UPDATE Dead Skin Under The Microscope (Part 2)

[@crystalxyz3286]

Wow, this was even more interesting and educational than expected 👏. You've now peaked all my attention and I'm a bit on the edge of my seat, impatiently so for more on this case. You really do present the most uncommon yet excellent and descriptive vlogs. Love it.

[@DurhamHearingSpecialists]

Thanks Crystal, glad you enjoyed it

[@the.internet]

Ok, we've basically signed up for an online course at this point and I'm enjoying every minute of it.

[@misska7535]

I feel like I'm waiting for a sequel to a movie or something. Thank you Connor for sharing all this information with us. I'm truly enjoying this, very informative. I've never listened to a video about a rare case of "an ear problem". Awesome job helping this patient. 👍👏😉❤ God bless 👑🙏🏼🕊💞💞

[@rox2346]

Wow! What a wonderful anatomy lesson! Thank you! You are such a great practitioner and educator. I thoroughly enjoyed this video. Your explanations are interesting and easy to understand. I especially found the comparison of slides so educational! You’re never too old to learn! Thank you again.

[@ellenmccormick9293]

That was soooo interesting. Please keep us updated on this poor guy. I hope he get appointment with ENT soon.

[@JM-er4nf]

You have gone above and beyond trying to help your patient. Very impressive Conor. Looking forward to their appt with you after they finally see the ENT. Be safe and take care.

[@dorcasmalahlela2805]

Incredible work! I first thought it might be a hectic fungal infection, but the squish was such an odd texture. The microscope view is also amazing. Would be great to see more of these (thinking you might have more opportunities if the ENT backlog doesn't let up soon).

[@DurhamHearingSpecialists]

I think this patient will return several times to see me before getting through to ENT, will take a few mote samples when he does

[@viviennejordan215]

That's Great Connor, I'm sure this Client is Very Appreciative of Your Help, and Your Investigation! You're the Sherlock Holmes of ear mysteries! "The Game is Afoot, Watson!"

[@kathrynbartholomew6231]

Many thanks, Connor. Very educational. I certainly hope this fellow gets seen soon by an ENT, but, in the meantime, I am great full he has you to continue to monitor and remove his excessive dead skin in his ear canal.

[@crystalxyz3286]

Can you do another, maybe a live while you examine for example infected ear discharge under the microscope. I really find your detailed feedback on your findings fascinating.

[@DurhamHearingSpecialists]

Sure, next time I see pus I'll take a swab

[@JustAnotherBuckyLover]

@@DurhamHearingSpecialists Fungal swabs would be interesting too... mycology was NOT my best subject, and also made my allergies awful, but some of the microscopic structures are interesting.

[@viviennejordan215]

Wow, haven't seen You for a very long time anywhere, How are You, are You Well, I Hope so. Are You interested in this subject because of Your health problems, or were You going into the field of healthcare as a Career? This is the channel for You, as Connor has a lot of knowledge beyond Audiology, it's all so Fascinating! Take Care and Keep Safe.

[@larry-naylor]

Wow Connor, this is such a treat. Thank you for showing us this.

[@JaniceWithTheTarlovCyst]

I hope the poor Gent gets some relief soon. It's such a mystery.

[@soniadooney77]

Just amazing thank-you for sharing but poor man, hope he gets some treatment soon.

[@viviennejordan215]

Amen to that Sonia.

[@sarahemurdoch8]

Much like all your videos, I learn so much. Thank you for being so informative and interesting with your explainations.

[@DurhamHearingSpecialists]

Thankyou Sarah

[@foomeeh]

seeing such clear nuclei is very satisfying. hhhmm the amount of bacteria in the ear is very interesting to see up close. until another update....

[@dannigirlr6914]

Amazing! Really enjoyed this educational and interesting look under the microscope. Thank you keeping us updated.

[@Patricia-zq5ug]

You know so much, and are so willing to share your knowledge! I love that you tell us stuff without dumbing it down as though we could never understand.

