A Brief History of Nose Jobs: From Ancient Surgery to Modern Rhinoplasty

Rhinoplasty, commonly referred to as a “nose job,” is among the oldest documented surgical procedures in human history. While in modern times it is frequently performed for aesthetic enhancement, its origins lie in reconstructive medicine, restoring dignity and function to those who had lost their noses due to punishment, disease, or trauma. The First Documented Rhinoplasty: Sushruta in Ancient India (ca. 600 BCE) The earliest known description of nasal reconstruction is found in the  Sushruta …

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Bilateral BPPV: When Vertigo Strikes from BOTH the Left and Right Inner Ears!

Benign paroxysmal positional vertigo, or BPPV , is one of the most common causes of dizziness. It happens when tiny calcium crystals in the inner ear, called otoconia, become dislodged and move into one of the semicircular canals, typically the posterior semicircular canal. Usually, this occurs only on one side. However, rarely both posterior canals on each side can become affected resulting in bilateral posterior canal BPPV. Treatment requires the displaced crystals from each side to be repos…

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Preventable Risk Factors Associated with BPPV Dizziness Occurrence and Recurrence

Benign Paroxysmal Positional Vertigo ( BPPV )  is a common cause of vertigo, and while repositioning maneuvers like the Epley are highly effective for treatment, new research is shedding light on ways to  prevent BPPV from recurring . Metabolic health, hormones, and bone strength all play important roles. Vitamin D and Calcium Metabolism Vitamin D deficiency is strongly linked to recurrent BPPV. Since vitamin D regulates calcium metabolism and bone health, low levels may weaken the inner ear’s…

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The Lumipulse Blood Test for Alzheimer’s: What to Know

The Lumipulse blood test developed by Fujirebio is a new FDA-approved option that can help doctors check for signs of Alzheimer’s disease in people with memory problems. It’s not a screening test for healthy people, but it’s meant for adults 55 and older who already have symptoms of cognitive decline. How it works Alzheimer’s causes certain proteins in the brain to change. In blood, p-tau217 tends to go up and Aβ42 tends to go down. The Lumipulse test measures these proteins and reports a rat…

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New Animation Series of BPPV and the Different Maneuvers to Treat

A new animation series of BPPV (Benign Paroxysmal Positional Vertigo) treatments have been uploaded to YouTube over the past few weeks. BPPV is a common inner ear condition that causes brief episodes of vertigo triggered by changes in head position. It happens when tiny calcium crystals in the ear become dislodged and move into the semicircular canals, disrupting the sense of balance. Though not dangerous, it can be very unsettling and is often treated with simple head maneuvers like the Epley …

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Tennis? Golf? Neither! Ice Hockey for This ENT Doctor!

On a daily basis, I often get asked at least once whether I play tennis or golf... Not sure why those 2 particular activities, but I actually do neither. I play ice hockey instead! You can find me on the ice rink 3-5 days in any given week. Go to practices at 5:30AM prior to ENT clinic. I also currently play for 2 adult ice hockey teams: Cryptic in C Division and Hyenas in D. Also assist coach for the Piedmont Predators hockey club. Played for 25 years in my youth. As a 50+ years old adult …

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