Alternatives to EpiPen

For a very long time, EpiPen was the only game in town with respect to emergency epinephrine injection for severe allergic anaphylactic reactions. Also for a long time, the EpiPen list price was only $50, but in 2007 when Mylan purchased the rights to the EpiPen, it hiked the price up to $600. In the ensuing uproar, Mylan did come out with a cheaper generic version of the EpiPen with a list price of only $300. However, several new competing products have come out to capitalize over the h…

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2 New Animations to Address Sleep Apnea: Lateral Pharyngoplasty and ThyroHyroid Approximation

Two new animations have been created showing the steps involved to surgically correct obstructive sleep apnea . Both are relatively uncommon and address different areas of the throat prone to collapse during sleep. The thyrohyoid approximation (aka, hyoidthyroidpexia) above is used to address obstruction that occurs at the base of tongue level by moving the epiglottis and base of tongue forward via hyoid fixation to the thyroid cartilage. Lateral pharyngoplasty  below is used to address …

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Causes of Constant Throat Clearing Video

Given how often I see adults and children with a persistent throat clearing  complaint that has been going on for months if not years, I decided to make a  short video  going through all the different possible causes as well as testing required in order to make the correct diagnosis. Although this video is mainly geared towards adults, some of the information also applies to kids. This issue is often incorrectly attributed to post-nasal drainage which only accounts for a small percentage of p…

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Causes of Constant Phlegmy Throat Video

Given how often I see adults with a persistent throat phlegm complaint that has been going on for months if not years, I decided to make a  short video  going through all the different possible causes as well as testing required in order to make the correct diagnosis. This issue is often incorrectly attributed to post-nasal drainage which only accounts for a small percentage of patients. Diagnosis is key because once you correctly know what is causing the throat mucus, treatment is actuall…

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Submucosal Base of Togue Reduction for Sleep Apnea Video

This video depicts the overall appearance before and after base of tongue reduction has been performed to correct obstructive sleep apnea (OSA). The region of tongue that gets removed is located just under the surface after going around the bend of the tongue you see in the back of the mouth and then downwards. Only the middle third of the tongue is removed in this procedure. For more information about this procedure, click here . General info about OSA can be found here .

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INSPIRE Device to Treat Sleep Apnea Video

Although I don't personally offer this surgery (yet), I have plenty of patients who are curious about how the Inspire device works to treat sleep apnea . I have a good friend down in Texas who does perform this procedure ( Dr. Richard Thrasher of McKinney, TX) and we decided to create a new video showing how Inspire works using animation by Inspire Medical Systems (with permission). Wondering if you are a candidate for INSPIRE? Click here to see what the requirements are.

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