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This week we’d like to introduce a new series of blogs that will focus on different types of physicians and their various specialties.  Knowing what kind of experts and services are available is an important part of managing your health.
Physicians in this field are typically referred to as “ENT” (ear, nose, and throat) doctors.  ENT’s commonly treat people with persistent ear infections, vertigo (dizziness and ringing in the ears) hearing loss, and are also able to conduct surgeries in those areas when necessary. It may be necessary to see your family-care doctor or primary care physician before setting up an appointment with an ENT.  This is often the case with specialists, as your regular doctor will be able to determine if your condition is treatable on its own, or if a specialist will need to intervene. These areas of the body are extremely delicate and sensitive, and as such the ENT needs to be skilled at using a variety of diagnostic tools.  An ENT will often use different scopes to try and identify the underlying cause of the symptoms. If a surgery or procedure is needed, the ENT will use the necessary form of anesthesia (numbing) to help make the process more tolerable for the patient. At Advanced Research Institute, we have partnered with one of the top ENT’s in the region in order to conduct clinical trials focusing on new treatments for ear, nose and throat disorders.
We are currently conducting a study for a unique form of anesthesia to be used by ENT’s before conducting diagnostic procedures or surgeries.  The study will involve two office visits as well as two phone calls. You may be compensated for your time and travel, depending on whether you qualify and how many visits you complete.  Call our research team at 801-409-2040 to see if you qualify.
San Francisco Otolaryngology has been the most respected source of ear, nose, and throat care in the Bay Area since 1940.
We provide the most comprehensive Pediatric ENT and Allergy care by utilizing experience, innovation, and a strong local network of hospitals and specialists. We provide the most comprehensive care for sinus, thyroid, and other ENT conditions by utilizing experience, innovation, and a strong local network of hospitals and specialists. ENT doctors, or otolaryngologists, are trained in the medical and surgical treatment of patients with diseases and disorders of the ears, nose, throat (ENT), head, and neck.
NMSI has expanded to six clinics around the state (Espanola, Hobbs, Los Alamos, Rio Rancho, Roswell and Taos, NM) to bring ENT care directly to our patients. Shane Gailushas, MDShane Gailushas, MD of Otolaryngology & Facial Plastic Surgery has joined the NMSI team. Charles Gasser, MDCharles Gasser, MD of Otolaryngology has joined the New Mexico Sinus Institute as our newest Ear, Nose & Throat surgeon. Byron Erstine, DOByron Erstine, DO of Otolaryngology, has joined the New Mexico Sinus Institute at our newest clinic in Las Cruces, New Mexico. Pediatric care: tonsils, adenoids, ear tubes, lymph nodes excisions, and correction of tongue tie.
Norman Bowers, MSPAS, PA-CNorman Bowers, MSPAS, PA-C is the newest member of our clinical team.
Jeff Davis, MSPAS, PA-CJeff Davis, MSPAS, PA-C, has been a Physician Assistant with New Mexico Sinus Institute for three years. Jeff is a member of the American Academy of Physician Assistants (AAPA) and the Society for Physician Assistants in Otorhinolaryngology-Head and Neck Surgery (SPAO-HNS). Steve Harris, MHS, PA-CSteven Harris, MHS PA-C, is the Director of Clinical Services for the New Mexico Sinus Institute and sees patients in our clinics as a Physician Assistant.
Steve has worked as a Physician Assistant in Cardiovascular Medicine and Ear, Nose and Throat Medicine.
Steve and his wife have three children and enjoying traveling together as a family and experiencing new cultures.
Jared Johnson, MSPAS, PA-CJared Johnson, MSPAS, PA-C, is the newest member of NMSI’s provider team and will be treating patients in our Northern NM offices in Taos, Espanola and Los Alamos.
Steve Lauer, CNPSteve Lauer, CNP, is a Certified Nurse Practitioner and has been providing care for NMSI in Los Alamos and Taos, NM for two years.
