4 CASES : SEVERE EAR - COUGH REFLEX : CERUMEN IMPACTION : FOREIGN BODY : SYNDROMIC EARS

[@drjent3350]

Take a look at my next compilation video!! kzbin.info/www/bejne/ooi3eHmvm8-Cl5o

[@amandaknopf5915]

My son has a bad cough when I clean his ears. And I bear lying stick the qtip in the canal

[@marlainedelorenzo4603]

I think once you get past the "yuck" factor, there is something satisfying about seeing the ear cleaned afterwards.

[@petrigento1642]

​@@amandaknopf5915😅😊

[@gerryxanthopoulou1279]

My husband used to cough when he cleaned his ears.

[@KukiKomisake-j3j]

What's the Deal with the Funnel ❓

[@rgbeee.1826]

Best ENT Doc on KZbin, so gentle. Thank you, Dr J.

[@drjent3350]

Wow, thank you!

[@user-yana_a]

Какой чистый мужской голос❤

[@jancason8011]

I just love watching alll your posts, they are unfailing quick and hold my interest. Some people take 3 hours gently tugging and teasing tiny bits out - you are careful but quick. Fabulous.,

[@drjent3350]

The single best comment ever!! Thank you, that was very kind of you!!

[@cherib8639]

Thank you for helping the special needs patients. They're the ones that can't complain and be understood.

[@LadyMarimeya]

I followed standard medical advice and stopped cleaning my ears with Q-tips and quickly ended up with BL wax impactions! It was the worst thing, to be losing your hearing and you get very nervous when you can't hear what is happening around you. I left my appointment a totally different person- went from hunched and nervous to standing tall and smiling just because I could hear! The impact of hearing loss is much greater than I ever knew. The doctor told me to go back to cleaning my ears out like I always did.

[@mindymorgan8479]

This is what I say if I didn't clean my ears out about every other night with a Q-tip then I would be at the doctor's office every month coughing like crazy and they wouldn't be able to get anything out either. And why don't they just make you tip smaller where they don't show things and they get things out because I just take off about half of the cotton and use it around the canal and make sure not to shove anything further and it works great. My husband on the other hand does not clean his cuz he goes to the ear doctor on a frequent occasion just to get ear wax sucked out. What do they think those are made for not cleaning your ears using it on your fingernails, any other thing that they're just lying about because trust me there for your ears

[@mindymorgan8479]

I have a question why is it that you guys never trim all that crazy hair that some of the patients have? You can't say that it's all normal because most people do not have it it's like 1 and 20 year videos I see have people that have hair just sticking straight out of their ears and no one ever plucks it and acts like it's not a problem when you can't see anything and there's a wax embedded in that crap all the way down to their eardrum just about. Can we do a PSA to old man not to put their head to the side and shave that stuff with a nose hair trimmer because it just gets embedded down into your wax and you can tell. Does anybody else see this and then nobody else notices and says it's fine?

[@mindymorgan8479]

The guy with the dome in his ear had encrusted hard wax stuck to his ear drum. Do you think that makes it perhaps not vibrate like it's supposed to? Sorry I'm used to the videos where they don't touch the walls and mainly use suction and it's all completely clean even by the ear drum even if they use oil to debride it it's so squameaky clean after. After all the stuff didn't come out on its own the first 75 years of their life obviously don't you think maybe we should get it all the way clean? I'm sure I just don't get it after all not a doctor at all. Just seems that they came all the way to the doctor and at times I feel they just get some of the wax out.

[@darkprose]

@@mindymorgan8479 Yes, you are clearly not a professional with expertise about this. But you ask your questions as if _you do know_ the answers. Can I just tell you that you are very annoying in these comments. Just thought you would want to know that you annoy people.

[@courtneymower8402]

Same for me 😂

[@kaylanicholson5043]

I think I could just fall asleep listening to your voice

[@snowqueen3823]

Thank you for sharing. Very interesting. Nice clean outs, your patients must have been so relieved to hear again. I had no idea the vagus nerve in the ear could make you cough.

[@barrymayson2492]

I thought it was just me coughing when clean my ears. You learn something new everyday.

