Medical Forum / Diseases and Disorders / Sinusitis / November 2004
"interesting" consult with ENT
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Randi - 04 Nov 2004 20:02 GMT The ENT who did my sinus surgery 3 years ago retired, so I saw someone in his practice. For 3 months I've had constant earaches and headaches and double-dose on decongestants and antihistamines. My allergist told me to stop using the waterpik for irrigation cause too much water was staying in my head. He suggested the bulb syringe and okay'd my use of alkalol. He gave me a script for duraphen-II, which I take twice daily. Several of my friends are RNs and, after telling them that I lost hearing in my right (affected) ear for a day, they insisted I see an ENT. Well............ this doc, an associates of my retired doc, looked in my ear with a scope and told me my eardrum was peeling and there was a tiny speck of green, like I *had* an infection. He said the peeling could last 6 months. He also blew a lot of air in there (like my allergy doc did ... and said eardrum wasn't moving). This doc said he didn't like alkalol (too drying), didn't believe in irrigation, and didn't like the use of decongestants. When I asked what to do, his response was "live with it." I said it wasn't possible to live with it because earaches were waking me up at night and affecting my ability to exercise and have a normal life. Again he said, "live with it." Again I said that wasn't possible because I was taking 8 ibuprofen a day plus bunches of other meds. He said, "Sorry, can't help you," and walked out of the office. Anyone ever hear of a doctor having this reaction to a complaint of earaches caused by improper fluid drainage?? Live with it??????
In Texas
Flash - 04 Nov 2004 21:54 GMT I haven't. But, you definitely need to forget about that doctor and go find a new one.
Pamdomania - 04 Nov 2004 23:54 GMT >The ENT who did my sinus surgery 3 years ago retired, so I saw someone in >his practice. [quoted text clipped - 23 lines] > >In Texas Hello, How come you donot take aspirin? It reduces swelling. That sounds as a good ENT with a bad bedside manner, so stick with him for a little while longer. When Doc. said he didnot like the decongestants, he probably meant the drying ones (the ones that dry mucous), that can actually kill an asthmatic. The "decongestant" he has prescribed for you is basically Quaifenesin, Which thins out the mucous. Robitussin (green label) has pure Quaifenesin (and nothing else) in it. Quaifenesin is an EXPECTORANT, but i guess some people call it a "decongestant". Face facts: He has given you a prescription and you should use it, without complaining, until it is finished. Then let us know how it has done for you (good or bad). After the prescription is finished, decide for yourself what it has done for you; then if it has helped a little, tell your druggist to call the Doc and have a refill on it. If after the refill you have improved even more than the first prescription, go back to Doc and ask him what you should do, if you arenot completely cured. Remember you are also using alkalol which your Doc said is "drying". Alkalol sounds really good, however the alum in it, if used too much, can cause trouble, so listen to your Doc. and donot use the Alkalol anymore. Call your Doc. back right now, and ask him about Nasalcrom for opening your membranes, and let us know what he says about the Nasalcrom. Tell your Doc. you need to keep your nose open so you can breath, so would the Nasalcrom be ok, because you want to do what he wants you to do: stop the Alkalol. (I use the Nasalcrom a little). For "irrigation" just SPRAY with sea salt in water etc. but see below: Guiaifenex (guaifenesin)= same thing. http://www.healthdigest.org/Duraphen-II-(Oral)_3190_PRO.php or http://www.google.com/search?hl=en&q=duraphen-II