Olivia Pena, MSPAS, PA-CBlanca Olivia Pena, MSPAS, PA-C cares for patients in our Albuquerque and Rio Rancho clinics. Olivia attended the University of New Mexico Physician Assistant Program and graduated in August of 2013.
Olivia is a member of the American Academy of Physician Assistants (AAPA) and the Society for Physician Assistants in Otorhinolaryngology-Head and Neck Surgery (SPAO-HNS).
Mary Pickard, MSPAS, PA-CMary Pickard, MSPAS, PA-C is the newest member of our clinical team at NMSI. Mary attended the University of New Mexico Physician Assistant Program and graduated in 2012. Mary is a member of the American Academy of Physician Assistants (AAPA) and the Society for Physician Assistants in Otorhinolaryngology-Head and Neck Surgery (SPAO-HNS). What Our Patients are Saying“I went to my doctor because I was feeling constantly fatigued and short of breath. For the first time in my life, I have found a medical facility in NMSI that understands how painful sinus issues are.
The improvement in quality of life is nearly indescribable and worth the pain and discomfort after the surgery. On the fourth day after surgery, I awoke from the night’s sleep feeling refreshed and mentally clear.


ENT is a subspecialty and requires specialized equipment to thoroughly examine and properly diagnose a patient’s complaint. NM in 2009, with the vision of bringing health care to all New Mexicans, including rural areas where specialists are scarce. Ian Alexander, Otolaryngologist, is one of the top sinus surgeons in the country and a leading authority on Balloon sinus dilation. Ian Alexander, MD of Otolaryngology, is one of the top sinus surgeons in the country and a leading authority on Balloon sinus dilation, a minimally invasive treatment option that can be performed in the office. Alexander completed his undergraduate work at Brigham Young University, after which he attended medical school at the University of New Mexico.
He originally hails from Montana but has spent the past few years in Utah and Wisconsin with his family, where he had a thriving, private Ear, Nose and Throat & Facial Plastics practice. Gailushas completed his undergraduate work at Brigham Young University, after which he attended Tulane University of Medicine, where he graduated with honors.
Gasser attended medical school at the University of New Mexico, where he met his wife, who is also a doctor. Jesse Knight, Otolaryngologist, is an Ear, Nose and Throat Surgeon for ENT Associates of Los Alamos and the New Mexico Sinus Institute. Knight and his wife have five children and enjoy spending time together outdoors: hiking, camping, fly fishing and snowboarding. Erstine attended medical school in Kansas City, MO and graduated with honors in the top 5% of his class. He is a Physician Assistant serving our patients in Southern NM at our Roswell and Hobbs, NM clinics. He enjoys being part of the community in Roswell and loves serving patients with ear, nose and throat concerns. He was previously an Assistant Professor of the Lock Haven University Physician Assistant Program. He enjoys helping patients find solutions to their health issue and helping them feel better and improve their quality of life. He earned his Bachelor of Science degree in Biology with a minor in Chemistry from Southern Utah University.
He has combined experience in Family Practice, Corrections Medicine and Allergy Practice of over 13 years. Her PA training rotations took her to rural communities throughout the state of New Mexico where she was able to provide services in the areas of family practice, pediatrics, women’s health, behavioral health, surgery, cardiothoracic surgery, internal medicine, emergency medicine, cardiology, and primary care. She loves to exercise, travel, read, hike, spend time with family and friends, and play with her three dogs. She has been working in cardiothoracic surgery since her graduation and is looking forward to the new challenge and added expertise of caring for ear, nose and throat patients at NMSI. She and her husband just welcomed their first child last fall and love spending time with him. Alexander at NMSI said I was one of the worst cases of Allergic Fungal Sinusitis (AFS) he had seen. I had traditional sinus surgery over 20 years ago and I was disappointed to find that it did not provide me much relief.
I am not dreading a new cold this winter since I have had the sinus dilation procedure and I can actually blow my nose!! Alexander performed a UPPP procedure on me to help with my sleep apnea, which was causing deep disruption in my life. For the last two to three years I had unknowingly experienced a significant worsening of Obstructive Sleep Apnea.
