On this episode I welcome Jordan Glicksman, Ear Nose and Throat Surgeon in private practice at Newton Wellesley Hospital and Lecturer part time at Harvard Medical School. We discuss the following:

• Speech, fluid and recurrent ear infections
• How many ear infections may warrant tubes
• Hearing tests
• Purpose of ear tubes
• How long they last
• Tips to prevent ear infections

00;00;08;28 – 00;00;28;23

Dr. Mona

Welcome to this episode where I have Doctor Jordan Glickman. He is an ear, nose and throat surgeon in private practice at Newton Wellesley Hospital in Massachusetts, and he’s a part time lecturer at Harvard Medical School. We are talking about ear tubes today. If you have not listened to the other episode we recorded today, about tonsils and adenoids.

 

00;00;28;24 – 00;00;32;07

Dr. Mona

Make sure you listen to that one. Welcome, Jordan. How are you doing?

 

00;00;32;12 – 00;00;34;11

Jordan Glicksman

Oh I’m great. Thanks so much for having me.

 

00;00;34;13 – 00;00;52;01

Dr. Mona

Thank you for coming on. Again, I’m so excited that we could record two episodes and get this education out there on this episode, we’re talking about ear tubes. And so if you listen to the other episode, we talked about indications of needing your tonsils and adenoids to move for your child. But in this one, we’re talking about your tubes.

 

00;00;52;01 – 00;00;58;06

Dr. Mona

So my first question is, when do we say, hey, your tubes may be something a child may need.

 

00;00;58;13 – 00;01;20;07

Jordan Glicksman

Yeah, that’s a great question. And probably the most important one whenever we’re talking about, surgical procedure is making sure that we’re choosing, the right things for the right child. So probably the most common, two reasons that we see are for children that get a lot of ear infections and then also children that have a fluid in their ears for a prolonged period of time, causing them with difficulty with speech development.

 

00;01;20;14 – 00;01;45;05

Jordan Glicksman

And that’s typically because the fluid restricts their ability to hear and they don’t hear. Well, then it becomes hard to replicate speech that they’re hearing in their environment. And there’s a lot of other, more specific situations, including if a patient has a complication because of an ear infection, or, a child that’s flying a lot with their parents and getting ear pain when they, when they travel or, some other, much more rare, indications or reasons for having tubes put in.

 

00;01;45;07 – 00;02;06;17

Dr. Mona

And so we’re going to get into more of like the purpose of an ear tube and like what it kind of does physiologically. But I want to talk about the two main ones that you mentioned, the speech and the recurrent ear infection. So for the recurrent infections I know there are guidelines, but in terms of how many and what time frame, what are the current recommendations that, parents should say, hey, doc, their pediatrician, my child has had X amount.

 

00;02;06;17 – 00;02;09;13

Dr. Mona

Maybe it’s time that we need to discuss seeing a specialist.

 

00;02;09;15 – 00;02;30;07

Jordan Glicksman

Yeah. So you’re a pediatrician? I’m an ear, nose and throat surgeon. And, just like with, tonsils and adenoids, there are joint guidelines in and put out by both societies. And the general consensus is having three episodes of your infections in a six month time period, or four episodes in 12 months if one of the episodes was in the prior six months.

 

00;02;30;07 – 00;02;39;19

Jordan Glicksman

So we’re looking at about three and a half a year or four in a year. And one thing that’s important is we want to make sure there’s still fluid, in the year before we actually go ahead and put tubes in.

 

00;02;39;21 – 00;02;52;15

Dr. Mona

Yeah. So a parents often ask like, is it? Right. So is it that we don’t want them to be on recurrent antibiotics or is it that the ear infection can cause that fluid, which can subsequently cause the hearing concern. Like what is more important. Yeah.

