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Showing posts with label safety. Show all posts
Showing posts with label safety. Show all posts

Tuesday, 25 December 2012

Fake Botox Being Sold to US Physicians: FDA Sends Warning

Posted on 03:51 by Unknown
It is not just patients trying to save money when purchasing medications from online pharmacies located in Canada. It's doctors as well when it comes to expensive drugs like Botox made by Allergan which costs a physician practice $550 per vial (2012 price)... but if purchased from Canada, may cost hundreds less.

Unfortunately, just like prescription drugs purchased outside the US, foreign-purchased Botox may be a product that is potentially unapproved, counterfeit, unsafe, or ineffective. Indeed, medical practices that purchase and administer such illegally obtained and unapproved medications from foreign sources are placing patients at risk and potentially depriving them of proper treatment.

To address this dangerous practice, the FDA has alerted more than 350 medical practices that they may have received unapproved medications, including unapproved versions of Botox from foreign-based suppliers, especially from Canada.

Disclaimer! Our practice has ALWAYS purchased Botox directly from Allergan, the maker of Botox, and have never purchased Botox from a third party supplier, whether US-based or not, past and present.

The ones the FDA specifically listed on a watch-list of sorts under the umbrella of online Canada Drugs include:
  • Quality Specialty Products (QSP)
  • A+ Health Supplies
  • QP Medical
  • Bridewater Medical
  • Clinical Care
Per the FDA, "many, if not all, of the products sold and distributed by these suppliers have not been approved by FDA. Therefore, FDA cannot confirm that the manufacture and handling of these products follow U.S. regulations or that these medications are safe and effective for their intended uses."

The FDA has also publicly released the names of physicians and physician groups who have purchased from these online sources... public humiliation in order to persuade a change?

However, it may not be just public humiliation, but even jail-time for one physician in a particularly egregious case (Botox not meant for human use was deliberately and knowingly injected).

It's not just doctors, but even medical institutions on the list (ie, University of SW Texas Medical Center).

Source:
Letters to Doctors about Risks of Purchasing Unapproved Versions of Botox and Other Medications from Foreign or Unlicensed Suppliers. FDA 12/19/12

FDA warns doctors of counterfeit Botox. Fox News 12/24/12
Read More
Posted in arrest, botox, botulinum, canada, cheap, Cost, drugs, fake, fda, illegal, jail, online, pharmacy, safety, unapproved, unsafe, warning | No comments

Monday, 22 October 2012

Cheerleading A Dangerous Sport from an ENT Perspective

Posted on 16:32 by Unknown
The American Academy of Pediatrics (AAP) published its first policy statement regarding cheerleading due to the increasing rate of injuries found in this increasingly competitive sport.

Who knew that although the overall risk of injury is lower than other sports, it has one of the highest rates of catastrophic injuries including closed-head injury, skull fractures, cervical spine injuries, paralysis, and even death.

After all, cheerleaders do not wear protective gear and safety is utterly dependent on external factors such as spotters and floor protection.

From an ENT perspective of a solo private practice, cheerleading is one of the leading causes of facial fractures in a student population.

Such fractures include nasal bone and orbital blow-out fractures sustained from elbows and other flying limbs.

Although AAP made 12 recommendation to make this sport safer, I was going to suggest that all cheerleaders should wear face-guards to minimize risk of facial trauma.

Here's one called Mueller Nose Guard. Available for purchase on Amazon.com.
Reference:
Cheerleading Injuries: Epidemiology and Recommendations for Prevention. Pediatrics 2012;130:966-971.
Read More
Posted in aap, bone, cheerleading, dangerous, facial, fracture, nasal, orbital, pediatric, risk, safety, sport, trauma | No comments

Sunday, 20 May 2012

Azithromycin Increases Risk of Death Slightly... Well, So Does Tylenol and Ibuprofen

Posted on 06:56 by Unknown
The media has made much fuss about a NEJM study suggesting a slight increased risk of death from taking azithromycin or z-pack. The more unhealthy you are, the higher the risk... no duh... (I would think the sicker you are, the greater the risk of death PERIOD... a sick person by definition is closer to death than a healthy person).

