1 00:00:23,900 --> 00:00:27,500 Every year, thousands of hospital visits are made 2 00:00:27,537 --> 00:00:30,747 because things are stuck inside the body. 3 00:00:38,682 --> 00:00:40,852 - [woman 1] Did you get it? - [doctor] Not yet. 4 00:00:40,884 --> 00:00:42,284 It’s really stuck in there. 5 00:00:42,319 --> 00:00:43,979 You can see it and... 6 00:00:44,020 --> 00:00:45,490 It’s actually in there pretty deep. 7 00:00:46,189 --> 00:00:47,249 No matter what it is... 8 00:00:48,058 --> 00:00:49,328 or how it got there, 9 00:00:49,359 --> 00:00:50,889 either way, we have to get it out. 10 00:00:54,931 --> 00:00:56,201 Seen a lot of crazy stuff. 11 00:00:56,232 --> 00:00:57,532 [woman gasps] 12 00:00:58,535 --> 00:01:01,375 Wow! This mucus was literally stuck there 13 00:01:01,404 --> 00:01:02,774 probably month to years. 14 00:01:03,573 --> 00:01:05,213 [doctor 2] Well, look at all that. 15 00:01:09,779 --> 00:01:11,979 If you snort drugs into your nose, 16 00:01:12,015 --> 00:01:15,985 the cartilage can die and end up with a huge crusty hole in your nose. 17 00:01:16,019 --> 00:01:18,379 One of the worst noses that you’re gonna see. 18 00:01:18,421 --> 00:01:19,491 [doctor 3] Yeah, just pull to the BB 19 00:01:19,522 --> 00:01:21,192 - right up to the surface. - Okay. 20 00:01:21,224 --> 00:01:25,164 [man 1] Lightbulbs, beer bottles, sports equipment, 21 00:01:25,195 --> 00:01:26,165 animals. 22 00:01:26,196 --> 00:01:28,536 The arm, of like, a little doll. 23 00:01:28,565 --> 00:01:30,135 Fairly large cockroach. 24 00:01:31,067 --> 00:01:32,137 My skin crawls 25 00:01:32,168 --> 00:01:34,328 every time I see someone with a bug in their ear. 26 00:01:34,371 --> 00:01:37,071 I don’t know if that’s the back or a wing or something. 27 00:01:37,107 --> 00:01:40,377 Even Christmas ornaments. And it just gets worse from there. 28 00:01:42,445 --> 00:01:43,615 Surgery is nice because 29 00:01:43,647 --> 00:01:45,617 it’s one of the few specialties in medicine 30 00:01:45,649 --> 00:01:47,009 where you actually get to fix people. 31 00:01:47,050 --> 00:01:48,920 - You’re a good dude. - [man 2] Thank you, man. I appreciate it. 32 00:01:48,952 --> 00:01:51,252 If they’re happy with their visit, that just makes your day. 33 00:01:51,287 --> 00:01:53,257 Thank you so much. You saved my life. 34 00:01:54,591 --> 00:01:57,121 [doctor] Here we go! Look at that. 35 00:02:09,639 --> 00:02:11,369 [receptionist] Hello. 36 00:02:11,408 --> 00:02:13,778 - How are you? Good. - [Shasleen] I’m good, how are you? 37 00:02:13,810 --> 00:02:16,110 I just need to check my grandfather in for an appointment. 38 00:02:16,146 --> 00:02:17,216 All right. 39 00:02:17,247 --> 00:02:19,457 My name is Shasleen. His name is Badruddin. 40 00:02:19,482 --> 00:02:20,612 We are from India. 41 00:02:20,650 --> 00:02:23,050 My grandfather doesn’t speak English. 42 00:02:23,086 --> 00:02:24,756 So, I’m here to translate 43 00:02:24,788 --> 00:02:26,428 from English to Hindi. 44 00:02:27,590 --> 00:02:28,660 [Badruddin speaking hindi] 45 00:02:28,692 --> 00:02:31,392 He thinks that there’s something inside his ear. 46 00:02:31,428 --> 00:02:32,568 A bug or something. 