General Practitioners

• Osteoporosis
• Sinusitis
  PA Barbee provides expert evaluation, diagnosis, and treatment of patients presenting with various ear, nose, and throat complaints such as nasal congestion, acute and chronic sinusitis, nasal polyps, nosebleeds, loss of smell, burning mouth, chronic runny nose, post-nasal drip, ear infection, hearing loss, tinnitus, and tonsillitis. She has a special interest in severe chronic sinus diseases such as aspirin-exacerbated respiratory disease, fungal sinusitis, autoimmune sinus disease, chronic polyposis, and sinus tumors, having worked exclusively in rhinology and skull base surgery for six years.
• Medical Weight Loss
  Disorders concerning your voice or swallowing can have a serious impact on your daily life. Common symptoms for voice disorders may include hoarseness, strain, pitch breaks, throat pain, recurring voice loss, inability to speak at a louder volume, frequent cough or running out of air when speaking. Common symptoms for swallowing disorders may include gagging, coughing, choking, painful swallowing, weight loss or lung infections such as bronchitis and pneumonia.
• Pediatric Care
  Dr. Jessica Mendiola is a licensed audiologist with experience diagnosing and treating hearing loss in patients of all ages and abilities. She is trained in fitting various amplification devices, including hearing aids, cochlear implants, and bone anchored implants. Dr. Mendiola has a special interest in serving pediatrics and individuals with complex needs. She is a recent graduate of Western Washington University where she received the Outstanding Graduate Award for the Doctor of Audiology Program.
• Snoring
  We offer a range of snoring and sleep apnea treatment options that are non-surgical including Continuous Positive Airway Pressure (CPAP) and Inspire Upper Airway Stimulation Therapy.
• Ear Infections
  Our board-certified neurotologist provides leading-edge treatment for hearing loss, ear infections, cholesteatomas, balance issues, acoustic neuromas, facial nerve injuries and skull base tumors.
• Bronchitis
• Pneumonia

Internists

• Kidney Stones
  The parathyroid glands are four small glands in the neck that are part of the endocrine system. They produce parathyroid hormone (PTH), which maintains calcium and phosphorus levels in the blood. The primary disease associated with the parathyroid glands is an overproduction of PTH, known as Hyperparathyroidism. This is usually caused by benign enlargement (adenoma) of one or more of the parathyroid glands. Hyperparathyroidism causes bone calcium loss and higher than normal calcium in the blood and urine. Many people have no symptoms, and the condition is discovered with a routine blood test. Others have symptoms such as bone pain, osteoporosis, decreased memory, depression, fatigue, abdominal pain or kidney stones. In general, the symptoms resolve with time after surgery. This condition can run in some families, though more commonly it occurs without any family history. For most patients, the treatment involves surgical removal of the overactive parathyroid gland or glands (if there is more than one overactive gland).
• Endoscopy
  We understand how debilitating clogged sinuses can be and how severe nasal obstruction and allergies can negatively impact your daily life. We offer innovative solutions including effective medical treatments and minimally invasive sinus and nasal surgeries that reduce pain and swelling, resolve blockage, and encourage healing. Expect leading edge care from Puget Sound ENT with the guidance and expertise needed to help you find relief. Our years of experience and the availability of a variety of in-office diagnostic studies including sinus CT scanner as well as nasal endoscopy are vital in rapid diagnosis and directing immediate effective treatment.

Psychiatrists

• Depression
• Anxiety

Endocrinologist

• Endocrinology
  Begin by contacting Puget Sound ENT and scheduling your first appointment. Our in-house ENT specialists evaluate each patient and perform in-depth testing including in-office ultrasound and fine needle aspiration and biopsy of suspicious thyroid lesions for rapid diagnosis. Once a diagnosis is determined treatment options are discussed and coordinated with our multi-disciplinary team including endocrinology and oncology.
• Hypothyroidism
  The thyroid is a butterfly-shaped gland in the middle of the neck, located below the larynx (voice box). It produces hormones, T3 and T4, which regulate multiple functions of the body including hair, nails, weight, energy, temperature and cognition. There are a number of conditions that can affect the thyroid gland. Overproduction of thyroid hormone results in a condition called Hyperthyroidism. Conversely, low thyroid hormone production leads to Hypothyroidism. Dysregulation of thyroid hormone production is managed by an endocrinologist.
• Thyroid
• Thyroid Cancer
  In the early stages, most thyroid cancers have little or no associated symptoms. Many are found incidentally during imaging for other conditions. Further growth may produce a lump or nodule in the lower neck associated with the thyroid gland. Patients can sometimes experience rapid growth, pain, and swelling, difficulties with swallowing or hoarseness of voice. Thyroid cancer sometimes presents as enlarged lymph nodes in the neck.

