Ep. 211 Aging Voice: The Science And The Art With Dr. Neel Bhatt BackTable ENT podcast

1:03:48

The best doctors aren’t lucky—they’re prepared. Discover how to keep your office safe during in-office procedures. In this episode of BackTable ENT, Dr. Scott Fortune, an otolaryngologist from Allergy and ENT Associates of Middle Tennessee, discusses office-based procedural safety with Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS The doctors delve into the importance of preparedness in handling potential complications, emphasizing the necessity of having the right equipment and protocols in place. Dr. Fortune provides detailed guidelines on managing anesthesia, preventing and handling bleeding, and addressing possible complications such as vasovagal reactions and anaphylaxis. The conversation covers practical tips, including the use of local anesthetics, sedatives, and the importance of patient history and clearance forms. This comprehensive discussion is a valuable resource for ENT professionals looking to enhance the safety and efficacy of their office-based procedures. --- TIMESTAMPS 00:00 - Introduction 01:34 - Discussing Safety in Office Procedures 07:47 - Safety Protocols and Equipment 19:11 - Anesthesia and Sedation Protocols 27:29 - Handling Emergencies and Reversal Agents 30:00 - Local Anesthesia and Toxicity 38:29 - Effective Anesthesia Techniques for Office Procedures 41:25 - Bleeding Control in Office Procedures 53:36 - Handling Office Procedure Complications 01:00:19 - Final Thoughts and Contact Information --- RESOURCES Dr. Scott Fortune https://www.enthealth.org/find-ent/d-scott-fortune/ Patient Selection, Safety, and Preparedness for Office-Based Otolaryngology Procedures https://www.oto.theclinics.com/article/S0030-6665(25)00020-9/abstract AAOA anaphylaxis guidelines https://www.aaoallergy.org/wp-content/uploads/2017/05/2015-Clinical-Care-Statements-Anaphylaxis.pdf…

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Ep. 223 Evaluation and Management of Bilateral Vocal Fold Paralysis with Dr. James Daniero 59:11

13 days ago59:11

59:11

Never let the sun set on bilateral vocal fold paralysis–timely diagnosis and intervention are key. In this episode of Backtable ENT, Dr. James Daniero, a laryngologist from the University of Virginia, discusses the evaluation and management of bilateral vocal fold paralysis with Dr. Gopi Shah and guest host Dr. Stephen Schoeff. --- SYNPOSIS The trio delves into the complexities of diagnosing and managing bilateral vocal fold paralysis in adults, examining etiologies, diagnostic procedures, and current treatment options. They specifically highlight the differences between bilateral vocal fold immobility and paralysis, discuss innovative techniques such as bilateral selective reinnervation and laryngeal pacing, and share practical tips for securing the airway in an acute setting. The episode also emphasizes the evolving nature of treatments and the importance of timely intervention. --- TIMESTAMPS 00:00 - Introduction 02:05 - Understanding and Diagnosing Bilateral Vocal Fold Paralysis 09:19 - Management and Treatment Options 25:40 - Tracheotomy Techniques and Considerations 31:31 - Exploring Surgical Options for Patients 34:22 - Addressing Dysphagia in Airway Surgeries 35:50 - Innovative Techniques in Laryngeal Reinnervation 39:34 - Patient Selection for Advanced Surgeries 47:11 - Laryngeal Pacing: A Future Option 54:50 - Final Thoughts and Recommendations --- RESOURCES Dr. James Daniero https://uvahealth.com/findadoctor/James-Daniero-1386817484 Dr. Stephen Schoeff https://www.enthealth.org/find-ent/stephen-s-schoeff/…

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Ep. 222 Survivorship in Head and Neck Cancer with Dr. Michael Moore and Heather Starmer, PhD, CCC-SLP 46:43

