Keratosis Obturans puts up a battle! Episode 41

Thanks for watching my latest video. Feel free to like, comment or subscribe to our other social channels. All procedures are carried out by resgistered nurse prescriber Richard Isherwood via microscopic microsuction. If your in the Uk and would like an appointment you can book onine if you go to www.nomoreearw... and select 'BOOK NOW' Find me at -
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#satisfying #viral #ear #earwax #earwaxremoval #microsuction #fyp #earwaxextraction #nurse

[@thewaxwizard]

Book your personalised message from me now! Check out my Cameo profile: www.cameo.com/thewaxwizard

[@WandaHowell-k1n]

I thought I heard you say in an earlier video that you made a house call to an elderly lady? If so, you are absolutely incredible! I didn't think ANY doctor made house calls anymore. That would make you unique. Love your videos. Thank you for sharing them.❤

[@thewaxwizard]

Thanks, yes i usually do one day a week of house calls, not everyone is able to get out so easily - so only fair i give them a home visit service! This video last week was a home visit. kzbin.info/www/bejne/ZouuiYqFYpp-bZI

[@jmacdonald8630]

😊Nurse Richard, just a note of encouragement from a viewer in Canada. I enjoy your videos immensely and I appreciate your kindness and your obvious caring nature. I don’t write very often but I watch every one of your videos. Take care and keep on with your good work! Jody 👏🏽👏🏽

[@thewaxwizard]

Thats very kind of you, thanks for taking the time to comment 😊

[@snowqueen3823]

Hi, great video, thank you. Your patient must have felt such relief after you cleared her ear. Interesting story of your journey to becoming a nurse. You got further than most in your musical career, mine didn’t get beyond singing into a hairbrush in front of the mirror!! Thanks for sharing.

[@meganwickham6932]

I have to say I absolutely love how compassionate you are not only in your job choice but you are soooo compassionate with your patient. I wish you were in the United States your confidence and compassion id definitely have you be my ear specialist ❤ love your videos Nurse Richard very beautiful person I can tell

[@paulinehawkins2207]

Fantastic job. You really do need to go slow because the patient is already in pain from the Keratosis Obturans. Neel Raithatha does many of these and he’s very good too. He uses the hood to slice through not always successful and then uses the Zoellner. But great job Nurse Richard.

[@maryhaase3841]

Keratosis obturans is very complex and very interesting for us on lookers!!! Lol ... i enjoy this and choosteotoma very much even tho i feel terrible for the patient that has to endure these issies ... but alas, great videos sir!! Much love from Connecticut USA 🇺🇸

[@thewaxwizard]

Thanks for watching, theres a kerratosis obturans in next weeks episode 100 special 😀

[@maureensheehybrichetto]

This is the first time I've see Keratosis Obturans removed without using anything besides suction. Usually, other tools are needed to remove the skin. Nicely done!

[@pixeldoc7119]

On the other hand, that's why this particular procedure took the good nurse so long; an ear hook, such as a St. Bart's, very likely would have shortened the time significantly! However, Richard, in this episode, does not strike me as being in his best form; almost like he has a cold or the flu. Bottom line, he got the job done very satisfactorily👍.

[@clarabelle5138]

Yaaassssss! Richard the Rock Star Teacher Carer, Nurse & earwax aficionado. Turn your hand to anything, love it. I sooo want your channel to lift off, need to ask some kids how to get viral. 🤣🤣🤣

[@thewaxwizard]

Haha,you've got a job as my social media manager! I think it's all luck!

[@clarabelle5138]

@@thewaxwizard 🤣🤣🤣 I can't manage my own social media never mind another one..🙈🤣

[@thewaxwizard]

@@clarabelle5138 🤣🤣🤣

[@nanasbabies58]

I’ve seen a lot of videos where olive oil, medical grade, is used to soften and help the skin to release. You do an excellent job!!

[@thewaxwizard]

Thankyou 👍

[@Marilyn-y9k]

I like your easy manner and clear information. Thank you. USA New Hampshire .. 81yo lady.

[@janicenewlan2295]

I enjoyed every min. Keratosis obturance and a mastoid cavity which goes hand in hand i believe are my favorite!! ❤

[@thewaxwizard]

They're both in episode 100!

