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117 of 123 people found the following review helpful.
This Book Should be on the Bookshelf of Every Sinus Sufferer
By Walter Ballenberger
If I could rate this book six stars, I would do so. Here is my review.

22 of 24 humans found the following review helpful.
Finally a formula that works
By Barry M. Sheehy
This book is a God-send for sinus suffers. The regime it recommends works as advertised. I may attest to this–I have suffered from sinus difficultnesses all my life.The 5 step solution commended by Dr. Josephson REALLY works. Sinus irrigation for example has made a huge divergence in the quality of my life. The power of this book is that is does not over-simplify. Sinus troubles originate from a range of complex difficulties and these need to be understood. What this book does well is break down the solution into pieces the intermediate person may comprehend and implement.
Barry Sheehy

24 of 28 people found the following review helpful.
Followup Q&A with Josephson
By R. Kahn
This book is approachable by a layperson and which covers most of what a sinus sufferer must know before seeking treatment. It provides a good overview of the anatomy, a brief description of surgical evaluation and intervention, and elaborated descriptions of medications and commended life style adjustments

I’m a patient of Dr. Josephson and he strongly inspires people who are in need of medical care to read this book so I read it. Before reading my review, I commend you original read the best review I could find, written by Walt Ballenberger who is founder of PostNasalDrip, “a resource web internetlocation for sinusitis sufferers like himself”. You may find the review at the following links: [..] Ballenberger’s review identified a number of questions which were unanswered in his book. By talking with Josephson in person, I was competent to get answers for a good deal of of them.

LASER
The book doesn’t explain the tradeoffs of laser vs. traditionalisti cutting instruments. Before Josephson, I saw an ENT who commended laser to lightly cauterize the turbinates in order to reduce their tendency to outstanding when inflamed (the scarification reduces the membrane’s elasticity). Dr Josephson is not a proponent of laser except in sure cases. Although a laser is self-cauterizing and accordingly reduces bleeding, it causes heat harm to surrounding tissue (more than the harm caused by a cutting instrument) and instrument setup adds time/cost to the procedure. Only where the decrease in bleeding outweighs these costs is use of a laser justified (e.g. when the patient has galore little polyps). I didn’t ask him but I’d imagine that the thermal heat injury would likely cause more harm to mucus-producing goblet cells and mucus-transporting cilia cells than cutting tools.

SINUPLASTY
This book doesn’t explain the tradeoffs of sinuplasty® vs. conventional cutting instruments. Sinuplasty® is a proprietary tool made by Acclarent which uses a thin balloon similar to an angioplasty balloon to open the sinus passages. As in heart vessels, the balloon is placed into position and inflated, then deflated and removed. According to Acclarent’s description, this results in permanent widening of the critical areas leading into the sinuses while leaving the nose lining unharmed rather than destructing this lining as occurs in typical sinus surgery. I would have to imagine that if the pressure applied elaborates bone than it surely will crush the membranes and will have to do a great deal of harm to them and the cilia which are so necessary to remove the infection and mucus (mucociliary clearance) which is the whole basis by which the sinuses protect you. When I asked Dr. Josephson with regards to what the pressure does to the membranes he said that he knew of no studies that showed what the effect of the balloons on the membranes and cilia were. It turns out that Dr. Josephson is trained in sinuplasty but relies closely totally on FESS (endoscopic cutting instruments, as described in his book). He pointed out that not similar to angioplasty, which operates on only soft tissue and requires a stent to hold open the expanded tissue, sinuplasty elaborates a passageway or sinus by dilating bony openings and pathways–widening one passageway by crushing an adjacent sinus cavity. He speculates that such pressure fractured cells could result in a problem later such as mucocele formation–the routine was too lately formulated and long term studies were not available. In addition, while sinuplasty may open up a closed frontal, maxillary, or sphenoid sinus, it cannot open up the labyrinth of the ethmoid sinus. If the ethmoids are closed, functional FESS may be required in conjunction.

FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS)
Josephson doesn’t much describe his surgical proficiencies in this book, which makes it difficult to compare FESS with substitute approaches. Dr Josephson says Functional Endoscopic Sinus Surgery (FESS) uses microcutting instruments to remove bony partitions and to widen openings into the frontal, maxillary and sphenoid sinus when necessary. I asked how he elaborates the passages to closed sinus cavities. He explained that, in my case, he would remove the wall amid the passage to a frontal sinus and an adjacent ethmoid sinus cell (rather than crushing the ethmoid cell as in sinuplasty). This would be more controlled than expanding a balloon (as in sinuplasty) and keep out of the way of creating a new closed cell which could become a cyst. While FESS changes the connectivity of the cavities, it wards off potentially closing off the adjacent cells. He claims that exploration shows that mucus transport from the now-opened frontal sinus to the ostiomeatal complex is preserved with this method. This book must include and exaggerate on these descriptions. I also asked in what cases the membranes grow back which seems indispensable when polyps are got rid of from sinus cells, leaving bare bone walls. He replied that they speedily grow back. This book must include pointers to exploration validating this claim.

SINUS ANATOMY
This book describes the sinuses as cavities which clean and humidify inhaled air. However, the diagrams show the sinuses as dead-end spaces off the primary airway connected only by tiny passages. Why does air travel through them except a little amt thru turbulence? Although I suspect they do without doubt clean and humidify inhaled air, it would be helpful to me if the book resolved this seeming contradiction.

