Consultation for Sinusitis and Endoscopic Sinus Surgery
|
|
- Elmer Mosley
- 5 years ago
- Views:
Transcription
1 Consultation for Sinusitis and Endoscopic Sinus Surgery This consultation is part of a series of consultations with Head and Neck Surgery specialists at the University of California, San Diego. The case is a hypothetical patient chosen to represent a composite of the usual and most common patients with this specific disorder. Where gender, age or race make a difference, these will be specifically cited. Where they do not make a difference, they may be omitted. The consultation is presented for purposes of general information. Specifics about an individual case and specific treatment must be discussed between the patient and the treating physician. The patient is a young adult referred for evaluation for chronic sinusitis Doctor: Good morning. What can I do for you today? Patient: I have suffered recurrent sinus infections. My primary care physician has been unable to successfully manage these and has recommended an evaluation to see if you have additional ideas. Doctor: How long have you been having recurrent infections? Patient: I have been having sinus infections for the past 5 to 10 years. Doctor: What are these infections like? Patient: Well, they just sort of come on and then I get pain and pressure in my face and about my eyes. I generally feel tired and somewhat lethargic. I feel like I cannot breathe, and very often I will get a nasty, foul-tasting greenish-yellow discharge down the back of my throat. When I can no longer tolerate the pain, I go to my primary care physician. The diagnosis of sinusitis is made, and he gives me antibiotics. Doctor: How long does it take for the sinus infections to resolve? Patient: Well, that is an interesting question, for several years ago, simple drugs like amoxicillin used to cure these in a matter of 3 to 4 days. It seems lately that the amoxicillins and even the more expensive, stronger antibiotics may not work, and invariably it takes 2, 3, 4, or even 5 weeks to get rid of these infections. Doctor: Do you have allergic rhinitis? Patient: I do not know. Doctor: The symptoms of allergic rhinitis are itchy eyes, itchy nose and sneezing. Patient: Oh, yes, I have that, particularly in the fall and spring. I call it hayfever. Doctor: Are you aware of any association between these allergies and your sinus infections? Patient: Very much so. When my nose gets congested and I have my hayfever, I very often will get a sinus infection then. Page 1 of 7
2 Doctor: And how about the association between colds and sinus infections? Patient: Lately, every time I get a cold, it progresses into a sinus infection. A complete medical history and review of systems was obtained. There were no other contributing factors to this individual's current complaints. Doctor: Well, let me now perform an examination. Your ears look normal to me. Your nose shows a significant deviation of your septum to the left side. Your mouth is normal; however, I see some streaking and postnasal discharge in the back of your throat, findings that are often associated with sinus infections. I do not feel any lymph nodes in your neck. I agree with you and your primary care physician. It sounds as if you are having sinus infections. It sounds as though they are becoming increasingly difficult to treat. I would like to order a sinus CT scan. Patient: What is a CT scan? Doctor: CT stands for computerized tomography. Very simply, this is a very special type of x- ray that looks at slices through your nose and paranasal sinuses. Normal and abnormal sinus CT scans can be viewed on a presentation by Dr. Mafee titled "Sinus CT Scans." (Right-click to download.) Very often it helps me document the presence and extent of disease. In any case, it demonstrates the anatomy of your nose and sinuses and is necessary for me to perform surgery, if this becomes required. Patient: While I am waiting for the x-ray, are there things that I can do? Doctor: There really is not much that you can do. If you have an infection, then it needs to be treated with antibiotics. Until we see the x-ray, there is no other therapy I can recommend. Patient: Why is it that the infections have gotten harder and harder to treat, and why is it that they last longer and longer? Doctor: There are small holes that drain each of the sinuses into your nose. Each hole is called an ostium. Two are called ostia. Sometimes they are anatomically narrowed, or sometimes with each infection, as in your case, they become inflamed, and as a result, they scar and narrow further. It is this narrowing which prevents air going into the sinuses and fluids such as infection from coming out. It is for this reason that once infections become recurrent, they become increasingly more difficult to treat, so what has happened to you in the development of your chronic sinusitis is typical of what happens to others. Patient: Do antihistamines help? Doctor: No, antihistamines will sometimes reduce the symptoms of allergic rhinitis. They are not indicated in the treatment of sinusitis, even in cases like yours where the sinusitis is in part caused by the allergy. The antihistamines reduce the normal functions of the nose. They thicken the secretions, and in fact they predispose someone like yourself to sinus infections. Patient: Are nasal steroids of value? Page 2 of 7