[@SharynFacts]

I think I may watch too many of these videos when I recognize the pebble in the pond analogy from Neal and the rubber ball one from Rhys 😂

[@thewaxwizard]

Yep, I couldn't think of a better way of describing it, they hit the nail on the head!

[@SharynFacts]

@No More Ear Wax I always hang on to a good analogy or visual aid that helps me grasp a concept.. especially when it is something you have to explain frequently! I'm a nurse in the USA and you guys on YT make me want to uproot, move to the UK, and become the next hot thing on the wax scene 🤣 Not even joking, though!

[@thewaxwizard]

@Sharyn Facts still dont understand why microsuction isn't much of a thing in the US. It baffles me!

[@SharynFacts]

@@thewaxwizard as with most baffling concepts here, it basically boils down to ~☆○●○《CAPITALISM 》○●○☆~

[@creative2579]

One can never watch too many!🤣

[@lorrainenecntrymusic4893]

I finally got a chance to watch the video. I can only imagine the relief the patient felt when that last big piece came out. I didn’t see any bleeding. Would call this stage 1?

[@thewaxwizard]

More than likely, was a bit of delicate/red tissue so borderline 2, will know more when i clean it out fully next time 👍

[@lorrainenecntrymusic4893]

@@thewaxwizard has the patient always known they have keratosis Obturans?

[@thewaxwizard]

@@lorrainenecntrymusic4893 nope, never been diagnosed by anyone until she saw me.

[@lorrainenecntrymusic4893]

@@thewaxwizard wow that’s a really serious condition.

[@lisamckenzie1996]

I watch all the ear wax removal videos and really enjoy seeing the different styles each audiologist brings to their job. I commend you all, very professional and highly qualified. I don't understand people that comment telling you which tools you should have used or how you should have approached the situation. Seriously each audiologist has their own technique but they are all experienced in their field and I'm pretty sure they don't need advice from people who watch the videos and think they know better. If you dont like a video scroll on past, why take the time to comment something negative. Some people were obviously never taught that if they haven't anything nice to say they should keep quiet 😂 Anyway great job, really enjoyed the video and how gentle and patient you are.

[@thewaxwizard]

Thanks Lisa, I've always said, theres no right or wrong way, just Preferences! As long as the patients happy then so am I!

[@khug3719]

That story is so sweet about your kids. Thanks for sharing.

[@PhoebeYarwood]

And it is wonderful the difference you make to people who are experiencing hearing difficulties 😊.

[@heatherexcell3078]

I always think of keratosis obturans as being like a ball made of rubber bands - every new layer of skin is like adding more rubber bands to the outside. Individually they're thin and soft and flexible, but when they're packed tight enough they're solid as a rock.

[@thewaxwizard]

very good analagy!

[@dixierae3442]

​@@thewaxwizardI agree a great analogy. I have always wondered Richard with this much content in the ear is the patient not able to feel it with a finger or would it not be seen with the naked eye. With that have you ever had a patient whose ear was so full that it had had begun to empty out into the cup of the ear. Just some wEARd questions from a new wEARdo.😜🤪🥸👂Havingbthe very best time catching up on missed videos .🥳

[@thewaxwizard]

@dixierae3442 its often visible with the eye never seen it poking out of thr esr, they usually feel its a problem before then 👍

[@johnshell2480]

Great job Richard. Sorry the YT audiologists are telling you what tools to use, we’re all very disturbed….😮😮😮

[@thewaxwizard]

I welcome any questions, a lot of them have watched more than me!

[@johnshell2480]

@@thewaxwizard yes this is officially OCD!

[@graysea1961]

Love the story telling almost as much as the wax removal. Very relaxing 🫶🏻⭐️⭐️⭐️⭐️⭐️

[@ellenashby7208]

Fantastic and thanks for showing what you removed

[@PhoebeYarwood]

Thank you for sharing your journey 😊.

[@heathertear2509]

Really enjoyed this video! Loved learning about how you came to be a nurse!

[@sunnycadwallader2873]

Thank you for helping her.

[@renatacatao6954]

Keratosis obturans videos are always the best ones! Thank you!

[@AnneMoshtael]

Thank you, Richard! Very skillful! Surely your patient is so relieved of her pain. God bless you!