How slight? Compared to amoxicillin, about 47 additional cardiovascular deaths per one million courses of therapy.

Never mind the blatant biases found in the study nicely espoused on by cardiologist Dr. Wes in his blog. I should also point out that there's another study that did NOT find an increased risk of death with azithromycin.

Thinking you should never take a z-pack again due to this slight increased risk of death?

Well, good luck finding an alternative medication (of any kind) because they ALL have a potential risk of death.

Similar to z-pack, these other antibiotics also have an increased risk of sudden cardiac death:

• Avelox
• Bactrim
• Biaxin
• Cipro
• Diflucan
• Erythromycin
• Factive
• Floxin
• Foscavir
• Ketek
• Levaquin
• Sporanox
• Sulfa
• Tequin

It's not just antibiotics. These other common medications (not all-inclusive) also have an increased risk of sudden cardiac death:

• Benadryl (allergy)
• Pepcid (reflux)
• Albuterol (asthma)
• Prozac (depression)
• Serevent (asthma)
• Sudafed (decongestant)

The complete list can be found here.

Let's consider other popular drugs that also has an increased risk of death, though not necessarily from a cardiac trigger.

• ALL antibiotics due to a severe anaphylactic allergic reaction - Take Penicillin for example... about 300 die annually from penicillin allergic reaction in the US
• Tylenol causes liver failure - About 400 deaths per year in the US
• Ibuprofen causes internal bleeding - About 15,000 - 20,000 die per year in the US
• Alcohol related deaths - 75,000 deaths per year in the US
• Smoking related deaths - 443,000 deaths per year (one in five deaths) in the US

Never mind deaths from driving a car, accidental gunfire, drowning in a swimming pool, etc.

Life in general in the United States has a risk of death.

Source:
Azithromycin may up chance of sudden cardiac death. Heartwire 5/16/12
Popular Antibiotic May Raise Risk of Sudden Death. NYT 5/16/12
Azithromycin and the Risk of Cardiovascular Death. New England Journal of Medicine 2012; 366:1881-1890May 17, 2012
Use of Azithromycin and Death from Cardiovascular Causes. N Engl J Med 2013; 368:1704-1712May 2, 2013DOI: 10.1056/NEJMoa1300799
Read More
Posted in antibiotic, azithromycin, best, cardiac, death, drug, Journal, medicine, mortality, nejm, new england, safe, safety, sudden, z-pack | No comments

Wednesday, 29 February 2012

Surgical Time-Out, circa Year 2050

Posted on 17:54 by Unknown
In the year 2050, surgical time-outs have reached a new level of safety to ensure the utmost care and risk reduction for patients.

Unlike the primitive time-outs performed in the the first decade of the 21st century (2000-2012) which involved one designated individual to confirm prior to incision (Basic9), the patient name, surgical site, performing surgeon, allergies, antibiotic administration, positioning, x-ray name confirmation, fire hazards, and fall risk, significant additional safety checklists have been implemented to create a new state-of-the-art culture of safety both in and out of the operating room.

In 2015, surgical time-outs extended to also include electrical and air quality checks (Environ2) along with separate mandatory time-outs of the Basic9 before, during, and at conclusion of surgery.  To ensure minimal air contaminants as well as maintain the highest performance of all electrical equipment in the operating room, the Environ2 requires a separate electrical and environmental engineer to certify all equipment and confirm air quality at a level of no more than one contaminant part per trillion to the 10th power in 35 separate locations within the operating theater. The Environ2 checks are double-confirmed by the circulating nurse who has been granted broad powers to cancel surgery for any reason without consequence if there are any concerns with the operating room environment that may increase infection risk for the patient as well as sub-optimal performance of any and all equipment used to perform the surgery.

In 2020, the Total5 was added to Basic9 and Environ2 which truly heralded the onset of state-of-the-art surgical time-outs. Total5, developed jointly by the Harvard School of Public Health and National Institute of Medicine, involves a comprehensive time-out of any and all individuals entering into the operating room in the knowledge that surgical outcomes are affected by personnel movement into and out of the operating room whether from contaminants on the skin or clothing of staff to infections that they may or may not be harboring. In rare cases, given the recent terrorist attacks both biological as well as chemical, the Total5 would additionally eliminate such threats.

