Posts Tagged ‘mucus’

Gravity therapy for sinusitis

October 27, 2010

When I say no it causes a scene

Because the truth is not what it’s been

     It’s a plus or a minus

     Antibiotics for sinus

Whether or not the mucus is green.

Sinusitis hit me in the winter and then spring of 1973.  At that time I lacked money for a car or for a doctor.  A bicycle carried me from point A to point B, and for weeks and then months the cold Colorado wind drove spikes of pain into my inflamed sinuses.

Poverty loves company more than even misery does.  I fixed a friend’s bike and in return I got the yoga treatment for sinusitis: hang your head upside down for five minutes.

It seemed hokey to me, but even if I had no money I had time, and per instructions I lay crossways on my bed, face down, with my mid-chest hitting the edge of the bed.  I relaxed and, sure enough, the top of my head pointed at the floor.  Four minutes later I felt a pop around my eyes and gross brown liquid drained out my nose by the teaspoon.  When I stood up my sinus headache had disappeared.

At the time I knew no anatomy nor physiology; I had no idea that the sinuses under the eyes drain uphill, and when a cold or allergies attack the outflow becomes blocked by swollen tissue. 

Medical school physical exam taught us to apply pressure on the cheekbones if we suspected sinusitis; if the patient experienced relief, they said, antibiotics would probably cure the problem.  One day in the late ‘80’s while performing that maneuver, I heard a loud squeak, gurgle, gurgle, and the patient experienced immediate relief.  Since then I’ve tried the same technique hundreds of time and never replicated the results, though about a third of the patients will experience some improvement.

Decades ago the truth about sinusitis ran something like this: antibiotics only help if the mucus is green.  Since then, we’ve found out that sinusitis gets better 85% of the time with antibiotics and 75% of the time without them.  Which means that for every one person I really help with amoxicillin, seven others took the medication for no good reason.  Oh, and color of mucus doesn’t make any difference.

In my current position I’m seeing a lot of “sinusitis” and I don’t prescribe antibiotics.  The medical profession did such a great job selling the public on the need for those drugs for this diagnosis that unselling becomes problematic. 

I can write a prescription for the latest -cillin or -mycin much faster than I can explain to a patient why they don’t need it; naturally there are those docs who find themselves behind schedule and cave in to the pressure from the patient.

Re-education for physicians and the population will take time.