Something Is Very Wrong With This Ear...... (EPISODE 2)
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- Опубликовано: 16 окт 2024
- EPISODE 1: • Something Is Very Wron...
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Brilliant video. Poor guy, 3 years and no one looked properly like you did! For the record I would operate on the other ear. At least stop further collections and retractions. Thanks buddy
Thanks Vik, I'm curious as to how you would repair that. I understand the principle of myringoplasty repair but no idea how you would fix a retraction pocket. Hope you're well!
I have an immune deficiency. Ever since I was 3 months old I always got ear infections. I got multiple sets of tubes and surgeries to the point where the inside of my ears are extremely disfigured. I have less then 80% of my hearing, and I have a tympanoplasty in one ear. I love watching your videos, because it educates me on what my doctor is doing when he gets infection out or is just sucking out dead skin every month or two. Thank you for all the edutainment you bring us, Connor.
Thanks Julia, glad these vids are helping you
I thought I was the only one. Tubes Tubes, more Tubes, 4x tympanoplasty, stapendectomy, tonsils, adenoids, blah, blah blah...
I asked my doctor what the deal was with me and he said, 'bad genes'.
What he meant was, some people get ear infections all the time and it sucks and it's not fair.
@@sungear im so sorry, I also got a lot of infections growing up but thankfully they stopped after I got my adeniods removed and just 1 set of tubes. I cant imagine suffering from multiple surgeries.
@@sungeari
@juliangang I have immune deficiency also. I had constant ear, sinus infections as a child. I have had 9 Pneumonia’s. My immune Deficiency is called CVID. I am on antibody replacement medication that I infuse weekly into my legs. Are on you on either IVIG or SCIG antibody replacement therapy? I hope you are doing well. ❤
You are so aware of your patients’ comfort even though he didn’t express actual pain. Very respectful of them. Both ears, my word. Thanks so much, Conor.
Thankyou Cate
@@DurhamHearingSpecialistsI must agree with Cate Connor and also appreciate your willingness to use your skill and expertise to take the time needed to expose these very important pockets that will surely put your patient in the Q to receive the priority care from the necessary professional.
I do medical billing in the US for an ENT and audiology group, this has been such an interesting channel to me to understand what all the docs are talking about and see. Thank you!!
Glad you found it helpful Emily
Babe wake up, new Durham hearing specialist video has dropped
The hospital had better besn and they tied me. to my bed. WS thiisegal
@@melyndaward4248”don’t worry, after your lobotomy, your grammar will be much better, and you’ll be able to form full and proper sentences!” Said the doctors
IMO you have the best audiology videos on RUclips. Your cases are always very interesing. Your ability to educate the layman is fantastic and your camera can't be beat!
This is so great to actually see what my son had been going through.
After nearly 3 years of different GPs saying that he had an ear infection and just giving antibiotics, I finally found a doctor that believed me.
I knew something was wrong. Black and smelly discharge is not normal. Not for years.
Unfortunately, by that time, the Cholesteotoma had eaten all the little bones of hearing.
I was told that it was congenital. That in utero, basically loose skin cells had remained and started eating their way through his ear and to his skull.
Very scary. Also shows how many doctors don’t believe us mums and think we’re stupid.
We know if there’s something wrong with our beloved.
I tried telling my kids drs for years I thought she had IBS & they would just say he's to young only when he landed in the hospital with a bowl blockage in did in they be admit he did. Drs don't want to listen to woman period
A mother knows!
Yikes! The poor guy. Both ears! Good thing he came to you, Connor. Great job, as always. Thanks so much to both of you for sharing.❤️🇨🇦
Thanks Lisa as always for your nice comment
I had a bad sinus infection a year or two ago and felt a massive pop a day pain in my ear one day. It's never been right since! I learn so much from these videos, thank you 😊
Very interesting and delicate procedure. Thank you for TLC's to your patients and for having patience when removing the debris inside the ear canal. Take care.❤
I feel inordinately pleased with myself for guessing cholesteatoma before you exposed it! I’m a nerd, clearly.
😅
That's really not very nice comment it's very serious condition have some respect please
@@aimeeelliott7608 really not funny
I did too and I have Mr. Neel to thank!
