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Medical Forum / Diseases and Disorders / Sinusitis / May 2007

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slightly odd question about sinusitis

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brian - 18 Apr 2007 12:18 GMT
I'm not quite sure of how to phrase this question, but I'll give it a
try.

Can a person be suffering from sinusitis if they have no particularly
severe, localised symptoms, and no really bad pain, but 'generally
feel awful'?

For years now, my symptoms have been:

1) a slight tightness in the forehead.

2) a 'full' feeling near the ears (though my ears aren't blocked).

3) sometimes, a very slight clicking sound in my ears when I swallow.

4) a *very* slight pain, and feeling of fullness, under the eyes.

5) a compulsion to swallow every few minutes (sometime every few
seconds). When I do this, there's a sensation of thick stuff sliding
into my throat.

6) faint nausea all the time.

7) a 'muddled' feeling in the head.

8) lethargy, and a feeling that 'everything's just too much trouble'.

9) a continual compulsion to clench my teeth.

The point that I'm trying to make is that while I can't say I have any
of the more 'dramatic' symptoms I read about from sinus sufferers
("the pain is so bad..." etc), these 'vague' symptoms I have all add
up to my often feeling that there's nothing in life left to enjoy.

Does any of this ring true to people here?
truehawk - 18 Apr 2007 13:22 GMT
> I'm not quite sure of how to phrase this question, but I'll give it a
> try.
[quoted text clipped - 31 lines]
>
> Does any of this ring true to people here?

Goo          check
Nausea    check
Brain Fog check
Lethergy  check
Julie - 18 Apr 2007 17:36 GMT
That absolutley sounds like sinusitis to me. I'm no expert but all
your symptoms sound exactly like how I feel all the time lately
although I do have days where I have really bad pain too. Have you
seen an ENT and had a CAT scan? I hope you do and can get some
answers. I suffered for years before I had my sinus surgery having no
idea what was wrong with me. It was by OBGYN who saw I was puffy under
my eye and sent me to a ENT who diagnosed a chronic sinus infection
which I did end up needing surgery for. It worked GREAT for 10 years
although now I'm having problems again. In any case, my point is that
my symptoms back then were pretty vague and mild but I was *miserable*
and always felt nauseaus and tired and was SO depressed. Get it
checked out and best of luck.
brian - 19 Apr 2007 11:50 GMT
> That absolutley sounds like sinusitis to me. I'm no expert but all
> your symptoms sound exactly like how I feel all the time lately
[quoted text clipped - 8 lines]
> and always felt nauseaus and tired and was SO depressed. Get it
> checked out and best of luck.

Thanks for your input. I did get an X-ray about 30 years ago, but I've
forgotten what it showed.

As to getting a CAT scan, my problem is that I live in the UK, and in
this country you either have to go with the National Health Service
(paid for out of taxes), in which case you have to wait months, and
you'd probably not be allowed a CAT scan for something as 'trivial' as
sinusitis, or else you have to 'go private', which over here is only
for the rich (I recently read a book written by a cancer sufferer that
mentioned CAT scans as costing about £800/$1500 each).
DMF - 18 Apr 2007 18:03 GMT
brian wrote...
> I'm not quite sure of how to phrase this question, but I'll give it a
> try.
[quoted text clipped - 3 lines]
> feel awful'?
> For years now, my symptoms have been:
<snip of symptoms>

Your symptoms are very similar to mine. Do you recall when this
condition started?  Was it preceeded by any other illness like the
flu, etc. Did you get an acute sinus infection that was "cured" with
a  short course of antibiotics? Did you take any other drugs?  

Regards,
David
brian - 19 Apr 2007 11:43 GMT
> brian wrote...
> > I'm not quite sure of how to phrase this question, but I'll give it a
[quoted text clipped - 14 lines]
> Regards,
> David

Thanks for everyone's help here. As to when it started, well, I've
always had asthma and hayfever, so I do remember having a blocked nose
a lot in Summer from way back in schooldays.

In my early 20's, I started to have toothache in my upper molars and
went to four different dentists who all disagreed (opinions varied
from "I've X-rayed your teeth and they're fine" to "you've got decay
under several of your fillings"). Finally I got several teeth
refilled, but this didn't do much good. It was only after that that a
doctor told me that sinusitis can cause pain in the upper teeth.

