Sean B Bailey MD, FACS

04/03/2026

Big Thank you to our OR Team today and Dr Ferguson 🍀🙏🏻

04/02/2026

Ear pain slowing you down? We offer fast and effective care to help you feel better sooner. Give us a call and let’s get you back to feeling like yourself. 👂💙

📞 (314) 970-2770
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04/01/2026

The study of Medicine is all inclusive… which requires Comprehensive Training. Medical students receive foundational training across multiple specialties (internal medicine, surgery, pediatrics, psychiatry) to ensure a baseline competence. Surgeons need to know that Elevated phosphate levels (hyperphosphatemia) in renal disease cause severe skin lesions primarily through calciphylaxis (calcific uremic arteriolopathy) and calcinosis cutis, often manifesting as intensely painful, ischemic, and necrotic ulcers, particularly on the lower extremities and torso. Other manifestations include severe itching (pruritus) and pruritic nodules known as Acquired Perforating Disorder. 

www.ncbi.nlm.nih.gov
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Key Skin Lesions from High Phosphate
* Calciphylaxis (Calcific Uremic Arteriolopathy): A life-threatening condition where calcium and phosphorus precipitate in small blood vessels, leading to tissue ischemia. Symptoms start as painful, reddish-purple skin mottling (livedo reticularis) that progresses to black, necrotic eschars and deep, painful ulcers.
* Calcinosis Cutis: The deposition of calcium salts in the skin and subcutaneous tissues. It appears as firm white papules, plaques, or nodules, commonly over fingertips and periarticular areas.
* Acquired Perforating Disorder (APD):Often triggered by chronic kidney disease and pruritus, this presents as umbilicated, hyperkeratotic papules (craters with central crusts).
* Severe Pruritus (Itching): While not a lesion itself, high phosphate commonly causes intense, widespread itching that can lead to secondary excoriations (scratches). 
*
* www.ncbi.nlm.nih.gov
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Management and Treatment
* Phosphate Binders: Essential medication taken with meals to reduce absorption.
* Dietary Restriction: Limiting high-phosphorus foods.
* Wound Care: Specialized care for necrosis, including sodium thiosulfate therapy.
* Parathyroid Management: Treating associated hyperparathyroidism, sometimes involving parathyroidectomy.

03/31/2026

Did you know your ears can hear something as quiet as a pin dropping from several feet away? 👂 Amazing, right?

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🌐 drseanbaileystlent.com

03/31/2026

03/26/2026

Struggling to hear clearly? 👂 Our team can help with thorough hearing evaluations, hearing aids, and surgical options to improve your hearing. Schedule your check-up today! ✅

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03/24/2026

Expert care with a friendly team makes all the difference! 👂😊 Schedule your visit today and see the results for yourself.

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03/19/2026

Feeling stuffy or dealing with sinus issues? 😷 Come see us for care that actually helps. Your comfort matters! 💙

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🌐 drseanbaileystlent.com

03/17/2026

Struggling to catch parts of conversations or asking people to repeat themselves more often? 👂 It might be time to check in on your hearing.

Clear hearing plays a big role in staying connected with the people around you. Schedule a hearing evaluation today and feel more confident in every conversation. ✨

📞 (314) 970-2770
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03/12/2026

Breathe easier and hear clearer 👂✨ Book your appointment today and take care of your ENT health!

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🌐 drseanbaileystlent.com

03/10/2026

Healthy ears, nose, and throat make a big difference in your day-to-day life 👂👃💙. Take care of them and feel your best!

📞 (314) 970-2770
🌐 drseanbaileystlent.com