Otitis media with effusion does not necessarily follow acute otitis media. Theories to explain the development of middle ear effusion in this case include the secretion of fluid from inflamed middle ear mucosa.
About Vaccine Information Statements. Vaccine Information Statements (VISs) are information sheets produced by the Centers for Disease Control and Prevention (CDC). VISs explain both the benefits and risks of a vaccine to adult vaccine recipients and the parents or legal representatives of. vaccinees who are children and adolescents.
Dr. Michael Adelman began his appointment as the VISN 4 director on January 10, 2016. Dr. Adelman joined VA as a primary care internist in October 1998 and has held progressive leadership positions throughout VISN 4. Most recently, he served as the director at the Wilkes-Barre VA Medical Center.