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Medical Forum / Diseases and Disorders / Sinusitis / October 2004

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questions on allergies and sinus expertise in New York

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Tom Rue - 02 Oct 2004 21:58 GMT
I haven't posted here for a while (see http://tinyurl.com/3od3d for
surgical history.)

At the conclusion of the above thread in August, I had recently undergone
my seventh major sinus surgery since 1988 and was feeling discouraged
about prospects for improvement. My surgeon had just told me that I'd
need a Caldwell-Luc in October to follow up the endoscopic procedure he
had just done. Recently, however, based on ct-scan results he
reconsidered this recommendation and said he thinks the airway that I
have is adequate to treat with irrigation and possibly delivery of
steroids and antibiotics via a pick line. (Has anyone else here heard of
this delivery route to treat sinuses?) Given the refractory nature of my
condition, the withdrawal of his recommendation for surgery #8 was a
relief. However, I also felt that it was time for another view.

I have an appointment set for next week with an ENT whom I have not seen
before in my local area. I live about two hours upstate from Manhattan.
At the same time that I see this new doctor, I'm considering the
possibility of consulting someone who is more of a renowned expert in
dealing with refractory sinus polyps than the local docs I've seen,
although I still feel that I'll need a local ENT for monitoring and
routine care.

Can anyone recommend such a physician in or around New York City who
accepts BC/BS insurance?

I also recently had allergy testing by an allergist who is board
certified both in that field and ENT. The only positive findings were for
cat dander and dust mites. I do not have any history of aspirin
sensitivity, despite having taken it 2x per day in the past for cardiac
prophylaxis, so the allergist ruled out Sempter's triad unless or until
aspirin sensitivity appears.

Second question: Has anyone here ever heard of immunotherapy to treat
allergies to dust mites or cat dander helping to prevent recurrence of
sinus polyps?

Thanks for any help or suggestions.

Tom




Signature

At http://tomrue.hopto.org find
my PGP Public key and e-mail link.

Pamdomania - 02 Oct 2004 22:22 GMT
>I haven't posted here for a while (see http://tinyurl.com/3od3d for
>surgical history.)
>
>At the conclusion of the above thread in August, I had recently undergone

>my seventh major sinus surgery since 1988 and was feeling discouraged
>about prospects for improvement. My surgeon had just told me that I'd
>need a Caldwell-Luc in October to follow up the endoscopic procedure he

>had just done. Recently, however, based on ct-scan results he
>reconsidered this recommendation and said he thinks the airway that I
>have is adequate to treat with irrigation and possibly delivery of
>steroids and antibiotics via a pick line. (Has anyone else here heard of

>this delivery route to treat sinuses?) Given the refractory nature of my

>condition, the withdrawal of his recommendation for surgery #8 was a
>relief. However, I also felt that it was time for another view.
>
>I have an appointment set for next week with an ENT whom I have not seen

>before in my local area. I live about two hours upstate from Manhattan.

>At the same time that I see this new doctor, I'm considering the
>possibility of consulting someone who is more of a renowned expert in
[quoted text clipped - 7 lines]
>I also recently had allergy testing by an allergist who is board
>certified both in that field and ENT. The only positive findings were for

>cat dander and dust mites. I do not have any history of aspirin
>sensitivity, despite having taken it 2x per day in the past for cardiac

>prophylaxis, so the allergist ruled out Sempter's triad unless or until

>aspirin sensitivity appears.
>
[quoted text clipped - 5 lines]
>
>Tom

Hello,
The only way Amphotericin B will work is if you use it for
3 to 6 months - Did You?
I used to get polyp surgeries as many as 4 times a year.
My Doc put me on Nasal Chrome; i moved to Florida, then
for many years had no polyps problem. Nasal Chrome is
excellent for me, so whynot try it for yourself. When i
started with it, you needed a prescription.
Now then: you must use "real" yogurt; and keep your
digestive system perfect. If you donot you shall get
polyps . . . i promise . . . If you have Candida, you
MUST treat your Candida - MUST - If you donot treat your
Candida (or other fungus) you WILL get polyps - promise.
+ + + + + + + + + + + + + + + + + + + +
http://www.biblebelievers.org.au/benjamin.htm
MustRead!  http://WWW.PAMINIFARM.COM
"My people are destroyed for lack of knowledge" Hosea 4:6

 
Tom Rue - 02 Oct 2004 23:05 GMT
> The only way Amphotericin B will work is if you use it for
> 3 to 6 months - Did You?

