söndag 16 februari 2025

Empty Nose Syndrome (ENS) Tragedy: Scott Gaffer's Struggle and Legacy

Scott Gaffer’s life is a powerful and poignant example of the hidden struggles endured by those with invisible illnesses. Born with a brilliant mind, quick wit, and boundless curiosity, Scott was a talented engineer from Austin, Texas, with a bright future ahead. However, his life was irrevocably altered in 2010 when he got Empty Nose Syndrome (ENS), a debilitating condition that ultimately impacted every aspect of his life.
 

The Development of ENS and the Initial Struggle

Scott’s journey with ENS began after he underwent a turbinate reduction surgery in 2010. As a child, Scott suffered frequent sinus infections and had trouble breathing through one nostril. In addition to his health issues, he felt self-conscious about the appearance of his nose, which led him to seek surgical intervention to improve both his breathing and appearance. Read Scott´s PDF file here

Despite choosing a reputable surgeon and what was supposed to be a conservative approach, Scott experienced unusual symptoms immediately following the surgery. He mentioned feeling as though air was moving too freely through his nose, describing it as similar to “air going through a straw.” Although the surgeon assured him that his nose appeared structurally sound, Scott remained deeply uncomfortable. This moment marked the beginning of a prolonged struggle, as Scott sought solutions and explanations that doctors failed to provide.

Scott’s Online Advocacy and Research

Over the years, Scott became an active participant in the online ENS community, joining forums like the “Empty Nose Syndrome Awareness” group on Facebook. His contributions were invaluable to fellow sufferers, as he shared in-depth accounts of his treatments, experimental therapies, supplements, and medications. Those who interacted with Scott online described him as compassionate, dedicated, and generous in sharing his experiences to help others. Despite his personal suffering, he retained a sense of humor and intellectual curiosity that inspired others in the community.
 

Scott’s commitment to understanding his condition was unwavering. He approached his research with the precision of an engineer, meticulously documenting every treatment and outcome. His contributions showcased his intelligence, thoughtfulness, and desire to make a difference, not only for himself but for others grappling with the complexities of ENS.

ENS: An Invisible Illness with Devastating Effects

Empty Nose Syndrome is particularly challenging because it is an “invisible” illness, meaning there are no obvious physical signs of the suffering it causes. Individuals with ENS experience sensations of suffocation, chronic pain, and difficulty breathing. This makes it difficult for others to understand the intensity of their symptoms, which are, as Scott’s mother described, “agonizing and so far into the ordinary human experience that it’s difficult to accurately describe.”

For Scott, the symptoms of ENS affected not only his physical health but also his mental well-being. His sleep became increasingly disrupted, which led to a cascade of other health issues, including gastrointestinal discomfort, weight gain, and persistent fatigue. Despite his efforts to convey his suffering to family and friends, Scott felt isolated and misunderstood. Outwardly, he appeared to have a promising career and a supportive social network, but the relentless symptoms of ENS made it difficult for him to experience the life he had once envisioned.

A Devoted Son and Loyal Friend

Scott’s mother, Beth Gaffer, shared fond memories of her son, describing him as exceptionally intelligent, funny, and helpful. Scott was the kind of person who brought joy into his home, whether by fixing things around the house or by lifting the spirits of those around him. His mother recalls how he would notice what needed to be done around the home and take it upon himself to make improvements. His friends, too, remember his warmth, humor, and loyalty. Although Scott did not have a large social circle, he maintained close and meaningful friendships, often treating his friends like family.

Beth also recounted Scott’s playful side, mentioning a photo of him humorously trying to dunk a large MoonPie into a glass, capturing his lighthearted nature even in moments of hardship. Scott’s friends missed the laughter and companionship he once brought to their lives, with one friend lamenting that he missed “the Scott I knew and loved.”