47 00:02:32,595 --> 00:02:33,895 So, he just wants to 48 00:02:33,930 --> 00:02:36,260 feel better and just get this bug removed. 49 00:02:40,103 --> 00:02:42,573 [nurse] You can follow me. 50 00:02:42,605 --> 00:02:43,605 [Shasleen speaking hindi] 51 00:02:45,942 --> 00:02:47,312 I’m Dr. Dan Carothers. 52 00:02:47,343 --> 00:02:49,683 I am a ear, nose and throat physician. 53 00:02:49,713 --> 00:02:52,283 I practice in Atlanta, Georgia. 54 00:02:52,315 --> 00:02:54,355 I’ve been here for about ten years 55 00:02:54,384 --> 00:02:56,024 and I treat adult and pediatric 56 00:02:56,052 --> 00:02:57,352 otolaryngology. 57 00:02:57,387 --> 00:02:58,757 - [Daniel] Hey, guys. - [Shasleen] Hey. 58 00:02:58,788 --> 00:03:01,618 I’m Dr. Carothers. Let’s take a look in your ear. 59 00:03:01,658 --> 00:03:02,668 My skin crawls 60 00:03:02,692 --> 00:03:05,092 everytime I see someone with a bug in their ear. 61 00:03:05,128 --> 00:03:06,838 Typically, it’s a cockroach. 62 00:03:06,863 --> 00:03:10,303 A cockroach has spiny legs and it’ll kinda get stuck 63 00:03:10,333 --> 00:03:11,303 in the ear canal. 64 00:03:11,334 --> 00:03:13,304 That’s pretty terrifying actually. 65 00:03:13,336 --> 00:03:15,746 [Shasleen] Yeah, so he was saying that something was bothering his ear. 66 00:03:16,840 --> 00:03:18,170 [Daniel] Oh, yes. 67 00:03:19,075 --> 00:03:22,245 This is a cockroach. I think. 68 00:03:24,581 --> 00:03:26,711 All right, sir. We’ll get this out. 69 00:03:26,750 --> 00:03:28,550 We’re gonna get the other room ready, okay? 70 00:03:30,720 --> 00:03:31,550 [speaking hindi] 71 00:03:41,564 --> 00:03:43,864 I look in the ear and... 72 00:03:43,900 --> 00:03:47,230 way down in the ear canal, there’s like... 73 00:03:47,270 --> 00:03:49,900 this wing that’s covering the entire body, 74 00:03:49,939 --> 00:03:51,969 almost like Batman’s cape. 75 00:03:52,008 --> 00:03:54,368 That’s very, very close to the eardrum. 76 00:03:54,410 --> 00:03:55,810 In order to remove that, 77 00:03:55,845 --> 00:03:57,045 we need to go to the other room. 78 00:03:57,080 --> 00:03:59,050 It has a little three-millimeter telescope 79 00:03:59,082 --> 00:04:01,512 that I could place into the ear canal 80 00:04:01,551 --> 00:04:03,551 to figure out, you know, what this thing is 81 00:04:03,586 --> 00:04:04,726 and get it out. 82 00:04:04,754 --> 00:04:07,054 [Daniel] We’ll get this nightmare over for you, okay? 83 00:04:07,090 --> 00:04:09,390 Just have a seat, right here. 84 00:04:09,425 --> 00:04:11,825 Depending on the type of bug that gets in your ear, 85 00:04:11,861 --> 00:04:15,531 if it had sharp pointy parts, in its legs like a cockroach, 86 00:04:15,565 --> 00:04:17,535 it could actually poke through your ear drum. 87 00:04:17,567 --> 00:04:21,007 The bug as it crawls in, has no way to turn around. 88 00:04:21,037 --> 00:04:23,207 And so, it just wants to keep going forward. 89 00:04:23,239 --> 00:04:25,739 You just wanna get it out of there as soon as possible. 