3 Doctor: Nasal steroids are a good treatment for allergic rhinitis. They probably play little role in the management of sinusitis, and in any case, at this late date, once you have developed chronic sinusitis refractory to medical treatment, the steroids are probably of little to no benefit. Two weeks later the patient returns with a sinus CT scan. The doctor is examining the x-rays with the patient. Doctor: Well, these x-rays do show that you have significant infection involving an area called the osteomeatal complex. This is the heart of the drainage system of the nose and paranasal sinuses. Your maxillary sinuses and your ethmoid sinuses are seriously diseased. Your frontal sinuses and sphenoid sinuses are, fortunately, spared. Based on everything that you have told me and confirmed by the x-ray, it is my recommendation that you undergo an operation called endoscopic sinus surgery. That operation will be facilitated by the addition of a septoplasty to improve your nasal breathing. Patient: Could you tell me a little bit more about these surgeries? Doctor: The surgery is performed under general anesthesia. It is performed as an outpatient surgery, which means that you will go home the same day. Once you are asleep, medicine is placed and injected inside your nose. The medicines are decongestants combined with anesthetics. They reduce the bleeding, and, in fact, we do so well today that our typical blood loss is less than a teaspoon. In part because of this anesthetic technique and in part because of the general anesthetic, you will feel nothing throughout the surgery. All of the surgery is performed through the nostril openings. There are no external incisions. Much of the surgery is performed with little telescopes which we call endoscopes. Little microsurgical instruments are then placed inside the nose alongside the endoscopes. The sinus surgery itself is directed at opening the little ostia, that is the little holes that drain and connect your nose with your sinuses. By enlarging these holes, the air flows more naturally into your sinuses. The secretions flow more naturally out of your sinuses. Infections are less likely, and those that do occur, are much more easily treated. Patient: Is there any packing placed inside my nose, and does the surgery hurt? Doctor: In the old days we were very aggressive with packing after nasal surgery. However, today we have new materials, better anesthetics, and better operations. As a result, little to no packing is ever required. Silicone splints are placed alongside the septum. These actually hold the nasal septum in the midline. They assist in healing. They have little straws glued to the side of them and so they allow you to breathe during your recovery; and they are not uncomfortable when removed a week to ten days later. All of the packing that is placed in your nose is absorbable. It does not cause pressure. It causes a minimum of discomfort, and in fact, you will wash it out with nasal irrigation starting about a week after surgery. The day of surgery, the anesthetic in your nose and the grogginess from the general anesthetic are such that patients experience very little discomfort. Usually, the day after surgery people do feel a little uncomfortable and a little stuffy. Most commonly, the discomfort subsides on the following day, patients begin to feel better, and from then on things improve on a daily basis. Patient: When can I return to work? Page 3 of 7
4 Doctor: It is my recommendation that you take a week off, for while people certainly are well enough to return to work in as few as 3 or 4 days, the body does its best healing when patients are relaxed and asleep. If you return to work, your adrenaline surges, you do not nap, you do not take it easy, and you do not heal as quickly. This is a serious enough illness for you that you are willing to have an operation. I think it is important that you take the week off and do your best to make a full and maximal recovery. Patient: Are there risks and complications to this surgery? Doctor: Yes, there are. All surgeries have risks and potential complications. The risks for nasal surgery are infection, bleeding, scarring and failure to correct the disease. Patient: What exactly do you mean? Doctor: Well, infections can ensue, just like you have with sinusitis. There is an occasional patient who has bleeding, and that may need to be controlled. Occasionally scarring occurs on the inside of your nose, and sometimes this may impair the benefits. However, the most important thing for you to know is that our success rate is about 90%. That means that 10% of patients do not make the recovery they would like to. If that happens, it sometimes becomes necessary to perform additional surgery. However, since most go well, I would prefer not spending more time discussing that at this time. Patient: Are there serious complications? Doctor: Yes, there are. You can die from the anesthetic. Our anesthesiologists are very good. We examine you very carefully, but sometimes there are abnormalities or problems that develop, and very infrequently, serious complications can ensue. You will also note on the x-ray that the sinuses that are diseased lie immediately under your brain and just between your eyes. This means that if there are problems, either because I make a mistake or because there are abnormalities in your anatomy, that there is potential damage to the eye with potential damage to vision, and there is potential damage to the brain with neurologic consequences. Fortunately, these serious complications are uncommon. When they occur, we hope to recognize them and treat them appropriately. Patient: What happens if I do nothing? Doctor: Probably you will continue as you are, some good days, some bad days. You could get better and you could get worse. Just as surgery puts your brain and eye at risk, so does the infection. A story titled "Idaho", written by one of my medical students, Jana Simond, tells of a case where a young woman died from a sinus infection which had progressed into meningitis. Like the surgical complications, this is uncommon. Patient: Will I get black and blue eyes? Doctor: Typically not. All of the surgery is on the inside of your nose, and the black and blue eyes only occur when external surgery is performed, such as a rhinoplasty that would affect your appearance. Page 4 of 7
