Showing posts with label Facebook. Show all posts
Showing posts with label Facebook. Show all posts

Thursday, January 10, 2013

Avoid using "Ear Buds" for cleaning wax or for itching in the ears

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Understand that ear wax is a sticky stuff that traps anything foreign that flies, crawls, or is blown into the ear canals. Dirt, tiny bits of plant material, small insects, bacteria, and so forth are immobilized by wax. The primary purpose of ear wax is to protect your ear canal and ear drum from such foreign materials.
Having said this how do you clean your ears? For one do not put anything inside the ears, ear wax migrates out of the canal all by itself and does not need your help.
Secondly use either a baby oil to the ears of kids once every fortnight and for adults use either baby oil, clove oil or commercially available wax solvents and your ears should be clean.
Warning: People who have a history of middle ear infections or a hole in the ear drum should NOT try these remedies, nor should they allow a physician to irrigate their ears. Do not self-medicate with persistent symptoms; the problem may be unrelated to wax and may be more serious.
Many patients who present with wax problems are regular users of ear-buds. Ear-buds, safety-pins and hair-pins, when used carelessly can push wax into the deeper parts of the ear-canal where wax is not formed. In such a situation, there would be further impaction of the wax. Hearing loss occurs when wax completely blocks the ear canal. Even a small amount of wax, if wedged between the ear drum and the ear canal wall, reduces the ability of the ear drum to conduct sound. Also, the skin of the ear canal and the eardrum is very thin and fragile and is easily injured. Ear wax can cause pain, infection, deafness and cough.
If removal is needed the best way is removal under direct vision by a specialist.
Irrigation or "syringing" is a standard method of wax removal. While this is a conventional and accepted method of ear wax removal, it has many disadvantages compared to removal under direct vision.
I recommend against using ear buds as well as putting other things into your ear such as hair pins. This can be dangerous because you run the risk of perforating the ear drum, as well as jamming wax deeper inside. It does not matter whether you are using the local or the International brand, the result is the same. In fact using the local ones being sold on the road side will make you dearer by few more rupees because the bud is made from discarded patient used cotton from the Govt. hospitals.
Unfortunately, I still get lots of patients who continue using ear buds, I had a 3 year child whose parents had used ear buds and had made a hole in the ear drum!!!. I also had a patient who had ear bud track in his ear and brain fluid was coming out. Another disadvantage is prolonged ear bud use can narrow your ear canal. A photo of one patient whom I saw yesterday is included here.

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Monday, December 24, 2012

My recommendation after Cancer Surgery

Dear Doctor
 I am enclosing my recommendation:
 " I was suffering from recurrent Mouth Ulcers and contacted Dr. Kumaresh from Phnom Penh, Cambodia (where I was working) by Phone and eMail and set up appointment to meet him as soon as I reached India. The moment I came to India and met him, he immediately identified my problem and on the same day Biopsy and CT Scan were done. On receipt of results, PET Scan was done to confirm Cancer in floor of mouth.
 He decided it was best to
operate and remove the Jaw bone, Floor of mouth, part of tongue and some Lymph nodes in the left side of my face and replace the same with my Fibula (from Leg) and connected tissues and skin. He immediately identified one of the best Plastic Surgeons and the surgery was done with in a week in xxxxxxx Hospital, Bangalore. He recommended Post operative Radiotherapy and Chemotheapy to be done in  xxxxxx Hospital.

 
Now I am substantially recovered from my surgery and am cured of Mouth Cancer. I am slowly recovering from the side effects of the Raidiation and Chemo Therapies.
 All through my above ordeal, Dr. Kumaresh stood behind me like a rock and supported me in all my turbulations. Being a
Cancer Survivor himself, he was quiet understanding and supportive in all stages of my pre and post operative stages of my treatment.

He is a good surgeon, a good care giver, very good in planning dfferent stages of treatment, good in identifying the supportive care givers and institutions but above all a very good human being, so much so that, he is now trying to help me find employment in Bangalore as I am not desirous of going back to Cambodia as Medical facilities there are negligible.
 DR. KUMARESH IS A GREAT DOCTOR AND I WISH HIM WELL IN ALL HIS FUTURE ENDEAVOURS."

With Warm Regards,
Mr. G