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If you have a sinus headache, typically you will feel the effects when you get out of bed in the morning. The typical symptoms include uncomfortable pressure, pain, heaviness in the cheeks and your brow as well as your forehead. The pain from sinus headaches usually increases due to bending in a forward position or by lying down. A major sign that you are experiencing a chronic sinus headache is experiencing a continual headache that is somewhat dull in nature.

You might develop a sore throat, a fever, coughing might occur and you may experience fatigue. Migraine headaches show some of the same symptoms but a migraine headache is typically associated with a pounding feeling which is intensified by bright lights and loud noises and nausea typically occurs.

Causes of Sinus Headaches

Some typical causes of sinus headaches include colds, an improperly functioning immune symptom, problems with the nasal cavities as well as allergies. People who are candidates for chronic sinusitis are people with asthma, certain types of allergies, people with growths located in the nasal area and people with a weakened immune system. If your headaches are very intense and you are experiencing other symptoms such as a fever that is above 100.5, dealing with a stiff neck, experiencing confusion, pain, swelling on the face or in the area near your eyes you might want to consult you doctor.

Treatment for Sinus Headaches

If you have sinusitis your physician will probably recommend antibiotics. Even if your symptoms diminish take all the antibiotics that the doctor prescribed for you. This is necessary in order to eliminate the bacteria that were causing the problem. Doctors might recommend corticosteroid pills or nasal spray for patients who are having sinusitis symptoms due to allergies or from inflammation.

Eventually as your sinus problems go away the sinus headaches should be eliminated. To help reduce the uncomfortable feelings, decongestants and over the counter types of pain medication as well as saline nasal sprays may be recommended by your doctor. If structural problems in the nasal cavities are contributing to your sinus headaches, surgery might be considered by your doctor.

To lower the risks of acquiring sinusitis keep your sinuses in good shape. Washing your hands with soap can help reduce the chances of acquiring upper respiratory infections that can produce sinusitis. You might want to consider purchasing a humidifier since a moist air environment can help to stop sinusitis from occurring. If you have a sinus headache you might want to consult with your doctor.

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A headache in the face, cheeks, forehead, or around the eyes that comes on during a “cold,” or when the nose is congested and runny or filled with mucus, is probably a “sinus headache”: one caused by sinus infection. Another kind of sinus headache is the one that occurs in the sinus areas during descent (landing) in an airplane, especially if you have a cold or active allergy (this is called a vacuum headache).

Unfortunately there are many other causes of headaches that can be confused with sinusitis. For example, migraine and other forms of vascular or “tension” headaches also give pain in the forehead and around the eyes, and they may even cause a slight stuffy-runny nose. But they are more likely to come and go away in a day or so without a physician’s treatment, whereas sinusitis usually gives a headache that lasts for days or weeks until it is treated with antibiotics. Furthermore, intermittent headaches that cause nausea and vomiting are more typical of a migraine-type headache than sinusitis. Severe, frequent, or prolonged headaches deserve a visit to a physician for diagnosis and treatment.

What will a doctor do for my sinuses?

Your physician will ask you questions about your breathing, the nature of your nasal mucus, and the circumstances (time of day or seasons) that give you symptoms. Be prepared to explain your headaches: When and how often they occur, how long they last, and if they are associated with nausea, vomiting, vision changes, or nasal congestion. An otolaryngologist-head and neck surgeon is the kind of physician who will especially examine your ears, nose, mouth, teeth, and throat with particular attention to the appearance of your nasal membranes and secretions. He/she will check for deformities of your nose that impair breathing and for tenderness over your sinuses. X-rays of your sinuses might be needed.

Treatment will depend on the diagnosis that your physician establishes, Infections may require either antibiotics or surgery or sometimes both. Acute sinusitis most likely will improve on medication, but chronic sinusitis more often requires surgery. If your symptoms are due to allergy, migraine, or some other disease that mimics sinusitis, your doctor will have alternative treatment plans.

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Nowadays headache is very common in our day-to-day life. Sometime headache get healed within few hours but sometimes it take days to heal. For the people who experience headache very frequently, the best feeling is how to get rid of it. They really find themselves plagued with Chronic Headache and have to deal with it on a constant basis. These chronic headaches can be as close together as every few hours with little break in between, or spread out over a week.