For about two years.

> I used to get polyp surgeries as many as 4 times a year.
> My Doc put me on Nasal Chrome; i moved to Florida, then
> for many years had no polyps problem. Nasal Chrome is
> excellent for me, so whynot try it for yourself. When i
> started with it, you needed a prescription.

What kind of a climate were you in before you moved to Florida?

> Now then: you must use "real" yogurt; and keep your
> digestive system perfect. If you donot you shall get
> polyps . . . i promise . . . If you have Candida, you
> MUST treat your Candida - MUST - If you donot treat your
> Candida (or other fungus) you WILL get polyps - promise.

I've never been told that I had candida, but I'll bring it up in my next
exam.

As to yogurt, I've always liked the taste, either plain or otherwise, and
have eaten it fairly regularly for most of my life - sometimes more than
other times.

Signature

At http://tomrue.hopto.org find
my PGP Public key and e-mail link.

Steven D. Litvintchouk - 02 Oct 2004 23:57 GMT
>>If you have Candida, you
>>MUST treat your Candida - MUST - If you donot treat your
>>Candida (or other fungus) you WILL get polyps - promise.
>
> I've never been told that I had candida, but I'll bring it up in my next
> exam.

This theory that sinusitis is caused by "systemic candidiasis" is mostly
advanced by "alternative" practitioners.  Mainstream medicine does *NOT*
subscribe to that theory.

"The American Academy of Allergy, Asthma and Immunology has strongly
criticized the concept of 'candidiasis hypersensitivity syndrome' and
the diagnostic and treatment approaches its proponents use. AAAAI's
position statement concludes: (1) the concept of candidiasis
hypersensitivity is speculative and unproven; (2) its basic elements
would apply to almost all sick patients at some time because its
supposed symptoms are essentially universal; (3) overuse of oral
antifungal agents could lead to the development of resistant germs that
could menace others; (4) adverse effects of oral antifungal agents are
rare, but some inevitably will occur; and (5) neither patients nor
doctors can determine effectiveness (as opposed to coincidence) without
controlled trials."

http://www.quackwatch.org/01QuackeryRelatedTopics/candida.html

BTW, reputable "alternative" practitioners (e.g., osteopaths) will tell
you that you have to treat this "candidiasis" with prescription
antifungal drugs like Diflucan--that the condition cannot be cured with
diet alone.  So the idea that yogurt is going to cure anything, isn't
even accepted by "alternative" practitioners.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Woody Long - 03 Oct 2004 18:28 GMT
> >>If you have Candida, you
> >>MUST treat your Candida - MUST - If you donot treat your
[quoted text clipped - 21 lines]
>
> http://www.quackwatch.org/01QuackeryRelatedTopics/candida.html

I would disregard quackwatch - it was put together by a clueless
retired shrink who does not bother to read the literature. I think a
PhD in immunology at Univ Michigan is more credible than a retired
shrink.

Microbes in your gut could be cause of allergies
Posted By: News-Medical in Medical Research News
Published: Tuesday, 1-Jun-2004
  Printer Friendly      Email to a Friend  

Allergies making your life miserable? Tired of popping antihistamines
like candy? Can't go anywhere without your inhaler? The real problem
may not be your stuffed-up head. It could be the microbes in your gut.

At the American Society for Microbiology meeting held here this week,
scientists from the University of Michigan Medical School will present
results of experiments with laboratory mice indicating that
antibiotic-induced changes in microbes in the gastrointestinal tract
can affect how the immune system responds to common allergens in the
lungs.

"We all have a unique microbial fingerprint – a specific mix of
bacteria and fungi living in our stomach and intestines," says Gary B.
Huffnagle, Ph.D., an associate professor of internal medicine and of
microbiology and immunology in the U-M Medical School . "Antibiotics
knock out bacteria in the gut, allowing fungi to take over temporarily
until the bacteria grow back after the antibiotics are stopped. Our
research indicates that altering intestinal microflora this way can
lead to changes in the entire immune system, which may produce
symptoms elsewhere in the body."