As such, Total5 involves for each and every staff member that enters the operating room to undergo "individual time-outs":

1) Geiger counter check
2) Body pat-down by TSA (whose duties have tremendously expanded from initial airport security)
3) Metal detector check
4) Chemical check (specifically looking for arsenic, mercury, formaldehyde, etc as well as drug screen)
5) Biohazard check (routine organisms include MRSA, VRSA, C dif, HIV, hepatitis, etc as well as more exotic organisms like Ebola, Swine Flu, Anthrax, etc).

A separate consent must be in the chart for each and every individual who is present for the patient's surgery with their Total5 report.

The Basic9, Environ2, and Total5 surgical time-outs collectively have ensured a 360 degree safety net for the patient.

But... it is not until now in the year 2050 that the surgical time-out has reached a penultimate state with the expansion of the Total5 to Total10. In addition to the original Total5 for surgical staff, 5 additional time-out checks of surgical staff is now required. Continuing with #6...

6) Retina scan (to confirm staff identity)
7) Fingerprint scan (to double-check staff identity)
8) Malpractice insurance check (if positive, consent must be in chart to ensure patient was aware of any malpractice committed by any surgical personnel doctor or nurse)
9) EKG to ensure peak cardiac health of staff member
10) EEG to ensure a rested mind at peak performance of staff member

As with the Total5, Total10 report for each staff member must be included in the patient consent in the patient's chart.

There was some confusion whether each staff member can undergo just one Total10 per day, but with new regulation acknowledging possibility of patient infection contaminating personnel as well as staff member fatigue that may progress throughout the day, a Total10 MUST be performed before each and every surgical case.

For any further questions on surgical time-outs, please contact your local hospital JCAHO executive liaison.
Read More
Posted in check-list, consent, legal, malpractice, medical, operating room, patient, risk, safety, surgical, time-out | No comments

Saturday, 1 October 2011

Are You Able to Use Expired EpiPens Safely?

Posted on 16:54 by Unknown
Though one should always use an EpiPen that is not expired, it is better to use an expired EpiPen to treat anaphylaxis than to do nothing at all.

Some Canadian researchers studied expired EpiPen auto-injectors 1 to 90 months past the expiration date.

What they found was that the older the EpiPen, the less effective it was due to decreased epinephrine bioavailability. The inverse correlation was 0.63 (months past expiration and decreased epinephrine content).

As long as the solution is clear without precipitates or discoloration, it's fine to use the EpiPen. BUT, still better to use an EpiPen that is not expired!!!

