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Rhinitis is an incredibly common condition, affecting more than 20 million adults and more than 7 million children in the United States each year. Rhinitis means inflammation of the nose and is characterized by symptoms resulting from inflammation of the nasal mucous membrane. Rhinitis is frequently confused with sinusitis (inflammation of the sinus spaces), and most people who think they have sinusitis are really suffering from chronic rhinitis.
Symptoms- Nasal congestion Difficult breathing Sneezing Runny nose Post-nasal drainage Itchy nose Headaches
Rhinitis features inflammation and swelling of the mucous membranes, a moist tissue that lines the nasal cavity. The purpose of this membrane is to trap dust, pollen, bacteria, viruses and other particles in a thin fluid called mucus. Tiny hairs called cilia move the particles down the throat. This keeps the air that goes into your lungs clean and free of debris. When this membrane becomes irritated, it can cause reactions such as thickened mucus, swelling, stuffy nose, difficulty breathing, sneezing and headaches. While rhinitis usually isn’t serious, its symptoms can negatively impact sleeping, exercising, and other daily activities. Rhinitis can be acute or chronic. Acute rhinitis is temporary, lasting a few days in most people. In others, chronic rhinitis can last weeks or months, and often recurs.
ALLERGIC RHINITIS
Most commonly, rhinitis is caused by an allergen. An allergen is a substance that a person’s immune system recognizes as foreign or dangerous. As a result, the immune system reacts by making a type of antibody (a protein intended to neutralize the foreign substance) called Immunoglobulin E (IgE) to defend against the allergen. This reaction leads to the release of inflammatory chemicals such as histamine. When an allergen is the cause, it is called allergic rhinitis. Allergic rhinitis can be seasonal or perennial. Seasonal allergic rhinitis is caused by an allergen that appears at a certain time of the year, such as tree pollen in the spring, grass pollen in the summer, and weed pollen and mold spores in the fall. Perennial allergic rhinitis can exist year-round from exposure to certain foods and medicines, pets and other animals, and dust mites in carpeting and upholstery. Southwest Florida is in a tropical climate zone. While allergens here do have seasonal variation, the growing season is 12 months long, making perennial symptoms much more common than in more northern climate zones. Common Allergens- Pollen, Drugs and medicines, Dust, Mites, Certian Beverages, Mold or fungal spores, insect venom animal proteins and dander and Chemicals.
When you visit Florida Gulf Coast ENT with suspected rhinitis, your physician will ask you about your symptoms, including when they began, the severity, frequency, known triggers, and progression. Your physician will want to know what treatments you’ve tried and if they’ve been successful, and will ask about your medical history and any prior allergy testing, lab testing or imaging. Your physician will examine the inside of your nose to evaluate the color of your nasal membrane, the amount, color and consistency of mucus, and look for swelling and any abnormalities that could be causing or contributing to your symptoms, such as a deviated septum or nasal polyps. Your physician may perform a nasal endoscopy, which uses a small camera and light to visualize the sinus openings and the back of the nose all the way to the nasopharynx and throat. Depending on what is seen in the physical exam, additional tests may be performed, such as allergy tests, pulmonary function tests, lab testing, x-rays or CAT scans. Florida Gulf Coast ENT can perform a number of these diagnostic tests in the office for your convenience. Once a diagnosis of rhinitis is made, your physician will develop a personalized treatment plan to help you reduce or eliminate known causes and triggers and control your symptoms with avoidance measures, environmental control, medications, immunotherapy or surgery. Treatment of allergic rhinitis is based on the type and severity of symptoms, in addition to a person’s age, other medical conditions, daily medications, and overall health. A personalized treatment plan is required to manage allergy problems, as each individual experiences their allergy symptoms differently. Your physician at Florida Gulf Coast ENT can help you determine appropriate treatment.
