Dr. Gergits’ Insights
Why Do My Ears Feel Full Even When My Hearing Test Is Normal?
Short answer: Almost any ear symptom — fullness, pressure, muffled hearing, ringing, dizziness, or pain — can be caused by Eustachian tube dysfunction (ETD) when the tube becomes narrowed or
How Do I Know If I Need an In-Office Sinus Procedure?
Short answer: Whether you need an in-office sinus procedure is not determined by any single finding — it is determined by putting everything together. At SAWC, that means reviewing your
What Actually Happens at Your First Visit to SAWC?
Short answer: Your first visit to SAWC is unlike most medical appointments you have had for your sinuses. From the moment you arrive, the goal is to build a complete
My Nasal Spray Isn’t Working — What Is Actually Going On?
Short answer: When a nasal steroid spray is not improving your congestion after consistent use, there are two explanations worth exploring honestly. The first is whether the spray is actually
Why Have I Been Told So Many Different Things About My Sinuses?
Short answer: Patients with chronic sinus disease get different recommendations from different doctors because each specialty approaches the nose and sinuses through a different lens — shaped by their training,
Why We Actually Want to See You When You Feel Your Worst
Short answer: When you call to reschedule because you are in the middle of a sinus flare and feel too sick to come in, our answer is always the same:
What Is the Difference Between Chronic Sinusitis and Recurrent Sinus Infections?
Short answer: Chronic rhinosinusitis (CRS) is a prolonged inflammatory condition of the nose and sinuses lasting more than 12 weeks — driven by persistent mucosal inflammation that may or may
Why Do My Ears Feel Blocked and Why Am I Dizzy After Flying?
Short answer: The dizziness and ear pressure you feel after flying are caused by a failure of the Eustachian tube — the narrow channel that equalizes pressure between your middle
Resistant Bacteria, Biofilms, and the Test Most Sinus Patients Never Get
Short answer: When chronic sinus patients fail multiple antibiotics, allergy treatments, and standard testing, the next step is not another round of empiric antibiotics. It is the right diagnostic test.
Why Can’t I Stop Using Afrin? Understanding Rhinitis Medicamentosa
Short answer: Afrin and other over-the-counter decongestant nasal sprays — oxymetazoline, phenylephrine, and the brand-name versions like Sinex and Neo-Synephrine — stop working after about five days of regular use.
Why Is My Doctor Prescribing a Nose Spray Instead of a Pill?
Short answer: Your doctor is using a nasal spray because the nose absorbs medication directly into the bloodstream, faster than a pill and at a lower dose, without first being
Will My Insurance Cover the NEUROMARK® Procedure?
Insurance coverage for NEUROMARK® is actively improving. Coverage varies by plan — some insurers cover it, others are still catching up. At SAWC, our authorization team checks your specific coverage
What Are the Risks of the NEUROMARK® Procedure?
NEUROMARK® has an excellent safety profile. The most common experience following the procedure is mild temporary discomfort, and throat numbness that resolves within 30 to 60 minutes. Empty nose syndrome
NEUROMARK® vs ClariFix® vs RhinAer® — What Is the Difference?
NEUROMARK® (Neurent Medical), ClariFix® (Stryker), and RhinAer® (Aerin Medical/Stryker) all target the posterior nasal nerve for chronic rhinitis treatment — but they use different energy modalities, reach different anatomical territories,
What Are the Benefits of NEUROMARK® Beyond a Runny Nose?
NEUROMARK® does more than reduce post-nasal drainage. Published data show measurable improvement in Eustachian tube dysfunction, nasal airway obstruction scores, and overall sinus symptom burden — and early clinical observations
The SAWC Sinus Burden Score — A New Framework for Measuring, Phenotyping, and Treating Upper Airway Disease
By Franklyn R. Gergits, DO, MBA, FAOCO · Sinus & Allergy Wellness Center of North Scottsdale · Scottsdale, Arizona Estimated reading time: 12 minutes · Approximately 2,800 words · 15
Personalized Medicine — How SAWC Builds Your Sinus Treatment Plan
Personalized medicine at SAWC means your treatment plan is built around your specific CT findings, your symptom history, your culture data, your upstream triggers, and what kind of day you
What Is a Hybrid Sinus Procedure — and Why Might You Need One?
A hybrid sinus procedure combines balloon sinuplasty — the most conservative sinus intervention available — with targeted functional endoscopic sinus surgery (FESS) instruments, all performed in our office under the
Why Your Sinuses, Ears, Drainage, and Sleep Are All the Same Problem
Sinusitis, Eustachian tube dysfunction, chronic post-nasal drainage, and sleep disruption are not four separate problems. They are four expressions of the same problem — inflammation of the continuous respiratory mucosa
What Is NEUROMARK® — and Could It Stop Your Chronic Runny Nose?
NEUROMARK® is a radiofrequency device that down-regulates overactive posterior nasal nerves — the nerves responsible for chronic post-nasal drainage, cough, globus sensation, and Eustachian tube dysfunction when they are firing