Besides obvious ailments such as brain tumors and other serious head injuries, chronic headaches can affect anyone for a multitude of reasons. The following information will impart know how about chronic headache, its causes and its remedy.

What Causes Chronic Headaches There are many causes for Chronic Headache; some are very easy to change while others are really difficult to tackle. Bad Diet is the most common causes of headache. Some people are allergic to some food items, they consume it unknowingly and as result they experience chronic headache (a symptom of these allergy).

Headaches are also caused by wide variety other reasons too such as stress, muscle tension, high blood pressure, medication usage, and spinal misalignment. While the causes of headache vary person to person thats why its very necessary to first analyze the cause and then go for medication. thanks to studies and medical perseverance, there are several remedies for headaches and various ways to avoid chronic headaches.

Avoiding and Dealing With Chronic Headaches There are different ways of handling chronic headache. Following the same remedy for chronic headaches, which you follow, may also help you to eliminate future incidents. Changing your diet is probably the easiest way to avoid and remedy headaches, as it only takes simple changes and is primarily in your control.

many people have unknown allergies to dairy, chocolate products, processed food such as lunch meats, and wheat or white flour and avoiding these products on daily basis can make headaches disappear almost instantaneously.

Practicing relaxation methods like meditation, yoga and massage can really help you when headache are caused by stress and subsequent muscle tension. high blood pressure resulting from stress, tension and particular medication can also cause headaches, as it increases the pressure in the blood vessels putting pressure on the head.

Spinal misalignment can easily be taken care of by getting treated by a chiropractor. They try to keep your back and thus your neck in alignment, making sure that misaligned vertebrae do not affect your head.

Put simply, you need to find out what is the main cause of your headaches and the right remedy for it. There are umpteen causes of headaches but few simple steps and care can help you in long way.

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Whether they’re pounding and throbbing or dull and aching, headaches are no picnic for kids. A lot of the time, they’re caused by something simple - such as staying up too late, playing in the sun too long, or taking a bump to the head. But sometimes, headaches last longer or are accompanied by other symptoms.

Headaches can have a wide range of causes and many levels of severity. It’s important to understand how to recognize when a headache is just a passing pain, and when it’s something more and your child needs medical treatment.

What’s a Headache?
Most headaches happen outside the skull, in the nerves, blood vessels, and muscles that cover the head and neck. The muscles or blood vessels can swell, tighten, or go through other changes that stimulate or put pressure on the surrounding nerves. These nerves send a rush of pain messages to the brain, which brings on a headache.

What Causes Headaches?
In general, kids get the same types of headaches as adults. And headaches often are hereditary, so if you or your partner get them, your child may get them too.

Some of the many potential headache triggers include:

1. certain medications (headaches are a potential side effect of some)
2. too little sleep or sudden changes in sleep patterns
3. skipping meals
4. becoming dehydrated
5. being under a lot of stress
6. having a minor head injury
7. using the computer or watching TV for a long time
8. menstruation
9. experiencing changes in hormone levels
10. taking a long trip in a car or bus
11. listening to really loud music
12. smoking
13. smelling strong odors such as perfume, smoke, fumes, or a new car or carpet
14. drinking or eating too much caffeine (in soda, coffee, tea, and chocolate)
15. consuming certain foods (such as alcohol, cheese, pizza, chocolate, ice cream, fatty or fried food, lunchmeats, hot dogs, yogurt, aspartame, or anything with the seasoning MSG)
16. In some cases, headaches are caused by certain infections, such as:

* ear infections
* flu
* Lyme disease
* sinus infections
* strep throat
* urinary tract infections
* But most headaches aren’t signs that something more is wrong. Only 10% of headaches are caused by other medical conditions, such as infections or other serious illnesses.

What Are the Common Types of Headaches?
Two of the more common kinds of headaches that kids get are tension headaches and migraines.

Tension Headaches
Fairly common in kids, tension headaches (also called muscle-contraction headaches) are caused by tension in the muscles of the neck and head, which can be brought on by a variety of emotional and physical stressors. The pain is often described as:

* constant pressure around the front, top, and sides of the head, almost like someone stretched a rubber band around it
constricting
* dull
* aching
* A major distinction between tension headaches and migraines is that tension headaches typically are not accompanied by nausea or vomiting, and they’re usually not made worse by physical activity - symptoms that do often occur with migraines.