20 days ago46:43

46:43

What does it take to improve quality of life after head and neck cancer? In this episode of Backtable ENT, guests Dr. Heather Starmer, a speech and language pathologist at Stanford University, and Dr. Michael Moore, a head and neck cancer surgeon at Indiana University explore the topic of head and neck cancer survivorship. --- SYNPOSIS The discussion centers on the multifaceted challenges faced by survivors, including dysphagia, dry mouth, chronic pain, and mental health issues. The experts emphasize the importance of early intervention, community support, and comprehensive care to enhance the quality of life for survivors. Various resources, such as the Head and Neck Cancer Alliance, are highlighted to assist patients and providers in navigating survivorship. The conversation also outlines future directions in research and the need for more qualitative studies to better understand long-term survivorship outcomes. --- TIMESTAMPS 00:00 - Introduction 03:23 - Understanding Survivorship & Challenges in Head and Neck Cancer 14:06 - Managing Mobility and Lymphedema 18:47 - Addressing Chronic Pain and Mental Health 21:37 - Dental Care and Trismus Therapy 25:58 - Long-Term Survivorship and Quality of Life 31:36 - Survivorship Clinics and Multidisciplinary Care 34:39 - Resources for Patients and Providers 38:49 - Future Research and Educational Gaps --- RESOURCES Dr. Heather Starmer https://med.stanford.edu/profiles/heather-starmer Dr. Michael Moore https://iuhealth.org/find-providers/provider/michael-g-moore-md-64028…

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Ep. 221 Chronic Cough: An Allergist’s Perspective with Dr. Basil Kahwash 1:05:26

27 days ago1:05:26

1:05:26

How can you treat a chronic cough when you’re not sure what’s causing it? In this episode of BackTable ENT, Dr. Basil Kahwash, a board-certified allergist and immunologist from Ohio ENT and Allergy, discusses the complexities of diagnosing and treating chronic cough. --- SYNPOSIS Dr. Kahwash explains common causes, such as upper airway cough syndrome, allergic rhinitis, and asthma, and delves into the importance of patient history and physical exams in identifying the root cause. The conversation also covers diagnostic tools, including allergy testing, spirometry, and chest X-rays, as well as treatment options like allergy medication, immunotherapy, and cough suppressants. Dr. Kahwash also touches upon new therapies on the horizon and emphasizes the role of multidisciplinary collaboration with ENTs, pulmonologists, GI specialists, and speech therapists in managing chronic cough. --- TIMESTAMPS 00:00 - Introduction 03:20 - Defining Chronic Cough 06:47 - Patient Evaluation and Key Questions 11:10 - Asthma vs. Allergic Rhinitis Cough 18:31 - Red Flags in Chronic Cough 30:20 - Diagnostic Testing for Chronic Cough 34:46 - ENT Collaboration in Allergy 36:08 - Skin Testing vs. Blood Testing for Allergies 44:30 - Eosinophilic Esophagitis (EOE) & Upper Airway Cough Syndrome 50:28 - Allergy Treatment Pathways 01:03:05 - Conclusion and Contact Information --- RESOURCES Dr. Basil Kahwash https://www.ohioentandallergy.com/physicians/basil-kahwash-md/…

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Ep. 220 Managing Nasal Polyps: Treatments and Insights with Dr. Martin Citardi 58:23

5 weeks ago58:23

58:23

Is the future of nasal polyp treatment right under our nose? In this episode of Backtable ENT, Dr. Martin Citardi, a world-renowned rhinologist and skull-based surgeon at UTHealth Houston, discusses the latest advancements in the management of nasal polyps with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- This podcast is supported by: Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS Dr. Citardi shares insights from his comprehensive career, spanning patient care, device, and drug development. The surgeons discuss the evolving treatment landscape, challenges in managing recurrent nasal polyps, the role of steroids and biologics, and the importance of correctly identifying the type of polyps. Additionally, Dr. Citardi emphasizes the need for a better understanding of healthcare economics, particularly concerning the high costs of new treatments. The discussion also touches on the future of research and the need for a system to deploy treatment options effectively. --- TIMESTAMPS 00:00 - Introduction 04:39 - Nasal Polyps: Patient Presentation and Initial Examination 10:25 - Detailed Examination and Endoscopy Techniques 17:26 - Imaging and Lab Workup 20:11 - Treatment Strategies and Patient Management 31:08 - Managing Patients with Allergies, AERD, and Asthma 34:09 - Biologics vs. Surgery: A Comparative Discussion 42:50 - Steroid Delivery Methods and Their Effectiveness 52:24 - Follow-Up, Long-Term Management and Future Research 57:01 - Conclusion and Final Thoughts --- RESOURCES Dr. Martin Citardi’s Profile: https://www.utphysicians.com/provider/martin-j-citardi/ Medtronic ENT: https://www.medtronic.com/en-us/healthcare-professionals/products/ear-nose-throat…