Searching for Solutions: A Medical Odyssey

In his quest for relief, Scott sought out numerous doctors, undergoing various treatments and procedures. Initially, he returned to the surgeon who performed his first operation, but he soon grew disillusioned when his symptoms were dismissed as inconsequential. Driven by a need to reclaim his health, Scott sought out ENS-friendly doctors and underwent a second nasal surgery. Despite these efforts, his symptoms persisted, and his frustration grew as he struggled to find answers and effective treatments.

In 2016, Scott traveled to Johns Hopkins for further treatment, hoping for a breakthrough. However, his hope began to wane as he came to the painful realization that his condition might be irreversible. After this period, his family began to notice significant changes in his demeanor, as his once frequent visits and cheerful presence became increasingly rare. He confided in friends and family that he felt like he had lost the healthy, happy life he once knew.

A Private Battle with Mental Health

Scott’s physical struggles with ENS were accompanied by a profound emotional toll. The pain, isolation, and inability to find relief weighed heavily on him. His mother described how Scott became more withdrawn, spending long periods of time in solitude and sometimes ceasing communication altogether. During one visit, his family found him lying on the floor, exhausted and visibly unwell, yet Scott refrained from openly discussing the true extent of his suffering with them. He carried the weight of his illness privately, finding solace only in the support of online communities where others understood his condition.

In his final note, Scott expressed that he was “sick and tired of being sick and tired” and felt left behind as others around him moved forward in life. Watching friends find relationships, start families, and progress in their careers made him feel as though he would never achieve the milestones he once dreamed of. He poignantly wrote, “My health broke before my spirit,” a testament to the immense toll ENS had taken on him.

A Mother’s Message to Those Affected by ENS

In the wake of her son’s passing, Beth has become an advocate for understanding and support for individuals suffering from ENS. She urges friends and family members of ENS sufferers to ask questions, listen deeply, and be present for their loved ones. The journey of an ENS patient can be isolating, as they may hide their suffering to avoid burdening others or because they feel misunderstood. Beth’s message is clear: ENS, like many invisible illnesses, requires empathy and awareness from the people around those affected. The appearance of normalcy often masks profound suffering, and her hope is that others will take the time to understand the realities faced by individuals like Scott.


Legacy and Lessons
Scott Gaffer’s story is a reminder of the silent battles faced by countless individuals who live with invisible illnesses. His courage, kindness, and intelligence touched the lives of those who knew him and even many who didn’t, through his contributions to the ENS community. His life underscores the importance of compassion, especially toward those whose suffering isn’t outwardly visible. His mother’s advocacy, in honor of his memory, aims to shed light on the devastating effects of ENS and to foster a more empathetic world for all who endure such invisible struggles.

Scott’s legacy lives on in the memories of his family and friends and in the ENS community he supported with so much dedication. His story highlights the urgent need for continued awareness, understanding, and support for those with ENS. In honoring Scott’s life, we remember the importance of compassion, patience, and love for those silently fighting their own battles.

Empty Nose Syndrome After Nasal Surgery – The Tragic Story of Yaneiv Oz


Letter from Toni Carroll, mother to Yaneiv. I think I need you to know Yaneiv before his deterioration began after surgery so you can fully understand how drastic it was. Yaneiv was a people person, loved helping with anything however big or small, fantastic friends still together from pre-school days, hard working, loyal, always the joker & had a love of life like nothing I’ve ever known & football, playing it & watching it was his biggest love, strict diet & work outs twice a day. Yaneiv Oz - PDF file


He always said as a teenager that he felt he didn’t feel much of an air flow through one nostril but not insistent about it. When he was 20 whilst doing his compulsory army service he told me the Dr had referred him to Haddasah Hospital to have a small operation, a Polypectomy (1) in his nose which I tried to talk him out of but not because of ENS which we knew nothing about, just because I always believed when somethings surgically touched something else messes up. Yaneiv was adamant that it was nothing & I didn’t understand how uncomfortable it felt bla bla bla... He had the Polypectomy & Rhinoplasty 🤦🏻‍♀️ I only knew this a couple of months ago when my oldest son told me. 

