Understanding Thyroid & Parathyroid Disorders
Florida Gulf Coast Ear, Nose & Throat
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Aug 08, 2023
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What Are the Thyroid and Parathyroid Glands? The thyroid gland is a butterfly-shaped gland located in the front of the neck just above the collarbone. It has two lobes, with one lobe on each side of the windpipe. As part of the endocrine system, it produces hormones, known as T3 and T4, that regulate metabolism—the speed at which cells in the body work— and affects other functions, such as heart rate and energy level. The four rice-sized parathyroid glands are located behind the thyroid, deep within the neck. They control the amount of calcium in the bloodstream. Calcium plays a critical role in the electrical functions of the body. Thyroid problems affect 20 million Americans, and women experience thyroid problems five to eight times more than men. Most thyroid diseases are lifelong conditions but can usually be managed with a variety of treatments.
THYROID DISORDERS The most common thyroid disorders are caused by an imbalance of hormones. It’s critical that the thyroid produces the correct amount of hormones. If too little thyroid hormone is produced, this is hypothyroidism; if too much is produced, this is hyperthyroidism. Both can affect many functions in the body. Weight gain Fatigue Increased sensitivity to cold Dry skin Constipation Muscle weakness Problems with memory or concentration Signs and symptoms of hypothyroidism include: HYPOTHYROIDISIM When the thyroid gland produces too little hormone, this is known as hypothyroidism or underactive thyroid. Hypothyroidism affects up to 5% of the U.S. population, with a further estimated 5% being undiagnosed.
Signs and symptoms of hypothyroidism include:
Weight gain Fatigue Increased sensitivity to cold Dry skin Constipation Muscle weakness Problems with memory or concentration
Hypothyroidism can be caused by: Hashimoto’s Disease. This disorder causes the body's immune system to attack thyroid tissue and eventually destroy the thyroid gland, leading to the underproduction of thyroid hormone. Over-response to hyperthyroidism treatment. People who produce too much thyroid hormone are often treated with medications to reduce the hormone, and sometimes the body can then produce too little. Thyroid surgery. Removing any part of the thyroid gland can reduce hormone production. Radiation therapy. Radiation used to treat cancers of the head and neck can reduce hormone production. Medications. Several medications can contribute to hypothyroidism. Be sure to understand the side effects of any medications you’re taking so your doctor can monitor your thyroid function. Hypothyroidism can be caused by: Treatment of Hypothyroidism Hypothyroidism is commonly treated with thyroid hormone replacement therapy. Taken orally, this medication increases the amount of thyroid hormone the body produces.
When the thyroid gland produces too little hormone, this is known as hypothyroidism or underactive thyroid. Hypothyroidism affects up to 5% of the U.S. population, with a further estimated 5% being undiagnosed.
Hyperthyroidism can be caused by:
Toxic nodule or multinodular goiter -- A single nodule or lump in the thyroid – or several nodules forming a goiter -- can produce more thyroid hormone than the body needs and lead to hyperthyroidism. Graves' disease - Graves' disease is an autoimmune disorder in which the body's immune system attacks the thyroid. Patients with Graves’ disease often have enlargement of the thyroid gland and become hyperthyroid. Sub-acute thyroiditis - A viral infection can cause inflammation of the thyroid gland, resulting in excess amounts of thyroid hormone. It usually resolves on its own. Postpartum thyroiditis - Some women can develop hyperthyroidism after childbirth, followed by a period of hypothyroidism. It usually resolves after a few months Excessive iodine consumption- Consuming too much iodine can cause hyperthyroidism. In most cases, it usually resolves when the excess iodine is discontinued.