90 00:04:26,376 --> 00:04:28,116 So, Mr. Parpiya, 91 00:04:28,144 --> 00:04:30,184 can you tell me again exactly what happened? 92 00:04:30,213 --> 00:04:32,613 Did this occur at night time when you were sleeping or what? 93 00:04:32,649 --> 00:04:34,449 Sleep in the morning. 94 00:04:34,484 --> 00:04:36,454 [Shasleen] He was taking a nap in the afternoon. 95 00:04:36,486 --> 00:04:38,696 Okay. So, you were in bed? 96 00:04:38,721 --> 00:04:39,621 - [Badruddin] Yes. - Okay. 97 00:04:41,057 --> 00:04:42,727 So, he said that he was just... 98 00:04:42,759 --> 00:04:44,459 scratching it and he felt it, like... 99 00:04:44,494 --> 00:04:46,294 - Right. Crawling around. - ...inside. So, yeah. 100 00:04:46,329 --> 00:04:47,589 Oh my gosh! Wow! 101 00:04:47,630 --> 00:04:48,900 [Badruddin] I have onion... 102 00:04:48,932 --> 00:04:51,232 - He said he put onion juice and oil. - Onion juice. 103 00:04:51,267 --> 00:04:52,237 Onion juice? 104 00:04:52,268 --> 00:04:53,468 Always when his ear hurt, 105 00:04:53,503 --> 00:04:55,443 he just put onion juice in there and it works. 106 00:04:55,471 --> 00:04:58,241 Onion juice? I was immediately surprised 107 00:04:58,274 --> 00:05:00,474 at like, you know what did he do? Just go... 108 00:05:00,510 --> 00:05:02,080 make some... juice some onions? 109 00:05:02,111 --> 00:05:04,541 Or did he have it for, you know, for cooking purposes? 110 00:05:04,581 --> 00:05:05,811 I wasn’t sure. 111 00:05:05,849 --> 00:05:07,579 But as I think it turned out, 112 00:05:07,617 --> 00:05:11,757 it was like an ancient Indian remedy for ear problems, 113 00:05:11,788 --> 00:05:14,128 as his granddaughter told me. 114 00:05:14,157 --> 00:05:16,067 So, you made a little brew 115 00:05:16,092 --> 00:05:17,222 and then you put it in your ear 116 00:05:17,260 --> 00:05:18,290 and then it stopped moving? 117 00:05:18,328 --> 00:05:19,438 - [speaking hindi] - Okay. 118 00:05:19,462 --> 00:05:22,302 [Daniel] It appears to be... It’s not moving. So. 119 00:05:22,332 --> 00:05:24,102 I think you took care of that part. 120 00:05:24,133 --> 00:05:25,433 Let’s take a look. 121 00:05:27,470 --> 00:05:29,000 So, if you wouldn’t mind telling him, 122 00:05:29,038 --> 00:05:31,768 that this part of the ear canal is pretty sensitive. 123 00:05:31,808 --> 00:05:34,248 And I’ll do my best to not have it hurt at all 124 00:05:34,277 --> 00:05:36,787 but these little creatures, they’re a little sharp. 125 00:05:36,813 --> 00:05:38,713 He needs to stay as still as possible, okay? 126 00:05:39,515 --> 00:05:40,485 [Shasleen speaking hindi] 127 00:05:44,187 --> 00:05:45,957 - He said he’ll bear it. - Okay. 128 00:05:46,823 --> 00:05:47,923 He seems tough. 129 00:05:47,957 --> 00:05:49,797 So, I’m gonna go in here with my little camera 130 00:05:49,826 --> 00:05:52,096 and we’re gonna take a look inside the ear canal. 131 00:05:52,128 --> 00:05:54,958 So, there’s like a antenna or a leg. 132 00:05:56,699 --> 00:05:59,199 - [Shasleen] I can’t. - [both giggle] 133 00:05:59,235 --> 00:06:01,805 I mean, I couldn’t look at it, ’cause it was really... 134 00:06:02,305 --> 00:06:03,705 I don’t know, gross? 