[@KayoEll]

It is so interesting how different the healthcare systems are between the US and the UK. Audiologists are NOT allowed to remove wax (at least, not in the states in which I've practiced) and they most certainly would never learn how to fix and stain a tissue sample. Doctors aren't even allowed to do that in the clinic any more (we never stained samples, but OB/GYNs and Family Physicians would often look for clue cells, and OBs would do their own ferning slides when they suspected a woman's bag of waters had ruptured). We don't have microscopes in the clinic or on the hospital floors now because everything HAS to go to the lab. They don't even like us makig our own KOH (potassium hydroxide) slides in clinic when testing for fungus, but we finally convinced them that it wasn't realistic to try to transport the same to the lab without the KOH and slide cover on it. But there is NO WAY they would let us look at it under a microscope all by ourselves! I'm curious... When I entered practice 20 years ago or so, we were just starting to see AuD's (doctoral degree in audiology) -- they were all master's degree prepared. Now, new trainees have to get the AuD, which is 4 years after getting a bachelor's degree (a total of about 8 years beyond high school). What level of education do audiologists have in the UK? Obviously, the educational systems are very different with our focus on liberal arts undergrad degrees, but I'm curious how your training works. With BAHAs (bone anchored hearing aids) and cochlear implants being so common here in the US these days, it almost seems like AuD's must spend a huge portion of their education just learning the electronics or hearing aids, BAHA, and cochlear implants.

[@grayhatjen5924]

This case just gets more and more fascinating. Much thanks to you, Connor, as well as the patient. I don't recall if it's been mentioned, but when was the onset of this?

[@DurhamHearingSpecialists]

It was 3 months ago roughly

[@viviennejordan215]

Thank You Connor, I had forgotten.

[@michelletilton4086]

Thank you so much for doing this. I love the educational side of these videos. I would love to find out what is causing this.

[@viviennejordan215]

Yes, Michelle, we're all on tenterhooks for this poor client, hoping that there will be a diagnosis, and hopefully a resolution to their problem.

[@sharonsutherland5520]

Oh my goodness...they say that you learn something every day 🤔 I found that fascinating. Thank you for sharing Conor...take Care 😊

[@DurhamHearingSpecialists]

Thankyou Sharon, take care

[@6862211]

Wow! Thank you for sharing this! Very interesting!

[@sellyourhomenowbook]

I feel for the patient. Tbank you for the update

[@Summersweet956]

Thanks so much Conor!! Here's to an awesome-happy-filled with much laughter 2022!!

[@DurhamHearingSpecialists]

Thankyou Cyndi, happy 2022

[@JT-lu8tm]

Absolutely on the edge of my seat. Learning a lot. Connor, you should seriously be a professor.

[@eleanorsky1]

Very cool. Thanks for the histology lesson! Might this much desquamation indicate some kind of autoimmune problem?

[@marcampo4880]

Great work Doctor. Have a great year.

[@DurhamHearingSpecialists]

Thankyou, have a great year Mar

[@trentmills6219]

Wish you were in our city to check my wife skin cell that turning over at very rapidly this condition whatever it is making her miserable. My wife would love to find or learn to Analyze her skin cell to find out what going so she can nail down the problem and get some urgent need relief. My wife and I both love learning from you thanks for being a awesome teacher. Wonderful video.

[@mayogawd]

Thank you so much for your videos Connor!! I've loved watching them because of the interesting content and because of how evident it is that you love your work! It's absolutely fascinating learning from someone who genuinely loves the content they're teaching :) It's also so fun to watch someone talk about something they're passionate about!

[@cindihowell6672]

Thank you. I feel like I'm back in Human Anatomy, which I loved. Very interesting, a mystery.

[@TruthOverLies]

Thanks Conor! Another good one.

[@DurhamHearingSpecialists]

Thanks TJ

[@kmpage333]

I love the differences in pronunciation around the world. I'm a retired medical laboratory technologist. Here we say Giemsa as Gee-em-sa. It's actually harder for me to understand medical speak than street language. You took me back to my roots. Thanks!

[@DurhamHearingSpecialists]

Glad you enjoyed it, out of interest what did you use for fixation?

[@cricagarcia1208]

That's why I love your channel! All your videos are interesting, I love it!👏🏻👏🏻👏🏻

[@DurhamHearingSpecialists]

Thankyou Crica

[@exquisitecandy2684]

Love you teaching!! So critical of yourself though. Thank you! Really interesting case. Happy everything this year ❤️😍

[@DurhamHearingSpecialists]

Thanks Exquisite, happy new year

[@viviennejordan215]

Happy New Year Candy! I Hope You had a lovely time at Christmas. Let's Hope for All of Us, a Healthier, Successful year! Take Care and Keep Safe Friend.

[@viviennejordan215]

I've bn missing You!

[@viviennejordan215]

Happy New Year Connor, to You and All Your Staff! Take Care and Keep Safe.

[@saheedshabbir]

Thanks Connor. I'm a very visual learner and found this most helpful. Learnt loads which i will transfer to my own profession.

[@jennbeth1]

You get an A for effort!

[@ilonamuori]

Thank you, Connor! This is a very interesting case, after this microscopic viewing even more. I like the way you show these things and explain them so clearly.