Initial Treatments for Allergic Rhinitis
Allergy testing with counseling and avoidance of the substances that trigger the allergies. Nasal irrigation flushes saline (a saltwater solution) through your nasal cavity to remove allergens and excess mucus, and to moisten the mucous membranes. This can be done with a squeeze bottle or with a number of different irrigation devices found at your local pharmacy. Antihistamines reduce or block histamine, the major inflammatory chemical your body produces in reaction to an allergen. These medications can help with itchiness, runny nose, and sneezing, but are less effective at easing congestion. Antihistamines are available as tablets, capsules, liquids, nasal sprays, and eyedrops. They are available in both prescription and over-the-counter (OTC) formulas. Nasal corticosteroid sprays reduce nasal inflammation and swelling and excess mucus, making it easier to breathe. They also ease congestion, runny nose, sneezing, and itching. They are available in both prescription and over-the-counter (OTC) formulas. Decongestants reduce congestion by shrinking swollen blood vessels and nasal tissue. They don’t ease sneezing or itching symptoms. Decongestants are available as tablets, liquids, nasal drops, and nasal sprays. They are available in prescription and over-the-counter (OTC) formulas. Some are available without a prescription but must be obtained from behind the pharmacy counter. Decongestants can have adverse effects on blood pressure and heart function. They should be used with caution or under doctor supervision. Initial Treatments for Allergic Rhinitis Medications don't improve symptoms in Medications don't improve symptoms in every individual. Some people require every individual. Some people require daily medications or multiple daily medications or multiple medications to control their symptoms. medications to control their symptoms. In these cases, it's better to control the In these cases, it's better to control the symptoms by stopping the allergic symptoms by stopping the allergic reaction from occurring. There are reaction from occurring. There are therapies that will change the immune therapies that will change the immune system and make a person less allergic .system and make a person less allergic. Allergy immunotherapy Allergy immunotherapy uses injections uses injections or sublingual (under the tongue) drops to or sublingual (under the tongue) drops to expose a person to small, increasing expose a person to small, increasing doses of a known allergen. Over time, this doses of a known allergen. Over time, this reduces the IgE antibodies while building reduces the IgE antibodies while building “blocking antibodies” that eliminate“ blocking antibodies” that eliminate allergens from the body, helping to allergens from the body, helping to develop tolerance to the allergen. This develop tolerance to the allergen. This makes the person less allergic and makes the person less allergic and reduces or eliminates symptoms .reduces or eliminates symptoms. Overuse of decongestant nasal drops or Overuse of decongestant nasal drops or sprays can cause even more severe nasal sprays can cause even more severe nasal congestion when the decongestant congestion when the decongestant wears off, called rebound congestion. wears off, called rebound congestion. Talk to your physician at Florida Gulf Talk to your physician at Florida Gulf Coast ENT about proper usage of Coast ENT about proper usage of decongestants .decongestants .Allergy immunotherapy is the best long-term alternative for chronic allergic rhinitis symptoms. There are no procedures that will cure allergies, but some can reduce specific allergic rhinitis symptoms, including improved breathing and decreased sense of congestion. The procedures may reduce sense of ear fullness and pressure, facial pressure, and may reduce nasal drainage. The options include both surgical and less invasive in-office procedures. ALLERGIC RHINITIS- Overuse of decongestant nasal drops or sprays can cause even more severe nasal sprays can cause even more severe nasal congestion when the decongestant congestion when the decongestant wears off, called rebound congestion .wears off, called rebound congestion. Talk to your physician at Florida Gulf Talk to your physician at Florida Gulf Coast ENT about proper usage of Coast ENT about proper usage of decongestants.
