or steroid injection directly into the affected ear, a procedure known as intratympanic steroid injection.

Read the Washington Post article here.

Read more about sudden hearing loss here.

Of note, our office provides both forms of treatment.
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Posted in injection, medical mystery, steroids, sudden hearing loss, tinnitus, washington post | No comments

Sunday, 16 May 2010

WP: Anatomy of Tinnitus

Posted on 04:28 by Unknown
I recently came across this interesting webpage published by the Washington Post describing the biological pathways that results in tinnitus or ringing of the ears, complete with pictures.

It also describes how we "hear" which is actually not with our ears, but with our brains.

Tinnitus is becoming a much more common problem with loud noise exposure whether via military service in the Gulf from all the gunfire and explosions or listening to personal music players (iPod) too loudly.

Click here to read more about it.

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Posted in ear ringing, hearing, tinnitus, washington post | No comments

WP: Anatomy of a Sneeze/Cough

Posted on 04:23 by Unknown
I recently came across this interesting webpage published by the Washington Post describing the biological pathways that results in a sneeze or cough, complete with pictures.

Click here to read more about it.

Read More
Posted in cough, sneeze, washington post | No comments

Tuesday, 6 April 2010

Story on Botox in the Washington Post

Posted on 08:03 by Unknown
On April 6, 2010, the Washington Post reviewed a report by Consumer Reports on the use of Botox for a variety of ailments. In the story titled "Consumer Reports examines Botox as a remedy for headaches, back pain, tremors" is largely accurate, though there are some errors in the story.

In particular, Botox HAS been found to be effective for migraines contrary to what is stated in the story. A variety of research has supported this particular indication:

• Botulinum toxin type A (BOTOX) for treatment of migraine headaches: An open-label study. Otolaryngology—Head & Neck Surgery. 123(6):669-676, 2000. Link
• Treatment of migraine headache with botulinum toxin type A. Facial Plast Surg Clin N Am. 11(4):465-475, 2003. Link
• Procedures for administering botulinum toxin type A for migraine and tension-type headache. Headache. 43(8):884-891. Link
• Exploding vs. imploding headache in migraine prophylaxis with Botulinum Toxin A. Pain. 125(3):286-295. Link

In any case, our office does perform botox for headaches, TMJ, voice spasms, torticollis, and drooling. Of course, we also perform for facial wrinkles.

Read the full WP story here.
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Posted in botox, drooling, headache, spasmodic dypshonia, TMJ, washington post | No comments

WP: Washington DC Has One of the Highest Pollen Counts in the Nation

Posted on 06:02 by Unknown
The Washington Post on April 6, 2010 published a story entitled "Tree pollen kicks off Washington's allergy season." The story goes through explaining that though Washington DC is ranked 43rd out of 100 most challenging places to live with allergies (see ranking here), Washington DC often has one of the highest pollen counts in the nation on any given day during the spring season!

In fact, according to a study in last month's Annals of Allergy, Asthma and Immunology that tracked pollen counts in this area between 1998 and 2007, tree pollen amounted to 91.2 percent of the total annual pollen yield in the nation here.

What I typically suggest patients to do in such challenging allergy conditions is to try combo therapy... usually zyrtec in the morning and benadryl at bedtime. If necessary, add a 12 hour sudafed in the morning if the nose is runny. If these do not help, see your local doctor for consideration of adding a steroid nasal spray.

If worst comes to worst, getting tested for allergies and getting started on allergy shots or allergy drops would be most beneficial and offer the best chance of "cure."

Good luck with allergies!

Read the full WP article here.
Read More
Posted in allergy, allergy drops, allergy shots, washington dc, washington post | No comments

Monday, 15 March 2010

Rare Disorder Causing Dizziness Called "Mal de Debarquement"

Posted on 16:29 by Unknown
The Washington Post on March 16, 2010 published a story entitled "Rare disorder makes people feel off balance for weeks or months" describing a rare condition called mal de debarquement which causes dizziness.

