Another Dishonest ENT
In March, I saw another ENT. I just picked his name out of the provider directory. I wanted to know how much turbinate tissue I had left. I wanted a referral to a plastic surgeon. He did an endoscopic exam. “Wait a minute,” he said before he started the exam. “Let me get the camera.” He left the room, and returned with a camera, which he attached to the endoscope. He ordered a CT scan, and then I saw him, again.
Before the second appointment, I read the pamphlet Dr. B. had given me about his practice. I felt weak when I read that Dr. B. had graduated from the same college of osteopathy as Dr. S., the surgeon who had destroyed my nose.
At the second appointment, Dr. B. would not tell me how much turbinate tissue I had remaining. Instead, he kept saying that the turbinates were “there.” Surgically altered turbinate tissue is routinely described in terms of percentage remaining. But conveniently, for Dr. B., turbinates are either “there” or “not there.” He showed me the CT scan on a computer. For some reason, he had ordered horizontal slices only, which are undecipherable to a layman. Previously, he had given me a chart of normal nose. The post-surgry CT scans I’d had done previously show turbinate tissue clearly missing from my nose.
I asked Dr. B. for a copy of the endoscopic video he had made. “Oh, I don’t have a way to make a video,” he lied.
“I noticed, when I read your pamphlet, that you graduated from the same osteopathic college as Dr. S.” I said. “Do you know him?”
“I know him very well,” Dr. B. said. “He trained me.”
I requested my records from Dr. B.
April 2, 2009, he wrote, “I told her that she may have atrophic rhinitis, but it is not because of a lack of turbinates.”
No, of course not. It is merely a coincidence that I developed atrophic rhinitis immediately following an aggressive sinus surgery, and that 90% of AR, in developed countries, is caused by aggressive sinus surgery: http://www.utmb.edu/otoref/Grnds/Atrophic-Rhinitis-050330/Atrophic-Rhinitis-050330.htm. This happened independently of the sinus surgery, in spite of a history of no sinus problems, and in spite of the fact that it does not occur, in the U. S. independent of medical intervention or diseases which I have never had. It is simply a medical miracle.
“…there is no evidence of resection,” Dr. B. says, cleverly, regarding my turbinates, knowing this will fool doctors outside his specialty.
My turbinates were reduced—or rather destroyed–by cautery—they were dissolved by a heated prod, rather than cut. Thus, Dr. B. is suggesting that they were not “resected,” though they are just as gone as if they had been cut. In fact, they are in worse shape because they are in a state of atrophy—according to Dr. H., the ENS specialist–the remainders dying off. Picture a piece of parchment singed by flames.
“She continues to quote a doctor at….who has said that she had osteotomies and resection of her entry turbinates which will undoubtedly cause atrophic rhintis. I have shown her on her films that her inferior turbinates are present and that middle turbinates do not cause atrophic problems.” The last statement is also not true: http://emptynosesyndrome.org/ens.html.
Again, the inferior turbinates are “present.” Though I have been told by several doctors that they are “stubs.” The post-surgery films of my nose, done previous Dr. B.’s films, look nothing like charts of a normal nose. The pre-surgery films are identical to charts of a normal nose. See the August 27 post A Normal Nose.