Dr. J.: “Under Water FESS”

BigTull Presents: Dr. Janakiram’s
“Under Water FESS”

Dr. J. does his magic once again, introducing us to a completely new technique for performing FESS (functional endoscopic sinus surgery). Oh, you will find some of our most favorite sinus procedure aspects – pus, mucus, and big chunks of nasty fungal debris being pulled out of the nostril – all caught on camera for our education and enjoyment. There is just a new twist… a water filled surgical site! I’m sure you will find it as fascinating as I did… and did I mention there is fungal debris? You know its good – it has the word “fun” right there!!! Enjoy!!

*** WARNING ***
ENT Surgical Procedure!
~ Fungal Debris Removed from Sinus Cavities ~
Viewer Discretion Is Advised
*** WARNING ***

RUNTIME: 5min 42sec


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  • All awesome chunkiness aside…GOD what a difference these doctors must make in the lives of their patients!

    I get blinding sinus headaches that are really masquerading as migraines (very common actually) and I can hardly stand the pain and barfy-ness.

    I can’t even imagine the misery of having this debris stuffed in my sinus cavities for months or years.

    A shout-out to Dr J and all like him who truly care about the people they swore to help when the became doctors.


    • JiffyPop, I feel your pain. I’ve had two FESS’s done over a period of 18 months. The pain (especially before the first surgery was excruciating). It was only after the surgeries that the migraines started but now, 6 years down the track, the sinus pain is returning. I was a PTZ member for over 6 months until I could stand to watch a Big Tull post! I also add to your shout-out to all those ENT surgeons who make so many lives livable. Really hope your sinus problems are under control JiffyPop. And Big Tull, thank you for yet another excellent post-love the new FESS technique & all those nasty chunks extracted! No smiley face though cos I think I’m getting a new build up of similar junk in my sinuses. Think I’ll take this video to show my ENT!

      • Thanks for your kind words. However, for years I was treated with antibiotics for sinus pain, pressure, stuffy nose….all the hallmarks of an infection except no true infection was present. My “sinus” headaches were really migraine headaches, which can have the exact symptoms of sinusitis. Many people don’t know this!

        Not only is it terribly dangerous to take antibiotics when infection is present, they don’t help migraine pain!

        I switched doctors and got medication (Maxalt Melts) for migraines. Now when I feel my symptoms coming on I take a pill and usually the pain is gone in 15-30 min.

        I urge everyone who is told they have chronic sinus infection to insist on a scan or sinus xrays to determine if infection is really present before using antibiotics. If not they will be useless when really needed.

        Oh, I finally insisted the doctor treating me for those “sinus” headaches do some xrays. The result? Perfect sinuses with no infection! After 10 years of antibiotic treatment with NO improvement she finally listened to me. Needless to say, these days I am a very “involved” patient in my healthcare.


  • She sure was right when she said copious amounts of pus and chunks! Ewww, what a relief it is! Anything done with the guidance of Dr J is going to be interesting and amazing! Thanks for the post!

  • I love these procedures and this one was so informative about what was being done differently. I agree with everyone about how amazing the patient must feel when all that debris is gone.

  • So, I’m not clear–was the m**ZIT** the source (reason for) the pus? Didn’t appear to be attached to anything….just the body’s response to a foreign body up in there? Pretty yucky, all right.
    I know it’s just the distortion of the camera coming out of the nasal p**ZIT**age into the light of day–but does it look to anyone else like all these Dr. J vids of retrieving stuff are of the same young man?
    Thanks for the post, B. T. !

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