5 Patient: Is it possible for me to have the little bump taken off my nose? Doctor: You are asking now about cosmetic surgery. This is an operation that we call a rhinoplasty. Yes, this is a good time to discuss that, for while you are asleep and while we are operating on your nose is an excellent time to perform cosmetic or functional nasal surgery. Patient: Does the insurance company pay for my sinus surgery? Doctor: Typically they do, and in any case, we make sure the surgery is approved, or that we know the answer to that question before going to the operating room. Patient: Would they pay for the rhinoplasty? Doctor: Most insurance companies do not pay for cosmetic surgery. Patient: Can I pay extra to have that performed? Doctor: Yes, you can. Patient: Will it cost as much as if I were having that done alone? Doctor: No, it costs a lot less because you already have the operating room paid for, you already have the preoperative evaluation and postoperative care paid for. You already have the anesthesiologist paid for. If this is something you would like to pursue, we can talk about that and I would be happy to consider and perform the rhinoplasty at the same time. Two weeks later the insurance company authorizes the surgery. It is scheduled two weeks hence. In the preoperative evaluation the patient is counseled to use neither aspirin-containing products nor any medicines that contain blood thinners nor nonsteroidal anti-inflamatory agents. The patient is also counseled to have nothing to eat or drink after midnight the evening preceding surgery. The patient should not have anything to eat or drink the morning of surgery. In the preoperative room, doctor and patient meet again. Doctor: Good morning. Are you ready for your surgery? Patient: Yes, but I am feeling very nervous. Doctor: That is very common, and in fact, I would be worried if you were not a little apprehensive. Let me review: you and I have decided to perform sinus surgery. We are going to straighten your septum, and we had also talked about removing the bump on the top of your nose. Patient: Yes, that is what I would like to have done. Page 5 of 7
6 Doctor: Well, you just relax. We are going to take good care of you, and I will see you after surgery. The surgery goes well. The physician does meet with the patient in the recovery room, but the patient is sufficiently groggy that little is remembered. The patient is provided medications for discomfort but instructed to take Tylenol and only use the Tylenol with codeine if necessary. The less codeine taken, the better, for codeine can cause an upset stomach and/or constipation, and actually lessens one's ability to tolerate discomfort. On the fourth postoperative day, the patient is seen in the Head and Neck Surgery Clinic. The doctor examines the patient. The surgery has gone well. The patient is having a minimum of discomfort. The patient is instructed to return a week later. At the one-week visit, the nasal splints are removed from the nose. The patient does not feel this, but is amazed at how large the soft silicone splints actually are. At this time, the patient is counseled on the use of nasal irrigation, and instructions are given to use a nasal irrigator twice daily. Three weeks later, the patient returns. Doctor: How are you doing? Patient: I am sorry that I waited so long to have this surgery. My nose is open. I can breathe. The congestion is gone. The pain is gone. I feel like I have a whole new life. Doctor: Have you had any problems? Patient: No. Doctor: Have you had any bleeding? Patient: No. Doctor: How do you like the nasal irrigation? Patient: I actually enjoy it. I wash twice a day. It washes away the nasal mucus and it leaves me with a very refreshed, clean nose, a feeling I have come to like. As a matter of fact, I wanted to ask you, is it okay once the surgery is healed if I continue with the nasal irrigation? Doctor: Yes, it is, and in fact, a large number of my patients continue using a nasal irrigator once or twice a day for the rest of their lives. Patient: Is there anything else I need to know or do? Doctor: Basically not. If you get a cold in the first couple of months, our threshhold for treating with antibiotics is lower than normal. Once you have crossed that magic 3-6 month healing Page 6 of 7
7 period, you should be as good as, if not better than, whatever is normal for you. However, if problems or questions arise, we would be happy to see you back. Patient: Once again, thank you. I have appreciated the kind care. Doctor: You are very welcome. It is my privilege to provide it. Page 7 of 7
Functional Endoscopic Sinus Surgery
WHAT IS FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS)? The nasal telescope has greatly changes the evaluation and treatment of rhino-sinusitis. This instrument, which provides a view of the structures in
More informationSinus Surgery. Middle Meatus
Sinus Surgery Introduction Sinus surgery is a very common and safe operation. Your doctor may recommend that you have sinus surgery. The decision whether or not to have sinus surgery is also yours. This
More informationNasal Surgery. Types of Surgery. This handout explains different types of nasal surgery and what to expect.
Nasal Surgery This handout explains different types of nasal surgery and what to expect. Types of Surgery Septoplasty is a surgery done to straighten the septum. The septum is made of bone and cartilage.
More informationMr Glenn Watson M.B., B.S., B.Sc. (Hons), F.R.A.C.S. Ear, Nose and Throat Head and Neck Surgeon
Mr Glenn Watson M.B., B.S., B.Sc. (Hons), F.R.A.C.S. Ear, Nose and Throat Head and Neck Surgeon FUNCTIONAL ENDOSCOPIC SINUS SURGERY A guide for Mr Watson s patients During your consultation with Mr Watson,
More informationNASHVILLE EAR, NOSE &THROAT CLINIC STEPHEN A. MITCHELL, M.D., F.A.C.S MITCHELL K. SCHWABER, M.D. STEVEN ENRICH, M.D. MATTHEW SPEYER. M.D., P.C.
N A S H V I L L E ENT C L I N I C NASHVILLE EAR, NOSE &THROAT CLINIC STEPHEN A. MITCHELL, M.D., F.A.C.S MITCHELL K. SCHWABER, M.D. STEVEN ENRICH, M.D. MATTHEW SPEYER. M.D., P.C. WHAT TO EXPECT AFTER SEPTOPLASTY
More informationINFORMATION REGARDING YOUR NASAL SURGERY
INFORMATION REGARDING YOUR NASAL SURGERY This document contains information about the following aspects of nasal surgery: Pre-op information: How to prepare for surgery. Procedure: Wat is done during surgery.