135 00:06:03,740 --> 00:06:06,540 [Daniel] So, I don’t know if that’s the back or a wing or something. 136 00:06:06,576 --> 00:06:08,646 But we’ll go for the shell I think. 137 00:06:08,678 --> 00:06:09,818 All right. 138 00:06:09,846 --> 00:06:12,716 So, I’m gonna use these tiny alligator forceps 139 00:06:12,749 --> 00:06:14,109 to remove the bug. 140 00:06:14,150 --> 00:06:16,550 I’m using a very small telescope, 141 00:06:16,586 --> 00:06:19,526 so I’m able to also put instruments 142 00:06:19,555 --> 00:06:20,655 inside of his ear. 143 00:06:20,690 --> 00:06:22,660 And there is an instrument that we call... 144 00:06:23,226 --> 00:06:24,366 an alligator, 145 00:06:24,394 --> 00:06:26,564 which, we probably should find a better name for that. 146 00:06:26,596 --> 00:06:28,336 ’Cause every time I ask for an alligator, 147 00:06:28,364 --> 00:06:29,704 people kind of are like, "What?" 148 00:06:31,067 --> 00:06:34,637 So, it looks like a very small grasping instrument 149 00:06:34,671 --> 00:06:36,471 and it’s delicate 150 00:06:36,506 --> 00:06:39,076 and you’re able to grab small things out of the ear. 151 00:06:42,045 --> 00:06:43,045 [Daniel] All right. 152 00:06:46,849 --> 00:06:49,049 [Shasleen] 153 00:06:49,085 --> 00:06:51,225 [all giggling] 154 00:06:52,522 --> 00:06:53,952 [Daniel] This looks like a wing right here. 155 00:06:56,592 --> 00:06:57,592 Here, can you... 156 00:06:58,428 --> 00:06:59,398 [Shasleen] Is that it? 157 00:06:59,429 --> 00:07:02,159 [Daniel] No, no, no. Unfortunately, it’s not 158 00:07:02,198 --> 00:07:04,028 agreeing to come out in one piece. 159 00:07:06,202 --> 00:07:08,332 When you go in there and you grasp this bug, 160 00:07:08,371 --> 00:07:10,671 you’re hoping to get the whole thing out at once 161 00:07:10,707 --> 00:07:13,217 but you know, you grasp it and you just hear this like, 162 00:07:13,242 --> 00:07:16,612 crackling like it’s like potato chips or something. 163 00:07:16,646 --> 00:07:20,086 You know, the little bug legs and I get nothing. 164 00:07:20,116 --> 00:07:22,626 And I have to go back in for more pieces. 165 00:07:22,652 --> 00:07:23,782 [Shasleen speaking hindi] 166 00:07:27,590 --> 00:07:29,790 [Daniel] Is this a house fly? 167 00:07:29,826 --> 00:07:31,726 - Or a bee? What is that? - [Shasleen] It’s a bee. 168 00:07:31,761 --> 00:07:34,631 - I guess it’s a bee. - [Daniel] What in the world? 169 00:07:35,231 --> 00:07:36,631 [Shasleen] Oh, my God! 170 00:07:36,666 --> 00:07:38,266 [Daniel] What is this thing? 171 00:07:39,268 --> 00:07:40,798 [Badruddin speaking hindi] 172 00:07:40,837 --> 00:07:41,777 [Badruddin] Honey bee. 173 00:07:41,804 --> 00:07:42,874 [Shasleen] No, it’s not a honey bee. 174 00:07:42,905 --> 00:07:44,275 I don’t think it’s a honey bee. 175 00:07:44,307 --> 00:07:45,477 [Daniel] When I took it out, 176 00:07:45,508 --> 00:07:47,108 I mean, the bug was sort of like... 177 00:07:47,143 --> 00:07:48,813 a mass of just wetness. 