Doctor Column

Ear tubes in children: why operate? June 24, 2015 Joseph R. Anticaglia, MD At times, a mother is faced with a worrisome decision, “Should I allow my child to undergo surgery?” Regardless of the type of surgery the child needs or whether he is 13 months old, 23 months old or older, the words “surgery or operation” makes the parent nervous. For the surgeon, to operate on a 13 month old child who weighs 19 pounds makes him think hard and ask, “Why operate?” Tonsil stones and bad breath (halitosis) June 9, 2015 Joseph R. Anticaglia, MD Peggy, a 29 year old wife of a Veterinarian saw her physician because of “pus pockets” on her tonsils and “my breath stinks.” At times, white stuff pops out of the tonsil with an awful smell and taste.” Nasal fractures in young children and adolescents June 1, 2015 Joseph R. Anticaglia, MD In an adult, it’s easy to diagnose a nasal fracture when the nose is “bent out of shape”. However, a broken nose in an uncooperative child with swelling around the nose and face can go undiagnosed. Unrecognized nasal fractures can have serious consequences. The Risk of Stroke with Atrial Fibrillation I May 18, 2015 Christian Perzanowski, MD, FACC, FHRS Atrial Fibrillation (AF) is the most frequently encountered cardiac arrhythmia. The degree of patient awareness varies widely, from highly symptomatic patients experiencing chest pressure, shortness of breath, dizziness to those who are completely oblivious. Swimmer’s ear — acute external Otitis May 18, 2015 Joseph R. Anticaglia, MD Acute External Otitis (AEO), known as Swimmer’s Ear, is a diffuse infection of the ear canal usually due to bacteria, which at times causes horrific pain. It can spread beyond the ear to the jaw and neck glands making it difficult and painful to open your mouth, chew and swallow. “ACHOO!” — Allergic Rhinitis? 2 Guidelines to help You Through the ‘Worst ever’ hay fever season May 18, 2015 Joseph R. Anticaglia, MD Allergic Rhinitis (AR) has been called Rose Fever, Spring Fever, Summer Cold, and Hay Fever. But, it does not cause a fever. It is not the common cold and it’s not limited to one season… Loss of Hearing in Adults April 8, 2015 Joseph R. Anticaglia, MD Hearing loss is the third most common chronic problem in the USA. Millions of Americans have hearing loss and many of them turn the TV up and still “can’t get a grip on the words.” Nosebleed (Epistaxis in Children) March 23, 2015 Joseph R. Anticaglia, MD Nosebleeds (“epistaxis”) have been a bloody nuisance from the time of Hippocrates to the present. It’s a common problem that can occur at any time, in any place and in any season. An Update on New Blood Pressure Targets March 23, 2015 Christian Perzanowski, MD, FACC, FHRS For years physicians have struggled to identify the optimal blood pressure for a given patient population. The group of experts collectively known as the JNC (Joint National Commission) has been historically tasked to address the use of antihypertensive agents. Tinnitus: more than Ringing in the ears March 16, 2015 Joseph R. Anticaglia, MD Tinnitus (TINN-ih-tus) is the sound you hear in your ears that comes from your own body. It is not the telephone ringing — It’s your ears ringing — It’s your own body making noise.