So, back to the sympathy that is not offered. I feel both family and physician should be proactive in bringing up the subject, talking about the effects of this disease in that person’s life, and making sure that depression is not significant. A good start is to say “you know, I bet you don’t get much sympathy for this problem”. The management of nasal polyps may not have the adrenaline of the emergency department, and it won’t save a life. It’s about long-term management with every support needed to maintain quality of life. And that’s often harder to do than a lot of acute medicine.