 

00;02;52;21 – 00;03;22;08

Jordan Glicksman

Yeah, I think it’s all very important. You know, I think having a lot of your infections and being on antibiotics a lot is not a good thing. We live in a world where antibiotics have been around for a long period of time, and bacteria have found ways to evade our antibiotics. And we don’t want to be in a situation where if a child had a more serious infection, that they weren’t able to use antibiotics to overcome that bacteria, and furthermore, that they don’t pass on bacteria to others in their family that could have that same problem, but also their speech development.

 

00;03;22;08 – 00;03;42;23

Jordan Glicksman

Important. It’s important that we’re able to communicate with each other and learn to communicate with each other. And these are such important years in a child’s life, and they’re typically very young that they’re having these problems, and we want them to really maximize their potential. So I think both of those issues are very important to keep in mind, and would be reasons that typically a family would elect to potentially go ahead and have the procedure done.

 

00;03;42;26 – 00;03;52;05

Dr. Mona

And maybe some of our listeners aren’t aware, but how can issues with fluid and what we’re talking about, how can that impact speech like kind of on the physiological level?

 

00;03;52;05 – 00;04;13;27

Jordan Glicksman

Yeah, sure. So if you think about the, the hearing apparatus, we have the outer ear, which is the ear canal, then we’ve got the eardrum, which kind of divides the middle ear space from that outer ear canal. And then from that eardrum, there’s then three bones that vibrate, and then they stimulate, an organ called the cochlea.

 

00;04;13;29 – 00;04;32;28

Jordan Glicksman

And that is how we sense the actual noise. Once the sound has gone through the ear canal, through that middle space, by passing through the eardrum in the bones and then into the cochlea. And typically the bones are sitting in just air, in the middle of your space. And it’s well ventilated with air. But fluid can build up in that space.

 

00;04;32;28 – 00;04;50;04

Jordan Glicksman

And it’s similar to trying to go for a run on a track versus trying to go for a run on a beach in the water. And when you have that fluid there, it doesn’t let the bones move as well. Same as if you were trying to run in the water. And that doesn’t allow the sound waves to get from wherever the sound is coming from to the cochlea as well.

 

00;04;50;13 – 00;04;56;01

Jordan Glicksman

And that can cause a bit of a hearing loss, almost as if you were wearing earplugs all the time that you can’t take out.

 

00;04;56;06 – 00;05;11;12

Dr. Mona

Oh, that’s a great way. I thank you so much for that explanation. Of course. Leave it to my friend, the surgeon, to explain it so concisely and perfectly. I love that, I just I think that’s so great. And I think it’s important because sometimes parents don’t understand kind of how that works and why a two which we’ll get into would be a benefit.

 

00;05;12;02 – 00;05;35;05

Dr. Mona

In terms of as obviously just to kind of elaborate, we need all that, because in order to produce language, we need to hear sounds and hear words. So of course that like Jordan saying it’s all important now kind of going into more about the speech where so when you have a child coming in, are you typically doing like testing to see what they’re hearing is doing and then monitoring if they have hearing loss or what that’s looking like before deciding to do tubes?

 

00;05;35;08 – 00;05;54;19

Jordan Glicksman

Yeah. Every child that comes in gets a hearing test, and we look to see if there actually is, a noticeable difference in their ability to hear that compared to their peers. So every single child gets a hearing test done, of some kind, to make sure that they are an appropriate candidate for the procedure.

 

00;05;54;29 – 00;06;20;09

Jordan Glicksman

And also to get a sense of what we’re dealing with, what kind of, challenges they’re trying to overcome. Not every child that has difficulty with speech, unfortunately, has a simple solution like putting, tubes in, to overcome a hearing loss. And if we can also find, you know, potentially another cause, for their, hearing loss or for that, or if it’s not hearing loss for their, speech delay, that’s also very important.

 

00;06;20;09 – 00;06;22;22

Jordan Glicksman

So we play a role, in that sense as well.

 

00;06;22;24 – 00;06;32;29

Dr. Mona

Just out of curiosity, I know or any. And so I’m just curious what you think. Do you feel like, most children who have especially should just get a hearing test just to rule that out before 0.2? Yeah.