[@thewaxwizard]

Thanks Anne 👍

[@suegibson1960]

Thanks for sharing your career journey

[@pattyredd8070]

I know Im watching too many ear wax removals when today, I was scooping ice-cream and thought of me scooping ear wax. Good grief😂😂

[@thewaxwizard]

🤣🤣🤣🍦🍦

[@lindapreater840]

This was brilliant look forward to next one

[@alexgrayafc49]

These videos are quality u deserve a few hundred thosands subs atleast with time u will get there

[@thewaxwizard]

Lets hope so, thanks 😊

[@alexgrayafc49]

@@thewaxwizard oh you will 100% mate stay consistent and this channel will blow up ur extractions are first class

[@PhoebeYarwood]

Hi 😊. You may be able to go into settings on your phone and reset when your screen saver kicks in 🙂

[@user-jg4oc6oh9x]

Just love watching these

[@DojnfukbFukbcfujf]

I love watching these videos

[@daniellejoens6920]

Way to persevere!

[@brendakelly2715]

What causes keratosis obturans?? Is there some preventative measure one should take to make sure this doesn’t happen to them??

[@thewaxwizard]

I don't think the exact cause is known, other than a failure of the skin to migrate out of the ear as it normally would. So you cant prevent it i dont think.

[@exquisitecandy2684]

One thing that can interrupt migration of skin is when the ear canal is grazed or scraped by digging around in there, like with a cotton bud/w-tip. We were taught nothing in your ear but your elbow or nothing smaller than your elbow.

[@dianamerola4671]

Great job cannot believe what has come out of ears

[@jc0033]

Would love to see you finish cleaning the ear.

[@Random_847]

Awesome ☮️💟🦻

[@candacecurtis5739]

Love the long video! Best wishes from Canada 🇨🇦

[@thewaxwizard]

Glad you enjoyed it!

[@lorrainesproule7626]

Really enjoyed this

[@leonaheraty3760]

Well done! 😊

[@JULIA-e7k]

Thank you for ÿour explanation NURSE Richard Can see how it would become painful Case of "better in than out😂😮😊😊"

[@kathleenspelde2968]

I soo enjoy watching you and listening to you as well! You’re a bit funny too ha ha! My question is: can you tell us what the patient is feeling? Whether it hurts or when it starts to feel good to them? And, like, when you’re doing skin peels or suctioning infection debris? What does that feel like to them? Thank You! Keep up the good work. 👍😀

[@thewaxwizard]

They rarely feel anything, some wiggling and tickling, rarely pain

[@Adgonza57]

Awesome!!

[@olteb3773]

Did the patient have any severe itching? And once you remove the skin, does it help stop the itching?

[@thewaxwizard]

Not as i recall, it was more the pain that was the issue, and thankfully thats gone!

[@olteb3773]

@@thewaxwizard Hello from Baltimore City, Maryland! Thank you for responding back, I enjoy watching your videos, and you do a great job, educational.

[@olteb3773]

@@thewaxwizard Glad patient is feeling better, that's what's important.

[@thewaxwizard]

@OLTEB thanks, i really appreciate that, thanks for watching 👍

[@olteb3773]

@@thewaxwizard Your welcome 🙏🏼🤗

[@maryhaase3841]

Have you ever watched Dr. Zhao?? He is an ENT in Beijing ... he like you is very good ... he most often deals with cholosteotoma issues ... have a look sometime!!!

[@thewaxwizard]

Yes, big fan of his work 👏

[@janicenewlan2295]

U can tell by the texture whether its dead skin or wax right. By now i can even predict which tool to use for the job also!

[@karenhall4371]

Well done! I’ve never seen a KO removed with purely suctioning before

[@scottbotkowsky6254]

Great job love u. You are not boring like some of the people doing these types of videos

[@thewaxwizard]

Thanks Scott, I don't think my wife would agree but thanks 😅🤣

[@scottbotkowsky6254]

Women just dont it our sense of humor lol

[@debbiemassey7711]

I wish I knew I could have done this! BA, BNSc, RN❤️

[@exquisitecandy2684]

Questions! Do you use peroxide drops etc for skin? Do you watch your videos with narration before posting?

[@thewaxwizard]

I sometimes use sodium bicarbonate drops for skin. And sometimes i watch but rarely! I just ramble on and then click post!

