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PATIENT SERVICES
Pediatric ENT Has the Magic Touch

“Let’s see if you are wizard-quality,” William Spencer, MD, asks a new patient just before slipping the wizard hat onto the youngster’s head. Once a child’s “wizard-worthiness” is ascertained, Dr. Spencer has a few magic tricks up his sleeve to help put the child at ease.

As a board-certified, fellowship trained pediatric ear-nose-throat (ENT) physician, Dr. Spencer is a rarity on Long Island. Even more rare than his extensive training in this subspecialty is Dr. Spencer’s gift for gaining children’s trust and reducing their anxiety.

This bedside manner is particularly important because, according to Dr. Spencer, “Having their tonsils removed can be one of the most psychologically traumatic events of a young person’s life. The way to prove this is to ask anyone, whether they are 80 years old or 30, if they can remember the day they had their tonsils removed as a child.”

Dr. Spencer goes out of his way to minimize the psychological trauma of the surgical experience by encouraging children and families to visit the hospital Pediatric Unit prior to surgery. Parents are permitted to accompany their child into the operating room on the day of surgery, and they are allowed to be in the postanesthesia care unit with a special toy or bear when the child awakens following surgery.

“Sometimes we sing songs in the operating room while they’re going to sleep,” Dr. Spencer said, adding that intravenous needles are never started until after a child is asleep.

As concerned as he is with reducing the psychological impact of medical and surgical procedures, Dr. Spencer is equally focused on minimizing the physical pain and trauma associated with surgery. To help reduce blood loss and swelling, he uses a device known as a bovi cautery, which coagulates as it cuts through tissue.

This device improves surgical outcomes to the degree that children may often be discharged within six hours of undergoing a standard tonsillectomy and adenoidectomy.

“Instead of being out of school for a week, and having a sore throat that lasts even longer than that, children are out of school for three to five days, and their sore throat only lasts for seven days,” Dr. Spencer explained.

Seven-year-old Jessica Schwartz and her four-year-old sister, Julia, are among Dr. Spencer’s satisfied patients. The Schwartz family first consulted Dr. Spencer last year when Jessica began William Spencer, MD suffering from chronic nosebleeds.

After applying a topical anesthetic to Jessica’s nose, Dr. Spencer began performing magic tricks. Once the anesthetic had taken effect, Jessica was completely relaxed and Dr. Spencer was able to cauterize the inside of her nose.

So pleased were Jessica’s parents that when Julia experienced a series of strep infections accompanied by loud nighttime snoring and daytime sleepiness, they brought her to Dr. Spencer who removed her tonsils this past October.

Mrs. Schwartz appreciated Dr. Spencer’s calming manner as much as her children did. “He eased my mind as a parent whose daughter was having surgery,” Mrs. Schwartz stated. “My husband and I had no doubt that he would take excellent care of her.”

Along with taking care of patients, Dr. Spencer is committed to educating future generations of physicians, an activity he engages in as an Assistant Professor of Otolaryngology at SUNY Stony Brook. Dr. Spencer’s academic activities include teaching residents and fellows at the VA hospital. His experience as a researcher has resulted in the publication of more than 20 articles in peer review journals and he is also the author of a book chapter.

“This is the philosophy of my practice: Stay current, do research, teach, and collaborate with pediatricians so that we are working as a team to provide coordinated care,” he explained. The result is a unique benefit to Huntington residents – the availability of universitycaliber medical care within the comfort and convenience of the local community.

Dr. Spencer is looking forward to expanding the specialized testing offered in his office as well as the upcoming opening of the Clark Gillies Pediatric Unit at Huntington Hospital.

“I am so excited to be part of this brand new facility,” he enthused. “I think it will be great for the kids.”

December 2003

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