[@terrythoreson2158]

Always happens to me 😮

[@tammydavis8331]

My daughter coughs and hates it while me and her son says it feels good. 😂

[@toniciano394]

yup

[@shaysimmons7119]

In my left ear every time

[@michellelunde2169]

Exactly!! My right ear always makes me cough when I clean it. It’s so weird 😂

[@Sorchia56]

Brilliant clean outs, thank you for sharing. I’m sure your patient’s are always relieved to hear a bit better.

[@Earthgal1964]

I always feels such a sense of relief for the patient when I watch these. It' awesome!

[@countrymule9623]

Single dad of a Downs son. Bless you for the patience and the care with these gifts only a few parents are blessed with.

[@drjent3350]

Thank you!

[@Thi-Nguyen]

This voice is ideal for reading materials and stories for relaxation. So soothing and mellow… 🥱😴 The vagus nerve (10th cranial nerve) actually travels throughout most of the body. It runs along the digestive system and has been identified as a possible agitator to conditions such as IBS. It’s also thought that migraine syndrome could be affected by this nerve. The third patient just had the sweetest voice. She seemed like she would be a very kind patient to have, very attentive and interested in doing what she could to prevent these types of appointments.

[@ЛюдмилаСубботина-е3з]

Этих людей не учили чистить уши? Нужно постараться, чтобы довести себя до такого состояния!

[@susandew4874]

OMG I have that and my Dr's haven't been able diagnosis or treat.... THANK YOU SO MUCH

[@drjent3350]

Knowledge is power!! Thanks for watching!!

[@nothankyou5524]

Nicely done. Nicely done, in deed. Both the work and the video. My family's going to love you!

[@chelscidpfighter5980]

Thanks for sharing the vagus nerve reflex. I thought something was wrong with me when I clean my right ear.

[@SuperTimpanist]

me too.

[@candacecurtis5739]

Please watch his videos on not qtipping. You can do real harm and should never put anything in your ear!

[@jessica.santillo]

​@candacecurtis5739 -Couple questions 4 u candacurtis if u dont mind... 1.) Are the only dangers in using a q-tip are impaction of the wax or puncturing the ear drum? There's nothing else bad that it can do, right? (Unless ur a psycho with a q-tip of course, cuz then the possibilities are endless.) 2.) What other way is there to clean ur ears at home if there's nothing out there that does what q-tips do? Thank u in advance... only if u respond obv. If u don't respond, then no thank u for u. Lol

[@michellelunde2169]

Same here 😂 lmao!!

[@dshe8637]

Don't poke anything into your ears and don't let anyone other than a trained professional do it either

[@christinesibona6553]

I enjoyed listening to you engage with your patient. You have a sincere manner and this is obvious as well in your video narration.

[@drjent3350]

Thank you for the positive comment!!

[@KayoEll]

In my first two years of medical school (about 100 years ago), the ENT who came in to do the majority of our ENT lectures SWORE that in the first week of his ENT residency, he triggered Arnold's nerve in a patient and in put the patient into v-fib. Everyone who heard that lecture freaks out when a patient starts coughing when we're going anything in the ear.

[@drjent3350]

Luckily that's never happened to my patients! Thanks for watching!

[@jarleron4788]

@@drjent3350 I Don't go into v-fib but i cough enough sometimes to lose consciousness.. the trick is to be sitting down and fight the sensation to cough.. my CoPd doesn't help...

[@tinaowens3772]

This cough reflex happens to me every time I clean my ears. I cough even much more strongly than this gentleman did! All my life I've asked friends, etc. about this, if it happens to them, and they always say they've never heard of it.

[@chickad5820]

I have the same issue with coughing. More so in one ear... Is this fixable, do you know?