Reference:
Outdated EpiPen and EpiPen Jr autoinjectors: past their prime? J Allergy Clin Immunol. 2000 May;105(5):1025-30.
Read More
Posted in anaphylaxis, epipen, expiration, expired, safe, safety | No comments
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  • flublock
  • flucelvax
  • fluctuating
  • fluid
  • fluid in ears
  • flush
  • flushing
  • fly
  • foam
  • focus
  • foley
  • folliculitis
  • food
  • foods
  • football
  • forbes
  • forecast
  • forehead
  • foreign
  • forensic
  • forking
  • formaldehyde
  • formant
  • formation
  • fotoshop
  • foul
  • found
  • fox news
  • fracture
  • frank ocean
  • free
  • french
  • frequency
  • friend
  • friendly
  • front-page
  • full
  • fullness
  • function
  • fundoplication
  • funny
  • fusion
  • future
  • gallery
  • game
  • ganglion
  • gardasil
  • gary
  • gas
  • gastric bypass
  • gaviscon
  • gel
  • gender
  • Gene
  • generic
  • genetic
  • george
  • georgetown
  • gerd
  • germ
  • german
  • germs
  • gi
  • girl
  • girlfriend
  • girls
  • gland
  • glee
  • global period
  • globus
  • glottic
  • gloves
  • glue
  • glycol
  • gmail
  • gold
  • golfer
  • gone
  • good
  • google
  • google glass
  • gorilla
  • gpa
  • grade
  • graft
  • gram
  • grammy
  • grant
  • granulation
  • granuloma
  • graph
  • grass
  • grastek
  • grazax
  • green
  • grenade
  • gross
  • growth
  • guaiac
  • guardian
  • gun
  • gupta
  • guy
  • gwyneth
  • gymnast
  • gymnastics
  • gynecology
  • H1N1
  • h2
  • hacker
  • hair
  • hair cell
  • halitosis
  • hamburger
  • hannah
  • hapten
  • haptic
  • hard
  • harmful
  • harvard
  • hate
  • have
  • hayfever
  • hazard
  • hcl
  • head
  • headache
  • headlight
  • headphone
  • headphones
  • health
  • healthcare
  • healthsmart
  • healthy
  • hearing
  • hearing aid
  • hearing aids
  • hearing loss
  • heart
  • heart attack
  • heart disease
  • heartburn
  • heat
  • helium
  • hell
  • helm
  • helmet
  • help
  • hemangioma
  • hemi-thyroidectomy
  • hemoccult
  • hemorrhage
  • hero
  • herpes
  • hiccups
  • high
  • highest
  • hipaa
  • hiss
  • history
  • hitch
  • hitech
  • hives
  • hns
  • hoarse
  • hoarse voice
  • hoarseness
  • hoax
  • hole
  • hollow
  • home
  • homemade
  • homeopathic
  • homeopathy
  • honey
  • hootsuite
  • hormone
  • horrible
  • Hospital
  • hospitalization
  • hot
  • hot dog
  • hours
  • house
  • how
  • how it works
  • how long
  • how much
  • how to
  • howard krein
  • hpv
  • hpv16
  • hsv
  • html
  • huber
  • human
  • humans
  • humidity
  • humor
  • humorous
  • hunting
  • hydrogen
  • hydrops
  • hygiene
  • hyper
  • hypernasal
  • hypersensitivity
  • hypertrophy
  • hypo
  • hypo nasal
  • hypotension
  • hypothesis
  • hypoxic
  • ibuprofen
  • icd
  • icd10
  • icd9
  • ice cream
  • icu
  • identical
  • identify
  • ifttt
  • ig
  • ige
  • igg
  • ill
  • illegal
  • illness
  • illusion
  • illustrated
  • illustration
  • images
  • imbalance
  • immune
  • immunizations
  • immunocap
  • immunotherapy
  • imovie
  • impediment
  • implant
  • improve
  • in office
  • In The News
  • in utero
  • incident
  • incidentaloma
  • incision
  • incisionless
  • inclusion
  • incorrect
  • increase
  • induced
  • industry
  • infant
  • infection
  • infections
  • infectious
  • infertility
  • inflammation
  • influenza
  • influenze
  • info
  • infographic
  • infographics
  • infomercial
  • information
  • informed
  • infusion
  • inhalation
  • inhibitor
  • injection
  • injury
  • inner
  • inner ear
  • inscop
  • insect
  • inside
  • instant
