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    Yen David M MD

    1.0 (1 review)

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    2 years ago

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    Specialty Physician Associates

    Specialty Physician Associates

    3.0(2 reviews)
    4.7 mi

    My non-verbal, developmentally delayed son underwent a routine myringotomy (ear tube placement), a…read morelow-risk procedure typically requiring minimal anesthesia. The anesthesiologist administered fentanyl nasal spray, a highly potent opioid, without informing my spouse or me beforehand. We were only vaguely told that a "nasal spray" would be used, with "dosage hard to gauge," providing no opportunity to inquire about the specific drug or its risks. Post-operative nurses disclosed the use of fentanyl after the procedure, at which point we expressed significant distress over the lack of informed consent. The nurses remarked, they "always get that look," indicating they frequently observe parental shock upon learning fentanyl was used. This suggests a systemic failure to ensure informed consent. Post-procedure, my son showed severe, uncharacteristic behaviors: hallucinations, screaming, crying, and aggression for two hours, consistent with fentanyl side effects, especially in disabled children sensitive to opioids. He stabilized after a few hours. Per medical advice, we sent him to school on April 11, 2025, but he was sent home within 2 hours with vomiting, diarrhea, fever, and lethargy. He refused food for four days, with vomiting for two days and diarrhea for six. Seven days later, he barely eats. At 40 pounds, this weight loss is alarming. Fentanyl nasal spray is rarely used in pediatrics due to its potency, risk of respiratory depression, and potential for severe side effects, especially in non-verbal, disabled children who cannot communicate distress. For a routine ear tube procedure, safer alternatives such as local anesthetics, mild sedatives or non-opioid analgesics are standard and sufficient. The decision to use fentanyl in this context appears unjustified and deviates from typical pediatric anesthesia protocols. The failure to disclose the use of fentanyl nasal spray prior to administration violates informed consent principles, as outlined in FDA regulations and medical ethics standards. Parents must be fully informed of the risks, benefits, and alternatives for any medication, particularly a high-risk opioid like fentanyl. I have made formal complaints to regulatory bodies regarding the anesthetist's use of fentanyl without clearly informing us and I will not take my child here again for another procedure. Otherwise, our surgeon Dr. Prager was kind pre and post op and responsive to my concerns - but dismissive of his symptoms as a "stomach bug". We are well aware of our child's typical physical responses to "stomach bugs" and this situation looked nothing like what we have witnessed. He was either allergic to the fentanyl or the dosage was too high. Regardless, my child is not up for experimentation and I would warn all parents to steer clear or ask direct and specific questions when choosing this facility for your child.

    Dr. Prager is amazing with a wonderful bed side manner. His assistant Karen is also incredible. My…read moreentire family come here for various reasons. We have all been helped and feel great!

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    Allen Ear Nose & Throat

    Allen Ear Nose & Throat

    1.0(1 review)
    8.6 mi

    Dr. Dedeo is wonderful ENT but his staff is horrible. They refused to schedule an appointment for…read moremy sick child over a $7 balance. I am sure the doctor is unaware of this behavior but they have done this in the past. The fact that they would obstruct the doctor from seeing a sick patient for a $7 balance is disgusting. I am searching for another ENT in the Lehigh Valley and would not recommend patients bother with this staff. Especially if they have children.

    From the owner: Welcome to Allen Ent is dedicated to providing comprehensive care for children and adults with…read moreproblems of the ear, nose, throat, head and neck. Serving the greater eastern Pennsylvania area from our location in Allentown, we are the region?s largest and most established ENT practice. We are dedicated to utilizing the most advanced and current technological advancements to attempt to obtain the best possible healing and recovery for our patients. Allen Ear, Nose & Throat, All rights reserved. Website by Feeser Computer Services, Inc. Professional Staff Your Visit Map & Directions Hearing Center Allergy Center Surgery Center After Hours Innovations Allergy Center Allen ENT's Allergy Services offers comprehensive evaluation and treatment of allergic disorders affecting the ears, nose, and throat. Ear, Nose & Throat Doctors Otolaryngoloists play a leading role nationally in the management of patients with allergy mediated respiratory, head, neck, and related problems. One of the reason

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    Yen David M MD - earnosethroat - Updated May 2026

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