Posts by Jesse Sanchez90

Ashley Edwards91 said:But honestly, isn't that exactly my point? 🙂
It’s pretty obvious from the example this other user shared that getting an MRI actually ended up being more beneficial for her. Plus, it’s going to be super helpful information for anyone else out there trying to avoid unnecessary radiation exposure.

I'm not going to get dragged into a debate here; what you're saying just feels contradictory and ultimately counterproductive.
EOD.

Dark blue?

Ashley Edwards91 said:Are you dealing with migraines, or is it just intense sinus pain? 😁 Personally, my headaches have definitely improved since I had a CT scan. A CT usually provides a much clearer look at the sinuses because it’s superior for imaging bone and sinus cavities, whereas an MRI is generally the go-to for soft tissue. That said, it might not be about the machine itself being "worse," but rather the skill of the technician performing the scan. One thing is certain: an MRI can show everything too, and you don't have to deal with unnecessary radiation...

I hate to be that person, but I have to step in here because what you're saying doesn't quite align with the facts. Whether you agree with me or not, I feel the need to correct this, even though you did point out the technical differences correctly.
For sinus issues, you always want a CT scan—primarily because that superior bone imaging is absolutely critical in this case.

analoghound6 said:Does that apply to all three explanations?

Without a hands-on physical exam, you obviously can't say anything for certain. However, displacements can definitely happen when you're dealing with lateral bone fractures where the pieces just don't line up on a single plane.
I don't want to overstep by commenting on every single theory, but I'll stick to the one that seems most aligned with my own expertise—which, from what I've been reading, is the second point mentioned here.

If they actually went through with lateral osteotomies, then what was said is absolutely spot on.

loneowl68 said:Hey everyone!

I'm brand new to this thread, so I was hoping you all might be able to recommend a doctor at Mount Sinai. My primary care physician suggested that hospital, though back home in SI, they weren't exactly thrilled about the idea of me being poked and prodded there.

Basically, my head MRI showed some sinus polyps and a deviated septum. Along with fixing that, I was wondering if I could also touch up my nose a bit? It’s been a huge insecurity for me since I was a kid—my nose isn't even big, but it has that "boxer" shape to it.

Thanks so much!

For sinus surgery and polyp removal, the goal is to thoroughly clear out the mucosal lining and polypoid tissue while restoring proper sinus ventilation. Over at Mount Sinai, Prof. Mladin, Dr. Poje, and Vukovic K. sto are the experts in that field.
As for your other question, it really comes down to how extensive the initial procedure needs to be, especially since Medicare has cut back quite a bit on coverage for rhinoplasty lately.

Why even bother stressing about it? Don't worry—be happy!

Nicholas Jones58 said:Hey everyone,
It’s finally time for my revision septorhinoplasty, so I wanted to reach out to anyone who has been admitted to the ENT department at Mayo Clinic recently for some insight. What is the admission process like right now? How is the general atmosphere there? I’ve heard things might be a bit tense because of the recent strikes—is everyone feeling extra stressed due to the backlog and the crowds? Also, what are your thoughts on the department itself and how the pre-op and post-op flow goes? Do you usually wait a few days for the surgery, or does it happen the next day? I have really high hopes for this procedure and for this hospital, but honestly, I'm feeling pretty anxious and uncertain since my first septorhinoplasty ended up ruining my nose. I'm not from Chicago, so I need to figure out a solid plan regarding my family and other responsibilities. Thanks so much, everyone! Best,

I’ll jump in here: right now, it feels like Grand Central Station during rush hour—everyone is catching up on backlogs, the holidays are approaching, and so on.
The standard procedure is to check in at the ENT desk, and they will direct you from there to the main building for registration, then to the ward for hospitalization, where they’ll take your medical history and current status. As for the timing, it really depends on the patient load in the ward. Sometimes you get lucky and get in on the second day, and sometimes you have to wait a bit longer, but they generally try to stick to the surgical schedule as quickly as possible. Speaking from experience, they definitely make sure all patients are taken care of. Cheers!