If confirmed in human clinical studies, Huffnagle believes his
research findings could help explain why cases of chronic inflammatory
diseases, like asthma and allergies, have been increasing rapidly over
the last 40 years – a time period that corresponds with widespread use
of antibiotics.

To understand the implications of the U-M research, it's important to
know something about the complex relationship between the
gastrointestinal, respiratory and immune system in the human body.

Every time you inhale, air flows past mucus-producing cells and tiny
hairs designed to trap bits of pollen, dust and spores before they
enter the lungs. These trapped particles are swept into the stomach
with saliva and mucus as you swallow.

"Anything you inhale, you also swallow," Huffnagle says. "So the
immune cells in your GI tract are exposed directly to airborne
allergens and particulates. This triggers a response from immune cells
in the GI tract to generate regulatory T cells, which then travel
through the bloodstream searching the body for these antigens. These
regulatory T cells block the development of allergic T cell responses
in the lungs and sinuses."

Most of the time, in ways scientists don't completely understand, the
GI tract immune system modulates or dampens down the allergic T cells'
response to incoming allergens in the lungs, according to Huffnagle.
But when antibiotics reduce the bacterial population in the GI tract,
the number of yeast and other fungal organisms increases.

In previous studies, researchers in Huffnagle's lab discovered that
fungi secrete molecules called oxylipins, which can control the type
and intensity of immune responses. Huffnagle says this suggests the
intriguing possibility that fungal oxylipins in the GI tract prevent
the development of regulatory T cells for swallowed allergens. In the
absence of regulatory T cells from the GI tract, T cells in the lungs
become sensitized to the presence of ordinary mold spores, pollen or
other allergens. The result is a hyperactive immune response, which
can produce allergy symptoms or even asthma.

To test Huffnagle's hypothesis, Mairi C. Noverr, Ph.D., a U-M research
fellow in internal medicine, gave a five-day course of oral
antibiotics to normal lab mice followed by a single oral introduction
of the yeast, Candida albicans, to create a consistent, reproducible
colony of microbes in the stomach and intestines. C. albicans is
normally found in the GI tract, and increased growth of C. albicans in
the gut is a common side-effect of antibiotics.

Two days after stopping the antibiotics – at a time when the gut
bacteria were growing back - Noverr exposed the mice to a common mold
allergen called Aspergillus fumigatus by inoculating spores into the
nasal cavities of all the mice in her study. She then examined the
mice for the presence of an allergic response in the airways and
compared results between the mice that received antibiotics and those
that did not.

"Mice treated with antibiotics and colonized with C. albicans showed
increased pulmonary hypersensitivity to A. fumigatus compared with
mice that didn't receive antibiotics," Noverr says. "The inflammatory
response grew stronger with every exposure to the allergen."

"After antibiotics changed the mix of microbes in the GI tract, the
mice developed an allergic response in the lungs when exposed to
common mold spores," Huffnagle explains. "Mice that didn't receive the
antibiotics were able to fight off the mold spores."

Huffnagle and Noverr will discuss details of the experiment in a
symposia lecture and poster presentation at the ASM meeting. Complete
data from the study has been submitted for publication in a future
issue of Infection and Immunity.

Huffnagle maintains that disruptions in the growth of bacteria and
fungi in the GI tract somehow interfere with the ability of regulatory
T cells to dampen the immune response to respiratory allergens. In
future research, he hopes to determine exactly how gastrointestinal
microbes are involved in the process of immune system modulation.

"We know from laboratory experiments that dietary antioxidants called
polyphenols, which are found in fruits and vegetables, can limit
fungal growth and that a diet high in saturated fats and sugars slows
the recovery of normal gut microflora," Huffnagle adds. "The
Mediterranean diet is rich in sources of polyphenols, so it's
intriguing that Mediterranean-diet countries have lower rates of
allergies, asthma and other inflammatory diseases than Western-diet
countries like the United States , Canada and England .

"If we can determine exactly how microflora in the GI tract affect the
immune system, it may be possible one day to prevent or treat
allergies and inflammatory diseases with diet changes or probiotics –
dietary supplements of ‘healthy' bacteria designed to restore the
normal balance of microbes in the gut," Huffnagle adds. "In the
medical community, probiotic therapy is becoming an area of increasing
interest."

