Low-Risk Thyroid Cancer: Surveillance or Surgery?

Guest post by Ilya Likhterov, MD, Assistant Professor of Otolaryngology – Head and Neck Surgery and member of the Division of Head and Neck Oncology at Mount Sinai Beth Israel. To make an appointment with Dr. Likhterov, call 212-844-8775.

Ilya Likhterov, MDThyroid cancer diagnosis is becoming more and more common among patients of all ages, but in the vast majority of cases, thyroid cancer is slow growing and rarely causes symptoms while it is small. Although there is potential for thyroid cancer to spread to the lymph nodes in the neck, overall prognosis is excellent even in the high risk, advanced stages of disease. Read more

The Lowdown on Deviated Septum and Septoplasty

Guest post by Alfred Iloreta, MD, Assistant Professor of Otolaryngology-Head and Neck Surgery and member of the Division of Rhinology and Skull Base Surgery at The Mount Sinai Hospital. To make an appointment with Dr. Iloreta, call 212-241-9410.

Alfred Iloreta, MDSurgical correction of the deviated septum is one of the most common surgical procedures that I perform in the operating room. The formal medical term for this procedure is called “septoplasty,” ‘septo’ stemming from the Latin word saeptum which means “fence, enclosure, or partition” and ‘plasty’ deriving from the Greek word ‘plastia,’ which means “to form.” This is one of the most common nasal surgeries performed by Ear, Nose and Throat (ENT) surgeons and facial plastic surgeons. Often times it is performed in conjunction with other surgeries of the nose, such as rhinoplasty, turbinate reduction, and sinus surgery. Read more

Pediatric Uveitis: Difficult to Diagnose

Guest post by Sanjay Kedhar, MD, An Associate Professor of Ophthalmology and the Co-Director of the Uveitis and Ocular Immunology Program at the New York Eye and Ear Infirmary of Mount Sinai. Dr. Kedhar specializes in the medical and surgical management of patients with uveitis and other autoimmune and infectious eye diseases. He performs cataract and pharmacological implant surgeries in these patients and also participates in numerous research projects on the outcomes of these disease treatments. Dr. Kedhar is also an expert in cornea, and external disease.

Sanjay Kedhar, MDUveitis is a general term that describes a group of inflammatory diseases that affect the middle layers of the eye. These diseases can lead to reduced vision or severe vision loss. The condition may be caused by a variety of issues, including an attack from the body’s own immune system (autoimmunity), infections, or tumors occurring within the eye or in other parts of the body.

Uveitis is the third leading cause of blindness in America; and five to 10 percent of patients affected are children under the age of 16. Annually, there are approximately 115,000 ongoing cases of pediatric uveitis in the United States, with 2,250 new cases occurring each year. Unfortunately, research shows that children are more likely than adults to suffer blindness as a result of the disease. Read more

I’m Tired of Eating Eggs for Breakfast! What Else Can I Eat?

By Shelley Wishnick RD, CDN, CDE, a registered dietitian with the Academy of Nutrition and Dietetics, a NYS Certified Nutritionist, and Certified Diabetes Educator with the National Certification Board for Diabetes Educators who provides counseling to those with Type 1, Type 2, pre-diabetes and gestational diabetes at the Mount Sinai Diabetes Center.

pancakesMany traditional breakfast foods are loaded mostly with carbohydrates. But you can start your morning right with an easy protein pancake recipe that I share with my diabetic patients.


  • ½ cup dry oats
  • ½ cup low fat cottage cheese
  • 1 tsp vanilla
  • 1 egg
  • 2 egg whites
  • ½ tsp cinnamon

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Sinus Rinse: To Rinse or Not to Rinse? That is the Question.

Guest post by Anthony Del Signore, MD, Assistant Professor of Otolaryngology-Head and Neck Surgery, Director of Rhinology and Endoscopic Skull Base Surgery at Mount Sinai Beth Israel. To make an appointment, call 212-844-8494.

