Monday, May 9, 2022

Under Pressure

 So, There I was.....Sitting Alert at Osan AB Korea.  The 18TFW (Tactical Fighter Wing) had the responsibility for providing Air Defense Protection for Reconnaissance  assets in Korea.  In English, we (the South Koreans and the Americans) had lots of aircraft flying along the border of North Korea watching "Things".  I guess some lessons from the Korean War such as Surprise were still fresh in some minds.  Our job was to protect those assets if Uncle Kim decided to interfere.  Since the areas where those assets flew was very close to the DMZ and he had every right to fly on his side thereof, things could get spooky very quickly.  Hence, we had the requirement to be airborne within 5 minutes of the scramble klaxon going off.  Which sounds like a pretty long time, and would be if we sat in the jets, but that would get pretty old 24/7 for the week each team was assigned.  

So, the klaxon would go off, the three pilots, 2 plus spare, would jump in the truck, race to the revetments, a couple hundred yards away. The crew chief would have the Auxiliary power Unit started, we would climb the boarding ladder and as we got to the top, reach in and move the right throttle to idle, to begin the start.  While that was spinning up, we jump in.  The Crew chief would climb up behind us and grab the parachute straps and plug them in to our harness as we were monitoring the engine and turning equipment on.  As soon as he had us strapped in, he went down the ladder, took it away and we started the left engine.  As soon as that was at idle, the chocks out signal was given and we'd start taxiing to the runway.  At this point, we'd contact our control and pray for a specific code word.  My prayer was always, "Lord, I don't feel a particular need to be a hero today, but if you do, please don't let me screw it up."

Fortunately, the first half of that was answered for me every time.  (And we scrambled fairly often, mostly to test procedures and crews.  Mostly)

Get to the runway, stroke the jet into Afterburner, a couple of thousand feet later, we're airborne, gear's up, burners still cooking and we're level about 10 feet above the runway.  At the end of the runway, we're above 500 knots and we'd do a 4 G pull to 60 degrees nose high holding that until we got into the 40's.  Since we're going 540 now and a climbing at 60 degrees (2' up for 1' forward) that works out to about 60,000' of travel.  Or about 1.1 minutes to altitude.

Exciting?  Why yes, quite.  

And we got to do it quite often. 





But...And this brings us around to the theme of this post.  The cabin pressure changes could be quite "fun" if you had even the slightest sinus congestion.  Fun, of course, if you're into masochism.  On the ground, you might not even know you had ANY congestion.  And there might not be any warning of it, until it hit.  I had that happen on a practice scramble at about 45K', nothing until I got to that height, then BANG someone drove a nail through my head.  I rolled the jet and pulled the nose back down and headed to lower altitude.  Again, going through 45K, the pain went away.  RTB'd and went to the flight surgeon after landing.  After that, I never flew without a bottle of Afrin in my shoulder pencil pocket.

So, the school of hard knocks has taught me a lot about sinuses.  Which was good, as a week ago, Sunday, I was writing my normal Monday post when I started feeling pressure under my right eye.  Ahh, Crap, I'm getting a sinus infection.  Call the Doctor's office first thing the next morning and they worked me in.  Unfortunately, in this day and age, anything with a temperature, coughing and runny nose, AKA my symptoms, gets the "special" treatment.  

"Call us when you arrive, but remain in your car."  So, I do.  Get temp taken, BP and pulse read, and a Covid Nasal Swab.  (Always the highlight of my day.).  "Stay in the vehicle and the Doc will be out there as soon as the test results are back."  Fairly soon after she leaves, I feel my nose running, so grab a tissue and blow it.  Tissue comes back bright red with blood. This is a new symptom. The Doc comes out, takes a look at me says I've got a bloody nose.  

Yes, Beans, I managed to bite my tongue at that point (figuratively).

But, he also confirms the sinus infection and prescribes an antibiotic to treat it.  And the bloody nose should go away shortly.  The rest of the day, I'm reaching for tissue every couple of minutes .  All come back bloody.  Finally, about 4,Mrs. J advises me to call the Doctor.  I do.  He tells me to go to the ER.

Well...That got my attention.

So we do.  Relay the story several times as I go higher and higher in the ER chain of command.  Finally a nurse practitioner comes in.  Asks me what meds I'm on.  As the list of meds I'm NOT on is shorter, I have a laminated card with what I take, how often and dose size in my wallet.  I hand that to her and she starts reading it.  