@thechosenwon6762 Nobody ever said anything disrespectful or rude
Wow! Thats incredible, both ears? I am mind blown. It’s almost like saying lightning struck in the same place after all. Poor chap, hope it’s all resolved for him soon ❤
Wow, that was definitely one of the most interesting, yet very unfortunate cases I have seen! Do you get to see the outcome of cases like these that get referred? Amazingly explained, once again Connor. I always love getting the notification of a new DHS video 👍 Its amazing that I understand exactly what you are talking about, with all the medical terminology, which I've learnt purely from you and your channel!
Also, I was hoping that offer of an appointment for my Dad is still ok some time? I've had an accident and broken my collarbone, so everything has been on hold for a while 😢 But would still love to come to over to Barnard Castle for my Dad! Not far from me 😊
Hi Stella, thanks! I don't think I'll see the outcome as this chap lives down south. Sure, bring him in whenever you like, book it under your name so I know it's your Dad. Hope your collarbone heals soon.
@DurhamHearingSpecialists ah wow, that's brilliant thank you so much. Will get over the worst of this injury and see when Dad wants to visit. Have a great Bank Holiday weekend 👍
I wish more professionals weren't so hesitant to send patients to get CT scans done. Especially when the same patients keep coming in and out of the office with the same symptoms.
It's all about the 💰
Plus, intermittent ear infections over 3 years - it may be just that the patient swims in a public pool! It may not be sufficient to put the patient on a waiting list for a CT scan.
Unfortunate, frustrating, not ideal. But I can see how it happens 🤷
Wow this poor chap three years for an answer is a long time to wait. That must be so uncomfortable but at least he has an answer now and can get the appropriate help for it. Please keep us posted on his progress. I’m sure you’ll see him again for cleaning and the like. Thank you for bringing his case to us it was very interesting
I was thinking all the time "use the crocodile! ", but in the end you explained why you did not.
Fabulous video Connor. I do enjoy your videos so much. A a superb teacher especially for those subscribers with no medical background, also teaches us folk whose knowledge of ENT is sketchy.
Very interesting Connor. Thank goodness he came to see you and you have now referred him to ENT. Thank you for your explanation and sharing 👏❤️
That was utterly astounding and absolutely fascinating 😮 I found myself watching completely transfixed. Poor guy. Brilliant description and explanation Connor as to what we were seeing 😊
My guess is depending on his appointment time, when you looked in that first ear you were either excited for the challenge or not. Unless you’re like me (with no life)) and you’d be up for the challenge no matter what. 🙂 Your images of both ears are the best of cholesteatoma progression I’ve seen. I hope the young man gets an ENT appointment ASAP. He’s been suffering for too long. Thank you for helping him get on the correct road to recovery!
You are a dream doctor to some, like me.
When he removed that keratin, and gave us a clear canal view, I gasped. Also, I’m concerned as to the amount of antibiotics he’s been given, and that this hasn’t been observed until now. Good going on getting to the cause of the issue doc ❤
I am very impressed by the treatment you carried out very carefully. The patient will definitely have less or even no symptoms. I think the eardrum is still in very good condition and the inflammation will heal completely. Great work!
You've a mannerism that makes people want to come see you. Even the ones that never do. That's Big! Really Big! And not necessarily common in medical type videos here. BRAVO! BRAVO!!
All of your videos are super interesting, Connor. Thanks for another educational and visually intriguing masterpiece.
Thankyou Sarah
You are correct CT is computeristed tomography.
Very interesting case to see bilateral cholesteotomas
Nice carch Conor! Hope this chap can get into ENT quickly!❤❤
Thanks Heather
How strange, hope this poor chap can get this fixed soon !
Great job Connor 👍
Thankyou Beryl
That poor patient. I’m glad he finally got to see you. Thank you for another excellent and interesting video. See you on the next one. ❤❤
Thanks Pauline, see you on the next one
Very well explained 👏 poor man I have been told that ear pain 😢 😭 is unbeatable ❤
Thanks Winnie
Hi Conor🤗another very interesting case hopefully this patient gets the help he needs..thank you for sharing.Take Care.😊
You have such interesting cases, Conor! I hope this person can be helped & thank you for such a clear explanation of the do's & don'ts.🕊
Thanks Jennifer
Excellent as always. Hope the patient is doing well.