Treatment of Hyperthyroidism Hyperthyroidism is commonly treated with antithyroid drugs that block or reduce the thyroid’s production of hormones. Other options include oral radioactive iodine followed by thyroid hormone replacement therapy, and beta blockers, which block the action of thyroid hormones on the body. HYPERTHYROIDISM Toxic nodule or multinodular goiter -- A single nodule or lump in the thyroid – or several nodules forming a goiter -- can produce more thyroid hormone than the body needs and lead to hyperthyroidism. Graves' disease - Graves' disease is an autoimmune disorder in which the body's immune system attacks the thyroid. Patients with Graves’ disease often have enlargement of the thyroid gland and become hyperthyroid. Sub-acute thyroiditis - A viral infection can cause inflammation of the thyroid gland, resulting in excess amounts of thyroid hormone. It usually resolves on its own. Postpartum thyroiditis - Some women can develop hyperthyroidism after childbirth, followed by a period of hypothyroidism. It usually resolves after a few months Excessive iodine consumption- Consuming too much iodine can cause hyperthyroidism. In most cases, it usually resolves when the excess iodine is discontinued. Hyperthyroidism can be caused by: THYROID DISORDERS Weight loss Rapid heartbeat (tachycardia) Increased sensitivity to heat Excess sweating Tremors Irritability and nervousness Muscle weakness Frequent bowel movements Changes in menstrual patterns Sleep difficulty High blood pressure Increased appetite Signs and symptoms of hyperthyroidism include: When the thyroid gland produces too little hormone, this is known as hypothyroidism or underactive thyroid. Hypothyroidism affects up to 5% of the U.S. population, with a further estimated 5% being undiagnosed. THYROID NODULES Thyroid nodules are growths or lumps in the thyroid gland. They are common, and the vast majority of nodules are benign, or non-cancerous. Often, no specific treatment is needed, and the thyroid can simply be monitored for signs of hyperthyroidism. If the nodule causes affects breathing or swallowing, your doctor may recommend surgery. THYROID CANCER Thyroid cancer is found in about 5% of thyroid nodules. There are several types of thyroid cancer, some more aggressive than others, but overall, the prognosis for thyroid cancer is positive, with survival rates between 75%-100%. Like other thyroid conditions, thyroid cancer is more common in women than men. Other factors that increase the risk of thyroid cancer include exposure to radiation and genetics. Thyroid cancer is treated with surgery, chemotherapy, and radiation. ENLARGED THYROID An enlargement of the thyroid gland, also known as a goiter, appear as a swelling in the neck. It can be small or large, can cause no symptoms, or can cause and increase or decrease in thyroid hormones. In the United States, a goiter can develop when the thyroid gland does not make enough hormones, so it attempts to make more by growing larger. As in hypothyroidism, a goiter can also be a side effect of certain medications. In other parts of the world, goiters can develop from a lack of iodine. In other cases, there are no known causes. Treatment depends on the cause of the goiter, symptoms, and complications resulting from the goiter. Small goiters that aren't noticeable and don't cause problems usually don't need treatment .PARATHYROID DISORDERS The most common parathyroid disorders are caused by an imbalance of the parathyroid hormone, known as PTH. PTH regulates the amount of calcium in the body. HYPOPARATHYROIDISM When the parathyroid glands produce too little hormone, this is known as hypopararthyroidism or underactive parathyroid. This leads to low blood calcium. Treatment of Hypoparathyroidism Treatment of hypoparathyroidism includes oral calcium carbonate tablets and a prescription parathyroid hormone used with supplemental calcium and vitamin D. Tingling lips, fingers, and toes Muscle aches, cramps, and spasms Calcium deposits in some tissues Dry hair and skin Signs and symptoms of hypoparathyroidism include: Brittle nails Patchy hair loss Pain in the face, legs, and feet Painful menstrual periods HYPERPARATHYROIDISM When the parathyroid glands produce too much hormone, this is known as hyperpararthyroidism or overactive parathyroid. This leads to high blood calcium levels. There are two types of hyperparathyroidism. In primary hyperparathyroidism, an enlargement of one or more of the parathyroid glands causes overproduction of the hormone. Surgery is the most common treatment for primary hyperparathyroidism. Secondary hyperparathyroidism occurs due to another disease that first causes low calcium levels in the body. Over time, increased parathyroid hormone levels occur. Factors that may contribute to secondary hyperparathyroidism include severe calcium deficiency, severe vitamin D deficiency, and chronic kidney failure. Treatment of Hyperparathyroidism Treatment of hyperparathyroidism include surgical removal of enlargements or tumors, hormone replacement therapy, and calcimimetics -- a drug that mimics calcium in the blood and may encourage the parathyroid glands to release less parathyroid hormone. Osteoporosis Kidney stones Bone and joint pain Thinning hair Excessive urination Abdominal pain Muscle weakness Depression or forgetfulness
PARATHYROID TUMORS Parathyroid tumors may increase the levels of parathyroid hormones. Parathyroid tumors are extremely rare and are usually benign, or non-cancerous. Surgery to remove the tumor is recommended if it is causing abnormal blood calcium levels.
