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Otolaryngology is the oldest medical specialty in the United States. Otolaryngologists are physicians trained in the medical and surgical management and treatment of patients with diseases and disorders of the ear, nose, throat (ENT), and related structures of the head and neck. They are commonly referred to as ENT physicians.

Their special skills include diagnosing and managing diseases of the sinuses, larynx (voice box), oral cavity, and upper pharynx (mouth and throat), as well as structures of the neck and face. Otolaryngologists diagnose, treat, and manage specialty-specific disorders as well as many primary care problems in both children and adults.

The Ears-Hearing loss affects one in ten North Americans. The unique domain of otolaryngologists is the treatment of ear disorders. They are trained in both the medical and surgical treatment of hearing, ear infections, balance disorders, ear noise (tinnitus), nerve pain, and facial and cranial nerve disorders. Otolaryngologists also manage congenital (birth) disorders of the outer and inner ear.

The Nose-About 35 million people develop chronic sinusitis each year, making it one of the most common health complaints in America. Care of the nasal cavity and sinuses is one of the primary skills of otolaryngologists. Management of the nasal area includes allergies and sense of smell. Breathing through, and the appearance of, the nose are also part of otolaryngologists' expertise.

The Throat-Communicating (speech and singing) and eating a meal all involve this vital area. Also specific to otolaryngologists is expertise in managing diseases of the larynx (voice box) and the upper aero-digestive tract or esophagus, including voice and swallowing disorders.

Credit : Ear, Nose, Throat Associates

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Oncologists are doctors who diagnose and treat cancer. They often act as the main healthcare provider for someone with cancer—designing treatment plans, offering supportive care, and sometimes coordinating treatment with other specialists. 

A person will usually see an oncologist if their primary care physician suspects that they have cancer.

A primary care physician may use MRI and CT scans as well as blood tests to confirm their diagnosis. If these tests reveal signs of cancer, they will recommend that the person visits an oncologist.

During the first appointment, the oncologist may perform a physical exam and order additional blood work, imaging tests, or biopsies. They use these tests to determine the type and stage of the cancer, which helps them identify a person’s best treatment options.

An oncologist may introduce the person to other specialists as part of the treatment team. They may also provide a general timeframe of treatment.

The exact type of treatment a person receives depends on the type and stage of the cancer. For instance, a person who has one or more tumors may see a surgical oncologist for a biopsy.

Oncologists treat early stage cancer and noninvasive tumors with surgery or radiation therapy. Advanced cancers that have already spread to different areas of the body may require chemotherapy and other systemic treatments.

Oncologists not only diagnose cancer, they can also administer treatments and closely monitor disease progression. For example, surgical oncologists can perform biopsies and remove cancerous tissue, while radiation oncologists can administer different forms of radiation therapy to destroy cancer cells and shrink tumors.

A person can expect to work with a medical oncologist throughout the course of their cancer treatment.

After a person finishes treatment, they will attend regular follow-up appointments with their medical oncologist. During these appointments, the medical oncologist may run tests to check for signs of any physical or emotional problems related to the person’s cancer treatment.

Credit : Medical News Today

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A pulmonologist is a physician who specializes in the respiratory system. From the windpipe to the lungs, if your complaint involves the lungs or any part of the respiratory system, a pulmonologist is the doc you want to solve the problem.

Pulmonology is a medical field of study within internal medicine. These doctors go through the same training as an internist. They receive their degree, complete an internal medicine residency, then several years as a fellow focused primarily on pulmonology and often includes critical care and sleep medicine. After that, they have to take and pass specialty exams, and only then are they able to take patients as a Board-Certified pulmonologist.

While the respiratory system is a specialty in itself, pulmonologists can specialize even further. Some of these doctors focus on certain diseases, like asthma, pulmonary fibrosis and COPD, while others treat unique demographics, like pediatric patients or geriatric patients.

Because many lung and heart conditions present similar symptoms, pulmonologists often work with cardiologists while diagnosing patients. You'll also see them frequently in hospital settings. Patients that need life support or manual ventilation in order to breathe will have a pulmonologist overseeing that element of their care.

Credit : American Lung Association

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A hematologist is a specialist in hematology, the science or study of blood, blood-forming organs and blood diseases.

The medical aspect of hematology is concerned with the treatment of blood disorders and malignancies, including types of hemophilia, leukemia, lymphoma and sickle-cell anemia. Hematology is a branch of internal medicine that deals with the physiology, pathology, etiology, diagnosis, treatment, prognosis and prevention of blood-related disorders.

Becoming a hematologist requires 7 or more years of medical school and postgraduate training, before earning a board certification in internal medicine.

In addition, at least 2 years of specialty training, studying a range of hematological disorders, are required. Hematologists can later gain further certification in a subspecialty.

Hematologists work in various settings, including blood banks, pathology laboratories and private clinics. Specialists in this branch of medicine can choose to focus on specific topics within the field of hematology, such as lymphatic organs and bone marrow and may diagnose blood count irregularities or platelet irregularities. They are able to treat organs that are fed by blood cells, including the lymph nodes, spleen, thymus and lymphoid tissue.