The day after the operation I went to visit Yaneiv & instantly felt something wasn’t right (gut feeling 🤷🏽‍♀️) But brushed it aside as recuperating. Anyway Yaneiv seemed O.K for a while, held down a job, still working out, football matches, signing up for courses of all types (He loved to study all subjects till he found what finally drew him in).

He had dreams, I think around 2 years after surgery started slight aggressiveness, headaches & insomnia ….. He booked a flight to Australia alone, worked at a company with an Israeli guy he met for a year to save money to travel on before returning home. He lived the dream 🙏 Cambodia, Bali, Thailand & partied in Europe …. I was so proud. He was traveling for just over a year & a half.

But It wasn’t the same Yaneiv that returned 😩
He was still playing football at this point & the gym daily but he couldn’t hold down a job because of constant throat infections, migraines, back & forth to Dr’s more tests, more steroids & referrals to Psychiatric help as they told him over & over it was all in his head. 


Yaneiv still had a bit of fight left in him at this point & moved South thinking the humidity would help staying at his Dads. He went to a Psycologist but only once, he tried acupuncture, voice therapy as he though his voice had changed but I think he felt that way because he had to strain so hard to speak, he was awake all night from suffocation & anxiety which left him groggy & catching an hour here & there when he could. 

Everytime we asked what he felt he only said over & over ‘my throat’ 🤷🏽‍♀️. My daughter had a little boy of 4 in her class at kindergarten that kept clearing his throat (Just like Yaneiv) & she offered him water, he brushed it away & told her it wouldn’t help because it feels like a piece of dry steak constantly stuck at the back of my throat. This little boy who’d had the same operation explained it better than my 26 year old son. 

The depression started kicking in, he stopped replying to his best friends messages, he couldn’t play football anymore because of choking, he became sensitive to dairy products & soooooo very tired. I know he joined the Facebook ENS group 5 days before his death, he had contact with one member who I think she helped him finally to get an appointment with an ENS specialist in Israel.

He hung himself the day of the appointment 
His last wish was that we take the surgeon to court & get justice to stop this. My stepsons Mums a lawyer who said she’d take it on, got all the medical documents together but she didn’t follow it through ☹️..... I wouldn’t be able to do it as Yaneiv said so little, refused for me to talk to the surgeon etc. So anyway if I can help to stop this I will try because I owe it to Yaneiv 

I really hope it’s ok Pia 
My mind is still trying to come to terms with this, so my concentration is appalling 🤦🏻‍♀️
Think it’s fantastic what you’re doing xx Best of luck

(1) A polypectomy is a surgical procedure to remove polyps, which are abnormal tissue growths. It is often performed endoscopically in the nose to alleviate symptoms like nasal obstruction and sinus issues

Yaniv Oz facebook   Instagram

Summary of Yaniv Oz's Case:

Name: Yaniv (Yaneiv) Oz
Gender: Male
Year of Birth: 23/7 - 1992
Year of Death: 16/10 - 2018
Age at Death: 26
Country: Israel

Medical Background:
Yaniv experienced partial airflow obstruction in one nostril as a teenager but managed it well. At 20, during his mandatory military service, he underwent a polypectomy and rhinoplasty at Haddasah Hospital. The surgery involved turbinate reduction, but he was not informed of the potential consequences.

Postoperative Symptoms:
Symptoms began to surface gradually, two years after the surgery, including aggressiveness, headaches, and insomnia. Over time, he developed insomnia, throat and vocal issues, dry nose, and frequent ENT infections. His mental health deteriorated, leading to depression and isolation from friends and activities he once enjoyed, like football.

Treatments:
He consulted multiple doctors, underwent various tests, and was prescribed steroids and psychiatric referrals, but his suffering remained unexplained. He attempted alternative therapies, including acupuncture and voice therapy, without success.

