About The Book
Health Care Reform Through Practical Clinical Guidelines: Ear Nose Throat is a practical set of clinical guidelines for ENT doctors, arranged by symptom. It is the first book to attempt to define what good healthcare reform should be, in order to increase quality, decrease inefficiency, and build a financial model to achieve this.
The Editor and his team of expert contributing authors take into consideration the great variation among clinicians in diagnosing as well as treating a symptom. They bring to bear their many years experience in the treatment of patients without resorting to unnecessary tests and procedures, while still not overlooking a diagnosis. In so doing, they present a set of practical clinical guidelines that will change a very fragmented profession into a more cohesive one, with resultant cost-savings and increase in efficiency.
Currently, it takes the work of a committee of specialists, brought together by a medical society, working for around a year and costing some $100,000 in order to develop a set of evidence-based guidelines for one symptom. Simply, medical reform in otolaryngology cannot wait for the 30-plus years it could take to develop practical clinical guidelines for the more than 30 symptoms presented by patients to otolaryngologists. This book cuts to the chase and attempts to efficiently and appropriately bring consistency and cohesiveness into the current health care system.
This book covers the various symptoms presented in clinic; develops a list of differential diagnoses; explains how to systematically rule out each differential diagnosis, chooses the most cost-effective route; and presents the most cost-effective treatment for each.
Contributors include: Seilesh Babu, Eric Berg, Kevin Brown, Yvonne Chan, Edward Ermini, Marion Boyd Gillespie, Gregory Grillone, Ashutosh Kacker, David Karas, Howard Kotler, David Kutler, Steven Levine, Vincent Lin, Rodney Lusk, Robert McRae, Vikash Modi , David Nielsen, Krishna Patel, Gregory Randolph, Samuel Selesnick, Mark Shrime, Robyn Smith, MG Stewart, Elizabeth Toh, Robert Ward, Eiji Yanagisawa and Ken Yanagisawa.
About The Authors
Dr. K. J. Lee is one of the leading Ear, Nose, and Throat practitioners in the country and in the world and a leading advocate of health care reform.
Dr. Lee is heavily involved in furthering his field, whether through improved technology, authorship, or nonprofit foundations. He designs surgical instruments for pituitary and ear surgeries. He is an acclaimed lecturer and author on scientific, medical, and health policy topics, and one of his numerous books, Essential Otolaryngology, is considered one of the leading texts in the ENT field in the world translated into many languages. He is also an authority on electronic medical records and serves on the editorial boards of international and national medical journals. He is past president of the American Academy of Otolaryngology-Head & Neck Surgery and former president of the medical staff and chairman of the medical board at the Hospital of St. Raphael in New Haven.
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Dr. Lee has done much to advocate health care reform on the national stage. His numerous lectures on health care policy have done much to raise awareness about the problems with the current state of health care in this country. His work includes the sponsorship of a Bipartisan Presidential Healthcare Solution Summit in 2000 and 2004 and serving as a past vice-chair of a federally funded HMO.
Yvonne Chan, MD, FRCSC, MSc, HBSc, is an Assistant Professor and the Continuing Professional Development Director in the Department of Otolaryngology-Head & Neck Surgery at the University of Toronto. She is the division head of Otolaryngology at Trillium Health Partners. She is the vice chair of the Canadian Rhinology Working Group. At the Mississauga Academy of Medicine, she is the undergraduate medical lead for Otolaryngology. She finished her otolaryngology residency training at the University of Toronto and subsequently completed a rhinology fellowship at the Georgia Nasal and Sinus Institute. Dr. Chan obtained her medical degree and an MS degree in molecular biology also from the University of Toronto. Since 2015, she has been the coeditor of the world-renowned otolaryngology textbook, K. J. Lee’s Essential Otolaryngology (11th edition). Other texts that she has coedited include Health Care Reform Through Practical Clinical Guidelines and Essential Paths to Life After Residency.
Table Of Contents
Practical Clinical Guidelines: Concepts
1. The Impact of Health Care Reform on Providers (Doctors)
K.J. Lee
2. What are Evidence-Based Guidelines?
Michael G. Stewart
3. Evidence-Based Performance in Practice
David R. Nielsen
Symptoms
4. Hearing Loss
Kevin D. Brown and Samuel H. Selesnick
5. Tinnitus
Kevin D. Brown and Samuel H. Selesnick
6. Dizziness
Vincent Lin and Simon Greenberg
7. Ear Blockage and Pressure
Eiji Yanagisawa and Ken Yanagisawa
8. Ear Drainage and Bleeding
Ken Yanagisawa and Eiji Yanagisawa
9. Ear Pain
Robert McRae and Erik Berg
10. Facial Nerve Paralysis
Elizabeth H. Toh
11. Congenital Hearing Loss
Seilesh Babu and K. J. Lee
12. Bleeding From the Ear, Nose and Throat
Howard Kotler
13. Nasal and Sinus Infections, Pain, Pressure
Yvonne Chan
14. Postnasal Drip
Edward Ermini
15. Nasal Obstruction
Ashutosh Kacker
16. Lack of Smell/Taste
Yvonne Chan
17. Facial Pain and Headache
KJ Lee and Robyn M. Smith
18. Lump in the Neck
Mark G. Shrime
19. Sensation of a Lump in the Throat
KJ Lee and Robyn M. Smith
20. Swallowing Difficulty and Testing
Steven B. Leder
21. Burning Sensation in the Mouth and Distorted Taste
Yvonne Chan
22. Benign Oral Lesions
Gregory A. Grillone and Jeffrey S. Jumaily
23. Malignant Lesions of the Oral Cavity
M. Boyd Gillespie
24. Voice Problems
Yvonne Chan
25. Cough from an ENT Perspective
Steven B. Levine
26. Throat Discomfort
Edward Ermini
27. Airway Obstruction in Children and Adults
Rodney Lusk
28. Foreign Bodies in Otolaryngology
Vikash K. Modi and Robert F. Ward
29. Current Thoughts on Tonsillectomy, Adenoidectomy and Myringotomy with and without Tube Insertion
David Karas, Yvonne Chan and KJ Lee
30. Salivary Gland Diseases
David I. Kutler
31. Parapharyngeal Masses
Howard Kotler
32. Thyroid Mass
David Goldenberg and Greg Randolph
33. Facial and Nasal Fractures
Krishna Patel
34. Bony Cysts and Tumors of the Maxilla and Mandible
Mark G. Shrime
Conclusion
35. Guidelines Go Digital
KJ Lee and Yvonne Chan
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