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

  1. Negative air ion generator (Sinus Survival Air vitalizer, Sinus Survival, Denver, Colorado)
  2. Warm mist humidifier (bionaire, Milford, Massachusetts) with weekly cleaning instructions.
  3. Air duct cleaning with Monster vac (Glenwood Springs, Colorado)

Nasal hygiene program

  1. 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
  2. Nasal irrigation (SinuCleanse, Med-Systems Inc, Madison, Wisconsin)—3 times daily following steam inhaler.
  3. 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.