Until then, Huffnagle emphasizes the importance of a healthy low-sugar
diet, with lots of raw fruits and vegetables, after being treated with
antibiotics to help restore the normal mix of microbes in your GI
tract as quickly as possible. "The old saying, ‘an apple a day keeps
the doctor away' may be more true than we thought," he says.

Huffnagle's research has been funded by the National Institutes of
Health and a New Investigator Award from the Burroughs-Wellcome Fund.
Other collaborators in the research include Dennis M. Lindell, a U-M
graduate student in immunology, and Rachel Noggle, a research
assistant in internal medicine.

Notes: This is a basic scientific research study conducted in
laboratory mice. Much additional research will be required before
scientists will know if these results can be applied directly to
people. Your physician is the best source of advice for questions
about antibiotics and treatment of asthma, allergies and other
inflammatory diseases.

http://www.med.umich.edu
Don Brady - 03 Oct 2004 20:04 GMT
>I would disregard quackwatch - it was put together by a clueless
>retired shrink who does not bother to read the literature. I think a
>PhD in immunology at Univ Michigan is more credible than a retired
>shrink.

You might try addressing the AAAAI quote rather than making an ad hominem
attack on somone who cited it.

As for your resarch study, the last paragraph says:

"Notes: This is a basic scientific research study conducted in
>laboratory mice. Much additional research will be required before
>scientists will know if these results can be applied directly to
>people. "
Steven D. Litvintchouk - 04 Oct 2004 00:35 GMT
>>I would disregard quackwatch - it was put together by a clueless
>>retired shrink who does not bother to read the literature. I think a
[quoted text clipped - 11 lines]
>>scientists will know if these results can be applied directly to
>>people. "

There's also a "post hoc, ergo propter hoc" fallacy in this article.

The fact that the incidence of asthma increased during a time in which
the use of antibiotics increased too, could well be a coincidence.  A
lot of other things happened in the last 40 years that might also
correlate with the increased asthma.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

Woody Long - 05 Oct 2004 01:00 GMT
> >>I would disregard quackwatch - it was put together by a clueless
> >>retired shrink who does not bother to read the literature. I think a
[quoted text clipped - 18 lines]
> lot of other things happened in the last 40 years that might also
> correlate with the increased asthma.

The study shows that antibiotics cause grevious bodily harm in mice,
period.  The majority of the time, drug studies in mice translate into
similar results in humans.  Not 100% of the time, but certainly the
majority of the time - that is why researchers do studies with mice,
as it would be unethical to do the same study in humans.  So it may
take a while longer to prove beyond any doubt that antibiotics are
also harmful to humans.  Are you going to feed them to your children
in the meantime?

Once the damage is done there is no cure and the only treatment that
helps is continuous lifelong therapy with antifungal drugs, which may
stop working after a while.

Human nature is reluctant to admit past mistakes, and the quacks who,
with the best intentions, treated our chronic sinusitis with
antibiotics do not want to admit the treatment made us worse.  I do
not expect the situation to change much for the better until the
lawsuits hit.  We are seeing juries come back with $30Mil+ verdicts
against insurers and landlords for exposure to mold in buildings - the
same mold that humans lived with for thousands of years and it never
made humans sick until the latter half of the 20th century.  What do
you expect these juries will come back with when it is determined that
plaintiffs have been made ill by a nasty fungus INSIDE THEIR BODIES
caused by antibiotics manufactured and sold by Big Pharma without any
warning in the package insert, and negligently prescribed by doctors
despite clear and convincing evidence of the potential for harm?
$100Mil?

I am looking forward to this day, as it seems only huge jury awards
will convince the medical profession to acknowledge the reality of
fungal disease in the sinuses and elsewhere, admit their mistakes of
the past, and change their practices accordingly.

Woody
Steven D. Litvintchouk - 05 Oct 2004 03:04 GMT
>>>>I would disregard quackwatch - it was put together by a clueless
>>>>retired shrink who does not bother to read the literature. I think a
[quoted text clipped - 21 lines]
> The study shows that antibiotics cause grevious bodily harm in mice,
> period.  

The article you cited doesn't say anything of the sort.  All the study
showed was an increased allergic response.