[@exquisitecandy2684]

@@thewaxwizard I meant sodium bicarbonate! Sorry, calling it wrong one but was in regards to getting the skin to release. I’m fine with the rambling lol. Video though, I have subconscious movements. You will notice in most early videos Rhys held his hands together. We like it when people speak with their hands, but when people read lips it helps if they’re out of the way. Accessibility tip for deaf or hard of hearing. 😊

[@thewaxwizard]

@Exquisite Candy good to know, id have never thought of that 👍

[@exquisitecandy2684]

@@thewaxwizard I was hoping you wouldn’t mind. Most people don’t know unless it’s mentioned and then it makes sense. 😍

[@kellyjoiner4418]

That was a tough one, that you handled very well. In a lot of videos out there, it seems like the person doing the removal is much too concerned with the dramatic effect. Pulling out as big a lump as possible. In those videos there's a lot of "going around the elbow to get to the thumb", if that makes sense 😆 Seems to me that you don't do it that way. That patient care IS your main concern,whether it comes out in a lump, or goes in the tank. I applaud that. 🌞(excuse the rambling)

[@thewaxwizard]

Yep, peoples entertainment is the last thing on my mind during these!

[@juliawalkerthompson5763]

Hi Nurse Richard We like the variety

[@luvliigirl]

Great you kept video going so funny

[@catesmith3011]

You are altogether a fine man, with loads of experience at many things. What instrument(s) do you play?

[@thewaxwizard]

Anything I was paid for! Mostly piano, keyboard bass, guitar and drums. (Can't sing for toffee though!)

[@catesmith3011]

Except for rugby songs, I bet! 😊

[@thewaxwizard]

@@catesmith3011 of course, but I'd get banned for repeating them! 🤣

[@catesmith3011]

@@thewaxwizard Oh, I’ve heard my share at the clubhouse after a match. Imaginative lot, rugby guys! 😎😂🫣

[@nikkimatte6897]

Why not just use the hook or pliers seems like it would work better then trying to use the suction for the hard stuff

[@joanrose2050]

Use a different curette. Jobson horn, ear pick

[@deljones64]

Can you show how much you take out after you finish.

[@thewaxwizard]

I could, but this one has been in clinical waste for 6 months 🤣

[@deljones64]

@thewaxwizard Oh Lawd!!🫣🫣🫢🤔🤐

[@simonalaterza5112]

Oltre all'aspiratore sei capace usare qualche altro strumento?

[@thewaxwizard]

Yes. Are you?

[@WrapStrip]

I don't understand why you start for eardrum instead of cleaning around first then down explain pls.

[@donnamurphy5698]

Isn't the suction, in the smaller tube, more concentrated, stronger?

[@thewaxwizard]

No, its weaker, less air flow

[@donnamurphy5698]

@@thewaxwizard ah. Ty

[@PreservationEnthusiast]

Probably grade 1 or grade 2. Difficult to say until you get the other stuff out and look at the canal wall. But I'm amazed you that much out with suction. Often forceps and hook needed on these too!

[@joanrose2050]

What happens to the other curretts.

[@baconsuzy]

Does the patient express how much better her ears feel at some point?

[@thewaxwizard]

Yep, when the big chunk comes out!

[@barbarabyas9902]

OMG IT TAKES FOREVER TO CLEAN.

[@thewaxwizard]

Tell me about it....

[@luvliigirl]

Lol I grew up remembering numbers and names.

[@juliawalkerthompson5763]

Hi there Mr Richard 😂

[@thewaxwizard]

Hi!

[@janicenewlan2295]

I understand u dont diagnosis but i fell asleep in front of a large fan once and woke up w/horribe pain pain...can u tell me why?? Thanx!

[@thewaxwizard]

No idea....however, if the pain was in your ear - its possible the cold air can cause it

[@lisarobb3064]

Nice!✌️❤️🇨🇦

[@alicevaldes6971]

¡Cómo se tarda!

[@lorettabordner5390]

Just wondering, when you were in a rock band did you sing?

[@thewaxwizard]

Only back up....i can sing in tune, but haven't got a very good voice 🤣

[@lorettabordner5390]

Ah. I grew up singing, my dad would play the guitar and me and my sisters would sing.. I love it ❤

[@joanrose2050]

Get the forceps.

