"Hey Dr. Grossan! Good to see you again. I sure have enjoyed papering your talk page with obscenity, but its time to pick you apart in the realm of science, which is easier but admittedly less entertaining.

I've removed your first citation referencing RHINOSINUSITIS: Current Concepts in Evaluation and Management for obvious reasons: the article does not endorse pulsatile irrigation as an improved method of irrigation. Below is the only text which makes reference to pulsatile irrigation, but note that it does not promote it whatsoever:

""Aside from antimicrobial therapy, there is little in the way of placebocontrolled
studies on other drugs commonly prescribed for the rhinosinusitis
patient.I5 It is generally agreed that maintenance of a moist intranasal environment
and the mobilization of inspissated mucus, particularly with impaired
mucociliary transport from infection (viral or bacterial), is beneficial in patients
with all forms of rhinosinusitis, and ample oral fluid intake should be encouraged.
Saline nasal sprays are inexpensive and provide moisture to the nasal
cavity, reduce dryness, and help to clear secretions. Nasal irrigations, via a pump
(e.g., Water Pik, Teledyne, Fort Collins, CO) and an appropriate diffusion spray
tip, may be performed twice a day when the patient is symptomatic; many use
such a nasal and sinus cleansing regimen for months after sinus surgery until
the nasal lining reepithelializes. In those with bacterial carrier states difficult to
eradicate with oral or intravenous antibiotics alone, such as the Klebsiella of
ozena or the Staphylococcus or Pseudomonas of cystic fibrosis, antibiotics can be
delivered directly to the mucosa and infected secretions by adding bacitracin
(250,000 units/1000 mL) or gentamicin (160 mg/1000 mL; some use tobramycin)
to the saline solution irrigations, delivered at 200 mL once or twice daily.""

One down; two to go!!

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