[@christineriley5697]

Agreed with Crystal, can't wait for more info. Fascinating!

[@jerrilynnbicek7996]

So interesting! Thanks for the update.

[@Louisew1969]

You are good and very well explained, I hope the poor chap gets sorted quickly xx

[@DurhamHearingSpecialists]

Thankyou Louise

[@Weezie_TJ_919]

This is a very odd case. Thanks for sharing all your approaches.

[@jessicabeader5010]

Wow, what a great video. You explained everything so beautifully.

[@elizabethturel78]

Very interesting. Thanks for the instruction!👍🏻💜

[@draquela96]

Man I love seeing blood cells under the microscope, they're so cool looking like a little lifesaver without the hole

[@jazmeena6639]

Very good explanation.

[@paulinehawkins2207]

Ever so interesting. Thank you xx

[@jacieanderson6676]

This was fascinating!!! It took me back to my first microscope as a teenager, looking at skin and hair....

[@nadyascreennick4812]

Oooohh this is so interesting! I'd love to see more of this type of content!

[@itsthecomcom]

Saw an account posting you on tiktok, interesting videos

[@kathyovens8530]

Thank you for doing this. Very informative

[@zero_bs_tolerance8646]

Thank you and Happy New Year.

[@DurhamHearingSpecialists]

Happy new year to you too

[@mamm7223]

Fascinating and informative....thank you!

[@zoeobrien2083]

LOVE this video! Thank you and happy new year DHS

[@mariaday8040]

Happy new year Conor and thank you for a very interesting lesson

[@nicola6387]

So informative and very interesting! Thanks Conor! Have a great 2022! 😊

[@DurhamHearingSpecialists]

Thankyou Nicola, wishing you a good 2022

[@lauren219]

Well, I was looking for otitis externa to see what the inside of my own ear might look like... I'm in a rabbit hole now 😂

[@carolforce6829]

Thank you

[@debemerich213]

Brilliant! Thanks.

[@victoriacaruso-mcdonald907]

Fascinating!

[@mstee3355]

Fascinating

[@JellyfeatherQuickshyClearberry]

So interesting, would love to find out what his condition is. Happy new year to you Conor!

[@cathleenc6943]

This was very fascinating! Thank you! In case it turns out to not be an infection, what other things could cause the skin to shed so very rapidly?

[@JustAnotherBuckyLover]

Some kinds of dermatitis, psoriasis, something like that off the top of my head. But normally you'd see a lot more inflammation, as well as those affecting other parts of the body. My best friend has psoriasis and it's spread into one of his ears... it's not nice, at all.

[@viviennejordan215]

A lot of people seem to think it's to do with the auto-immune system, could it be a mixture of 2-3 things, like You said it didn't look inflamed. Extreme cell turnover. Some people do overproduce skin/wax. Someone has to have the answer to help this poor person. Bless You Connor, for trying to Help this Client!

[@gaill7908]

Super cool video, thx!!!

[@cerisekappes580]

Super interesting case!!!

[@arlenemorzinsky2639]

Amazing!

[@sje8089]

Super informative and interesting 🧐

[@janicenewlan2295]

is this case still ongoing? would like to see additional follow-ups on this case. very interesting and loved watching u clean that white dead skin ....so much of it and i think the more the merrier! lol...

[@vickiream762]

This is so interesting! Thank you for allowing us to follow all of your investigating! Do you think this could maybe be a yeast infection stirring things up in there?

[@tennymusgravebrown8797]

I was eating my popcorn and leaned forward to see better 🍿🤓

[@KarlaJTanner]

Splodge! So British! Xxxx 🇨🇦

[@josephsantillan9045]

Nice hair doc

[@jandraplatt529]

Ahhh yes another nice vid 🤞

[@alex_zetsu]

Good job connor

[@DurhamHearingSpecialists]

Thankyou Alex

[@sweetmamma31]

Now this was very interesting. Not something you see every day. I glanced through a microscope once but I really didn't have a clue what to look for. As for your patient's ears I suppose the mystery remains for a while longer...

[@willpugh-calotte2199]

Interesting stuff! Thank you, Conor. It sounds from this and some of your other videos as though the subject matter imparted in an audiology degree is broader than I might have imagined. Just wondering: if you've done an audiology degree, can you count any of it as credits towards a full MBBS if you were so inclined?

[@DurhamHearingSpecialists]

I don't think it would count, that would be cool though

[@sageshockley7725]

What does infected skin look like under microscope

[@carolynandrews8474]

Bummer. Keep searching…

[@viviennejordan215]

Yes, we all Hope that the answer can be found soon.

