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The Huron Expositor • May 17, 2006 Page 9
Alliance has new ear, nose, throat specialist
Brian Shypula
The Stratford region has two ear,
nose and throat specialists for the
first time in more than a decade.
Dr. Brian Hughes is the new ENT,
joining Dr. Ellis Scott fresh out of
specialist's training at University of
Western Ontario.
In addition to easing the sizable
workload on his partner at the
Huron Street practice, Hughes
brings some new surgical tech-
niques to patients in this area,
specifically the use of tiny cameras
or scopes in surgery.
Using tiny cameras is an evolu-
tion in many types of surgery, from
removing kidneys to fixing knees.
Hughes said the technology
makes a huge difference in working
in tiny spaces, such as the sinuses.
One of his specialities is FESS,
short for functional endoscopic
sinus surgery. It's used to repair
chronic sinusitis, an infection or
inflammation of the lining of one or
more of the sinus cavities in the
facial bones around the nose.
Sinusitis can make life miserable
for people, causing facial tender-
ness, aching behind the eyes and
difficulty breathing through the
nose. Other symptoms include fever
and a running nose.
The new surgery is less invasive
because there are no "outside cuts,"
Hughes explained. There is also less
discomfort and quicker recovery
time.
However, it requires expensive
equipment.
The Huron Perth Healthcare
Alliance's willingness to invest in
the equipment was a big part of
Hughes coming to Stratford.
The Stratford General Hospital
Foundation gave $120,000 to buy
new equipment, including $60,000
for a powerful microscope that gives
a super close-up look inside
patients' ears and throats.
The variety of the specialty is
what drove Hughes to become an
otorhinolaryngologist, the formal
name for an ENT.
"I think traditionally people think
of ear, nose and throat specialists as
treating ear infections, putting in
tubes for kids and taking out ton -
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sils," Hughes said in a recent inter-
view.
Although that is part of what they
do, there is much more to the spe-
cialized field.
Sinus diseases, throat tumours
both benign and cancerous, thyroid
and other neck cancers are exam-
ples of the types of cases they han-
dle, and there is also a trend toward
reconstructive plastic surgery of the
head and neck and even anti -wrin-
kle treatments like botox injections.
Scott, meantime, is glad for the
extra help and heaped praise on his
younger colleague.
"I go to London (Health Sciences
Centre) four or five times a month
for meetings and I see all these
young people coming down the
tubes, so I've been looking for a
sharp one for some time and I wait-
ed until I found what I wanted," he
said.
"He brings some real skills and
new procedures to town, and that's
why I asked him to come."
Scott has been practising in
Stratford since 1975, including the
last dozen years or so as the lone
ENT for a service area stretching
west to Lake Huron, north toward
Owen Sound, east toward Kitchener
and southwest toward London, tak-
ing in some 112,000-115,000 people
— above the manageable load of
90,000-100,000 people.
"I'm quite happy to share the
patient load. I'm interested in quali-
ty of care. Period," Scott said.
However, the veteran ENT criti-
cized the Alliance for not providing
enough operating time for Hughes.
At the moment, the two doctors
each get two days a month in the
operating room and Hughes spends
an additional day each month at
Clinton Public Hospital.
"They've given him: about half as
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much as what he needs," Scott said.
Donnalene Tuer-Hodes, chief
nursing officer for the Alliance,
said the hospital's hands are tied.
Cancer surgeries, cataract opera-
tions and hip and knee replace-
ments — the four main procedures
under the province's plan to reduce
hospital wait times — get priority,
she explained.
"Any extra OR time has to be
given to what the government is
mandating us to do urgently," she
said.
Andrew Williams, CEO of the
Alliance, acknowledged OR time is a
touchy issue.
;If we had more to open up, we
would certainly have surgeons
interested in taking it," he said.
Tuer-Hodes said there are 19 sur-
geons vying for operating room time
at SGH.
It is frustrating for people whose
ear, nose or throat surgery is
delayed or bumped because a more
urgent case comes up, the doctors
said.
The shortage will hurt the
region's ability to attract a new
ENT when Scott eventually retires,
Hughes warned.
Still, the new ENT is glad he
picked Stratford, which with the
new equipment is as well set up for
ear, nose and throat surgery as
many big city hospitals.
"It's a great practice opportunity,"
he said.
The 33 -year-old native of London,
Ont., his wife and 18 -month-old
daughter have settled in Stratford
and he is looking forward to getting
more involved in the community.
Looking down the road to the
future, Hughes said he has plans to
add cosmetic surgery to his practice
and wants to set up a program that
may help land another ENT, similar
to the month he spent working with
Scott in Stratford midway through
his residency.
"I'm hoping the next couple of
years I'll actually set up a formal
system where medical students or
residents could come and follow me
around," he said.
A referral is needed from a family
doctor to see one of the ear, nose
and throat specialists,
141
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