CAT SCANS
The book includes a series of diagrams showing an idealized representation of the sinuses and other organs. I found it very difficult to relate my CT scans to these idealized diagrams even even though I’m rather good at 3D visualization. It would be helpful if this book included a link to an online series of example CAT scans with annotation explaining what’s what, how the structures relate to impairment of normal physiological function symptoms, and (assuming galore patents get post-operative CT scans) what the structures look like after surgery. Josephson told me that he had a CT review in a draft of the book and Penguin Publishers necessitated to make the book shorter and insisted that he cut it out. Eventually he plans to put it on line.

Overall, an magnificent book and highly recommended.

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123 of 126 people found the following review helpful.
Excellent Product
By WadeC
I setup the OBi110 to use Google Voice, and it altogether substituted my home telephone service. With free long distance within the US, the device will recompense for itself in savings in a couple of months.

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727 of 784 persons found the following review helpful.
Hotter than the sidewalk in Phoenix in July
By JMK
First off, the in truth tough thing regarding wireless routers is that your performance may vary dramatically from an individual elses. Whether it is your hardware, your software, spyware, configuration of your house, your ISP, what type of cordless phone you use, or a myriad of other things, your experience may be wholly dissimilar from your best friend’s. So, this isn’t so much a review of the router as it is a review of my experience with it.

The Good

This router has all of the bells and whistles with the exception of dual band broadcasting. QoS, WISH, VPN, Port Forwarding, all levels of security, etc. It has Gigabit wired ports. You can not get anything more elsewhere without doubling the price. It is all packaged within an beautiful set up that provides hope that this will be your last router for rather a heap of time. Set up is easy and straight forward. And, most importantly, you in a literal sense can not get a rapidly and without delay router when within 30 feet.

The Bad
I actually wanted to keep this router but I couldn’t. My main problem was heat. After a few hours of use (just being on at all), this router was almost too hot to touch. I in truth counterchanged it figuring it must be a bad router but the new one was the same way. And, more importantly, when it got hot, I got intermittent lag by way of my wire machine on my internet traffic. Games that played flawlessly on my old Buffalo router started lagging; video started stuttering; downloads started pausing. Diagnosed it with my ISP as being on my side of their modem. When my old router was plugged in, all difficulties went away. D-Link tried to support me but there was a language barrier and no matter what we did with QoS and WISH, it didn’t go away. I had to return the router.

The Ugly
FYI: Blue lights are pretty but REALLY bright. Seriously, you could read by them.

Like I said, I in truth wanted to keep it but I had to replace it instead. Your experience may vary so I would give hope or courage to you to undertake it because it is a very feature-rich router. Just keep your old one handy just in case.

P.S. Owned it for three weeks before returning it.

447 of 481 people found the following review helpful.
Best Wireless Router I Have Ever Owned…By FAR
By Neil Gandhi
Im sitting on this thing right now. Man oh man…im getting a “very good” signal where my connection employed to be dropping…

I applied to have a few difficulties with WiFi. The introductory problem was plainly the range…as I said a few moments ago, the DIR-655 fixed that…I mean, even even though it claims 6x range, but I was going to be happy with just a 25% improvement…I seriously think that this router increased my range 50-75%!

I applied to always be frustrated with the lack of settings in galore routers. Some would have QoS (Quality of Service…something that may prioritize indispensable internet action like Voice Over IP…internet phone) but it did not genuinely work. Some would be missing out in semi-advanced routing features…others would scarcely have any non-novice features at all…This one has a great deal of choices for the progressed user to have a lot of fun screwing with settings. The most gorgeous thing in regards to it though, is that there is a wizard in the interface so that even the most novice of users may set up a outstanding network with strong security. It likewise has context sensible online help…what that is, is when you are attempting to adjust settings and you do not recognise what something means, there is a little aid button right there that you may click to get an comprehensible statement right then and there! Its kinda like the Yin-Yang of routers…

I want to mention that I have been looking at draft-N routers for a few weeks now and have been reading the reviews. The reason that I am writing this review is that it was so hard for me to find a good review on this router. Cnet does not even have an official review (as of 2/13/07) but it does have very positive user comments. From my homework though, (user reviews, and more significantly official reviews from Cnet, engadget, etc) each Draft-N wireless router has galore kind of problem. Some do not work well in environments with more than a couple neighboring networks, numerous do not have good throughput, and a great deal of do not have better range. Again, I didn’t want to buy this one because I couldn’t find any solid review on it. After going through a couple of dissimilar Draft-N routers, Let me help you out. This is the one.

BTW…im not running an “N” wireless adapter…this thing even increments the range of “B” and “G” signals. GREAT JOB D-LINK!

178 of 191 humans found the following review helpful.
Fast Enough for HD-DVD Playback
By Robert Salita
Very satisfied. Smaller than expected. Fast sufficient to play HD-DVDs wirelessly to my notebook (Dell Inspiron E1505, 802.11BGN, 945GM, Core Duo (2) 2GHz, Vista Premium, Arcsoft Digital Theater, D-Link DNS-323 NAS). Great speed and coverage. Also handles HDTV utterly thru HDHomeRun device.

Don’t forget to upgrade firmware.

Update 11-Nov-2007: This router may be my greatest gadget surprise this year. It proceeds to carry out better than expected, totally solving all past wireless issues and handling all tasks such as streaming HD-DVD.

Update 7-Apr-2011: Another reviewer reports that the device’s adapter is no longer dual voltage. References to voltage have been removed? Interested in a versatile travel router? I commend TRENDnet 300Mbps Wireless-N Travel Router Kit TEW-654TR (Black). It’s wireless, outstandingly small, 100-240 volts, has an Ethernet port.

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