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April 13, 2009

Ponaris Nasal Emollient Now to be Sold in Our Office


Given that not many local stores carry Ponaris in stock, we are now selling this product for $15 in our office for patient convenience. Ponaris is a wonderful product to alleviate the dry, irritated, and sometimes burning sensation in the nose, especially during the winter when the air is much drier than normal. It is also a great product to treat nosebleeds and nasal crusting.

I like to think of Ponaris as chapstick, but made for the nose.

To apply, it already comes with an eye-dropper. Just place 1-2 drops for each side of the nose and let it ooze down and coat the entire nasal cavity. Just like chapstick, one can feel the protective barrier for several hours after application. This can be applied up to 4 times a day as needed (just like chapstick).

Alternatively, one can convert Ponaris into a nasal spray form instead of using the eye-dropper. Just purchase a saltwater nasal spray bottle over the counter (ie, Ocean Nasal Spray, Ayr Nasal Spray, etc). Empty the saltwater and clean out the nasal spray bottle thoroughly. Than pour the Ponaris bottle into the nasal spray bottle. That's it!

Call our front desk to purchase it.

NOTE: This product does contain iodine and should not be used by patients with iodine allergy. In those patients, CME Nasal Spray is recommended. CME Nasal Spray is available only as a prescription.

April 12, 2009

Dr. Chang Featured in Local Newspaper Talking About Surgical Treatment for OSA


Dr. Chang was recently featured in the Fauquier Times-Democrat (April 3, 2009) in an article discussing surgical treatment for obstructive sleep apnea (OSA). Click the image for a larger view to read.

You can also read the full text here.

April 8, 2009

Voice On-Hold for Cheap!

I recently struggled with an un-named company to try and get a voice on-hold system working in our office. For those who don't know, a voice on-hold system allows there to be background music or service/product announcements to be made over the phone while a person is put on-hold. It is a captive audience good for marketing purposes.

With this un-named company, we had to pay $499 to get it set up followed by a subscription of $89 per month thereafter to use a pre-recorded script made professionally by the company. There were several problems which I won't get into, but in the end, we cancelled the service.

Instead, we pursued a cheaper and just as good an option that works for a total one-time cost of only about $300!!!

Step 1: Get the equipment
Equipment needed are:
1) iPod nano off eBay for cost of $100.
2) iPod USB charger for cost of $40.
3) Audio cable from Radio Shack for cost of $5. It's the same cable used in cars to plug your portable music player into the car's radio system.

Step 2: Get professional recording of script you want people to hear when put on-hold
1) Goto www.Voice123.com
2) Hire someone from this website to do the recording and email you the .mp3 of the finished product. I paid about $150 for this job.

Click here to listen to the first 20 seconds of what this sounds like (without the music added yet). If you like her voice, please email her at aflosnik[at]hotmail[dot]com

Step 3: Add music to recorded script
1) Goto www.royaltyfreemusic.com and find music you like to add in the background to the recorded script. Or you can use your own music from iTunes (but make sure no copyright infringement).
2) Given I use a Mac, I used their free software, iMovie, that is included on all Macs. Using this program, I imported the recorded script. Than to a second track, I added the (royalty-free) music.
3) I duplicated this three times back to back to create a single "song" that lasted 12 minutes.
4) I exported this file as a .wav

Click here to listen to the first 20 seconds of the recording now with music. Pretty nice, eh?

Step 4: Import song into iPod
1) On my office computer I never use to download music, I installed iTunes (which is free from apple.com) and imported the .wav file.
2) I synchronized this one song into the iPod.
3) Under settings, I set the iPod to "repeat" the "song" indefinitely.
4) Hit play and the song which is the scipted file starts playing over and over and over again indefinitely.

Step 5: Connect iPod to your office phone system
1) Look for the Audio-In jack on your phone system's central hub. I included a picture below showing this as "EXT. MUSIC" which is what our office's system looks like.
2) Connect an audio cable from your iPod to this Audio-In jack on the phone system hub.
3) Plug the iPod to the USB charger so it will play forever (as long as there is power).

See Zoomed-Out picture with everything installed.

Make sure the iPod is playing in a loop and test it out!

That's it!!!



April 6, 2009

New Webpage on Sialadenitis (Salivary Gland Infection/Stone) and Its Treatment


A new webpage has been created describing what sialadenitis is and how it is treated. In essence, sialadenitis is when one of the spit glands of the body (parotid gland or submandibular gland located on the cheek and under the jawbone respectively) becomes infected resulting in swelling and pain. Sometimes, the salivary gland may become secondarily infected due to a salivary stone. Click here to read more about it!




Over-the-counter products that may be helpful to resolve sialadenitis:

Sialendoscopy: Minimally Invasive Treatment for Salivary Gland Stones

NO... our office does not provide this treatment option for sialadenitis caused by salivary gland stones. However, given we have received a number of inquiries on this treatment option, we did want to let people know that at least in the mid-Atlantic region, there is only three places that offer this treatment that we are aware of. Specifically, the doctors' names are:

Dr. Arjun Joshi (George Washington University Hospital (Washington DC)
2021 K St NW, Ste 206
Washington, DC 20006
Office Number: 202-741-3250
www.dcheadandneck.com

Dr. M. Boyd Gillespie (Charleston, SC)
Office Number: 843-792-8299
Email: gillesmb@musc.edu

Drs. Barry Schaitkin and Ricardo Carrau (Pittsburgh, PA).
Office Number: 412-621-0123
Email: schaitkinb@upmc.edu

A bit further away is Dr. Michael H. Fritsch at Indiana University.

Read more about sialadenitis here.



Over-the-counter products that may be helpful to resolve sialadenitis:


lump in throat clogged ears
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