More information(1) TONSILS & ADENOIDS
(1) TONSILS & ADENOIDS (2) Your child has been referred to have his tonsils and adenoids removed. This operation is commonly called an adenotonsillectomy and is one of the most common major operations
More informationParathyroid surgery at Massachusetts General Hospital: Information for patients and families
Parathyroid surgery at Massachusetts General Hospital: Information for patients and families We are pleased that you have chosen Massachusetts General Hospital to receive treatment for your parathyroid
More informationChronic Sinusitis. Acute Sinusitis. Sinusitis. Anatomy of the Paranasal Sinuses. Sinusitis. Medical Topics - Sinusitis
1 Acute Chronic is the inflammation of the inner lining of the parnasal sinuses due to infection or non-infectious causes such as allergies or environmental pullutants. If the inflammation lasts more than
More informationWhat Is an Endoscopic Ultrasound (EUS)?
ENDOSCOPIC ULTRASOUND (EUS) What Is an Endoscopic Ultrasound (EUS)? An endoscopic ultrasound (EUS) is a specialized procedure that blends: Endoscopy use of a scope to look at the inside lining of the gastrointestinal
More informationWhat is an Upper GI Endoscopy?
What is an Upper GI Endoscopy? An upper GI endoscopy is a test your doctor does to see inside part of your digestive system. Your doctor will look at the inside of your esophagus (the tube that links your
More informationTREATING PROBLEM SINUSES
TREATING PROBLEM SINUSES Breathing Freely Again When You Have Sinus Problems Do you suffer from sinus problems? If so, you re not alone. Sinus problems are very common. They can cause uncomfortable symptoms,
More informationMedicines are Drugs. changes how your body works, or. treats or prevents a disease or symptom
1 Welcome to Medicines in My Home. Today, we are going to talk about over-the-counter (or OTC) medicines and how to use OTC medicine labels. To use OTC medicines safely and correctly, you need to read
More informationEndoscopic Sinus Surgery. Definition
Endoscopic Sinus Surgery Definition An operation carried out through the nose to re-establish the normal ventilation and mucus drainage mechanisms in the chronically infected nose and sinuses by removing
More informationThe Patient s Guide to Transsphenoidal Pituitary Surgery. Who to call with your questions or concerns...1. Why you should read this pamphlet...
Table of Contents The Patient s Guide to Transsphenoidal Pituitary Surgery Who to call with your questions or concerns...1 Why you should read this pamphlet...2 The pituitary gland....2 Pituitary tumours...3
More informationCare After Your Dental Treatment For Hospital Dentistry patients
Patient Education Care After Your Dental Treatment For Hospital Dentistry patients Your surgeon today was Dr.. Please carefully follow the instructions in this handout. General Do not disturb the wound
More informationMinimally Invasive Endoscopic Resection of the Pituitary (MIERP) Patient Information
Minimally Invasive Endoscopic Resection of the Pituitary (MIERP) Patient Information Introduction The pituitary gland is located at the base of the brain behind the sphenoid sinus and between the eyes.
More informationCHILDHOOD C 3 HANGE CARE TOOL: PROVIDER REPORT
Date: / / Patient s Project ID# For use as-needed in clinic visits A SURVEY TO LEARN ABOUT A PATIENT S NEEDS AND ABILITIES: Health care providers of children and adolescents aged 5 to 2 How is this patient
More informationUrology Department Percutaneous Nephrolithotomy (PCNL)
Urology Department Percutaneous Nephrolithotomy (PCNL) Your consultant has diagnosed that you have a problem with kidney stones and has recommended that you have an operation called a percutaneous nephrolithotomy
More informationIt is very common to get symptoms like cough, sore throat, runny nose and watery eyes. Usually when you
A Publication of the National Center for Farmworker Health Let s Learn about Respiratory Infections It is very common to get symptoms like cough, sore throat, runny nose and watery eyes. Usually when you
More informationRHINOPLASTY (NOSE RE-SHAPING)
PROCEDURE FACT SHEET PLASTIC SURGERY RHINOPLASTY (NOSE RE-SHAPING) This is a guide for people who are considering having a nose re-shaping (Rhinoplasty) operation. We advise that you talk to a plastic
More informationThe 5 Things You Can Do Right Now to Get Ready to Quit Smoking
The 5 Things You Can Do Right Now to Get Ready to Quit Smoking By Charles Westover Founder of Advanced Laser Solutions Copyright 2012 What you do before you quit smoking is equally as important as what
More informationTotal Thyroidectomy. Post-Surgery Instructions for: WHAT YOU SHOULD KNOW:
Post-Surgery Instructions for: Orlando Health Surgical Group 14 West Gore Street Orlando, FL 32806 321-843-5001 Total Thyroidectomy Michael Kahky, MD, F.A.C.S Marc Demers, MD, F.A.C.S Jeffrey R. Smith,
More informationPATIENT INFORMATION FROM YOUR SURGEON & SAGES. Laparoscopic Colon Resection
Patient Information published on: 03/2004 by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) PATIENT INFORMATION FROM YOUR SURGEON & SAGES Laparoscopic Colon Resection About Conventional
More informationSentinel lymph node biopsy for early oral cancer
Sentinel lymph node biopsy for early oral cancer Information for patients from the Oral and Maxillofacial Department When cancer cells start to spread from the main cancer this represents an important
More informationHow To Win Your War Against Snoring And Sleep Apnea
Page 1 of 1 Contents What Is Sleep Apnea?... 9 Treatments For Central Sleep Apnea... 10 Learning About Sleep Apnea... 11 What Are The Symptoms Of Sleep Apnea?... 12 What Is Causing My Obstructive Sleep
More informationThe Honrubia Technique of Balloon Sinuplasty for the Improvement of Symptoms in Chronic Sinusitis. Patients. Vincent Honrubia MD, FACS
The Honrubia Technique of Balloon Sinuplasty for the Improvement of Symptoms in Chronic Sinusitis Patients Vincent Honrubia MD, FACS Allyssa Cantu, PA-S Sharon Gelman, MEd, PA-S Rachel Tsai, BS Director,
More informationWhat are the causes of nasal congestion?