Radiologist

• Ultrasound
  Our surgeons provide comprehensive evaluation and treatment of patients suffering from thyroid and parathyroid disease. We use the latest imaging technologies including CT parathyroid scans and ultrasound for quick assessment of thyroid and parathyroid conditions to determine the need for surgical intervention. We work closely with a multidisciplinary team consisting of oncologists, endocrinologist, and radiologists to ensure the best possible treatments and outcome. If surgery is recommended, we utilize state of the art techniques for the removal of the thyroid or parathyroid glands. In most cases, these are done in the outpatient setting, without the need for hospitalization.
• MRI
  Most thyroid nodules do not cause any symptoms. Your doctor usually discovers them during a routine physical examination or incidentally with imaging (CT, MRI, US) for other conditions. Or you might notice a lump in your neck while looking in a mirror. If the nodule is made up of thyroid cells that produce more thyroid hormone than your body needs, a patient may complain of hyperthyroid symptoms (see hyperthyroidism sheet). A few patients with thyroid nodules may complain of pain in the neck, jaw or ear. If the nodule is large, it may cause difficulty swallowing, “tickle in the throat” or shortness of breath if it is pressing on the windpipe. Rarely, hoarseness can be caused if the nodule affects the nerves to the voice box.
• Radiology
  Cancer of the head and neck is managed with a multidisciplinary team involving specialists in oncology, radiation oncology, radiology, nutritionists and speech pathology. Our goal is to return patients to their normal daily lives as soon as possible.
• Computed Tomography
  Since most patients with thyroid nodules do not have symptoms, most nodules are discovered during a routine physical exam or incidentally with imaging (CT scan, Ultrasound) for other concerns. Once the nodule has been discovered, you doctor will try to determine whether the lump is benign (non-cancerous) or represents a low grade thyroid malignancy. Specialized tests such as thyroid ultrasound and/or thyroid scan can help determine if a biopsy is needed. Most thyroid nodules do not require treatment and can safely be monitored by your doctor. If the enlarged thyroid gland is causing symptoms or thyroid cancer is detected, then surgical removal of part, or all, of the thyroid is usually recommended.
• Chemotherapy
  Treatment of Head and Neck Cancer requires the involvement of a multidisciplinary team of specialists including Otolaryngology-Head and Neck Surgeons, Oncology, and Radiation Oncologists. Treatment is tailored to the specifics of a patient tumor location, tumor stage and the patient’s overall health status at the time of initial presentation. Treatment may consist of surgery or radiation therapy alone, a combination of surgery followed by radiation therapy or chemotherapy combined with radiation therapy without surgery.
• Radiation Therapy
  Treatment of head and neck cancer requires the involvement of a multidisciplinary team of specialists to coordinate diagnosis and treatment recommendations. Your ENT surgeon is an integral member of this team. Diagnosis usually involves a biopsy, either in the office or with a diagnostic surgical procedure. Once cancer has been confirmed additional workup usually involves further imaging; (CT scan, PET scan, MRI) and consultation with other members of the multidisciplinary team (radiology, oncology, radiation oncology, speech and swallowing therapists) Treatment recommendations (surgery or radiation therapy alone, surgery followed by radiation therapy, or combined chemotherapy with radiation therapy without surgery) will depend on the type of tumor you have, the stage of presentation and will take into consideration your overall health status. Our goal is to maximize your potential for a cure while minimizing your treatment side effects.
• Radiation Oncology

Surgeons

• Minimally Invasive Surgery
  For some patients Balloon sinuplasty is an alternative to functional endoscopic sinus surgery. The physicians at Puget Sound ENT can perform a Balloon Sinuplasty with local anesthesia in clinic. The minimally invasive surgery opens sinus passages to relieve sinus pain and pressure safely and effectively.
• Ear Surgery
• Otolaryngology
  Our doctors are board-certified in Otolaryngology (ENT Specialty) and relationship focused, working hand-in-hand with patients to assist with the diagnosis and treatment of nose and sinus problems and related complex medical issues.

Dermatologists

• Skin Cancer
  There are many known risk factors for the development of head and neck cancer including the use of tobacco (cigarettes, cigars, chewing tobacco, or snuff) and alcohol consumption. Cancer arising from the mouth has been associated with chronic dental disease, infections and inflammation. HPV virus has recently become the leading cause of tonsil and tongue base cancer. Skin cancer of the lips, face and ears is caused by sun exposure. An important cause of nasopharyngeal cancer (behind the nose) is the Epstein Bar Virus (EBV) most often associated with people of Southeast Asian ancestry.
• Cyst
• Lesions
  Puget Sound ENT offers patients expert examination and management of voice and swallowing disorders. Our highly skilled physicians take great care in providing the best treatment for patients with voice disorders such as laryngitis, chronic cough, benign vocal fold lesions, laryngeal tumors and dysplasia, laryngopharyngeal reflux, vocal fold atrophy and more.

Physical Therapists

• Physical Therapy

Allergists

• Allergies