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Ep. 219 New Frontiers in Pediatric Hearing Loss: Implants, Gene Therapy, and CMV with Dr. Daniela Carvalho 45:31

6 weeks ago45:31

45:31

Are new solutions for pediatric hearing loss finally within earshot? In this episode of the Back Table ENT Podcast, we talk with Dr. Daniela Carvalho, pediatric otolaryngologist and director of the Cochlear Implant Program at Rady Children's Hospital in San Diego. --- SYNPOSIS Dr. Carvalho discusses the latest advancements and practices in the field of pediatric hearing loss, including newer indications for cochlear implants and innovative gene therapies. They delve into the genetic causes of congenital hearing loss, current screening practices, and various gene therapies being tested for hearing deficiencies, such as those involving the OTOF gene and its application through viral vectors. The conversation also touches on the potential for future treatments, including completely implantable cochlear devices and the role of vaccines in preventing CMV-related hearing loss. --- TIMESTAMPS 00:00 - Introduction 01:54 - Understanding Congenital Hearing Loss and Screening 05:41 - Challenges with Older Children and Hearing Loss 08:48 - Cochlear Implants: Indications and Advances 15:59 - Exploring Gene Therapy for Hearing Loss 23:54 - Challenges and Considerations in Gene Therapy 25:23 - Counseling Families on Hearing Loss 27:04 - Future of Genetic Therapy and Cochlear Implants 32:46 - Addressing Congenital CMV 40:59 - Final Thoughts and Future Research --- RESOURCES Dr. Daniela Carvalho https://www.rchsd.org/doctors/daniela-carvalho-md-mmm/…

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Ep. 218 The Role of Dentistry in Pediatric Sleep Disordered Breathing with Dr. Loria Nahatis 1:03:03

7 weeks ago1:03:03

1:03:03

What role does craniofacial growth play in childhood sleep health? Dr. Loria Nahatis, pediatric dentist from Beyond Pediatric Dentistry in Dallas, Texas, discusses the importance of early intervention in pediatric dentistry, focusing on evaluating and treating children with sleep disordered breathing. --- SYNPOSIS Dr. Nahatis shares her personal experience with her daughter and how noticing sleep-related issues shifted her focus in dental practice. Dr. Nahatis covers various treatment methods such as habit correctors, palatal expanders, and myofunctional therapy. The podcast emphasizes the importance of interdisciplinary collaboration between dentists, ENTs, and other healthcare providers to improve patient outcomes. Key points include the significance of nasal breathing, conservative treatment options, and the impact of jaw and dental structure on overall health. --- TIMESTAMPS 00:00 - The Importance of Screening for Sleep Disorders in Children 06:26 - Treatment Options and Approaches 10:29 - Guidelines and Policies on Sleep Disorders 19:42 - Teeth Grinding and Myofunctional Therapy 27:32 - Imaging and Evaluation Techniques 29:01 - Surgical Considerations and Early Interventions 36:44 - Counseling Families on Oral Appliances 50:12 - Insurance and Cost Considerations 56:15 - Collaborative Approaches and Final Thoughts --- RESOURCES Dr. Loria Nahatis’s practice profile: https://beyondpediatricdentistry.com/dr-loria-nahatis-dds/…

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Ep. 217 Environmental Sustainability in ENT with Dr. Julie Strychowsky 46:20

