Dr. Madeleine S. Herman, MD, MPH

02/24/2026

🩸 Nosebleed? Let’s talk about it.
Epistaxis (aka a nosebleed) is common — especially in dry weather, allergy season, or with frequent nose blowing. Most nosebleeds come from the front of the septum and look dramatic… but aren’t dangerous.
👃 What to do:�✔️ Lean FORWARD (not back!)�✔️ Pinch the soft part of your nose�✔️ Hold steady pressure for 10 full minutes�✔️ Avoid checking too soon
🚫 Don’t tilt your head back.�🚫 Don’t stuff tissue high inside the nose.
If you’re having frequent nosebleeds, heavy bleeding, or bleeding that lasts more than 20 minutes, it’s time for an ENT evaluation. Sometimes dryness, septal deviation, or fragile blood vessels are the real cause.

02/23/2026

There’s nothing routine about stepping into the OR — but there is something incredibly meaningful about helping someone breathe better, hear better, live better.
Day in the life of a surgeon.
Let’s go. 💜

02/20/2026

👃✨ ENT Show & Tell: The Nasal Endoscope!
Ever wondered how we actually see what’s going on inside your nose and sinuses?
This tiny camera (called a nasal endoscope) lets me look deep inside the nasal passages right here in the office — no incisions, no guesswork. It helps diagnose:
✔️ Chronic sinusitis
✔️ Nasal polyps
✔️ Deviated septum
✔️ Inflammation
✔️ Causes of congestion & postnasal drip
It’s quick, usually well tolerated, and gives us real answers in real time.
If you’ve been told “everything looks normal” but you still can’t breathe… sometimes you just need the right tools. 👃🔎
.houston

02/19/2026

Medical Mystery Time! Why is this patient feeling so crummy! 😴💤

02/18/2026

Stay Calm! Allergy Season is here but your ENT is here to help!

02/17/2026

Things you shouldn’t ignore 👇
🚩 One-sided nasal congestion that won’t go away
🚩 A hoarse voice lasting more than 2–3 weeks
🚩 Recurrent nosebleeds
🚩 Dizziness that feels like the room is spinning
🚩 Trouble swallowing or persistent throat pain
🚩 Sudden hearing loss
Your body whispers before it screams.
If something feels “off,” don’t wait months hoping it’ll magically resolve. Early evaluation = simpler treatment, better outcomes, and peace of mind.
As an ENT, I’d much rather tell you it’s nothing… than see you too late.

02/11/2026

Dizziness and vertigo are NOT the same thing — and knowing the difference matters. 👀
Dizziness = lightheaded, woozy, faint, “I might pass out.”�Vertigo = spinning, tilting, or feeling like the room is moving (even when you’re standing still).
Vertigo is often inner ear related (think BPPV, vestibular neuritis, Ménière’s), while dizziness can be from dehydration, blood pressure changes, anxiety, heart issues, and more.
If you’re spinning when you roll over in bed… that’s not “just dizzy.”�If you feel like you’re about to black out… that’s not vertigo.
Getting the diagnosis right is the first step to getting better. 💜
Houston friends — if you’re dealing with persistent dizziness or vertigo, don’t ignore it. There’s usually a treatable cause.

02/10/2026

🌀 What is BPPV?
If the room spins when you roll over in bed, look up, or bend down — it might be BPPV (Benign Paroxysmal Positional Vertigo). Tiny calcium crystals in your inner ear get out of place and confuse your balance system 😵‍💫
The good news? It’s very common, very treatable, and often fixed with simple in-office maneuvers (no meds, no surgery).
.houston

02/09/2026

02/06/2026

Show and Tell! This little tool is a nasal speculum.
It gently opens the nostrils so I can examine the front part of the nasal passages—great for spotting swelling, irritation, boogers, or a deviated septum during a routine exam.
Simple, quick, and step one in figuring out why your nose isn’t behaving.
ENT curiosity unlocked 🔓

02/04/2026

Don’t do this…do this!