[@alexandratunkel17]

Hi Connor! Thanks for this. I’m a medical student in the US and love your videos. Do you think this could be a cholesteatoma?

[@taytase]

This was way more fun than an average biology class!

[@hippie6972]

I'm a little confused about all the different white blood cells in the skin. Am I correct that each different white blood cell has a different job I'm the body when attacking bacteria?

[@clairerice1394]

That was really helpful to see all that. And all the different white blood cells. Enoselopic blood cells intrested me as I've got Eosinophilic Colitus. Great explanation. Let us know how he is.

[@viviennejordan215]

I'm sorry to hear that Claire, colitus is bad enough. Does any treatment Help, I Hope so.

[@clairerice1394]

@@viviennejordan215 the only thing that seems to help mainly is having steriods as they take the inflammation down which helps with the symptoms! Had it over 20 years & only diagnosed oct last year. But glad I now know! Thanks for asking. X

[@jon.m.100]

DOS TRES

[@daphne0123]

Wow!

[@trentmills6219]

I really did some one look at my skin. Do you do that

[@jenniferlehman326]

The Neocinophil looks like kidneys to me. But then I suffer from a kidney disease and only have 1/3 of my left kidney. And that's the only kidney function I have, as the right kidney is atrophic. Very interesting to see the staining of the debris however. I wonder what an ENT will make out of doing something like that, and not finding anything just like you did. Please keep us updated. Very interesting case for sure Conor!! From Ontario, Canada, Jenn. 💖 💖 🇨🇦

[@DurhamHearingSpecialists]

I'm not sure what they'd make of this, they'd probably go with the infection theory anyway and see what happened. Will keep you updated!

[@viviennejordan215]

Are You waiting for a Transplant Jennifer, I can't imagine what You're going through, do You have to have a lot of Dialysis? It boggles the mind, what people have to go through.

[@deniseatkins9407]

That was interesting

[@lukebaker9580]

Any polip in ear canal videos

[@ccrider23]

This was interesting to follow. Is the bacteria you found something that may be the cause of the patient's problem? Thanks.

[@DurhamHearingSpecialists]

Possibly, although bacteria is all over the body so the fact that theres some on the slide doesn't tell us much

[@viviennejordan215]

Thanks Connor.

[@Jurgentaur]

😁👍

[@elizabethdoherty811]

You did great young man! Get some rest and drink a big glass of lemon water🤓

[@dv8tyler692]

Claims to have cracked the case, and have come up with a plan to fix it. 8 minutes later and he's explain how he couldn't find anything and has no idea what's going on. wtf...

[@cherylmacnutt2686]

This was very interesting but what in the heck are those tiny black dots…bacteria?

[@DurhamHearingSpecialists]

Alot of bacteria plus random bits of dead cells

[@melissaellis1187]

What brand of slides, cover slips and stain do you use? I manufacture these in the US

[@DurhamHearingSpecialists]

Slides and covers are Sail from China, often dirty out of the box but it's what I have to work with. The Giemsa stain here I got from Cosmos Biomedical.

[@melissaellis1187]

@@DurhamHearingSpecialists Thanks for the reply. Our company manufactures in the US and more recently China. I work at epredia formerly Thermo fisher scientific.

[@fnnogg]

@@melissaellis1187 I work in a clinical microbiology lab in the US, and we definitely have been using your cytospin slides recently.

[@melissaellis1187]

@@fnnogg very cool! We don’t get to hear much about the end use of our products so I always find it interesting to learn more about what the slides are used for.

[@mavahuth5044]

Did you learn about these dies , when you went to college. Or any extra training. That you may need to work in the U.K.

[@DurhamHearingSpecialists]

I learnt about them through my own interest, it's not too complicated to set up

[@mavahuth5044]

That was very interesting. You must really care about your patients. To take the extra time, to learn something. That is the kind of person I would want to work on me. I do that kind of for work. Just because I am interested in that subject.

[@mariepaztompong4501]

Hmmm,it so happen am eating cottage cheese

[@DeletedchanneI827]

Am I the only one who looked this up 😅

[@brendanoseworthy5628]

💙👍

[@shyannreichard796]

Does Connor need a wife lol

[@Papi_bless]

Not first

[@noongourfain]

No infection....so maybe auto immune? In the winter months I get psoriasis just in my eyebrows My husband gets it just on his upper lip and chin. I think of the body as a glass of water and oil, All the lipids rise to the top. That's why our faces, scalp ears and upper back can be so oily. And perhaps something in those lipids triggers an immune response?

[@christinerenney4657]

Again, an educative video - thank you.