thank you so much for coming back for part three of Shelly's Miren gotta meet
and tympanometry tube placement in part one we learned that Shelly was having
some fluid buildup behind her ear drum which actually affected her hearing in
part one we also saw a dr. Fife make an incision or Mehring gotta me to let some
of the fluid out and suction it out during that episode then in part two we
saw him attempt to place the temp in ostomy tube with great difficulty due to
the scoring of Shelly's ear drum from childhood ear infections some of the
manipulation inside of Shelly's ear caused her to have a vasovagal reaction
where the nervous system reacts in a way that causes you to feel light-headed and
sweaty now we're going to see how dr. five finishes putting in the tempo nos 3
- Wow all right here's what we're going to do now hand me the mirror and gata me
knife again incision just a little bad
suction against
and that's a little perk
if this doesn't work crystal I'm having too much of a hard time we might just go
to a trying to
sorry yeah yeah she felt I poked the side of her eardrum that I hadn't numbed
yes
okay she's lightheaded again sorry when you said you feeling it again after June
okay that's not a Kampala jive I wish I was doing his veteran you wouldn't have
to do this
how about what we'll do let's give you five or ten minutes is that okay yeah
it's not a good feeling you're like no my legs are like shaky so I started
closing eyes and I can just like three sort of it you can do this is it painful
um I wouldn't say painful it's uncomfortable but uh he'll I just tapped
like a small little part I will drink so like kind of make you jealous little
push a lot of pressure
I just like really shaky I can feel like and putting pressure on it then just
like sliding out weird well that's what it looks like when you're crane but I'm
popping more water
what makes me like your body shake you get funny discharges of different
neurotransmitters and some of them are excitatory ones that make you more apt
to move and the thresholds for a muscle to move is lowered to the extent that it
would just kind of happen without really having a purposeful movement
here it is
Oh No hopped right down
and it's in
well we made you earn that one for sure you did create honestly so that inner
little button will keep it in the outer button keeps it from falling falling
inwards and then over time as skin and other stuff kind of exfoliate around at
the tube will just kind of fall out okay that's up super easy right and I only
took three tries yeah absolutely so here's the thing is this shouldn't
really be painful and I'll give you a couple little ear drops to use in your
ears for a couple days and that mainly just kind of washes out any blood or any
fluid it's not infected but that helps kind of settle all things down yeah you
are safe to swim you are safe to shower there are really
no restrictions using this other than if you were to say like swim a few feet
under the water in the pool or in a lake then you might want to wear an earplug
all right fluid should not accumulate as long as that tube is in place because it
prevents that pressure from building up and furthermore if you get like an
infection or something like that it should dribble out of it out of the year
and we will treat it with ear drops and obviously we were doing this for you for
more fluid than infection reasons but if it happened that's what we will do okay
Tom good yeah no the ear popping and yes yeah it'll take a little while getting
used to some people even say that voices or sounds sound a little bit differently
it's not supposed to affect it much and some of its just getting used to the
fact that all that fluid is gone yeah but the little little tube does
affect the way that the eardrum resonates and vibrates and so usually
people get used to that pretty quickly but it's different for everything okay
so I'm good yeah so we'll have her do some ear drops and we'll look at it in a
month make sure things look good don't in place if you have any problems using
the comb well sound good yeah okay thanks dr. Fife thank you so much for
letting I got down to absolute mental ent and rozilla
yeah and make a video of your procedure with Billy it's called a mere economy
amiran gotta mean a tube placement is what we did today and jam plays now and
the purpose of that was to let this fluid drain out that she's had build
right any idea why the fluid started so there's a lot of reasons why people
develop middle ear effusion most commonly would be because of eustachian
tube dysfunction and the eustachian tubes are the the little tubes in the
back of your nose that help equalize your pressure behind your ear it's
reason why when you drive up to Tahoe or go on a plane flight you have to yawn or
swallow to get those things open up occasionally in some patients that that
ability for that tube to open doesn't quite work well and that's allergies
inflammation from a colder or even just the not rebounding from from a change in
altitude and when that happens you can actually develop a negative pressure or
a little bit of a vacuum behind the eardrum which then weeps fluid or pulls
fluid out from the tissues that surround that middle ear space and in most
patients that will go away in about four weeks in some patients that persists and
for a lot of people it's really annoying to not be able to hear anything out of
the one ear and so for patients who have that problem we can we can aspirate the
fluid out by making a small incision in the eardrum sucking the fluid out and if
we're worried about the eardrum healing and then the fluid Rhea cumulating will
put a small little temporary tube in the ear and that can make a big difference
now in Shelly's particular case we saw that you can get a little vasovagal yes
charge manipulation at your jump right and I mean that can happen with any sort
of medical procedure whether you're having blood drawn or anything and it's
very very common that that frequently happens when someone's a little
dehydrated a little nervous or you have an empty stomach coming into it but
usually they're very temporary and Shelley did absolutely good job dealing
with that a great job there did you want to put out any web address or Twitter or
any things you want people to visit we have our own website Sacramento ent sac
ent comm and certainly we have some information about those procedures as
all some of the other procedures we do if people are interested in seeing that
excellent thank you so much Adam pleasure thanks for taking care of
Shelley appreciate it connected to it Shelley I should point out that these
people will be commenting in the video support for you so you're gonna read the
comments okay so Shelley we read the comments wish her well as she recovers
hey thanks for joining us we also want to give a shout out to our patrons which
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until next time dr. Fife who's just coming in the door
Shelley myself telling all of you to stay and good help