"OK, you're on X, Y, and Z.  All three are blood thinners.  Why?"

I relate why my Doctor has prescribed them (AFIB, primarily).  She says, "OK, had any problem recently?"

"Nope"

"OK, Here's the plan, we're going to try to stop the bleeding with a nasal clamp.  Then we're going to take you off the blood thinners for 48 hours. Then you need to see your Doctor about starting them up again or any change in meds or doses."

Sounds like a plan.


 

Put the nasal clip on.  For the next 4 hours, they'd check on me frequently and every time they checked on me and took it off, Blood River started flowing again.  Finally, the nurse practitioner comes back in and says we need a new plan.

I had been thinking the same thing for quite a while by then.

"We're going to roll up a gauze pad, saturate it with Afrin, and shove it into your nose." (Actual words, I was beginning to like her and trust her now.)

Yay!

"Then you're going to see an ENT Doc tomorrow first thing.

So, that's what they do.

It didn't work completely, but the blood flow was reduced quite a bit.  (I could get 2 maybe 3 nose blows from a tissue before it was saturated.).  I spend the night upright in my easy chair dozing.

See the ENT guy the next morning.  He asks what's been happening.  I tell him "I think I've got a ruptured blood vessel in my nose from blowing it.  I think I've also got a Sinus Infection."

"How do you know about sinuses?"

I told him the same story I told you at the beginning of this post. That got us started on talking about solving my problem.  His primary answer? Never, ever, blow your nose when you've got sinus problems.  It over pressurizes an already weakened sinus.  Dab your nose instead. Oh, and he recommended I keep a bottle of Afrin handy.


I had one within 15 minutes of leaving his office.

And this was also when I had excess time on my hands so used Google Earth to follow the progress of Sarge's Polish/French Friends I commented on a few days ago.

And now, as Paul Harvey was wont to say "You know the REST of the story."








53 comments:

  1. Three blood thinners, holy smokes juvat. That ER photo is the epitome of " hope this works" look. Good to hear there was a resolution since blood works better IN the body than OUT of it...........:)

    ReplyDelete
    Replies
    1. Nylon,
      Yeah, as I got more acquainted with the Nurse Practitioner, I picked up the feeling that she'd had the gauze/afrin solution in mind all along. But, procedures are procedures and bureaucracies are....

      Delete
  2. Dang!

    A serious nose bleed is no laughing matter. A buddy of mine at work had that happen, he went to the men's room to try and calm things down, didn't work. Wound up in the ER, then being transported to a bigger hospital, spent some time on life support as well. A very touch and go situation. (That men's room looked like a crime scene afterwards, like the St Valentine's Massacre had taken place therein.)

    Hopefully you're on the mend. Dang again, I say dang.

    ReplyDelete
    Replies
    1. Sarge, Thanks. Well, been a week now. Back on the meds, Nose is still runny, but not bleeding. The new nose blowing technique isn't as effective at cleaning things out, but...the nose isn't bleeding. so...

      BTW, don't know what happened with the first video, but fixed.

      Delete
  3. Afrin is a prescription medicine?

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    Replies
    1. I hope you are feeling better.

      Delete
    2. StB,
      Like a lot of medicines, Afrin has over the counter strength and prescription strength. The ENT wanted me on the prescription variety until things calmed down. Dries me up quite nicely, it does.

      Delete
  4. Sorry you're in pain and discomfort. Hope you heal soon!
    I, too, was at K55, Osan AB, but much earlier - 1969. I do remember the klaxon, the short ride to C Diamond, and the runup of the F4 engines. They never taxied though since their munitions were too 'sensitive'. Good times.

    ReplyDelete
    Replies
    1. Anon,
      That WAS a while ago. Time does fly doesn't it? Almost as fast as the Phantom/Eagle. I agree. Very good times. Mostly.

      Delete
  5. Ouch! Great memories, thanks for sharing. Heal quickly and completely, please.

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  6. Thanks for the alert kalxon ride along!!! That is always really neat.

    I had my first and probably only sinus infection a few years back. That was an eye squinting experience. I used to get ear infections from blowing my nose so hard my hair would stand up. I learned. I've been doing the wipe and squeeze for a while. But something good did come out of that....

