I'm Dr. Ketan C. Mehta.
I practice in Santa Rosa, California.
And I am board certified in internal medicine, pulmonary medicine and critical care medicine.
I had my sinus surgery in early 90s.
After the surgery I was instructed to put some salt water up the nose, to soften up
the mucus and blood clots, and keep the nose clean.
There were no systemic matters available at that time.
So I asked the doctor, how do I do it?
He told me, you can buy a saline spray bottle, or take half a teaspoon of salt, and put it
in the warm water and sniff it up the nose, and just keep it moist, and gently blow your
nose.
The method sounded very crude.
Also, the solution will burn and sting.
There was no excitement in doing this procedure.
However, every time I stopped using it, my symptoms would get worse, nose will get stuffy
and uncomfortable.
So I thought, why don't we design a system that will be easy and simple to use and will
be acceptable to lots of people and being in a practice and medicine and seeing lots
of patients similar to my case history, I checked with them and took their opinion.
I felt that something like that would be really nice to have.
Inspired by that part I decided to create NeilMed Sinus Rinse System.
NeilMed Sinus rinse system.
This is our flagship product.
It is the most scientifically researched nasal irrigation system in the world.
And when one will do search in the PubMed library there are several hundred articles
that will be talking about NeilMed Sinus Rinse in some form or the other form where they
talk about various ways sinus rinse can help.
It's not only for therapeutic purposes, but it is also for delivering drugs, such as antibiotics,
corticosteroids, or surfactants to help treat nasal and sinus conditions.
For saline to be delivered effectively and to have a proper therapeutic benefit.
One needs large volume and low pressure.
Second thing, the flow should not be so sharp and shooting up the nose, that one can feel
pain.
So the aperture has to be of appropriate diameter.
Third thing, you do not want to tilt your head backwards, and create choking feeling
and swallow the solution.
One has to bend over about 90 degrees, and the bottle should be going straight up.
The bottle should be soft, so basically one can squeeze easily, and there should be an
appropriate tubing.
So that solution will come or drive through the tubing when you're squeezing the bottle.
Now what do you put in the bottle?
The most physiologic thing to put in the body is saline.
But saline itself is acidic and one can feel the burning sensation.
That's why general population have the fear if they were to put salt like on an open wound
they're going to feel burning or salt of the eyes or the nose, it would be burning.
So we offered it with sodium bicarbonate, and achieved an appropriate pH.
It basically is a perfect physiologic solution to carry out saline nasal irrigation without
any difficulty or problems and that created the acceptance of our therapy.