Migraines
About 5% of school-age kids and up to 10% of teens get migraine headaches, recurrent headaches with additional symptoms. Often triggered by things like stress, sleep deprivation, and certain foods and beverages, migraine headaches can cause the following symptoms:

* pounding, throbbing pain on one or both sides of the head
* dizziness
* stomachaches
* nausea and/or vomiting
* seeing spots or halos
* sensitivity to light, noise, and/or smells
* Most migraines last anywhere from 30 minutes to 6 hours. Some can last as long as a couple of days. Some people:

Just don’t feel right. Light, smell, or sound may bother them or make them feel worse. Sometimes, if they try to continue with their usual routine after the migraine starts, they may become nauseated and vomit. Often the pain begins only on one side of the head. Trying to perform physical activities may make the pain worse.
Get auras, a kind of warning that a migraine is on the way (usually about 10 to 30 minutes before the start of a migraine). The auras may only be seen in one eye. The most common auras include: blurred vision, seeing spots, jagged lines, or flashing lights, or smelling a certain odor.
Experience a migraine premonition hours to days prior to the actual headache. This is slightly different from auras and may cause cravings for different foods, thirst, irritability, or feelings of intense energy.
Have muscle weakness, lose their sense of coordination, stumble, or even have trouble talking either just before or while they have a headache.
Unfortunately, parents of an infant or toddler probably won’t be able to tell if their little one is having migraines because little kids are often unable to explain or detail what hurts. Young kids with headaches may be cranky, or have symptoms of clumsiness or look pale.

There are also migraine variants that are thought to happen only to kids and are precursors to the more common migraines of adulthood. These include paroxysmal vertigo and cyclic vomiting.

Paroxysmal vertigo is described as a sensation of spinning or whirling that comes on suddenly and disappears in a matter of minutes. Kids who experience this may momentarily appear frightened and unsteady, or unable to walk. The vertigo typically goes away by the time a child is 5 years old.

Cyclic vomiting also occurs in young kids and involves repeated episodes of vomiting. The episodes can last for hours or days and are not associated with headache or any other symptoms. Cyclic vomiting usually goes away by the time kids grow into teens.

When Should I Call My Child’s Doctor?
When your child has a splitting headache, it’s easy to worry. Rest assured, though, that only very rarely are headaches a symptom of something serious. However, you should see your child’s doctor if your child has unexplained or recurring headaches over a short period of time or on a regular basis.

Call your the doctor if your child’s headaches:

* occur once a month or more
* don’t go away easily
* are particularly painful
* Another factor to consider is whether or not there are other symptoms along with the headaches. If your child is perfectly well between the headaches, this is less cause for concern. If not, then there’s more cause for concern - symptoms associated with the headaches themselves can help your child’s doctor identify what might be causing the headaches.

Other than nausea, which is common with migraine or tension headaches, you should call child’s doctor if your child also has any of the following symptoms:

* decreased level of alertness
* vomiting
* headache when your child wakes up, or one that actually wakes up your child
* headache following a head injury or loss of consciousness
* headache accompanied by seizures
* visual changes
* tingling sensations
* weakness
* skin rash
* difficulty walking or standing
* neck pain or stiffness
* fever or other signs of infection
* unable to go to school or participate in everyday routines and activities
* How Are Headaches Diagnosed?
* Your child’s doctor will probably want to do a physical examination and get your child’s medical history to help figure out what might be causing the headaches.

The doctor may ask both you and your child about:

* how severe and frequent your child’s headaches are
* whether your child’s headaches have a pattern or change over time
* your child’s concerns and symptoms
* your child’s past health
* your family’s health
* any medications your child is taking
* any allergies your child may have
* any stresses your child might be experiencing
* your child’s diet, habits, sleeping patterns, and what seems to help or worsen the headaches
* To help pin down the problem, doctors often ask parents - and older children and teens - to keep a headache diary, listing each headache, when they happen, how long they last, and a few notes about what might have brought them on.

A good review of your child’s general health is also important. For example, an examination of the back of the eye, called a funduscopic exam, can give your child’s doctor a sense of any increase in pressure inside your child’s brain. This exam is done in the office using an ophthalmoscope, which is a special light that allows the doctor to see the back of the eye.

The doctor also checks to make sure the neck is not stiff, as it would be with meningitis, and that the cranial nerves that work the muscles of the face are working normally. A doctor may also take blood tests or imaging tests, such as a CAT scan or MRI of the brain, to rule out medical problems that might be causing your child’s headaches, especially if they’re diagnosed as migraines.