178 00:07:48,845 --> 00:07:50,385 I don’t know if you have like a small dog, 179 00:07:50,413 --> 00:07:52,143 but if your small dog gets wet, 180 00:07:52,181 --> 00:07:53,381 it kinda looks like a rat, 181 00:07:53,416 --> 00:07:54,956 so you have no idea what it really is. 182 00:07:55,952 --> 00:07:57,582 [Daniel] I did not expect that. 183 00:07:57,620 --> 00:07:58,990 You know what this probably is? 184 00:07:59,022 --> 00:08:01,052 I bet this is a moth. 185 00:08:01,090 --> 00:08:03,660 - [Shasleen] A moth? - [Daniel] This looks like a moth. 186 00:08:03,693 --> 00:08:05,663 Yeah, then that would make more sense. 187 00:08:05,695 --> 00:08:07,765 - So... - [Shasleen] How did a moth go in there? 188 00:08:08,331 --> 00:08:09,601 I did have a patient 189 00:08:09,632 --> 00:08:14,532 once that a fly, somehow, in the hospital, flew... 190 00:08:15,004 --> 00:08:16,444 up her nose. 191 00:08:16,472 --> 00:08:19,912 It laid eggs inside of her nose. 192 00:08:19,942 --> 00:08:21,572 Come behold the next day, 193 00:08:21,611 --> 00:08:24,111 maggots were coming out of her nose. 194 00:08:24,147 --> 00:08:26,687 That’s probably the grossest thing I’ve ever seen 195 00:08:26,716 --> 00:08:28,286 in the nose, to date. 196 00:08:28,317 --> 00:08:29,987 But that’s not gonna happen in the ear. 197 00:08:30,019 --> 00:08:32,449 What had happened is that she’d gotten a dental abscess 198 00:08:32,488 --> 00:08:35,348 which is the smelliest kind of sinus infection you can have. 199 00:08:35,391 --> 00:08:37,461 And I think that’s what attracted the flies. 200 00:08:38,061 --> 00:08:39,031 I can hear. 201 00:08:39,062 --> 00:08:40,762 Yeah, you can hear now, yeah. 202 00:08:40,797 --> 00:08:41,997 [Shasleen] He can hear now. 203 00:08:42,031 --> 00:08:44,331 He’s very happy altogether. 204 00:08:44,367 --> 00:08:46,037 Do you wanna keep this for your memoirs? 205 00:08:46,069 --> 00:08:48,269 - Yes. - No, dude. Throw it away. 206 00:08:48,304 --> 00:08:50,774 At the family get together on Sunday. 207 00:08:50,807 --> 00:08:52,547 Everyone’s gonna hear about this. 208 00:08:56,212 --> 00:08:58,782 All right, sir. This will never happen again. 209 00:08:58,815 --> 00:09:00,115 - Okay? - [Shasleen] Hopefully. 210 00:09:00,149 --> 00:09:01,109 - Let’s hope. - Thank you. 211 00:09:01,150 --> 00:09:03,220 Glad I could help. You guys have a good day. 212 00:09:03,252 --> 00:09:05,022 - You do, too. Thank you so much. - Yes, we’ll see you anytime. 213 00:09:05,054 --> 00:09:06,694 - All right? - [Shasleen] Yeah, thanks. 214 00:09:06,722 --> 00:09:09,062 If he didn’t come in to see us, that would be there 215 00:09:09,092 --> 00:09:10,622 ten years from now, okay? 216 00:09:10,660 --> 00:09:13,190 That thing was not coming out. It was totally stuck. 217 00:09:13,229 --> 00:09:15,829 But it’s a little terrifying to have a bug in your ear, I think. 218 00:09:25,108 --> 00:09:26,478 [Brittany] My name is Brittany. 219 00:09:26,509 --> 00:09:29,739 I am 28 years old and I live in Odenville, Alabama. 220 00:09:29,779 --> 00:09:31,079 We’re in cow country. 221 00:09:31,114 --> 00:09:33,514 I’m not into cows. I’m more of a dog person. 222 00:09:33,549 --> 00:09:34,849 I can’t put them on a leash or anything. 