[@feliciaspringer2795]

I never knew what caused it but I’ve experienced as well but it happens to my son a lot. He gets wax build up and it typically happens in one of his ears more. He coughs so bad his eyes sometimes will get bloodshot and I have to just stop doing his ear

[@dk9619]

No wax buildup but I cough every time I clean my ears too

[@billiesteyer9367]

The coughing does that to me on the left ear what causes this

[@SoberlifeRach]

P😅😅

[@mattias969]

I have a theory on why these things are so addictive to watch and i am grouping this in with for example acne extraction and stye removal. I believe that it is an old instinct we have encommon with for example bonobo chimpanzee with become almost in a state of trance we groom eachother just like they become hyperfocused on the painstaking process it creates a pleasure response in our brain because at one time grooming eachother like thats was necessary for social survival in the group. Just a little armchair antropological psychology.

[@drjent3350]

Interesting concept!

[@kimjonguwun]

thank you so much i really needed this theory. i’ve always wondered because i myself dissociate & go into a trancelike state & end up creating so many scabs. always tried to find the root of the satisfaction in my brain. don’t stop sharing your theories, it can be an “aha!” moment for others. ya never know.

[@juliemiller9760]

Maybe. . .I thought that I just like to see problems solved. So many things in this life take so much time to fix.

[@hollies5841]

​@@kimjonguwunsounds like you may have excoriation disorder

[@hollies5841]

​@juliemiller9760 I think its a combination of both, plus a shared common appreciation, such as how irritating blocked ears or large spots are. are.

[@honeykin7890]

WOW, I did not know that, very interesting! Thank you for sharing!

[@sharlenejensen2675]

Very interesting about a nerve causing the patient to cough! Never heard of that before!

[@drjent3350]

Knowledge is power!! Thanks for watching!!

[@marylasiter2803]

When I'm cleaning my ears sometimes it starts a tickle in my throat and I start coughing

[@yinxuehui]

Yep. Arnold's reflex cough

[@TheRealBambihooves]

​@marylasiter2803 I spray chloreseptic in my throat and it quits.

[@jorgenjac.schouten5359]

My husband gags when he cleans his Ears!

[@rachll7904]

You are amazingly kind and patient with your patients ❤️. 🙏 Bless you.

[@jenniferweed2552]

The difference between what you can see with an endoscope and the funnel-thing used here is astronomical.

[@toniciano394]

could it be used to keep hole open?

[@mattsiemers8433]

Dr J has a calm soothing voice.

[@drjent3350]

Thank you!!

[@user-ov4wr5yu4r]

I know what that is, because it happens to me with the ordinary cleaning you can do at home. Thankfully I don't have a problem requiring professional assistance. But I'm glad to hear confirmation of the cause of the cough reaction.

[@nothankyou5524]

Yeah, you're doing this at home. Also do things like e your own appendectomy and such?

[@juliewoodman2439]

​@nothankyou5524 : If I don't use ear drops every week the wax builds up. This recommended by my doctor. You can certainly do this at home to prevent the problem .

[@poidkurdo1920]

@@nothankyou5524 They sell ear cleaning kits at your local pharmacy. They are safe and useful for many people, but a person should ask their doctor if the kits are right for them (someone with a perforated eardrum or tubes aka grommets should NOT use them.) It may include an oily softener, and will definitely include a peroxide or something liquid that foams to loosen things up, and a bulb syringe that you use to flush the ear with water. Flushing is a normal treatment that you get at the ER or your GP if you have wax stuck in the ear. Nurses do it. Only doctors (ENTS) or audiologists should be going in there with instruments, which is why his staff doesn't do it. But idk why they don't use flushers for routine patients. As you can see the softener had mostly cleared the Downs' syndrome person's problem. It's weird that the doctor recommends a kit to some people but tells others to come in every six months.

[@mindymorgan8479]

Your voice is soo soothing. I could watch 100 videos. I am easily ittitated by left over wax but I just want to listen.

[@drjent3350]

Wow, thank you!

[@Fazzer57]

Good to see thtoughout all your videos how you make good use of all your tools and vacuum. Well done doc 💯💯💯

[@drjent3350]

So nice of you

[@Lumibear.]

At certain camera angles my brain cannot stop interpreting these as nose holes which really changes the whole experience, bad brain, bad.

[@drjent3350]

Thats funny!

[@paulmag91]

Same! I was certain he moved the camera to the nose at certain points.