The only time I've ever had antibiotics is when I've had a cold that
has been followed by what docs call a 'secondary bacterial
infection' (ie: bacteria taking advantage of the body's weakened state
after the cold). In the past few years, BTW, I've noticed that after a
cold I *nearly always" get such an infection. I can't remember if my
sinuses got better after the antibiotics, though - I certainly can't
remember feeling a whole lot better after taking them.

The only other drug I've been given is Beconase, once several years
ago (spray bottle) and once just recently (aerosol). It doesn't seem
to do much good, but maybe it's me not persevering: if I don't get a
very marked effect from a drug very quickly, I tend to feel "this
obviously isn't going to work" and either consciously give up taking
it or just gradually stop bothering to.
MZB - 19 Apr 2007 21:24 GMT
Brian:

You should give the steroid sprays a week or so to see if they will help

Mel
>> brian wrote...
>> > I'm not quite sure of how to phrase this question, but I'll give it a
[quoted text clipped - 40 lines]
> obviously isn't going to work" and either consciously give up taking
> it or just gradually stop bothering to.
DMF - 19 Apr 2007 23:45 GMT
> Thanks for everyone's help here. As to when it started, well, I've
> always had asthma and hayfever, so I do remember having a
> blocked nose a lot in Summer from way back in schooldays.
<snip>

Sounds like under or untreated sinus infection but you really
need to see a doctor who specializes in sinusitis and an
allergist to deal with your allergies or it will just recur.

Re: socialized medicine in UK. Better come over to the US
to get treated before Hillary Clinton is elected president
because she is liable to socialized healthcare here too and
then we are all screwed.

Regards,
David
truehawk - 20 Apr 2007 04:24 GMT
> brian wrote> Thanks for everyone's help here. As to when it started, well, I've
> > always had asthma and hayfever, so I do remember having a
[quoted text clipped - 13 lines]
> Regards,
> David

I am sure that if we have full single payer, there will always be the
option to go have the work done privately.
Now here in the States we simpally pay the insurance company more than
we pay the doctors.
They in turn ration care, dictating what they will and will not
cover.

And since cureing people is less lucritive than having them on
medication for the rest of our lives
phage therapy and vaccination development languish in this country
while drug breakthroughs paid for with
Federal tax dollars are licensed to private industry to develop.

Which is one reason that the efficacy stastics from studies done in
this country are lousy and why
we have a problem with MRSA and other resistant bacteria, whereas the
former Soviet Republic of Georgia which developed phages
over the last half century does not.

Per capita medical spending in this country is 2 or 3 times what it is
per capita in countries with single payer systems and I was reading
that less than 50% of those that are fully covered by insurance
recieve the treatment up to the "standard of care".
Our system sucks for the uninsured, but it ain't great for the fully
covered either.

I have had HMSA, Blue Cross, Kaiser, and several PPOs, and I have to
say that HMSA was the best by FAR.
DMF - 24 Apr 2007 23:44 GMT
truehawk wrote...
>> Re: socialized medicine in UK. Better come over to the US
>> to get treated before Hillary Clinton is elected president
>> because she is liable to socialized healthcare here too and
>> then we are all screwed.
<snip>

> Our system sucks for the uninsured, but it ain't great for the fully
> covered either.

Our system sucks because of the growing nationalization of health
care industry. It will be worse when the post-office is running it.
You might want to check your premise that even if the US has
a nationalized system, private access (for the rich!) will still exist.
That may be true but the best people will not BECOME doctors
as they opt for other careers. The type of person who is happy to
work under orders from the gov't is not the type of person you
want treating you.  I see from your posts that you are already
clashing with doctors who can't or won't think for themselves
and are happy to stick with "standard" practices even though
its not working or the facts indicate alternative treatments.

Eventually the best will retire, leave for other careers or never become
doctors in the first place. It has to be so... see our only hope...

Capitalism: The Unknown Ideal, by Ayn Rand
http://capmag.com/store/store_detail.asp?ID=3

> I have had HMSA, Blue Cross, Kaiser, and several PPOs, and I
> have to say that HMSA was the best by FAR.

HMSA = ?

Regards,
David
truehawk - 26 Apr 2007 22:01 GMT
> truehawk wrote...
> >> Re: socialized medicine in UK. Better come over to the US
[quoted text clipped - 30 lines]
> Regards,
> David

David:

You have made an assumption that profit motive = cured patients.

Drug companies and doctors make much more from chronicly ill patients
than cured ones.