Those in blood banks work to keep blood supplies safe and accessible, and may supervise labs that analyze blood samples and provide advice to organizations that provide advocacy services for patients with genetic blood disorders. These hematologists may also work with government agencies on education campaigns designed to inform the public of disorders, such as anemia.

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Endocrinologists are doctors who specialize in glands and the hormones they make. They deal with metabolism, or all the biochemical processes that make your body work, including how your body changes food into energy and how it grows.

They may work with adults or kids. When they specialize in treating children, they're called pediatric endocrinologists.

Endocrinologists are licensed internal medicine doctors who have passed an additional certification exam.

They go to college for 4 years, then medical school for 4 more years. Afterward, they work in hospitals and clinics as residents for 3 years to get experience treating people. They'll spend another 2 or 3 years training specifically in endocrinology.

The whole process usually takes at least 10 years.

Credit : WebMD

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Scientists are still not 100 percent sure how leprosy is transmitted and there is a lot research being conducted to find out exactly how it happens. In The Leprosy Mission, our teams in Bangladesh, India and Nepal are all working on transmission studies.

Most scientists believe that leprosy is caught through droplets of moisture passing through the air from an infectious person who has leprosy, but has not been treated with multi-drug therapy (MDT). Only 1 in 10 of people affected by leprosy are infectious.

Leprosy is a mildly infectious disease. This means that it is rare to catch the disease after a brief encounter with an infectious person. People are most at risk of catching leprosy if they spend prolonged periods of time with an infectious person within a confined space. For example, if they spend a long time in a small room with that person.

However, even if you live with a person who is affected by leprosy and is infectious (has not received treatment) your risk of contracting the disease is low. Recent research by our team in Bangladesh showed that, over the course of a year, no more than 13 out of every 1,000 people who lived with a person affected by leprosy was diagnosed with the disease themselves. 

For anyone who is worried about infection because they live in a community with recent cases of leprosy (primarily in Asia, Africa, and Latin America), all they need to do is keep an eye out for the signs and symptoms of the disease, and then get treatment, which is free and effective.

Credit : Leprosy Mission 

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Leprosy is a chronic infectious disease caused by a bacillus, Mycobacterium leprae. M leprae multiplies slowly and the incubation period of the disease, on average, is 5 years. Symptoms may occur within 1 year but can also take as long as 20 years or even more.

Leprosy is an age-old disease, described in the literature of ancient civilizations. Throughout history, people afflicted have often been ostracized by their communities and families.

Although leprosy was managed differently in the past, the first breakthrough occurred in the 1940s with the development of the medicine dapsone. The duration of treatment lasted many years, often a lifetime, making compliance difficult. In the 1960s, M. leprae started to develop resistance to dapsone, the only known anti-leprosy medicine at that time. In the early 1960s, rifampicin and clofazimine were discovered and subsequently added to the treatment regimen, which was later labelled as multidrug therapy (MDT).

In 1981, WHO recommended MDT. The currently recommended MDT regimen consists of medicines: dapsone, rifampicin and clofazimine. This treatment lasts six months for pauci-bacillary and 12 months for multi-bacillary cases. MDT kills the pathogen and cures the patient.

Since 1981 WHO has provided MDT free of cost. Free MDT was initially funded by The Nippon Foundation, and since 2000 it is donated through an agreement with Novartis until 2025.

More than 16 million leprosy patients have been treated with MDT over the past 20 years. A general reduction in new cases, though gradual is observed in several countries. The new cases reduced to 202 256 in 2019.  Several countries reported less number cases, including 45 countries reported zero leprosy cases.

Credit : World Health Organization 

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Leprosy is an infectious disease that causes severe, disfiguring skin sores and nerve damage in the arms, legs, and skin areas around your body. Leprosy has been around since ancient times. Outbreaks have affected people on every continent.

But leprosy, also known as Hanson’s disease, isn’t that contagious. You can catch it only if you come into close and repeated contact with nose and mouth droplets from someone with untreated leprosy. Children are more likely to get leprosy than adults.

Today, about 208,000 people worldwide are infected with leprosy, according to the World Health Organization, most of them in Africa and Asia. About 100 people are diagnosed with leprosy in the U.S. every year, mostly in the South, California, Hawaii, and some U.S. territories.

Leprosy is caused by a slow-growing type of bacteria called Mycobacterium leprae (M. leprae). Leprosy is also known as Hansen's disease, after the scientist who discovered M. leprae in 1873.

It isn’t clear exactly how leprosy is transmitted. When a person with leprosy coughs or sneezes, they may spread droplets containing the M. leprae bacteria that another person breathes in. Close physical contact with an infected person is necessary to transmit leprosy. It isn’t spread by casual contact with an infected person, like shaking hands, hugging, or sitting next to them on a bus or at a table during a meal.

Credit : WebMD 

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