> Once the damage is done there is no cure and the only treatment that
> helps is continuous lifelong therapy with antifungal drugs, which may
> stop working after a while.

The article you cited doesn't say anything of the sort.

> Human nature is reluctant to admit past mistakes, and the quacks who,
> with the best intentions, treated our chronic sinusitis with
> antibiotics do not want to admit the treatment made us worse.  

Your use of ad hominem attacks and now labels ("quacks") on mainstream
medicine, pretty much tells me where you're coming from.

C 'ya.

<< PLONK >>

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

ENTconsult - 08 Oct 2004 04:29 GMT
re antibiotics and asthma
actually the incidence in Asthma in West Germany was much higher than in East
German.
In West Germany total medical care, total antibiotics anytime the kid sneezed.
In East Germany poor medicine, few antibiotics , etc.
Yet same population and diet.
After the countries combined, same incidence of asthma in both areas. Now they
have the same access to antibiotics.
the theory is that excess antibiotics chnages the body's reaction to
inflammation. Instead of the standard inflammation, a differnt response
developed - i.e. asthma.

No asthma in Somalia. Theory. Most persons have hookworm or similar and since
the "allergic" system is primarily for worm protection, the system is fully
engaged with nothing left over for the asthma .

Murray Grossan, M.D.
http://www.ent-consult.com
DreamHarp7 - 08 Oct 2004 17:39 GMT
>re antibiotics and asthma
>actually the incidence in Asthma in West Germany was much higher than in East
[quoted text clipped - 16 lines]
>Murray Grossan, M.D.
>http://www.ent-consult.com

All my sinusitis and "allergies" started
after longterm antibiotics..
Woody Long - 09 Oct 2004 01:04 GMT
> re antibiotics and asthma
> actually the incidence in Asthma in West Germany was much higher than in East
[quoted text clipped - 7 lines]
> inflammation. Instead of the standard inflammation, a differnt response
> developed - i.e. asthma.

Exactly. ENTconsult gets it. No single study may prove it beyond a
doubt, but when you look at all the evidence together, the argument
that antibiotics cause allergies is compelling.

> No asthma in Somalia. Theory. Most persons have hookworm or similar and since
> the "allergic" system is primarily for worm protection, the system is fully
> engaged with nothing left over for the asthma.

Well seeing as the GNP per capita of Somalia is under $200, I doubt
there is much antibiotic use.  They simply can't afford even the
cheapest generics, and certainly not the newer more potent antibiotics
commonly used in the US.



> Murray Grossan, M.D.
> http://www.ent-consult.com
Pamdomania - 09 Oct 2004 01:22 GMT
>> re antibiotics and asthma
>> actually the incidence in Asthma in West Germany was much higher than in East
[quoted text clipped - 23 lines]
>> Murray Grossan, M.D.
>> http://www.ent-consult.com

Hello,
Do they die quite young in Somalia, and have high child
and infant mortality rate?
+ + + + + + + + + + + + + + + + + + + +
http://www.biblebelievers.org.au/benjamin.htm
MustRead!  http://WWW.PAMINIFARM.COM
"My people are destroyed for lack of knowledge" Hosea 4:6

 
Pamdomania - 03 Oct 2004 20:52 GMT
>>>If you have Candida, you
>>>MUST treat your Candida - MUST - If you donot treat your
>>>Candida (or other fungus) you WILL get polyps - promise.
>>
>> I've never been told that I had candida, but I'll bring it up in my next

>> exam.
>
>This theory that sinusitis is caused by "systemic candidiasis" is mostly

>advanced by "alternative" practitioners.  Mainstream medicine does *NOT*

>subscribe to that theory.
>
[quoted text clipped - 6 lines]
>supposed symptoms are essentially universal; (3) overuse of oral
>antifungal agents could lead to the development of resistant germs that

>could menace others; (4) adverse effects of oral antifungal agents are
>rare, but some inevitably will occur; and (5) neither patients nor
>doctors can determine effectiveness (as opposed to coincidence) without

>controlled trials."
>
>http://www.quackwatch.org/01QuackeryRelatedTopics/candida.html
>
>BTW, reputable "alternative" practitioners (e.g., osteopaths) will tell

>you that you have to treat this "candidiasis" with prescription
>antifungal drugs like Diflucan--that the condition cannot be cured with

>diet alone.  So the idea that yogurt is going to cure anything, isn't
>even accepted by "alternative" practitioners.

