crimsonpanther8 said:Hey everyone! Sending out some good vibes to you all. I have a quick question for the group... Does anyone here have any insight regarding septoplasty or rhinoplasty performed at the Holy Spirit hospital in Washington, D.C.? Specifically, I'm looking for feedback on Dr. Brad Pitt. After dealing with a nasty ear infection and ending up with a perforated eardrum, my doctor just gave me the recommendation for surgery. Honestly, I’m feeling a bit overwhelmed, so any information or advice you all could share would be incredibly helpful! 😁
Specialist. Could you give me a bit more detail on that? I'm trying to wrap my head around how everything ties together—how exactly is that all connected?
Carl Young57 said:Can anyone who’s had a local anesthesia septum surgery describe how the whole thing went down? I'm genuinely curious about everything they actually did while I was out 😁 I know you probably didn't see much since you were under, but maybe you could tell from the sounds what was happening...
Honestly, you might have a hard time finding someone willing to dive into those details...
lonehawk8 said:My doctor also asked if I wanted to go the aesthetic route too, so now I'm a bit confused. How does the process actually work? Does he perform the cosmetic part himself, or is that handled by a plastic surgeon? Also, for those of you who had cosmetic work done, did you have to pay out of pocket even if the initial surgery was done in the hospital?
When it comes to certain procedures, you don't even need a specific title—nose surgeries can be performed by plastic surgeons, maxillofacial surgeons, or ENT specialists. In terms of training, ENTs almost exclusively undergo continuous specialized training regarding the structure of the nose, but more importantly, they focus on maintaining its function. Plastic and maxillofacial surgeons generally just do as much training as they personally choose to pursue.
The aesthetic portion was framed as "plastic surgery." Lately, Medicare has really started putting the squeeze on hospitals, pushing them to stop performing purely cosmetic procedures. You might still see it happening here and there under a differently defined medical heading, but that’s becoming increasingly rare. The healthcare system is honestly in a desperate state right now. We're seeing a massive shift toward everything being handled through private out-of-pocket solutions. Anyway, that's my two cents—don't want to ramble on forever!
Carl Young57 said:What do babies have to do with any of this? I'm telling you, my count was around 200—maybe somewhere between 180 and 190. During my follow-up appointment, I actually asked the doctor if those numbers were normal, and he reassured me that everything looks fine and that I'm definitely not some rare outlier. Honestly, though, I was sweating bullets the whole time and couldn't wait for them to just give me more sedation so I could relax.
What kind of risks are you actually talking about here? If you’re healthy, the risk is pretty much negligible.
There are risks out there that I’m personally aware of—things you might not have considered—but instead of giving you a long-winded lecture on them, I’ll just pose a single question: if the incidence of an event is 1 in 100, making it incredibly rare, what happens if *you* are that 1? It’s a heavy thought, I know, but it's something we really need to weigh. Suggesting that a "one-size-fits-all" approach is always the superior solution is fundamentally flawed. In local clinics, you aren't exactly facing life-or-death stakes, but when you move into general hospital care, that's where things get real.
That’s an interesting take, though I think you might be stretching the truth a little bit—if that happened at my place, they would have hauled you straight to the ward just for joking around. I'm not an anesthesiologist, so I can't say for sure how much weight to give your reasoning, but I definitely notice a pattern in how things play out. A heart rate hitting tachycardia? No way, that's a massive red flag. Seriously, try counting out what 200 beats per minute actually feels like.
Carl Young57 said:If you're really that nervous, don't even bother with local anesthesia—just go for general. Otherwise, you might actually end up passing out on the table from pure stress. I remember my heart rate hitting nearly 200 bpm (I saw it right there on the EKG) before they finally knocked me out. For instance, when I had a wisdom tooth pulled under general anesthesia, it was about 20 minutes of just pure struggling and tension before the meds kicked in. I had a sheet over my head so I couldn't see anything, but I could hear everything and my imagination was running wild... I honestly felt like I was going to throw up right then and there.
General anesthesia is definitely the way to go if you want peace of mind. They put you under, they do their thing, and two hours later, you're waking up comfortably in your hospital bed on the ward. Seriously, there’s nothing to be afraid of, trust me.
Hmm... Sorry, but I think you got your numbers mixed up—most babies don't even have a heart rate that high!
Fear isn't going to kill you, but it certainly won't help the procedure go smoothly either—nobody wants to feel like things are being messed up around their head.