Alexander spoke with my wife at length, filling her in on the complexity of my apnea issues. It was as if layers upon layers of the brain-fogged mist had been removed from around my brain and over my eyes and ears. Our experienced and respected physicians have been providing comprehensive head and neck care to all ages since 1940. This is a minimally invasive treatment option that can be performed in the office, dependent on the patient’s insurance. The objective of balloon sinus dilation is to reshape the anatomy to expand sinus pathways and restore drainage. He then did his residency in Otolaryngology – Head and Neck Surgery at the University of Wisconsin-Madison. Shane as he likes to be called) and his wife and two boys love to spend time together and are outdoor enthusiasts. He did his residency at Oakland, CA Naval Hospital and then spent the next four years at the Naval Hospital in Pensacola, FL. He also specializes in facial lesions, such as skin cancer, and non-cosmetic nasal surgery, such as septoplasties and turbinate reductions.


He then went on to do his Ear, Nose and Throat residency at McLaren Macomb in Mount Clemens, MI. He is looking forward to hiking and enjoying the New Mexico landscape, culture and of course, Hatch green chile! He received his Bachelor of Science degree from the University of Utah and his Master of Health Science degree from Lock Haven University in Pennsylvania. In his free time, Norman enjoys spending time with his family and playing volleyball, basketball, golfing and hiking. He earned his Bachelor of Science degree in Psychology with a minor in Chemistry at Weber State University. He earned his Bachelor’s Degree in Nursing (BSN ) from Creighton University in Omaha Nebraska.
She attended New Mexico State University and earned her Bachelor of Science degree in Kinesiology, Exercise Science. Within two years, I went from the least severe case of Level 1 COPD to Level 4 COPD with no explanation for my deterioration. Five physicians I have seen remarked that it is incredible that I did not die from the severity of my sleep apnea.
Balloon sinus dilation is to reshapes the anatomy to open sinus pathways so they can drain properly.
The procedure utilizes small balloons placed in key places in the nose and sinus, which are then dilated to expand the sinus pathways. He and his family are looking forward to taking advantage of the world class camping, fishing, hiking and mountain biking in New Mexico. He earned his Bachelor’s of Science degree at Oklahoma State University and attended medical school at Mercer University School of Medicine in Macon, GA. He is excited to become a member of the Las Cruces community and to help serve their ENT needs. He earned a Master’s Degree (MSN) in Family Practice from University of Nebraska Graduate College of Nursing, Omaha Nebraska. She attended the University of New Mexico and earned her Bachelor of Science degree in Emergency Medical Services.
I feel better today than I did yesterday; something that hasn’t happened in the last 4 years. Alexander found not only a bacterial infection, but also a fungal infection, which cannot be treated with antibiotics, only by removing the fungus. During my sleep study, they recorded a period of one minute and forty two seconds I went without breathing! Thankfully, after reading the results of my sleep study, my primary care doctor immediately referred me to Dr.
The procedure uses a small balloon placed in key places in the nose and sinus, which are then dilated to expand the sinus pathways. It may be an effective, lasting option for some patients whose symptoms do not resolve with medication. Gailushas later completed a Fellowship in Facial Plastics and Reconstructive Surgery at Washington University in St.
Gasser then had his own private practices in Oregon and Northern Idaho, followed by 11 years in a large group practice in North Dakota. Erstine then practiced in Arkansas before deciding to follow his dream of living and working in New Mexico. I had previously been dismissed by other Ear, Nose & Throat doctors who told me that I only needed larger nostrils and there was nothing they could help me with. No combination of CPAP devices or corrective orthodontic appliances did anything to help improve my sleep apnea.
It may be an effective, lasting option for patients who have suffered for years with chronic sinus pain and infection. He is a member of the American Academy of Otolaryngology Head and Neck Surgery, and the American Academy of Facial Plastic and Reconstructive Surgery. And the medications prescribed by my previous doctor where making the mold stronger in my body. The issue wasn’t my lunges and I was led to believe, it was the mold built up in my sinuses.



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