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Long-term health risks after having adenoids or tonsils removed in childhood

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Re: Long-term health risks after having adenoids or tonsils removed in childhood

#41

When my father was a child, there was a craze in town (India) that tonsils are bad and removing them will only do good. My grandma fell for it, among hordes of other mothers, and got my fathers tonsils removed. My father is a Gen X cohort, and now whenever the pollen season arrives (he is in USA now), he is totally helpless.

It was the same in the UK in the 80’s - I remember pretty much my entire year at school going for surgery over the course of a year.

Despite having had repeated tonsillitis as a kid (and bronchitis at the same time - unheated boarding school with abysmal hygiene and dozens of boys to a room is quite the disease incubator), my mother, a nurse, dug her heels in, and said no. She'd had to deal first-hand with the outcomes of botched tonsillectomies a few times too many.

They did my brother seven years later without their permission - and he suffers from severe allergies to this day. I have none.

I’ve always been extremely sceptical of “its vestigial” or “that body part is bad for you”. I mean, surely if either were true, selection would have done away with it. If having tonsils were a dysgenic trait, nobody would have them.

I can tell you why it remains such persistent practice - it’s a quick and easy surgery in most cases, and it’s billable at a decent rate in most places. A surgeon in the UK can do ten or more in a day, at £3k a pop. You have an endless supply of patients, and parents who’ll consent because after all they had theirs done when they were kids.

Play your cards right and you’ll make millions a year.

Re: Long-term health risks after having adenoids or tonsils removed in childhood

#42

Thank you so much for posting this. Really, THANK YOU, kind stranger. Here in the Czech Republic we're always forced by doctors to do AE/TE to our son despite being mildly affected by strep as we are fighting PANDAS. The latest research converges on that AE/TE is not effective, and that we're doing the right thing by not doing the operation. It looks like doctors even in the most advanced medical institutions are bli…

You're right to be cautious and fact check everything you're told. I apologise if my response becomes overly ranty. This isn't to scare you, just to encourage you that you're doing the right thing by taking such an active role in your child's care.

I have views on this that would seem to most people to be seriously conflicted.

I'm militantly pro-science, and I argue constantly in the face of anti-science and pseudo-scientific bullshit anywhere I hear it. It makes me no fun at all at parties, and even some family members groan whenever someone brings up "alternative views" to the scientific consensus on much of anything as they know I'm about to start lecturing, whether it's climate change, vaccination, flat earth (On the other hand, my personal experiences of how medical science is applied locally by doctors and surgeons has made me entirely disillusioned with their whole industry, and I never trust anything I'm told without confirming it for myself.

To explain, I'm based in Northern Ireland, and a debate has gone on for a long time as to whether our National Health Service (NHS) is struggling or in trouble. In reality, it has already imploded.

This isn't hyperbole. Here's an exact quote from the BBC:

"Northern Ireland has some of the worst performance figures in the UK.

During the Christmas period, the number of patients seen in four hours in A&E departments dropped to 63%.

Exactly the same proportion started their cancer treatment within 62 days, according to the latest statistics, while the numbers waiting longer than they should for a routine operation have almost doubled in the past four years."

This hits home for me really hard. In the last six years my extended family has experienced:

- Two missed cancer diagnoses. - A potentially serious (and time-sensitive) diagnosis requiring specialist follow up that was missed on two seperate occasions. - Delayed treatments for potentially life-threatening cancer of over 100% of the recommended waiting period.

Our local hospital has become known as a place more likely to kill you than help you, due to how abysmal the standard of care is. Here's a link from a couple of months ago:

https://www.irishnews.com/news/2018/03/15/news/pensioner-die...

Life threatening emergencies that arrive by ambulance are often left unattended for over four hours (this is recorded in the public record thanks to open data laws).

I sincerely hope the circumstances in the Czech Republic are better and that the doctors are much less overworked and much more capable of helping you, my intention here is just to give you encouragement that you're right in not just assuming that your child's in safe hands without you being involved.

Re: Long-term health risks after having adenoids or tonsils removed in childhood

#43

Only barely related but I have a personal story about this! I had my tonsils removed at eleven years old. I didn't know why then, and I still don't now. I suffer quite a bit now from allergies (I'm not sure how related to this it is, and I guess I've no way of knowing really). I remember being really scared, and the surgeon playfully telling me that I'd be fine, I'd be asleep through the whole thing and would wake up…

I'm really sorry you had to experience this.

I appreciate that. It really was atrocious ice cream.

Re: Long-term health risks after having adenoids or tonsils removed in childhood

#44
I had frequent tonsil infections as a kid and was given the option to have them out but declined.

Now I have two very small and pitted tonsils due to frequent infections which asides from the odd tonsil stone don’t bother me at all.

I don’t get hay fever or any allergies.

Think I made the right decision

Re: Long-term health risks after having adenoids or tonsils removed in childhood

#47

My daughter's adenoids were removed after their size caused her ear canals to remain closed, which was causing fluid buildup behind her ear and affecting her ability to hear clearly. When a child cannot hear, they cannot learn important nuances to speech. Additionally, prolonged exposure to those fluids, if I understood the ENT doctor correctly, her hearing could have been permanently damaged had we left it. We were…

Reading stories like yours does make me wonder if the bigger issue here is variance in standards of care.

Clearly you've been advised, based on your specific circumstances, of why it would be in your daughter's best interests to have this surgery done (there's no sarcasm here - it's great that so much consideration has gone into it and clearly it's been the right thing to do in your case).

It does seem like based on my own anecdotal experience, and from other comments in the thread, as if "tonsils out" is an automatically triggered decision in much of the world for certain ailments in cases where it may or may not be appropriate or warranted.

For the record, I hate even being anywhere near the fence on an issue like this, as I'm very much pro-vaccination (for example) and my position on this comes across as anti-science which I'm anything but.

Re: Long-term health risks after having adenoids or tonsils removed in childhood

#48

Thank you so much for posting this. Really, THANK YOU, kind stranger. Here in the Czech Republic we're always forced by doctors to do AE/TE to our son despite being mildly affected by strep as we are fighting PANDAS. The latest research converges on that AE/TE is not effective, and that we're doing the right thing by not doing the operation. It looks like doctors even in the most advanced medical institutions are bli…

You're right to be cautious and fact check everything you're told. I apologise if my response becomes overly ranty. This isn't to scare you, just to encourage you that you're doing the right thing by taking such an active role in your child's care. I have views on this that would seem to most people to be seriously conflicted. I'm militantly pro-science, and I argue constantly in the face of anti-science and pseudo-s…

I believe you find this article interesting: https://www.nytimes.com/2015/08/11/upshot/labels-like-altern...

"My friends who believe in homeopathy don’t really care. Those who favor conventional medicine, though, can be just as blinded. Too often, when confronted with evidence that advanced technology might not be providing benefits, the medical community refuses to change its behavior."

He goes on to argue that the distinction between conventional and alternative medicine is misleading. The only distinction should be between what is proven and what is disproven.

Re: Long-term health risks after having adenoids or tonsils removed in childhood

#49

Could there be a correlation between people needing to get their tonsils out and their higher rate of infection from some other factor and not necessarily as a result of the tonsils getting removed?

> "cases were no less healthy than controls presurgery in the first 9 years of life"

Looks like they addressed that (heading: Testing for Biases in General Health Before Surgery)

Re: Long-term health risks after having adenoids or tonsils removed in childhood

#50

Just to add to the anecdotes in here. I had my tonsils removed at about the age of three and never suffered any particular consequences.

Same here, I had them removed at the same age and never had an issue related to allergies or anything serious.
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