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Richard A. Parker, MD; Erin E. Hartman, MS
From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 2001;285:462.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In December 1999, at Medicine Grand Rounds, David Kennedy, MD, discussed the pathophysiology and diagnostic strategies and treatment options for acute and chronic sinusitis. Mr S, a 48-year-old man, recounted a history of recurrent episodes of sinusitis during a 21-year period. Early on, surgical drainage improved symptoms, but over time, the episodes of postnasal drip, facial pain, yellow nasal discharge, and malaise recurred. Multiple courses of antibiotics seemed to work less well over time. He averaged about 8 episodes of sinusitis per year. Dr Kennedy suggested a nasal endoscopy for Mr S. If chronic inflammation, polyps, or edema were found, surgery would be reasonable to consider.

MR S, THE PATIENT

Believe it or not, I did not have a single episode of sinusitis for 9 months after the conference! Is this conference therapy? I felt my chances for improvement with surgery were iffy and decided to . . . [Full Text of this Article]

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