BOOKS BY HANS DUVEFELT, MD
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Read my VERY FIRST blog post:
Recent posts
- Dear Uncle Marcus (Welby):
- We Use Too Many Medications: Be Very Afraid of Interactions
- How to be an Expert: Narrow Niche or Novel Juxtaposition
- A Country Doctor Reads: New Swedish Psychiatry Celebrities on Incels and Narcissists
- Medicine is a Moving Missile, Aiming for a Dangerous, Elusive Target
- A Gut Feeling: Could This Case Really Be That Simple?
- We Shouldn’t Tolerate Sloppy Allergy Lists
- American Primary Care is a Big Waste of Time (When…)
- Still Smiling At “A Moving Target”
- I Am a Decision Maker, Not a Bookkeeper
- A Country Doctor Reads: THOUGHTS OF A TEENAGER (and a Blast From the Past)
- Swedish Telemedicine Psychiatric Prescribing
- A Man With Sudden Onset of Gastroparesis
- Labor and Delivery
- Anxiety, Worry or Fear? Disappointment, Grief or Depression?
- Friday Afternoon: Elevated D-dimer. Ho, Hum
- Cold Feet
- Progress Note: August 31, 2021
- We Are Living in the Dark Ages, and Night May Soon Fall
- Burnout? Not Even Close!
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.