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Medical Forum / Diseases and Disorders / Sinusitis / October 2003

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polyps finally removed

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Roy Tony - 22 Sep 2003 03:44 GMT
(This is a follup on what I've posted here a few weeks ago).

My nose polyps were finally taken out Sept 11th in a 45 minutes surgery.

5 minutes before the surgery, they gave me about 5 pills to swallow.
But I don't remember what they were for. Only that I had to take them
down with very little water.

When I woke up the first sensation was pressure in and around the nose.
My first words was a question to a nurse who was walking by "Am I still
alive?" - the words coming out a bit slurd.

My nose was filled with cotton. And a nurse came to look down my throat
and asked me to stick my thong out. When I did, I choked on some of
cotton that had come down my throat from my nose and ended up swallowing
it (yuk!!). Then suddenly a DR came over and showed the nurse how to
more properly look in a patient's throat, and that patients don't need
to stick their thong out - they just need to press down on the thong to
see.
I had little trouble getting up. I was surprised that there was just a
slight dizzyness. Maybe it was the pills I took before the surgery.
My nose was all bloodied and was under a lot of pressure.

On September 12th back at hospital, it was time to remove everthing they
had stuffed inside my nose. They pulled out the cotton and then what
appeared to be a string of some kind. Pulling out the string thing was
the most painfull experience ever! The DR had to stop every few secounds
because I could endure the pain. It fealt like wire being torn out of my
nose and the pain was incredible!

After it was all out I opened my eyes but couldn't see anything. I
didn't know why. I asked and the nurse who answered me that I was passing
out and to take some deep breath (I had never passed out before so I
didn't know what was happening).
I strongly think they should have used something to lower the pain.
Imagine: Pain so great that it causes you to pass out!

I was driven home and for about an hour on the way home, I twice fealt
myself passing out again and had to take more deep breath to stay awake.

Anyway, for about 4 days after that I've had a very bad migrane headache
that took 'forever' to go away. The bleeding stopped on the 16th. And on
September 18th, the migrane was finally gone. The DR instructions are
that I sleep on my back for two weeks. I haven't smelled anthing yet.

Tony
t2k@vcn.bc.ca
ttony_at@yahoo.com
Ruth Berry - 22 Sep 2003 17:00 GMT
thank you for posting this.  I will be scheduling my sinus surgury soon, and
it's good to know what to expect.

what was the "string thingy" they pulled from your nose?

also, would you please keep us posted as to when your sense of smell
returns?

--
-----
Ruth Berry
Signature Images
http://www.berryimages.com

1 Corinthians 2:5  That your faith
should not stand in the wisdom of men,
but in the power of God.

> (This is a follup on what I've posted here a few weeks ago).
>
>  My nose polyps were finally taken out Sept 11th in a 45 minutes surgery.
Jerome Tan - 23 Sep 2003 05:16 GMT
i'm curious how intrusive is the surgery to remove polyps are..

Regards/
Jerome

> thank you for posting this.  I will be scheduling my sinus surgury soon, and
> it's good to know what to expect.
[quoted text clipped - 17 lines]
> >
> >  My nose polyps were finally taken out Sept 11th in a 45 minutes surgery.
Roy Tony - 24 Sep 2003 03:06 GMT
> thank you for posting this.  I will be scheduling my sinus surgury soon, and
> it's good to know what to expect.

> what was the "string thingy" they pulled from your nose?

DR says it was cotton. Bu it was probably in a string like when it was
pulled out. Also he said I have a very low pain threshold which was why
it fealt like a lot of pain.

> also, would you please keep us posted as to when your sense of smell
> returns?

Only the left nostril has unpluged. The right nostril is still plugged and
DR says there's a polyp in there that has already started growing again!
So either I have the fastest growing polyps, or the surgons misted it
during surgery on Sept 11th!

Today I was giving Nasonex Aqueous Nasal Spray (Mometasone Furoate
Monohydrate) 50ug, which is a Corticosteroid. It's suppose to help reduce
it in size.

I'm relearning to breath through the one nostril again after 2 years.

Tony

>> (This is a follup on what I've posted here a few weeks ago).
>>
>>  My nose polyps were finally taken out Sept 11th in a 45 minutes surgery.

Signature

Tony
t2k@vcn.bc.ca
ttony_at@yahoo.com

\ - 25 Sep 2003 04:02 GMT

> what was the "string thingy" they pulled from your nose?

