Word: sinus
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...patient was an 8-year-old California girl with severe headaches. Her parents, who were both struggling to adjust to new high-pressure jobs, took her to top neurologists and pediatricians. The child's symptoms, the doctors concluded, were a response to stress at home, along with perhaps a sinus condition. But four or five months later, it became clear that she had a brain tumor and needed surgery. When her doctors looked back at early scans of her brain, they were aghast to see the shadow of a tumor they had previously overlooked...
...peremptorily challenged. By the prosecution. You're not supposed to take that personally, but you can't help wondering what sticks out about you. I was sniffing quite a bit, but that can only have looked like what it was: sinus-related. I believe the prosecutors saw me as too kindly. If I'd been wearing a hat made out of the Wall Street Journal, I might have fooled them...
...Which is why there are few office visits that cause a pediatrician more headaches than a child whose chief complaint is, in fact, headaches. Most childhood headaches can be attributed to the same things that cause adults' headaches, such as sinus infections, stress, allergies, migraines and eye strain. But as common as these etiologies are, the causes of headaches are myriad, and a careful practitioner must be able to diagnose the serious, albeit rare, causes as well as the common ones. So it is always with some reluctance that I approach headache patients, not because they are demanding but because...
...prescribed antibiotics for a presumed sinus infection as well as allergy medication. Her mother was pretty sure that the baby sister would not relinquish the hamster, but they would move it out of the family room. Meanwhile, Ashley promised to work out some of her stress on a treadmill and promised to return after exams so we could reassess her stress and headaches. But the waking up at night bugged me. Most teenagers, once asleep, don't awaken easily. So again I ordered a CT scan "to be cautious," and again it proved a caution worth taking. Ashley's brain...
...pressure and fitness level better than those of most teenagers. When taking her son to see an ear, nose and throat specialist for recurrent ear infections, she innocently asked the doctor why she could hear her heart beating when she went to bed. He thought she might have some sinus problems and prescribed some antibiotics and a nasal spray. When she had no relief from her heart's nightly lullaby, she returned to the doctor who ordered a CT scan to further evaluate her sinuses. The CT scan revealed that her sinuses were fine, but she had a brain aneurysm...