    In the old days when you were drawing up designs for a casting you'd use a shrink rule. It was scaled according to the shrinkage of the materiel you were casting. Iron shrinks about 1/8" per foot and steel is double that. Your shrink rule was longer than a regular rule. When I had that sinus infection, my pain scale changed dramatically. There is way more room between the numbers, and the complete 0-10 scale is at least twice as long as it was before.....

    I thought they also used balloons to stop nose bleeds. I've never seen one, but I have a "ribbed for her pleasure" with a Schrader valve on the end in my minds eye.... Glad your healing up....

    ReplyDelete
    Replies
    1. STxAR,
      As we were in the Afrin/Gauze stuffing phase, the Nurse Practitioner mentioned a final phase called a "Rhino Rocket". She said I would not find that pleasant. I think my sinus heard her and decided to start being better. I'm pretty sure that might be what you were thinking of and I'm definitely sure I'm glad I avoided it.
      Thanks

      Delete
  7. Juvat, nothing but sympathy here. I seem to have gotten a sinus infection as well due to allergies, which actually was as bad as I have had one in recent years. Hopefully this will resolve the issue (take it easy until then).

    And along with STxAR, thanks for the ride along.

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    Replies
    1. THBB,
      I enjoyed reliving the scramble and watching the video got my heart rate up and I could feel my leg and stomach muscles tightening as the guy pulled the nose up. What I wouldn't give for one more ride!
      Gettin' there on the healing thing, not quite 100% yet, but getting there. Hope you are as well.

      Delete
  8. Juvat, glad you're on the mend. Enjoyed the narrative...reminded me of listening to my Uncle and his buddies (WWII fighter pilots) reliving their experiences. They resembled of a bunch of Cajuns having a discussion with all the hands moving around in the air while simulating aircraft positions (old story; tie a Cajun's hands to his side and he can't talk).
    If you and I have the same ENT, originally from E. Texas, good on you. Nice guy & does good work. He's worked on Mrs. Cletus rebuilding the stirrup, etc. of her inner ear, opening sinuses for her hearing (yep balloon deal), and a procedure on one of my vocal cords. We briefly talk wildlife involved activities when I'm in the office, if he has a spare second or two.
    Cletus

    ReplyDelete
    Replies
    1. Cletus,
      Is his first name Tracy? If so, then yes. We did talk some flying which he seemed to find interesting. The same method applies to silencing fighter pilots for sure.
      Thanks

      Delete
    2. Juvat, that's him. Good guy. I hail from the deep S.E. Texas coast where the humidity is normally breathe it or drink it, and on one appointment I wondered out loud why someone from the tall pine trees would migrate to this part of Texas....he laughed and asked me the same question. Fair enough!

      Delete
    3. Cletus,
      Agreed, he was fairly entertaining, Or as entertaining as possible for someone who's sticking things in your nose. Got my followup next week. We'll see what he's got to say.

      Delete
  9. Sinus issues really suck...out loud.
    I was at Keflavik Naval Air Station, Iceland (P3 sub killers) from 5/72-5/73. I was crew chiefing F102 Darts at the Alert Barn for about 8 months, 24 on 24 off. We would intercept Russian Bears on their cigar runs to Cuba. Great duty, great memories.

    ReplyDelete
    Replies
    1. Anon,
      When my Dad was stationed at Webb, there was a Det of 102's sitting alert there also. Not sure who they were defending against, but I still remember that hard light AB when they launched.
      Thanks

      Delete
  10. I once scuba'd unaware of a minor sinus impairment -- ear wouldn't clear, and holy mackerel, did that hurt. A bit of foresight and a titch of nose spray would have saved a nice dive day in Grand Cayman!
    Now, when I start to feel a heaviness (usually from allergies) in my sinus areas, I use a nasal rinse (I'm fond of NeilMed): you'd be surprised what gunk you find was stored up there.... ("gunk": that's a medico-scientific term, in case you didn't know.) :) Oh, and rinsing moisturizes the sinuses, instead of drying them out as do the sprays.... Sprays also seem to have a "rebound" effect, as in, the more you use them, the more you need them.
    ColoComment (I don't know how to escape from the "anonymous" category)

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    1. ColoComment,
      Last first. I'd bet my bottom dollar, you've either got something blocking cookies or your browser is a secure browser (e.g. Brave). I can't think of a single non-nefarious reason Google (owners of Blogger) would want to track commenter opinions.