What Can I Do to Help My Child?
Treatment for your child’s headache will depend on what your child’s doctor determines is the likely cause. But most everyday headaches can be cared for at home with little medical intervention.

Here are some things you can do to help ease your child’s pain. Tell him or her to:

1. Lie down in a cool, dark, quiet room.
2. Put a cool, moist cloth across the forehead or eyes.
3. Relax.
4. Breathe easily and deeply.
5. Kids with migraines may just want to sleep and may feel better when they wake up. A big part of treating migraines is helping your child to avoid the triggers that may have caused them. That’s where a headache diary can be especially helpful.

You also can give your child an over-the-counter pain reliever such as acetaminophen or ibuprofen. Read the label, though, to make sure that you give your child the right dosage and at the right intervals. And if you have a baby or toddler under 2, call your child’s doctor before giving your little one any pain reliever. He or she will be able to tell you whether you should give it and, if so, how much (based on your child’s weight and age).

And never give aspirin to children younger than 12. Children and teens under age 19 also should avoid taking aspirin during an illness caused by a virus, such as chickenpox or an upper respiratory infection, as this can cause Reye syndrome, a potentially life-threatening condition.

If your child has chronic migraine headaches, the doctor may prescribe a medication to be taken daily as a preventive measure. In deciding whether to put your child on medication, the doctor will consider the frequency of the migraines as well as the potential benefit of the medication versus its possible side effects.

Discuss the medications your child has been taking with your child’s doctor, who will develop a treatment plan that may include approaches to pain relief that don’t involve medicine, such as relaxation, stress reduction techniques, and cutting down on other possible triggers like caffeine.

Keeping track of your child’s headaches and their symptoms and following the doctor’s recommendations are the keys to finding relief for your child’s painful headaches.

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In a prospective, randomized, double-blind, placebo-controlled study involving 43 children (mean age: 12.3 years) with headache (migraines (n=22) or tension-type (n=21)), treatment with laser acupuncture, administered according to the principles of traditional Chinese medicine (TCM), was found to significantly reduce the frequency and intensity of headaches. Patients received 4 laser acupuncture treatments over a 4-week period, or a placebo laser treatment at the same intervals. Treatments were individualized for the patients. Results found that at 4 months after randomization, significant reductions in headache frequency were found in the treatment group, with a mean decrease in the number of headaches per month of 6.4 days. In the placebo group, only a 1.0 day decrease in headaches per month was found. Severity of headache assessed via a Visual Analogue Scale and the monthly hours with headache decreased as well. The authors conclude that, “…Laser acupuncture can prov ide a significant benefit for children with headache with active laser acupuncture being clearly more effective than placebo laser treatment.”

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By Juliet Cohen

Tension headaches are one of the most common forms of headaches. Tension headaches can occur when the patient also has a migraine. Tension headaches account for nearly 90% of all headaches. Approximately 3% of population suffers from chronic-tension type headache. Tension headaches can be episodic or chronic. Episodic tension-type headaches are defined as tension headaches occurring less than 15 days a month, whereas chronic tension headaches occur 15 days or more a month for at least 6 months. Tension headaches can last from minutes to days or even months, though a typical tension headache lasts 4-6 hours. Other causes include eye strain, fatigue, alcohol use, excessive smoking, excessive caffeine use, sinus infection, nasal congestion, overexertion, colds, and influenza. Tension headaches are not associated with structural abnormalities in the brain. Tension headaches result from the contraction (tensing) of neck and scalp muscles. One cause of this muscle contraction is a response to stress, depression, head injury, or anxiety.

Tension headache is the most common type of chronic recurring head pain. Sleeping in a cold room or sleeping with the neck in an abnormal position may also trigger this type of headache. Tension headache may be made worse by jaw pain from clenching or grinding teeth (bruxism) or by head trauma, such as a blow to the head or whiplash injury. People with stiff joints and muscles due to arthritis of the neck or inflammation of the shoulder joints may develop tension headache. Treatment depends on the type of headaches. One reason is that tension headache usually is easy to treat with over-the-counter medications. Analgesics are pain relievers. Acetaminophen (Tylenol, others) and a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs) are effective in reducing headache pain. Aspirin or acetaminophen (or both of these analgesics) are often combined with caffeine or a sedative drug in a single medication.

