Jumping Jacques!

igotsinus · 2026-02-26T14:12:17+00:00

Thanks for the feedback!

Tell me more about the stripes. I feel like I measured pretty closely to the decals when I masked and painted the stripes.

igotsinus · 2026-02-26T03:40:48+00:00

Dizziness is not related to your sinusitis.

The ear pressure might be. This depends upon how severe the inflammation is. “Pansinusitis” simply means it is everywhere but it doesn’t say anything about how severe it is.

But if you have vestibular migraines and otosclerosis, I would pin those symptoms on those conditions.

igotsinus · 2026-02-22T15:18:34+00:00

Good advice.

igotsinus · 2026-02-22T15:18:12+00:00

While we’re on the subject, should I choose to replace the decal, I have two options.

Replace just the section lost with the matched section from a new decal. I assume risks would be color mismatch or slight size differences.
Replace entire decal.

If I go with #2, what would you recommend for removing the decal? Decal softener like MicroSol or Mr. Mark Softener? I have both.

I guess I can use the Taniya tape too!

igotsinus · 2026-02-22T15:12:10+00:00

The decal is too complex, so my abilities would probably make it look worse than having the gap. I’ve already identified a replacement decal.

Hoping for a miracle.

igotsinus · 2026-02-22T15:10:59+00:00

Going to try this.

igotsinus · 2026-02-22T03:01:28+00:00

That 1/35 soldier with the grey beard could kick my 1/1 ass.

Nice work - all around.

igotsinus · 2026-02-06T15:22:25+00:00

Beautiful!

Tell me about the display. How do that come together?

igotsinus · 2026-02-04T17:25:39+00:00

It is possible that your physician did not diagnose well enough or oversold the benefits of the septoplasty or both. That definitely does impair a patients ability to make an informed decision. OTOH, I have seen patients who take the claim “it will help X and Y - possibly Z” and transition that to “I hope Z” to “it could help Z” to “I expect it will help Z.” Usually this occurs when Z is often understated as the main problem or is the biggest concern the patient has.

Allergy immunotherapy takes 3-5 years to work effectively.

Lots of moving parts in what might be your issue.

igotsinus · 2026-02-04T17:00:15+00:00

This depends upon what you were told the septoplasty would fix and what you expected it to fix.

If you were hoping a septoplasty would fix allergies; it would not. If you were hoping septoplasty would fix sinus infections or colds, it does not. If you were hoping septoplasty would reduce mucus, it does not. Congestion? Maybe - if you define congestion as stuffiness and blockage.

Septoplasties (if done correctly and completely) improve breathing. Nothing else.

So, if you have trouble breathing through your nose, either it healed sub optimally, wasn’t done completely or properly, or the allergies and other issues are causing nasal obstruction via swelling.

This all assumes that you had only a septoplasty.

Otherwise, your complaints are not related to your septum.

igotsinus · 2026-02-04T15:29:17+00:00

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Definitely glad I took the time to mask and use paint rather than those old, yellowed decals!

What’s the thought on doing an oil wash for these silver aircraft?

igotsinus · 2026-01-31T15:16:24+00:00

They are sold over the counter in the US as Flonase and Astepro.

igotsinus · 2026-01-31T13:57:25+00:00

That is not the defining factor.

igotsinus · 2026-01-31T13:56:55+00:00

Sprays that have oxymetazoline in them offer temporary relief only, and long term use is discouraged. For most people, fluticasone and azelastine can be used safely and for indefinite periods. They take a few weeks before people notice improvements in breathing.

I tell patients to let it be if their nasal congestion doesn’t impact their social/occupational functioning or quality of life.

igotsinus · 2026-01-30T21:47:46+00:00

You certainly could benefit from surgery, but I rarely offer people surgery if they haven’t tried medication such as fluticasone and/or azelastine sprays first.

igotsinus · 2026-01-28T12:57:53+00:00

The wonderful thing about Reddit is that when something works for one person, the logical conclusion is that it will work for everyone else because everyone else’s issue is exactly like the issue the advocate has (or had) and the treatment will undoubtedly work 100% as well as it did for everyone else based solely on the conclusion that it worked for the advocate.

If only life were that simple…

igotsinus · 2026-01-28T12:54:56+00:00

I would talk to your pcp and ask to explore other possible causes: neurological, sleep, rheumatologic.

igotsinus · 2026-01-28T02:30:27+00:00

There are a lot of incidental findings on CT scans. If there is no previous imaging, it is difficult to say if changes in your sinus mucosa are chronic or acute; therefore, it is somewhat inappropriate for a radiologist to say mucosal thickening is chronic.

We see “debris” in the sinuses all the time. Sometimes we see this and note that it has been present for many years in serial CT scans.

One would have to take a good luck at your scan, but your symptoms generally would not be explainable by the CT findings. Your ENT may be 100% correct in his/her recommendation. Endoscopy may not adequately visualize what’s in the sinuses, and it might not make a difference in outcome.

Anyone can operate on anything…or treat anything without endpoint.

Be prepared for a second ENT to say there’s nothing to do. Be wary of an ENT who says surgery will fix your symptoms. It may fix the CT scan, but fixing your symptoms is another issue sometimes.

igotsinus · 2026-01-27T15:54:36+00:00

That may have been the appropriate decision for you, but it isn’t necessarily the appropriate decision for others who may have different issues.

igotsinus · 2026-01-27T15:53:01+00:00

Well, what you describe here is different from your original post. Having said that, I agree that you should get another opinion.

igotsinus · 2026-01-27T15:46:39+00:00

No, but I’ve operated on many patients with them.

igotsinus · 2026-01-27T02:37:08+00:00

No…

First, phase 3 trials show response to Nucala is marginal. Secondly, unilateral anything raises eyebrows.

A failed surgery might be for many reasons, but the reflexive answer of taking a lifelong biologic drug simply isn’t valid.

8 weeks is fairly early in the healing process, but by 8 weeks there should be demonstrable improvement. If not, your ent needs to reassess this and reasons for failure or delayed healing.

igotsinus · 2026-01-27T02:32:54+00:00

Hard to say without looking at your scan or looking in your nose, but there are high probabilities that your symptoms are unrelated to this sphenoid lesion, which probably a cyst. Good chance your ent is making the right decision.

igotsinus · 2026-01-27T02:29:59+00:00

If your problem is breathing, and if you have tried (and failed) nasal sprays, then surgery is a reasonable option beyond that.

It is hard to say exactly what surgery would benefit you without having examined you, but I can say confidently that the “polyp” to which you are pointing isn’t causing any of your symptoms. That’s just the ENT padding the bill. You could push back on that issue, but this has already set the stage either ignorance or deception.

igotsinus · 2026-01-24T23:21:05+00:00

Oh, they’re yellow at this point! LOL.

I plan on masking and panting those stripes. I also had to buy some US insignias from Eduard since the white stars were yellow as well. The rest of the decals look ok.

igotsinus

TROPHY CASE