Stuffy Noses Nasal congestion, stuffiness, or obstruction to nasal breathing is one of the oldest and most common human complaints. For some, it may only be a nuisance; for others, nasal congestion can
More informationWhat is a turbinate? It is a ridge-shaped cartilage or soft bony tissue inside the nose. When swollen your turbinate(s) can make your life
17-8-2013 What is a turbinate? It is a ridge-shaped cartilage or soft bony tissue inside the nose. When swollen your turbinate(s) can make your life miserable. We ve all tried home its my left one. We
More informationTHE QUEST FOR BEAUTY
THE QUEST FOR BEAUTY THE QUEST FOR BEAUTY!" #$%#&'(#")*+ *,'#")'*)* -#&# *.&%&'*#/ )0 *## )12) /#*%')# )1# *.34#,)* 3#'"5 6&0( /'66#&#") -/7)/&#*+ &2-#*+ 2"0 25#* ),#8 5#"#&2778 25&##0 1".,2) ),#8 ),1/5,).2*
More informationConsumer summary. Endoscopic modified Lothrop procedure for the. treatment of chronic frontal sinusitis
ASERNIP S Australian Safety and Efficacy Register of New Interventional Procedures Surgical Consumer summary Endoscopic modified Lothrop procedure for the treatment of chronic frontal sinusitis (The report
More informationTransarterial Chemoembolization (TACE)
Transarterial Chemoembolization (TACE) Princess Margaret Know what to expect Read this booklet to learn: What TACE is...1 How TACE works...2 The benefits of TACE...3 The risks and side effects of TACE...3
More informationSinusitis Awareness Survey May 2011
Page 1 of 5 Sinusitis Awareness Survey May 2011 Playing Doctor and Paying a Price: Sinusitis Sufferers Often Misdiagnose Themselves, Confusing Symptoms with Allergies For 35 million Americans with nasal
More informationwhat can i expect in terms of planning and recovery from a vasectomy reversal procedure?
what can i expect in terms of planning and recovery from a vasectomy reversal procedure? Dr. Turek likes to meet and examine every patient who is considering a vasectomy reversal with him. This visit can
More informationSeptoplasty Surgery Perioperative Instructions
Septoplasty Surgery Perioperative Instructions We would like to make sure all your questions are answered before your procedure. We previously discussed the risks, benefits and alternatives to having the
More informationTRANSURETHRAL RESECTION OF THE PROSTATE
TRANSURETHRAL RESECTION OF THE PROSTATE A discussion of the operation and the pre and post operative care You and your doctor have considered the possibility that you have a transurethral resection of
More informationIleal Conduit Diversion Surgery
Here are some words and pictures to help you understand this surgery: Bladder: the bladder stores urine that is made by the kidneys Bowels: the bowels are the parts of the body that digest food and fluids.
More informationInsomnia: Its Causes & Solutions
Insomnia: Its Causes & Solutions Many people may suffer from insomnia at some point in their lives, as it is a fairly common problem, especially as you age. Long term insomnia can have drastic effects
More informationI will be contacting you with the day, time and location of the scheduled procedure.
Low Country ENT is happy you have chosen us to assist you and your family in obtaining your healthcare needs. The following packet is to help you further understand your future surgical procedure as well
More informationOperation to remove the tonsils
Operation to remove the tonsils Children s Ward Patient Information Leaflet Introduction This leaflet is for young people who are considering having an operation to remove their tonsils. It gives information
More informationExcisiona I Breast Biopsy
Post-Surgery Instructions for: Excisiona I Breast Biopsy Orlando Health Surgical Group 14 West Gore Street Orlando, FL 32806 321-843-5001 Michael Kahky, MD, F.A.C.S Marc Demers, MD, F.A.C.S Jeffrey R.
More informationPATIENT INFORMATION FROM YOUR SURGEON & SAGES. Laparoscopic Spleen Removal (Splenectomy)
Patient Information published on: 03/2004 by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) PATIENT INFORMATION FROM YOUR SURGEON & SAGES Laparoscopic Spleen Removal (Splenectomy)
More informationHow to spot allergies. What are allergies? What can your patients do about allergies? How allergies cause sinusitis. Module 5 Allergies
Module 5 Allergies What are allergies? Allergies occur when a patient s immune system has a hypersensitive response to a substance that the body comes into contact with 1a. These substances, called allergens,
More informationYour turbinates are responsible for cleaning and humidifying the. How to Treat Inflamed Turbinates. by. How to Stop Sneezing With Natural
3-10-2017 Your turbinates are responsible for cleaning and humidifying the. How to Treat Inflamed Turbinates. by. How to Stop Sneezing With Natural Remedies. Natural remedy for swollen turbinates I assume
More informationDoes claritin d help with sinus pressure
Zoeken Zoeken Does claritin d help with sinus pressure May 31, 2018. If the pressure behind your nose is getting to be too painful to including neti pots and eucalyptus, that can help you get rid of sinus
More informationWhat Is Pancreatitis?