Combination drugs such as this may be more effective than are pure analgesics for pain relief. Avoid situations that may cause a tension headache. Use good posture when reading, working, or involved in activities that may cause a headache. Exercise the neck and shoulders frequently. Selective serotonin reuptake inhibitors (SSRIs). Antidepressants such as paroxetine (Paxil), venlafaxine (Effexor) and fluoxetine (Prozac, Sarafem) produce fewer side effects than do the tricyclic antidepressants but generally are less reliable in preventing headache. Acute therapy aims to stop or reduce the pain of an existing headache attack. Exercise regularly. Regular aerobic exercise, such as walking, swimming or biking, can help reduce the frequency and intensity of headaches. These include codeine combined with acetaminophen and oxycodone. Massage. Massage is a wonderful way to reduce stress and relieve tension. In some cases, short term use of prescription medications may be tried. Some patients respond to antidepressants or beta-blockers.

Tension Headaches Treatment Tips

1. Avoid situations that may cause a tension headache.

2. Use good posture when reading, working, or involved in activities that may cause a headache.

3. Exercise the neck and shoulders frequently.

4. Treatment for this type of headache usually includes nonprescription pain relievers such as aspirin or ibuprofen.

5. Try to avoid sitting, standing or working in one position for long periods of time.

6. Do regular stretching and strengthening exercises for your neck and shoulders.

7. Applying heat or ice to sore muscles may ease the tension.

8. Use a heating pad set on low, a hot-water bottle, a warm compress or a hot towel.

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By [http://ezinearticles.com/?expert=Ian_Mason] Ian Mason
Weve all had garden variety headaches from time to time. Getting sleep, drinking water, or taking aspirin or Tylenol lets you squash these tension headaches (as doctors call them) quickly and easily. But if you suffer from severe or chronic tension headaches, you know that headaches can take over your work and family life. A study by the American Headache Society shows that 70% of chronic headache sufferers have significant problems with daily functioning because of the headaches. Migraine sufferers have symptoms in addition to headache; they may spend days each month in a darkened room because the pain and light-sensitivity are unbearable otherwise. Fioricet: A New Option Fioricet is one of the drugs that researchers have developed to manage headaches. It has been found to be effective for tension headaches. While studies havent shown it to be effective for migraine sufferers overall, some people with migraines seem to find it helpful as well. Fioricet gets its effect from three different ingredients that attack different parts of your headache, just like a good laundry detergent has different ingredients to tackle grease, odors, and dirt. So how does the dynamic trio work? Fioricet has three parts, two of which may be old friends: Butalbital
Acetominophen
Caffeine Butalbital is a barbiturate; like other barbiturates, it has a relaxing effect. Butalbital will help you relax and make you feel a bit drowsy, which seems to help with tension headaches. Acetominophen is a drug that you may recognize as the active ingredient in Tylenol. It can help with pain relief especially when combined with a relaxant. Caffeine gives you the buzz that you may feel after drinking tea, coffee, or colas, or eating chocolate. Caffeine helps to reduce blood flow to the brain. Many scientists believe that too much blood flowing to the brain is part of what causes chronic tension headaches, so caffeine can reduce that effect. Fioricet as part of your pain-management system As headache sufferers, anything that might help get our lives back to normal sounds like a God-send. But there a couple of questions you should ask yourself before talking with your doctor about a prescription Do I have migraines? If you dont know, talk about your symptoms with your doctor before deciding that Fioricet is a good fit for you. Is operating heavy machinery or doing a lot of driving part of my daily life? If you take a little too much Fioricet of if youre very sensitive to barbiturates, it can create the feelings and behaviors of someone who has had too much alcohol. Being drunk is not a good mix with operating a crane or driving carloads of kids to school, soccer practice, and the library! Do I need a pain-killer at least once a day? Fioricet can make you dependent on it. Dependence can lead to rebound headaches (headaches as the drug leaves your system) and even more serious health consequences. Your doctor might suggest using Fioricet as a back-up medication - to use it for the days where your regular medication doesnt work. And if youve previous experienced dependence on another drug (including alcohol), this medication is not for you. Ive Thought It Over, So Whats My Next Step? Take the prescription to your local pharmacy or on-line drug store so its ready for your use at the sign of the first stubborn headache. Discussing any problems or side effects like dizziness or drowsiness with your doctor will help you manage this drug and can make it part of your plan for a pain-free life! Copyright (C) Shoppe.MD and Ian Mason, 2004-2005 Ian Mason, owner of Shoppe.MD, your source for health news and [http://www.shoppe.md/prices.html] Fioricet. Ian is a fat-to-fit student of health, weight loss, exercise, and several martial arts; maintaining several websites in an effort to help provide up-to-date and helpful information for other who share his interests in health of body and mind.
Article Source:
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http://EzineArticles.com/?expert=Ian_Mason