Final Days:
Yaniv joined a Facebook group for Empty Nose Syndrome (ENS) just five days before his death, which he attributed to severe psychological distress. He died by hanging, leaving a farewell letter expressing his wish for his family to pursue legal action against the surgeon to seek justice and prevent similar outcomes for others.





Näsplastik och reduktion av näsmusslor – John Malamos tragiska öde (1967–2010)

John Malamos, USA 1967-2010. Baserad på Intervju med johns bror

John Malamos bodde i Illinois, USA, och levde ett liv fullt av glädje och energi tills han genomgick två kosmetiska näsoperationer. Därefter tog hans liv en mörk vändning som till slut ledde till hans alltför tidiga död vid endast 43 års ålder. Den första operationen genomfördes utan att han upplevde några märkbara andningsproblem. Tyvärr utfördes ingreppet inte korrekt, vilket gjorde att han var tvungen att genomgå en ny operation. Under denna korrigering valde kirurgen att även reducera hans nedre näsmusslor, utan att informera John om riskerna med detta ingrepp. Denna onödiga reduktion utlöste en rad hälsoproblem, inklusive sömnlöshet, torrhet, smärta, kvävningskänsla, ångest och depression.

Johns bror Thomas delade hans historia som en viktig påminnelse om att noggrant informera sig om alla ingrepp som en kirurg kan utföra och att tydligt kommunicera att man vill undvika onödiga "tilläggsoperationer" såsom reduktion av näsmusslor. John trodde att han endast skulle genomgå en korrigering av sin kosmetiska operation men vaknade upp med både en korrigering och en reducering av sina nedre näsmusslor. Detta ingrepp hade inget att göra med hans kosmetiska operation, och det är nästan säkert att John fortfarande hade varit vid liv idag om kirurgen inte hade utfört denna extra åtgärd, vilket ledde till att han drabbades av den fruktade sjukdomen Empty Nose Syndrome (ENS).

Innan sin operation levde John livet till fullo och hade knappt några bekymmer. Han var en passionerad motorcyklist som älskade att resa till västra USA med sina motorcykelvänner. Han hade en stadig flickvän, en nära vänkrets, familj i närheten och en givande karriär som assisterande chef på Costco. John var en källa till värme och glädje i sitt samhälle – en man vars närvaro kändes djupt av alla runt honom.

Både kollegor och kunder på Costco minns honom med värme. Än idag, över tio år senare, delar de historier om hans vänlighet och exceptionella ledarskapsförmåga när hans bror besöker butiken för att handla. John hade en sällsynt talang för att få alla runt sig att känna sig uppskattade och sedda. De hundratals kollegor som deltog på hans begravning och lämnade kommentarer i hans dödsannons är ett tydligt bevis på den positiva påverkan han hade på så många liv. Nedan är några av de många kommentarer som lämnades av hans kollegor online. (1)

"John var en av de där unika människorna. Den mest medkännande och kära vän och chef. Jag kommer alltid att minnas våra samtal om livet och hur många gånger John hjälpte mig genom svåra tider. Jag kommer att sakna honom djupt."

Kristin Harbke, October 10, 2010

"Jag lärde känna John när jag började på Costco 2002. Han hälsade alltid med ett smittande leende, och vi fick alltid ett gott skratt tillsammans. Han var mer än bara en kollega – John var en fantastisk vän. Det är sällsynt att möta någon så utåtriktad och medkännande som John. Vi höll kontakten genom åren, och jag blev oerhört ledsen när jag fick höra om hans bortgång. Mina tankar och böner är med familjen Malamos under denna svåra tid."

Patrick Hayes, 28 oktober 2010

"Jag skulle inte vara där jag är idag utan John. Han gav mig inte bara möjligheten att arbeta på Costco, utan han gav mig en andra chans i livet och fick mig alltid att le, även under de tuffaste dagarna. Han tog sig alltid tid att fråga hur jag mådde och fick mig att känna mig uppskattad. Jag saknar dig verkligen och tackar dig för allt du har gett mig."