This poor patient has been suffering for three years. Did they not actually look in his ears. Good thing he came to you now he will get the treatment he needs.
This video and your description were absolutely fascinating!!! I was so surprised when you said the patient needed ear surgery; granted, I don't know anything medically about the ears. Very interesting.
Oh wow I am having major sinus problems and my ears are discharging/had infections when I've never had ear problems before.
Definitely mentioning this to the doctors when I go! Thank you for educating me so I can help my doctor understand the problem :)
Hello, i just found youre channel and i been binge watching for the last 3 days. I hope you keep uploading and i wish you the best!
Pays to be curious and that statement is what makes Conner great
This is a strong statement on the complete lack of physical examination skills of every medical professional who had seen this patient before you. If he’s been seeing practitioners -whom sound like they have been prescribing medications(!) all this time - without noticing the ever growing airplane emergency exit slide growing in not just one, but BOTH ears?!?! No one took the time to actually take 10 seconds to put the otoscope hanging onto the wall into their hand and LOOK AT THE PART THE PATIENT SAYS IS THE PROBLEM?!? I apologize for shouting Conor, but this is gobsmackingly wrong! I could understand missing the beginnings of a cholasteatoma in a swollen, painful ear the first couple of times…but if after 2-3 return visits to try the same treatment again with no improvement, you must refer up the specialist food chain! COVID was challenging, but it didn’t erase the basic tenants of medical diagnostics: if you can’t fix or figure out the problem then ask somebody with a higher level of speciality!!
I feel truly sorry for your patient. This should never happen. It’s also not right for you! You are seeing this patient 2-2.5 years later than you should’ve been! Most everything you could have done to minimize the damage is lost to time!! This is why patients need nurses: to advocate for them in the system. Patient advocacy saves lives (and eardrums)!
Conor I see these colesteatoma videos quite often when watching you, or Neel, Rhys etc. Is it actually rare to have? Same with keratosis obturans, they seem to happen often. Is it just skewed because of the way the videos are posted or is it more common then previously thought? Love your videos by the way! I always get excitied when I see you have posted! ❤
Thanks Kitty; they should be rare but I see alot of them. I guess it is skewed as we all run specialist ear clinics, but even so we do see too many, I don't think they're as rare as people say they are
I kept saying, "just use the crocodile tool" haha I'm glad you brought the idea up 🤣
I have a problem with one of my ears disharging frequently.
It has been on/off for years and thanks to the pandemic hasnt had an ENT look at it for quite a while.
I really need to get it looked at, and this video really helped me see and understand a little more thank you.
What sort of surgery can be done for this?
Is it a long term fix or can the issue re develop in a few years time?
Thank you for sharing your work with us!
Never ignore any problems with your ears. You don't miss your hearing until you don't have it
I had a mild sinus infection before I went on a camping trip up on the mountain when I was young and my eardrum burst. Probably one of the least pleasant experiences I've ever had, just nasty stuff and blood pouring out of my ear in the middle of the woods. I can't imagine this gentleman was having a pleasant experience while dealing with this.
What an interesting case! Thanks for sharing
Connor! Always a great day when you post!
Thank you Connor. Interesting and informative as always.
Thankyou
Very, very interesting indeed!! Loved every min. of the video and ur explanation as to what is or might be going on!😊
I just found this channel a day ago and now I might use this as a sleep relief sort of thing.
You do the most amazing job! Thanks for sharing with us.
Amazing all the sorts of arcane parties that can go on inside an ear!
Excellent video, though I wish we got to see the rest of the cleaning of the first ear, assuming you did.
I’m thinking that may have been a bit scary, given that strange sensation. Seeing your hook unmagnified, it’s startling to see how small it is in real life. Thanks for sharing your work with us, I appreciate learning about the ears. I’m watching you from Canada. 🇨🇦
Connor has two jobs
1 - Ear doctor
2 - ASMR influencer
😂😂😂
As always is your style; thank you for teaching me.
