The Definitive Library

The best and most up to date articles and research on the following topics.

Welcome to the Grossan Institute

When you enter the Grossan Institute web page you see all manner of advice that can help you to be healthy. When you learn that hot tea, lemon and honey can clear you sinuses, that lifting up the tip of your nose can stop your snoring, or that taking papaya can open your blocked ears, then you are on the road to better health.

I admit that many of my recommendations are unusual. But, when my patient is able to do a simple exercise and stop her dizziness, instead of resorting to pills that make her drowsy, that is an accomplishment for me. Getting people well is why I went to medical school.

The first thing about healing an illness is to stop the stress and anxiety chemicals that impair normal healing. I sincerely hope that knowing you can get your answers here from a board certified ear nose and throat specialist will aid your relaxation as an aid to natural healing. But I plan to also show you relaxation techniques from my book. I invite questions. BUT never ask, “Should I have surgery?” The best question to ask is, “What should I do to get well?”

I am looking forward to hearing from you. I stress again, the more you understand how that ear,nose, and throat of yours works, and what the treatment does, the better result you will have, because that knowledge will empower you to better health.

Best wishes to all,
Murray G.

Most Recent Articles

Dizziness and Vertigo

Dizziness and Vertigo Dizziness, Vertigo, and Their CausesDizziness and Vertigo are terms that are sometimes used interchangeably by lay persons, but they terms have clearly different meanings for doctors.Vertigo is the sensation of moving – either you feel like you are moving or the room feels like it is moving. This often occurs when the fluid in the inner ear – called the labyrinth – is affected. Dizziness, on the other hand, is any sensation of unsteadiness, or feeling faint, or difficulty in walking, and can have many causes. Physicians sometimes have to work hard to get the patient to properly convey what they are feeling. you can be dizzy from getting up out of bed too fast. Here the blood hasn’t had a chance to catch up with your brain. any part of the balance circuit may not be getting enough blood. This can make you dizzy and faint. Any blow to the head, even a severe whiplash can cause some swelling in the circuits and make balancing a problem. We can do a test called Electronystagmography and tell if the neck is a causal factor or if it is Benign Positional Vertigo.   BalanceKeeping one’s balance is a highly complex activity.Balance consists of four elements. Your eyes can tell you which way is up. In the inner ear are three water tubes called semicircular canals. (Picture of ear at html) They go in 3 different directions. Think of them as a carpenter’s ruler with a bubble. The bubble goes up when you tilt your head. One canal or bubble system is for forward and back, one...


Tinnitus Do you have Tinnitus (ringing in the ears)? Ringing in the ears is a subjective symptom, a sound heard by the patient that cannot be recorded by today’s instruments, much like pain. If it is very loud it can distract from sleep and thinking. It can be caused by Meniere’s disease – an increase in fluid pressure in the inner ear. It is treated by reducing that presage. High blood pressure may cause tinnitus, and lowering the pressure is effective. Loud noise and associated hearing loss is a causal factor too. Large doses of aspirin and certain aspirin products may bring it on. Avoid these if they are the cause. Stress is not a cause, but once tinnitus becomes annoying the person feels stressed. TreatmentFor tinnitus that fails other treatment, Vitamin B6 ( Pyridoxine) 100 milligrams twice a day is worth trying for 3 months. I personally have had little success with Niacin in doses large enough to cause a flush, but it may be worth trying. I was first to publish about the use of muscle biofeedback in the 70’s for tinnitus. It is successful because when the muscles are relaxed, you stop making it worse by tension and anxiety. You cannot feel anxiety when the muscles are fully relaxed! This is done by the patient at home as follows: sit comfortably in a chair with a large mirror in front of you. Practice relaxation by breathing in at the count of 4 and out at the count of 6. As you exhale, let a signal go through your to relax. Look at your face – you...

