My dad was born with a severe harelip and cleft palate. Given that he was born in 1956, docs repaired the harelip and did some reconstruction in the inner ear (which is commonly affected in severe cleft lip and palate cases), but left the palate open, etc. He had the cleft palate repaired about 10 years ago. Well, a few years ago he started having excruciating headaches and was referred to an ear, nose and throat surgeon. The surgery he had as a baby resulted in a cavity in the inner ear that collects fluid and debris (since he does have developed Eustachian tubes) and it has formed a mass in his ear that has caused severe hearing loss (due to damage to the ear drum) and was likely causing the headaches too. So, they removed it (surgery #1 - September 2008). At the same time, they reconstructed one sinus and a deviated deptum (both related to the deformity. After the surgery he still had the headaches. Doc said that the surgery resulted in scar tissue in the ear, but that isn't causing the headaches. But, the sinuses still need more reconstruction (doc says they are related to his deformity, but calls the polyps, which is different, so ) and the deviated septum returned to the previous position and needed to be redone. Doc also calls for 3 CT scans at various times throughout the process. So, surgery #2 comes and goes (August 2009). Doc sends Dad home with 2,000 mg/day Amoxicillin to prevent infection. About a week later, my dad is miserable and in a lot of pain. Doc says he has an infection in the sinuses from the surgery and ups the dosage to 4,000 mg/day of Amoxicillin. After a few days, I talk to me dad (which he explains the med Rx to me) and he says he still feels horrible. I tell him that if he got the infection AFTER being the Amoxicillin, then it is resistant to it and up-ing the dosage is about as useful as taking Smarties (candy) for the infection. I ask him to talk to his doctor about possible resistance. Doc says, nope, all is well. So, now, 2 mos post-surgery, Dad is still miserable and goes back to the doc (he's had several post-op appts in between). Doc FINALLY does a swab of the sinuses. Raging bacterial infection AND fungal infection. So, basically, the Amoxicillin did NOTHING for the infection (RESISTANT! ), killed off the good bacteria and resulted in a fungal infection. They put him in a anti-fungal antibiotic and a bacterial antibiotic. The bacterial antibiotic is Clindamycin, which is commonly prescribed for staph infection. Doc didn't tell my dad was type of bacteria it was other than, "I should have tested for this sooner". You think?!?! Doc also says that the fungal infection is in the bone. This doc is a joke! The doc said he wanted to run a CT scan. My dad said it'd be scan #4, maybe try something different? Doc agreed and scheduled an MRI for next week. My dad goes back tomorrow and this time he is bringing my mom with him since she is better with medical lingo than he is (they've been divorced since I was a baby, but still friends). I hope we get insight into what the doc is thinking. BTW, my dad still has the headaches that have plagued him for years.