Practice Website Transferred to New Server

Over the weekend, the practice website www.FauquierENT.net underwent a very painful and time-consuming move to a new Linux server. In the past, the website was hosted on a WebDAV server (.Mac). However, the website had outgrown this home due to the amount of traffic it has been receiving (close to 5000 hits a day now).

As such, after almost 2 days of setting up the new server, transferring all the files, updating links, and creating forwarding addresses of all the webpages on the old server, we THINK the website has remained operational without any downtime.

There may be a few snafus here and there during the move that we haven't caught yet, but with time, these should all be ironed out.

If you run into a broken webpage or link, please let us know!!!

Mucus in Back of Nose/Throat After UPPP or Uvula Removal

I have recently seen a rash of patients who have a presenting symptom of a sense of mucus or phlegm buildup in the back of the mouth/nose right behind the soft palate after surgery involving uvula removal. Such surgery may include the uvula alone or UPPP (uvulopalatopharyngoplasty) for obstructive sleep apnea.

Often in these cases, this problem with mucus and phlegm is due to a very small velopharyngeal insufficiency. This is a rare problem where there is a small opening between the palate and nose when swallowing causing a little bit of saliva to "regurgitate" into the nose. If the opening is very large, liquids and even food will come out the nose when swallowing. If it is very small, mucus/phlegmy sensation will be present localized to the area right behind the soft palate.

This problem, if present, can be corrected by a simple procedure called nasopharyngoplasty.

If you have this problem, call our office (540-347-0505) to schedule an evaluation!

New Non-Addictive Sleep Drug to Help People Sleep!!!

It was with great interest that I read a recent report that a new drug, Silenor, was approved by the FDA this month (March 18, 2010) to help people who have trouble sleeping. Although there are already prescription medications to help with sleep (Ambien and Lunesta being the most common ones), Silenor is very interesting in that there was no suggestion of any addictive properties or withdrawal with this medication in over 1000 patients during clinical trials.

In fact, Silenor has not been designated as a controlled substance by the U.S. Drug Enforcement Administration (DEA) because of its demonstrated lack of abuse potential. Ambien and Lunesta are both considered as controlled substances.

Silenor binds with high affinity to the histamine H1 receptor... the same receptor that over-the-counter benadryl attaches to resulting in a side-effect of drowsiness. BUT, Silenor attaches to this receptor 14X more strongly compared to benadryl.

Silenor is made by Somaxon Pharmaceuticals (SOMX).

Read more here.

New Epi-Pen Design

Patients may have noticed that the Epi-Pen now looks different. The "old" epipen was completely circular with grey safety and black cap.

The new epipen has a blue safety and an auto-injector orange cap that automatically expands to cover the needle after use to prevent accidental needle stick. Also, the instructions on use is much easier to read as the shape of the epipen is oblong instead of circular. Much better overall design in my mind!

All our patients on allergy shots are given epipen to have on hand in case of anaphylactic reaction.

NYT: Zinc Does NOT Help Fight Off Ear Infections

The New York Times on March 12, 2010 published a story discussing whether zinc can help fight ear infections. The story titled "The Claim: Zinc Can Help Fight Off Ear Infections" states in the end that the mineral zinc does not. A research study on the subject revealed its lack of efficacy.

Read the NYT story here.