Episode # 18 • 16 Mar 2021
Office Based Rhinology
Dr. Scott Fortune talks with us about how he built an Office Based Rhinology practice (now a Center of Excellence), including a how-to on safely performing procedures in the office.
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In this episode, Dr. Scott Fortune joins Dr. Gopi Shah and Dr. Ashley Agan to discuss office-based rhinology procedures.
Dr. Fortune provides an overview of the procedures he performs in the office setting. He outlines the pre-procedure evaluation of patients including the use of validated clinical questionnaires (i.e. SNOT, NOSE scores etc..), a thorough history and physical exam, and necessary imaging studies. Once a full workup has been completed, the severity of disease is assessed as in-office procedures are tailored towards mild- to moderate-severity disease.
Dr. Fortune emphasizes that proper anesthesia is the most important factor in ensuring a successful in-office procedure. He goes into depth on the pre-, intra-, and post-operative anesthesia considerations for different procedures and patient comorbidities and reviews his own anesthesia protocol.
Lastly, Dr. Fortune discusses the logistical factors including equipment, procedure room set-up, staff training, and scheduling. He also describes the peer-to-peer training opportunities that he provides at his practice for other physicians interested in learning about in-office procedures.
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