Hello,
You lost it, sweetheart; go to the end of the line.
You said, "antifungal agents could lead to the development of resistant germs".
GERMS???!!!! Now, now, hear this: we are
talking FUNGUS, not GERM. Fungus is fungus and germ is germ,
and never the two shall twain. What you say is true about
antibiotics and "germs" (bacteria), but have no interrelations to bacteria
(germs). You are mixing oranges with apples.

Another thing is that Candida isnot the only fungus
causing trouble in the sinuses, however since Candida
can develop into an over-growth (fungus with roots into
the membrane of the sinus), so frequently as to become
alarming now, it is urgent that every medical entity
start taking a good, long, hard looksee at it. Anyone
trying to hinder this action should be sued, if not
put in jail. Candida is the most common (or popular)
right now, because it is the one being found 96% of
the time, in sinus sufferers.

Get this straight, bubba, sinus complaints arenot a
"disease"; they are a condition (a weakness), which
today is beginning to get scary. As all weaknesses,
certain healthy conditions and actions of a health
nature must be addressed. With sinus we are doing
that right now, and one good one is yogurt, because
it tones the digestive system, this one thing, yogurt,
is only the tip of the iceberg, and here is the rest
of the iceberg:
&#65279;http://www.mall-net.com/mcs/afung.html

Doc's think it is wise to address the fungus instead
of the infection - stick that in your pipe and smoke it,
old-timer . . . and remember this:
Where there is irritation;
There is blockage;
Where there is blockage;
There is swelling;
Where there is swelling;
There is infection.

Considering my Phoma, we can consider our "weakness"
to reacting so violently to everything that is natural
in nature. In other words you donot "get rid of Candida",
you CONTROL it. You cannot "get rid of fungus", as fungus
is amongus 24/7. You can only work on the "weakness"
within oneself. Fungus can get so bad as to be life-
threatening, just as easily as bacteria, and/or they
can become chronic, thus causing you to live a half-life,
which is what we are all about here at news:alt.support.sinusitis

Another thing Candida isnot, "systemic", in our case.
It is as the order of mold spores and has "satellites"

"They" say it is "normal" to have Candida in the body,
Yeah, sure, like it is "normal" for a dog to have fleas,
and is not "abnormal" until it grows roots and becomes a
fungus. Candida is a yeast . . .

How do we get it in our sinuses? I would say in as many
ways as we get everything else in our body. One way is
to get born with it . . . another way is sex; still
another is food; breathing; not washing the hands; and
endless other ways. Candida, as all fungus, starts in
the soil. It is part of Mother Earth's digestion. It
is a parasite. Fungus breaks down earth elements,
such as dead trees, foliage, or anything else that
falls dead on the soil. The soil is Mother Earth's
digestive system. When fungus gets into our sinuses
it still tries to do the job God intended for it to do.

Another thingy you obviously donot know is there are
two ways of suffering from fungus in the sinuses:
when it is rooted (actually digesting us) and when we are
allergic to it, of course if we have both conditions:
. . . well . . . fun and games . . .
+ + + + + + + + + + + + + + + + + + + +
http://www.biblebelievers.org.au/benjamin.htm
MustRead!  http://WWW.PAMINIFARM.COM
"My people are destroyed for lack of knowledge" Hosea 4:6

 
Woody Long - 05 Oct 2004 04:25 GMT
(5) neither patients nor
> doctors can determine effectiveness (as opposed to coincidence) without
> controlled trials."

Now this is interesting

http://fampract.oupjournals.org/cgi/content/full/18/3/258

Nystatin (a topical antifungal drug that only treats fungal infection
of the mucous membranes) was compared to a placebo in patients
suffering with:

"chronic fatigue, poor concentration, impaired memory, respiratory
tract symptoms, gastrointestinal distress, pains in muscles and
joints, skin problems, recurrent infections, urogenital problems, etc"

Most if not all these symptoms are associated with sinusitis.

