4.8 • 620 Ratings
🗓️ 11 June 2025
⏱️ 14 minutes
🔗️ Recording | iTunes | RSS
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A recent MAHA report from the Department of Health and Human Services stated that a trio of common procedures for children—tonsillectomy, adenoidectomy, and tympanostomy tube (ear tube) placement—“cause harm without offering benefits.” In this episode: a look at what these surgeries are, the advantages and risks, and what the report said—and didn’t say—about the value of these procedures when properly indicated.
Guests:
Dr. Emily Boss is the director of pediatric otolaryngology at Johns Hopkins.
Dr. Josh Sharfstein is vice dean for public health practice and community engagement at the Johns Hopkins Bloomberg School of Public Health, a faculty member in health policy, a pediatrician, and former secretary of Maryland’s Health Department.
The MAHA Report: Make Our Children Health Again—The White House
MAHA kids’ health report misinforms about tonsillectomies and ear tubes—STAT (Opinion)
Tympanostomy Tubes or Medical Management for Recurrent Acute Otitis Media—The New England Journal of Medicine
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0:00.0 | Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health, |
0:05.9 | where we bring evidence, experience, and perspective to make sense of today's leading health challenges. |
0:16.3 | If you have questions or ideas for us, please send an email to public health question at jh.h.u.edu. |
0:23.8 | That's public health question at jh.u.org for future podcast episodes. |
0:31.2 | Hey listeners, it's Lindsay Smith-Rogers, producer of public health on call. |
0:35.3 | Today, examining a claim in the Make America Healthy Again report from the Department |
0:39.6 | of Health and Human Services. |
0:41.6 | Specifically, the claim that there are no benefits to children from some common surgeries. |
0:47.3 | We hear from a surgeon, Dr. Emily Boss, the director of pediatric otolaryngology at Johns Hopkins, |
0:53.5 | and Dr. Boss speaks with Dr. Josh |
0:55.4 | Starstein about tonsillectomy, adenoidectomy, and tympanostomy, otherwise known as getting |
1:01.6 | your tonsils and adenoids out and ear tubes. Let's listen. Dr. Emily Boss, thank you so much |
1:08.3 | for joining me today on Public Health on call. We're going to be |
1:12.1 | talking about a couple surgical procedures in children. I can't wait. Thank you for having me. |
1:19.1 | Now, let's be up front. The reason I gave you a call is that there was this report about making |
1:24.7 | America's children healthy again that came out of the Department of Health |
1:27.7 | and Human Services. And I'm reading along the report. And I noticed they took a couple swipes |
1:34.2 | at surgeries that are relatively common in kids. One of them is adenotonsalectomy when kids get |
1:41.0 | their tonsils and their adenoids out. And the other is tympanostomy tubes, |
1:45.5 | which are basically ear tubes, which also is a surgery that some kids get. And in the first case, |
1:51.9 | they said that there was no benefit for getting your adenoids and tonsils out. And they wrote |
1:57.6 | that there are many and often severe harms of this surgery, which they described |
... |
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