Maria Patel29 said:My high school days are long behind me now. I only mentioned that era as an example because people used to pick on my nose back then, and I'll admit I let it get to me. I'm 23 years old now.
I don't have any health issues.
Anyway, thanks so much for sharing your thoughts, 😘

From my perspective, I honestly don't see anything that needs changing. A nose really needs to be looked at as part of the whole face—that's the only way it makes sense.
Ultimately, a healthy psychological approach to your question is to figure out for yourself what you’d actually want to change first, and then ask if that change even makes sense. That is essentially how plastic surgery works: you approach it by sharing your vision, expressing your desires, and then weighing the possibilities.

Off topic in (unlike what was mentioned above):
I honestly don't have anything else to add, other than the fact that everyone knows what to say when someone starts throwing around claims that have absolutely nothing to do with me—anyone with half a brain would just let it go. Cheers.
Off topic out.

crimsongull20 said:Publicly sharing the contents of private messages is rude regardless of the circumstances, and frankly, it isn't allowed here.

I hear you, but then how are we supposed to categorize these claims where my workplace is being explicitly and indirectly called out—even though I haven't mentioned it publicly anywhere recently?

The claim:
"What’s the reason behind this dirty insinuation and setup? Trying to discredit the competition?!

Since I've spent most of my life struggling with sinus issues and have seen plenty of ENT specialists before him, I can use that experience to judge the difference in approach, specifically regarding his treatment compared to others who didn't even bother with proper diagnostics, let alone actual care—including the folks over at the Vineyard, where the peak of their therapy was just some nasal drops, though they did try with the diagnosis. I hope things are better there today."

Since questions about privacy are being directed at me regarding data shared via PM—which clearly and indirectly implies an affiliation and a defense—I’m asking for a public response. I also want to point out that while I could unofficially write glowing tributes to my recently mentioned colleague, I won't, because that would be unethical, even though from my perspective, I could describe his work much more effectively through direct observation of his procedures.

Secondly, labeling an entire institution without naming the specific doctor, while simultaneously glorifying another by using their full name, is highly questionable. This isn't just about what jumps to mind first; it's about the much more important issue of personal accountability for medical decisions. To put it bluntly: there is a massive difference between being treated by a resident and being treated by a seasoned expert. None of the unconscious actors in this story need this kind of forum drama, which is why I felt the need to step in.

Carol Cox72 said:Hi everyone! I just found out I'm scheduled for surgery right after New Year's with Dr. Alan Pegan at the Vineyard hospital... so I have a few questions if anyone could help me out. What's worrying me most is that my period is due right around the time of the procedure. Has anyone here had surgery while on their period? Also, has anyone ever taken pills to delay their cycle? I was looking through the paperwork from the anesthesiologist, but there wasn't anything mentioned about whether those types of medications are allowed or not. Finally, if anyone has personally worked with Dr. Pegan, I'd love to hear about your experience! 🙂 🤷 😕

That’s really a question you should primarily run by your anesthesiologist.

If that's the case, you basically have two paths: either coordinate a delay right away (the patient schedule moves pretty fast), or show up for your scheduled appointment and then ask to push the surgery back by a few days once you're there. Honestly, the clinics are so busy that it's rare for someone to get lucky and find an immediate opening, but that extra time gives you enough room to get everything sorted. It's definitely better than messing around with pharmacology when you know you'll ultimately be moving to a higher dose of Fragmine anyway.

As for your last question, I can't really weigh in on that for professional reasons—it's nothing negative, I just want to make sure I stay objective in public forums.

briskorca6 said:It’s honestly not even about the money or how much they advertise; I’m definitely planning on going to a private practice anyway. I'm just genuinely curious if anyone here has worked with him on both functionality and aesthetics, and if you were happy with the results.

He is hands down the most knowledgeable expert on ENT surgical techniques in the entire US.

He does handle certain aesthetic procedures, but that’s really a question you’d need to ask him directly—since I can't see your nose or read your mind! That said, from what I've seen, his main focus is functional rhinoplasty, and he's incredibly dedicated to those types of patients until they eventually move on to seeing Jetti.

Alex Moore62 said:What’s the motivation behind this dirty insinuation and plant? Are we just trying to discredit the competition now?! That isn't what this Forum is for, nor is it a place for advertisements. In this thread, we’re all here to help one another by sharing our actual experiences as patients. If you're a doctor and you genuinely want to help by offering information, advice, or a recommendation, people will be incredibly grateful—but posting like this just isn't right.