223 00:09:34,884 --> 00:09:36,454 They can’t be trained at all. 224 00:09:38,721 --> 00:09:40,591 I was definitely like three years single. 225 00:09:40,623 --> 00:09:41,453 And so I was-- 226 00:09:44,260 --> 00:09:45,590 [chuckles] 227 00:09:45,628 --> 00:09:47,188 I ordered like a vibrator. 228 00:09:49,599 --> 00:09:51,759 It was like blue and it had like three balls 229 00:09:51,801 --> 00:09:53,831 and a little vibrator on it and... 230 00:09:53,870 --> 00:09:55,840 I was so excited, as soon as I got it in the mail, 231 00:09:55,872 --> 00:09:57,302 I was like, "Oh, I’m done. I’m gone." 232 00:09:58,107 --> 00:09:59,217 And I was just gonna relax. 233 00:09:59,775 --> 00:10:00,945 But, no. 234 00:10:03,112 --> 00:10:04,742 And then you just don’t have that many hands 235 00:10:04,780 --> 00:10:05,710 and you’re by yourself 236 00:10:16,125 --> 00:10:18,225 So, I panicked for like, 20 minutes in there. 237 00:10:18,261 --> 00:10:21,031 And I could feel it vibrating in my back. 238 00:10:21,063 --> 00:10:23,633 I never would have thought, my butt was like a vacuum. 239 00:10:23,666 --> 00:10:25,636 What normal person thinks like... 240 00:10:25,668 --> 00:10:27,868 I thought there was like a wall or something, you know, 241 00:10:27,904 --> 00:10:30,304 to keep things from... Like, I don’t know. 242 00:10:30,339 --> 00:10:32,339 Definitely is not a wall. So, be careful. 243 00:10:38,114 --> 00:10:41,754 So, it sounds like this young lady lost... 244 00:10:41,784 --> 00:10:44,224 a foreign body in her rectum. 245 00:10:44,253 --> 00:10:45,623 I’m not sure what she was doing but 246 00:10:45,655 --> 00:10:49,025 she lost her vibrator and it kinda got sucked up. 247 00:10:49,659 --> 00:10:51,259 My name is George Crawford. 248 00:10:51,294 --> 00:10:53,994 I am a board certified general surgeon. 249 00:10:54,030 --> 00:10:56,800 I practice in Aniston, Alabama. 250 00:10:56,832 --> 00:11:00,232 And I’ve been practicing about 15, 20 years. 251 00:11:00,269 --> 00:11:02,599 That includes bariatric surgery, 252 00:11:02,638 --> 00:11:05,138 vascular surgery, as well as trauma surgery. 253 00:11:05,174 --> 00:11:06,314 Little bit of everything. 254 00:11:06,342 --> 00:11:07,642 [nurse] It’s like chicken liver... 255 00:11:07,677 --> 00:11:09,447 Chicken liver. 256 00:11:09,478 --> 00:11:12,008 So, you know, the nice part about general surgery is, 257 00:11:12,048 --> 00:11:13,758 it’s always full of surprises, 258 00:11:13,783 --> 00:11:15,113 whether it’s the emergency room 259 00:11:15,151 --> 00:11:18,081 or someone being referred to you in a clinic. 260 00:11:18,120 --> 00:11:20,620 In the emergency room, a lot of times, we see... 261 00:11:20,656 --> 00:11:23,166 stuff that you kinda would never really think. 262 00:11:23,192 --> 00:11:25,692 People get shot in the leg, people get... 263 00:11:25,728 --> 00:11:28,358 a piece of wood stuck in their arm. 264 00:11:28,397 --> 00:11:30,037 General surgery is kind of like the one night stand 265 00:11:30,066 --> 00:11:30,966 of medicine. 266 00:11:31,000 --> 00:11:32,630 I mean, you really see people. 