  • institute
  • instruction
  • instructions
  • instrument
  • insufficiency
  • insurance
  • intelligence
  • intelligent
  • interactive
  • intermittent
  • international
  • internet
  • interpreter
  • interview
  • intubated
  • intubation
  • invasive
  • iodine
  • iontophoresis
  • iowa
  • ipad
  • iphone
  • ipod
  • iq
  • irritation
  • it
  • italy
  • itch
  • itunes
  • ivy
  • jahi
  • jail
  • james
  • jamie
  • japan
  • jaw
  • jawbone
  • jeni
  • jenner
  • jennifer aniston
  • jim kelly
  • jitter
  • job
  • joe
  • john
  • john mayer
  • john woo
  • jones
  • Journal
  • jpmorgan
  • jugular
  • juice
  • julie andrews
  • julie wei
  • june
  • kardashian
  • kardasian
  • karna
  • karnapidasana
  • katie couric
  • kaypentax
  • keith urban
  • kevin
  • keyword
  • kid
  • kids
  • killer
  • kim
  • kind
  • kiss
  • kissing
  • kit
  • kits
  • knife
  • knowledge
  • korean
  • kristin chenoweth
  • kristin williams
  • lab
  • label
  • labelled
  • laboratory
  • lacey
  • lactation
  • lake
  • laminectomy
  • langer
  • language
  • lansoprazole
  • lap band
  • larry
  • larry hagman
  • larva
  • laryngeal
  • laryngectomy
  • laryngitis
  • laryngopharyngeal
  • laryngopharyngeal reflux
  • laryngospasm
  • larynx
  • las vegas
  • laser
  • last season
  • lateral
  • laura kaeppelar
  • laura kueny
  • law firm
  • lawrence simon
  • lawsuit
  • lawyer
  • lazaro arbos
  • lead
  • leak
  • learn
  • learning
  • lebron
  • Lecture
  • lectures
  • lee
  • lee eisenberg
  • lefort
  • leg
  • legal
  • lego
  • lemierre
  • length
  • les
  • letter
  • leukemia
  • levels
  • levon
  • liability
  • lidocaine
  • life
  • life-threatening
  • lift
  • light
  • like
  • limb
  • limbaugh
  • line
  • lining
  • linx
  • lion
  • lip
  • lip reading
  • liquid
  • lisa
  • lisinopril
  • list
  • listen
  • listerine
  • lithium
  • live
  • liver
  • living
  • lizard
  • local
  • location
  • lock
  • locked
  • long
  • loss
  • lost
  • loud
  • loudness
  • loudon
  • louisiana
  • low
  • lpr
  • lsn
  • lump
  • lung
  • lymphoma
  • lytro
  • mac
  • machine
  • macrophage
  • made
  • magazine
  • maggot
  • maggots
  • magic ears
  • magnetic
  • mail
  • major
  • make
  • mal
  • male
  • malpractice
  • mammogram
  • man
  • management
  • manassas
  • mandatory
  • mandible
  • mandibular
  • many
  • map
  • marcaine
  • mariana
  • marie
  • marilyn
  • marinomed
  • marketing
  • maroney
  • marriage
  • mask
  • mass
  • massage
  • master
  • maxillary
  • maxwell
  • mayo
  • mca
  • mckayla
  • mcmath
  • md
  • measles
  • measure
  • meat
  • med
  • medal
  • medgadget
  • media
  • medial
  • medical
  • medical mystery
  • medicare
  • medication
  • medicine
  • medigus
  • medtronic
  • mega
  • melatonin
  • melena
  • membrane
  • men
  • meniere's
  • meningioma
  • meningitis
  • mensa
  • merck
  • merger
  • mesh
  • messaging
  • meta
  • metabolism
  • metabolizer
  • metal
  • metallic
  • meth
  • methamphetamine
  • methylamphetamine
  • methylene
  • mexico
  • mi
  • mic
  • micah johnson
  • mice
  • michael
  • microbial
  • microbiota
  • microflora
  • microphone
  • microscope
  • microscopic
  • microwave
  • middle
  • migraine
  • milk
  • minaj
  • mineral
  • mineral oil
  • minimally
  • minimally invasive
  • miradry
  • mirror
  • misdiagnosis
  • miserable
  • miss america
  • miss korea
  • miss oregon
  • miss usa
  • miss wisconsin
  • missed
  • mit
  • mms
  • mobile
  • mod
  • model
  • modern
  • modification
  • mohler
  • mom
  • money
  • monitoring