[@paularungaitis1925]

Lol!!!!

[@PrincessFidelma]

😆

[@anairdazitro]

nose block are much worse to see

[@DianeCollier-nf6yp]

Thank you for sharing. I love watching your videos!

[@drjent3350]

Thank you!

[@mariamarinho6577]

Eu também adoro seus videos porque são rápidos puxa logo toda cera ou quase toda de uma só vez. Adoroooo ❤

[@heatherfriend8195]

I’ve never heard of this condition. The throat tickle is so annoying as is but to trigger it when cleaning your ears- that must be so frustrating. My heart goes out to those who endure this condition.

[@drjent3350]

It really is! Thanks for watching!

[@jgordon1687]

I've never seen this on Nigel's videos. I also feel like he has a more gentle approach. It's more like when he got to patient 3.

[@MelanieVeach]

Ugh…I have a patient in a nursing home who gets cerumen impactions every month. He coughs and wiggles every time and cannot hold still. I ended up having to refer him to ENT. I did not want to perf that tympanic membrane.

[@humphreyearwicker312]

Awesome video. I enjoyed the education. Please make more.

[@drjent3350]

Thanks for watching!

[@RebeccaS3980]

The noise of the suction in the ear would freak me out if I was the patient. It’s like nails on a chalkboard. Points to the patients for holding as still as they are.

[@loriflynn78]

This was very educational, thank you!

[@drjent3350]

Glad you enjoyed it!

[@teresaellis1429]

Do you ever use lidocaine? Will it stop a cough.

[@drjent3350]

Great Question. I have never tried that. I have some topical lidocaine that may work!! Thank you!

[@teresaellis1429]

@drjent3350 I'm a RN and we use lidocaine gel for intermittent caths if there painful. I use lidocaine cream for my adult son's blood draws and vaccines. We wash really good right before.

[@darleneengebretsen1468]

I would think the doctor would use something to temporarily suppress the cough so the job could get done.

[@1953lili]

Earring aid dome....bet that felt great...relief! You are efficient and speedy!

[@drjent3350]

Thank you! Appreciate you watching!

[@light2tube]

this is amazing that there is also a vacuum cleaner for earwax. Is it advisable to give that wax?

[@michelle7709]

Awesome video and lesson ❤❤❤

[@drjent3350]

Glad you liked it! Thanks for watching!!

[@engletinaknickerbocker5380]

Just imagine how wonderfully clean those ears feel!

[@jessigrady22]

I'm glad I'm not the only one who coughs when you touch inside the ear. I never knew it was an actual thing until I saw this video. I have it BADDD

[@drjent3350]

It can be problematic in some people. Thanks for watching!

[@ahill4642]

There’s something adorable about those little munchy alligator-type… tweezers? 😍

[@drjent3350]

Alligator forceps! Thanks for watching!

[@frankgordon8829]

I have really narrow ear canals. So about once a year I have to get my ears cleaned out. I've had almost every technique possible to do it. From squirt massive amounts of water in them to digging them out. I always feel the tingly, dizzying feeling associated with it too. But BOY, does it feel good afterwards.

[@drjent3350]

Thanks for sharing!

[@RubyRose13579]

Gut das es in allen Bereichen Fachkräfte gibt 👍🤗🇩🇪

[@RubyRose13579]

Ich bin mit meinem IQ zufrieden 🤗 mein Kommentar war positiv 🤗 Fachkräfte werden überall gebraucht 👍🇩🇪

[@enzosallu3444]

Vanno giù con la trivella per il petrolio 😂 !!! Scarsa igiene personale purtroppo !!!

[@cleidimarbastosandrade2856]

Vendo seus vídeos eu entendo porque eu vivo com a sensação de que minha cabeça vai explodir de tanta pressão nos ouvidos.

[@wendyclark4574]

Great clips. Pt #3 nice dissection and at 8:25 it looks like ear bacon.😊 so satisfying when you are able to get a great peel and bulk extraction.👊

[@drjent3350]

Thanks 👍

[@neneizzy9277]

EAR BACON? Ear bacon, ear bacon, no not ear bacon. I've not been able to stop myself associating that wax to bacon it's all over for me now🥓 THANKS ❤

[@JoyceSwihart]

Your work is superb. Never seen a better job. You do terrific.

