BOOKS BY HANS DUVEFELT, MD
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Read my VERY FIRST blog post:
Recent posts
- The Future of Doctoring is Already Here: Do More, Give Less Or Burn Out
- An Unusual Case of Meralgia Paresthetica
- Previsit Planning: What, Why and For Whom?
- Most Read Posts in 2021 (if not ever…)
- Happy New Year!
- Medicine, Like Survival and Living Well, is an Art
- A Country Doctor’s Christmas
- Doctor Playing Vet
- A Milestone in Child Mortality: Guns Kill More Kids Than Motor Vehicles Do
- Seizures: Low P, Low D and Lots of THC
- Doctors Working for Free
- Be Thankful for Ordinary Days
- My First Case of Restless Chest Syndrome?
- More Pictures From the Life of a Country Doctor
- The Dangers of EMR-Defaulted Prescription Stop Dates
- The Broken Promise of Computers in Healthcare: A Doctor From the B.C. Era Explains
- A Country Doctor’s Life
- How Much Time Should Doctors Spend With Their Patients?
- From Warrior to Wise Man: Former Coast Guard Reflecting on the Healthcare Workplace
- A Country Doctor Reads: What if Burnout Is Less About Work and More About Isolation? (NYT)
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.