About
As an experienced Ear Nose and Throat (ENT) Doctor (ENT Doctor), Dr. Michelle Bosch offers comprehensive care for disorders of the head and neck, utilizing advanced diagnostic techniques and treatment modalities. Practicing at a clinic in Nanaimo, BC, she serves the local community with a focus on providing high-quality ENT healthcare. Her practice adheres to the standards and ethical guidelines set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring safe and effective patient care. Dr. Bosch specializes in managing a wide range of conditions affecting the ear, nose, throat, and head/neck regions, catering to both adult and pediatric patients.
Dr. Bosch graduated with an MB ChB from the University of Pretoria in 1997 in South Africa. She completed extensive postgraduate training in Otolaryngology - Head and Neck Surgery, earning certification from the Royal College of Physicians and Surgeons of Canada. Her educational background and ongoing professional development enable her to provide evidence-based and comprehensive ENT services.
Her clinical philosophy emphasizes patient education, collaborative decision-making, and delivering personalized, high-quality care. Dr. Bosch is committed to staying current with the latest advancements in ENT medicine to ensure the best outcomes for her patients. She speaks English and Afrikaans, facilitating effective communication with a diverse patient population in Nanaimo.
Dr. Michelle Bosch manages a variety of conditions related to the ear, nose, throat, and head/neck. Some common areas of treatment include:
Common Ear Conditions
- Cerumen Impaction (Earwax Blockage): Excessive buildup of earwax in the ear canal, potentially causing hearing difficulty, discomfort, or dizziness.
- Cholesteatoma (Benign Ear Cyst): An abnormal, noncancerous skin growth that can develop in the middle ear behind the eardrum, potentially damaging ear structures.
- Noise-Induced Hearing Loss: Hearing impairment resulting from exposure to loud sounds, which can be temporary or permanent.
- Tinnitus (Ringing or Buzzing in the Ears): Perception of noise, such as ringing, buzzing, or hissing, in the ears or head when no external sound is present.
Specific Pediatric ENT Conditions
- Congenital Neck Masses (e.g., Branchial Cleft Cysts, Thyroglossal Duct Cysts, Hemangiomas, Lymphatic Malformations): Lumps or growths present at birth or appearing in early childhood in the neck region, requiring careful diagnosis.
- Pediatric Obstructive Sleep Apnea / Snoring: Disrupted breathing patterns during sleep in children, often due to enlarged tonsils/adenoids, impacting sleep quality and health.
This list is not exhaustive and provides examples of common conditions. If you have specific concerns regarding your ear, nose, throat, or head/neck health, please consult with Dr. Michelle Bosch or your primary care physician for a comprehensive evaluation and appropriate referral.
- Fine Needle Aspiration (FNA) Biopsy of Head & Neck Masses: Minimally invasive procedure to obtain cell samples from thyroid nodules, lymph nodes, or other head and neck masses for diagnosis, often under ultrasound guidance.
- Flexible & Rigid Nasal Endoscopy / Sinuscopy: Diagnostic procedure using a thin, flexible or rigid camera with light to examine the nasal passages, sinuses, and nasopharynx.
- Flexible & Rigid Laryngoscopy / Stroboscopy: Examination of the larynx (voice box) and vocal cords using specialized endoscopic techniques to assess voice, airway, and swallowing disorders. Stroboscopy provides slow-motion view of vocal cord vibration.
- Allergy Testing (Skin Prick or Blood Tests - Referral or In-house): Identification of specific allergens (pollens, dust mites, molds, foods) contributing to ENT symptoms, guiding targeted treatment strategies.
- Interpretation of CT & MRI Scans of Head, Neck, Sinuses & Temporal Bones: Expert review of advanced imaging studies to diagnose complex ENT conditions.
Note: This list may provide an overview of common otolaryngology services. Dr. Bosch offers a comprehensive range of diagnostic and treatment options for conditions of the ear, nose, throat, and head/neck. Specific services may vary based on individual patient needs and Dr. Bosch's areas of focus.
All medical and surgical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC). A referral may be required.
Dr. Bosch primarily practices at a modern outpatient clinic located in the Central Nanaimo, Departure Bay neighborhood of Nanaimo. The clinic is conveniently situated near Vancouver Island University (VIU) and is easily accessible via the Regional District of Nanaimo Transit System (BC Transit). The facility is wheelchair accessible. Parking is available at the facility.
- Are services from Dr. Bosch, an Otolaryngologist - Head and Neck Surgeon, covered by Medical Services Plan (MSP) in BC?
- Medically necessary consultations, diagnostic tests, and surgical procedures performed by a licensed Otolaryngologist - Head and Neck Surgeon like Dr. Bosch are generally covered by Medical Services Plan (MSP) in BC when you have a valid referral from your family doctor or another referring physician. Some elective or cosmetic procedures may not be covered. It's always recommended to confirm specific coverage details with Medical Services Plan (MSP) or the clinic if you have questions.
- Do I need a referral from my doctor to see Dr. Bosch, an Otolaryngologist - Head and Neck Surgeon?
- Yes, for services to be covered by your provincial health plan (Medical Services Plan (MSP)), a referral from your family physician or another specialist is typically required to see an Otolaryngologist - Head and Neck Surgeon like Dr. Bosch. This ensures coordinated care. Some clinics may offer non-insured consultations without a referral, but this is not standard for provincially covered services. Please check with the clinic or your referring doctor.
- How can Dr. Bosch help with snoring and sleep apnea?
- Snoring and obstructive sleep apnea (OSA) are often caused by an obstruction or narrowing of the airway in the nose or throat. Dr. Bosch, an ENT specialist, can perform a thorough examination to identify the areas of obstruction (e.g., deviated septum, enlarged tonsils or adenoids, large tongue base, elongated soft palate). Depending on the findings, treatment options may include lifestyle modifications (weight loss, positional therapy), CPAP therapy (often managed by a sleep physician), oral appliances, or surgical procedures aimed at improving airway patency. Examples include septoplasty, tonsillectomy, UPPP, or Inspire therapy in select cases.
- My child gets frequent tonsillitis. What are the treatment options?
- Recurrent tonsillitis can be managed in several ways. For acute bacterial infections, antibiotics are often prescribed. If infections are very frequent (e.g., multiple episodes per year), severe, cause breathing problems or difficulty swallowing, or don't respond well to antibiotics, a tonsillectomy (surgical removal of the tonsils) may be recommended by an ENT specialist. Dr. Bosch can assess your child's specific situation, including the frequency and severity of episodes, and discuss the best course of action.
- I've been experiencing dizziness. How will an ENT specialist evaluate this?
- Evaluation for dizziness is comprehensive as there are many potential causes. Dr. Bosch will take a detailed history of your symptoms (type of dizziness, duration, triggers), review your medical history and medications, and perform a physical examination, including specific tests for balance and inner ear function (like Dix-Hallpike maneuver for BPPV). Depending on the findings, further tests such as a hearing test (audiogram), videonystagmography (VNG) to assess inner ear and central motor functions, or imaging studies (MRI) might be ordered to determine the cause and guide treatment.
103-1125 Dufferin Cres, Harbour City Medical Centre
Nanaimo, BC V9S 2B5
Phone: (250) 753-0898 | Fax: (250) 753-0890
The facility is wheelchair accessible.
Dr. Bosch is a licensed physician and surgeon, regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from your family physician or another specialist is typically required to schedule an appointment for provincially insured services.
Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/357378/Bosch%2CMichelle