Category Archives: Medical

My Septoplasty/Turbinoplasty experience

Septoplasty: http://en.wikipedia.org/wiki/Septoplasty
First, a little history:-
I have always been prone to catching a cold/having my nose blocked since a very early age. Every 2-3 months I would catch cold and be dependent on Otrivin for weeks. This trend continued well into adulthood. At one point of time, I was so dependant on Otrivin that I had to be weaned off it over a week, by inhaling steam 6-8 times a day. It was like drug withdrawal, but in the end, I was off Otrivin. However, I would still continue to get colds and resort to taking steam many times a day.
On some days, even without a cold, I would wake up with a stuffy/heavy face, a splitting headache which would simply not go away and generally keep me in a miserable state for a few days. An MRI due to some other reason revealed a polyp in my Sinus and revealed that I had chronic sinusitis and that my Sinuses were swollen all the time.
I consulted an ENT at the same hospital where I got my MRI and he recommended surgery to take out the polyp. I was not convinced, so I went to another ENT (Dr. K.K. Handa, Director of ENT and Head Neck surgery, Medanta Medicity, Gurgaon). He revealed that my Septum was also deviated (It basically means that the wall separating my nostrils is crooked) and it could be managed using medication. He asked me to use Nasonex and inhale steam for comfort. I had a few things going on professionally and personally so I put surgery out of my mind and continued to use Nasonex and inhale Steam whenever necessary.
This was almost a year ago. Since then, I have had sinus infections almost every month (sometimes more than once a month), had to see an Eye doctor because I felt pressure behind my eyes and be dependant on Steam inhalation to be able to breathe for a reasonable period of time. Finally, on Jan 15, 2013, I re-visited Dr. Handa and informed him that I had been having a miserable time and needed another way out. He immediately asked me to get a CT scan, after which we would explore other options. I got  CT scan the very next day, saw the Doctor the day after that when he informed me that my Septum is especially crooked. This is preventing proper draining of Mucous from my Sinuses, leading to recurrent infections and also breathing problems. He asked me when I can come in for Surgery. I said I will be fine with a surgery on the morning of  Friday, Jan 18, 2013. He asked me to speak with his assistant to sort out all the details.
I spent the rest of the day sorting out Insurance details, filling out paperwork, getting blood tests and an Anesthesia suitability test etc. I was admitted the next day, Thursday, Jan 17, 2013. I was told not to eat or drink anything after midnight, given an anxiety medicine and went off to sleep.

Deviated Septum
Image Courtesy: http://drug.com
Image Courtesy: http://drug.com
Day 1 – Surgery

I was woken up at 6:00 AM by the nurse who sad I will soon be wheeled into a pre-op room. I was kept there with other surgical candidates for about an hour after which I was wheeled into the Surgery room. There were 2 huge lights on top of me. The doctors attached an IV line on my left hand (Ouch! That hurt) and asked me to relax. Then they placed a mask on my face and asked me to take deep breaths. The gas coming out of it smelled funny. After 2 deep breaths, I was out.
When I woke up, I was in a post-surgical recovery room, feeling awful. I noticed that I had a throat-ache, I was very thirsty and had something stuffed into my nostrils and something taped over my nose. I couldn’t speak as my mouth was dry and my throat ached but I somehow signalled that I wanted water. They told me  that I couldn’t drink water for a few hours yet, but gave me a small dropper with a pitiful amount of water in it to wet my lips. I gobbled it all down my throat and was told I won’t get any more for a few more hours (Apparently water while still under the effects of Anesthesia makes you puke). I was wheeled into my room, where I was propped up just a little and allowed to rest. I was miserable. I was thirsty, my head felt like full of lead and having to breathe through my mouth caused my throat to ache more and my mouth to dry up. I asked what time it was, apparently, it was 14:00. I tried to sleep, but just couldn’t. I was finally given some water at 16:30 after which I sat up. I found out that sitting up made me feel much better than lying down; however, it also caused my nose to bleed and turn the bandage around it, red. I had a couple of fruit juices, met a few visitors (I don’t remember these incidents very clearly anymore). I had a hearty meal at night and then tried to sleep.
This was the worst night ever. I couldn’t sleep no matter what. My throat would dry up and start hurting every 10 minutes after which I would have to drink something. My nose would bleed and blood would start dripping off into the bed (I was later told this was not fresh blood, but crusts of dried up blood being dissolved by mucous and normal sinus discharge).
Day 2 – Discharge
I had maybe 20 minutes of sleep the entire night and was actually grateful when the Nurse came and switched on the lights. I had a hearty breakfast and looked forward to my discharge. My surgeon along with a few other doctors came to see me. I told them about my lack of sleep and he prescribed me an anxiety tablet for the following night, to be taken only once. A doctor in his team changed my external-dressing (which was by now soaking wet and dripping bloody liquid) and told me I could go home in a few hours. I had a hearty lunch in the discharge room and then went home. I tried to sleep but didn’t manage more than 20 minutes of sleep. I changed my dressing myself a few timesas even this one was wet and dripping. At night I had a nice early dinner and went off to sleep. I actually manage to sleep 4-5 hours this time, even though I was breathing out of my mouth.
Day 3 – Off with the packing

