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Medical Forum / Diseases and Disorders / Sinusitis / August 2005

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Worst infection in memory....

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Dreamspinner3 - 20 Aug 2005 04:35 GMT
I have been sick the last week with the worst sinus infection I can
remember.  It spread into one of my ears & I can't remember when I had
an ear infection.  I've been out of work all week!  I'm getting so
depressed from all of this.

I'm on Augmentin 875 twice a day and the infection has been very, very
slow to react to it.  In addition to taking my usual sinus medications
(Allegra D, Signulair, Atrovent Nasal Spray, Nasonex) I'm now taking a
course of prednisone.  I run Hepa filters in all the rooms of my house
except the bathroom, kitchen, & basement.  I have been using my
Neti-pot too.

I have allergies to ragweed (in season here now), molds, and dust
mites.  I've done allergy shots in the past but they got too expensive
when my insurance started requiring a copay for each allergy shot
visit, $15.00 a pop each week.  I assume I'll have to start them again
unless the cost has gone up even more.  I've had surgery twice since
2000.

I'm seeing a new ENT in a couple of weeks and will be getting ANOTHER
CAT scan on Monday.  Any suggestions of what I should talk to him
about, other than the obvious?  New treatment options?  I've heard
some people talk about "aggressive allergy shots therapy" oppose to
normal allergy shot therapy...what is that?

I have parrots but have never tested allergic for feathers or to
feather dander.  I had serious sinus problems for years, well before
getting birds, but I know they could be making things worse.  I hope
it doesn't come down to having to get rid of any of them...and there
is one I couldn't part with unless it was a matter of life and death.
The birds get misted down regularly to keep their dander down.  HEPA
filters are running in both rooms they are in.

I am so tired of dealing with this.

-----
Kim/Dreamspinner3
Visit My Homepage: http://members.tripod.com/dreamspinner3/
kathywb2001@yahoo.com - 20 Aug 2005 12:55 GMT
I feel empathy for you.  I would ask the ENT about doing endoscopic
sinus cultures for both bacteria and molds if you have had sinus
surgery, including sensitivity.  I'm not sure they can do this if you
haven't;  probably so, but a lot more painful.  Also, have you tried
nebulized antibiotics?  

Kathy
Dreamspinner3 - 21 Aug 2005 22:20 GMT
>I feel empathy for you.  I would ask the ENT about doing endoscopic
>sinus cultures for both bacteria and molds if you have had sinus
[quoted text clipped - 3 lines]
>
>Kathy

In all the years I've had sinus problems, no doctor has ever done a
sinus culture on me!  But the new ENT I'm going to see DOES do this &
I'm going to ask him to do so.  

I have had allergy testing in the past and know that I'm allergic to
ragweed, dust mites, and molds.  I've had two sinus surgeries since
2000, the last being only a little over a year ago.

I've never been given nebuized or IV antibiotics.  I'll ask the new
ENT about both.

-----
Kim/Dreamspinner3
Visit My Homepage: http://members.tripod.com/dreamspinner3/
connie - 29 Aug 2005 05:37 GMT
> >I feel empathy for you.  I would ask the ENT about doing endoscopic
> >sinus cultures for both bacteria and molds if you have had sinus
[quoted text clipped - 18 lines]
> Kim/Dreamspinner3
> Visit My Homepage: http://members.tripod.com/dreamspinner3/

Kim:
I have taken allergy shots twice in years past. The last time I had
the lab to mail the serums to me every 6 weeks and was able to inject
them myself. My insurance paid for the syringes. No more complicated
than what diabetics do every day. Just a thought!
Don Brady - 29 Aug 2005 05:47 GMT
> I have taken allergy shots twice in years past. The last time I had
>the lab to mail the serums to me every 6 weeks and was able to inject
>them myself. My insurance paid for the syringes. No more complicated
>than what diabetics do every day. Just a thought!

I was told that one had to be under doctors' observation when being given
allergy shots becasue of the (small) chance of an anaphylactic reaction.

Is that a valid concern?

I have never had one.....
connie - 29 Aug 2005 16:15 GMT
The first series of shots was 3 years...the second lasted 5 years.
After  that many injections and no reactions, they figure you're safe.
After all, the formulations are very weak and increase only by
minisimile amounts. I was treated by one of the largest allergy clinics
in the country. I did sometimes feel they made me feel "tired"
afterwards and that is one of the reasons for doing them at home--you
can plan them around your schedule, not the Drs.
Steven L. - 29 Aug 2005 22:27 GMT
>>I have taken allergy shots twice in years past. The last time I had
>>the lab to mail the serums to me every 6 weeks and was able to inject
[quoted text clipped - 5 lines]
>
> Is that a valid concern?