8 weeks ago46:20

46:20

Operating rooms generate up to 30% of a hospital's waste–what can ENT do to change that? In this episode, Dr. Julie Strychowsky, a pediatric otolaryngologist at London Health Sciences Center in Ontario, discusses environmental sustainability in ENT. --- SYNPOSIS The discussion covers the inefficiencies and environmental impacts of current practices, such as the use of nitrous oxide, disposable equipment, and OR waste. Dr. Strychowsky shares insights on transitioning to more sustainable practices, including the use of reusable and multi-use equipment, standardizing procedures, and patient education initiatives like the ‘Bring Your Own Bag’ campaign. The doctors highlight the importance of climate change, the carbon footprint of healthcare, and the role of policy and innovation in reducing environmental impact. Finally, they discuss resources for further learning and potential areas for research and development in sustainable healthcare practices. --- TIMESTAMPS 00:00 - Introduction 02:51 - Climate Change and Its Impact on Health 05:07 - Surgical Sustainability: Reducing OR Waste 08:27 - Clinic Waste and Efficiency Improvements 16:12 - Anesthesia Gases and Environmental Impact 23:06 - In-Office Procedures and Telemedicine in ENT 28:58 - Global Efforts & Patient Involvement in Sustainability 37:03 - Policy Changes and Education for Sustainability 39:59 - Future Research and Innovation in ENT 42:26 - Final Thoughts and Mentorship --- RESOURCES Dr. Julie Strychowsky https://www.schulich.uwo.ca/paediatricsurgery/people/faculty/Strychowsky,%20Julie.html Kidane J, Thiel CL, Wang K, Rosen CA, Gandhi S. A Comparison of Environmental Impacts Between Reusable and Disposable Flexible Laryngoscopes. Laryngoscope. 2024 Dec 26. doi: 10.1002/lary.31927. Epub ahead of print. PMID: 39723758. https://pubmed.ncbi.nlm.nih.gov/39723758/ Anderson J, Hu H. Environmental Sustainability: Waste Audit Comparison Operating Room and In-Office Laryngeal Surgery. Laryngoscope. 2024 Feb;134(2):803-806. doi: 10.1002/lary.31005. Epub 2023 Sep 2. PMID: 37658737. https://pubmed.ncbi.nlm.nih.gov/37658737/ Cascade OR playbook https://cascadescanada.ca/…

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Ep. 216 Navigation in Sinus and Skull Base Surgery with Dr. Arif Janjua 40:11

9 weeks ago40:11

40:11

Getting lost on a road trip is one thing, but the stakes are much higher in skull base surgery. In this episode of Backtable ENT, Dr. Arif Janjua, rhinologist and fellowship director at the University of British Columbia, delves into the intricacies and advancements in navigation for sinus and skull base surgery. --- This podcast is supported by: Medtronic ENT https://www.medtronic.com/en-us/healthcare-professionals/specialties/ear-nose-throat.html --- SYNPOSIS Dr. Janjua touches on his role in the Seattle Science Foundation, emphasizing continuous education and hands-on practice for surgeons. He emphasizes the importance of accuracy in patient tracking and registration, sharing techniques for optimizing navigation system setups by using a combination of tracing and touch points for precise registration. The doctors discuss the advantages of integrating navigation systems with specific instruments like microdebriders and suctions for improved surgical outcomes. Dr. Janjua also shares his preferred navigation tech, how he utilizes specific features in his surgical practice, and what’s on the horizon in sinus and skull base surgery. --- TIMESTAMPS 00:00 - Introduction 04:03 - Understanding Navigation in Sinus Surgery 07:41 - Navigating Instruments and Tools 21:58 - Challenges with Staff Training 22:43 - Choosing and Using Navigation Systems 24:25 - Advancements in Navigation Technology 32:30 - The Future of Navigation Technology 35:03 - Final Thoughts and Contact Information --- RESOURCES Medtronic ENT - Sponsor https://www.medtronic.com/en-us/healthcare-professionals/products.html Dr. Arif Janjua https://surgery.med.ubc.ca/people/ajanjua/…

