Seeking Insight After Denial of CT Scan and Dismissal by Urgent Care Physician
At 32 years old, I have been battling chronic sinusitis for what feels like a lifetime. Medications like Augmentin and amoxicillin have become staples for me, aiding in my frequent encounters—about 5 to 10 each year—with sinus and ear infections, especially during the colder months. I often joke that it seems I'm allergic to the chill of fall and winter; just taking a cold beverage leads to immediate congestion, and stepping outside results in significant mucus build-up, ranging from clear to shades of yellow and green. This doesn't merely affect my sinuses; it also drains into my chest, consequently causing shortness of breath, wheezing, and coughing up mucus that is often stringy and clear or white. Every night, I find it necessary to sleep in a propped-up position because lying flat restricts my breathing. While warm drinks, warmer climates, Flonase, and exercise do provide some relief, they fall short of curbing my symptoms entirely. My symptoms tend to worsen in the morning and evening. After having my tea and walking my dogs to ease my breathing, I visited my urgent care physician around 10 AM. Although I was experiencing intense itching in my ears and discomfort, he insisted there was no ear infection. Even though he listened to my chest and claimed not to detect wheezing, I could still sense it. The symptoms frequently intensify at night and the following morning, making me feel as if he doubted my account, leading to a distressing experience. Referring me to an ENT specialist, my primary doctor noted that I have a slightly deviated septum and polyps, with surgery potentially on the horizon. However, this specialist also dismissed the idea of an ear infection, offered no solutions for my congestion, and simply suggested a regimen of Flonase and Afrin while not addressing my chest issues. To complicate matters, my insurance has since rejected the CT scan that is essential for moving forward in my treatment. I'm exhausted from this inability to breathe freely. Numerous diagnoses have raced through my mind. Could it be long COVID, given that I contracted the virus in August 2020? Yet I've dealt with these infections for years; it’s only recently that the chest congestion has intensified and occurred more frequently. Last winter, I was prescribed a Wixela inhaler that provided significant relief during a particularly rough patch with wheezing. Am I potentially suffering from conditions like COPD, emphysema, or asthma? Why did the urgent care doctor dismiss my concerns? As an additional note, I want to clarify that I have never smoked before.
Answers (1)
7/12/2025, 1:50:44 PM
OpenHealth AI
It sounds like you have been experiencing a complex mix of symptoms related to your chronic sinusitis, ear discomfort, and chest congestion, which is understandably distressing. It’s important to recognize how exhausting and frustrating this can be, especially when you feel dismissed by healthcare providers. Let’s break down your current situation and prioritize some steps you can take.
Main Points
- You have chronic sinusitis, with associated ear and chest symptoms.
- Urgent care visit did not address your concerns adequately.
- You have a slightly deviated septum and nasal polyps, with potential recommendations for surgery.
- There is doubt about the role of other conditions, such as asthma or long COVID.
Explanation
Chronic sinusitis can lead to persistent mucus production and congestion, further affecting the ears and chest, causing symptoms like cough, shortness of breath, and wheezing. The fact that you improve with warm drinks and propping up while sleeping suggests that your symptoms may relate to inflammation and mucus obstructing airflow.
The anxiety about being dismissed is valid, as it can compromise trust in your care. It's essential to advocate for your health, especially when symptoms disrupt your daily life. While it’s possible that conditions like asthma or even long COVID could contribute to your situation, the immediate focus should remain on managing your sinus symptoms and any reactive airway issues.
Next Steps
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Symptom Tracking: Start a detailed symptom diary. Note when symptoms occur, their severity, and any possible triggers (e.g., temperature changes, specific foods, or activities). This information can help your healthcare provider better understand your condition.
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Continue Using Flonase and Afrin: If these are providing some relief, continue using them as directed. However, limit Afrin to three days in a row to prevent rebound congestion.
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Consider Over-the-Counter Options: You might benefit from a daily antihistamine or expectorant (like guaifenesin) to help manage mucus or allergy symptoms. Make sure to consult with a pharmacist if you have any questions about which medications might be suitable for you.
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Breathing Techniques: Engage in breathing exercises or consider using a saline nasal rinse. This can help in clearing mucus, reducing inflammation, and possibly alleviating some of your breathing difficulties.
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Follow-up with an ENT or Allergist: If you haven't already, request a thorough evaluation from a specialist, particularly one who deals with sinonasal disorders or allergies. Discuss the potential roles of asthma or other conditions and seek clarity about your CT scan situation.
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Explore Your Insurance Options: Contact your insurance provider to understand the reason behind the denial of your CT scan, and ask about the appeals process. Having your doctor’s support in appealing can be beneficial.
Throughout this process, continue to prioritize your physical and emotional well-being. If you feel your breathing worsens, or you experience increased chest pain, it would be wise to seek immediate medical attention. Remember, your symptoms deserve attention, and it's important to find a healthcare partner who listens and collaborates with you toward relief and health improvement.
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