"Nasal irrigation can alter the environment of the nasal cavities and sinuses, making them more conducive to the growth of certain water-loving bacteria such as Pseudomonas. Also, irrigation should not be performed if you are suffering from acute sinusitis (an acute bacterial infection of the sinuses), since it could facilitate spread of the infection to the other sinuses, the eyes or throat. For these reasons, you should NOT irrigate your nose unless instructed to do so by your doctor." Continued Here---> http://www.doctorhoffman.com/ydouche.htm I use a weak, spray solution of Lysterine once in a while, if it looks as if my mucous is getting yellow or thick. It does nothing much for fungus, only infection from: Remember the "Saying": Where there is irritation; There is blockage; Where there is blockage; There is swelling; Where there is swelling; There is infection. Here is some good knowledge you will need: Killing the Fungus: http://www.mall-net.com/mcs/afung.html Stuffy Nose: http://www.drmirkin.com/morehealth/G220.htm This one is brand new- Copper: http://www.drlwilson.com/Articles/candida.htm The little OCEAN nasal-spray bottles are what i use; i would be lost without them. You can use the solution in them first, or you can dump it out (i use it). They are easy to sterilize, so be sure to sterilize them once in a while . . . I like to do "snorting" with them when i am too lazy to do the hang-the-head-over-the-bed thingy, plus i donot think i need to do it right now, because my mucous looks clear. Drop Vit. E oil into your ears for healing, and/or a mix of one half alcohol with the other half being peroxide for ear fungus/infection. Always start out the new remedy slowly (testingly). In a healthy, fungus ear: Do the alcohol/peroxide first for about a week or less, then the Vit. E once and done, not frequently. Your ear is in fragile condition so be careful!!! If you have holes in your eardrum, you will think your head blew off; worse the infection could be washed into the middle ear. You may, of course, ask Doc. about this, however he will think you are up-staging him, and just make him madder than he already is at you. He will like you when you learn how to grovel and act like a complete, uneducated idiot when you are standing in his - uh - glow. BTW he ran from the room because he thought you might hit him . . . I will tell you about Gentian Violet next Chapter :) + + + + + + + + + + + + + + + + + + + + http://www.biblebelievers.org.au/benjamin.htm MustRead! http://WWW.PAMINIFARM.COM "My people are destroyed for lack of knowledge" Hosea 4:6
ENTconsult - 05 Nov 2004 06:28 GMT I wonder if it is possible that you have an outer ear infection? This can be quite painful. Ask your doctor about using baby oil to restore natural oil to the skin of the ear canal. Also, be sure to rule out TMJ. Murray Grossan, M.D. http://www.ent-consult.com
Randi - 05 Nov 2004 16:50 GMT I have another appt. with another ENT recommended by the nurse in my allergist's office. Appt. is Monday, and I will ask. TMJ already ruled out by dentist. No teeth grinding at all. Also........ this doc, when he asked me to open my mouth, didn't even wait for me to fully open before he said "okay." Done. My old ENT would tell me to brace myself and try not to gag as he looked WAY into my mouth. I thought about not paying, but these docs and their collection agencies can wreck perfect credit. He would simply say that he didn't see anything to "fix" and performed his job, thereby "earning" his pay.
I wonder if it is possible that you have an outer ear infection? This can be quite painful. Ask your doctor about using baby oil to restore natural oil to the skin of the ear canal. Also, be sure to rule out TMJ. Murray Grossan, M.D. http://www.ent-consult.com
Randi - 08 Nov 2004 18:19 GMT Well, this one didn't think I could live with it. He said I had some residual damage from a prior infection and he put me on a table so he could remove the peeling skin from my eardrum. He said that might have been causing all that pain. They even did a hearing test (because I lost hearing in that ear for a whole day last week) and said I was within normal limits. He didn't see any fluid, meaning the decontestants were doing their job. Nasal irrigation is now forbidden (despite what my allergist wants), so I'm wondering if I might get infections a bit more often. A great surprise was that they charged me "medicare" rates because my insurance doesn't cover anything pre-existing and I was "self-pay." Dr. Grossan, I did ask about baby oil/mineral oil, and this ENT said it might be a good idea until the eardrum heals. Thank you for the suggestion.
in Texas
Don Brady - 08 Nov 2004 20:55 GMT >Well, this one didn't think I could live with it. He said I had some >residual damage from a prior infection and he put me on a table so he could >remove the peeling skin from my eardrum. He said that might have been >causing all that pain. Isn't that the same as what the last one said?
