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Medical Forum / Diseases and Disorders / Sinusitis / January 2006

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Help. What do I do?

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K S - 03 Jan 2006 22:35 GMT
Hello,

I've had severe head/sinus problems for several years now.  7 years ago
I had a very severe episode that totally reduced my brain power and
gave me head pain for several weeks.  I couldn't do simple 2+2 math
during that time, and the symptoms got worse when I tried to
concentrate on school.   I went to several doctors and after 5 weeks
was sent to a neurologist.  He sent me off for a CT scan, but by the
time the CT scan came by (8 weeks later) the symptoms had lessened
(sinus infection went away).  Obviously the CT scan came up negative
and the neurologist even said I might be making it all up because I
didn't like school.  Since then my mom has not believed any of my
symptoms and I have kept quiet about my struggles for so long.
Neverthless, I continue to get severe infections on average twice a
year, which last on average 1 month.

I entered University this year and I began getting severe head pains
about a few weeks into the first semester. It resembled what happened 7
years ago, but more severe.  My left eye was blurrry often, I couldn't
sleep, couldn't think, and my head felt like it was going to explode.
Also, my ears kept blocking up, which I cleared up with wax remover
each time.  I went to the walk in clinic 3 times in a period of 4
weeks, and each time they acted like nothing was wrong or said it was
probably some sinus congestion.  On my 4th visit, the doctor finally
said "I have no idea" and sent me to an ENT.

Now 5 weeks into the symptoms (which are unbearable at this point), I
see the ENT who used an endoscope and said that my sinuses are very
infected.  I told him that I was struggling in school now (even though
I was acing everything up until things became unbearable), and begged
him for antibiotics because I had exams coming up.  He said he wanted
to see CT scans first.  The earliest CT scan they gave me was for
another 5 weeks later.

During this wait for my CT scan, I even went to the Emergency Room at a
local hospital because on one severe day I fainted twice and had more
than usual blurriness in my eyes.  They checked to see if I had a
stroke or heart problems and told me to continue with the ENT.

Throughout this time I was doing my own remedies and taking a lot of
OTC medicine.  I did not write my final exams because I hadn't studied
anything properly for 2 months (as if my IQ was 25% for 2 months) and
by the time my exams came around my symptoms started clearing up.  I
continued taking OTC medicine and my symtomps dropped to almost nothing
and finally my CT exam date came.  I knew the CT scan wouldn't show
much because it was more than 2 months after the onset of the "severe"
symptoms.  I had given my unviersity updates on my condition throughout
this time, and they were very receptive because I had awesome grades
until I became sick.  Nevertheless they wanted a form filled out by the
ENT describing my symptoms (the form specifically had boxes for the
doctor to checkmark to indicate the symptoms I had, and looking at the
list - memory loss, drowsiness , low concentration, insomnia, pain - I
noticed that I had all of these for over 2 months).

Right now, I just came back from the ENT (now almost 3 months since the
start of my infection) and not only did he forget who I was, he didn't
have any record of my original visit (when he diagnosed me with a
severe sinus infection).  I told him he has CT scans of my sinuses.  He
was confused, went into his office and spent some time digging up the
scans on his computer.  He came back and said "you're sinuses look
fine."  I told him I needed him to fill out this form explaining my
symptoms, and he refused saying that I was fine now.  I began explaning
how this was not my first visit, and that on my first visit I had
severe symptoms and how I even begged him for antiobiotics so I could
get better faster, and he didn't remember.  For some reason he didn't
have a "file" or any record of my last visit handy (maybe the
receptionist didn't take it out). Then he started saying how I should
stop complaining and try to study for a change instead of trying to
defer exams. He was implying that I was making everything up, because
my CT scans showed "good" sinuses.   My mother was in the room with me,
and this ENT was still shouting at me, while I was being nice.  He
finally yelled "get out of my office, I have other patients to see."
All I was trying to do is remind him of the original state and how he
refused to give me antibiotics.  Funny thing is, this time he refused
to admit that he refused to give antiobiotics.

Now I'm stuck.  My university, where many professors respect me are
waiting for medical documentation.  I dont' have any at this moment.
The walk in clinic I visited several times couldn't diagnose me, so the
doctors there don't want to give "specific" symptoms, they only gave me
a medical certificate that said I visitted them x times over the last
few months.  The optometrist found nothing wrong with my eyes.  The ENT
won't sign my form because he thinks I'm just making stuff up because
they can't study and face the exams like normal people.

