Recent content by OtoHNS

Apparently, laryngologists are rich AF.

Good advice above. All of your options are potentially viable. Without knowing any additional info, I agree that option 2 is likely preferable to option 1 if you want to stay in the same town. Obviously, your personal/family situation and your financial net worth play a big role in your decision...

I'm in general practice. 1. I see all sorts of ear stuff (95+% of which can be managed medically or with minor procedures), but don't do any ear surgery other than tubes or myringoplasty because I was not adequately trained to do it in residency. 2. "Real" laryngology requires a pricy...

In 4 years of med school, I think we spent a total of 1 hour learning how to do the "eye, ear, nose, and throat" exam during M2 physical exam class. Other than ENT rotation, I can't remember ever being taught how to look in an ear again. Any doctor who is not ENT probably has this level of...

Sounds like she needs a balloon sinuplasty asap.

This is not a path for everyone, but... If I were dead set on being a 100% rhinologist, I would open my own rhinology practice. There's a 100% chance of getting the job! 1. Find a smaller metro area that is underserved with ENT. To avoid living in Tumbleweed Town, I would go with a minimum...

I would call up every practice in those areas and get on their radar. You'll find out the situation much better that way. To get past any gatekeepers, just say something like "This is Dr. Pr1d3DOc, will you have Dr. Flagstaff call me back at XXX-XXX-XXXX".

Agree 100% with High Priest, though this is generalized advice. I think it is probably very accurate outside of the top 10ish metro areas. Huge cities may have their own unique dynamics though. If you're focused on LA (or any other specific large city for anyone reading this in the future), I...

I'm not. The price tag is astronomical, and these new meds are only for CRS with polyps. The only situation I would use one of these meds is in post-op FESS patients where the polyps aggressively recur within 1-2 years. Others may feel differently of course.

My experience is that sneezes always come with enough warning to get out of the way. Bursts of coughing can come very suddenly though, especially when the patient has some sedation on board. I've continued wearing a mask for sinus procedures in the office for this reason.

Holy cow, it seems hard to justify that price tag unless it’s for a 100% laryngology practice with high volume of stroboscopy and office based laryngeal procedures. I find the price is right ($0) and the view of the larynx is more than adequate by looking in the eyepiece of the scope. Of...

I don’t do many procedures anymore that require an assistant, but for thyroids and parotids and the like, I just request an extra scrub tech. They can hold a retractor or skin hook just fine but they are not going to move it around on their own volition, so you will need to move them and have...

Doesn't really matter- you'll have plenty of opportunity if you do well at either school. If you feel confident you want to stay in LA, I would go to USC.

Obviously, this is all Canada's fault then.

Now "documenting it" might be a step too far. I never get any notes from the ED anyway (I don't take any official call there). Sometimes the patient brings a stack of paperwork, which usually consists of a medication list and a generic vertigo informational handout. But, I frequently get a...