Packing is not universally used any more. Of the six surgies that I've had
, I think the stringy packing was only used in the first one or two, in the
mid-1980s. Surgeons who have operated on me in more recent years have told
me that it's no longer considered necessary and may interfere with healing.
I suppose there are differences of opinion on this between doctors.

One warning, if you do get packed post-op: Don't remove the gauze yourself.
I did this several days after my first surgery, in 1986. At the time, I was
living by myself. My surgeon became quite agitated when I told him what I
had done, standing at the bathroom mirror. He said that I could have bled
to death if my sinuses had ruptured and medical care was not available to
me. Fortunately, I didn't.
Roy Tony - 24 Sep 2003 03:18 GMT
> (This is a follup on what I've posted here a few weeks ago).
>  My nose polyps were finally taken out Sept 11th in a 45 minutes surgery.
>  5 minutes before the surgery, they gave me about 5 pills to swallow.
>  But I don't remember what they were for. Only that I had to take them
>  down with very little water.

The last thing I recall is the DR holding a small round black thing a few
inches from my nose when I close my eyes. The next thing I knew I fealt
pressure in and around the nose and I opened my eyes and notice I was no
longer in the surgery room. Two hours had gone by and it fealt like only
seconds. In other words, it happened in a flash - I closed my eyes and
then opened them again.
When you go to sleep and wake up several hours later you are aware of some
passage of time. And often you can roughly guess how much time has passed.
But with anestesia, you are completely unconscious and not aware of the
passage of time.  

>  When I woke up the first sensation was pressure in and around the nose.
>  My first words was a question to a nurse who was walking by "Am I still
>  alive?" - the words coming out a bit slurd.

>  My nose was filled with cotton. And a nurse came to look down my throat
>  and asked me to stick my thong out. When I did, I choked on some of
[quoted text clipped - 3 lines]
>  to stick their thong out - they just need to press down on the thong to
>  see.

correct spelling: tongue

[snip]

Signature

Tony
t2k@vcn.bc.ca
ttony_at@yahoo.com

JimC - 02 Oct 2003 01:38 GMT
You shouldn't have had to go through all this. This sounds like polyp
removals I had done in the 70's and 80's, but there are still some ENT
doctors around who won't change.  Polyps now are removed either using a
laser or using FESS, and I haven't heard of anyone using cotton or gauze
packing in quite awhile. My polyps are kept under control by a sinus doctor
using a laser once or twice a year. A simple procedure, just a local
anesthetic spray in the nose, and maybe 30 minutes of laser work. No pain,
little or no blood, no packing.

Jim

> (This is a follup on what I've posted here a few weeks ago).
>
[quoted text clipped - 44 lines]
> t2k@vcn.bc.ca
> ttony_at@yahoo.com
Roy Tony - 03 Oct 2003 00:47 GMT
> You shouldn't have had to go through all this. This sounds like polyp
> removals I had done in the 70's and 80's, but there are still some ENT
> doctors around who won't change.  Polyps now are removed either using a
> laser or using FESS, and I haven't heard of anyone using cotton or gauze
> packing in quite awhile.

Really? Why didn't they tell me this? Could the polyps be so large that
a laser could be used? He did say that the polyps were so large that he
wasn't sure if he could get the local anesthetic in there to work. And
said it would have been very painfull and difficult for him.
I don't know what other reasons would prevent them from using it.

The cotton, gauze and oinment was packed inside after the surgery to
keep the nostrils from bleeding.

I now use the nose spray I posted here eleswhere that keeps a lone polyp
in the right nostrill from growing back. I can now breath through the nose
for the first time in 2 years! It feels odd to take air in and keep the
mouth closed. And I now have to swallow saliva more often.

Still can't smell. But this morning I passed someone cutting the lawn and
suddenly, for about 2 seconds, I smelled fresh cut grass. The strange
thing is that the smell reached my brain after I had already passed the
area. It's almost like there was a delay.

> My polyps are kept under control by a sinus doctor
> using a laser once or twice a year. A simple procedure, just a local
[quoted text clipped - 6 lines]
> >
> >  My nose polyps were finally taken out Sept 11th in a 45 minutes surgery.

[ snipped to save space ]

Tony
t2k@vcn.bc.ca
ttony_at@yahoo.com
 
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