      Back on topic, yeah, the ENT also recommended plain saline solution (sold OTC in a squeeze bottle) to keep the nostril's moist. The Afrin is a 12 hour/dose, so that fills in in the interim. I'd forgotton about sinus problems while scuba diving. Tried to get certified and that was the reason I didn't. Course that was also the time in my life when I was flying Eagles. Didn't want to add more risk to losing that dream job.
      Gunk is a good word, Snot just sounds rude.
      Thanks

      Delete
  11. Your numbers in flight and antics thereunto attached remind me of the days at Itazuke AB in the Deuce.
    Yes, that place,
    "Itazuke Tower, this is Air Force 801.
    I'm turning on my final, I'm running on one lung.
    I'm gonna land this Mustang, no matter what you say,
    I'm gonna get my charts squared up, before that Judgment Day.
    "Air Force 801, this is Itazuke Tower
    I cannot call the crash crew out, this is their coffee hour
    You're not cleared in the pattern, now that is plain to see
    So take it on around again; you ain't no VIP"

    (These lyrics remind me of a day at Ubon RTAFB, when I was a little shot up, but not shot down, some VIP in the tower asked me to do a low pass so he could see my battle damage. I didn't think that was a good idea at the time and allowed as how I probably wouldn't do that. I didn't. Approach end engagement, first pass).
    Our gate climbs in the Deuce were to angels 35, accelerate and then we'd try to snap-up from there, not so dramatic, but for 1962, not bad. Only 300k for us over the departure end, but down close, like you. We had an alert barn at the south end of the runway and the Squadron Ops, etc. were put somewhere on the base so as not to interfere with the mighty 8TFW and the Super Sabres and later -THUNDERCHIEFS! As a part of PACAF, we were tasked to protect the base and rotate (wait for it) to OSAN!! There, we protected the huns and thuds (uploaded at the time), from the mysterious Ruskies and others, unnamed here. We slept in the barn. Some bravely with boots off, waiting for the horn. Five minutes, that was it -'til airborne. Your story of start up and taxing seemed familiar. Only thing I would add was after putting the throttle (we only had one) outboard, to start the sequence, and seeing 12% to start the fire, we had a technical checklist to accomplish. It read "shiny switches forward". Crew chief jumped down, removed ladder and by then the mighty Deuce was moving. Flight lead got some sort of clearance, "Runway heading, gate climb, Angels 35, cleared for take off". Everything seemed to work just fine for this then 1LT. My enduring thanks to the crew chiefs and maintenance guys who kept my airplane in great shape! (USAF F-102 553386). Only ONE TIME, yes, one time, did I notice that my zero release lanyard was still attached at 30K!

    ReplyDelete
    Replies
    1. Heck, Fuzz, even I remember that song. In ROTC at Texas Tech, Reese AFB O'Club allowed contract cadets to be members when Texas dropped the alcohol age to 18. We sang a lot of those songs.
      I bet the alert facilities at Osan were the same as back in your day. Probably even the same furniture.
      I agree with you about the Crew Chiefs, and Maintenance Guys. Don't forget the armorers. 4 X Aim-9M, 4 X Aim-7M and 600 rounds of 20MM HEI and AP sure makes your think about switchology and trigger finger positioning. Most of our scrambles were practice, so once we got airborne, we'd run intercepts against each other. Master Arm was verbally confirmed off before each "Fight's on" was called. And we reviewed tape afterword to make sure there wasn't any indications that a trigger or pickle button had been pulled/pushed. Focused the mind it did.

      Delete
    2. You know, it's funny, we NEVER EVER did the "fight's on!" thing. Even in training. I was right in the heart of that lack of ACM so prevalent in the 60's and 70's. Looking back, I get scared at what I didn't know. We trusted the four sand seekers and the 2.75 FFARs to keep us safe. Dumb way to look at things, General LeMay had.

      Delete
    3. Well, I came on as a Fighter Pilot when most of the guys who were in charge of me where from your era, Learned a lot in SEA and weren't about to let those lessons slip away on their watch. I got very lucky in my collection of Ops Officers, Sq CC's, DO's and Wing Kings. Wouldn't have gotten an Eagle if it weren't for the DO at Holloman going to bat for me with the Personnel Wienies. So, I have a bit of understanding of your era.

