Bobby Ghaheri MD

You know when you get really busy and you don’t have much time to think and then you remember that coffee exists? Those are some of the best moments in life.

You have until 11:59 PM tonight (5/19 PST) to register for my online course before it comes down. https://shorturl.at/eizR8

Use code Politics25 for 25% off

3 days left to register for my online course before it comes down. https://shorturl.at/eizR8

Use code Politics25 for 25% off

What it means to do research

I’m just a private practice ENT surgeon who is not at a major university or teaching hospital. I don’t have many of the credentials that some academic ENTs have nor do I have advanced training in pediatric ENT (I’m a general ENT). That being said, I was very well trained to understand how to analyze research and how to conduct research studies in my residency training in both basic science research and clinical research.

I’m confused because it sure seems like the majority of academic ENTs in the United States and around the world spent a LOT more time trying to stop people like me from doing science and disseminating those results to other people who might find that research helpful in their clinical practices instead of spending their academic time actually doing academic things like research. Academic ENTs who suppress information because they disagree with that information are not being academic. In fact, it’s the exact opposite of what an academic is supposed to do. A true academician would take something they disagree with it and try to do a study to analyze whatever truth they feel is present in their clinical practices. What’s happening in the tongue tie world, however, is that academic ENTs are basically saying “nuh uh” and are just shutting down what has already been published without doing any research on their own.

Why would they act like this? Could it be that the academics are threatened by someone who isn’t a pediatric ENT and who isn’t at a teaching hospital who’s doing research that is actually proving what’s being clinically noticed? Is it because the problems I’m researching affect women (this is a real thing - medical misogyny is rampant and this may be a manifestation of that sentiment)? Is it because recent research invalidates whatever they learned decades ago and they’re scared to change their clinical practices?

What these academics need to understand is that there are direct harms to silencing researchers. Moms and babies are suffering because of inaction. Stop being scared to learn. Be more collaborative. Be more academic. Either start doing your job and do research or let me do your job for you.

You’ve got less than 2 weeks to sign up for my course on all things tongue tie before it’s being taken down due to political nonsense where the course was being hosted. It’s the best primer on evidence-based practices, understanding the physiology of breastfeeding, how to do proper examination and surgery, how tongue tie impacts older kids and adults and most importantly, WHY this knowledge matters. Use the code Politics25 for 25% off but you have to register before May 19th (you’ll still have 8 weeks to complete the course once you sign up).

https://shorturl.at/eizR8

For IG users, the course link is in my bio or at Drghaheri.com

I wanted to give everyone an update regarding my online continuing education course. For over 5 years, we’ve put this course on in person and moved it online following the pandemic and it’s been taken by thousands of people. The reviews were almost universally positive.

Late last year, a group of pediatric ENTs “disagreed” with the course despite never having viewed it. They pressured the school to drop the course, and yesterday I was informed that the course will no longer be available after May 19, 2024. I’ll eventually post about the details but I’m too angry and upset to not sound petulant about it now.

Regardless, if any of you want to take this course, you’ve got 4 weeks to sign up. You’ll still have time to complete the course after that date but you’ll need to register before May 19th. You can use the code Politics25 for 25% off the cost of the course. You can register for the course by clicking on my IG bio, clicking the Continuing Education link on Drghaheri.com, or clicking here: https://reg.learningstream.com/reg/event_page.aspx?ek=0046-0020-595b0de80db8493ab63aa45ed6f2ff23

Please tell any of your colleagues, share this post and message anyone you think may benefit from this information. I may be biased, but I think it’s the best collection of videos, pictures and course content out there. Ultimately, it’s parents and their children who are hurt by this move and we need to do our best to counter these actions

My friend and colleague Dale Tylor was messing around with AI and prompted Microsoft AI to write a poem about tongue tie - on the right you'll see the prompt and on the left you'll see the poem.

German might be the coolest language ever. (Yes, this is real)

Got CE credits you need to obtain before year’s end? Or you just want to learn comprehensively about this topic? You have 2 days to take advantage of a 25% off code for my online CE course (CME no longer available to MD/DO/PA/NP).

https://reg.learningstream.com/reg/event_page.aspx?ek=0046-0020-595b0de80db8493ab63aa45ed6f2ff23&fbclid=IwAR1J-tn1sAmsl2tvZ_Fi2mq-0zyNTUN6nPe0Ao5zudBsslHpQc5-VaOBkPs

Got CE credits you need to obtain before year’s end? Or you just want to learn comprehensively about this topic? Click the link in my bio or find the link at the top of Drghaheri.com

Got CE credits you need to obtain before year’s end? Or you just want to learn comprehensively about this topic?

https://reg.learningstream.com/reg/event_page.aspx?ek=0046-0020-595b0de80db8493ab63aa45ed6f2ff23&fbclid=IwAR3ka20aLSRmWoUyhfuqZxM5X9GMDZxmb7puLAW5e9rZ9ASifeigwLyWlaw

Want to see what a good pediatrician note looks like when mom is worried about breastfeeding? Check this note out from one of the best practices in my area. They employ two talented IBCLCs and they support and empower them to weigh in on what’s going on. What’s impressive in this note?

If you can’t read it says:

”Pt breastfeeding almost exclusively, but still needing ni**le shield, with significant maternal ni**le pain despite this. Also struggles to latch to a bottle. Has been working w/lactation, who noted likely Ankyloglossia. On exam, has Coryllos type 4 posterior Ankyloglossia, with some limitation in protrusion and elevation of tongue.”

What’s remarkable?
1) acknowledges something other than poor weight gain as a reason to investigate. Points out that is still using a shield and still not doing well.
2) mention of bottle struggle
3) understands posterior TT with classification
4) understands the role of lactation consultants’ expertise
5) acknowledges the importance of tongue elevation

We need more pediatricians like this!

Interesting in learning about feeding problems that your kids can develop? Who can benefit from feeding therapy? Check out this in person and virtual session next week. (PST time zone)