What Is Pancreatitis? Pancreatitis is inflammation (swelling) of the pancreas that is most often caused by gallstones or alcohol abuse. There are other causes that your gastroenterologist will look for,
More informationWISDOM TOOTH EXTRACTIONS
. WISDOM TOOTH EXTRACTIONS PRE-OP INSTUCTIONS Conscious Sedation Patients who have a clear understanding and expectation level before surgery have a greater peace of mind. The following instructions and
More informationUpper gastrointestinal endoscopy and colonoscopy
Upper gastrointestinal endoscopy and colonoscopy Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that
More informationTeeth in a Day Before and After
Teeth in a Day Before and After Experiencing life from having severely bad teeth can be emotionally exhausting for most patients. Our dental team high degree of satisfaction in serving our patients with
More informationThe Surgical Treatment of Migraine Headaches
The Surgical Treatment of Migraine Headaches Being migraine-free for 11 years has been a dream come true. I live my life now with a freedom that I hadn t known for more than 23 years. Kathy Where is the
More informationBreast Brachytherapy. Radiation Treatment. Permanent Seed Implant at the Tom Baker Cancer Centre
Breast Brachytherapy Radiation Treatment Permanent Seed Implant at the Tom Baker Cancer Centre Table of Contents A. General Information...1 B. Radiation Treatment...2 1) Radiation treatment...2 2) What
More informationERCP. Patient Information
ERCP What is an ERCP? ERCP stands for endoscopicretrogradecholangiopancreatography. It is a test where an endoscopist looks into the upper part of your gut (the upper gastrointestinal tract) to see if
More informationAn Interview with a Chiropractor
An Interview with a Chiropractor Doctor Scott Warner took the time out of his busy schedule to talk to us about chiropractic medicine what it is, what it isn t, and why he chose it as a profession. What
More informationParathyroidectomy. Surgery for Parathyroid Problems
Parathyroidectomy Surgery for Parathyroid Problems Why You Need Parathyroid Surgery Has your doctor just recommended that you have parathyroid surgery? If so, you likely have many questions. What are the
More informationWhat is CT Colonography?
What is CT Colonography? It stands for computerized tomographic (CT) colonography. CT colonography is a test used to check your colon for colorectal cancer and other health conditions in your gastrointestinal
More informationChapter 1 Introduction
Chapter 1 Introduction Chapter 1-1 Chapter Highlights 1. This Manual is for You 2. What is Scleroderma? 3. Who gets Scleroderma? 4. What are the Early Symptoms of Scleroderma? 5. Is All Scleroderma the
More informationWhat causes abnormal secretions?
Post-Nasal Drip Glands in your nose and throat continually produce mucus (one to two quarts a day). Mucus moistens and cleans the nasal membranes, humidifies air, traps and clears inhaled foreign matter,
More informationTripler Army Medical Center Obstetric Anesthesia Service - FAQs
Tripler Army Medical Center Obstetric Anesthesia Service - FAQs What is a labor epidural? A labor epidural is a thin tube (called an epidural catheter) placed in a woman s lower back by an anesthesia provider.
More informationAll about Leukaemia. An Easy Read Document
All about Leukaemia An Easy Read Document What is in this booklet About this booklet and leukaemia Page 4 How are blood cells made Page 5 Different types of leukaemia Page 9 Things that might mean you
More informationBristol Children s Vaccine Centre
Bristol Children s Vaccine Centre Bristol Children s Vaccine Centre Level 6, UHB Education Centre, Upper Maudlin St., Bristol, BS2 8AE, UK Tel: +44 (0)117 342 0172, Fax: +44 (0)117 342 0209 E-mail: bcvc-study@bristol.ac.uk,
More informationPost-operative Care Instructions For Someone Recovering From General Anesthesia
Post-operative Care Instructions For Someone Recovering From General Anesthesia View post-operative instructions when preparing for oral surgery using IV Sedation Your Post- Operative Care To assist you
More informationMASTOID EXPLORATION (MASTOID SURGERY) AND MASTOIDECTOMY
MASTOID EXPLORATION (MASTOID SURGERY) AND MASTOIDECTOMY This information leaflet is to support your decision with your Specialist. This leaflet will explain about the ear are and what surgery can be offered
More informationsevere croup university of alberta capital health stollery children s hospital
severe croup university of alberta capital health stollery children s hospital A Message from Dr.William Craig Croup is an illness that affects young children. It can come on quite suddenly and can cause
More informationTranscription of Interview with Otolaryngologist on Deviated Septum Surgery
Transcription of Interview with Otolaryngologist on Deviated Septum Surgery Interviewer : Thanks very much to be agreeing to be interviewed. I greatly appreciate this opportunity to interview an expert
More informationENDOSCOPIC SINUS SURGERY A Pre-Operative and Post-Operative Guide for Parents and Patients
Jacqueline E. Jones, MD 1175 Park Avenue Suite 1A New York, NY 10128 ENDOSCOPIC SINUS SURGERY A Pre-Operative and Post-Operative Guide for Parents and Patients SOME BACKGROUND INFORMATION 1. What are sinuses?