  • monroe
  • more
  • morning
  • morphine
  • mortality
  • most
  • mother
  • mother's
  • motley crue
  • mouth
  • mouthwash
  • mouthwatering
  • movement
  • movie
  • mozart
  • mri
  • mrsa
  • msnbc
  • mucosa
  • mucosal
  • mucus
  • mumps
  • mundane
  • murmur
  • muscle
  • music
  • musicians
  • my fair lady
  • myoclonus
  • myoguide
  • myringotomy
  • mystery
  • myth
  • nadal
  • nail
  • name
  • nar
  • narcotic
  • nares
  • narrow
  • nasacort
  • nasal
  • nasal congestion
  • nasal obstruction
  • nasal packing
  • nasal spray
  • nasopure
  • nate bell
  • nathan sykes
  • nation
  • national institute of health
  • natural
  • NBC
  • ncs
  • necessity
  • neck
  • needle
  • negative
  • neglect
  • negligent
  • neilmed
  • nejm
  • nerve
  • netatmo
  • neti-pot
  • netter
  • network
  • neural
  • neuralgia
  • neuro
  • neuroanatomy
  • neurologica
  • neurology
  • neuroma
  • neuropathy
  • Neuropsychiatric
  • neurosurgeon
  • New
  • new england
  • new jersey
  • new york times
  • newborn
  • news
  • newsletter
  • newspaper
  • nexium
  • next
  • nfl
  • nicki
  • night
  • nightclub
  • nih
  • nina
  • nissen
  • nitrate
  • nmda
  • no
  • nobel
  • nodule
  • nodules
  • noise
  • noisy
  • non
  • non-acid
  • non-acidic
  • non-organic
  • non-par
  • non-sedated
  • non-verbal
  • normal
  • northern
  • northern virginia
  • nose
  • nosebleed
  • nosejob
  • nostril
  • nostrils
  • not
  • note
  • nova
  • nrr
  • nsaid
  • nsaids
  • nuclear
  • number
  • nurse
  • nutrition
  • nutritional
  • ny
  • NYT
  • oae
  • observation
  • obstetrics
  • obstruction
  • obstructive
  • obstructive sleep
  • ocd
  • ocean
  • ochsner
  • off
  • office
  • oil pulling
  • oklahoma
  • old
  • older
  • olfactory
  • olympic
  • omeprazole
  • one
  • online
  • open
  • opera
  • operating
  • operating room
  • operation
  • operative
  • operavox
  • ophthalmic
  • opinion
  • opioid
  • opposite
  • optimization
  • options
  • or
  • oral
  • oral mass
  • oral sex
  • oralair
  • orbit
  • orbital
  • orchestra
  • organic
  • ortho
  • orthopedic
  • orthopedics
  • osa
  • osha
  • otalgia
  • otc
  • oticon
  • otitis
  • otoacoustic
  • otolaryngology
  • otoscope
  • otovent
  • out
  • outbreaks
  • outer
  • output
  • outrageous
  • over
  • overdose
  • overlay
  • owl
  • oxidant
  • oxygen
  • pa
  • pacifier
  • packing
  • page
  • pain
  • painting
  • palsy
  • paltrow
  • pandas
  • paper
  • paper patch
  • papillary
  • papilloma
  • papillomas
  • papillomatosis
  • paradoxical
  • paradoxical vocal cord
  • paralysis
  • paralyzed
  • paralyzed vocal cord
  • parasitic
  • parent
  • parkinson's disease
  • parotid
  • parotidectomy
  • partial
  • past
  • patch
  • path
  • pathology
  • pathway
  • patient
  • patient portal
  • patient satisfaction
  • patient satisfaction score
  • pay
  • pediatric
  • pen
  • pencil
  • penis
  • pennsylvania
  • pepcid
  • pepsin
  • peptest
  • perfection
  • perforation
  • perform
  • performance
  • perfortion
  • periodic
  • peripheral
  • permanent
  • peroxide
  • person
  • personal
  • personality
  • peru
  • pettygrove full
  • PFAPA
  • ph
  • pharmacy
  • pharyngitis
  • pharynx
  • phillips
  • phlegm
  • phlegmy
  • phonak
  • phone
  • photo
  • photograph
  • photoshop
  • Physician
  • physics
  • picker
  • picture
  • pida
  • piercing
  • pill
  • pillow
  • pinterest
  • pipes
  • pitch
  • pitch perfect
  • pitcher
  • placebo
  • plants
  • plastic
  • plate
  • pluck
  • plug
  • plugs
  • PND
  • pneumonia
  • pocket
  • point
