This video provides a sobering look at how routine medical treatments can backfire, turning a simple infection into a complex clinical obstacle that demands expert precision. It is a masterclass in managing the unintended consequences of medical intervention.
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Deep Dive
Antibiotic Spray Turned This Ear Infection Into a Rock-Hard Plate Over the Eardrum – EP1264Added:
hi everybody i'm really glad i didn't get this patient this this was i hope it looked super difficult when i edited this in this is a post-infection removal by lovely mr taylor green yeah that's tough yeah that is tough i can see by the length of the video this took me quite a while so yeah the patient um essentially had been to the doctors had an ear infection had got given an antibiotic spray for the ear and what the spray well here where you tend to find the spray does it it's really effective at you know fighting and killing off the infection uh but what it does is it it does this and it basically makes everything really really tough and solid uh and oh i could see i could see this was going over the front of the eardrum as well i was thinking oh this is gonna take a while sometimes they come away really easy yeah and then other times they just come away in little tiny bits and they're just really faffy to try and kind of i think the way you've got to think about this is this this imagine this was uh what's your lava right that's a great analogy imagine this is like lava so originally when it comes out is molten right so we're looking at that like a layer of of kind of liquid uh uh infection and then what happens is as as we go into it though and we put the antibiotic spray on top of it uh what happens then is it basically it just starts to harden the surface when it becomes a really hard plate on there i got meta glasses i just accidentally touched i know i've got spotify played in my glasses but it's i got i got acdc player i can actually hear that i don't know if that distractor suddenly came from my glasses which is really bizarre um so yeah it just what you end up with there is this really kind of thick hardened layer i don't know it's really difficult to remove and uh sometimes if the infection is still kind of lingering you'll get this like uh like wet uh almost discharge consistency that's very very deep in the ear still um but you're able to come there just to try and find the ear edge of this this plate that's in there that's basically what i'm trying to do is just find a little little bit of a ledge there so you can see i'm just starting to kind of like chip away at it just to try and get something yeah how how hard you know how how stuck to the canal wall skin that is i don't know i was going to say you want this to peel all the way down so i was hoping for.
I was gonna say you can sometimes see it like a little tiny dry bits kind of like flicking off the yeah I can off the side there's another bit with a forceps coming away nice now this is hot because you can because with this now you can't pull straight no because it's all stuck really firmly to the canal wall so you've almost got to pull down to peel and then pull forwards to the roof I can feel the resistance you can see it's like kind of peeling away little bits and it is it's dropped in there for you see that yeah but it's just getting you can see as we go it's like it's the so there's a bit of swelling I think that's still present in the ear as well like I don't think this is kind of fully healed yeah just because you can see it's all like really puffy that your canal and it's it's kind of it's really small not so much narrow but it's just small overall kind of yeah yeah so just try and i really want that so badly to peel oh well that was a quick transition then that's my superior editing skills keep the action going keep the action going to the green keep it going um so yeah just we've got this dry like thin layer this is this is basically just dried up discharging you know bits of dead skin that we're taking away here so it's i'm slowly trying to get a good i'm trying to bunch it into the section too so that the fine end on here now the fine end is a little attachment that we use for our standard size tube which is a smaller diameter essentially and it's it's a lot more effective at taking this smaller kind of thinner like pieces of skin away i think it's something like this the standard size on is like 14 gauge tube and i think the fine end is an 18 gauge tube anyone does it with electrical wires and stuff like that that's gauges i don't really bother with electrical wires to be honest no no i did i do i did some uh i had to buy wire room because i i made a a neon sign well a fake neon sign um oh if anyone's you're mr peaks from call of duty not sure the rabbit from zombies mr peaks i probably have seen it anyway i did it and i had to wait the first time ever sold it or wired anything and i made a blue neon mr peaks with a yeah it actually turned out all right i forgot on those little machines you know yeah printies oh so we did manage to actually get quite a bit away uh from down over the eardrum and so i'm this is the other side now so this is that was obviously as much as i could do on that side i've basically said to the patient like it still looks inflamed it still looks like there's some swelling there you know now that we've cleared all of that like dead you know that dry skin that dry discharge um if the patient i mean we depends really on how it does look on the date isn't it because we sometimes say to patients look i i still think there is signs of infection still there but now that all of that you know material has been cleared the spray will work better and you know we'll we'll clear up the uh inflammation the swelling can't even speak properly today oh look at this side though this is absolutely so i know i'm looking at it they're going this this is probably more different than the other one i think it is to be honest because there's there's just it's it's rock hard and you know i think this patient try if i can remember i think this patient traveled quite far as well for the appointment and i just kind of the even the rose and surgery in there looks wide compared to a piece of wax usually i mean fair play to you but to get under that you know that that is that is like a fraction of the size of the tip of the rose and insertor and you're managing to get there that's that's that's good that's good work the patient was like a trooper though to be fair because you know it's a it's a horrible feeling anyway when something is this hard and you'd like yeah