 

00;06;33;02 – 00;06;52;14

Jordan Glicksman

Absolutely. You know, if you’ve got a simple solution, no problem that you can very easily find, you know, this is the problem. I can’t see a reason why I wouldn’t get a hearing test. Yeah. Every child when they’re born gets a hearing test now. Right. And I think if there’s any question as to there being some kind of speech delay, that’s definitely a go to for my perspective.

 

00;06;52;21 – 00;06;54;20

Jordan Glicksman

You know, I, I see no harm in that at all.

 

00;06;54;22 – 00;07;13;00

Dr. Mona

Well, I agree, you know, in residency I learned that, that hey speech delay because obviously we’re talking about those toddler years, right. Definitely is just a quick, benign, noninvasive test that’s done. And just to make sure and then in practice, I find that sometimes, like some of my colleagues don’t and I, you know, I ask them like, why not?

 

00;07;13;07 – 00;07;30;22

Dr. Mona

I do like to do a hearing test. When I explain it exactly like that, I say, hey, look, it’s just one thing we can just make sure, because if that’s the issue we need to go to and and if that’s not the issue, then we can go to speech therapy, or both. Right. So it’s really important I think that that’s it really is just one test that is really beneficial.

 

00;07;31;01 – 00;07;49;24

Dr. Mona

Definitely, definitely. If your child had recurrent ear infections or concern of fluid or whatever, it is definitely should be getting that hearing test. I agree 100%, but it’s a it’s a quick pursuit. Well, I won’t say quick, but it’s a procedure that is benign. When I say benign like noninvasive, it’s really I’ve seen them happen. I’ve had my son has had to do it.

 

00;07;49;24 – 00;07;54;10

Dr. Mona

So I really think it’s something to consider when your child does have to be fully so. I’m happy that you said that.

 

00;07;54;16 – 00;08;12;05

Jordan Glicksman

Yeah. And actually one of the nice things about it is that any, any audiologist that works with kids, you know, enjoys working with them and they really try to make it into a game that the kids enjoy if they’re old enough to, to appreciate it. And, you know, I, I’ve actually heard from many parents that their child actually enjoyed the hearing test.

 

00;08;12;18 – 00;08;14;03

Jordan Glicksman

So it’s kind of nice that way as well.

 

00;08;14;04 – 00;08;29;11

Dr. Mona

Oh, yeah. Same thing in residency when I had to go to the pediatric audiologist and it was so awesome. Like they had the little stuffed animals, like they can rotate to. It’s like the lights turn on. I found it very fun to, And then my son, my son had to get it for some of his medical history stuff.

 

00;08;29;11 – 00;08;49;19

Dr. Mona

And it was it was fun. I actually really enjoyed it, and he tolerated it perfectly. So it was it was great. So I really appreciate you kind of going into obviously the recurrent ear infections and the speech, in terms of the purpose of in here, too, you know, we talked about fluid and what exactly does the ear tube do to help this issue.

 

00;08;49;25 – 00;09;19;03

Jordan Glicksman

Yeah. So if you think about the purpose, of the middle ear, it’s to be a place where those bones can transfer that information from the eardrum to the cochlea. It has this structure in it called the station tube. And the station tube equalizes pressure. In this space, kind of like if you’re in space in a, in a, or or going for a, dive in a submarine, there’s that little chamber that, that that takes care of making sure that the pressure gets equalized before you, you know, leave the the device that you’re traveling in.

 

00;09;19;05 – 00;09;44;10

Jordan Glicksman

And that Eustachian tube in children, unfortunately, is smaller because kids are smaller. And also it’s at a different orientation. That makes it a little bit more difficult, for it to open in some cases. And so, that that tube, if, if it doesn’t have the ability to drain the ear or get air into the ear, then you end up in a situation, where fluid can build up, and then those bones can’t work.

 

00;09;44;16 – 00;10;02;05

Jordan Glicksman

As we talked about earlier. So the role of tube is to have a second opening. And with that second opening, does that what’s the ear view station tube do its job better? Similar to if you had, like, a giant can of apple juice when I was a kid. Is that these in Canada where you you’d have a can opener and you’d punch a hole in one side.