[@drjent3350]

Wow, thank you!

[@sepideh8572]

دستتون درد نکنه عجب فیلم برداری ای کردین خیلی عالی تمیز کردین خسته نباشین

[@WendyJohnsonsoldbywendy]

Curious…can excessive earwax throw off a patients equilibrium?

[@drjent3350]

No, not ear wax by itself. If it was extensively obstructed creating Keratosis Obturans with erosion or creating a cholesteatoma, those conditions could erode through the balance center in the inner ear and create problems.

[@hecticgerva1192]

I get this done every 6 months, due to having sever ear infections when i was little. My ENT is one of a kind that there will be no one that can replace the style he does for me.

[@drjent3350]

Glad you have someone you can trust! Thanks for watching!

[@hecticgerva1192]

@@drjent3350 thanks

[@katizz988]

Interesting, when I clean my ears with a Qtip, which Im not supposed to do, I get a tickle in my throat.

[@triciac1019]

I think some people have the shape ear where they can clean their ears safely with a q-tip. I am one of them. Maybe our ear canals are not as deep as some people's ear canals.

[@blackbear7131]

Ty I now know what my coughing is caused from.

[@annettewood2725]

Dr J ENT is a real pro, if I ever have ear wax problems...he's the man.

[@drjent3350]

Thank you Annette!! That is very kind of you!!

[@johnsnow3159]

You could be Neuroseurgeon. What was really getting my attention is how steady the instruments were.

[@drjent3350]

Thank you!! As a surgeon I am operating 2 - 3 days every week so it pays dividends to have steady hands!

[@johnsnow3159]

@drjent3350 My pleasure. I've seen a lot of similar videos from different accounts and its amazing to see that skill that I never noticed before. Keep on the good work. God Bless.

[@RedaRaven6500]

Would small sips of water during this help elevate the involuntary cough? Genuinely curious.

[@gloriasolomon740]

My elderly brother had been profoundly deaf from birth,he had 2 hearing aids that didn't really help,the dr suggested having his ears syringed a district nurse came to the house to do it,she used a sort of battery operated water pump to flush,the 1st one went ok but the 2nd one made him scream in pain...she had burst his eardrum,but told us he was fine and making a fuss over nothing (he had dementia) I took him to a&e the next day when they found the busted eardrum and gave him painkillers antibiotics etc,I complained to the practice manager but nothing ever got done about the nurse :(

[@drjent3350]

Thats terrible! Irrigations do have known complications and thats one of them! Sorry you had to go through that!

[@Yeetxdavidson]

Oh my god the one around 8 min where it just all peels off at one go is so satisfying

[@kaylahall1219]

9:20 is that a St. Bart’s hook?

[@drjent3350]

No, St Bart's hook is a brand/style of hook. I use a hook but not the brand name St Barts. I use a generic right angle hook that is very small, much smaller than i have seen other providers use on youtube. Thanks for watching!

[@christianebehr138]

Dont These people go to see you regularly .? Or is it too expensive many greetings from Germany 😊

[@drjent3350]

It's covered by insurance so it is not expensive.

[@julieaskingforafriend]

The cough reflex is far more common than people think. I will never have to worry about q-tip cotton being impacted in my ears because I can't stick a q-tip in my ear without gagging myself.

[@lonie1282]

For patient 1. Why don't you put fluid in the ear then suction it?

[@drjent3350]

Certainly an option however suction is not always the best option.

[@lisaangstead4628]

My grandma was told to put olive oil in her ear everyday...I think that was prior to hearing aids. He said it cleans out the wax.

[@My2Cents378]

I have a friend who puts peroxide in their ear. She says it helps keep it clean.

[@RomanSmith-y9s]

To reduce the cough reaction, is topical anesthesia out of the question? Either for the throat or ear?

[@judithhughes4982]

The dome tip from the hearing aid is scary. I’m thankful mine don’t have that have, but mine are also custom fitted to my ear anatomy. I do worry about the little wax barrier falling out and getting lost in there though.

