Im from a country where the doctors don't remove them only if you're covered by insurance m they cause medical harm to me so I want them removed. Is it possible for ent surgeons to remove them?
NOTE: please discuss the recommendations below with your doctor
I would like to add a note on the skepticism in the mainstream media and among mainstream doctors for IVM (the "horse dewormer" drug - Ivermectin)
While it is true that IVM is not a one drug immediate solution for long haulers or post-vax issues
It should be noted that the signal is there for why it should be part of every protocol
There are many signals for it's efficacy that early treatment doctors have observed - I have observed it's post-exposure prophylaxis efficacy in households with index cases during the Delta variant - without the prophylaxis the whole household would fall sick - with it, the cases would be restricted to the index cases
However there is one place where it single-handedly shows efficacy is post-COVID19 anosmia/Parosmia (ie taste/smell dysfunction - which affects 1/5 to 1/10 COVID19 cases)
This is why I have been suggesting to early treatment doctors (like the FLCCC/IMA) that anosmia is a good way to present IVM - but most of the effort to normalize IVM use has been in arguing for mortality benefit etc
While anosmia remains an easily verifiable metric - within a few days and a few successive cases, a doctor will build up the confidence that this drug does have activity
So far I have seen 100% efficacy in all the recent anosmia cases I have seen - which have been 13-14 anosmia cases (this has been from a pool of 100+ COVID-19 cases)
The most recent anosmia (rarer now) reversal was a couple of months ago - 2 weeks of fatigue and anosmia after a minor case of "flu"/covid19
I told her it should reverse within 2 days and should see some relief in the fatigue (having seen this pattern repeat predictably in all previous cases)
And after 1-2 days she was at 100% smell
And cooked for the first time in 2 weeks - ie fatigue was gone
And in the months old cases - also I have seen 100% efficacy - with a longer treatment protocol - in the 3-4 cases I have seen
(though I concede this is not enough data and doesn't cover years old cases)
The pattern generally is that for old cases - more than 1 cycle may be needed - so for example 5 days of IVM 0.4mg/kg - split into morning/evening dose - taken with fatty meal or meal
Then can take a 3 day break - if want to avoid any visual disturbance side effects
Then take another 5 day course
Usually I would ask them to increase their Vitamin D levels as well
So just from this information, I feel that IVM should be first drug of choice as part of any protocol
Because of it's efficacy against post-COVID19 anosmia (which is a hard problem)
In my experience IVM also has been effective in removing fatigue as well for recent post-COVID19 cases - and in some old cases - both long haulers and post-vax
So it should be part of the protocols
Also because of the media paranoia created around IVM as some sort of litmus test for sanity or irrationality - I am unsure if the people who "try" IVM actually have used it for more than a few days
Since it is a relatively safe drug - it can be taken for 5 days - take a 3 day break (if you want to avoid the visual disturbances side effect) - and repeated
So my question is how many long haulers are actually trying longer term IVM use as part of their wider protocol
Instead of trying it for 5 days then writing it off
Summary: IVM shows single-drug response for some post-COVID19 persistent side effects like anosmia/Parosmia - which have no other comparable treatments (Stellate Ganglion Block SGB comes in a distant second - smell restraining which is the standard of care is not even partly effective) - which alone makes it an essential component to consider for protocols for long haulers - IVM hesitancy may also contribute to shorter duration use (when the drug can be easily tolerated with repeated dosing with breaks)
For more information on post-COVID19 anosmia, you can visit:
r/covid19anosmia
r/ivermectin
You would think this information would be welcomed on sub-reddits like:
r/covidlonghaulers
r/anosmia
r/Parosmia
But you would be mistaken - as these - and many of the mainstream sub-reddits - as policy - will perma-ban you if you suggest Ivermectin does anything for COVID-19
Recall that during the pandemic, YouTube actually had Ivermectin and Hydroxychloroquine mentioned by name in the YouTube terms of service - as unbelievable an overreach as that may seem, that was the state of affairs during the pandemic
3rd yr med student looking for a pdf version of the Pasha textbook to use for my rotation. Anyone have a copy they can send me?
I am a Family Practice doc (who secretly wishes he knew more about ENT when I was in med school) about to get out of the Navy soon and planning on opening up a Direct Primary Care practice. For those not aware, it is very similar to concierge medicine, but more accessible to the middle class. When starting out, I am going to be doing primarily housecalls to save on office rent as I build up my panel. I do plan on keeping housecalls as an option in the future. I expect to need to occasionally do a wax debridement, maybe pull some toys/bugs out of a kids ear, etc on top of routine TM and EAC exams.
My ideal equipment is:
I have seen mentions of the "WELCH ALLYN 2.5V/3.5V HALOGEN PNEUMATIC OTOSCOPE" in the thread from an ER doc. Would that be the best choice in my situation?
Title basically.
I'm a premed who just graduated from a T10 university, but I'm struggling to find any postings for ENT research assistant positions. I know it's late but I've been looking since April and have been getting fewer responses & interviews. I really wanted clinical research positions within ENT but haven't been able to find any in the US honestly.
As ENT physicians and residents, what would you say are some good adjacent fields I should look into that would still help me build my application for ENT residency at this stage?
I would really appreciate some guidance!
one of my tonsils is EXTREMELY swollen and painful, it hurts when I speak to much, burns to swallow even my own spit, I am 18 and smoke weed heavily. I am so scared that I may have cancer!
I have photos
please tell me its just an infection