 

00;10;02;05 – 00;10;17;29

Jordan Glicksman

And if you did that on the one side, you could pour, but it wouldn’t pour so. Well, but you can put a hole in the other side. Air could get in. And then the fluid can get out. Or the other analogy I like to make is if you have a straw and you put it in water and put your thumb on top of the straw, and then you can walk around with the water.

 

00;10;17;29 – 00;10;25;16

Jordan Glicksman

But if you take your thumb off of the top of the straw, then the water can drain. A tube is very similar. It gives you that second hole so it can drain better.

 

00;10;25;18 – 00;10;31;25

Dr. Mona

And so yeah. So when you’re put it when you’re doing the procedure, you’re, you’re putting the tube into the essentially the eardrum.

 

00;10;31;27 – 00;11;00;12

Jordan Glicksman

Yeah. The tube goes right into the eardrum. We try to stay low in the ear, to avoid, the bones. And also, there’s, there’s a couple important nerves that travel a little bit higher up that we want to avoid. But, yeah, we put it right into the eardrum. And the nice thing is that, in the vast majority of cases, when the tube either falls out or if it stays in for a long time, it’s taken out, the eardrum is able to heal itself spontaneously, which is fantastic, because it avoids a second operation to patch it up.

 

00;11;00;14 – 00;11;10;22

Dr. Mona

And is it usually under general anesthesia or is it, in terms of, like with the, obviously we’re doing pain meds for, for the procedure, but what does that kind of look like in the operating room?

 

00;11;10;24 – 00;11;28;25

Jordan Glicksman

Yeah. So, if you ever came to me for your tubes, I would probably try to offer you to do it in the office if you’re comfortable with that. But, children tend to move. Children tend to get a little bit, more easily upset than adults. And also, it’s being done under a microscope. And so little movements become big movements.

 

00;11;28;25 – 00;11;43;28

Jordan Glicksman

And we we like our patients to be as still as possible when we’re working under a microscope. So for all of those reasons, and also just to make it a better experience for the child, most importantly, we typically do it with the child, sleep in the operating room. The parents will typically come back with the child.

 

00;11;44;01 – 00;12;09;11

Jordan Glicksman

My hospital, for sure. And at most hospitals, for them to go to sleep and have someone, there to accompany them that they’re comfortable with. And once they go to sleep, we typically don’t even put a breathing tube in. They typically, have the anesthetic administered to them through a mask that they breathe through, spontaneously in most cases, we put the tubes in, by looking with a microscope with this wax in the way will clear it out, but otherwise we just make a little cut, in the eardrum.

 

00;12;09;17 – 00;12;26;12

Jordan Glicksman

Just big enough to put these tiny tubes in that, that you don’t need a microscope to see, but you certainly need a microscope to put them in, and, Yeah, once, once the tubes, are in place, the anesthetic is weaned off. They just get oxygen to the mask, they wake up and we deliver them back to the recovery room.

 

00;12;26;12 – 00;12;30;13

Jordan Glicksman

And once they’re ready for their parents, the parents come in and give me a big hug, and they’re off, to go home.

 

00;12;30;18 – 00;12;43;25

Dr. Mona

And in terms of the recovery, we know when they leave the from the procedure at home, is there anything major that they watch out for? I know we talked about in the Tonsils and Adenoids episode that sometimes, you know, obviously cold liquids, things like that. But for the ear, is there anything special that’s different?

 

00;12;44;00 – 00;13;10;20

Jordan Glicksman

Not really. You are not very painful. In fact, most kids don’t even realize that they have them, which is fantastic. Except for the parents tongues. They have to be a little bit careful in the water when it comes to diving and that sort of thing, but, yeah. No, I typically give parents, some antibiotic drops that we put in during the surgery itself, to go home with and, take a couple of drops a couple times a day in any year that gets a two put into it.