What can I do?  This is the second time I've taken these problems to
such an extent (7 years ago I did the same), but got no resolution.  By
the time the CT scans and specialists come around, my symptoms go away
(infections don't stay for ever).  How am I supposed to get medical
documentation from?

The courses I had this semester were dead easy for me, I had been
programming in C for several years, and I didn't even write the intro
to C programming final exam. Why? Because the symptoms were that bad.
I couldn't think, I couldn't sleep, I was plain "dumb and confused" for
2 months.  What is this? I get this same EPISODE around two times a
year, I got it in February of last year too.... I am
lost................. I don't know what to do.. any advice?
Steven L. - 04 Jan 2006 00:26 GMT
> Hello,
>
[quoted text clipped - 94 lines]
> year, I got it in February of last year too.... I am
> lost................. I don't know what to do.. any advice?

Your situation comes up over and over and over.  Believe me, you're not
alone.

And I'm going to try to give you some advice based on my hard-won
experience.

You know, I have written this exact same reply to DOZENS of other poor
souls over the last 10 years, all of whom were in the EXACT same boat as
you:  The ENT glances at the CT scan, says nothing is wrong and sends
you back home to suffer some more.  Doesn't bother to check for
allergies, doesn't bother to recommend nasal irrigation with the Grossan
equipment, doesn't do anything.

Lesson One:
To quote Dr. Bernie Siegel:  "You have a right to sixteen doctor's
opinions."

See if my situation sounds familiar to you:
The first *two* ENTs I saw also swore there was nothing wrong with me
based on my CT scan, and just sent me home to suffer some more.  I had
to find a *third* ENT who understood that even CT scans can miss things.
 (CT scans have about a 5% rate of false negatives.  That means that
they miss problems in about 5% of patients.  I was one of the unlucky
5%).  So this third ENT diagnosed me with sinusitis based on my symptoms
and history, and agreed to treat me despite the negative CT scan.  He
was right.

My suggestion to you is to seek out the best ENTs you can find.  The
U.S. News & World Report magazine does an annual survey of the best
hospitals, including the hospitals with the best otolaryngology departments.

http://www.usnews.com/usnews/health/best-hospitals/tophosp.htm

I also suggest you seek out the best specialists in internal medicine
you can find, and make one your primary care physician.  You need a
doctor who can be the coordinator of all your specialists and who will
take an active part in seeing to it that the specialists help you get
better.  Most primary care physicians today don't seem to do anything
but write referrals to specialists.  Incredibly, they don't even seem to
care what the specialists say; once the specialist is treating me, the
primary care physician has washed his hands of the problem.

You need to find a doctor who won't act like that.

Good luck.

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Fred - 04 Jan 2006 00:37 GMT
You definatly have something that is not just "in your head".  I went
through many years of medical mismanagement of my sinus problems.  I
would get "drowsy" in class.  A teacher once threw an eraser at me and
hit me in the head when I was "dozing off".  There was a time where I
allways looked "bug eyed"  and my vision blurred because there was so
much inflammation in the ducts between my eyes and nose and my lower
orbitals were swollen.  I had an eye exam and the doctor gave me
glasses.  It did not solve my problem.  Many times the doctors would
not believe my symptoms.  I was fired from one job because I was
"nodding off" due to drowsiness.  YOu are going to have to do some
serious communicating with your professors and tell them that you are
not getting the proper diagnosis.  Try to keep your sinuses clean with
a salt-baking soda solution.  I use some Afrin spray(sparingly) to open
the clogged nasal passage(s).  Nasal Steroid spray works good to
decrease the inflammation.  If the mucus is green, then use
antibiotics.  My worst time of the year was spring when I would get an
inflammation/infection that would take me 3 to 4 months to get rid of.
Hope this helps
sedum41 - 04 Jan 2006 16:01 GMT
K S, sorry to hear about your sinus problems and frustrations in getting
diagnosed. Are you located in the US? If you give your approximate
location in the US maybe someone could suggest a doctor or hospital to go
to.

