• PPP forgiveness changes coming as Senate passes House bill

    Posted in Scope Summer 2020 on Jun 23, 2020

    The U.S. Senate passed the House version of Paycheck Protection Program (PPP) legislation Wednesday night, tripling the time allotted for small businesses and other PPP loan recipients to spend the funds and still qualify for forgiveness of the loans.

    The bill passed in a unanimous voice vote hours after Wisconsin Sen. Ron Johnson initially blocked it. Among the key provisions is a change in the threshold for the amount of PPP funds required to be spent on payroll costs to qualify for forgiveness to 60% of the loan amount.

    The Senate approval sent the House bill, called the Paycheck Protectio...

  • Let's Rethink Sleep

    Posted in Scope Summer 2020 on Jun 23, 2020

    Rethink Sleep
  • The Role of Prefabricated Thermoplastic Mandibular Advancement Devices (MAD) in the Therapy of Snoring and Obstructive Sleep Apnea (OSA)

    Posted in Scope Summer 2020 on Jun 23, 2020


    Diagnosis and treatment of snoring and obstructive sleep apnea (OSA) is an interdisciplinary matter. In addition to Otorhinolaryngology it includes Internal Medicine, Pneumology, Cardiology, Dentistry, but also Pediatrics and Neurology. The mandibular advancement devices (MAD) are now considered a reliable and non-invasive therapy option in the treatment of habitual snoring and obstructive sleep apnea (OSA) (Lit. 1, 2).

    The American Academy of Sleep Medicine (AASM) has recognized and recommended MAD systems since 2006. The position paper published in 2015 identifies MAD as a first...

  • Bringing Our Outpatient Surgery Healthcare System Back Online: Perioperative Use of Bidirectional HEPA-Filtered Face Masks to Prevent the Spread of SARS-CoV-2 to Healthcare Workers

    Posted in Scope Summer 2020 on Jun 23, 2020

    The current pandemic represents a colossal medical conundrum involving all aspects of healthcare. We realized early on that the entire global scientific community was attempting to optimize the results of several overlapping, competing, and parallel realities that were all emerging and evolving with differing time signatures. After we had orchestrated all of the evolving data, it became glaringly obvious that a complete paradigm shift was the only way to solve this conundrum. The insight required a refocusing of the problem by turning the efforts backward and recognizing the problem is emergin...

  • 2020 Annual Clinical Assembly Winners

    Posted in Scope Summer 2020 on Jun 23, 2020


    FIRST PLACE WINNER Nathan Lambert-Cheatham, DO A Novel Ferrochelatase Inhibitor Decreases Murine Laser-induced Choroidal Neovascularization

    SECOND PLACE WINNER Caleb Liles, DO A Case of Systemic Sclerosis/Lupus Overlap Syndrome Presenting with Bilateral Cotton Wool Spots


    FIRST PLACE WINNER Corina Din-Lovinescu, DO Intracranial Complications of Pediatric Rhinosinusitis: Identifying Risk Factors and Interventions Affecting Length of Hospitalization

    SECOND PLACE WINNER Bo Pang, DO Arytenoid Inflammation Due to Gastroesophageal Reflux in Laryngomalacia ...

  • 2020 Annual Clinical Assembly Scientific Poster Competition Winners

    Posted in Scope Summer 2020 on Jun 23, 2020


    FIRST PLACE WINNER Omar Saeed, MPH BAM - Beacon Aqueous Microshunt – A Novel Way to Treat Glaucoma: Case Report

    SECOND PLACE WINNER Khaled Moumneh, MS – OMS-III Reticular Corneal Edema in Eyes Treated with Netarsudil: A Case Series

    THIRD PLACE WINNER Zubin Shah, DO Effect of Oral Re-esterified Omega-3s on Dry Eyes


    FIRST PLACE WINNER Jordan Teitelbaum, DO Sinonasal Squamous Cell Carcinoma Outcomes: Does Treatment at a High-volume Center Confer Survival Benefit?

    SECOND PLACE WINNER Jordan Teitelbaum, DO Sinus Irrigation Penetration After Draf IIA Vers...

  • Health In Sight Mission Trip: Honduras

    Posted in Scope Summer 2020 on Jun 23, 2020

    To start off 2020 I had the chance to go on a mission trip to Roatan, Honduras. The organization that I traveled with is known as Health In Sight Mission. Health In Sight is a non-profit organization that has been serving the people of Honduras for the past 16 years. What makes Health In Sight unique is the long term care that they provide. Most mission trips really only provide a bandaid for chronic medical conditions. Health In Sight provides care to the same patients in the same community in the same location and has done so for over 16 years. Health In Sight has a full time local primary c...

  • How to Stay Healthy While Adapting To a New Normal

    Posted in Scope Summer 2020 on Jun 23, 2020

    So far, 2020 has been the year of uncertainty to say the least. The last few months have challenged everyone to adjust to a new way of living, as well as a new way of thinking. The key to surviving these unpredictable times comes through acceptance and adaptability. Instead of feeling like you are constantly treading water when it comes to life, find new ways to enjoy our new normal.

    What does this mean for your overall health? How do you find the motivation, or even the tools to keep yourself healthy? So many people’s routines have been disrupted, whether it’s gym closures, employment disrupt...

  • Health and Wellness

    Posted in Scope Summer 2020 on Jun 23, 2020

    Dear Colleagues, for many of us these past several months have been stressful, not just personally but professionally. Many of our friends and colleagues have been on the front lines providing care to patients during this pandemic. Also, so many of our practices came to a halt and caused financial uncertainty. There have been some answers over the last few months, but we are still uncertain as to what the future may bring. I wanted to share some tips and links to sites that I hope you may find useful. It’s important, now more than ever, that we focus on our well-being and health so that w...

  • Medicine with COVID-19

    Posted in Scope Summer 2020 on Jun 23, 2020

    My first response to the Scope topic of COVID-19 is to disclose what I have experienced after nearly 2 months of unemployment. What effects has the COVID-19 had on your practice?

    Multi-specialty offices have several physicians with multiple staff. Did you keep all your staff or furlough some employee’s?

    As a solo practitioner, my staff were cancelling 30- to 40 patients a day and seeing only zero to two emergency patients daily. I had to furlough all my staff. I was not interested in a loan from the government, not knowing when I would receive the money and would have had to pay salaries ou...