BOOKS BY HANS DUVEFELT, MD
Top 25 Doctor Blogs Award
Read my VERY FIRST blog post:
Recent posts
- Delivering Health Care is Like Practicing a Religion
- Make it So
- Your Doctor Remembers Most Things About Medicine, But Not Everything About You
- Five Plain Truths About Gout
- I Do Fewer Elective Procedures Now Than When I Started Out. This is Why:
- A Renaissance For Phrenology? (A Country Doctor Reads 8/24/22)
- Replay: A DOCTOR’S PARTING WORDS
- Don’t Be Insulted If I Prescribe Narcan Along With Your Pain Medication
- The Intrusive, Insensitive Nature of Primary Care
- Untitled
- Understanding a CBC (Complete Blood Count)
- Abnormal Lab Tests: Not Always a Sign of Disease
- Dosing Warfarin: From Flowsheet to Workflow. Is This Progress?
- A Country Doctor Reads: Consider the Vagus Nerve, No Matter What Seems to be the Diagnosis | The Wall Street Journal
- A Country Doctor Reads: The Solution Shop and the Production Line — The Case for a Frameshift for Physician Practices | NEJM
- Changing EMR Again: Goodbye Greenway, Hello Epic
- The Useless, Almost Drive-Through, Nearly Touchless, Free But Expensive and Wasteful Physical Exam
- Somebody Stole My Inhaler Idea. Finally!
- There Are Too Many Back Seat Drivers in Medicine Today
- Quick and Easy: How to Save Primary Care
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.