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    Laura Brainard, MD

    1.0 (1 review)
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    7 years ago

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    Michigan Ear Institute

    Michigan Ear Institute

    4.4(5 reviews)
    6.9 mi

    I took my father there and Tiffany is just wonderful.. She's very patient that's for sure???read more

    I wasn't looking to do a review for the Michigan Ear Institute, but was looking up the number for…read moremy wife and saw it was only receiving 4/5 stars? I read one review about Dr. Laroue (now retired from the MEI) and felt like I needed to set some things straight. I have been a patient of the Michigan Ear Institute for over 20 years. As a competitive high school and college swimmer, I suffered from multiple ear infections. My family doctor couldn't solve most of them and as a swimmer I didn't like to stay out of the water for many of them to fully heal. In my late 20's I started to experience significant earring loss. After being referred to the MEI, I was told the three bones holding up my ear drum had fused together and were eroding from the chronic ear infections. I had about a 45% loss in my right ear, as a high school teacher I couldn't hear my students and surgery was my best chance of getting my hearing back. Doctor Laroue was my surgeon and was fantastic throughout the entire process. He explained the process beforehand, answered hard questions and performed the complicated surgery to remove the failing bones and replace them with prosthetic bones. The recovery was hard, but I healed well. The incision was made behind the ear in the fold, it is hardly noticeable today. After bandages and packing was removed, I had my hearing tested again. I got back about 25-30% of my hearing. I was able to resume teaching and coaching without hearing problems. I was still able to swim and scuba dive. When I started to have problems again with my ear, about 15 years later, I reconnected with Doctor Laroue at the MEI. He was able to perform a second surgery on my ear to remove material that was growing behind the ear drum. I wasn't thrilled to have another surgery on my right ear, but Doctor Laroue did an excellent job removing the skin cells from the area and getting the ear back to normal. The recovery wasn't as bad as before, but my days of swimming without ear plugs are now over. I am currently seeing Dr. Zappia at the MEI for ongoing check ups and routine ear cleaning. He has been very patient with me and has also done an excellent job helping me to manage my ears/hearing. I would highly recommend the Michigan Ear Institute to anyone who needs an expert to help them solve a hearing or ear problem. Sincerely, Jeremy

    McBrien M Melissa MD

    McBrien M Melissa MD

    3.0(2 reviews)
    2.3 mi

    At my visit I was quickly taken back to a room where a staff member came in to go over why I was…read morethere. I noticed that the staff member's mask was the type with exhalation valves on it. I had researched different types of masks and their appropriateness for different settings early on in the pandemic, and found universal recommendations that valved masks are never appropriate for Covid protection, especially in a medical setting, let alone one where the patient will have their mask off for the exam. Valved masks only filter the incoming air that the person wearing it is breathing in. Standard facial masks with valves do not filter the outgoing exhaled air and the valves can even function as a mini aerosol generator making them more dangerous to the patient than the provider not wearing any mask at all. The person wearing the valved mask is protected from others, but anyone in their vicinity is not protected from the germs or droplets they are breathing out. Thus not appropriate for Covid prevention in any setting, let alone an ENT's exam room. I immediately spoke up that I was concerned about their mask not being medically appropriate. I received a denial that this information was accurate, an "it's ok I'm boostered", and a "this is the only type of mask that doesn't fog my glasses". I reiterated that this person didn't need to listen to me but should go look it up. She asked if I wanted someone else to take care of me. I said, ok have someone else come in. The next person who came in was Dr. McBrien. I told her she needed to look into the guidance around valved masks. She asked if I wanted to continue with the visit, and went out of her way to, not acknowledge the information about the valved mask, make the excuse that it must be ok because that staff member was the only person in the office who hadn't had covid, (yes, because the valved masks protect the person who is wearing the mask, i.e. the staff member, it's the patients they would be interacting with who's health would be at risk) and pointed out to me that the surgical mask she herself was wearing wasn't really that protective, that the only real protection was a tight fitting n95 (yes, exactly, so why wasn't an ENT who's examining patients without their masks on wearing exactly that?) and she wasn't going to wear anything else at my request (I hadn't made one), and insisted it was all fine because she was boosted, as if Delta and Omicron breakthroughs, the immunocompromised, long covid, babies who still aren't vaccine eligible, and 2500 positive cases a day in Oakland County were not factors at all in what kind of ppe she was choosing. I said I did want to continue and we began talking about why I was there. I use a cpap, but struggle with it because of nasal obstruction, have a deviated septum, wanted to be evaluated for septum and possibly turbinate surgery. I specifically had recommendations to try two prescription nasal sprays, and also to get a CT scan to establish the basic pre-surgical anatomy of my septum and turbinates. She was ok with the nasal sprays but said she didn't do CTs for septum surgery, only for sinus problems, according to her because the septum can be evaluated just fine by the surgeon with a visual exam. I already knew it wasn't universally standard to get a CT for pre-op septoplasty/turbinate reduction, but that not getting an objective quantitative before picture of the turbinates with a scan, and surgeons relying on their subjective visual assessment alone, has a lot to do with some people suffering from over-aggressive turbinate surgery which is something I'm trying to avoid, but never got the chance to even bring up. I asked Dr. McBrien, can you explain why you wouldn't get a CT for my septum and turbinates, because that's anatomical too right? (This is all still about 5 minutes into my appointment, not some long discussion) This is when she told me that it was not going to work, and she would refer me out but did not want to work with me as a patient. I just said, seriously, I came to my appointment with specific questions and information and you're refusing to treat me because of it? She started talking over me that my "information" was from the internet. I explained that the recommendation I had to get the CT was from an ENT (who was not available to treat me in the immediate future). She continued talking over me, "well they're just a doctor, not an ENT" and I again explained that the recommendations I had come in with were from an ENT, "well go see them then" was the reply. By then I realized I was just having my time wasted and got up and left. Again, this was not some long drawn out process, the entire encounter took maybe 10 minutes. For the record, I spoke calmly and respectfully in a normal tone of voice and was talked over and down to in return. All in all, my health was put at risk and my time wasted in service of yet another doctor's fragile ego. Patient beware