[@erinholloway9034]

Is that nerve that makes people cough in the same place in every one’s ears.. or does it differ? Thank you for showing this video very informative❤

[@littleangel9531]

My left ear is my coughy ear. My right ear has no such issues

[@galegrazutis964]

No it's in the same place fir everyone. Just some people are more sensitive than others.

[@Amy-nu1sm]

We use to add Dawn dish detergent and a cotton ball after the doc checked the ear then flush next day after softened

[@drjent3350]

Great idea!!

[@JohnWilliams-gy5yc]

You didn't scrape clean that flaky white thing like ear cleaning services. Is it dangerous to have 'too clean' ears?

[@drjent3350]

Ears have an inherent ability to self regulate. Sometimes they need a little help, put them on the right topical regimen, avoid things that make it worse and then they are on their own. Comparing the ear cleaning to a car detailing for example is not accurate and not necessary. Thanks for watching!

[@quiltgalsews]

I don’t remember any noise just pressure when I had this done. Felt wonderful!

[@seekerchick]

Awesome video!!! And very satisfying as well! 😊😊

[@cwittodesignstudiollc8064]

Bro, you’re killin’ it! Well done.

[@drjent3350]

You made me presentable!!

[@monicaacosta-zamora718]

My regular doctor (general or primary care) used to clean my ears every annual check up. He's retired now and since starting UT Southwestern Medical Center everything becomes a fiasco and I'm sure ill be sent to a specialist. Just to wash the ears? Wish I could do it myself.

[@theresalacey6126]

Concerning the first patient. Would using a water pump to flush the ear out cause the same coughing as trying to use the tools?

[@drjent3350]

Direct visualization debridement is key when doing skin peels. Irrigation won’t remove the skin layers effectively. Thanks for watching!

[@unomex3x]

Question...does wearing hearing aids cause this build up to be worse?

[@drjent3350]

Not in all cases but yes, it can cause build up at the entrance of the canal.

[@gildafontoura1340]

❤Congratulations Dr.❤

[@porksboy]

Thanks for the clarification. I clean my ears with a Q-tip or I will get a lot of wax build up. When I do I too will have to stop and cough. Glad to know it is not just me.

[@JohnSmith-td7hd]

I watch these videos holding my own hand. They're probably the most disturbing videos I can't stop watching.

[@terriwetz6077]

Why are you still using such old style equipment to see inside the ear? An endoscope gives you a wide field of vision and better lighting.

[@MyXyle666]

Because if it works and the doctor is use to it and good at it, why fix what isn't broken? Just because there is new technology available doesn't always mean it's the best for every person.

[@MemphisMama]

My husband is a regular wax builder. We thought it was because he used ear plugs at work, but he retired six years ago. Two years ago, he had his ears cleaned out via suction for the first time. Afterwards, his hearing was great. About a month ago, he experienced severe hearing loss in both ears. We went in to an ENT where they cleaned his ears out and instructed him to come back in a year, unless it happens again before the next appointment. His hearing seems to be declining and I’m afraid, he may need to have hearing aids in the future. My question is, do hearing aids cause excessive wax buildup? I’m just curious. Thank you!

[@hhsmarino1767]

He wants to save some money 💰 maybe the new ones are very expensive!

[@teresacaldwell0220]

Having had ear infections over the years the suction one was the best to use because it just eased the pain ...I now have a Clocile Ear implant... which is brilliant!!

[@kellyentenmann7724]

He seems exceptionally skilled. Old school is working for him

[@TheEarwax]

The earwax has accumulated for so long; I bet he feels so satisfied after removing it

[@KeysofIDproductions]

The throat tickle/coughing happens to me as well from my left ear canal whenever I clean my ears.

[@racquel13]

I used to have a really bad gag reflex when cleaning my ears. It's a lot better now.

[@AbubakarSani-j6m]

What's the right relief pills for ear severe ear pains pls coz I've taken all possible relieves but no any effect

[@drjent3350]

Sorry you are having significant pain! It depends on the source of the pain. An ENT consultation would be warranted!! Your Primary Care Doctor or local Urgent care should be able to refer you to an ENT.