Very interesting video. Connor, why didn't you remove the debris in the other ear? Was it because of the infection.?
Wonderful Work Doctor 😊😊😊😊
Oh my goodness the things that happen to our bodies love your video’s
Thankyou Mary
I have experience an oozing and and doctors couldn't do anything. Can the ear drum heal itself?
Epic hair Conor 👌🏻
I don’t have a light stomach but Jesus some of the shots in your videos make me shudder. Not because of how they look, but because I’m imagining the *feeling* of having them. I’m a very empathetic person, so it’s not hard for me to put myself in other peoples shoes and know how it feels from their perspective. But holy shit, sometimes it’s a curse.
I'm very interested in knowing the outcome of this situation. Will you be giving updates? I hope so! Enjoy watching your videos. Thank you!
Fascinating. Poor guy. I hope he can get it sorted soon
Wow Conor I cannot believe how long this poor chap suffered. As a toddler I fell out of a 2 storey window onto concrete I survived but my right ear has never been the same. Very scarred and as an older child I had chlorinated water trapped so the doctor used this 20 cm instrument to release the water my mother was horrified.
I love this guy. Everything is so well e plainer!
Living proof of the statement, "Questions come first, answers come second." Imo, its the jumping off point for almost everything in life. Imo, if you focus in enough, you can see it applies to all things in life. The guy epitomizes "Best Practices".
I have had chronic ear discharge my whole life. I sound a lot like this chap. My ENT approved a newer procedure called a eustachian tube dysfunction dilation. He thinks by my tubes being dilated a little larger will help clear out the chronic infections. It will take a little time to see if that procedure worked.
But I also need a cartilage tympanoplasty as 90% of my drum is gone so I will get to have that procedure next month as well.
This has helped me understand that I may need to see an ENT as I use a bebird endoscope scoop tool to clean my ears and get the gunk out and noticed a similar thing happening in my right ear. Not as bad as this poor guy, just a couple layers of dead skin but I do have that “pit” in the attic above my eardrum. Thank you for putting these videos up and I will see an expert to see if I can get help with getting mine done right as I’m afraid to use my tool to even try to get rhat dead skin away from that spot.
Hello from Texas your welcome to the ranch anytime you come to Texas love your videos
Really fascinating video, how successful is the surgical option in this case? What’s the main aim?
This was fascinating. Thank you so much for sharing.
Great videos as always Conor. It would be great if we could see a brief side by side view of ‘how the inside of the ear should look like’ compared to the one you’re working on (especially like the one shown in this episode). Just a thought 😊
Thanks Stuart
Do you tell the patients your findings and opinion or just tell them to see a specialist because there's a problem? If you do, how did this patient react knowing they had something serious that got missed and now will need surgery?
that word for what the issue was sounded like that word from the Mary Poppins movie. thanks for the explanation and prognosis. i try and keep my canal clean. only thing is i use all the instruments that you specialist say not to use.
Ears are self-cleaning, so trying to keep your ears clean is a task you can take off your plate!
I need to find a doctor like you. My left ear no longer produces wax but just a clearish liquid l. It hurts off and on but all my doctors just shrug and say its fine.
Due it hurts and my hearling is going down!
It seems like they both would have been a lot easier to remove if you used alligator forceps. Is there any reason it seems like you rarely, if ever, use them?
He did say in the video he didn't use that tool because it would have been too painful for the patient.
If the eardrum is retracted does a person experience hearing loss? Or are that two different things.
I always find your videos very interesting and educational. You pause the video and explain what it is I am looking at. I’ve learned a lot so far. Thank you very much.
Generally yes, it does dampen hearing down slightly. Thanks glad your enjoying
I feel like people who watch this channel will find this funny. My grandma told me my cousin had chronic ear infections and had been diagnosed with chronic mastitis. For context, he was about 4 years old and definitely not lactating. It took me a minute to realize she was trying to say chronic mastoiditis.
Hello I have question,
Is it normal for us to have hole in the ears? or is the patient had past history of any ear surgery that caused a hole inside the ears?
Thank you.
The way you say "quiet." 😂😂
Poor patient, but glad he found you.