TESTING FOR AND DIAGNOSING THYROID DISORDERS TSH – If your physician suspects a thyroid disorder, a blood test will likely be ordered. Blood tests for your thyroid include: The is most accurate measure of thyroid activity and measures the amount of Thyroid Stimulating Hormone. High levels of TSH indicate an underactive thyroid, while low levels indicate an overactive thyroid. T3 and T4 – These tests measure the amount of the two types of thyroid hormones. TSI – This measures thyroid stimulating immunoglobulin, an antibody that instructs the thyroid gland to produce more thyroid hormones. This test is performed when overactive thyroid is suspected. Antithyroid Antibody Test – This test measures the antibodies that instruct the body to destroy thyroid tissue and cells, resulting in underactive thyroid. Other testing and diagnostic tools include:
Ultrasound -- An ultrasound creates an image of the thyroid and can reveal enlargements or nodules on the thyroid. Thyroid Scan -- Like ultrasound, a thyroid scan creates an image of the thyroid. The patient ingests a small amount of radioactive iodine to help generate the image. It is often performed with a radioactive iodine uptake test. Radioactive Iodine Uptake Test -- This test involves giving a small amount of radioactive iodine to measure how much is taken up by the thyroid. This test can tell the difference between several causes of increased thyroid hormone blood levels. Fine Needle Aspiration (FNA) Biopsy -- In this test, a small needle collects tissue samples for testing under a microscope. Other testing and diagnostic tools include: TRUST FLORIDA GULF COAST ENT FOR YOUR THYROID AND PARATHYROID HEALTH With expert understanding of the anatomy and functioning of the ears, nose, throat, and related parts of the head and neck, your physicians at Florida Gulf Coast ENT are specially trained in evaluating, diagnosing, and treating disorders of the thyroid and parathyroid glands. As ENTs, we are also surgeons and can remove thyroid nodules, tumors, and other masses. Florida Gulf Coast ENT is the premier care provider for your thyroid and parathyroid health. (239) 514-2225
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He has a passion for treating illness, patient education and expanding his medical knowledge to help better treat his patients. When not in the office he can be found with his wife and two sons playing sports and enjoying the beaches and waterways of Naples.Audiology TeamSHANAI HILL, AU.D., CCC-ADr. Shanai Hill has been with Florida Gulf Coast ENT and Hearing Center since its inception in 2005. She helped to create the Audiology Department alongside her husband, Dr. Samuel Hill and his partner, Dr. Patrick Reidy. She currently provides hearing and hearing aid services including hearing aid evaluation, demonstrations, repairs, and sales at our Estero location. Dr. Hill believes that the hearing rehabilitation process should be much more than a retail transaction. She is dedicated to working closely with her patients as they embark on their journey to better hearing. She provides continuous education, counseling, validation and technological support for her patients and their families in order to improve their communication abilities and their overall quality of life.Prior to her time with FCGHC, she practiced Pediatric Audiology at All Childrens Specialty Care Center/Johns Hopkins in Ft. Myers and the Childrens Hospital of Michigan. During that time, she diagnosed and treated pediatric hearing loss including participating in the Craniofacial/Cleft Palate Team and the Cochlear Implant Team. She also spent 2 years in the Michigan Public Schools System as an Educational Audiologist providing hearing therapy and hearing aid/ FM unit support for hearing impaired students.Dr. Hill has a Bachelor of Arts degree in Communication Disorders from Michigan State University, a Master of Science degree in Audiology from Wayne State University, and a Doctor of Audiology degree from the University of Florida. In