    Dr. McBrien took the time to listen to our story and explained possible treatment/causes ideas…read more She even recommended holistic and natural remedies in addition to conventional western treatments, which is rare in the medical profession. Although we had to wait a couple of weeks to get in to see her, it was well worth the wait, and she spent easily a half hour diagnosing and discussing treatment. Highly recommended.

    Nowak Peggyann MD

    Nowak Peggyann MD

    1.0(2 reviews)
    2.3 mi

    I first saw her approx 2 years ago and had a very good experience with her. I was correctly…read morediagnosed and treated. When symptoms reappeared about 6 months ago I went to see her again and was shocked during my appointment. Not only did she not treat me, she barely examined me. Didn't refer to my records to see what I was there for previously so when I told her my previous diagnosis and that I'd already had a test she thought I should have she FINALLY checked them. Imagine her surprise to see she was the diagnosing and ordering physician. Instead of owning up to the mistake and looking further into my records, she said it was probably one of her colleagues who ordered and followed up with the test! Her condescending attitude was prevalent throughout the appointment. Additionally she would've kept the time spent with me to about 5-7 minutes if I hadn't asked questions and insisted upon answers. Even my teenage daughter who was with me commented about her rudeness and negative attitude.

    Dr Nowak used outdated sinus surgery as confirmed by my new doctor, a sinus specialist. First, no…read moreattempt was made to determine my likelihood of having post operative nausea and vomiting. Thus the anesthetic and the pain relief prescribed post surgery were inappropriate. When I contacted Dr about my nausea and vomiting she said I had a stomach virus and to go to a different doctor, but she emphasized that I MUST continue the pain meds. That was not true. The only relief I got was to stop the pain meds, (opiates contribute to the problem) and to go on massive amounts of ginger root and to take Tylenol. Yes the pain was only abated by a modest amount, but I was no longer vomiting, no thanks to the doc. When I was well, I found online that she should have known about the condition and that was confirmed by my new doctor. There is a huge body of knowledge about post operative nausea and vomiting and its treatment. 30% of all patients undergoing general anesthesia will experience nausea and vomiting. The new doc said there are meds Dr Nowak could have prescribed to stop the nausea and vomiting and a change in pain meds was indicated. Second problem was the packing. I now have found out that most sinus surgery patients do not need packing and newer instructions (med school, residency, yearly in-service) teach that to sinus surgeons. If such a thing is needed, there are gels and other products that dissolve in their own. The packing used on me was too large (I took a piece from the trash to take to the next doctor) and Dr Novak had said I should take it out myself. That was not possible. I went to her office and she had difficulty removing the packing, plus it was exceedingly painful. How was I supposed to do that myself? Since it was not necessary to use packing, that compounds the problem with this doctor. Additionally I was chided for coming in and exposing her and the staff to my "stomach flu." Since influenza is respiratory and since she was a major contributor to the post operative nausea and vomiting this adds to her display of poor information. Third problem is that Dr Nowak didn't enlarge spaces for my sinuses to drain properly, which is the underlying cause of my problems. Post op scan (ordered by the new doctor) show I was still not draining and recurrent infections would inevitably lead to new polyps. I have since had a follow up surgery by the new doctor to correct Dr Nowak's work and all went as smoothly as it should have with Dr Nowak, but didn't. New doc fixed the ignored problems, created drainage in the correct places, and handled surgery properly with no packing, no bleeding, no post op nausea and vomiting, no uncontrolled pain. Plus follow up scans show all is well. Finally. A surgeon who doesn't adapt to new proved methods does the patient a huge disservice. Instead of worrying about law suits, a doctor should be concerned with keeping abreast of the field of her specialty.

    Laura Brainard, MD - earnosethroat - Updated May 2026

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