“Dr. Kotler,
I wanted to share my experiences with you because I think it is important for you to hear from a patient who, unfortunately, did not have the advantage of having your airway tube placed after nasal surgery.
I was scheduled to have a surgical procedure involving the nasal septum and the maxillary sinus. My understanding was that my surgeon had access to your airway. I had asked him to insert it after the surgical procedure. His surgical facility had one on the shelf.
When I awakened, I was surprised that the surgeon had not inserted the airway. I asked him why. His explanation: `I didn’t think it was necessary because I did not pack your nose.`
Now, I must tell you that it is interesting that the doctor would assume that just because he did not put the packing material (I am familiar with “packing“ from discussions with friends) into my nose, that he would assume that all would be well after surgery without packing. In fact, it was not. I really think he was misguided. My surgeon had the device available for use and failed to use it, despite my request to have it, because I happen to be a bit claustrophobic. I do not do well when my nose is stuffed with a cold or allergy. It seemed to me that there would be no reason not to use this device, which I understand is quite successful.
The fact is that I was not happy after surgery, and I was not able to breathe, even though no packing was placed into my nose. Thus, I did not have the optimal experience.
In fact, failure to put the airway in generated an additional office visit to my doctor and some minor inconvenience to me. Because I could not breathe well in the first two days after surgery, I had to go to his office. At the office, he suctioned out blood clots and mucus which made me more comfortable.
Despite my request to have it inserted, the surgeon did not insert it, and I suffered from that decision. I am not mad at my surgeon, per se, because in the end, the surgery was successful. I am happy, and I expect not to have any further breathing or sinus problems. However, that really is not the point. I believe there are two major issues here:
If a patient requests that the mechanism whereby he will have a better postoperative experience is employed, why should it not be?
Maybe this surgeon, and other surgeons, deceive themselves in thinking that just because there is no mechanical blockage in the nose in the form of packing, postoperatively, that the patient will have a pleasant and unburdened experience. In my case, that was not the case.
I hope these comments are helpful to you.
– Hal”