Also did they do a full sinus CT when you got diagnosed? I ask this
because sometimes they only do a limited sinus CT or a head CT which
wouldn't be as helpful in diagnosing sinus problems. See if you can get
your CTs on a CD. In many hospitals you can get the actual CT scans with a
viewer program on CD that you can take to another ENT DR. this is most
helpful even if new scans are ordered (for comparison purposes). Also
another doctor may see problems in the CT scans. Call the X-ray dept
directly and ask about this option. This would be more helpful than
getting the radiologist's written report.

Also have you been evaluated for migraines? I've gotten migraines that
were directly triggered by sinus problems and allergies and had some of
the symptoms you've written about such as blurred vision and (of course)
severe head pain.
Steven L. - 04 Jan 2006 17:36 GMT
> K S, sorry to hear about your sinus problems and frustrations in getting
> diagnosed. Are you located in the US? If you give your approximate
> location in the US maybe someone could suggest a doctor or hospital to go
> to.

I've already suggested to him the U.S. News & World Report survey of the
best otolaryngology departments in the country.

It's Sturgeon's law all over again.  He needs to go for the best, not
accept the mediocre.

> Also did they do a full sinus CT when you got diagnosed? I ask this
> because sometimes they only do a limited sinus CT or a head CT which
> wouldn't be as helpful in diagnosing sinus problems. See if you can get
> your CTs on a CD. In many hospitals you can get the actual CT scans with a
> viewer program on CD that you can take to another ENT DR.

My ENT doesn't think the CD version is any substitute for the film
version, given the artifacts, small size, and poor resolution of any
computer monitor screen.  He always insists on getting the film version.
 I think he's right.
Certainly I can tell you that viewing the CD on a laptop is utterly
worthless.

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sedum41 - 04 Jan 2006 18:25 GMT
>I've already suggested to him the U.S. News & >World Report survey of the

>best otolaryngology departments in the country.

Reading his initial story it appeared he may be from the UK or Europe. In
which case the US News report would be of no use to him. The way he
described going to 'University' seemed very European to me.

>My ENT doesn't think the CD version is any >substitute for the film
>version, given the artifacts, small size, and >poor resolution of any
>computer monitor screen.  

Ok I guess the place I went to (that happens to be in the top 10 on your
US News list) is wrong in how they diagnosed me (via the computer
generated scans....)

Sometimes I feel I should not participate in this forum anymore, giving my
opinions and offering things that have worked for me. I started reading
here when I had problems and got a lot of ideas some things that worked,
some that didn't etc. Now fortunately I am relatively healthy now. I just
thought my opinions would be valuable here presenting an optimistic view
point that people can and do get better.
Susan - 04 Jan 2006 18:59 GMT
> Sometimes I feel I should not participate in this forum anymore, giving my
> opinions and offering things that have worked for me. I started reading
> here when I had problems and got a lot of ideas some things that worked,
> some that didn't etc. Now fortunately I am relatively healthy now. I just
> thought my opinions would be valuable here presenting an optimistic view
> point that people can and do get better.

Let me see if I understand you; if folks don't universally endorse
unquestioningly your every suggestion, you should leave?

Doesn't leave much room for discussion or variety of opinion or
experiences, does it?

Susan
Steven L. - 05 Jan 2006 01:21 GMT
>>I've already suggested to him the U.S. News & >World Report survey of the
>
[quoted text clipped - 11 lines]
> US News list) is wrong in how they diagnosed me (via the computer
> generated scans....)

I'm really sorry to hear that.  Even the top hospitals in the country
can still screw up.  And with sinusitis, there isn't a standard
treatment program--hospitals vary all over the place--so there's plenty
of room for disagreements over matters of judgment.

> Sometimes I feel I should not participate in this forum anymore, giving my
> opinions and offering things that have worked for me. I started reading
> here when I had problems and got a lot of ideas some things that worked,
> some that didn't etc. Now fortunately I am relatively healthy now. I just
> thought my opinions would be valuable here presenting an optimistic view
> point that people can and do get better.

Your opinions are welcome here.
We're not always going to agree on what the best course of action is.  I
have had my disagreements with Don Brady, for example, and I expect I'll
have more.
Don't take that as an indication that you shouldn't post here anymore.

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Allen L. - 05 Jan 2006 18:38 GMT
In news:c87b321024b0e52f26f8f5ec33b5d75b@localhost.talkaboutsupport.com,
sedum41 <sedum41@EMAIL protected> typed: <<snipped>>
> Sometimes I feel I should not participate in this forum anymore,
> giving my opinions and offering things that have worked for me. I
[quoted text clipped - 3 lines]
> here presenting an optimistic view point that people can and do get
> better.

