Dr. Shah obtained his BA/MD from Boston University and completed his Otolaryngology residency at Tufts University followed by a fellowship in Pediatric Otolaryngology at Children's Hospital Boston at Harvard University. After fellowship, he joined the faculty of Children's National Medical Center in 2006. Dr. Shah is an active clinical researcher and has received numerous awards for his research.
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
In most situations, the surgery is performed as an outpatient at either the
hospital or a surgical center (surgicenter). In both facilities quality care can be
provided without the inconvenience of an overnight stay. An anesthesiologist
will review the patient's medical history before surgery, and will monitor the
patient throughout the procedure. If the doctor has ordered pre-operative
laboratory studies, the patient should arrange to have these done several days in
advance, and bring all lab results to the hospital the day of surgery for
review.
Arrange for someone to spend the first night after surgery with the patient,
if possible.
After surgery, the doctor will usually advise the patient to start using
saline irrigation. There are many different ways to irrigate the sinuses;
depending on the surgery that was performed, the surgeon will advise the patient
on the best method for this to be done.
In general, patients that have sinus surgery should not take
aspirin, or any
product containing aspirin, within 10 days prior to the date of surgery.
Nonsteroidal anti-inflammatory medications (such as Advil) should not be taken
within 7 days of the date of surgery. Many
over-the-counter products contain
aspirin or Advil-like drugs. Therefore, it is important to check all medications
carefully. If there is any question please call the doctors that prescribe
medications (surgeon, primary care physician, cardiologist or other specialists)
or consult your pharmacist. Depending on the planned surgery, the surgeon may
have you abstain from such medications for a longer period of time.
Acetaminophen (Tylenol) is an acceptable pain reliever. Usually the surgeon will
give prescriptions for post-surgery pain medications at the preoperative visit.
It is best to have these filled prior to the date of surgery.
In most pre-operative preparations, patients must not eat or drink anything 8
hours prior to the time of surgery; the surgeon or hospital/surgicenter will let
the patient know the specific details regarding what time to stop eating and
drinking. This includes even water, candy, or chewing gum. Smokers should make
every effort to stop smoking, or at least reduce the number of cigarettes as
much in advance of surgery as possible. This will help to reduce postoperative
coughing and bleeding.
If a person is sick or has a fever the day before surgery, they should inform
the surgeon. If a patient wakes up sick the day of surgery, still proceed to the
surgical facility as planned. The surgeon and the anesthesiologist will
decide if it is safe to proceed with surgery.
Sinus infection (sinusitis) signs and symptoms include headache, fever, and facial tenderness, pressure, or pain. Treatments of sinus infections are generally with antibiotics and at times, home remedies.
Allergic rhinitis symptoms include an itchy, runny nose, sneezing, itchy ears, eyes, and throat. Seasonal allergic rhinitis (also called hay fever) is usually caused by pollen in the air. Perennial allergic rhinitis is a type of chronic rhinitis and is a year–round problem, often caused by indoor allergens, such as dust, animal dander, and pollens that may exist at the time. Treatment of chronic rhinitis and post nasal drip are dependant upon the type of rhinitis condition.
The common cold (viral upper respiratory tract infection) is a contagious illness that may be caused by various viruses. Symptoms include a stuffy nose, headache, cough, sore throat, and maybe a fever. Antibiotics have no effect upon the common cold, and there is no evidence that zinc and vitamin C are effective treatments.
Influenza (flu) is a respiratory illness caused by a virus. Flu symptoms include fever, cough, sore throat, runny nose, headache, fatigue, and muscle aches. The flu may be prevented with an annual influenza vaccination.
Sinus headache is caused by a sinus infection or inflammation of the sinus cavities. The primary symptom of a sinus infection is pain and increasing pressure overlying the area and associated tenderness to the touch. Treatment of a sinus headache depends on the cause.
A deviate septum is a condition in which the bone and cartilage that divide the nasal cavity of the nose in half (nasal septum) is significantly off center or crooked. The causes of a deviated septum can be congenital, or develop after a trauma or injury to the nose. Symptoms of a deviated septum include nasal congestion, recurrent sinus infections, nosebleeds, headache, facial pain, postnasal drip, snoring, and loud breathing. A deviated septum can be relieved with medications, and if necessary surgery, called a septoplasty.
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