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Ep. 215 Navigating the ENT Residency Match Process with Dr. Johnathan McGinn 1:02:40

10 weeks ago1:02:40

1:02:40

The road to matching in ENT looks different for every applicant. Dr. Johnathan McGinn, Vice Chair of the Department of Otolaryngology at Penn State, shares how to make yours a success in this episode of the BackTable ENT Podcast, providing an insider’s look at the otolaryngology residency match process. A must listen for aspiring ENTs! --- SYNPOSIS First, Dr. McGinn discusses the impact of applicants’ backgrounds and institutional resources on their evaluations, the evolution of the interview process from virtual to in-person post-COVID, and the introduction and benefits of the signaling process in residency applications. Dr. McGinn also offers valuable advice for medical students on choosing away rotations, obtaining meaningful recommendation letters, and understanding the complexities of the holistic review system. Finally, he emphasizes the importance of mentorship and the personal journey of each applicant. --- TIMESTAMPS 00:00 - Introduction 01:49 - Evolution of the Residency Match Process 07:18 - The Role of Research in Residency Applications 12:11 - Advice for Students Without Home Programs 15:19 - Navigating Away Rotations 21:24 - Geographic Preferences and Signaling 32:25 - Choosing the Right Program for You 38:17 - Virtual vs. In-Person Interviews 42:09 - Application Review Process at Penn State 48:36 - Letters of Recommendation: Tips and Insights 52:28 - Special Considerations for DO Students 58:34 - Final Thoughts and Advice for Applicants --- RESOURCES Dr. Johnathan McGinn https://www.pennstatehealth.org/doctors/johnathan-d-mcginn-md-facs BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent…

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Ep. 214 Navigating ENT Careers in the Armed Forces with Dr. Matthew Brigger and Dr. Philip Gaudreau 48:05

11 weeks ago48:05

48:05

What does it take to become a physician in the military, and how does it differ from the civilian path? In this episode of Backtable ENT, Dr. Matthew Brigger and Dr. Philip Gaudreau, discuss their unique career paths in the Navy and how military service shaped their medical practices. --- SYNPOSIS Dr. Brigger, Division Chief of Pediatric Otolaryngology and professor at San Diego Children’s Hospital, and Dr. Gaudreau, pediatric otolaryngologist and associate professor of surgery at the Uniformed Services University practicing at Naval Medical Center San Diego, share their career paths from medical school to serving in the Navy. The conversation delves into the application processes for military and civilian medical schools, differences in training, and how military service instills a sense of purpose and leadership. The episode also covers the intricate balance required to practice in both civilian and military settings, emphasizing the importance of flexibility, resourcefulness, and teamwork. --- TIMESTAMPS 00:00 - Introduction 02:57 - Military Medical Education Pathways 09:29 - Differences in Military and Civilian Medical Training 17:23 - Applying for ENT Residency in the Military 22:04 - Advice for Medical Students 23:16 - Military Medical Career Insights 28:36 - Military and Civilian Practices 31:19 - Leadership and Mentorship in Medicine 34:07 - Transitioning to Civilian Practice 42:44 - Final Thoughts and Reflections --- RESOURCES Dr. Philip Gaudreau https://health.usnews.com/doctors/philip-gaudreau-807965 Dr. Matthew Brigger https://www.rchsd.org/doctors/matthew-brigger-md-mph/ BackTable+ for ENT https://plus.backtable.com/pages/ent…

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Backtable Brief: Diagnosing Sleep Apnea in Women 13:11