her spare time, she enjoys traveling, cooking, having fun with her husband and teenage boys, and serving at her church.NICOLE DIEHL, AU.D., CCC-A, FAAADr. Diehl began her higher education by receiving a Bachelor of Science in Communication Sciences and Disorders from Ohio University in 2011. She later when on to obtain a Doctorate of Audiology at East Tennessee State University. During this time, she was trained at the Mountain Home Veterans Affairs Medical Center in evaluations of hearing, balance, tinnitus, and fitting of hearing aids and other assistive devices.Following her graduation from East Tennessee State University, she worked in private practice as well as at an ear, nose, and throat specialist. She worked in Dalton, Massachusetts as a diagnostic and dispensing audiologist at a private practice ENT for both adult and pediatric populations before relocating to Florida. Dr. Diehl is committed to improving her patients quality of life using state-of-the-art hearing technology.ELVERA BADER AU.DDr. Elvera Bader joined Florida Gulf Coast ENT in 2023 after moving to Florida with her husband and two daughters. Originally from New York, Dr. Bader earned her bachelors degree in communication sciences and disorders from CUNY Brooklyn College and her doctorate in Audiology from the CUNY Graduate Center in NYC.Before joining Florida Gulf Coast ENT, Dr. Bader worked independently at a small boutique practice in NYC, specializing in the hearing healthcare needs of musicians and others in the music industry. She later joined a busy Otolaryngology practice affiliated with the Northwell Health System, where she spent five years. During this time, she was part of a comprehensive team of providers focusing on the diagnosis and treatment/management of hearing disorders from birth through adulthood.Dr. Bader is dedicated to providing evidence-based care in a personalized, patient-centered approach, guiding her patients on their journey to improved hearing.
Florida Gulf Coast Ear, Nose & Throat
Hearing Services & Resources 2180 Immokalee Road, Naples, Florida, 34110Florida Gulf Coast ENT offers comprehensive ear, nose, and throat (ENT) care for adults and children. Led by a team of board-certified and fellowship-trained specialists, including Samuel L. Hill, III, MD, FACS, FAAOA, Patrick M. Reidy, MD, Leela Lavasani, MD, FACS, Sue-Lay Plasencia, DNP, ARNP, NP-C, Benjamin Lehmkuhl, DO, Nicole Gergenti, FNP-BC, and Christie McGee, MD, we provide diagnostic, therapeutic, and surgical services. Whether you're experiencing a persistently runny nose, trouble breathing, or issues with your hearing, our team is here to help. Schedule an appointment at one of our convenient locations in Naples, Estero, Pine Ridge, or Downtown Naples. Get lasting relief and improve your quality of life with Florida Gulf Coast ENT.Our physicians, Samuel L. Hill, III, MD, FACS, FAAOA, Patrick M. Reidy, MD, Leela Lavasani, MD, FACS, Price Sonkarley, MD, FACS and Sue-Lay Plasencia, DNP, ARNP, NP-C, are Board Certified, fellowship trained specialists who are supported by a team of highly skilled medical professionals.Our DoctorsAs co-founders and managing partners of Florida Gulf Coast Ear, Nose and Throat, LLC, Dr. Hill and Dr. Reidy are committed to excellence! Their goal is to provide patients with high quality service utilizing the most advanced therapeutic and surgical treatments. Drs. Reidy and Hill achieve this goal by developing a close personal relationship with their patients, and through continued training in the most up-to-date technologies available in their field.Samuel L. Hill, III, MD, FACS, FAAOABOARD CERTIFICATION AND MEDICAL LICENSUREAmerican Board of Otolaryngology, Head and Neck SurgeryState of FloridaEDUCATIONUniversity of Michigan Bachelor of Science Magna Cum LaudePOSTGRADUATE TRAININGWayne State University Detroit Medical Center Doctor of MedicineWayne State University Detroit Medical Center Internship General SurgeryWayne State University Detroit Medical Center