More informationSurgery. Patient Education Transplant Services. For a kidney/pancreas transplant
Patient Education Surgery For a kidney/pancreas transplant By the time you have surgery, you may have been waiting for some time. It will help to read this section before surgery so you will know what
More informationDRAFT. Angiography: Transjugular Intrahepatic Portosystemic Shunt (TIPS) What to expect. What is a transjugular intrahepatic portosystemic shunt?
UW MEDICINE PATIENT EDUCATION Angiography: Transjugular Intrahepatic Portosystemic Shunt (TIPS) What to expect This handout explains a transjugular intrahepatic portosystemic shunt and what to expect when
More informationFluticasone propionate, 50 mcg per spray. Please read this leaflet carefully before you use FLIXONASE ALLERGY & HAYFEVER 24 HOUR.
FLIXONASE ALLERGY & HAYFEVER 24 HOUR Fluticasone propionate, 50 mcg per spray Consumer Medicine Information What is in this leaflet? Please read this leaflet carefully before you use FLIXONASE ALLERGY
More informationHow is primary breast cancer treated? This booklet is for anyone who has primary breast cancer and wants to know more about how it is treated.
How is primary breast cancer treated? This booklet is for anyone who has primary breast cancer and wants to know more about how it is treated. How is primary breast cancer treated? Part 1 the treatment
More informationMinimally Invasive Surgery Offers Promise for Pancreatic Cancer Patients
Minimally Invasive Surgery Offers Promise for Pancreatic Cancer Patients Recorded on: August 1, 2012 Venu Pillarisetty, M.D. Surgical Oncologist Seattle Cancer Care Alliance Please remember the opinions
More informationIf You Have Head or Neck Cancer
EASY READING If You Have Head or Neck Cancer What is head and neck cancer? Cancer can start any place in the body. Cancer that starts in the head and neck can have many names. It depends on where the cancer
More informationINFLUENZA (FLU) Cleaning to Prevent the Flu
INFLUENZA (FLU) Cleaning to Prevent the Flu Cleaning to Prevent the Flu 24 hours How long can the flu virus live on objects, such as doorknobs and tables? The flu virus can live on some surfaces for up
More informationA Patient s Guide to Pain Management: Epidural Steroid Injections
A Patient s Guide to Pain Management: Epidural Steroid Injections 2778 N. Webb Rd. Wichita, KS 67226 Phone: (316) 631-1600 Fax: (316) 631-1617 DISCLAIMER: The information in this booklet is compiled from
More informationWHAT IS STRESS? increased muscle tension increased heart rate increased breathing rate increase in alertness to the slightest touch or sound
EXAM STRESS WHAT IS STRESS? Stress is part of the body s natural response to a perceived threat. We all experience it from time to time. When we feel under threat, our bodies go into fight or flight response,
More informationNasal Polyps. Multimedia Health Education. Disclaimer
Disclaimer This movie is an educational resource only and should not be used to manage your health. All decisions about the management of Nasal Polyps must be made in conjunction with your Physician or
More informationIf looking for a book by Norra MacReady The patient with a sinus headache may actually have a migraine.(more than 3,000 Patients Studied): An article
The Patient With A Sinus Headache May Actually Have A Migraine.(More Than 3,000 Patients Studied): An Article From: Internal Medicine News [HTML] [Digital] By Norra MacReady READ ONLINE If looking for
More informationLumbo-sacral Nerve Block
Lumbo-sacral Nerve Block Introduction Some people have pain in the lower back or legs. A lumbo-sacral nerve block can be effective to help relieve this type of pain. If your healthcare provider recommends
More informationShopping List for Knee Arthroscopy
inserts 8-08.qxp 9/16/2008 3:41 PM Page 1 Shopping List for Knee Arthroscopy The following is a list of supplies which you should have at home following your surgery: Adhesive bandages (Band-Aids ) Helpful
More informationSinusitis. What are the sinuses? Who develops sinusitis?
Sinusitis Health experts estimate that 37 million Americans are affected by sinusitis every year. Americans spend nearly $6 billion each year on health care costs related to sinusitis. Sinusitis is an
More informationUW MEDICINE PATIENT EDUCATION. Hemodialysis. A treatment option for kidney disease. Treatment Options for Kidney Disease
UW MEDICINE PATIENT EDUCATION Hemodialysis A treatment option for kidney disease Class Goals 1. Understand the purpose and care of blood access. 2. Understand the purpose and basic principles of hemodialysis.
More information19 INSTRUCTOR GUIDELINES
STAGE: Recent Quitter You are a pharmacist in a smoking cessation clinic and you receive a phone call from one of your patients, Ms. Onitay. She is moderately panicked and tells you that she has a swollen
More informationGynaecology Department Patient Information Leaflet
Vaginal repair Gynaecology Department Patient Information Leaflet Introduction This leaflet gives information about vaginal repair surgery used to treat a vaginal prolapse. The leaflet explains what a
More informationTYMPANOPLASTY WITH OR WITHOUT MASTOIDECTOMY SURGICAL INSTRUCTIONS
Head and Neck Associates of Orange County, Inc. An Incorporated Medical Group Head & Neck Surgery Pediatric & Adult Otolaryngology Facial Reconstructive Surgery TYMPANOPLASTY WITH OR WITHOUT MASTOIDECTOMY
More informationWhat is a Colonoscopy?