12 weeks ago13:11

13:11

What if the most common symptoms of obstructive sleep apnea in women aren’t the ones doctors are trained to recognize? In this episode, Dr. Megan Durr, an otolaryngologist from the University of California San Francisco, discusses obstructive sleep apnea in women with host Dr. Gopi Shah. The doctors explore how symptoms in women differ from men, leading to missed diagnoses. They delve into the lack of literature on the topic and the potential for underrepresented groups to be overlooked. The conversation highlights the need for more inclusive screening tools and the long-term cardiovascular risks women face due to untreated sleep apnea. Dr. Durr emphasizes the importance of better diagnosing and treating sleep apnea in women. TIMESTAMPS 00:00 - Introduction 00:18 - Recognizing Obstructive Sleep Apnea in Women 00:36 - Pregnancy and Obstructive Sleep Apnea 01:13 - Menopause and Sleep Disorders 01:59 - Underrepresented Groups and OSA 02:47 - Symptoms and Misdiagnosis in Women 04:40 - Screening Questionnaires and Gender Bias 05:59 - Clinical Observations and Gender Disparities 09:39 - Long-term Effects of OSA in Women CHECK OUT THE FULL EPISODE BackTable ENT Podcast Episode #182 Understanding OSA in Women with Dr. Megan Durr https://www.backtable.com/shows/ent/podcasts/182/understanding-osa-in-women…

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Ep. 213 Ear Molding for Infants with Dr. Jason Qian 41:48

13 weeks ago41:48

41:48

What should parents and pediatricians know about early ear molding interventions? In this episode of the BackTable ENT podcast, pediatric otolaryngologist Dr. Jason Qian discusses the practice of ear molding in infants and new advancements in the field with host Dr. Gopi Shah. --- SYNPOSIS Dr. Qian, a surgeon scientist at the University of California, San Diego, shares his journey in integrating ear molding into his clinical practice, explaining the importance of early intervention and the process involved in molding infant ears. They delve into the challenges of billing, different molding techniques, and the growing demand for non-invasive ear correction methods. Dr. Qian also highlights the potential future developments in the field, including enhanced education and simulation models. --- TIMESTAMPS 00:00 - Introduction 01:13 - Understanding Ear Molding in Infants 03:49 - Training and Incorporating Ear Molding 06:06 - Challenges and Success Stories 10:13 - Clinical Workflow and Procedures 30:08 - Billing and Insurance Issues 32:13 - Collaborations and Advanced Techniques 37:42 - Future of Ear Molding and Final Thoughts --- RESOURCES Dr. Jason Qian https://health.usnews.com/doctors/zhen-jason-qian-1078594 BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent…

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Ep. 212 Allergy Immunotherapy and the Microbiome with Dr. Jennifer Villwock 46:59

14 weeks ago46:59

46:59

Could the key to more effective allergy therapies lie in the nasal microbiome? In this episode of BackTable ENT, Dr. Jennifer Villwock from Kansas University Medical Center discusses the intricacies of treating allergies and sinus issues with hosts Dr. Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS Dr. Villwock begins by highlighting the importance of personalized medicine and the role of the microbiome in immunotherapy. Topics include topical and oral probiotics, the nasal microbiome, intralymphatic immunotherapy, and the significance of accurate allergy testing. Dr. Villwock also shares insights on sublingual and subcutaneous immunotherapy, the future of allergy treatments, and the impact of environmental factors on sinus health. --- TIMESTAMPS 00:00 - Introduction 01:53 - Understanding the Sinus Microbiome 04:34 - The Role of the Microbiome in Health 09:31 - Challenges in Microbiome Research 23:21 - Clinical Decision-Making in Antibiotic Use 25:07 - Exploring Probiotics & Dietary Factors for Sinus Health 30:12 - Immunotherapy and Microbiome 35:47 - Allergy Testing Methods 41:40 - Future Directions in Immunotherapy 44:18 - Conclusion and Final Thoughts --- RESOURCES Jennifer Villwock Profile https://www.kumc.edu/jvillwock.html AAOA 2025 Explorers Course in Allergy and Immunology, Vail, CO. March 27-29, 2025 https://www.aaoallergy.org/education/aaoa-explorers-course-2025/ BackTable+ for ENT https://plus.backtable.com/pages/ent Check out BackTable+ for ENT, our sponsor and new e-learning platform! https://plus.backtable.com/pages/ent…

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Ep. 211 Aging Voice: The Science and the Art with Dr. Neel Bhatt 1:03:33

15 weeks ago1:03:33