BOOKS BY HANS DUVEFELT, MD
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Read my VERY FIRST blog post:
Recent posts
- Set It and Forget It: My Successful First Use of Ambulatory Blood Pressure Monitoring
- Patient: “Another Doctor Said Keto Was Bad For Diabetics” – Me: “Let Me Tell You the Story of the Flex Fuel Man”
- Funny Examples of Swedish Medical Terminology
- “Fruit is God’s Candy”
- The Art of Diagnosis: Go With Your Gut, Dig Deeper, Step Back or Start Over
- When I Escalated His GERD Treatment, My Patient Got Worse. Now I Know Why
- “This Doesn’t Usually Hurt that Much”: Patients With Fibromyalgia Spectrum Disorder
- Another Birthday Reflection
- Fatigue, Tinnitus, Dizziness and Dyspnea. What’s the Diagnosis?
- Can the Practice of Primary Care Medicine ever be Practical Again?
- I Actually Love Technology
- Habits for Health and Happiness
- The Gift of Time
- The Art and Soul of Medicine Exist in the Ordinary
- The Science of Clinical Intuition
- To Understand What You Already Know
- There is a Word for People Like Me: AMBIVERT (A Personal Reflection)
- The Call to Be a Primary Care Doctor
- The Annual Physical: Is it Worth Having?
- My Blog is Setting Many Records, Except One, a Surprise Hit from 2015
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.