Physical environment health
Visit 1 measured the outcomes of conventional treatment and the possible diagnosis of fungal sinusitis as measured by the Candida Questionnaire and Score Sheet. Visit 2 measured the outcomes of the integrative holistic treatment without fluconazole, and visit 3 measured the outcomes after the addition of fluconazole to the integrative holistic program.
Modification of indoor air
- Negative air ion generator (Sinus Survival Air vitalizer, Sinus Survival, Denver, Colorado)
- Warm mist humidifier (bionaire, Milford, Massachusetts) with weekly cleaning instructions.
- Air duct cleaning with Monster vac (Glenwood Springs, Colorado)
Nasal hygiene program
- Steam inhaler (Vicks Steam Inhaler, Procter & Gamble, Cincinnati, Ohio) or other respiratory steam therapy/personal steam inhaler—3 times daily for 20 minutes with a medicinal eucalyptus oil (Sinus Survival)—1 to 2 sprays every 5 minutes
- Nasal irrigation (SinuCleanse, Med-Systems Inc, Madison, Wisconsin)—3 times daily following steam inhaler.
- Botanical nasal spray with aloe vera, goldenseal, and grape- fruit seed extract included (Sinus Survival Spray)—1 to 2 sprays in each nostril every 2 to 3 hours.