It seems that a country with socialized medicine would be more
interested in curing the problem rather than prolonging it for
profit.
The ENT I saw at Duke did do a biofilm study, but the work was done in
Holland, not here.
I am not privy to the politics of why, I can only speculate as to why,
but Judy N has commented on the prevelent conflicts of interest.

And doesn't Holland have socialized medicine?
DMF - 01 May 2007 03:31 GMT
truehawk wrote...
> You have made an assumption that profit motive = cured patients.

In the long run, yes (to the degree any particular disease can be
cured) but I won't belabor the point but you really should read
Ayn Rand's book on Capitalism.   The main point is that the best
people will NOT become doctors under a socialized system. Its
a "cost" that the socialists don't ever mention.

> Drug companies and doctors make much more from chronicly ill
> patients than cured ones.

Yes, this is in the same category as the old myth about the oil
companies buying the rights to a super carborator (or other
engine gadget) that would get hundreds of miles to the gallon.

It is true that drug companies do make a lot of money from
chronically ill patients but I am not so cynical to believe that
they *know* a cure but withhold it from the market to make
more money. Moreover, do you think that a doctor could
get away with keeping his patients from learning of better
treatments now that the internet exists?   I know there are
doctors who milk medicaid or perform unnecessary heart
operations and etc, but I think they are in a very small
minority.  There are unscupulous auto mechanics too but its
not the profit motive that creates them. Every social group
has bad apples its not fair to disparage the whole group.

> It seems that a country with socialized medicine would be
> more interested in curing the problem rather than prolonging
> it for profit.

You'd better check that premise.  Its well known in economics
that if profits (and free market pricing) is removed then other
non-economic factors then decide who gets what at what cost.
What this means is the politically connected or bribery determine
who gets treatment while us Hoi Polloi have to grovel and kiss
the a.s of the gatekeepers to get treatment (and poor treatment
at that since all the best people won't work under such terms).
Socialist healthcare systems are notorious for ignoring problems
and denying treatments to lower costs.

Regards,
David
neil0502@yahoo.com - 27 Apr 2007 00:18 GMT
> Re: socialized medicine in UK. Better come over to the US
> to get treated before Hillary Clinton is elected president
> because she is liable to socialized healthcare here too and
> then we are all screwed.

Phew.

I was beginning to enjoy how free this NG was from political crap.
Susan - 27 Apr 2007 01:45 GMT
>>Re: socialized medicine in UK. Better come over to the US
>>to get treated before Hillary Clinton is elected president
[quoted text clipped - 4 lines]
>
> I was beginning to enjoy how free this NG was from political crap.

It still is if you kill file the crap instead of quoting and reposting it!

Susan
neil0502@yahoo.com - 27 Apr 2007 19:43 GMT
....you mean the way you did?

Got it.  Lesson learned.  Thanks ;-)
DMF - 01 May 2007 03:40 GMT
Susan wrote...
>>>Re: socialized medicine in UK. Better come over to the US
>>>to get treated before Hillary Clinton is elected president
[quoted text clipped - 7 lines]
>
> It still is if you kill file the crap instead of quoting and reposting it!

I'm not trying to destroy the newsgroup by dragging endless
political discussions into it. However, anyone here and anyone
who deals with the healthcare system knows the system is
severely disfunctional.  You can stick your head in the sand
and call my post "political crap" if you like but in the years
ahead, if the US healthcare system is nationalized then it WILL
get worse.  A cure for sinusitis is not going to fall out of the
heavens it requires free doctors pursuing their own rational
self interest (including profits).  Read Ayn Rand's book on
Capitalism if you are interested.

Regards,
David
truehawk - 01 May 2007 06:04 GMT
> Susan wrote...
> > neil0...@yahoo.com wrote:
[quoted text clipped - 23 lines]
> Regards,
> David

David, as far as I can see, some of the best people are the
microbiologists that love their work and do it for 50 to 100K a year.
Many of them are women. They do it because they love it, not to get
rich, They ARE the best people.
And then there was Bill Smith, who had 3 microscopes in his back lab
in his office when I was a kid and showed me how to do my first gram
stain. He was a doc before a lot of insurance, and he made house calls
and injected antibotic into my ears once to stop an infection, and
told my mom that I had a 1.2.3 infection.  He trained by the Army or
the Navy one or the other,  during the Korean war.   He was the best.
I have had several GPs who were wonderful doctors, not surgeons and
never going to be rich, but crackerjack diagnostisions, and while in
Washington state my old GP was campigning for Universal health care.
My excellent doctor, Kevin Holcomb actually specializes in emergency
medicine and trama, he'd be a doctor win loose or draw, also you mean
to tell me that all the Canadian and English and Danish doctors that
work for Universial health plans are 2ed rate?
And I have met some wonderful Russian doctors, In fact Russia has no
antibotic resistance problem to speak of, because they developed the
viruses that kill pathogens instead of concentrating on antibotics so
think that your assumption  that the "best people' would not go into
medicine is like saying that the "best people will no longer go into
music if all you have it litergical music ( but what about Bach?), and
the best people do not go into teaching,  and that the best people
will not become clergiman or monks or polieceman or fireman or
engineers.
And are the investment bankers who make millions a year and require
offshore producion as a prerequsit for an offering, are they the "best
people".