Anthony Del Signore, MDAllergies and chronic sinus issues can leave many patients finding it very difficult to breathe freely from their nose. On a daily basis, the body’s nasal mucosa is bombarded with a countless number of irritants, pollutants, fragrances and allergens. Certain individuals can be exquisitely sensitive to these substances, causing the body’s natural barrier, the nasal mucosa, to become inflamed and irritated. The end result leaves the patient with chronic nasal obstruction, persistent nasal drip, thick secretions and an overall difficult time moving air in and out of the nasal passages. Read more

Sharps Disposal Tips for Patients with Diabetes

By Cara Blackhall, RN, CDE, who is certified by the American Nurses Credentialing Center in Medical-Surgical Nursing and is a Certified Diabetes Educator. Ms. Blackhall specializes in educating patients on lifestyle and health management, diabetes medication administrator and use, insulin infusion pumps and continuous glucose monitoring at the Mount Sinai Diabetes Center.

diabetesMany patients ask me what they should do with their used sharps. First of all, let’s discuss what the term “sharps” mean. Needles, lancets, syringes and insulin pens are all considered sharps and must be disposed of properly. These sharps are intended for one-time use only as they still contain blood can infect another person, which is, ultimately, why it is so important to dispose of them carefully. Read more

A Modern Approach to Reproduction and Fertility

By Alan B. Copperman, MD, Clinical Professor, Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, Director, Division of Reproductive Endocrinology and Infertility, the Mount Sinai Hospital.

Alan CoppermanMany of us are surprised to hear how difficult it is for humans to conceive. In fact, the chance of getting pregnant during any given cycle is only one in five. As women age, however, the likelihood of conceiving a healthy pregnancy decreases. This is largely due to the age-related decline in ovarian function. When a woman is in her twenties nearly 90% of her eggs are normal, while by the time she is in her forties, nearly 90% of her eggs are chromosomally abnormal. Increased awareness of these data and new emerging treatment modalities are combining to combat the basic biological realities. Read more

Diabetes-Friendly Spinach, Goat Cheese and Chicken Salad

By Shelley Wishnick RD, CDN, CDE, a registered dietitian with the Academy of Nutrition and Dietetics, a NYS Certified Nutritionist, and Certified Diabetes Educator with the National Certification Board for Diabetes Educators who provides counseling to those with type 1, type 2, pre-diabetes and gestational diabetes at the Mount Sinai Diabetes Center.

Diabetes-Friendly Spinach, Goat Cheese and Chicken SaladEntertaining friends with diabetes doesn’t have to be complicated. Here is a low carb recipe that tastes great for a wonderful late summer lunch and is also diabetes-friendly.

Serves 4


  • 1/2 shallot, finely chopped
  • 2 tablespoons raspberry or champagne vinegar
  • 2 tablespoons extra-virgin olive oil
  • 8 ounces baby spinach
  • 1 cup strawberries, thinly sliced
  • 1/2 cup almonds, toasted and chopped
  • 2 ounces fresh goat cheese, crumbled
  • 1 lb grilled chicken breast, sliced

Read more

My BRCA Journey

By Sara Schub, who is 45 years old and currently living in New York City. She has a Master’s degree in Public Health from Columbia University and works in healthcare administration. She also counsels women at risk of HBOC and volunteers for various health-related charities.

Sara SchubIn early 2011, at a routine appointment with Dr. Monica Prasad, she asked me how I was doing. I took that as an opportunity to tell her what was weighing heavily on my mind – my mother and my cousin were both recently diagnosed with cancer and undergoing chemotherapy. She immediately inquired about my family history of cancer and for the first time I realized how prevalent cancer was in my family. Dr. Prasad suggested I go for genetic testing because I might be at high risk of developing the disease, so I went to a genetic counselor at Mount Sinai. I told her what I knew about my family history, she drew my genetic family tree, enumerated the various genetic mutations that were possible, and recommended genetic testing. Read more

Fulfilling Your Dreams While Living with Sickle Cell Disease

Guest post by Jamal Joseph, Jr. & Sr.

Jamal Joseph, Jr. & Sr.It is never easy for a parent to see their child being treated in the hospital. Jamal Joseph, Sr. knew what it was like for the first time to feel helpless when his son, Jamal Joseph, Jr. said, “Daddy, do something” while receiving doses of morphine to manage the pain caused by Sickle Cell Disease. At the time, there was very little research on Sickle Cell Disease, no real treatments, and life expectancy was short. Joseph, Sr. knew that there was not much he could do for his son. He knew that “it would take a village, the action of parents, family, the doctors, nurses, and medical community to do something” and to make an actual difference for those living with the disease. Read more