 

00;13;10;28 – 00;13;26;15

Jordan Glicksman

And that’s just to prevent their from being you get a little bit of a gross drainage that comes out, and it just keeps that under control. But otherwise, really, there’s not much to it. I don’t encourage this. We’ve had some parents even take their kids to school, later in the day after their surgery. I typically find out about that after the fact.

 

00;13;26;15 – 00;13;31;15

Jordan Glicksman

And, I’m a little surprised and shocked every time, but, It’s okay.

 

00;13;31;18 – 00;13;46;03

Dr. Mona

Yeah. Well that’s great. No, this is so helpful. Now, in terms of, like, once you’ve put them in, how long do they stay in for? Is there, a situation where we actively remove them or do we let them outgrow it, where they just fall out on their own? What’s kind of the recommendations behind that?

 

00;13;46;08 – 00;14;15;22

Jordan Glicksman

Yeah, it depends on what kind of tube you’re putting in. In the vast majority of cases, we’re putting in the temporary tube, especially for a first set of tubes. We’re almost always putting in a temporary tube, and they typically last about 6 to 12 months. And I haven’t seen them follow up much faster, which you can be a little frustrating because if you if they fall out faster, you’re probably putting them back in, and they fall out, in the 6 to 12 month mark, the child actually has an opportunity to outgrow the problem as they get bigger, as the orientation of that Eustachian tube changes, there’s a reasonable chance that they won’t

 

00;14;15;22 – 00;14;36;07

Jordan Glicksman

need them again. Which is fantastic. And if they do need them again, if they continue to have whatever the problem was that led them to have the tubes put in or, you know, in cases of a child with down syndrome, or another syndrome that we know puts them at a higher risk of needing recurrent tubes, we may just go ahead and put the tubes in because we want to give the child the best chance of having the best development possible.

 

00;14;36;13 – 00;14;44;19

Jordan Glicksman

But in the vast majority of cases where the child is completely healthy, otherwise, we’ll typically give it a shot to see if the problem goes away before we put another set in.

 

00;14;44;22 – 00;15;00;05

Dr. Mona

And I know, you know, we were talking again about the ear tubes and the procedure and whatnot, but, recurrent ear infections are obviously one of the reasons why, a child may end up needing it in terms of anatomy. Right? Why are children more prone to ear infections and say, adults?

 

00;15;00;20 – 00;15;19;08

Jordan Glicksman

Yeah. So in terms of anatomy, it has to do with the Eustachian tube itself. You know, children have a narrower Eustachian tube and the orientation of it tends to be more horizontal. That means if they’re having any kind of regurgitation that gets into one side of the station tube, it’s more likely to be able to kind of get back because it’s horizontal.

 

00;15;19;09 – 00;15;42;18

Jordan Glicksman

Those are those are probably the two biggest reasons, why children tend to get it. The other thing is that children often are in daycare and around what more other people, than adults are around in a given day. And, well, you’re a pediatrician, so you see this all the time when when kids are in daycare or in the classroom, they tend to get sick more than when they’re outside playing in the summer, you know, in other circumstances.

 

00;15;42;20 – 00;15;56;17

Dr. Mona

Yeah. And I know we’re recording this in the pandemic, and we were mentioning how there has I mean, the amount of infections I’m seeing now are way reduced than what I normally see, because children are just not as much around other children. If they are in daycare, there’s way more precautions being taken with germs.

 

00;15;56;19 – 00;16;17;08

Jordan Glicksman

I absolutely and it’s funny, like, you know, a big part of what I do is doing surgeries that either prevent or treat, the squalor of recurrent infections. And that’s not been a big part of my practice over the last 12 months. Probably because people are wearing masks and staying away from other people more. And we could debate the benefits and drawbacks of of those.

 

00;16;17;08 – 00;16;31;17

Jordan Glicksman

But that really just has been what we’ve experienced, in our practice over the last year. And, hopefully as we get back to normal with life, you know, we don’t go back to having a lot of these infections. But I suspect, over the next couple of years, we’re going to start to see an increase, back to where we used to be.

