When I proved that the bugs and fungi were there, then I was told that
they are benign colonizers!.  Now I do not think creating a ulcer and
building a mat that obstructs breathing and bleeding me and releasing
the fluid as heavy mucus is in any way benign, but the very idea that
I would have to have an epistemological debate with someone who is
supposed to be SWORN to help me sucks.
Then they say something like but you have not proven that the bacteria
in the bioflim in the sinuses are as resistant as to antibiotics as
biofilms in the lab,
somehow ignoreing all the treatment failures by non-biofilm
penetrating antibotics and treatment successes by biofilm breaking
combinations.

There was a study of antihistamine which showed that a preticular
antihistamine that had a rep of making people groggy was not a
sporific in healthy people,
but because a large part of' the groggness exprienced by the CS
sufferer was because of the disturbed sleep of the sinus sufferer
caused by obstructive mucus.
Now Look up the excess mortality attributed to sleep apnea and you see
a pretty high risk associated, however those risk factors
are NEVER reported associated vs sinusitis, even though that is the
context where is occurs. They are cheerfully reporting risk associated
for headache and
apnea but ignore the association with sinusitis.

They have been stonewalling for YEARS.
I am not saying that any of the microbiologists are my friends but I
have been around the situation enough to know that they
are either ignored and or cowed, or they are brash and confident and
seem to suddenly change Universities.
Pre Bush the CDC had a dedicated biofilm lab, now it seems to have
vanished. If we want the Powers that Be to get a clue
we may have to write letters to challange their articals  and put it
on a placard and picket at their convention.

I think that it is up to us to change the system if it is to be
changed.
I think that those who are within the system are assigned to special
committees so that they violate protocal if they speak
individually (a trick known in the trade as cobwebbing) and the whole
thing is so wrapped in politics that the suffering is entirely beside
the point.

I can prove that the biofilms are there in immune competent hosts,
and that their communal life style protects them from antibotics,
and that the present practice guidelines are based upon a set of non-
facts and non-specific tests which make the visit to ENT an expensive
and useless encounter.
Their present mode of practice is the definition of FRAUD, WASTE, AND
ABUSE of the PUBLIC TRUST by shear arrogant entitled complacency.
A Qui Tam law suit under the Federal False Claims Act does not require
that they KNOW that they are defrauding the Government, only that you
can prove that they are, and without any doubt, 7 days a week, prove
the biofilms are there.
What I need is a good lawyer that can cut though the systematic crap
of it-is-irreverent-because-we-say-so and impress on the judges that
what we have here is a whole medical speciality that had decided it
pays to be a walking PLACEBO and inappropriately ignore treatable
infectious editology.

It SO does not have to be this way.
There are simple antibody tests for the quorem sensing chemicals
(lactones) generated by the biofilm. The mucus is full of it.
It would be fast and easy to develop a 7$ dipstick test that would
take 2 minutes to preform,and those who tested positive
could then receive mucolytics, xylitol, sodium nitrite and other film
breakers in addition to the appropriate antibiotics, and one day
PHAGES!!!!!!!!!! The FDA has not even got the start of a plan for
approving phages.