Friday, June 22, 2007

Inside Ed's Head

The following essay was written by my 35 year old son. He has a wife and three pre-school children. Please pray for them.




History of the inside of my head...


I got a really nasty sinus infection 5 years ago, antibiotics didn't fix it and it persisted until I needed surgery to fix the problem. The first surgery(*1) didn't work, and it took almost a year to convince the surgeon that it was getting worse, not better. It was so badly infected by that point I required surgery(*2) again and hospitalization for almost a week, and then I needed antibiotics for 8 weeks via IV... and a large tube sticking out of my head. 6 months later I was still sick and not getting better. I asked for a second opinion and he told me about this expert specialist in Vancouver and that they had 'discussed my case' and they were going to have to do this really nasty procedure (opening my head up and obliterating my sinus and this really huge scar, lots of complications...), so he talked me into letting him try again since he had some 'new technologies that should make the difference'... Once I came to after the surgery (*3) he told me that he couldn't do anything useful after he opened me up and he was going to have to refer me to Vancouver for the nasty procedure after all... I was sooo angry... The specialist in Vancouver is like a surgical ninja... he told me that the stuff my old surgeon described was stuff they did like back in the dark ages and they don't do those things anymore. So he did some CT scans and figured he could fix me, only problem being the old surgeon did such a hack job the 2nd time around there is permanent structural damage that can't be fixed... so he was going to have to do a workaround.The first surgery(*4) in Vancouver fixed part of the problem. 2/3 of my upper sinus worked perfectly now. To fix the whole problem was going to require some creative solutions, here comes surgery (*5). This one didn't quite get the job done. Well I just had my 3rd surgery(*6) in Vancouver 2 weeks ago, that should correct the problem for good now...It had better...! So the last few years have been a lot of pain, suffering and sickness that could have been remedied by referring me to the right surgeon at least after the first one didn't work.


(*1) - drilled holes in my eyebrows, into the upper sinus's to allow the surgeon to flush the sinus's and clear the blockages.


(*2) - drilled a large channel through the existing left sinus passage connecting the upper sinus to the nose. Inserted a large stent (similar to surgical tubing) from eyebrow to nostril the new passage was to be larger than the original passage to better facilitate future drainage. -problem - once stent was removed, the original structure being completely obliterated, the body had no 'guide' to heal by...so the entire new 'channel' fused shut with osteneogenesis (new bone growth). Not such a good plan.



(*3) - drilled, looked around... realised...oops... no idea what to do now... closed me up and gave me the news....nice. Referred me to the expert.



(*4) - using laser guided surgical imagery, completely reconstructed the right sinus passage, opened up existing (but plugged) drainage passage from left sinus into the central sinus, allowing the left to drain that way. Unfortunately due to the size of the passage, drainage was easily inhibited by recurrent infection.


(*5) - drilled a new connective passage from the left sinus into the central sinus. Due to hypersensitivity of the sinus membrane from continual and recurrent infections, the membrane inflamed first cold I got and promptly plugged the new passageway.


(*6) - completely removed the dividing bone structure between the left sinus cavity and the central sinus cavity, merging the 2 cavities into one large one.That's about it.... at least it had better be.





What is frontal sinusitis? The frontal sinuses are air-filled cavities which lie between the lamina of the frontal bone. The size and shape of this sinus varies among individuals. Frontal sinusitis occurs from the inflammation of the frontal or ethmoid sinuses. The frontal sinuses drain into the nose through the ethmoid sinuses. If there is any obstruction or blockage of the ethmoid sinuses, this usually causes inflammation of frontal sinuses, which results in impaired mucous drainage. Accumulation of mucous secretions inside the moist, warm and dark sinuses promotes growth of infectious agents.

What causes frontal sinusitis? Bacterial infection, Viral infection, Polyps, Tumors, Septal deviation or Traumatic injury.

What are the symptoms of frontal sinusitis? The symptoms are: Severe frontal headache, Symptoms are worse when lying on your back and when pressing against the area over the eye on the side, Nasal congestion, Nasal discharge, Severe cough, Facial swelling, Facial Pain, Tooth ache. If frontal sinusitis is not treated promptly it can lead to meningitis.

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