I woke up early, had breakfast and got ready to go to the Hospital to get my nostril packing removed. I looked forward to being able to breathe out of my nose again. After waiting in the emergency room (It was Sunday and the OPDs were closed), a doctor came to see me. He made me lie down on a bed in the emergency room (The room was very depressing; people crying and wailing) and poured a few drops of Otrivin down my nostrils. He then used a forcep to pull and remove the packing from my left nostril. It was moderately painful and super awkward. The packing was easily 6 inches long and it felt strange being pulled out of my nose. As soon as the packing was gone, I felt blood/liquid pour down the back of my throat, followed by a gush of fresh air through my nostril.
He then used the forceps to remove the packing from my right nostril. This one was apparently stuck pretty bad and felt horrible. He had to tug pretty hard and it felt like someone was tugging at my brain. Tears poured out of my eyes. Even then, the packing didn’t come out all at once and he had to pull out multiple pieces. At one point, I blacked out for a few seconds, because of the pain. This was the most painful moment of the entire procedure, followed by the most blissful moment. Both my nostrils were open and I was breathing in great gushes of air like I had never done before. I never remembered so much air in my right nostril ever. I was still in pain, so the doctor gave me a painkiller shot and let me go home. I went home, lay down and slept blissfully for 2-3 hours. This was my first blissful sleep since the surgery.
I woke up after a few hours and took my first shower in days. It felt amazing and removed the heavy feeling in my face and head. I was still very tired and couldn’t stay up for reasonable amounts of time without feeling dizzy and going back to bed. I met a few visitors in the evening, had an early dinner and went to sleep. Breathability was 100%
Day 4 – Cleaning
I slept for 13-14 hours with minimal interruptions and woke up the next day feeling much better and fresher. I had crusts of blood inside my nostrils, which I washed out using Solspre (Saline spray, which comes in a bottle). Breathing was down to 80%.  I spent the day reading and watching Sitcoms on my computer. I had an appointment in the evening with the doctor to get some endoscopic cleaning done.
My friend came in the evening and took me to the doctor. After waiting for sometime, he asked me to come in. I told him that I was feeling much better. He used a suction device to suck blood clots out of my nose. This was also very painful, but much less than when they took out the packing. Breathing was back up to 90%. Another night of good sleep.
Days 5-6

I can feel my Nasal passages closing up slowly. By the end of day 6, I have around 50% breathability in my left nostril and 30% in my right. There’s thick discharge all throughout the day, though blood is less frequent now. I can sometimes taste blood in my throat, which I guess is still from the blood clots getting dislodged.
I blew my nose particularly hard tonight and a lot of blood clots came out. Breathing is better, though I feel that something has dislodged in my left nostril and it feels kind of raw.
Thankfully, this congestion is expected, up to a month after the surgery and is not something out of the ordinary. The discharge eases up when I lie down, so at least I am still sleeping.
Day 7
Last night, the right nostril was completely blocked, whereas the left one was at 60-70%. After I woke up though, right one opened up quite a bit and stayed at 40-50%.