Dr. Jurlin certainly doesn't need the hype; his schedule is completely packed, and usually, by early spring, he’s already stopped taking new patient appointments. He handles the heavy-duty surgeries at Mount Sinai, and septum deviations are often managed alongside those more complex procedures.
As someone who has been his patient for years and has undergone two different surgeries with him, I can honestly say nothing but wonderful things about his expertise. That’s exactly why I’m recommending him here if anyone is looking for a referral.

Since I spent most of my life struggling with sinus issues and saw plenty of ENT specialists before finding him, I can speak from experience regarding the difference in his approach. His diagnostic process and treatment plan were worlds apart from others who didn't even bother with proper diagnostics, let alone effective treatment—including the folks over at Vineyard, where the absolute peak of their "therapy" was just giving me some nasal drops; they barely lifted a finger for the actual diagnosis. I really hope the situation there has improved since then.

Besides, I'm definitely not the only one here who has posted as his patient. Others on the Forum have shared their own positive experiences with him over the years, both before and after my own journey.

Everything you wrote there—those are your thoughts and your conclusions, and I see no reason to pick them apart.

Regarding Dr. Jurlin, you're absolutely right—he doesn't need any agitation via the Forum, especially since almost every other post of yours seems to revolve around him. You sound just like those aggressive promoters you see at cell phone kiosks or electricity sales booths on the street corner.

Thirdly, both hospitals are completely swamped with work, so your
insinuations about "this or that competitor" simply don't hold water.

You actually asked me PRIVATELY where I work—so much for "discrediting" people and airing private details and "dirty laundry."
Rest the case...

Ultimately, the call on whether to proceed with an outpatient procedure during your period rests with the anesthesiologist—as far as we're concerned, it shouldn't be an issue at all.

briskorca6 said:Does anyone have experience with Dr. Kalogjera, or at least know anything about him? I hear he’s fantastic when it comes to functionality, but I’m curious about his aesthetic work. I’ve searched through the forums and all over the web, but there isn't much mention of him. Everything I do hear, though, is that he’s great—I’m just wondering specifically how and in what ways he excels. He doesn't run a private practice...

That is spot on. Prof. Kalogjera is primarily a functional rhinoplasty specialist; he even published a specific technique regarding functional nasal reconstruction. Looking at your post, it seems you aren't strictly focused on those functional issues alone, so it makes me wonder why you would choose him specifically. He doesn't really need the hype like Dr. Jurlina does—or at least, that's how his patients seem to feel. His clinic is usually booked up two or three months in advance.

Terry Smith9 said:Is nobody going to chime in? Where are the thoughts from the usual crew??????

Look, this isn't like cheering for Real Madrid or FC Barcelona, and it’s not like asking your mom or dad to make a call for you. You have to figure this out on your own. You've experienced both sides of the coin already.

Chloe Murphy35 said:hahaha I totally agree. Honestly, I deal with enough discomfort just removing a tampon; this sounds like it would be way too much for me. I’m definitely not built for that kind of intensity, so what can you do?😬
Thanks again for the suggestion!🙂

Just make sure to peel it off carefully—draw it up into a 10ml syringe and apply it bit by bit, at least three times a day. To be honest, before I started working at the clinic, nobody even mentioned this to me; if they had, my biceps would probably be huge like Popeye's right now. 🙂

If you can find it, it's great to use Maxitrol—just 3 drops, three times a day, for about 5 to 7 days to help calm down the local mucosa. If you can't track that down, Maxidex works just fine at the same dosage.

Alex Moore62 said:So what kind of care did they actually recommend to you then? 😕 I mean, how else are you supposed to clear all that gunk out of your nose?!

Every single time I ask, the advice is always the same: rinse thoroughly multiple times throughout the day using an enhanced saline solution (basically, you take half a liter of saline and mix in two tablespoons of salt and two tablespoons of baking soda). Honestly, it feels like rubbing salt in a wound—it’s pretty unpleasant to deal with—but it really ensures that nothing stays stuck in there. Using a Neti pot makes the whole process so much easier.

Also, 😕

Just stick to plenty of regular saline; there's really no need to go through the struggle of making a hypertonic solution in some intense Rambo style.

You're probably thinking of the surgical consent form. Basically, that's the paperwork where you acknowledge and accept all the specific risks involved with undergoing general anesthesia.