Now Providing Cochlear Implants

Read more about our journey to offering cochlear implants. We are now proudly offering cochlear implants through our Raleigh, NC office.

On Behalf of No Burpers

An open letter to insurance moderators and the medical world, regarding retrograde cricopharyngeus (CP) dysfunction (RCPD), no burpers: Thank you for the opportunity to disclose and disseminate what I have learned about the no burpers of the world – the folks who experience RCPD and cannot burp. If one cannot burp, then all the gas […]

Unprecedented?

I hesitate to add to the cacophony surrounding the corona virus, but these are ‘unprecedented’ times, or so that’s what I’ve heard and read a thousand times. If I ever see that word again it will be too soon. Challenging? Yes Unusual? Of course Unprecedented?Aabsolutely not. And not even unpredicted. This pandemic was preceded by […]

Big Cancer Cases

“You’re a bad ass” he said as I walked into his hospital room, making post op rounds from the previous day’s surgery. Yesterday I spent five hours excavating this huge tumor from his neck. A local spread from a poorly differentiated squamous cell skin cancer previously removed from the back portion of his neck, just […]

Shingles, or another virus demanding attention

While we are focusing so much attention on the coronavirus, we mustn’t lose focus on our other healthcare needs. The need for my wife and me this week was our second shingles vaccine. That very nasty shingles attack is caused by the chickenpox virus (varicella zoster, a type of herpes virus different from the cold […]

Sinus Balloon Procedure

Sinusitis  101 It is uncommon for sinus infections to spread outside of the sinus into the eye or brain, but certainly the possibility exists and must be treated urgently. This week I was called to assess a patient with infection spreading into the eye and causing thrombosis (clotting) of the veins draining the eye. All […]

Glomus Tumor Case

In the OR, working through a speculum with an opening the size of a BIC pen, I surgically raised up the right ear drum to view the middle ear, and there it was. A rather large impressive bright red tumor, sitting on the bony medial wall of the middle ear, creating pulsating sounds that brought […]