Two signs that a patient has mal de debarquement are if they feel a rocking sensation for weeks or months starting after a cruise and if they're fine when driving but not when standing, walking or sitting.

Read the story here.
Read More
Posted in dizziness, dizzy, washington post | No comments

Tuesday, 19 January 2010

Runny Nose Due to Spinal Fluid Leakage and Not Allergies!

Posted on 02:45 by Unknown
Image from Wikipedia
The Washington Post published a story on January 19, 2010 entitled "Doctors changed diagnosis after woman said allergies weren't causing runny nose." In this story, the patient's runny nose from only one side was actually due to a CSF leak (cerebrospinal fluid leakage) and puts her at major risk for meningitis. Unfortunately for this particular patient, the hole through which this fluid was coming out from also had some brain tissue. She required major surgery in order to correct this problem.

An interesting trivia related to CSF leaks is that actor George Clooney suffered one after a blow to the head while filming a torture scene in the 2005 movie "Syriana".

The take-home message is that not all runny noses are due to allergies, especially if it is continuous and only occurs on one side.

Typically, if CSF leak is suspected, a red-top tube is provided to the patient to collect some of this fluid. The specimen is than sent to be tested for beta2-transferrin which is ONLY found in CSF.

A high resolution CT scan of the sinuses and/or temporal bone is also obtained to localize WHERE the abnormal leak is coming from.

What type of surgery is performed utterly depends on where the leak is coming from... if truly sinus in origin, endoscopic sinus surgery is performed. If coming from the bone around the ear, a middle cranial fossa approach to fixing the leak is performed.