Allergy immunotherapy is the best long-term alternative for chronic allergic rhinitis symptoms. There are no procedures that will cure allergies, but some can reduce specific allergic rhinitis symptoms, including improved breathing and decreased sense of congestion. The procedures may reduce sense of ear fullness and pressure, facial pressure, and may reduce nasal drainage. The options include both surgical and less invasive in-office procedures. ALLERGIC RHINITIS Common Allergens Procedural Options for Allergic Rhinitis Inferior Turbinoplasty Nasal obstruction is commonly caused by enlargement of structures in the nose called the turbinates. Most people have never heard of the turbinates, but almost everybody has complained about their turbinates numerous times in their life. These structures are full of glandular tissue that can expand like a grape or shrink like a raisin. A very successful and minimally invasive procedure, called a turbinoplasty, removes the glandular tissue from the turbinate, reducing its size, prohibiting further growth, and reducing obstruction in the nasal cavity. The procedure is over 90% successful at improving breathing and nasal congestion, is well-tolerated and performed easily in the office, and has few restrictions or risks following the procedure. Intranasal Ablations Intranasal ablation procedures work on specific areas of swelling in the nasal cavity to improve the openness of the nasal cavities and sinuses. Ablations decrease the glandular tissue that causes nasal obstruction, congestion, and drainage. Ablations to some of the nasal nerves can decrease the stimulation of the glands to produce mucus, reducing nasal drainage. This works especially well in individuals who frequently feel thin watery drainage running out of their nose, a condition frequently worsened by eating. Some of the most common ablation procedures are known as the Rhinaer and Clarifix procedures. The physicians at Florida Gulf Coast ENT have access to multiple ablation devices that can treat each individual’s needs. Balloon Sinuplasty While typically performed specifically for chronic sinusitis, balloon sinuplasty can benefit patients with chronic rhinitis who are prone to more frequent nasal infections. Balloon sinuplasty opens the sinus drainage tracts to allow for better drainage and equalization of pressure. It can be performed safely and easily in the office with minimal post-procedure restrictions or risks. Rhinoplasty Typically a cosmetic procedure, some external and cosmetic nasal defects can significantly affect nasal breathing. Florida Gulf Coast ENT has physicians who specialize in rhinoplasty for both functional and cosmetic reasons.
Septoplasty The nasal septum (the cartilage and bone in the middle of the nose that should divide the nose into two equal halves) is one of the most common reasons for chronic nasal obstruction. As we age, and in response to specific nasal or facial trauma, this cartilage and bone begins to shift away from the center, narrowing the breathing passages. Septoplasty surgery can provide significant improvement in nasal breathing and reduce the number of sinus infections in certain individuals. It is typically performed at a surgery center or hospital under general anesthesia. However, some deviations can be improved with in-office procedures. In-office balloon assisted septoplasty is becoming a more common procedure. It's currently not covered by insurance, but is a less invasive option that can be performed in the office to improve nasal breathing. Chronic inflammation of the nasal mucous membrane can nasal mucous membrane can cause nasal polyps, sinusitis, or cause nasal polyps, sinusitis, or middle ear infections. Talk to middle ear infections. Talk to your physician about your physician about controlling your symptoms to controlling your symptoms to help prevent these help prevent these complications.
NON-ALLERGIC RHINITIS
Non-allergic rhinitis is caused by something other than an allergic reaction. A diagnosis of non-allergic rhinitis is made after an allergic cause is ruled out. Even if you do have allergies, non-allergic rhinitis can develop from other causes, including: Nasal blockages Bacterial infections and viruses Certain medications Certain foods and beverages, including alcohol Odors or irritants in the air Weather or temperature changes Aging Hormonal changes or pregnancy Inflammation or irritation in the nose unrelated to allergy Other health conditions Treatment of Non-Allergic Rhinitis Your physician at Florida Gulf Coast ENT can help rule out allergic rhinitis and help determine the cause for non-allergic rhinitis. If a cause can be determined, that trigger should be avoided as much as possible, or treated appropriately if it's another medical condition such as an infection. Often, the cause of non-allergic rhinitis can’t be determined, but your physician can help you control the symptoms. While there are fewer medication options for treating non-allergic rhinitis, there are some office procedures that may help to alleviate the symptoms. The physicians at Florida Gulf Coast ENT have access to all available technologies that might improve breathing and drainage in those who suffer from non-allergic rhinitis. Non-allergic rhinitis doesn't typically cause itchy nose, eyes or throat. Non-allergic rhinitis doesn't typically cause itchy nose, eyes or throat. If non-allergic rhinitis is caused by a viral or bacterial infection, If non-allergic rhinitis is caused by a viral or bacterial infection, fever may be present. fever may be present. Asthma Sinusitis Conjunctivitis Dermatitis Eustachian tube dysfunction Nasal polyps Sleep disturbance
RELATED CONDITIONS
There are many other conditions that feature symptoms similar to those of rhinitis. These conditions may or may not exist concurrently with rhinitis. It’s important to talk to your physician at Florida Gulf Coast ENT about your symptoms to determine the particular condition and treatment. Asthma Sinusitis Conjunctivitis Dermatitis Eustachian tube dysfunction Nasal polyps Sleep disturbance.