 

00;16;31;18 – 00;16;46;12

Dr. Mona

Another question I have and I don’t know if there’s data that obviously you’re going to know more than this. A lot of parents, you know, say, well, I had tubes when I was a kid. So my child, you know, may have it too. Like commonly I hear that. Do you is there any genetic predisposition? It does not have to do with anatomy.

 

00;16;46;12 – 00;16;48;27

Dr. Mona

Do you hear any of that coming from parents?

 

00;16;49;00 – 00;17;10;27

Jordan Glicksman

I mean, it’s absolutely some of the more rare conditions, like. Yeah, the down syndrome. And, Dr. George, you know, some of those kind of more rare conditions. Definitely. I have a genetic component to it. I, I’m not aware of studies have shown that if one parent, had the problem that their child, is likely to have it, too, but, it probably it would surprise me if that wasn’t the case.

 

00;17;10;27 – 00;17;20;05

Jordan Glicksman

I definitely have, treated a lot of, you know, first children in the family and then gone on to treat the second and then the third. So. Right, right. You know, that definitely anecdotally seems to be the case.

 

00;17;20;08 – 00;17;37;26

Dr. Mona

Right. And then of course, we have to think about what what are the other factors in the home like in terms of I know we were talking about, is there anything a family can do to prevent fluid or potential ear infections? You mentioned things like daycare with all the germs. Obviously, we can’t always avoid that. We just take the best precautions we can.

 

00;17;37;29 – 00;17;42;27

Dr. Mona

But is there anything else that a family can do if they are prone to ear infections in their child?

 

00;17;42;29 – 00;17;59;06

Jordan Glicksman

Yeah, I think smoking is the biggest one. It’s also very tough. I respect that, it’s a very difficult habit to quit. But you, you kind of get a two for one deal once you start to have kids, because it’s good for you. It’s good for your partner. It’s good for your children. Can you have a two, three, 4 to 1 deal?

 

00;17;59;06 – 00;18;18;04

Jordan Glicksman

Depending on your living situation, how many children you have and who you live with? So if they can avoid being exposed to secondhand smoke, that’s great. And then, the other thing is, feeding. So, when you’re feeding your children, if they’re laying on their back more when you’re bottle feeding or breastfeeding, that can cause more regurgitation up towards the station tubes.

 

00;18;18;04 – 00;18;25;24

Jordan Glicksman

If they’re more vertical, then it’s more likely to drain away from the station tubes and get less reflux, up into the middle ear, which can feed an infection.

 

00;18;26;00 – 00;18;38;20

Dr. Mona

Okay, this this is great to know. And I the I know a lot of my family is, you know, when they want to do a lot of nasal saline, things like that. Is there any utility in doing that if they’re sick? I mean, it’s gonna help the symptoms of the cold, but is that really going to help prevent an ear infection?

 

00;18;39;07 – 00;18;58;15

Jordan Glicksman

I, I don’t know if it’s going to help your infection. I don’t think it’s going to hurt, though. As long as the child tolerates it, you know, there are certainly benefits, especially if the child’s having nasal symptoms, using the spray. And if it does help with that, with the ear infection. I don’t know that it would, but, yeah, if it could, that would be just a secondary benefit as far as I’d be concerned.

 

00;18;58;27 – 00;19;13;11

Dr. Mona

Another question I had is, you know, in in our practice as general pediatricians, we talk a lot about watchful waiting for ear infections. And I have a YouTube video coming about what that means. But what are your feelings as an EMT? Do you think it’s appropriate if a pediatrician watches and waits in certain situations?

 

00;19;13;13 – 00;19;35;10

Jordan Glicksman

Yeah, I think those guidelines are excellent. I don’t want to go through the whole table, and I’m sure your video is going to go through it in much more detail. What we’ll talk about here. But I don’t think every single ear infection needs to be treated. A lot of them are viral. I think that if the child’s at risk, for complications, or if the child having very severe symptoms, then certainly can be helpful.