"Nystatin was significantly better than placebo in reduction of the
overall symptom score (P < 0.003)"

What this means is that nystatin really does help the above symptoms,
and the possibility that the results of this study are due to chance
is less than 0.3%.  In other words you can be 99.7% confident that the
results of this study are genuine and not due to chance.  Now maybe
Barrett considers 99.7% certainty to be "speculative and unproven",
but a reasonable person would not.

Anyone who has taken nystatin knows its not a panacea.  Although it
helps, you never regain the quality of life you had before you were
prescribed antibiotics.  And if you stop the nystatin, the symptoms it
helped come back in full force.

There is NOTHING that completely reverses the damage caused by
antibiotics.  Not drugs, not yogurt, not dietary changes.  Nothing.

> http://www.quackwatch.org/01QuackeryRelatedTopics/candida.html
>
[quoted text clipped - 3 lines]
> diet alone.  So the idea that yogurt is going to cure anything, isn't
> even accepted by "alternative" practitioners.
Pamdomania - 03 Oct 2004 18:35 GMT
>> The only way Amphotericin B will work is if you use it for
>> 3 to 6 months - Did You?
[quoted text clipped - 16 lines]
>
>I've never been told that I had candida, but I'll bring it up in my next

>exam.
>
>As to yogurt, I've always liked the taste, either plain or otherwise, and

>have eaten it fairly regularly for most of my life - sometimes more than

>other times.

Hello,
I was from Pennsylvania.

What kind of yogurt are you using? What does the label say?

I am afraid you willhave no luck with your Doc on the
fungus issue. I am actually beginning to believe there
is a conspiracy going on about this "fungus in the sinuses".
Or you may have a willing Doc only to be bottle-necked at
the lab. Getting a proper culture is next to impossible to
begin with . . . wanna hear my personal story on that? )-:
PS: i didnot know "they" were using Amphotericin B for
nasal fungus 2 years ago - how did you apply it, and
where did you get it?

+ + + + + + + + + + + + + + + + + + + +
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MustRead!  http://WWW.PAMINIFARM.COM
"My people are destroyed for lack of knowledge" Hosea 4:6

 
Tom Rue - 07 Oct 2004 00:54 GMT
* * *

> What kind of yogurt are you using? What does the label say?

I think you misread my post, or confused someone else's with mine. I simply
said that I like yogurt.


* * *

> PS: i didnot know "they" were using Amphotericin B for
> nasal fungus 2 years ago - how did you apply it, and
> where did you get it?

It was prescribed by my ENT starting on 11-08-2000 (I still have a copy of
the instructions), who spoke to the pharmacist and told him how to mix the
compound with amphotoericin which the pharmacy obtained from a local
hospital. I had to ask around a bit to find a pharmacist willing to mix the
compound. Most pharmacists don't practice chemistry at all; they prefer to
just sell packaged goods. I believe my doctor said he knew some researchers
at the Mayo Institute who published on the subject.

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Steven D. Litvintchouk - 02 Oct 2004 23:51 GMT
> Can anyone recommend such a physician in or around New York City who
> accepts BC/BS insurance?

As long as you're able to get to NYC, you might want to make an
appointment to see Dr. Wellington Tichenor.  He's an allergist who seems
to know more about sinus disease than most others.  He got interested in
the issue of chronic sinusitis when first he, and then his wife,
developed the condition.  Point your browser to

http://www.sinuses.com/

I don't know whether he accepts BC/BS, but you can always telephone him
and ask.

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Tom Rue - 03 Oct 2004 00:34 GMT
> As long as you're able to get to NYC, you might want to make an
> appointment to see Dr. Wellington Tichenor.  

***

> Point your browser to
>
> http://www.sinuses.com/

Thanks Steven. I'll keep him in mind. I've got my appointment with a local
ENT next week and will probably hold off making any contacts in the city
until I've had a chance to meet with and discuss it with her.

It's interesting that you recommend an allergist rather than an ENT
surgeon; or does he also do surgery?

Tom

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Steven D. Litvintchouk - 03 Oct 2004 00:57 GMT
>>As long as you're able to get to NYC, you might want to make an
>>appointment to see Dr. Wellington Tichenor.  
[quoted text clipped - 11 lines]
> It's interesting that you recommend an allergist rather than an ENT
> surgeon; or does he also do surgery?

I only recommended Dr. Tichenor because I don't know any ENT surgeons in
NYC.

