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I must (sadly) admit I can almost not imagine getting useful info from pneumatic otoscopy- it's hard enough to see the eardrum at all most of the time. 

Don - via iPhone 

On Jun 29, 2012, at 11:41 AM, "Abramo, Thomas J" <[log in to unmask]> wrote:

> The folks from Pitisburgh  could recite the reference from Dr Bluestone
> the godfather of otitis media  about the pneumatic otoscopy from the 80
> and the 90.
> The first reports from his group was pre hib vaccine era.
> 
> Thomas J. Abramo, M.D., FAAP, FACEP
> Professor of Emergency Medicine and Pediatrics
> Director and Division Chief, Division of Pediatric Emergency Medicine
> Department of Pediatrics
> Director, Pediatric Emergency Medicine Fellowship Program
> Medical Director of Pediatric Transport
> Monroe Carell Jr. ChildrenĀ¹s Hospital at Vanderbilte 615-936-8158
> 
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> 
> 
> 
> 
> 
> 
> On 6/29/12 7:24 PM, "McConnochie, Ken"
> <[log in to unmask]> wrote:
> 
>> Can anyone come up with published research that establishes the
>> inter-observer reproducibility of pneumatic otoscopy findings in the
>> diagnosis of middle ear effusion?  ... in the diagnosis of acute otitis
>> media?
>> 
>> 
>> Kenneth M. McConnochie, MD, MPH
>> Professor of Pediatrics
>> University of Rochester Medical Center
>> Box 777 - Pediatrics
>> 601 Elmwood Avenue
>> Rochester, NY 14642
>> [log in to unmask]
>> 
>> 
>> 
>> 
>> 
>> 
>> -----Original Message-----
>> From: Pediatric Emergency Medicine Discussion List
>> [mailto:[log in to unmask]] On Behalf Of Soglin, David
>> Sent: Thursday, June 28, 2012 2:56 PM
>> To: [log in to unmask]
>> Subject: Re: Technology!
>> 
>> Even if your estimates are accurate, that doesn't mean pneumatic otoscopy
>> is useless.  It means the many doctors who diagnose OM without doing
>> pneumatic otoscopy are wrong a large percentage of the time!
>> 
>> 
>> __________________________________________________________________________
>> ___
>> David F. Soglin, M.D.
>> Chair, Department of Pediatrics
>> Cook County Health and Hospitals System
>> Stroger Hospital of Cook County (Cook County Hospital)
>> 1900 W. Polk Street  #1100
>> Chicago, IL   60612
>> Telephone:  312-864-4506
>> Fax:  312-864-9720
>> Pager:  312-740-5036
>> 
>> 
>> We Bring HealthCARE to Your Community
>> ________________________________________
>> From: Pediatric Emergency Medicine Discussion List
>> [[log in to unmask]] on behalf of neil mullen
>> [[log in to unmask]]
>> Sent: Tuesday, June 26, 2012 21:01
>> To: [log in to unmask]
>> Subject: Re: Technology!
>> 
>> On my Peds boards, Peds EM boards and EM boards, the question was asked:
>> what's the most accurate way to diagnose otitis media, and the answer was
>> pneumatic otoscopy.  And no one does it.  I'd estimate that 15% of
>> pediatricians, <10% of FPs and <5% of EM docs do it.  Useless.  As is
>> almost everything else about otitis, now that I think about it.
>> 
>> Neil Mullen, MD, FAAP, FACEP
>> 
>> 
>> ________________________________
>> From: Pamela Beach-reber <[log in to unmask]>
>> To: [log in to unmask]
>> Sent: Monday, June 25, 2012 6:45 AM
>> Subject: Re: Technology!
>> 
>> So what happens to the most important part of the exam, pneumatic
>> otoscopy?
>> Pam Beach
>> After Hours Pediatrics
>> Orlando, FL
>> ----- Original Message -----
>> From: "Eugene Izsak" <[log in to unmask]>
>> To: [log in to unmask]
>> Sent: Monday, June 25, 2012 9:24:03 AM GMT -05:00 US/Canada Eastern
>> Subject: Re: Fw: Technology!
>> 
>> Yea, but does it clean out the cerumen.
>> 
>> On Sun, Jun 24, 2012 at 9:47 PM, Radhika Vijayan <[log in to unmask]> wrote:
>> 
>>> Have any of you heard of this new device aparently being tested in Bay
>>> area.
>>> 
>>> http://www.technologyreview.com/news/428197/parents-could-skip-the-doc
>>> tors-office-with-this/
>>> 
>>> One of my collegues came across this article.
>>> Sounds like a new wave in health care
>>> Radhika Vijayan
>>> HackensackUMC
>>> 
>>> 
>>> 
>>> 
>>> 
>>> 
>>> 
>>> 
>>> 
>>> Build yourself a Temple of Peace, which no man can take away, no power
>>> can destroy, With a life of Harmony, find your joy in Yourself,
>>> exactly where you are now.
>>> Swami Chinmayananda
>>> 
>>> For more information, send mail to [log in to unmask] with
>>> the
>>> message: info PED-EM-L
>>> The URL for the PED-EM-L Web Page is:
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>> 
>> 
>> 
>> --
>> "I would rather be the kind of person who makes molehills out of
>> mountains, then mountains out of molehills."
>> "I dream of a better world, where chickens can cross the road and not
>> have their motives questioned." Anon.
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