Jeff Wilkalis, 7 augusti 2011

"John, det har gått så lång tid sedan du lämnade oss, men det känns som igår. Vi saknar dig fortfarande så mycket och minns dig genom att dela våra minnen av dig. Livet är inte detsamma sedan du gick bort. Jag saknar hur du alltid tog dig tid att prata med oss och hjälpa till med livets problem. Du var en sådan omtänksam person. Du kommer alltid att leva kvar i mitt hjärta. Hälsa till Audrey – jag vet att hon skulle leta efter dig med öppna armar. Må du fortsätta vila i frid och vara lycklig för alltid. Kärlek, Ruth."

Ruth Reynolds, 10 juli 2023

Ett liv som förkortades av näsplastik och reduktion av näsmusslor

Efter operationen av sina näsmusslor tog Johns tidigare lyckliga och uppfyllda liv en mycket mörk vändning. I sin kamp för att förstå varför han kände sig kvävd och inte kunde sova på flera dygn sökte han hjälp vid välrenommerade institutioner som Cleveland Clinic och Mayo Clinic. Tillsammans med sin far reste han hundratals mil för att få svar, och till slut fick han en diagnos – Empty Nose Syndrome (ENS). Men trots diagnosen hade varken Cleveland Clinic eller Mayo Clinic några behandlingsalternativ att erbjuda eller läkare i hans närhet att hänvisa till. Hans hopp krossades när han insåg att det inte fanns någon lindring att få och att hans livskvalitet skulle förbli mycket låg.

John blev alltmer orolig och djupt deprimerad som en följd av ENS. Detta oroade hans familj, då han inte hade några kända psykiska problem före operationen. Han fick psykiatrisk vård och vistades en tid på en psykiatrisk klinik, men detta gjorde honom bara mer isolerad och hopplös – roten till hans lidande var fysisk, inte psykisk.

I sina mörkaste stunder gjorde John flera försök att avsluta sitt lidande. Han försökte först begå självmord genom att använda kolmonoxid från bilens avgassystem men ångrade sig i sista stund. Ett senare misslyckat försök innefattade en hängning. Till slut stal han en revolver vid ett besök hos en familjemedlem och tog sitt liv dagen därpå. Hans tragiska och alltför tidiga bortgång lämnade familjen i djup sorg.

Det var särskilt betydelsefullt för Johns familj att kunna visa för sin kyrka att hans död var en följd av en svår fysisk sjukdom. Detta möjliggjorde att hans begravning och ceremonier kunde genomföras enligt den grekisk-ortodoxa traditionen.

Thomas Malamos delar nu sin brors historia i hopp om att öka medvetenheten och förhindra framtida tragedier. Han vill att människor ska förstå den allvarliga och onödiga påverkan som ENS kan ha på en människas liv. Thomas är övertygad om att John aldrig skulle ha fått sina näsmusslor reducerade om han hade blivit informerad om riskerna och fått vara delaktig i beslutet.

Liksom många andra vänner och familjemedlemmar som har förlorat sina nära till ENS, frågar sig Thomas varför kirurgen opererade på Johns näsmusslor. Var det för att tjäna mer pengar? Var det för att de inte hade fått tillräcklig utbildning om näsmusslornas betydelse under sin läkarutbildning? Saknade kirurgen den skicklighet och precision som krävdes för att operera resten av näsan utan att röra näsmusslorna? Att få svar på dessa frågor skulle kunna hjälpa andra att undvika samma öde som hans bror.

Som en del av att hedra Johns minne har Thomas delat fotografier och videor från lyckligare tider – ögonblick fyllda med skratt, äventyr och glädjen i att leva livet fullt ut. Dessa bilder är en påminnelse om den person John var innan sjukdomen tog över, och speglar ett liv som var ljust och fullt av löften. Det är så Thomas vill att hans bror ska bli ihågkommen av andra. 

(1) Kommentarer från vänner och kollegor i dödsanonsen 

John Malamos' PDF file kan läsas här  (Det tar en kort stund att ladda filen)