What is a Colonoscopy? A colonoscopy is a test to look inside your colon. A colonoscopy is done by a gastroenterologist, a doctor trained in looking at the gastrointestinal (GI) tract. The main tool used
More informationHOLEP (HOLMIUM LASER ENUCLEATION OF PROSTATE )
HOLEP (HOLMIUM LASER ENUCLEATION OF PROSTATE ) What does the procedure involve? Removal of obstructing prostate tissue using a telescope and a laser. What are the alternatives to this procedure? Alternatives
More informationINFORMED CONSENT FORM FOR SEPTOPLASTY(OPERATION FOR THE DEVIATED NASAL SEPTUM)
Patient Name-Surname: Sex: F M Patient No: Date of Birth: Father s Name: ID Card No: Dear Patient / Guardian It is your incontestable right to be informed about all medical/surgical procedures suggested
More informationLaryngoscopy Examinations
Laryngoscopy Examinations Laryngoscopy is a visual examination of the back of the throat where the voice box (larynx) and vocal cords are located. The procedure is done by using hand mirrors and a light
More informationDavy the Detective. Finding out about anaesthetics
Davy the Detective Finding out about anaesthetics When Davy wants to know about something, he becomes a detective (with a little help from his friends). Information about anaesthesia for young people This
More informationX-Plain Tympanoplasty Reference Summary
X-Plain Tympanoplasty Reference Summary Introduction Tympanoplasty is a surgical procedure to repair a perforated eardrum. The eardrum is a thin membrane inside the ear at the end of the ear canal. Eardrum
More informationPatient Information. About your. Procedure
About your Procedure Patient Information Patienteninformationen informazioni sul paziente Renseignements sur le patient Información para el paciente Patiënteninformatie TABLE OF CONTENTS: ABOUT CHEMOSAT
More informationYou or your child has been scheduled for Tympanomastoidectomy and/or Ossicular Chain Reconstruction.
Low Country ENT is happy you have chosen us to assist you and your family in obtaining your healthcare needs. The following packet is to help you further understand your future surgical procedure as well
More informationGet your runny, stuffy nose to cool it. Available in-office. Drip. Sniff. Drip. Minimal downtime. Enjoy life without tissues
Get your runny, stuffy nose to cool it. Drip. Sniff. Drip. Enjoy life without tissues Available in-office Minimal downtime Get Your Life Back With a cool treatment, using ClariFix cryotherapy. Enjoy Life
More informationRussell Kitch, MD Jenn Grady, MD Jeffery Neal, MD Julie Malka, AuD North Charleston West Ashley
Low Country ENT is happy you have chosen us to assist you and your family in obtaining your healthcare needs. The following packet is to help you further understand your future surgical procedure as well
More informationIt is Friday night. Pedro, Juan, and Fernando are grilling some steaks at Pedro s house. They are
A Publication of the National Center for Farmworker Health My Chest and Throat Are Burning! It is Friday night. Pedro, Juan, and Fernando are grilling some steaks at Pedro s house. They are celebrating
More informationCanalplasty / excision of exostoses
PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label What is a canalplasty? A canalplasty is an operation to remove exostoses, which are
More informationPATIENT INFORMATION FROM YOUR SURGEON & SAGES Laparoscopic Anti-Reflux (GERD) Surgery
Patient Information published on: 03/2004 by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) PATIENT INFORMATION FROM YOUR SURGEON & SAGES Laparoscopic Anti-Reflux (GERD) Surgery
More informationALLIANCE COMMUNITY HOSPITAL SLEEP DISORDERS CENTER PATIENT QUESTIONNAIRE/HISTORY PLEASE COMPLETE AND BRING WITH YOU ON THE NIGHT OF YOUR TEST.
ALLIANCE COMMUNITY HOSPITAL SLEEP DISORDERS CENTER PATIENT QUESTIONNAIRE/HISTORY PLEASE COMPLETE AND BRING WITH YOU ON THE NIGHT OF YOUR TEST. NAME DATE: HEIGHT: WEIGHT: DOB: SEX: HOME PHONE #: REFERRING
More informationPAUL E. SAVOCA, MD, FACS, FASCRS Consent Form for Hemorrhoidectomy
PAUL E. SAVOCA, MD, FACS, FASCRS Consent Form for Hemorrhoidectomy The doctor has explained that I have the following condition: Hemorrhoids- abnormally enlarged anal veins. The following procedure will
More informationPatient Information. Contents. What is regenerative medicine? Is this treatment right for you? Two types of products used
Patient Information Contents 3 3 4 7 9 10 12 What is regenerative medicine? Is this treatment right for you? Two types of products used Getting ready for your procedure Special instructions Possible side
More informationDermatology Associates Mohs Micrographic Surgery
Dermatology Associates Johnson City 2885 Boones Creek Road 423-928-9014 Kingsport 2300 W Stone Drive 423-246-4961 1-800-445-7274 Bristol 3183 W State Street 423-764-7131 In preparation for your upcoming
More information