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Enlarged tonsils
chocolatecity77071 posted:
Hi everyone,

I posted a comment in another discussion and i was told to ask the same question here. I have recently been diagonsed with severe sleep apnea. I have had problems with tonsillitis, sinusitis, strep throat, and laryngitis for many years. Each event has me out of work for a week and i lose my voice everytime. I also have allergies and i am currently receiving allergy shots. I have been told by every doctor how enlarged my tonsills are, but they refuse to removed them. I also have a deviated septum, and they dont want to do surgery for that either. On top of all that there is the diagnosis of asthma. Is there anyway i can convince the doctors to approve surgery?
Rod Moser, PA, PhD responded:
It is hard to convince medical providers of anything, but you do seem to have some (not all) of the criteria for getting those tonsils removed. Actually, it not the ENT that is the problem in most cases, but the third-party payer (the insurance companies). They are the ones that set the parameters to approve paying for the surgery. No longer can doctors make that call anymore.

Documention is the key. Keep a list of all of your medical visits that are related to your tonsils. Have you had a sleep study to confirm your sleep apnea? Are you using a c-pap? Allergies are not a risk factor for getting tonsils out, but you do need to have allegies well managed. Sinusitis is not a factor per se;neither is laryngitis. If you have more than 3-4 documented Strep cases per year, than this is important to document. If you are a Strep-carrier (always have Strep), then tonsillectomy is likely to be approved.

Finally, find an ENT that is supportive of the surgical approach, but keep in mind that removing your tonsils will not "cure" all of your problems. You will still have allergies, asthma, and get your share of colds and sore throats.
chocolatecity77071 replied to Rod Moser, PA, PhD's response:
I have to do another sleep study before i can get my cpap machine. I am scheduled to do the second test tonight. But it will be another 2-3 weeks before i get my machine. My allergies are 100% better with allergy injections. I haven't had that many strep cases in a year. But it does happen often. I know surgery wont fix the problem. I thinking it can help? I will keep looking for an ENT doctor. Thanks for your input!
Rod Moser, PA, PhD replied to chocolatecity77071's response:
Who runs the sleep lab? Many are run by an ENT, so maybe you can get a tonsil opinion from the director of this department. Sleep apnea may have some relationship to chronically enlarged tonsils, but not always.

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