[@SimbiatAnuoluwapo]

Good job Doc👍

[@drjent3350]

Thank you kindly!

[@EberechukwuNnekaAnn-wb5mo]

The cough reflex also happens to my 10 years old son And it makes it difficult to clean his ears

[@si-elle]

لماذا يترك الناس الصمغ في آذانهم حتى يصل هذه الكمية !!! ألا ينظفونها ؟

[@darlaroberts3833]

My Son, has always coughed when he gets his ears cleaned. I cough and gage, when I clean my ears.

[@donnadavidson3904]

Great job Dr! ❤

[@drjent3350]

Thank you! Cheers!

[@schnugelischnugg]

unbelievable! how does all that crap end up in the ear?

[@evodiamatseliso2068]

I'm coughing and it's so embarrassing..people always think the worst..God help me

[@notkim8274]

I cough hard or almost vomit. Maybe I should get my ears cleaned 🤔

[@moviemakerwannabe]

My husband gets annual hearing tests by his employer. He says the nurse giving the hearing exam looks at his ears and his hearing loss can't be earwax. Should I get him to see an ear nose and throat doctor to be sure or is it likely just hearing loss? It's becoming a problem for me if not for him because he doesn't hear me and he says he doesn't need hearing aids, but requires subtitles for watching movies.

[@drjent3350]

Yes, he needs a formal diagnostic hearing evaluation, aka audiogram, and someone to look in his ears. Thanks for watching!

[@RationalGaze216]

Would it prevent that cough reflex if you gave the patient codeine before doing the extraction?

[@drjent3350]

Possibly! It’s a good thought but in the current environment giving out narcotics for non invasive procedures would be frowned upon.

[@RationalGaze216]

@@drjent3350 The pendulum swings far too widely on narcotics. A few years ago, you couldn't walk into an ER without being handed 90 percocets on the way out. But now, even legitimate pain patients are turning to illicit fentanyl & heroin because doctors are terrified of prescribing opioids.

[@RationalGaze216]

@@drjent3350 The pendulum swings far too widely on the use of narcotics.

[@guerilla9one]

Now for the patient with the cough, maybe if the doctor could have tried to apply a minimum amount of fluid for wax removal, could it have possibly made it a bit easier on the patient even if having to remove it in smaller pieces? 🤔 my ears stuggle to produce wax most of the time but constantly feels as though my ears need to be cleaned for the amount of ear wax in this first patients ear it'd take possibly maybe around 2 to 3 years without cleaning my ears at all

[@gloriahenson7933]

Love watching these very informative ❤

[@drjent3350]

Glad you like them!

[@michellesisson2942]

Why not use water to flush it out instead of using that tool to take it out and touch that nerve???

[@drjent3350]

Its an option, but not a good one. Water irrigations has inherit complications that are much higher than manual debridement. Also once the debris starts moving it will also stimulate the cough reflex. I have irrigated once in the past 5 years for beach sand impaction because the sand was obstructing the suction. Thanks for watching!

[@varoonnone7159]

​@@drjent3350 I've had water to flush out the cerumen three years ago It was the only proposed solution at a public hospital in Mauritius Do you think a manual removal with succion is absolutely necessary ?

[@drjent3350]

@@varoonnone7159Manual debridement for my specialty is considered standard of care. That could be with micro instrumentation including micro suction. In a non specialty clinic standard of care would most likely be curette or irrigation based on training. Do you what you know well and do it safely!

[@varoonnone7159]

@@drjent3350 Thank you for your answer !

[@alanashore9570]

Why do people leave things so long to get sorted ? I don't understand it.😮

[@rosariodagosto6484]

Camera is great views fantastic 😊😊

[@drjent3350]

Thank you!

[@challa3677]

You’re wonderful! Enjoying your content very much, keep up the amazing work😊

[@drjent3350]

Thank you! Will do!

[@cutietipsnails]

Patient 3 was so satisfying to watch x

[@drjent3350]

Glad you liked it!!