Dr. Tichenor is a big believer in the Mayo Clinic theory of allergic
fungal sinusitis.  Certainly if you've had seven surgeries, then it's
long overdue to find out (if at all possible) just what is causing your
never-ending sinus problems.  Dr. Tichenor may be able to do that kind
of detective work for you.

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blades - 03 Oct 2004 02:27 GMT
<snip>

> My surgeon had just told me that I'd
> need a Caldwell-Luc in October to follow up the endoscopic procedure he
> had just done.

<snip>

Isn't Caldwell-Luc considered obsolete as a method of treating sinus
disease?
--
Bruce
Tom Rue - 03 Oct 2004 03:11 GMT
blades <blades49456@sbcglobal.net> wrote in news:eAI7d.13470$Qv5.6603
@newssvr33.news.prodigy.com:

> Isn't Caldwell-Luc considered obsolete as a method of treating sinus
> disease?
> --
> Bruce

Perhaps. His preferred method is endoscopic, but he said in August that
there were parts of the maxillary area that he couldn't reach with the
instruments that he had. After viewing post-surgery CT-scans, he
reconsidered.

I had a couple of Caldwell-Lucs done on me in the late 80s and early 90s.
Since then, all my surgeries have been endoscopic.

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Don Brady - 03 Oct 2004 04:35 GMT
>blades <blades49456@sbcglobal.net> wrote in news:eAI7d.13470$Qv5.6603
>@newssvr33.news.prodigy.com:
[quoted text clipped - 11 lines]
>I had a couple of Caldwell-Lucs done on me in the late 80s and early 90s.
>Since then, all my surgeries have been endoscopic.

With that many surgeries you need second opinions.

Mount Sinai in NY is ranked high in ENT at
http://www.usnews.com/usnews/health/hosptl/rankings/specihqotol.htm .

You can get a lost of their surgeons and investigate who is most suitable.

That would eb my suggestion.
Steven D. Litvintchouk - 03 Oct 2004 04:05 GMT
> <snip>
>
[quoted text clipped - 5 lines]
> Isn't Caldwell-Luc considered obsolete as a method of treating sinus
> disease?

For most cases, endoscopic sinus surgery has replaced Caldwell-Luc.  But
there are a few relatively rare situations in which Caldwell-Luc may
still be useful:

1.  The sinus disease is located in an area that isn't easy to reach via
endoscope, without excessive risk to the brain and optic nerve.  (This
nearly happened to me with my last revision surgery--fortunately, in the
end, he got it all done endoscopically.)

2.  The endoscopic surgery did the usual maxillary antrostomy, but sinus
drainage is still poor--so Caldwell Luc can easily create a secondary
(naso-antral) window into the sinus cavity to assist drainage.

3.  The patient has sinus cancer, in which case it's critical that all
the malignant tissue be removed.  Caldwell-Luc gives you another way
into the sinus cavities, to remove all that cancer.

In these kinds of situations, Caldwell-Luc then becomes a treatment of
last resort.

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ENTconsult - 03 Oct 2004 20:49 GMT
Dr Jordan Josephson, ENT, has written a section in my new book no  nasal polyps
and his web site is listed at www.ent-consult.com. He is in Manhattan. Dr
Wellington Tichenor's site is also listed. He is an allergist specializing in
sinus disease. He is also in Manhattan.
Murray Grossan, M.D.
http://www.ent-consult.com
Tom Rue - 07 Oct 2004 01:11 GMT
> Dr Jordan Josephson, ENT, has written a section in my new book no
> nasal polyps and his web site is listed at www.ent-consult.com. He is
> in Manhattan. Dr Wellington Tichenor's site is also listed. He is an
> allergist specializing in sinus disease. He is also in Manhattan.
> Murray Grossan, M.D.
> http://www.ent-consult.com

I met with Dr. Josephson once in the early 1990s, at the recommendation
of my ENT at that time. I agree that he has a world class reputation.
However, I chose not to see him again when he insisted on full payment by
me up front (several thousands dollars; I forget the exact amount). He
would not accept any insurance, as I recall; he said it was up to me to
try and get reimbursed. I had "good" insurance at the time, and still do
-- at least by U.S. standards.  

I was not interested in mortgaging my house. I'm still not, but I thank
you for the suggestion.

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