As for general anesthesia—sure, it’s convenient and smooth, but let's be real: it carries its own set of risks. We shouldn't overlook that.
lonehawk8 said:I have a right-sided nasal deviation and I'm scheduled for surgery this September. My doctor told me it's a routine procedure and that he plans to perform it under local anesthesia. However, when I went to book my appointment and mentioned they'd be using local anesthesia, the staff gave me such a weird look. They even whispered to each other, "Since when do we do septoplasty under local anesthesia?" Now I'm feeling really confused, and honestly, I'm a pretty anxious person. This is going to be the first surgery I've ever had in my life.
Well, actually—it definitely used to be done that way. Nowadays, you could probably count on one hand how many people still opt for local anesthesia for this kind of thing. It's hard to say for sure without knowing the specifics of your particular deviation, but ultimately, the surgeon has to inform you about the specific techniques and conditions they intend to use for the operation.
velvethawk68 said:So, I’ve got a bit of a situation on my hands. The IRS just slapped our company with an enforcement order for a measly $4.25, and here's the kicker—they sent the actual order without so much as a courtesy warning or a "hey, you owe us this" notice first.
1. Is it actually legal for them to skip the warning phase and go straight to the enforcement order?
2. And is there any wiggle room to negotiate? Like, could we offer to cough up $10,000 right now and then settle the remaining $1.00 in a month, or is that totally off the table once the order is already out there?
Thanks!
You should check in with the IRS directly—I think they recently rolled out some new regulations aimed at making it easier to catch up on back taxes. I believe they were mentioning options for installment plans that don't accrue interest.
The statute of limitations kicks in years after each individual bill becomes due . You have to actively invoke the statute of limitations. The court won't just step in and handle it on their own initiative. That goes for public notaries and anyone you actually owe money to.
This applies to all household bills. Basically, you absolutely need to bring up the statute of limitations.
I mean, what kind of people were they thinking? It’s wild how folks used to just blindly pay off those old Berkshire Hathaway bills for decades without questioning them...🙄
It’s not too late, but honestly—you should probably get moving before things get heated.
Once you receive the formal notice, you'll have a much clearer idea of who actually needs your attention, since every single garnishment is being handled by a different creditor.
John Clark6 said:In that case, I don't think you should just sit there twiddling your thumbs—maybe take some initiative! You really ought to go down to their office and see exactly whose name is on what, just so you can get any mistakes straightened out immediately.
Making people mindless isn't going to prevent consequences like you seem to think—I've been through this process three times now, and it's always the exact same thing: "We hear you, we'll get on it." How many times am I supposed to repeat the same cycle? Maybe sticking your finger up your own backside would solve your problems if you had any, but that wasn't really the point of my question.
I’ve dealt with this personally—my father keeps getting these aggressive collection notices for "unpaid" bills, even though at the exact same time, they’re sending us payment slips for those very same charges, which we then pay through my mother or myself without any issues. It’s happened several times now, but it's honestly useless to fight it. Just last year, they had the nerve to send yet another demand for debts dating all the way back to 2006, 2008, and 2009.
Carl Young57 said:Alright, what should I do at this point? Does anyone have a suggestion or a solution?
Call your provider right away—today! You absolutely need to get to an emergency ENT clinic. Honestly, I'm not even sure where you had your nasal surgery done.
Do you have a septal hematoma in your nasal septum?!? That’s an absolute medical emergency—if you don't get that drained, your cartilage could start breaking down, and you might end up dealing with some pretty serious breathing issues too.
I can't help but notice that this place seems to attract people who are perpetually unhappy, almost for no reason at all—it’s as if they just haven't quite figured out how to deal with their own issues yet.
restlesspanther42 said:Has anyone else noticed their sense of taste changing compared to how it used to be?
It’s definitely possible, but honestly, if your nasal passages and sinuses are all inflamed, your sense of smell just isn't going to function the way it should.
If those scabs start peeling away on their own, just let them be—if you force it, you’re just going to end up damaging the tissue again. Just leave them alone and let the body do its thing; the moisture will naturally be absorbed by the rest of the mucous membrane.
The more often this happens, the better you'll understand it—at the end of the day, it all comes down to the basic principles of how water circulates in nature.
You really don't need to overthink it—just let the ointment circulate and soak in properly. The only exception is if someone happens to be allergic; in that case, using a corticosteroid spray is a much better way to go.
The local clinic recommends using a Vinogradska wash. But honestly, how should this be cleaned properly? And also, what’s the best way to handle things once everything has dried up, especially since there isn't even any tamponade left to use right now?
I’ve been using saline rinses quite extensively for my sinuses. Following my surgery, my doctor recommended a five-day course of antibiotic drops. Personally, I found that using Operil just ends up irritating the mucous membrane too much.