BOOKS BY HANS DUVEFELT, MD
Top 25 Doctor Blogs Award
Read my VERY FIRST blog post:
Recent posts
- Quick and Easy: How to Save Primary Care
- All These Gut Feelings: A 10-Year Old With Belly Pain
- Don’t Eat More of Anything (Until You Decide What to Eat Less Of)
- Why Can You Have Angina With Normal Coronary Arteries? For the Same Reason You Can Have Heart Failure With Preserved Ejection Fraction
- Another Gut Feeling: A Case of Visceral Hyperalgesia?
- Big Leg, Little Leg: The Lymphedema That Came and Went (Comments invited)
- Health Care Through the Back Door: The Dangers of Nurse Visits
- Since When? Looking for Change: The Heart of the Art of Diagnosis
- A Very Near Miss: The Worst Bout of Sciatica Ever
- Notes From My Sick Bed: Cold War, Viruses and History Repeating Itself
- How to Talk to Clinicians: Forget Workflows, Just Tell Us How Things Work
- Hijacked for Public Health Purposes: Previsit Planning and Morning Huddles
- A Stubborn Rash: When Doctors Don’t Communicate
- A Country Doctor Practices Bibliotherapy: Books by Prescription
- Always Looking for Zebras
- The App That Helps Me Be a More Patient Centered Physician
- The Misunderstood Medicinal Use of Yogurt
- I Heard About Chilblains in British Television Shows, Not in Medical School
- Care Reminders? No Time to Think on the Clinic Assembly Line
- A Year of Extremes: From Medieval Masks to mRNA Vaccines; From Science Denying Flat Earthers to the Prospect of Civil War
A Country Doctor Writes: 
A new physiological observation; we breath through one dominant nostril at a time, and, as far as I know, it is not known how we switch back and forth. Nasal edema at night can be moved from side to side by turning in bed if not adequately controlled by medication. A trick for Aftrin nasal spray use; treat only one nostril at a time. This can be used to relieve Afrin (or any decongestant nasal spray) rebound blockage that you described; NO spray in one nostril until it has recovered; then breath though the healed nostril and allow the other to recover. By treating one nostril alternately to start with the patient may avoid overuse and still be comfortable.
Sure miss phenolpropanolamine. It is a great decongestant. It does raise blood pressure, but the effect is minimal if dose is properly controlled. Removing it from the market is like many overreactions; e.g. prohibition because some people drive drunk.