Residency Otololaryngology/Head & Neck SurgeryEar Research Foundation at The Silverstein Institute Fellowship Neuro-otology/Advanced Otologic and Skull Base SurgeryPROFESSIONAL MEMBERSHIPSAmerican Academy of Otolaryngology, Head and Neck SurgeryAmerican College of SurgeonsAmerican Academy of Otolayngic AllergyFlorida Medical AssociationCollier County Medical SocietyLee County Medical SocietyWayne State University Medical Alumni SocietyUniversity of Michigan Alumni SocietyPatrick M. Reidy, MDBOARD CERTIFICATION AND MEDICAL LICENSUREAmerican Board of Otolaryngology, Head and Neck SurgeryState of FloridaEDUCATIONUniversity of Michigan Bachelor of Science GO BLUE!!POSTGRADUATE TRAININGWayne State University Detroit Medical Center Doctor of MedicineWayne State University Detroit Medical Center Internship General SurgeryWayne State University Detroit Medical Center Residency Otololaryngology/Head and Neck SurgeryUniversity of Chicago Medical Center Fellowship Rhinology / Allergy / Advanced Sinus SurgeryPROFESSIONAL MEMBERSHIPSAlpha Omega Alpha Medical Honor SocietyAmerican Academy of Otolaryngology, Head and Neck SurgeryAmerican Rhinological SocietyFlorida Medical AssociationCollier County Medical SocietyLee County Medical SocietyUniversity of Michigan Alumni SocietyWayne State University Medical Alumni SocietyLeela Lavasani, MD, FACSDr. Lavasani offers a comprehensive program of specialized ear, nose and throat care that reflects our commitment to delivering individualized and optimal treatment to patients of all ages. She has the experience and skill to provide comprehensive diagnosis and management of diseases that affect the ears, nose and paranasal sinuses, voice, throat, thyroid and neck.BOARD CERTIFICATION AND MEDICAL LICENSUREAmerican Board of Otolaryngology, Head and Neck SurgeryState of FloridaEDUCATIONMacalester College Bachelor of Arts BiologyPOSTGRADUATE TRAININGChicago Medical School- Masters of Science- Applied PhysiologyGeorge Washington University School of Medicine Doctor of MedicineThomas Jefferson University Residency OtolaryngologyPROFESSIONAL MEMBERSHIPSAmerican Academy of Otolaryngology, Head and Neck SurgeryAmerican College of SurgeonsAmerican Medical Womens AssociationAlpha Omega Alpha of OtolaryngologyCollier County Medical SocietyBenjamin Lehmkuhl, DOFlorida Gulf Coast ENT is happy to welcome our newest physician to the team, Dr. Ben Lehmkuhl. A native from Iowa, Dr. Lehmkuhl graduated medical school from Des Moines University, and then completed his otolaryngology, head and neck surgery residency at the University of Kentucky. During his training, Dr. Lehmkuhl became fond of taking care of the entire familys ear, nose, and throat complaints and dedicated himself to learning to provide care for patients of all age ranges from newborns to geriatrics. He enjoys taking care of patients with hearing loss, balance disorders, ear infections, sore throats, sinus disease, nasal obstruction, allergies, neck masses, thyroid nodules, voice complaints, sleep disturbances and swallowing difficulties, as well as pediatrics. BOARD CERTIFICATION AND MEDICAL LICENSUREAmerican Board of Otolaryngology, Head and Neck Surgery EligibleState of FloridaEDUCATIONClarke University, Debuque, IA Bachelor of Science in BiologyPOST GRADUATE TRAININGDes Moines University, College of Osteopathic Medicine, Des Moines, IA -Doctor of Osteopathic MedicineWestern Reserve Hospital, Cuyahoga Falls, OH Otolaryngology Head and Neck Surgery ResidencyUniversity of Kentucky, Lexington, KY Otolaryngology Head and Neck Surgery ResidencyPROFESSIONAL MEMBERSHIPS:American Academy of Otolaryngology Head and Neck SurgeryKentucky Society of OtolaryngologyAmerican Osteopathic Association MemberLee County Medical Society MemberChristie McGee, MDA native of South Florida, Dr. McGee completed Otolaryngology residency training in Miami, FL, and is excited to utilize her comprehensive skills and training to treat the community of Collier County. Dr. McGee offers comprehensive surgical and