  • poison
  • poisoning
  • poke
  • policy
  • polio
  • politician
  • pollen
  • polyp
  • pool
  • poop
  • poor
  • pop
  • popping
  • popular
  • popularity
  • pork
  • port
  • portable
  • pose
  • position
  • positive
  • possible
  • post
  • post-nasal drainage
  • posterior
  • posterior tongue tie
  • postop
  • pouch
  • pound
  • pov
  • powder
  • power
  • ppi
  • practice
  • preamp
  • prednisone
  • pregnancy
  • pregnant
  • premium
  • prescription
  • present
  • presentation
  • presentations
  • preservative
  • president
  • presley
  • press ganey
  • pressure
  • prevacid
  • prevent
  • price
  • prick
  • prilosec
  • prince william
  • Prince William Hospital
  • principle
  • private
  • prize
  • pro
  • probe
  • problem
  • problems
  • procedure
  • process
  • product
  • profanity
  • professional
  • professor
  • prognosis
  • program
  • programming
  • progress
  • projection
  • pronunciation
  • proof
  • protect
  • protection
  • protocol
  • proton
  • provider
  • pseudo
  • pseudoephedrine
  • pterygopalatine
  • public
  • publication
  • publish
  • pulling
  • pulse
  • pump
  • purchase
  • purify
  • pus
  • putney
  • pyridostigmine
  • q
  • q-tips
  • q&a
  • qb
  • qliqconnect
  • qnasl
  • quack
  • quality
  • quarterback
  • question
  • radiation
  • radical
  • radiologist
  • radiology
  • rafael
  • raft
  • ragweed
  • range
  • ranitidine
  • ranking
  • rapid
  • rapid rhino
  • rash
  • raspy
  • RAST
  • rate
  • rating
  • rationing
  • ravens
  • rca
  • reaction
  • reader
  • realistic
  • reason
  • rebound
  • receptor
  • recipe
  • reconstruction
  • record
  • recording
  • records
  • recovery
  • rectal
  • rectum
  • recurrence
  • recurrent
  • red
  • red bull
  • reddit
  • reduce
  • reduction
  • reena
  • reese
  • reflux
  • region
  • regular
  • regurgitated
  • related
  • release
  • relief
  • religion
  • removal
  • Remove Tonsil Stones
  • removing
  • repair
  • replacement
  • report
  • research
  • researchers
  • resection
  • respiratory
  • respiratory flutter
  • response
  • rest
  • restaurant
  • reston
  • restricted
  • results
  • retainer
  • revenue
  • reverberation
  • reversal
  • review
  • rhinitis
  • rhinoplasty
  • rhys morgan
  • ride
  • ringing
  • rinse
  • risk
  • risk of death
  • risks
  • river
  • rivera
  • roar
  • roaring
  • robot
  • robotic
  • rocker
  • roof
  • room
  • rrp
  • rsa
  • rss
  • rubella
  • ruling
  • runny
  • runny nose
  • rush
  • rx
  • safe
  • safe and sound
  • safety
  • salah
  • saline
  • saliva
  • salivary
  • salman
  • salon
  • salt
  • same
  • sammy
  • sampter
  • sanitation
  • santa claus
  • satisfaction
  • save
  • savory
  • scabbing
  • scale
  • scam
  • scan
  • scandal
  • scanner
  • scans
  • scar
  • scare
  • scarf
  • scd
  • schedule
  • schwannoma
  • science
  • science friday
  • scientist
  • SCIT
  • scope
  • scopolamine
  • score
  • scraping
  • scream
  • screaming
  • screening
  • screw
  • screwdriver
  • scrubbed out
  • SD
  • seahawks
  • search
  • seattle
  • seaweed
  • secure
  • security
  • sedated
  • sedation
  • seismology
  • self
  • selsap
  • sensation
  • sense
  • sensitive
  • sensitivity
  • sensorineural
  • sensory
  • seo
  • separated
  • sepsis
  • septal
  • septo
  • septoplasty
  • septum
  • serum
  • service
  • severe
  • sex
  • sexy
  • sgr
  • shape
  • shapiro
  • share
  • sharp
  • shawn feeney
  • shenandoah
  • sheryl crow
  • shift
  • shimmer
  • shooting
  • short
  • shortness
  • shot
  • shots
  • shoulder
  • show
  • shower