How long will it be before he can get back in to see the ENT, and how long before he can get surgery? Thank you and your client for the informative video. Hope it won't be too long.
Hi Elizabeth, not sure but potentially 6 months :(
@@DurhamHearingSpecialists Thank you. I had heard it takes a long time,and couldn't bear the thought of him awaiting an extremely long time. Thank you for all the excellent work you!
Very interesting Connor. 👏❤️
His poor ears look really sore,well done for getting them so cleared out😊
Thankyou Paula
Great video doc.
As medical student, I have few questions.
On the second ear, the 1ry cholesteatoma (retracted pocket theory) can be clearly seen, & its at level of pars flaccida, but shouldn't ear drum be perforated?
Another thing is what are the signs of retracted ear drum due to middle ear negative pressure?
I'm not a doctor or an audiologist, but here's my thoughts anyway. Firstly, I think that with middle ear cholesteatomas the TM isn't fully intact anymore, but the cholesteatoma itself fills the defect so it's not obvious. The problem often arises so deep in a retraction pocket it's impossible to properly visualise anyway.
As for retraction, I think the light reflex is the most important sign. If the eardrum isn't in its normal position the light reflex will be diffuse, absent, or otherwise abnormal. The head and neck of the malleus, and other middle ear structures, might be visible through the eardrum.
I'm always so surprised on how small the removed debris is compared to what we see in the removal process
So how did this patient problem resolve??
Did u manage to open his eustachian tube and how ?
Please tell me m suffering😢
Hi Connor. Can I have a bear please. X
Very interesting case. It's amazing how small the hook is when you show it at the end. Those pieces of keratin looked quite big until they're put into perspective.
Hi Carla, you're actually second but what the hell, here! ʕ •ᴥ•ʔ
Thank you. 🥰
Hi Conor , would an ENT consider this an emergency?
Umm what? 😂 🐻
@@laurelherman8538 No i don't think so, it would worry them though
I've seen you use a suction tube with a "rubber, accordion tip" wouldn't that have grabbed ahold of those masses better, or maybe those were just tools you were able to demo I don't recall but in my mind seams like the ideal tool ???
It might have worked, in reality that sucker thing is really big and difficult to use in anything other that large canals
@@DurhamHearingSpecialists Thanks for replying, I had thought of that, it's hard to tell the size of things on video let alone magnified on video :)
YOU ARE A VERY GOOD DR DR
More than interesting. I’d say fascinating! ❤
Results of the CT? Final diagnosis and treatment?
Are you sure it isn't an old paperclip injury? Consider both in attic.sinus secondary or etc?
Strongly suspect this is similar to what my ears looked like before my cholesteatoma surgeries. No sinus infections in my case, just Eustachian tubes not working anywhere near as well as they should.
Very interesting, thank you for sharing 😊
Looks very sore and uncomfortable hope it gets sorted for him well done ❤😊
Very interesting!
❓❓❓HOW has the GP not seen this? It could take his hearing or be fatal? My heart …suffering and repeat courses of antibiotic treatment is never good. Costly on NHS and on his life now getting this dealt with. I would be livid.
Hi Conor , I think my comment got lost in another reply with an ENT consider this an emergency? How is something like this resolved?
Not an emergency but should be treated quickly. Imagine the routine will be a scan to see how much stuff has invaded the middle ear space, followed by surgery
how do you treat this. I have ear infections and a whole in my eardrum.
I'm not an ear doctor, but I've watched a lot of youtube... and I say crocodile forceps every time!
well it would cause the patient to have unbearable pain if u do use crocodile forceps every time
Wowwww!!! I’ve had discharge in both ears for 15-20 years now! I’m at urgent care probably 5-7 times a year for ear infections and I’m constantly told it’s swimmers ear but I know it can’t just be that! I wonder if this is what is going on with me. How do I find someone like you in the states that can examine my ears and maybe figure out what’s going on finally? I have a double ear infection right now and I am so over this! It hurts so bad and I just can’t do it anymore!
I have bad eu-tubes as well. Dozens of infections and sets of tubes. Thankfully I grew to have just enough clearance to not have issues