      Delete
  12. As Anonymous said, I think well of the NeilMed flush system.
    Note to self. Double check travel medicines.
    Take care of yourself.

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    Replies
    1. JiP,
      I'll look into that system. Check Travel Meds, Aye! The list of meds I carry in my pocket gets pulled out more than I thought it would and might just help the guy in the ambulance transporting your unconscious self make the right decisions.

      Delete
  13. Dad sat pad alert in the Mighty F-84G at Tegu lots of times. He said it was nice one or two days a year, the rest it sucked. Didn't know if he ever carried God's flashbulb or not, probably not in Korea but maybe when he flew out of Japan.

    As to sinus infections... Yeah... The swelling actually makes me go mean and cruel and nothing but really hot showers, lots of ibuprofen, benadryl and just hiding from the world works against it. Fortunately Mrs. Andrew has no problems telling me when my breath gets stinky from a budding infection so I can usually get ahead of it.

    Flonase is an excellent nasal antihistamine. Highly recommend it. You can get 6 generic bottles from Sam's for a reasonable price (cheaper than insurance often.)

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    Replies
    1. Dear fellow Gator:
      The flashbulbs were kept in Korea because the Japanese had an agreement with the USA to never store or use such things on their sovereign soil anymore. That's why we had to rotate to OSAN. The blivets were uploaded on the huns and later the thuds.

      Delete
    2. Beans,
      Fuzz is correct.
      I'll keep Flonase in mind. That was on the list the ENT gave me.

      Delete
    3. Fuzz,
      Last sentence is a little incomplete. Needs an "and Phantom's clause."

      Delete
    4. Thanks, LtFuzz. So maybe he did sit pad-alert with The Bomb. Chilling to think about.

      Delete
    5. Chilling? Think about if from the guys sitting in the cockpit. My prayer was considerably different sitting that alert than my Air to Air Alert one. " Dear Lord, please prevent Satan from setting things in motion that would require me to do this mission. It you cannot, please don't let me fail."

      Delete
    6. ...The night before the Cuban Missile Crisis showdown day, fighter interceptors patrolling over American soil were carrying air-to-air missiles armed with live nuclear weapons. That would make a pilot careful, serious and somber...

      Delete
    7. Don,
      I think I'd add Tense and Nervous to that list

      Delete
    8. ...I agree. The same for B52 crews at SAC bases. Half of SAC's B52s were in the air, the rest on 15-minute alert. If the alert klaxon sounded, it would NOT be a drill....

      Delete
    9. I was pretty little when all that was going on. I do remember Dad and the other "guys" being pretty terse and tired when they finally got home. He never really spoke about it though.

      Delete
  14. Ah yes, the 'joys' of being a retired military aviator... I don't know of many that don't have sinus problems these days. Concur on the saline rinse. And great story! I watched a bunch of you guys doing that out of Kadena, and the Marines in F-18s doing the same when they showed up in town.

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    Replies
    1. Old NFO,
      Thanks, I think you're right about the percent retired Military Aviators and Sinus issues. Got to be WAY up there.

      Yep, We didn't get to do it all that often at Kadena, because of the noise it generates, which meant pulling alert at Osan had at least one good side. But it was FUN!

      Delete
  15. I always liked your club houses in Tucson where the cruise would go when on high alert. If you got to be really close to the jet, that isn't a bad way to do it. I've been there with the sinus issues, felt the needle in my eyeball that was a sinus block and I couldn't clear it. One of the greatest feelings in the world outside of intimacy is when that sinus block does release.

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    Replies
    1. Tuna,
      The good news/bad news about my "nail" was I was in a single seater. The good news was I didn't have to convince the pilot to fly lower. The bad news was I really couldn't fly the airplane as I was very close to losing consciousness. Fortunately, it did go away as I got lower. But didn't want ANY chance of it reoccurring. Went home and landed.

      Delete
    2. Yes/no. I trimmed the airplane for a nose low attitude. Didn't want to go screaming down but did want it to continue if I passed our. So a few clicks of nose down trim. Fortunately, I never lost it and was feeling Ok, not great after not feeling real good until below 45K. Strong message provided to go home and land and see the Doc's. Took me a couple of weeks to be back on flying status. Was a "tad" more careful in my zoom climbs. Not less aggressive, a bit less assertive.