Would have to agree with you in a certain sense. There are three individuals
who are very well versed, very vocal, and in unusual harmony with each other
on this usenet forum. No need to offer opinions that will differ to a great
degree with these three, unless you have documented, notarized *proof* of
your statements, or your statements will be torn apart by the 'pack'. You
know of whom I speak, and greatly admire for their knowledge, but do
disagree with their gang like behavior at times. To name them, in my
opinion, they would be Steven D. Litvintchouk, Don Brady, and Susan
(x-no-archive: yes). Doc Grossan will even bow out when these three come at
him.

But, it does make for educational reading from the gang of three, as they
*do* know their stuff, that I will admit.

...Allen
Susan - 05 Jan 2006 19:27 GMT
> In news:c87b321024b0e52f26f8f5ec33b5d75b@localhost.talkaboutsupport.com,
> sedum41 <sedum41@EMAIL protected> typed: <<snipped>>
[quoted text clipped - 20 lines]
> But, it does make for educational reading from the gang of three, as they
> *do* know their stuff, that I will admit.

August company, but I haven't one zillionth the knowledge or research of
sinusitis that those others do.  I'm a newbie, and I haven't devoted the
time or attention to it they have.

Susan
Don Brady - 06 Jan 2006 01:28 GMT
>Would have to agree with you in a certain sense. There are three individuals
>who are very well versed, very vocal, and in unusual harmony with each other
[quoted text clipped - 9 lines]
>But, it does make for educational reading from the gang of three, as they
>*do* know their stuff, that I will admit.

Allen,

Thanks and I hope that you do continue to post your comments.

All I ever want to do is let people know that there are some widely recognized
and accepted approaches to diagnosing and treating sinusitis.    Realistically,
those are the ones that have the excellent prospects for helping people with
sinus problems.  

Anyone is also welcome to post unproven and novel theories and approaches.  

Certainly there can also be occasional instances where conventional medical
science is wrong or lacking.

But I do think that readers should have the benefit of some comments as to
which approaches are known to be widely accepted by medical science, and which
ones are novel.  Then they can make their own judgment.

Don




Allen L. - 06 Jan 2006 02:49 GMT
>> Would have to agree with you in a certain sense. There are three
>> individuals who are very well versed, very vocal, and in unusual
[quoted text clipped - 12 lines]
> In news:76hrr1teqsbcc011rq1mscbcf5io234ul0@4ax.com,
>Don Brady <dbrady@pobox.com> typed:

> Allen,
>
[quoted text clipped - 17 lines]
>
> Don

Thanks for the reply Don. I for one have been a reader and poster to this
group since about 1998, and I have learned more from Steven L., but to be
truthful, I don't remember if you were posting back then, but I believe you
were, so I've learned from you also, more than one can gain by reading book
after book. We had two other Doctors that posted back then, Dr. Tichenor
from N.Y. and someone else that spoke and talked and quoted like a doctor,
but never really said if he 'was' one, but his name or 'nickname' I can't
recall. Steven, back then, had more stored accessable knowledge than those
two Doc's I would venture. He was posting in about 4 forums seeking relief
and answers. Doc Tichenor was more of an allergist than Dr. Grossan, but had
good input.

My point being, my being a chronic sinusitis sufferer, I have gained
invaluable knowledge from the exploits that are related from individual's
posts to this group. We have, in my opinion, had from time to time some
radical ideas posted, and being the desperate 'sufferer's' we are, most are
willing to try anything. That's what the group's knowledge has saved me
from...the grief I would have experienced if I had followed some of the
advice offered here, but quickly shredded by knowable members of this forum.
Trying every option (almost) beside surgery is the one that has stabilized
me to stage of 'moderately painless chronic' instead of 'miserable painful
chronic'. I'm still 'holding' my own by using the Grossan irrigator twice a
day, and a squirt of Nasalcort (last one on the list - tried them all and
all failed, and this one may!) daily and I survive without ever having
surgery. But I, like Steven, still have the post nasal drip and lung
congestion and the caughing up junk...but thanks to him, I can see that
surgery will *not* necessarily cure that PND, so I've spared myself the
misery of surgery.

