Al Merati 🇺🇸 🎸

It's been 7 months now and it's like a lot of folks had said. Rogue waves of grief and some predictable ones....Mom is here in my thoughts...1st xmas, 1st bdays (hers & mine), 1st mother's day have been sad. What an amazing person. Pictured here with namesake Rose Adele Merati

World first virtual reality train opens in Aussie aged care facility, where residents enjoy afternoon tea while touring 10 countries.

This is what the International Visiting Scholarship (IVS) looks like in action. 🌍 Ready to attend the AAO-HNSF Annual Meeting & OTO EXPO and participate in an academic observership at a U.S. otolaryngology department or institution? Apply by April 15: hubs.ly/Q046_9vP0

I want there to be a day when I don’t have to share this speech anymore

Recurrent Respiratory Papillomatosis has long meant repeat surgeries, sometimes dozens over a lifetime. In #ENT263, Dr. Aaron Friedman and Dr. Stephen Schoeff discuss the shift toward immune-directed therapy following FDA approval of PAPZIMEOS from Precigen. In trials, almost 50% of adults avoided additional surgery for a year. Check it out below! #RRP @Drinnahusain @amerati @gwebbharris Listen now: na2.hubs.ly/H042-jM0

Thank you University of Washington, Husky Nation and everyone who worked so hard to make this possible. There are too many posts to comment on and I appreciate them all! Dawg for life through thick and thin. Thank you and be kind to one another. Much 💜💛

A Seattle legend now forever revered in Husky History.

@DrsansariOrd @Medzonetv Also we should be careful about labeling what is often our inability to detect the underlying cause as "patient anxiety". There is almost always an answer.

Diagnosis: 👉 Globus pharyngeus (globus sensation)✅ Why this is the correct diagnosis 👇 This case is classic for globus pharyngeus — a benign functional throat disorder, not a tumor. Key clues from the history: 🧠 Marked anxiety and fear of a hidden cancer ⏱️ Acute onset (only 1 hour) 🍇 Sensation of a “lump / grape stuck in the throat” 😖 Worse when swallowing saliva (dry swallow) 👌 Normal ENT exam: Normal laryngoscopy Normal oropharynx Normal neck exam (no mass, no nodes) This combination is almost diagnostic. What exactly is globus pharyngeus? A persistent or intermittent sensation of a lump or foreign body in the throat No true dysphagia (patients can eat and drink) No structural abnormality on examination or endoscopy Very commonly associated with: Anxiety or emotional stress 😰 GERD / laryngopharyngeal reflux 🔥 Cricopharyngeal muscle tension Heightened sensory awareness > The sensation is real — but not dangerous. Why it is not cancer 🚫 Cancer does not present suddenly over 1 hour Cancer causes progressive dysphagia, weight loss, voice change, neck nodes ENT visualization is normal Age (34) and exam make malignancy extremely unlikely Teaching pearl 💡 🔹 Globus is worse with saliva swallowing 🔹 Often improves with eating solid food This paradox is a hallmark feature. Management (most important part): 🗣️ Reassurance (this alone often resolves symptoms) 🔥 Trial of PPI if reflux suspected 🧘 Anxiety reduction, relaxation techniques 🗣️ Speech/swallow therapy if persistent One-line teaching takeaway: > “A lump-in-throat sensation + normal ENT exam + anxiety = Globus pharyngeus, not cancer.”

A 34-year-old woman presents to the clinic appearing very anxious. 🏥 She tells you: “Doctor, there is a literal lump in my throat. It feels like a grape is stuck there, and no matter how much I swallow, it won't go down.” The ENT says her laryngoscopy is normal. The oropharynx is normal, and neck examination shows no abnormalities. But she is convinced she has a hidden tumor. Her symptoms have been present for an hour and are worse when she tries to swallow saliva. What is the diagnosis?👇

@Medzonetv Not a diagnosis honestly. Globus is a symptom. Pathology is usually not identifiable. Of course there may be a mass or lesion but otherwise it's: Chronic laryngitis (edema), cricopharygeal achalasia/hypertension, esophageal dysmotility, and lingual tonsillar fullness.

What's your favorite underrated album that deserves more recognition?

@Alzdoc Wait until we get to the impact of declining efferent communication (aging voice, withdrawl from communcation ) that compounds hearing impact on cognition. And...what impact treatment might have .

We often treat hearing and vision as side issues, but sensory health is deeply tied to #BrainHealth. When input degrades, the brain burns more energy just making sense of the world, leaving fewer resources for memory, focus, and reasoning. Over years, that cognitive tax adds up.

#ENTtoday is looking for it's next residENT editorial board member! If you will be a PGY2-4 during the July 2026-June 2027 academic year, consider applying. Details can be found here: enttoday.org/article/applic… @ototrainees

@alhambracultura magic

Seattle NIH money was under attack. Now it’s at a record high | The Seattle Times seattletimes.com/seattle-news/p…

🚨🚨HEARTWARMING VIDEO🚨🚨 NBC & Marshawn Lynch produced a beautiful tribute video before the Super Bowl for legendary Oakland HC John Beam. 🥹 Coach Beam’s former players were crying speaking about his impact on and off the football field. Beautiful.

Immortal 🙏

Fred Smith, bass player for the influential proto-punk band Television, has died. He was 77. variety.com/2026/music/new…

The @PCSAsurg Presidential address by @DianaFarmerMD was, as expected, from the heart and influential. She started with a memoriam to our beloved Dr Susan Orloff, talented Hepatobiliary liver transplant surgeon and a friend of the Pacific Coast Surgical Association. We will all miss her. #PCSA2026

Today would have been Mom's 98th bday. I love you mom ♥️♥️♥️♥️♥️and I miss you every day. Thank you for being funny and strong and smart and for being mom. PS the kids are turning out pretty awesome.

⏰It's time to renew your membership – don't wait! Ensure uninterrupted access to cutting-edge advancements, exclusive resources, and your professional network. abea.net Let’s continue advancing care and innovation together in 2026! #ABEA #MembershipRenewal