Read the story here.
Read More
Posted in brain, csf, fluid, leak, medical mystery, rhinitis, runny nose, spinal, washington post | No comments
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  • meniere's disease
  • metal
  • metallica
  • methylation
  • mgh
  • mice
  • michael douglas
  • micro
  • microbes
  • microscope
  • migraine
  • miley
  • mimic
  • mineral
  • minimally
  • minimally invasive
  • mirror
  • miscarriage
  • miscommunication
  • misdiagnosis
  • miss
  • missing
  • mission
  • mit
  • mobile
  • modified
  • mold
  • molding
  • mole
  • mom
  • money
  • monkey
  • morning breath
  • mortality
  • mosquito
  • motion
  • motrin
  • mouse
  • mouth
  • mouth breathing
  • movie
  • moving
  • mri
  • mrsa
  • msnbc
  • mtd
  • mucoid
  • mucus
  • mucus in throat
  • Multichannel Intraluminal Impedance
  • murder
  • muscle
  • muscle tension dysphonia
  • museum
  • music
  • musician
  • mutation
  • mutter
  • myobloc
  • myoclonus
  • mystery
  • mythbuster
  • nail
  • nar
  • narcotic
  • nasacort
  • nasal
  • nasal congestion
  • nasal crusting
  • nasal drainage
  • nasal hair
  • nasal obstruction
  • nasal polyps
  • nasal spray
  • nasonex
  • natalie
  • national security
  • ncis
  • ndm-1
  • nebulizer
  • neck
  • needle
  • negative
  • neonate
  • nerve
  • network
  • neuralgia
  • neurologic
  • neuropathy
  • neurorraphy
  • neurostimulator
  • New
  • new delhi
  • new england journal of medicine
  • new york times
  • newborn
  • news
  • nexium
  • nhs
  • nice
  • nickel
  • nickle
  • nicotine
  • night guard
  • nobel
  • nodule
  • noise
  • noisy breathing
  • non
  • non-acid
  • non-acidic
  • non-addictive
  • non-allergic
  • non-toxic
  • nonsedated
  • normal
  • northern virginia
  • nose
  • nose blowing
  • nosebleed
  • nosebleeds
  • nosejob
  • npr
  • nsaid
  • number
  • numbing
  • nurse
  • NYT
  • oae
  • obesity
  • observation
  • obstruction
  • obstructive
  • obstructive sleep apnea
  • obtain
  • odd
  • ode to joy
  • office
  • ointment
  • old
  • olympic
  • omeprazole
  • ondine's curse
  • online
  • opera
  • operating
  • operation
  • optical
  • optima
  • optimal
  • oral
  • oral appliance
  • oral sex
  • orchestra
  • organ
  • oropyrosis
  • orthopedic
  • orthopedics
  • osa
  • otalgia
  • otc
  • otoacoustic
  • otolaryngology
  • out
  • out-of-pocket
  • outer
  • over
  • over-the-counter
  • overweight
  • oyster
  • oz
  • pa
  • pacemaker
  • packing
  • pageant
  • pain
  • painful
  • paint
  • palate
  • pandas
  • paper
  • papilloma
  • parachute
  • paradoxical vocal cord
  • paralysis
  • paralyzed
  • parathyroid
  • parents
  • participating
  • past
  • patch
  • pathologist
  • pathology
  • patient
  • pattern
  • patulous
  • pbm
  • pediatric
  • pediatrician
  • pellet
  • pen
  • peptide
  • perennial
  • perfect
  • perforation
  • perfume
  • peri
  • perichondrium
  • period
  • peritonsillar
  • permanent
  • permission
  • persistent
  • personal
  • pet
  • ph
  • ph probe
  • pharmacist
  • pharmacy
  • pharyngeal
  • pharyngitis treatment
  • pharyngocele
  • pharynx
  • phd
  • phegm
  • phelgm
  • phelgmy throat
  • phlegm
  • phlegmy
  • phlegmy throat
  • phone
  • Physician
  • pick
  • picking
  • picture
  • pictures
  • piercing
  • piezoelectric
  • pillar
  • pipe
  • pitch
  • PKCzeta
  • placebo
  • plan
  • planet
  • planetree
  • plastic surgery
  • plastics
  • plugs
  • pocket
  • police
  • policy
  • pollen
  • polly hunsberger
  • polonium
  • polyp
  • pons
  • poor
  • popping
  • popular
  • popularity
  • portable
  • portman
  • positive
  • post
  • post-nasal
  • post-nasal drainage
  • posterior
  • pouch
  • power
  • ppo
  • practice
  • predicting
  • prediction
  • prednisone
  • pregnancy
  • pregnant
  • premarin
  • prenatal
  • prescribing
  • prescription
  • prescriptions
  • pressure
  • prick
  • prilosec
  • primer
  • problem
  • problems
  • procedure
  • process
  • professional
  • propel
  • protein kinase
  • provider
  • public
  • publication
  • puck
  • pulsatile
  • pumpkin
  • punishment
  • purchase
  • purulent
  • pus
  • puzzle
  • pylori
  • quickly
  • quickmark
  • r. kelly
  • radiation
  • radio
  • radioactive
  • radioactivity
  • radiological
  • radiology
  • raft
  • ragweed
  • random
  • rapid
  • raspy
  • RAST
  • reaction
  • reader
  • real-time
  • rebound
  • reckitt
  • record
  • recording
  • records
  • recurrent
  • red eyes
  • reduction
  • referral
  • reflux
  • regurgitation
  • rehm
  • removal
  • renovation
  • renovations
  • repair
  • repellant
  • replacement
  • reporter
  • research
  • residency
  • resident
  • resistance
  • response
  • resurface
  • resurfacing
  • review
  • rhinitis
  • rhinoplasty
  • richmond
  • right
  • ringing
  • rinse
  • risk
  • robert
  • robot
  • robotic
  • rock
  • roger
  • roof
  • room
  • rotating
  • routine
  • rubber
  • runny nose
  • rupture
  • ryan
  • safe
  • sale
  • saline
  • saliva
  • salivary stone
  • saltwater
  • santa claus