[@user-wu2te1ep4m]

Please just tell us about the ear

[@thewaxwizard]

Its an ear, there's wax in it, i got it out. You're welcome! 🤣

[@juliekahl4422]

WHY DON'T YOU FINISH THE JOB. I'M WATCHING YOU THINKING THAT YOU ARE GOING TO FINISH THE JOB BUT YOU DON'T THAT SUCKS.

[@lorettabordner5390]

I bet your arm hurt after this one, great job tho!

[@thewaxwizard]

Thanks Loretta 👍

[@tinabennett469]

This might actually look like it was fighting back! I've seen others use an instrument that looks like a spatula. It's flat and it slips around the sides really easy. I thought it would have been handy for this one! Do you have either that flat one or one that looks like a spoon?

[@emanuelcarver4149]

I usually like the long videos. But this was very frustrating. How do you expect to remove it if you're barely touching it 😂😂😂😂

[@thewaxwizard]

because if you go too firm, the patient experiences pain. Its a very painful condition, and it's always best to go slowly. This type can't be rushed.

[@denisewilson1048]

Is this a 1 or 2

[@thewaxwizard]

this is part one, when she came back the oil i gave her had removed the rest so no part 2 needed!

[@juliawalkerthompson5763]

You can and did do it😮😅

[@thewaxwizard]

Eventually! Im very stubborn and don't like losing!

[@jungefrau]

I live in Los Angeles...it's not that great.

[@thewaxwizard]

Good parts and bad parts everywhere i guess! I love it here, but could do with some californian sunshine sometimes!

[@juliawalkerthompson5763]

Wow

[@thewaxwizard]

My thoughts exactly when i saw it!

[@janethollman7894]

Why is there so much hair in some of these ears. It looks like a birds nest.

[@thewaxwizard]

I've often asked why's my head bald. Some people just have more hair than others!

[@GeorgeWilliams-x2o]

You study talking, you've could of finished that little bit left in the ear,

[@juliekahl4422]

What is Wrong with you, Why can't you Finish the Job. It makes me so MAD When you are waiting for you to get it all out and you Don't. I Think I'm going to STOP WATCHING YOU.

[@thewaxwizard]

I'd hate to be that mad that I had to write in capitals! 🤣🤣

[@안개꽁치]

동작이 너무 늦다 융통성이 없어서 그런듯 적절한 곳에 적절한 기구를 사용하지 못하는듯

[@juliekahl4422]

WHAT IS WRONG WITH YOU WE'RE WAITING FOR YOU TO CLEAN ALL THAT WAX OUT OF THESE PEOPLE'S EARS . NOT EXCEPTABLE MAKES ME MAD. DO THESE PEOPLE KNOW THAT YOU ARE NOT FINISHING THE JOB THEY ARE EXCEPTING FROM YOU. THAT'S BULL SHIT.

[@thewaxwizard]

Take a chill pill 💊 🤣, it's good for you to have some wax in, thats why we leave it there 👌

[@mbaker8554]

Major disappointment. You dropped the the ball in this one.

[@thewaxwizard]

How so?

[@mbaker8554]

St Barts hook would be useful don't you think?

[@thewaxwizard]

Tried it early on, but was too uncomfortable, it was too tightly packed against the canal wall, no gaps to get it in behind.

[@suzanneirving7257]

It also tends to just slice through it

[@MegaYang77]

Poor work, using only suction, takes a lot of time and causes serious discomfort, Change the technique of extracting the keratosis mass, use a different tool! 2/10

[@thewaxwizard]

The patient felt no discomfort at all, some plugs are too deep for tools. I'll try to get a 3/10 next time! 😀

[@GaelicMosaic]

The suction doesn't cause serious discomfort. Shoving tools into an ear canal already chock full of wax and skin would cause serious discomfort. Your silly rating is utterly supercilious. If you don't have anything kind or constructive to add, then your comment only serves to be rude.

[@karendeakin9628]

What an ignorant comment didn’t you ever get told if you’ve nothing nice to say … say NOTHING

[@nalulumu6093]

Are you an audiologist ? This is not a test

[@nalulumu6093]

Nurse your work is very good may be not to the standards of some ENT surgeons on here . But to the real ones your excellent