So, to the group of three, although, you *can* appear to be intimidating,
and believe me you are if one speaks without knowledge here, but I would
hope that people would stick around, such as sedum41, as they will learn
much from you three! Susan, as the groups latecomer, is amazingly ranked
even with you two in her knowledge of this slippery disease, at least by my
observations.

Thanks to all of you for your inputs over the years,

...Allen
Steven L. - 06 Jan 2006 02:33 GMT
> In news:c87b321024b0e52f26f8f5ec33b5d75b@localhost.talkaboutsupport.com,
> sedum41 <sedum41@EMAIL protected> typed: <<snipped>>
[quoted text clipped - 14 lines]
> know of whom I speak, and greatly admire for their knowledge, but do
> disagree with their gang like behavior at times.

Point taken.

I think it's important for everyone on this NG to understand that,
unfortunately, there isn't a standard treatment protocol for chronic
sinusitis.  I've been to several hospitals, and Don Brady has been to
several others, and it's striking how they differ in their approaches.

When I have stated what my ENTs have said, I don't want *anyone* to take
their word (let alone my own word) as some kind of Supreme Authority.
My objection to what Susan said was simply to let her and everyone else
know how once again, one more time, ENTs don't agree.  This time, they
don't agree about the value of online CT scans.

I have a dentist who uses online dental X-rays to treat me and I have an
ENT who eschews them.

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Susan - 06 Jan 2006 03:23 GMT
> Point taken.
>
> I think it's important for everyone on this NG to understand that,
> unfortunately, there isn't a standard treatment protocol for chronic
> sinusitis.  I've been to several hospitals, and Don Brady has been to
> several others, and it's striking how they differ in their approaches.

And I haven't been to any.

> When I have stated what my ENTs have said, I don't want *anyone* to take
> their word (let alone my own word) as some kind of Supreme Authority. My
> objection to what Susan said was simply to let her and everyone else
> know how once again, one more time, ENTs don't agree.  This time, they
> don't agree about the value of online CT scans.

Your objection to what *I* said?  I'm scratching my head; what did I say?

Susan
Steven L. - 06 Jan 2006 15:17 GMT
> x-no-archive: yes
>
[quoted text clipped - 14 lines]
>
> Your objection to what *I* said?  I'm scratching my head; what did I say?

My mistake.  I meant, my objection to something "sedum41" said.

Signature

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Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Susan - 06 Jan 2006 15:25 GMT
> My mistake.  I meant, my objection to something "sedum41" said.

Okey dokes.

Susan
Susan - 06 Jan 2006 15:29 GMT
>> Your objection to what *I* said?  I'm scratching my head; what did I say?
>
> My mistake.  I meant, my objection to something "sedum41" said.

P.S.  I assume it's the gang mentality and tyranny that sedum brought
up?  I haven't seen any evidence of it here, and I sure as heck haven't
been part of any club here.

I find all of your experiences enlightening and helpful as I make
choices for my own care, but ultimately, I take full charge and
responsibility for my health care decisions.  My guiding principal is to
 choose treatments with the least potential for harm that may help.
For this reason, I haven't begun to consider FESS.

I can't, for the life of me, understand why sedum seems to require
endorsement in order to participate.  I've not seen anyone shouted down
here.

Susan
Don Brady - 06 Jan 2006 23:55 GMT
>I find all of your experiences enlightening and helpful as I make
>choices for my own care, but ultimately, I take full charge and
>responsibility for my health care decisions.  My guiding principal is to
>  choose treatments with the least potential for harm that may help.
>For this reason, I haven't begun to consider FESS.

I would certainly not presume to make a judgment on your particular case, but
can say that, in general, surgery done by a carefully-chosen expert may often
have a much lower potential for harm than other courses of action, such as
drugs or living with it.

Having had surgery by a very-carefully-chosen exper, , I regard it as almost
risk free in those circumstances, and it would be a very easy choice for me to
have it again.

Yes there are risks to do with anesthetic etc. but, again, you are going to
have better odds than the statistics might imply if have the right anesthesist
and surgeon.

In fact,, surgery can be all but  risk and cost free in those circumstances
(given insurance reimbursement).

Drugs or living with it may absolutely be a fine choice in some cases, but one
needs to bear in mind the risk of infection progressing to the brain etc. if it
is near those organs, as well as the risk of drug side-effects as well as
possible depression etc.