  • si
  • sick
  • side
  • side effect
  • side effects
  • sided
  • sids
  • siemens
  • signature
  • sill
  • silver
  • silver nitrate
  • sing
  • singer
  • singer's
  • singing
  • singulair
  • singultus
  • sinonasal
  • sinuplasty
  • sinus
  • sinus headache
  • sinus surgery
  • sinusitis
  • sister
  • site
  • size
  • skin
  • skin patch
  • skull
  • slate
  • sleep
  • sleep apnea
  • SLIT
  • slow
  • SLP
  • sluder's
  • smart
  • smarter
  • smartphone
  • smash
  • smell
  • smith
  • smoking
  • smooth
  • sms
  • snake
  • snap
  • sneeze
  • SNHL
  • snore
  • snoring
  • snot
  • so
  • social
  • social media
  • socialism
  • soda
  • sodium
  • sofia
  • soft
  • sohier
  • solution
  • somatoparaphrenia
  • sophono
  • sorbet
  • sore
  • sore throat
  • sound
  • soundbite
  • soundfit
  • sounds
  • sour
  • sparing
  • spasm
  • spasmodic
  • spat
  • specialist
  • specimen
  • spect
  • speech
  • speech therapy
  • sperm
  • sphenopalatine
  • spider
  • spinal
  • spine
  • spinning
  • spit
  • splitting
  • sponsored
  • sport
  • sports
  • spouse
  • spray
  • sprays
  • spread
  • spring
  • sputum
  • squid
  • stabbing
  • staff
  • stage
  • stallergenes
  • stapedial
  • stapedius
  • staph
  • staple
  • star
  • state
  • statin
  • statistic
  • statistics
  • steelers
  • stem
  • stenosis
  • steroid
  • steve jobs
  • stick
  • sticky
  • stimulation
  • sting
  • stoma
  • stomach
  • stomach wrap
  • stone
  • stones
  • stool
  • story
  • straighten
  • strained
  • strap
  • strength
  • strep
  • Streptococcus
  • stress
  • strict
  • stridor
  • strobe
  • stroboscopy
  • stroke
  • structure
  • stuck
  • study
  • stupid
  • stutter
  • subject
  • sublingual
  • submandibular
  • submaxillary
  • submental
  • submucus
  • subscriber
  • subscription
  • success
  • such
  • suction
  • sudafed
  • sudden
  • sue
  • suffer
  • summary
  • sun
  • sunburn
  • sunlight
  • super
  • superior
  • supplement
  • supplements
  • supreme
  • surface
  • surgeon
  • surgery
  • surgical
  • survey
  • survival
  • suzi quatro
  • swab
  • swallow
  • swearing
  • sweating
  • sweden
  • sweet
  • swelling
  • swimmer
  • swimming
  • swollen
  • symptom
  • symptoms
  • syndrome
  • synthetic
  • system
  • systemic
  • T&A
  • table
  • tablet
  • tackle
  • talk
  • talking
  • talks
  • tape
  • target
  • targeted
  • taste
  • tattoo
  • taylor
  • tea
  • tear
  • technique
  • technology
  • tectorial
  • ted
  • teddy
  • tedmed
  • teen
  • teeth
  • telephone
  • television
  • temperature
  • template
  • temporalis
  • temporary
  • tennis
  • tensor tympani
  • teratoma
  • terminal
  • tesla
  • test
  • tested
  • testicle
  • testing
  • tests
  • texas
  • textbook
  • the band
  • the counter
  • the doctors
  • theory
  • therapy
  • thigh
  • thinking
  • third
  • thomas
  • thought
  • threatening
  • threshold
  • throat
  • throat cancer
  • Throat Stones
  • through
  • throw
  • thyroid
  • thyroidectomy
  • tia
  • tic
  • tickle
  • tie
  • tiger
  • tight
  • tighten
  • time
  • time machine
  • time-out
  • times-democrat
  • timing
  • tinnitus
  • tip
  • tissue
  • titanium
  • tms
  • tne
  • to
  • toddler
  • tolerance
  • tongue
  • tongue patch
  • tongue tie
  • tonsil
  • tonsil stones
  • tonsillectomy
  • tonsillitis
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  • tonsilolith
  • toothbrush
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  • top
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  • yoga
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