  • scan
  • scans
  • scar
  • scheduling
  • science
  • scientist
  • SCIT
  • scopolamine
  • scramble
  • scratch
  • screening
  • SD
  • seafood
  • search
  • seasonal
  • seaweed
  • secondhand
  • secure
  • security
  • sedated
  • sedation
  • self-pay
  • sensory
  • sepsis
  • septal
  • septo
  • septoplasty
  • septum
  • sermo
  • service
  • set
  • severe
  • sex
  • shampoo
  • shape
  • shark
  • shenandoah university
  • shop
  • shortness of breath
  • shot
  • shots
  • show
  • shrimp
  • sialadenitis
  • sialendoscopy
  • sialoadenitis
  • sickness
  • side
  • side effect
  • silent
  • silver nitrate
  • singer
  • singing
  • singing cat
  • singulair
  • singultus
  • sinuneb
  • sinuplasty
  • sinus
  • sinus fracture
  • sinus infection
  • sinus lift
  • sinus surgery
  • sinusitis
  • skating
  • skin
  • skin cancer
  • skull
  • sleep
  • sleep disorder
  • SLIT
  • sluder
  • small
  • smartphone
  • smell
  • smoke
  • smoking
  • sms
  • sneeze
  • sneezing
  • snore
  • snoring
  • snot
  • snotty nose
  • social
  • social media
  • social networking
  • soda
  • sodium
  • soft
  • song
  • sore
  • sore throat
  • sour
  • spa
  • spam
  • spanish
  • spasmodic
  • spasmodic dypshonia
  • spasmodic dysphonia
  • spasms
  • special
  • specialist
  • speech
  • speech therapy
  • spinal
  • spinning
  • spit
  • splints
  • split tube
  • spray
  • spur
  • ssnhl
  • staph
  • starvation
  • stat
  • station
  • stem
  • stereoisomer
  • sterile
  • steroid
  • steroids
  • sticky
  • stink
  • stone
  • stones
  • stops
  • storybooks
  • strange
  • strep
  • strep throat
  • stridor
  • strobe
  • stroboscopy
  • stroke
  • stuck
  • stud
  • student
  • study
  • stuffed animals
  • stuttering
  • sublingual
  • submandibular
  • submaxillary
  • sudden
  • sudden hearing loss
  • sun
  • sunblock
  • sunscreen
  • sunshine
  • superbill
  • superbowl
  • superbug
  • support
  • surgeon
  • surgery
  • surgical
  • survey
  • suture
  • swallow
  • swallowing
  • swelling
  • sword
  • symbicort
  • symphony
  • symptom
  • symptoms
  • syndrome
  • T-tube
  • tablet
  • talk
  • talking
  • tall
  • target
  • taste
  • tea
  • teacher
  • technology
  • teen
  • teenager
  • teeth
  • television
  • temperature
  • terrorism
  • terrorist
  • test
  • testing
  • tests
  • text messaging
  • the doctors
  • the onion
  • theory
  • therapy
  • thick
  • throat
  • throat cancer
  • throat clearing
  • throat-clearing
  • thrombosis
  • thrombus
  • throwing
  • thyroid
  • thyroidectomy
  • tia
  • tic
  • tic cough
  • tick
  • tilt
  • time
  • times
  • tinnitus
  • tiny
  • Tionne
  • TLC
  • TMJ
  • tobacco
  • TOCPM
  • today
  • tongue
  • tonsil
  • tonsil stones
  • tonsillectomy
  • tonsilliits
  • tonsillitis
  • tonsilloliths
  • tonsillotomy
  • tonsilolith
  • tonsiloliths
  • tony
  • tooth
  • tooth pain
  • top
  • topical
  • TORD
  • torres
  • tors
  • torticollis
  • tour
  • toxin
  • toyota
  • trach
  • tracheostomy
  • training
  • trans
  • translation
  • transmedics
  • transmission
  • transplant
  • transplantation
  • transportation
  • trauma
  • treating
  • treatment
  • tremor
  • trend
  • triangle
  • trombone
  • trouble
  • tube
  • tubes
  • tucci
  • tumor
  • turbinate coblation
  • turbinate hypertrophy
  • turbinate reduction
  • turning
  • tutorial
  • TV
  • tween
  • tweet
  • twitching
  • twitter
  • two
  • tylenol
  • tympanic
  • type
  • ulcer
  • ulpa
  • ulrich
  • ultrasound
  • unable
  • unclog
  • under
  • uninsured
  • united kingdom
  • university
  • Update
  • upper
  • upper respiratory infection
  • uppp
  • urgent
  • URI
  • urine
  • urticaria
  • usa
  • USA today
  • uva
  • uvula
  • uvulectomy
  • uvulopalatopharyngoplasty
  • vaccination
  • vaccine
  • vagal neuropathy
  • vascular
  • vasomotor
  • vasomotor rhinnitis
  • vcd
  • ventilation
  • versus
  • vertigo
  • ves
  • vessel
  • viagra
  • vibration
  • video
  • viral
  • virginia
  • virus
  • viruses
  • vit d
  • vitamin
  • vitamin A
  • vitamin d
  • vivosonic
  • vlog
  • vocal
  • vocal cord
  • vocal cord dysfunction
  • vocal cord paralysis
  • vocal cord paresis
  • vocal cords
  • vocal process
  • voice
  • voice therapy
  • voicebox
  • voicelift
  • volume
  • vomit
  • vs
  • wait
  • waiting
  • wall
  • wall street journal
  • warm
  • warrenton
  • washes
  • washington
  • washington dc
  • washington post
  • water
  • watkins
  • wax
  • wearable
  • web
  • web 2.0
  • webapp
  • Website
  • Website Update
  • wedge
  • weight gain
  • whale
  • what to do
  • wheezing
  • where
  • whisperer
  • whispering
  • white
  • who
  • whooping
  • wierd
  • wifi
  • will.i.am
  • wind
  • windows 7
  • winter
  • wire
  • wireless
  • withdrawal
  • without
  • woman
  • word
  • world
  • world voice day
  • world's
  • worlds
  • wound center
  • wp
  • wrestling
  • wrong
  • wsj
  • x-ray
  • xeomin
  • xray
  • xylitol
  • xyzal
  • youtube
  • zenker's
  • zenkers
  • zeta
  • zicam
  • zinc
  • zyrtec