 

00;19;35;15 – 00;19;52;11

Jordan Glicksman

That being said, if the child’s doing well and they’re not at risk and they’re old enough that they can overcome the infection on their own, I think it’s very reasonable to just watch and see how they do. As long as the physician and the parents are comfortable with it. And I’m not gonna say it’s within the guidelines, because obviously we we don’t do everything just because it’s in the guidelines.

 

00;19;52;12 – 00;20;00;18

Jordan Glicksman

Right. But, you know, following those guidelines, I think it’s a very safe thing to do. And I definitely think that it’s reasonable to watch and wait, you know, if a child is appropriate for it.

 

00;20;00;20 – 00;20;18;08

Dr. Mona

Right. And I think and that’s why it’s so important to have a pediatrician clinician that you have good follow up with and you have good trust with because, I like I personally do a lot of watchful waiting, but I’m very clear on the follow up. I’m very clear on what we’re monitoring when we have recurrent ear infections coming on, even if we treated it or not.

 

00;20;18;18 – 00;20;34;15

Dr. Mona

So that’s great. I love hearing your perspective as a specialist. That’s really helpful to me too. So thank you for that. Well, Jordan, this is such a great episode. I you know, I just think it’s so great that when a general pediatrician and a specialist can get together and talk about these common concerns that parents have, it really helps me.

 

00;20;34;17 – 00;20;39;18

Dr. Mona

I know it helps so many of our listeners today. Is there a final message that you would have for everyone listening?

 

00;20;39;23 – 00;21;02;06

Jordan Glicksman

Yeah, I think I mean, tubes appreciate how simple and easy it is from a surgical perspective. But also I think it’s important, to pass on how rewarding it is, as a surgeon to do this procedure, even though it’s not that difficult from my perspective. I’ve seen children that come in with very poor communication skills because hearing loss, because of fluid in their year, and they catch up so quickly when this is the only thing that’s holding them back.

 

00;21;02;08 – 00;21;17;19

Jordan Glicksman

And it’s just such a pleasure to have the parents come in and they’re so happy, and their kid now has like 35 words and they only had five or maybe even less before I saw them. And it’s only been a month and it’s like, whoa, this is like a totally different kid. And it’s such a rewarding, great experience.

 

00;21;18;00 – 00;21;33;10

Jordan Glicksman

And generally the parents are super happy and the kid is just running around, and I had no idea that anything was done to them. And it just it’s just great. So obviously I don’t think everyone needs tubes, but in the right, appropriately selected patient, I think it’s just a wonderful thing.

 

00;21;33;17 – 00;21;52;22

Dr. Mona

And, you know, we talked about that in the other episode, too, that whenever you do go to a specialist, they are going to guide you on. What are our options to see? What are we monitoring? It doesn’t mean automatic and automatic tubes, but it’s so great to have the team effort from my practice to when I have a child get the tubes in when they really did need it and it needed to happen.

 

00;21;52;24 – 00;22;05;02

Dr. Mona

Oh, the speech development, like you said, so quick, and it’s just so nice to know. Well, here is a reason we can help do that. We were able to intervene and it is a team effort. And I’m just again, so glad that you could join us today to talk about all this.

 

00;22;05;05 – 00;22;09;00

Jordan Glicksman

Yeah. Thanks so much for having me. It’s a pleasure to be here and I hope to connect again soon.

 

00;22;09;02 – 00;22;27;19

Dr. Mona

And everyone, please make sure to listen to our other episode that we released today on Tonsils and Adenoids. I will be having Jordan back to talk about other topics for ear, nose and throat concerns. So if you have any questions or suggestions, make sure to DM me at Hitchcock Talk on Instagram. Thank you, Jordan, for joining us. Thank you for tuning in for this week’s episode.

 

00;22;27;19 – 00;22;41;07

Dr. Mona

As always, please leave a review. Share this episode with a friend. Share it on your social media. Make sure to follow me at PedsDocTalk on Instagram and subscribe to my YouTube channel. PedsDocTalk TV. We’ll talk to you soon.