      Delete
  16. Sorry, clicked enter too soon. Not Tucson but Kunsan!

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    Replies
    1. Tuna,
      Wondered about that especially given Tucson is desert bound and a "Cruise" would be difficult way to get there.
      ;-)
      Ain't Spell Check wunnerful?

      Delete
  17. Blood thinners and bloody noses...ugh! And, yes, that is a medical term, just like gunk. I tell patients to pinch tight (!!!) with NO PEEKING x 10 minutes by the clock...since none of us can possibly sit still without checking a clock...and if that doesn't work, add a couple of ice cubes in a plastic bag for another 10 minutes applied to the bridge of the nose. While you are doing that, I am calling the primary MD's office, and discussing reducing the blood thinners, or what was your last blood work results. If it stops things, you are firmly forbidden to touch your nose for the next 48 hours so the clot can set up, I tell you to drink more fluid ( as you are most likely a tad dehydrated) or, if you have oxygen running at more than 2 liters a minute, I order a "bubbler" or humidifier bottle to put on the concentrator as air flow across the sinus tissue at 3LPM or more can dry things out PDQ. When things dry out, they crack. So moisturize. In other words, sip on a glass of (nonalcoholic) fluid that is caffeine-free. After all, don't need to set off your A-fib! One sip for every TV commercial you see when you watch a one hour show in the morning, and in the evening. Or, better, is a 8oz glass of water with breakfast, lunch, supper, one at 10AM, and another at 2PM. That way you are done by supper time and don't have to be up peeing all night long--which, let's be honest, is just a drag!

    But, yeah, once ya get one nose bleed, you're going to get more until everything heals back up. Hydrogen peroxide, or rubbing alcohol poured onto blood stains helps to wash them out...rinse with COLD water. Also eating a nice big dark green salad helps clot things up a bit, as does a drink or 2 of cranberry juice--low carb if ya have diabetes as we don't want to throw your sugars through the roof.

    And if that all doesn't work, then, yup, I send you off to a hot date with an NP at the local ER for a packing. Which is usually effective, if not you get cauterized, which is just...ugh!! Works though, until ya touch your nose.

    Hope everything is back to normal!
    And, very cool take off video!!

    ReplyDelete
    Replies
    1. Suz,
      You're pretty much exactly on target with the guidance I received. Haven't had a nosebleed since the "big event". Went of blood thinners for 48. Had a slight , (very slight) blood spot today when I exhaled, not blew, into a tissue. Back on the med's tomorrow. No probs with AFib in the interim, but was anxious to get back on them ASAP. Started back up today. So far, so good. We'll see.

      Cool video? You should have seen it from MY point of view! ;-)

      Delete
  18. Re: Flonase... The ENT has me on a semi permanent daily dose. If you've a Costco membership (maybe even if you don't), there's a generic equivalent with five spray bottles that last about 3-4 weeks per bottle, maybe longer.

    ReplyDelete
  19. 1) After decades of multiple sinus infections (about 4/year), my sister told me about using a Waterpik to flush sinuses. It works okay, but I came up with a new wrinkle. Cut the nozzle off near the base, and tapped it for a 10/32 thread. Got some brass fittings and very small fuel hose from the hobby shop (1/16 inch), rounded/tapered the tip of ~10-12" (Tygon?) hose, and slowly feed it into the offending nostril to steer it into the sinus. Push it until you feel an obstruction, back off a fraction, and start moving the water control. Slowly! Oh, make sure the water tank has non-iodized salt added. I usually warmed the water up a bit for comfort and blockage dismantling. Keep your head over a sink. Tilt your head around to find the least annoying angle. I suspect the feeling is similar to "waterboarding", but it works!
    The hose tip can be smoothed/rounded with a flame. BTW, there was a small, battery powered travel version of the Waterpik.


    2) Turned out the cause of most all my sinus infections (all on one side) was a molar with roots extending into the sinus. At some point the tooth died, and later I broke it with some hard candy. Dentist wasn't sure about the penetration, but I confirmed it when I sneezed the following day, and blew the scab plug out of the jaw cavity. (Xray doesn't see the sinus very well) At least six years and no infections, and much less drama with seasonal allergies.

    ReplyDelete

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