The best doctors I know of feel strangled and beggered now between PPO
guidelines on one hand and malpractice insurance requiremments on the
other hand.
AND the most profitable drugs on the PLANET are Pepcid and Zantac,
drugs for chronic stomach inflammation which is probably bacterial in
nature.
And I read Fountainhead and Atlas Shrugged 40 years ago. I as a
teenager I thought that Anne Ryan was a White Russian with an ax to
grind, and a philosophy of recipical altruism to refute, however I
think that in general people were better fed, educated and taken care
of medically under the Communist regiem than under the Zars.  Soviet
science has been both wide ranging and productive, and seems more
inclined to follow the odd lead than our insurance and drug company
lockstep over here.  I know in the feild of rocket engineering, before
the fall of the Soviet Union,  we read the translations of their
articals with interest and much of the work was outstandingly clever.
Their economy made harsh toilet paper and cluncky shoes, and a big
mess of a reactor,  but beautiful iron birds, doctors, music, art, and
dance. Things that people are passionate about they still did well.
Becasue the best people are committed and passionate.
No I think that you might want check you defination list, if by best
people you mean the most money driven, then you are right, but you
would get an arguement from people like Patch Adams about weather
those are the best people.
judy.n - 01 May 2007 12:28 GMT
May I second Elizabeth's arguement about universal healthcare: the un-
insured and under-insured in this country is a national travesty.
 The current trend toward affordable health care is high deductible
plans, that leave the struggling employees on the hook for the first
couple of thousand of health care costs--and our local hospitals are
in terrible financial trouble as these "paycheck to paycheck" insured
employees can't afford their deductible.
 I'm in primary care, and the pay is lousy and hours are long. The
trend in medical schools in the US is to avoid primary care, because
the students can't pay off their loans with our earning potential.
 Yet, a radiologist earns 5 times as much.
 There's a bimodal distribution of income in healthcare with primary
care at the low end--and when you factor in the actual hours worked--
including call--our hourly wages are low, with a second higher income
distribution for specialists/proceduralists. It's based on insurance
reimbursement for procedures over thinking.
 My daughter's fiance is currently in a family medicine residency,
and he's brilliant and trained at top schools. Currently, family
medicine residencies are filled with 67% foreign grads. He wanted to
actually take care of patients, but he's bucking the trend, and
honestly, I keep telling him to switch to a specialty that will allow
him a better lifestyle.
 I believe universal healthcare won't be perfect, but it will take
the obscence profits away from companies like Unithed Health and
hopefully put them back into actual health care.
 I also read Ayn Rand years ago, and discounted her as overly
simplistic.
Judy

> > Susan wrote...
> > > neil0...@yahoo.com wrote:
[quoted text clipped - 78 lines]
> would get an arguement from people like Patch Adams about weather
> those are the best people.
Ghamph - 18 Apr 2007 20:02 GMT
Same symptoms as mine except that I get thick nasty yellowish goo.  Swollen
nasal passages , difficulty breathing through nose.  Never goes away
severity varies.  Slight feverish but no nausea.
Jamffer

> I'm not quite sure of how to phrase this question, but I'll give it a
> try.
[quoted text clipped - 31 lines]
>
> Does any of this ring true to people here?
Kofi - 19 Apr 2007 10:22 GMT
> I'm not quite sure of how to phrase this question, but I'll give it a
> try.
[quoted text clipped - 31 lines]
>
> Does any of this ring true to people here?

Many of these symptoms apply to jaw disorders like TMJ and bruxism
(especially the teeth clenching).  There's a lot of overlap with
sinusitis and they often occur together in clusters.  You might want to
get checked out my a myofascial dentist.  If you have a jaw problem, the
dentist can fit you with a splint to sleep with at night.
 
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