Osteoporosis is a common condition that predominantly affects postmenopausal women. A decrease in the bodys estrogen levels leads to low bone mass which in turn increases the risk of fracture. According to the International Osteoporosis Foundation, approximately of 30% of postmenopausal women in the United States have osteoporosis and of these, 40% will sustain at least one fracture over the course of their lifetime. Given that a fracture may require surgery and a hospital stay, it is important to take every measure to prevent the development of osteoporosis.1. Calcium & Vitamin D: Get the Right AmountIt is widely known that calcium and vitamin D in the right amounts will decrease the rate of bone loss and keep your bones strong. The question is: how much do you need? The answer will depend on your age, gender, and dietary habits. Rather than following a general guideline, it is best to speak with your own doctor or nutritionist about how much calcium and vitamin D you are receiving from your diet, and how much you should supplement. A history of other health conditions, such as kidney stones, may affect how much calcium you need, and these decisions are best made on an individuals basis.2. Exercise: A Little Goes a Long WayResearch has shown time and again that exercise has a positive impact on bone density and reduces the risk of fractures. In general, women with osteoporosis are advised to exercise for 30 minutes, 3 times a week as a lifestyle treatment. A variety of exercises including walking, jogging, and resistance training have all been demonstrated to be effective for prevention as well. Again, speak with your healthcare provider about an exercise plan that you will enjoy and receive the benefits from for years to come.3. Smoking CessationThere are many reasons to kick the habit for good, and improving your bone health is one of them. Smoking accelerates bone density loss and is associated with increased fracture risk. The good news is that quitting, even later in life, can have a significant impact not just on your bones, but on other aspects of your health as well. Quitting is never easy, but there are more resources to help you quit today than ever before.Your bone health is important. In addition to these three lifestyle habits for osteoporosis prevention, screening plays an important role in identifying those patients who may need treatment with a medication to prevent further damage. Bone mineral density scans (e.g. DEXA scan) are a quick, painless way to assess your risk. Screening should begin in all women at 65 years of age and older, and may start younger in women and men with certain risk factors. Speak with your healthcare provider about the best plan of attack to keep your bones strong for a long and independent life.
ALS and In-Home Care unfortunately go hand in hand. ALS, or amyotrophic lateral sclerosis, is a progressive neurological disease that affects nerve cells in the brain and spinal cord. As the disease progresses, people with ALS may experience difficulty speaking, swallowing, and breathing, as well as a loss of mobility and muscle control. This often requires an individual to receive ALS in-home care.What is ALS?The Mayo Clinic defines ALS as:Amyotrophic lateral sclerosis (a-my-o-TROE-fik LAT-ur-ul skluh-ROE-sis), known as ALS, is a nervous system disease that affects nerve cells in the brain and spinal cord. ALS causes loss of muscle control. The disease is progressive which means that it gets worse over time. ALS is often called Lou Gehrigs disease after the baseball player who was diagnosed with it. The exact cause of the disease is still not known. A small number of cases are inherited.Can ALS patients live at home?ALS In-home care can be an important component of the care plan for individuals with ALS, as it can provide much-needed support and assistance with activities of daily living, such as bathing, dressing, and eating. ALS In-home care can also provide emotional support and companionship, which can be especially important for people with ALS who may experience social isolation and depression. In addition, ALS in-home care can help minimize the risk of complications and hospitalizations by ensuring that individuals with ALS receive appropriate medical care and monitoring. Overall, in-home care can play a critical role in helping people with ALS to maintain their independence and quality of life for as long as possible.How to care for an ALS patient at home.Caring for an ALS (Amyotrophic Lateral Sclerosis) patient at home requires patience, empathy, and careful planning. First and foremost, it is crucial to establish a comfortable and safe environment for the patient. This includes modifying the home such as installing grab bars, ramps, and wheelchair access. This enables a caregiver to safely and effectively care for the patient as