Now, unfortunately, surgery can pose significant risks when the person has
surgery done by the first ENT they see (who may be relatively inexperienced).
That is the approach taken by many new posters to this group.  Typically, their
first post is along the lines of "I have scheduled surgery for the week after
next, but am worried about it.  Please reassure me,"      It is hard to know at
that point what to say.   These are the peopls that have the highest risk
(though still small) of adverse outcomes, because they have not got second
opinions and do not even have any information on their surgeon's
credentials......
tyshock - 06 Jan 2006 15:54 GMT
I have come to the conclusion that treating chronic sinusitis is a
'black art'.  That's what leads to the frustration level in many.  It
is a life altering problem.  However, in many cases, 4 different people
will give you 4 different treatment regimens.  Sometimes, the one
person out of that 4 who is actually a doctor will give you the least
effective recommendation.

In fact, one of the few 'across-the-board' regimens is irrigation.
However, I found out about irrigation 6 years ago from this usenet
group, not from a doctor.  There is one person who regularly posts that
doing headstands and running peroxide through his nose cured his
chronic sinusitis in a few days.  Or, take a blast of afrin 15 minutes
prior to irrigation.   Others post about various irrigation additives.
I've seen a post about holding a vibrator on your forehead/nose region.
I've even seen a claim that certain sound frequencies will cause your
sinuses to open.  There are articles that ice water irrigating is the
ticket to a cure.  I'm not mocking these methods.  I've tried each and
every one of the mentioned methods to varying degrees of success (and
failure).  Hell, I found out about irrigation from the internet, I
figured one of these methods may be just as effective.

I've also had my good and bad days with doctors.  I'm all to familiar
with the family physician who will just try and throw antibiotics at
you.  On one visit, I mentioned to her that I do sinus irrigations.
She said that was excellent.  Why doesn't she recommend them herself?
The thing is, she is a really good doctor.  It just seems many GP's are
not trained to properly handle sinus issues.   I have an ENT that I
really like and I believe has my best interests at heart.  He seems to
be up on the latest methods of sinus treatment.  Even with him,
however, i've had bad times.  I went in a couple of months post FESS
feeling like crap.  He gives me a post-op CT scan and tells me
everything looks wonderful.  However, my pain and headache said
otherwise.

Frustration
Woody Long - 04 Jan 2006 20:23 GMT
> The courses I had this semester were dead easy for me, I had been
> programming in C for several years, and I didn't even write the intro
[quoted text clipped - 3 lines]
> year, I got it in February of last year too.... I am
> lost................. I don't know what to do.. any advice?

I definitely think feeling dumb & confused is probably a symptom of the
sinusitis.  In fact, so many kids are diagnosied with ADHD these days
(4 Million I believe in US alone), I wonder how many of these kids
simply have undiagnosed sinusitis.

You would not think that it takes a genius to diagnose sinusitis, but
it is amazing how often it is missed.

Woody
Fred - 04 Jan 2006 22:17 GMT
I totally agree with the fact that many kids with ADD can have a sinus
problem.  When I look back at the times I was humiliated or punished
for being drowsy in class.  I tried to study at home at night and would
become drowsy.  I would compensate by getting up every 15 - 20 minutes
and then trying to sit and study again.  I read a book in the mid-80's
called "An Alternate Apporach to Allergies" (author unknown) and it
talked about delayed allergy reactions.  It made sense. I was suffering
from a sinus condition that would get worse when I would sit down and
the adrenaline levels would get lower thus creating a condition where
my sinuses would swell more creating the drowsiness.  I would tend to
eat more candy and drink sugared caffinated beverages causing my body
to become pretty hyperactive to try to overcome the sinusitus
tyler.schacht@gmail.com - 05 Jan 2006 18:09 GMT
KS,

Have you been on any antibiotics for the infections yet?  From your
descriptions, it seems like you were denied antibiotics when requested.
During my experiences, i was given a first level antibiotic, then a
more powerful antibiotic.  After not responding to that, the CT scans
were ordered.  It really sounds like the doctors you have seen are not
approaching this correctly.  When the ENT scoped you and said you were
badly infected, i can't understand why he wouldn't prescribe an
antibiotic.  If he was concerned it was not a bacterial infection he
should have gotten a culture and tested it.
 
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