Yes.  My asthma specialist always makes the patient wait a half hour in
his office after an allergy shot, just in case.  After a half hour, it's
safe for the patient to leave the office.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Dreamspinner3 - 30 Aug 2005 01:07 GMT
>Kim:
> I have taken allergy shots twice in years past. The last time I had
>the lab to mail the serums to me every 6 weeks and was able to inject
>them myself. My insurance paid for the syringes. No more complicated
>than what diabetics do every day. Just a thought!

I've ask about giving shots to myself & my doctors wouldn't do it due
to the possibility of having a serious allergic reaction at home.

-----
Kim/Dreamspinner3
Visit My Homepage: http://members.tripod.com/dreamspinner3/
Susan - 30 Aug 2005 01:26 GMT
> I've ask about giving shots to myself & my doctors wouldn't do it due
> to the possibility of having a serious allergic reaction at home.

The thing to do here is find another immunologist.  My old (and
wonderfully effective) allergist made me come to his office weekly for
12 weeks, then mailed me my serum with instructions (and adrenalin just
in case) for titration.

I went to an allergist so cautious after I moved away that all my
allergies came back as she slowly took over a year and didn't have me
back up to desensitization doses yet.  I went back (driving over an
hour) to the old allergist for keeps.  He retested me, mailed me my
serum, and in 12 weeks, voila!  Allergic symptoms barely noticable again.

For some inexplicable reason, the fact that a few people have died in 40
years during allergic desensitization has caused academic allergists to
behave as if shots are more dangerous than severe allergies; they're not.

Susan
Dreamspinner3 - 30 Aug 2005 04:53 GMT
I see a new ENT on September 8th.  I plan on asking this ENT lots &
lots of questions.

>The thing to do here is find another immunologist.  My old (and
>wonderfully effective) allergist made me come to his office weekly for
>12 weeks, then mailed me my serum with instructions (and adrenalin just
>in case) for titration.
-----
Kim/Dreamspinner3
Visit My Homepage: http://members.tripod.com/dreamspinner3/
Murray Grossan - 30 Aug 2005 06:53 GMT
On 8/29/05 8:53 PM, in article e0m7h1p4h495b9rbaqdc8m6mivqghb36lh@4ax.com,

> I see a new ENT on September 8th.  I plan on asking this ENT lots &
> lots of questions.
[quoted text clipped - 6 lines]
> Kim/Dreamspinner3
> Visit My Homepage: http://members.tripod.com/dreamspinner3/

A great deal depends on what you are getting and at what dose .
If its a mixture and you are trying to establish a treatment regeime you
need to watch for a reaction and give the shots in the office.
If its a simple mix and your on maintenance and no problems with the shots,
taking them yourself might be OK. Lot depends on these and other factors.
We prefer patients give their own maintenance but its not always possible.
Steven L. - 21 Aug 2005 03:17 GMT
> I have been sick the last week with the worst sinus infection I can
> remember.  It spread into one of my ears & I can't remember when I had
> an ear infection.  I've been out of work all week!  I'm getting so
> depressed from all of this.

I'm going to ask you what I asked Kathy a few days ago:  Have you
checked the air quality in your county?

Just enter the Zip Code in the box on this webpage:
http://www.scorecard.org/

Also, my ENT believes that most sinus infections are viral, not
bacterial.  If the onset of your sinus infection was sudden, that
suggests a virus rather than a bacterium.  If so, then all you can do is
tough it out and let the irrigation do its thing.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Dreamspinner3 - 21 Aug 2005 22:18 GMT
>I'm going to ask you what I asked Kathy a few days ago:  Have you
>checked the air quality in your county?
>
>Just enter the Zip Code in the box on this webpage:
>http://www.scorecard.org/

I checked this site & found out my employer is the 10th top polluters
in my county in 2002!  I don't work in the manufacturing plant--but it
is only a few blocks away!  

>Also, my ENT believes that most sinus infections are viral, not
>bacterial.  If the onset of your sinus infection was sudden, that
>suggests a virus rather than a bacterium.  If so, then all you can do is
>tough it out and let the irrigation do its thing.

This infection came on differently & suddenly.  It started with tooth
pain in the upper jaw on the left side of my face...pain to cold
things.  I thought it was the tooth itself the way it just started
hurting so suddenly but then sinus infection signs kicked in--green
mucous, horrid post-nasal drip, congestion, terrible sinus headache
pain, stomach nausea due to PND.  It turns out I had an ear infection
in the left side along with a sinus infection.   

-----
Kim/Dreamspinner3
Visit My Homepage: http://members.tripod.com/dreamspinner3/

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