medical Otolaryngologic care to patients of all ages for the following conditions:Diseases of the Paranasal Sinuses and Nasal Cavity including allergic rhinitis, chronic rhinosinusitis, sinonasal polyp disease, complex sinus infections, deviated septum, nasal obstruction, nosebleeds, and smell lossAcute and chronic hearing loss, ear infections, perforated eardrum, eustachian tube dysfunction, vertigoPediatric sleep-disordered breathing, tonsillectomy, adenoidectomy, ear tubes, congenital lesions, speech and swallow disordersDiseases of the airway and larynx including voice and swallow changes, vocal cord paralysis, benign lesions, and malignancies, as well as tracheostomy and cervical airway scar tissue managementBenign and malignant lesions of the upper aerodigestive tract, thyroid gland, neck, salivary glands, and skin of the head and neckFacial paralysisAge-related changes of the face including management of wrinkles with BotoxAdult surgical management of obstructive sleep apnea and snoringBOARD CERTIFICATION AND MEDICAL LICENSUREAmerican Board of Otolaryngology- Head and Neck Surgery EligibleState of FloridaEDUCATIONUniversity of Florida- Bachelor of Science in Biology- Magna Cum LaudePOSTGRADUATE TRAININGTufts University School of Medicine- Masters of Science in Biomedical SciencesUniversity of Miami Miller School of Medicine- Doctor of MedicineUniversity of Miami/Jackson Memorial Hospital- Residency- Otolaryngology and Head and Neck SurgeryPROFESSIONAL MEMBERSHIPSAmerican Academy of Otolaryngology- Head and Neck SurgeryAmerican Rhinologic SocietyFlorida Society of Otolaryngology- Head and Neck SurgeryGold Humanism Honor SocietyCollier County Medical SocietyNicole Gergenti, FNP-BCNicole Gergenti is a board certified Family Nurse Practitioner. She was born in New York but raised in Southwest Florida. She has always had a passion for serving others, which is what drove her ambition to pursue a career in the medical field. After obtaining her first bachelors degree in human performance from Florida Gulf Coast University, she quickly knew the career path she wanted to pursue. She then acquired her second bachelors degree in nursing from Nova Southeastern University. She began her nursing career as a registered nurse for Lee Health on their surgical oncology unit. During her time working at the hospital, she continued her education at Nova Southeastern University and obtained her masters in nursing as a Family Nurse Practitioner. She strives to always listen to and provide her patients with the utmost best care possible.EDUCATIONFlorida Gulf Coast University- Bachelor of Science in Human PerformanceNova Southeastern University- Bachelor of Science in NursingNova Southeastern University- Masters in NursingSuelay Plasencia, DNP, APRN, NP-CSuelay Plasencia is a board-certified doctorate prepared Family Nurse Practitioner. She is born and raised in Florida and has extensive nursing experience in critical care and oncology. She started her career as a nurse at Moffitt Cancer Center and continued her oncology career at Lee Memorial Hospital. She has transitioned her education into a nurse practitioner with training at Moffitt Cancer Center and several outpatient family practices. Sue is passionate about providing affordable and convenient care for all patients. She has the dedication and skill to provide detailed care for diseases affecting the ear, nose, paranasal sinuses, throat, thyroid, and neck.BOARD CERTIFICATION AND MEDICAL LICENSUREAmerican Academy of Nurse Practitioners- Family Nurse PractitionerState of FloridaEDUCATIONSouth University Tampa- Bachelor of Science in NursingPalm Beach Atlantic University- Doctorate in Nursing PracticePROFESSIONAL MEMBERSHIPSSigma Theta Tau Honor SocietyAmerican Academy of Nurse PractitionersOncology Nursing SocietyNurse Practitioner Council of Collier CountyNurse Practitioner Council of Lee CountyChristopher Hatwell, PA-C, MMSBorn and raised in New Jersey, Christopher has called Southwest Florida home for 25 years. He