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When you feel like eating something, what comes to mind first? For me it’s the purely the taste. Then my inner-brain kicks in and thoughts of portion size, calories, fats, & sugars, slowly convince me to make a smart choice.

Weight gain aside, I would rarely think of any other complications or side effects the food may cause. Side effects are attributed to medications or medical procedures, but not food, right? Well, guess again. Turns out, the food we eat may also cause side effects. Some side effects are serious, some are disturbing, and some may put you into embarrassing situation.

Here is a common side effect caused by the food we eat:

Migraine and Headache. Foods may trigger not only migraine but also tension type headache, which feels like tightening of a band around the head, making the whole head ache. Foods cause headaches by affecting the brain chemistry or changing the size of blood vessels. Certain foods cause headache in most vulnerable people because of their high content of the amino acids tyramine and phenyethyamine. The tyramine increases blood flow to the brain, which can lead to a headache. Common headache food triggers are aged cheese, beer, red wine, chocolate, nitrite-containing foods.

Written by Christine Simmons, contributing author for HealthAssist.net

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For at least a year, I’ve had bad sinus problems. I constantly get headaches and infections. It got to the point that I always have some level of congestion, pressure, and pain. After another bad infection this past May, I decided I would tell my doctor how it wouldn’t go away and he advised a specialist.

The one that I went to told me that I only had a tension headache and imagined the sensations of everything else. No matter what I said about getting vertigo, fatigue, how this had none of the symptoms of a tension headache or migraine (I’ve had both), he said he was the specialist and “I’m very rarely wrong”. I got a sinus catscan and he showed me some things on the films that proved it. What do I know? I’m not a doctor, so I took the 800 mg of Ibuprofen that he told me to take.

That was August and September.

Nothing got better; in fact, it got worse plenty of days. Then I had a very bad weekend 2 weeks ago — a lot of pain, extreme fatigue, congestion, it was very bad. John kept telling me to see a new doctor and with all that pain, I became desperate enough to do it. Even if I really had a tension headache, I hoped the new doctor would give me medicine that would cure it.

Instead, he immediately noticed my left air passageway is closed off and gets no air. It also can’t work properly which is why my left ear is always congested; it can’t clear because the left sinus cavity is blocked off. For many years, since childhood, I formed an extra bone which also caused a second air cavity while cutting into the main one…. I can’t remember all the details. But all of this kept growing incorrectly, became inflamed, and have pushed my airway closed.

I have a deviated septum because when it grew in puberty, it had to grow around the problems on the left. So my right side is more narrow than it should be; plus, something else went wrong on the right hand side and is blocking the right passageway.

So I’m not getting enough air, my sinuses are blocked on both sides, and it’s causing by these small problems that took a long time to get this way. But there’s no excuse for the other doctor not seeing these things! The second doctor saw them immediately and he didn’t do anything different! He listened to me, discussed everything thoroughly in a friendly manner, and he knew right away that I had problems.

Anyway, I’m having minor, outpatient surgery on the Friday after Thanksgiving. This way, I won’t have to take time off from work since the only days I have left are my vacation, and my job wouldn’t let me take unpaid. Because of the congestion and sinus cavity issues, they’ll have to pack my nose for 24 hours after the surgery; I’ve been warned that is the worst part. It’ll hurt and drain, but they’ll give me something to make me more comfortable and I’ll have that whole weekend to feel better.

I’ll be back on my feet by Sat or Sun. And I’ll be able to breathe again with no more congestion hurting my left ear or my head! No more waking up in the middle of the night because the pain is so bad or because I’m not getting enough air.

I’m not looking forward to the surgery, but I am looking forward to not having this daily pain and troubles anymore!!

So I  am thankful for, amongst other things, Dr. David Bromberg who listened to me, treated me with respect, and let his professionalism and expertise, instead of his ego, look at those tests and scan films.  And I’m thankful that after all this time, I’m going to be better.

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