Since my sinus augmentation surgery last December, Carole (more) and I (less) have noticed that I wheeze more than before. I finally got around to visiting an ENT to have it checked out.
The ENT was nice, a new junior member of a long-standing practice whose founder is now concentrating on his plastics work, which by all accounts is very lucrative, based on amount the numbers in the waiting room on a late Friday afternoon.
In the examining room, I gave the doctor a brief description of my symptoms, and was a little surprised that she did not know what a sinus augmentation was. We talked some more, and I gave her a pretty full rundown of my migraine history. After some more pokes and prods, we finished up, and she gave me her recommendations.
She said it looked like I had some allergy problems, and she gave me a prescription for Nasonex, and told me to pick-up some OTC Zyrtec. Next, she had me sign two records requests: one for details on my sinus augmentation, and another for details on my sleep study. Even though I told her that I was happy with my current migraine treatment protocol, she seemed anxious to work on it, and ordered a CAT scan of my sinuses and a new sleep study. A CAT scan is no big, but I wasn't happy about the sleep study.
After talking it over with Carole, I decided to hold off on the CAT scan and the sleep study. I've lost about 25 pounds so far on my new diet, and intend to keep going indefinitely. If I took those tests now, they would be useless in a few months if I continue to lose weight at this rate. The tests are expensive (mostly to my insurance company, but also out of my pocket), and the sleep study is an enormous pain in the ass.
I tried the Nasonex, but really didn't like the weird taste in my mouth and the nasty drainage into my throat. For now, I'm taking one Zyrtec at night, along with my Melatonin. I'm going to make an appointment with Dr. Liao for August after I get back from WFO, and I'll discuss the ENT's recommendations with her before I make any hard and fast decisions.