Blog Archive

  • ▼  2011 (190)
    • ▼  September (26)
      • Cat with Two Faces (Literally)
      • Cigarettes Contain Radioactive Polonium
      • Not All Spinning Motions Cause Dizziness
      • HIPAA Allows for Regular Email Communication Betwe...
      • MRI Scans CAN Cause Vertigo
      • Oral Exam Using a Finger
      • United Kingdom Ends $17 Billion Electronic Medical...
      • New Webpage on Vocal Cord Granuloma
      • Singer John Mayer Diagnosed with Vocal Cord Granuloma
      • Tongue Acrobatics
      • World's Longest Human Tongue
      • Another Rock Singer With Injured Voice
      • World Record Large Ears
      • Keychain Emergency Airway Device (Video)
      • Smoker's Kids Have More Ear Infections
      • 100 Years of Style and Dance
      • Carbon Dioxide Helps with Nasal Allergies
      • Intranasal Treatment for Clogged Ears
      • Best Ballpoint Pen for Emergency Cricothyroidotomy?
      • Beating Heart in a Box
      • The Healthcare Dilemma Simplified
      • Man Chokes to Death During Air Flight... Preventable?
      • Best Medication for Dizziness
      • Surgery Without Wires
      • Movie Sets are Dangerous to Ears!
      • Hearing Loss Can Can Accelerate Brain Volume Loss
    • ►  August (22)
    • ►  July (20)
    • ►  June (15)
    • ►  May (10)
    • ►  April (18)
    • ►  March (12)
    • ►  February (33)
    • ►  January (34)
  • ►  2010 (267)
    • ►  December (23)
    • ►  November (18)
    • ►  October (32)
    • ►  September (30)
    • ►  August (35)
    • ►  July (16)
    • ►  June (27)
    • ►  May (22)
    • ►  April (27)
    • ►  March (11)
    • ►  February (13)
    • ►  January (13)
  • ►  2009 (43)
    • ►  December (11)
    • ►  November (13)
    • ►  October (19)
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