Bad phase

I am going through a bad phase in life. It is as if my body is failing me.

I have gastro-intestinal problems since the last 2 years. I have undergone a battery of tests but have failed to get perfectly well. It is not a constant problem but comes and goes. I suspect that I am Lactose intolerant, so have decided to go on a completely Lactose free diet for the next 2 weeks. If that cures me, well and good. I have no issues giving up milk for the rest of my life. Lactase-enzyme supplements are easily available which when taken with Lactose-containing products prevents symptoms from appearing.

However, the internet is a scary place. When I search for my symptoms, I get a barrage of deadly and dangerous diseases starting with IBS and ending with intestinal cancer. Scariest is the possibility of Coeliac Disease. It has symptoms of Lactase intolerance as well as Gluten-intolerance. If that is the case, I will need to have a Gluten-free diet for the rest of my life, which will mean giving up on Wheat and almost every type of grain. With food being on of the biggest motivations in life, can I completely give up grains of all kind? I am not sure if such a life would be worth living.

I have decided to try a Lactose free diet for a week, failing which I will go see a doctor (again) and go through so many tests (again).

Meanwhile, my motivational factor is at an all time low and I feel depressed and discouraged to do anything productive, especially before the festive season is about to start.

How to beat a Hangover

Tonight’s party can be tomorrow’s nightmare. While heavy consumption of alcohol can liven up even the most boring parties, it can make the next day horrible and completely un-productive and make your head feel like a throbbing mass of shit.
Being a victim of this phenomena many times, I have found out a few ways you can salvage the next day.
First of all, we must know why a Hangover occurs. A hangover is simply dehydration (loss of water and salt from cells) caused due to alcohol.  Dehydration is caused by alcohol’s ability to inhibit the effect of anti-diuretic hormone on kidney tubules, which leads to a hyperosmolar state, which in turn causes shrinking of (by loss of water) the brain cells which causes hangover. Here’re a few tips which can be observed (while still proving to your friends that you’re a man) during and after Alcohol consumption


During:-

  1. Drink large quantities of water. Alcohol consumption does cause excessive urination, and drinking even more water will cause even more frequent urination, but it does help. I generally have one glass of water after every full mug of Beer (or a peg of vodka/whiskey).
  2. Don’t mix different drink types or different types of the same drink type (Hop-based beer with wheat-based beer, beer with vodka, beer with wine etc.)
  3. Eat well. Prefer starchy slow-digesting foods like rice and potato, just don’t sleep empty stomached.
 
After(If you already had too much to drink and now its time to go home):-
 
  1. If you feel nauseous and feel like you want to throw up, do so. Don’t hold the vomit back; instead let go and remove all the excess alcohol from your stomach. This will not only reduce the hangover duration, but will also lead to a good night’s sleep. Do remember to re-hydrate yourself properly though.
  2. Keep a bottle of Gatorade (or similar) next to your bed. You are bound to wake up at night to urinate /feeling thirsty and drinking Gatorade helps. If possible, keep a couple of Dispirins (Aspirin) next to the bed as well and have them during one of the mid-sleep urine sessions. Most of the times, I feel this cures the headache by the time you wake up.
  3. Have plenty of fluids and salts the next day. Avoid having more diuretics like coffee and soft drinks; which will cause more de-hydration.
  4. Do some light exercise. Go running (not in the heat) or do some cardios. This will increase the metabolism rate of your body and metabolize the alcohol faster.
Consuming a large quantity of plain water may cause it to drain more salts out of the body causing a salt imbalance in cells. If Gatorade is not present, Lemonade helps (with lots of salt). 
 
After a lot of unpleasant hangover days, I feel that these days I can get rid of my hangover by the time I wake up or by mid-afternoon max(If I have passed out and don’t wake up in the middle of the night). 
 
Hope this helps a few people out.