Eustachian Tube Blockage

Eustachian Tube BlockageDo you have Eustachian Tube Blockage? In order to hear, we have an ear drum that vibrates with the sound and 3 little bones located in the middle ear that move back and forth in order to transmit the sound to the inner ear where the nerves are. In order for the ear drum and the bones to move properly, the middle ear space has have a pressure equal to that of the air outside the ear. But if you change altitude, the pressure outside changes and you have to adjust the middle ear pressure. This is done through the Eustachian tube (ET), which connects the middle ear to the nose and the outside. When people blow the nose too hard, this can close the ET. Any nasal congestion, swelling can do this. A growth in the back of the nose can press on this opening too. This is why we are concerned when the ET is blocked on one side without an obvious cause, we must look for the cause. Inhaled toxins can injure the ET system too. With blockage, patients are aware that they can’t hear as well; this is because the closure of the ET causes a vacuum to form in the middle ear that prevents the normal vibration of the ear drum. If this closure persists, the body tries to fill this vacuum and the normal air containing cells of the mastoid bone change to mucous making cells and give a condition called Serous Otitis Media or fluid filling the middle ear. When the ET is blocked, a nasal decongestant such a Zephrex...

Outer Ear Infections (External Otitis)

Outer Ear Infections (External Otitis)The human ear is not designed for California living -swimming, daily shampoo, hot tub, scuba diving. The human ear needs wax (cerumen) to protect against the ravages of soap and water. Unfortunately we are taught with religious fervor to scrub the ears with soap and water. WRONG. Or use alcohol ear drops. WRONG. You need the wax. What happens is that once the wax is out of the ear canal you have the equivalent of dishpan hands of the ear canal. The ears itch and you scratch it in your sleep, then it gets infected. So, avoid this by filling the ear canal with baby oil before shower or washing the hair. This prevents irritation caused by soap and water and helps keep the ear canal properly oiled. If itching does start, taking one of the over the counter antihistamines such as Chlortimeton or Benadryl at night may stop the itch and prevent you from scratching the ear in your...

Asthma or Ventricular Dysphonia?

Asthma or Ventricular Dysphonia? This is an uncommon condition that few persons would ask me about. The reason for including ventricular dysphonia here is that when this is misdiagnosed, the results can be tragic and ruin a person’s life. This condition takes place when people speak and breathe incorrectly. Normally the vocal cords open wide as you inhale and come together as you exhale. When you speak, the air easily passes out between the vocal cords, and the cords vibrate to make the speech sound. In some cases, however, the speech is made with the ventricular bands, above the vocal cords, not the vocal cords proper. As the bands come together during inhalation, it sounds squeaky, raspy, almost a grunting. A wheeze is heard that sounds just like asthma. Because of the narrowing of the opening, less air reaches the lungs. Louie Armstrong had a ventricular dysphonia voice, as do a lot of ventriloquists, but fortunately no signs of asthma. In 1983, physicians at National Jewish Hospital For Asthma in Denver reported this condition that may mimic asthma. They called it Vocal Cord Dysfunction, VCD. VCD causes asthma-like symptoms because of an abnormal closing of the vocal cords. VCD can cause difficult breathing and even wheezing. Based on these symptoms, many people with VCD may be diagnosed with asthma and treated with asthma medications, including oral steroids. The problem is that the only symptoms of VCD are an unusual voice and wheezing. Even the pulmonary function studies are nearly normal. The diagnosis of VCD consists of recognizing the voice characteristics, looking with an instrument, the flexible laryngoscope, and seeing...

Halitosis (Bad Breath)

Halitosis Do you have Halitosis (Bad Breath)? Bad breath is particularly bothersome because people rarely know they have it unless they are told of it. Yet it can spoil one’s social and even economic life. And mouth washes are not always useful. When bacteria stagnate, or remain in one place, they multiply and give off toxins and odors. So the treatment/ prevention is to avoid having bacteria accumulate in one spot. In the nose this means salt water nose spray or Pulsating Nasal Irrigation if you have crusts and other sources of odor. For the throat, check the teeth. Any open cavities? Any gum disease? I strongly recommend eating yogurt in order to bring in the good bacteria that make the mouth healthier. If the gums are red and swollen, better brushing and flossing is a must. A common cause of breath problems are the deep holes in the tonsils, known as crypts. These holes are supposed to be there, they provide areas where the good white cells of the body can fight the bad bacteria. Then the dead bacteria and dead white cells are extruded and swallowed. Sometimes the holes are too wide or crooked and the material gets to accumulate and cause odor. Here, pulsatile throat irrigation can be very effective because the pulsation removes the dead material. The mouth may be extra dry for lack of fluids. Try increasing fluid intake. Indigestion may be a factor. An excellent remedy is to take protelytic enzyme tablets for digestion. (Papain and bromelain, in combination, and with calibrated enzyme activity are best.) If you are milk intolerant, there are...

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