completed his physician assistant training at Nova Southeastern while serving as class president and graduating with honors. He has practiced locally since graduation with experience in family practice as well as neurology. He has a passion for treating illness, patient education and expanding his medical knowledge to help better treat his patients. When not in the office he can be found with his wife and two sons playing sports and enjoying the beaches and waterways of Naples.Audiology TeamSHANAI HILL, AU.D., CCC-ADr. Shanai Hill has been with Florida Gulf Coast ENT and Hearing Center since its inception in 2005. She helped to create the Audiology Department alongside her husband, Dr. Samuel Hill and his partner, Dr. Patrick Reidy. She currently provides hearing and hearing aid services including hearing aid evaluation, demonstrations, repairs, and sales at our Estero location. Dr. Hill believes that the hearing rehabilitation process should be much more than a retail transaction. She is dedicated to working closely with her patients as they embark on their journey to better hearing. She provides continuous education, counseling, validation and technological support for her patients and their families in order to improve their communication abilities and their overall quality of life.Prior to her time with FCGHC, she practiced Pediatric Audiology at All Childrens Specialty Care Center/Johns Hopkins in Ft. Myers and the Childrens Hospital of Michigan. During that time, she diagnosed and treated pediatric hearing loss including participating in the Craniofacial/Cleft Palate Team and the Cochlear Implant Team. She also spent 2 years in the Michigan Public Schools System as an Educational Audiologist providing hearing therapy and hearing aid/ FM unit support for hearing impaired students.Dr. Hill has a Bachelor of Arts degree in Communication Disorders from Michigan State University, a Master of Science degree in Audiology from Wayne State University, and a Doctor of Audiology degree from the University of Florida. In her spare time, she enjoys traveling, cooking, having fun with her husband and teenage boys, and serving at her church.NICOLE DIEHL, AU.D., CCC-A, FAAADr. Diehl began her higher education by receiving a Bachelor of Science in Communication Sciences and Disorders from Ohio University in 2011. She later when on to obtain a Doctorate of Audiology at East Tennessee State University. During this time, she was trained at the Mountain Home Veterans Affairs Medical Center in evaluations of hearing, balance, tinnitus, and fitting of hearing aids and other assistive devices.Following her graduation from East Tennessee State University, she worked in private practice as well as at an ear, nose, and throat specialist. She worked in Dalton, Massachusetts as a diagnostic and dispensing audiologist at a private practice ENT for both adult and pediatric populations before relocating to Florida. Dr. Diehl is committed to improving her patients quality of life using state-of-the-art hearing technology.ELVERA BADER AU.DDr. Elvera Bader joined Florida Gulf Coast ENT in 2023 after moving to Florida with her husband and two daughters. Originally from New York, Dr. Bader earned her bachelors degree in communication sciences and disorders from CUNY Brooklyn College and her doctorate in Audiology from the CUNY Graduate Center in NYC.Before joining Florida Gulf Coast ENT, Dr. Bader worked independently at a small boutique practice in NYC, specializing in the hearing healthcare needs of musicians and others in the music industry. She later joined a busy Otolaryngology practice affiliated with the Northwell Health System, where she spent five years. During this time, she was part of a comprehensive team of providers focusing on the diagnosis and treatment/management of hearing disorders from birth through adulthood.Dr. Bader is dedicated to providing evidence-based care in a personalized, patient-centered approach, guiding her patients on their journey to improved hearing.