*Swistle appears before you wearing lab coat*: Keto for Ears was not the immediate, clear success one might have hoped for.
The good news (for me) is that the adjustment back to keto was nothing: after several weeks off, I was expecting some re-entry pains, and there were none—possibly because I am still in the “I HAVE A NEW LEASE ON LIFE!!” stage of illness-recovery, where I am so fervently appreciating things such as “breathing through my nose” and “being able to do more in a day than shower” that I feel pretty good no matter what.
The not-good-not-bad-just-data news is that I did not experience any swift, clear ear relief. There could be many reasons for this: (1) it hasn’t been long enough; (2) the inflammation is not the main source of pressure/pain after all; (3) this is not the kind of inflammation keto helps with; (4) who knows, some other thing, I’m not actually a scientist.
It was especially disappointing because I’d thought of ANOTHER reason to think it might help: the keto diet can be helpful for people with acid reflux (like me!), depending on their own roster of acid-generating foods (if it’s “meats and cheeses,” keto will not help). On days I take off from keto, I generally need to take two of my daily acid-management pills, instead of the usual one pill. And ears can experience symptoms of acid reflux, because everything is connected up in there. (Speaking of which, did you know a light, persistent cough can be a symptom of acid reflux? I’d thought I was developing asthma, which runs in the family, because I had a light, persistent cough unrelated to illness, and I coughed more whenever I laughed. Nope: it was acid reflux. It went undiagnosed for awhile because I kept saying no to questions about experiencing heartburn.) So I’d wondered if maybe the acid from my non-keto eating was percolating up in my ears and increasing the irritation. But apparently not, because I have switched back to keto AND I am taking two of my daily acid-reflux-management pills per day to hopefully prevent me from getting an ulcer from all this ibuprofen, and still there is no change to the ears.
Well! I had much better luck with a second experiment, which was “Let’s see if Swistle, who normally cannot assert herself with authority figures, can leave this fourth doctor appointment with either an oral antibiotic or a referral to an ENT.” Success! I have a prescription for augmentin, which I will take twice a day for ten days. I have just taken my third dose. It is too soon for me to appear before you in a lab coat to report results.
If this does not work, my next stop is an ENT. Because what worried me most about my (fourth) doctor appointment is that the doctor said my ear didn’t look too bad. She said the ear canal was a little pink but not red/”angry” and that the ear drum was “not bulging” and…I can’t remember if she said it was “a little opaque” or something similar, but anyway, her tone was that actually everything looked pretty okay in there, as if the ear drops had helped considerably. SHOULDN’T THAT WORRY HER, when a patient has been describing pain the way I was describing pain (“scary” / “keeps me from sleeping” / “wakes me up every night” / “I am taking four ibuprofen at a time and it is not enough” / “I have looked with temptation at the extra prescription painkillers I shouldn’t have saved from previous medical situations but did save”)? Shouldn’t she think, “Wait: if what I’m seeing here doesn’t line up with the reported pain levels, what is it I’m NOT seeing?” But I don’t think most doctors think that way. I think most doctors, in this situation, think that if what they can observe doesn’t line up with the reported pain, then the pain is misreported. My hope (lessened somewhat by a coworker’s recent experience with a shruggy, listless ENT) is that an ENT would have more of a Detective frame of mind.
I wish I could see Edward’s pediatric ENT. He was the kind of doctor who gets his teeth into an issue and CANNOT LET GO until he has answers. He kept Edward in the hospital for ten days, which involved multiple and vigorous fights with our insurance company (he mentioned that he himself had to speak at length to someone high up in the insurance company, and finally had to pull rank about WHO KNOWS MORE ABOUT WHAT A CHILD NEEDS MEDICALLY, ME OR YOU??), because he felt something wasn’t right, and he wasn’t going to stop pursuing it until he felt it WAS right. (And he was correct about something still being wrong. That seems like an important detail.)
Well. If wishes were etc. Perhaps I will find an ENT who is just as knight-like! We need a gender-neutral term for knight-like. Just as…valiant? No. Terrier-like? That’s more what I’m going for. I liked the “riding into battle” feeling of the word knight, but I like the implied teeth of a terrier. Assuming that’s what terriers are like. Possibly I am thinking of another breed.