around and but fair play should just sack through the whole thing i'm trying to see if i can there's a little gap just above it i'm just trying to see if i can lift the whole thing it's just yeah it's not doing much it's kind of welding onto the canal isn't it it's not really because in an ideal world you'd be able to get that teeny tiny little gap at the top but the angle for that to get that rose and insert yeah you'd have to you'd have to go in like the rose and say like this yeah and this is this is near enough right up against the ea drum as well patient had admitted uh historically of using cotton buds uh not recently but this is why you can see it all really dry solid and welded uh patients just basically use the cotton buds and um this is the sort of finishing product of what you get when you use cotton buds so try not to use them if you can help it one of our love he's a lovely patient of ours he came through and every time i see him bless him i said like you just throw him out don't use him because every single time he comes through he's it's pushed up against the eardrum and it's pushed into all the like anterior recess and everything oh gosh you can see it you're gingerly i'm just trying to see if there's any kind of gap there i'd see this would be one you know i said the other day i snipped the the rose and inserted down i would yeah it'll be it'll probably be a nice one just to get just to get the a little bit of purchase at the top without going too far back yeah i oh you can see it's starting to it's starting to move patient couldn't believe the difference um uh didn't actually think just thought of hearing was getting worse on this side yeah um so this has been like this for years um yeah patient can believe the difference once this eventually comes away uh you know i wouldn't have posted this otherwise if i didn't clear it up so i hope it is clear yeah it is oh sorry that's okay it just makes your heart sink when you look inside someone's ears and you see it like this welded and solid like it's all right if it stays together as one big piece and when you pull it it all sort of moves when it crumbles like this one does that's when it becomes super difficult this thing i mean this might make a difference now yeah i popped a little bit of oil in because i've started to lift it slightly that's why i've put the oil in to try and get around those little gaps and you just see a little gap appearing now just to the side there so i'm i'm gonna just try and just gently sort of move this around a little bit just to try and get some of that oil underneath still not doing my swap but to the standard size tube here now you can see the difference of the the size of the suction tubes i was i was just kind of hopeful that i was going to get a really good grip on this piece of wax so i could just hold it and start to pull it forwards okay a little bit more than what it was at the start doesn't look like i've got anywhere but uh it's just having that one little bit that you can just get the end of the forcep onto that just holds as you as you clamp onto it i've got to be cautious of the ear canal as well i can't that's not gonna work i thought that was gonna work i might do actually well i just firmly wedged in there isn't that yeah but at least we're you know every time we take a little bit away we are creating a little bit more space so at least we should be able to i was just trying to use the bottom yeah just trying to lift a little bit yeah oh you can see that's such a frustrating one to do i'm glad i cleared it eventually because like you said on last video you know i um i was almost kind of i'm in an arm weather to save the patient look we need to get you back after using you know i would have probably recommended a slightly stronger drop in this year like a soldier yeah just to try and break it up a little bit yeah so you can see what you're doing you're trying to see where where it's helpful yeah there we are so that's that a little bit that started moving earlier look how look how stuck to the ear canal that is though i'm peeling it and the whole the whole layer is is all stuck to that ear canal it doesn't get this way naturally either does it so this this has been kind of squished in with a with a a cotton bud yeah like i said i did kind of i did query it at one point because i think as we started to break it apart you could see like little fibers coming away so i did ask her and you know have you been using anything to try and you know clear yes she's like yes you know i do admit to it she said i did used to use him a long time ago but uh has obviously kind of learned the lesson so this is obviously blocked up at one point but the patient's obviously just gotten used to it and forgot about it you can see those layers of dry skin peeling off as well the back end of this plug.
I think there's a point here now that we do start getting a really good grip I.
I can't remember if I put more oil in it's lifting isn't it yes lift it got so sorry this coffee go away they always look these little people they look massive on the camera but when we pull them out and put them on the paper pieces like oh is that it I know it feels huge inside as well as that go in. Taylor it's going and I got every faith this is gonna go and because we're coming towards the end of the video so something it's not I remember this time he just kind of I think it just kind of pulls straight forwards sure.
I think there was just one little bit that we managed to lift and I think the whole thing rolls forwards or pings out of the recess I know I must have I must do it with the forceps and no no not quite not quite oh i'm basically brushing the ear canal there there we go that was in there absolutely solidly wasn't it a little bit more of a ledge i'm stretched it a little bit oh here it comes.
That's got to feel a relief when that came away like that.
It is.
Yeah, it's looking actually really, really healthy behind me.
No ruler shot, sorry guys, because I kind of put it in after I threw it all away.
I wasn't going to use it because it was so long, but I thought, I don't know why, I'm just going to do it. Yeah.
Fair play. But yeah, that was a bit of a challenge.
That was a tough one, but fair play. Back was enough after it. I bet. I bet.
Well, guys, thank you so much for watching our video today.
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But in the meantime, guys, as always, take care of yourselves. Take care of your ears. And take care of one another. Myself, I'm the lovely Mr. Taylor Greene.
We'll see you again soon.
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