>They even did a hearing test (because I lost hearing >in that ear for a whole day last week) and said I was within normal limits. [quoted text clipped - 7 lines] > >in Texas Randi - 08 Nov 2004 22:23 GMT >Well, this one didn't think I could live with it. He said I had some >residual damage from a prior infection and he put me on a table so he could >remove the peeling skin from my eardrum. He said that might have been >causing all that pain.
>Isn't that the same as what the last one said? Yes, but he said go off all meds and "live with it" (the pain) until the peeling stopped. He was determined to see how he could help me so I wouldn't live in round-the-clock pain. He didn't rush me out of the office. On the contrary, I was shuffled between three rooms (which included a hearing test) as they tried to figure out what to do and determine if I had any damage. This one actually went into my ear and manually "exfoliated" the eardrum. He told me that this procedure would probably help right away. I haven't had to take a pain pill today (yet).
in Texas
Don Brady - 09 Nov 2004 00:33 GMT >Yes, but he said go off all meds and "live with it" (the pain) until the >peeling stopped. No one should have to live with pain, that's for sure.......
CanDo - 05 Nov 2004 01:37 GMT You should have walked out of that moron doctors office without paying. If he asked you why you weren't paying, you could have said, "Live with it!"
> The ENT who did my sinus surgery 3 years ago retired, so I saw someone in > his practice. [quoted text clipped - 23 lines] > > In Texas MS - 05 Nov 2004 15:08 GMT > You should have walked out of that moron doctors office without paying. If > he asked you why you weren't paying, you could have said, "Live with it!" Good response! ;-)
Steven Litvintchouk - 05 Nov 2004 03:40 GMT > Anyone ever hear of a doctor having this reaction to a complaint of earaches > caused by improper fluid drainage?? > Live with it?????? I had consulted with a half dozen different ENTs who told me I had to just live with my sinus problems.
The worst of all was this foreign guy. I was waiting in the examination room, and he marches in like he's the Emperor Ming or Darth Vader. Along with a medical student. He asked me if my previous sinus surgery had helped me. I said yes, but I was .... That's as far as I got. He interrupted me and said triumphantly to the medical student: "You see? Sinus surgery can be effective in such cases!" He futzed around a little while longer, said there's nothing more he can do, and marched out of the room again like he was trailing a purple cape or something.
 Signature Steven D. Litvintchouk Email: sdlitvin@earthlinkNOSPAM.net
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Don Brady - 05 Nov 2004 05:04 GMT People understandably hope that any doctor is going to be a superb communciator willing to take charge of all aspects of their problem
That is not reality.
They are primarily technicians with very narrow expertise.
And they are people with the the full range of personality types.
There is little real supervision of how they deal with you. (There is some in Universities).
To find those that are best for you, you are going to have to look far and wide.
WIth sinus conditions, we usually have the time to "shop around" - often at little cost to us, by virtue of insurance.
If *you* can eventually take charge of deciding what needs to be done (after seeing a number of doctors) , then your task becomes infinitely easier because now you are just looking for the doctor with the best technical skills to do it - a totally different task.
The *first* task needs to be to figure out what exactly is wrong with you. Thsi will often take years.
MS - 05 Nov 2004 15:08 GMT Terrible doc. Find another one. What is "duraphen"? Antibiotic?
He's right about decongestants. Not good to use regularly, especially the topical (spray and drops) ones. It's possible he's right about alkalol, don't know. He might even be right about irrigation. Some other ENTS, including prominent ones, say that also. I know couldn't live without it. But I wonder if it's addictive in some way. Whether regular irritation might irritate the nose and sinuses, and exacerbate the problem. However, I get so filled up with thick junk, I really need to wash it out. As far as water staying in your head, shake your head in different directions, head turned different ways afterwards, helps get out excess water and mucous.
In any case, this doc seemed so rude, walking out when you were asking him a question. If you have an outstanding bill, do not pay it. If they get after you about it, suggest you will report him.
> The ENT who did my sinus surgery 3 years ago retired, so I saw someone in > his practice. [quoted text clipped - 23 lines] > > In Texas
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