Nasal Endoscopy Procedure Performed By Dr. Brian Weeks Video

Dr. Brian Weeks performs a follow-up nasal endoscopy procedure on Michelle King Robson, the founder and chairman of EmpowHER, after they discuss the many causes associated with trigeminal neuralgia.
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Nasal Endoscopy Procedure Performed By Dr. Brian Weeks Nurse: Hi. Michelle King Robson: Hi, how are you? Nurse: Good, and you? Michelle King Robson: Good, thanks. Nurse: Good. Okay, so I’m going to start you off with putting some sprays. Dr. Weeks is going to put a scope in your nose. He is first going to start off by numbing your nose so that way we are just going to get you prepared when he comes in, okay? Michelle King Robson: Okay. Nurse: Yeah, you are not going to feel anything and it’s going to be pretty good. Michelle King Robson: Oh good, we like that. Nurse: So I am going to give you some tissue and then first spray is a nasal decongestant just to clear your nose. The second one is called Pontocaine, it’s going to numb you up a little bit. That way you won’t feel any discomfort when he goes there with the scope. So let’s see. Let’s start you off. Michelle King Robson: How long does the Pontocaine lasts? Nurse: It depends how much I spray. I try to spray just enough so that way it won’t be worn out right away and you will have time. Michelle King Robson: Enough time when he comes in, so it goes away pretty fast then? Nurse: Oh yeah, it does. Michelle King Robson: Okay, great. Nurse: This is your checkup, so it’s the same thing. So if you want to look up for me, I am going to spray once side, all you have to do is breathe in. Now we are going to spray you with the Pontocaine. Michelle King Robson: So this is the numbing? Nurse: Yeah, this is the numbing. This is the important one. Michelle King Robson: I like the first one. Nurse: Yeah, it clears it. Okay, so breathe in. All right, so we’ll let it, that’s it and then the doctor will be coming in, in a few minutes and he will put the scope in and you will be set. Dr. Brian Weeks: Hello, I am Dr. Brian Weeks and I am here visiting with my patient Michelle. Michelle came to see me about eight months ago. At that time she had suffered an injury to her face. She was having a procedure done and was having a local anesthetic placed, and apparently the needle had nicked a branch of her trigeminal nerve. And when I saw Michelle she was in tremendous pain. She was having pain basically starting in her face and extending all across her face into her ear, up into her forehead and it was, I think, one of the more difficult situations you’ve ever dealt with. At the time I evaluated her we performed a comprehensive head and neck examination and then we did a nasal endoscopic procedure where we actually looked inside the nose. Michelle comes in today. She is feeling much better and we are going to do a follow up examination with nasal endoscopy just to make sure everything looks good and to confirm that she is completely healed and doing well. Michelle King Robson: Yes, and I loved the procedure so much. At the time it wasn’t so great because I was in so much pain but we needed to get to the root of the problem, so to speak, and you did. But I thought the way the instrumentation that you use to identify the problem was so fascinating that I thought it would be great to actually show women what this procedure is like. Dr. Brian Weeks: Absolutely, and hopefully it keeps people from having fear about endoscopes and endoscopic procedures, and the truth of the matter is that when you are dealing with a problem that potentially involves the nose and the sinus or the face it really gives us tremendous information. And so, as I told you at the time and as I am going to tell you today, it’s really the best way to assess the nose and try to come to the diagnosis that we need to come to. Michelle King Robson: Yeah it was great and it was so easy and painless and I think that’s one of the keys to this is that it is so easy and painless. Dr. Brian Weeks: Super. Now Michelle has already had some topical medications sprayed on her nose, and typically what we’ll do as you know is just decongest and then anesthetize the nose, and really that’s it. There are no intravenous medications, no pills n

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