their disease progresses.Home Modifications For SeniorsIt is also important to ensure that the patient can access all necessary medical equipment and medications. Caregivers should also be trained on how to properly assist with activities of daily living (ADLs), such as bathing, dressing, and feeding.Communication is vital to understanding the patients needs and preferences. ALS patients often experience difficulty communicating as the disease progresses, so caregivers should be knowledgeable about communication devices and techniques that work for the patient.It is also important to prioritize the patients emotional well-being by providing emotional support, engaging in activities the patient enjoys, and connecting them with support groups and resources. Overall, caring for an ALS patient at home requires a holistic approach that addresses the patients physical, emotional, and medical needs.Local support for ALS patients and their families.Fortunately, the Fort Myers and Cape Coral area has local resources available that are specific to ALS patients. The Lee Health ALS Clinic is a key resource.When visiting the Lee Health ALS Clinic, a team of medical professionals individually assesses the ALS patients symptoms and provides recommendations for supportive therapies and symptom management techniques.Of course, other services to support ALS patients are available such as the private caregiver services available through Abby Services.How can Abby Services help with ALS in-home care?An AlS in-home caregiver can help with many activities to help you remain safe in the home. Abby Services helps residents in Fort Myers, Cape Coral, and surrounding areas find excellent in-home caregivers.We have clients call every day wondering how a private in-home caregiver can help them. As a state-licensed nurse registry overseen by the Agency For Health Care Administration, and The Department of Health, there is a list of things your in-home caregiver can and cant help with.Often this is simply related to a caregivers training and licensure. Wound care for example requires a skilled nurse (an RN or LPN) and your private caregiver is not allowed to assist with that.Overall it is truly a clients choice what they would like help with. The goal is to help clients remain safe in their homes with the support of a private ALS in-home caregiver.Together with our team, we can help guide a family to develop a client-driven plan of care that meets the needs of their loved one.Your private ALS in-home caregiver referred by Abby Services can help many things including:BathingDressingLight housekeepingMeal preparationPersonal hygieneLaundry and linensMedication RemindersAccompany to appointmentsAssist with shopping and errandsAmbulationTransfersToileting and continence carePet Care
How Much Do You Really Know About Arthritis?Arthritis is a term that many people associate with older adults experiencing pain in their joints. But did you know that arthritis, itself, is not a diagnosis, but a term that describes dozens of diseases and conditions? According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), the word arthritis means joint inflammation, and may be used to describe any condition affecting the joints, for people of all ages. In fact, arthritis impacts one in five adults in the United States and is the leading cause of work disability.To help you better understand arthritis, weve posed five questions below that explore common arthritic diseases, who is at risk and how to manage these conditions. How many types of arthritis are there?There are more than 100 types of arthritic diseases, which can impact the joints, tendons, ligaments and bones by causing stiffness, swelling and pain. According to the Centers for Disease Control and Prevention (CDC), some of the more common types of arthritis include the following:Osteoarthritis. This kind of arthritis occurs when joints in the body break down. Its most commonly experienced in the hands, hips, knees and back.Rheumatoid arthritis. This is an autoimmune disease, meaning the bodys immune system causes deterioration by attacking its own tissues. It can damage the joints in the hands, wrists and knees. Potentially, it could also impact the lungs, heart and eyes.Gout. This type of arthritis tends to impact only one joint at a time. During a flare-up, uric acid crystals form within a joint and cause pain, swelling and tenderness. Often, it impacts the big toe.Fibromyalgia. By causing pain throughout the body, fibromyalgia can have a significant impact on a persons quality of life and ability to work.Juvenile arthritis. Also known as childhood arthritis, this condition impacts nearly 220,000 people younger than 18. Its caused by an immune system that is overactive and results in swelling in the joints. What are signs and symptoms to look for?Because there are so many types of arthritis, and because symptoms may overlap with other conditions, it can be difficult to diagnose. The Arthritis Foundation says that if youre experiencing the following signs and symptoms you should consider talking to a doctor:Tenderness, pain, swelling and/or stiffness in one joint or several jointsRedness on or around a jointA joint that feels warmTrouble moving a joint or engaging in your day-to-day activitiesAny joint symptoms that concern youWho gets arthritis?Anyone can get arthritis, no matter their age, gender or cultural background. However, some groups of people face a higher risk than others for certain types of arthritis. For example, according to the CDC women face a higher risk for fibromyalgia, osteoarthritis and rheumatoid arthritis while men are more likely to develop gout. Further, its not uncommon for people experiencing other chronic conditions, such as obesity, diabetes and heart disease, to also have arthritis.Other risk factors can include:Age, with the risk increasing as you get olderFamily history, with some types of arthritis have a hereditary connection, including rheumatoid arthritis, lupus and ankylosing spondylitisWeight, with people who are overweight or obese facing an increased risk for osteoarthritis impacting the knees and other jointsSmokingCertain infectionsAn injury to a jointService in the military Are there actions you can take to lower your risk for arthritis?Possibly. While there is no magic pill that can protect you from arthritis, some people may be able to reduce their risks or at least delay the onset of certain types of arthritis, according to the Arthritis Foundation. For example, maintaining a healthy weight may help lower your risk for osteoarthritis; quitting (or never starting) smoking may help prevent rheumatoid arthritis; and eating a healthy diet that is low in sugar and alcohol as well as purines (thats a chemical compound that turns into uric acid) may help decrease your risk for gout. What can you do to manage your arthritis?If youve been diagnosed with arthritis, there are a number of steps that you can take that may help to ease pain and decrease inflammation. Those include:See your healthcare provider regularly and follow their advice. They know you best and can help you devise a plan to address your symptoms and help you continue to do the things you enjoy in life.Move more. It may sound counterintuitive, but physical activity may actual help reduce pain and improve the way you feel and move, according to the CDC. Try out a variety of joint-friendly activities, such as cycling, swimming, walking and tai chi. If working out is new to you, talk to your doctor first. With their approval, start small, aiming for five to 10 minutes at a time, and work towards the goal of 150 minutes per week, along with two days of strength-building activities. Manage your weight. Weight can put additional stress on your joints. Aim to reach or maintain a healthy weight through diet and exercise. If youre struggling, ask your doctor for advice.Make healthy eating choices. Research shows that some foods can help control inflammation, while others may contribute to inflammation. People living with arthritis may benefit from an anti-inflammatory diet, which includes fish, nuts, beans, fruits and vegetables (the Mediterranean Diet is a good place to look for guidance, according to the Arthritis Foundation). At the same time, try to limit the foods you eat that cause inflammation, including processed foods like white bread and pastries, fried foods, soda and sugary beverages, red meat and processed meats, along with margarine, shortening and lard. Take care of your mental health. Any chronic condition can take a toll on how youre feeling. And if the condition is limiting your usual activities, as arthritis may do, it can be especially stressful and isolating. If youre feeling hopeless or anxious, or youve lost interest doing the things that once brought you joy, find help. Talk to your primary care provider or connect with a counselor or therapist. A support group might also be useful. The Arthritis Foundation is a good place to start if you think you might benefit from a virtual group.As mentioned, there are more than 100 different types of arthritis, ranging from common to rare. While weve touched on some of the more frequently asked questions, theres still a lot to learn about these conditions. If youre concerned about pain, swelling or tenderness youre experiencing in your joints, talk to your healthcare provider today. To find out more about Healthcare Insurance Plans that include Medicare, Individual & Family, Health & Dental and Vision, call BlueCross BlueShield of Alabama at 251-344-2115.
Florida 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.
Florida 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.