267 00:11:32,668 --> 00:11:34,998 You find out what’s wrong with them, you fix them, 268 00:11:35,037 --> 00:11:36,007 and then, they’re done. 269 00:11:36,038 --> 00:11:37,338 - [George] Hello. - [Brittany] Hi. 270 00:11:37,373 --> 00:11:38,843 [George] Hey, George Crawford. How are you doing? 271 00:11:38,874 --> 00:11:40,614 It’s just not what I planned for the day. 272 00:11:40,643 --> 00:11:42,013 [George] Realistically, if you think about it, 273 00:11:42,044 --> 00:11:44,214 the rectum is designed to keep poop off the floor. 274 00:11:44,247 --> 00:11:47,157 So, if you put something far enough up, 275 00:11:47,183 --> 00:11:49,153 it will go, suck it right up 276 00:11:49,185 --> 00:11:51,855 and if you don’t have a string on it or something to be able to get it, 277 00:11:51,887 --> 00:11:53,327 it can get pretty high 278 00:11:53,356 --> 00:11:55,126 and you end up in the emergency room, 279 00:11:55,157 --> 00:11:56,227 looking at me. 280 00:11:56,259 --> 00:11:57,859 There are two ways to take it out. 281 00:11:57,893 --> 00:11:59,793 One, is to make a big incision in your belly, 282 00:11:59,829 --> 00:12:01,789 kind of open it up and milk it down that way. 283 00:12:01,831 --> 00:12:03,531 We’re gonna try to not do that. 284 00:12:03,566 --> 00:12:04,836 So, there are two muscles. 285 00:12:04,867 --> 00:12:06,307 One is the internal sphincter 286 00:12:06,335 --> 00:12:08,235 and one is the external sphincter. 287 00:12:08,271 --> 00:12:09,741 The external splinter is the one 288 00:12:09,772 --> 00:12:11,002 that you kinda squeeze your butt cheeks 289 00:12:11,040 --> 00:12:12,740 and holds everything together. 290 00:12:12,775 --> 00:12:16,345 The internal is involuntary. So, it just kinda... 291 00:12:16,379 --> 00:12:19,709 squeezes on its own, when it feels pressure, it relaxes. 292 00:12:19,749 --> 00:12:22,549 What we’re gonna do this time is we’re actually gonna go in 293 00:12:22,585 --> 00:12:24,485 the same way that you put it in, 294 00:12:24,520 --> 00:12:26,050 with a couple of long instruments 295 00:12:26,088 --> 00:12:29,358 kinda blowing your colon up and then, pull it out. 296 00:12:29,392 --> 00:12:31,522 And then, if we can pull it out that way, 297 00:12:31,560 --> 00:12:33,330 we’ll be able to get you out of here today. 298 00:12:33,362 --> 00:12:34,392 Okay. 299 00:12:34,430 --> 00:12:35,760 [George] The nice part about being a surgeon 300 00:12:35,798 --> 00:12:37,728 is being able to take you take her to the operating room, 301 00:12:37,767 --> 00:12:39,237 we get to put her to sleep. 302 00:12:39,268 --> 00:12:41,898 She’s comfortable. She doesn’t feel any pain. 303 00:12:41,937 --> 00:12:43,677 We can go in and do what we gotta do. 304 00:12:43,706 --> 00:12:46,276 All right, young lady. We got everything squared away. 305 00:12:46,309 --> 00:12:47,609 We’ll get you taken care of. 306 00:12:47,643 --> 00:12:50,013 So, at this point, we’re just kinda like... 307 00:12:50,046 --> 00:12:52,446 not worried about exactly what you did 308 00:12:52,481 --> 00:12:54,111 or what you did with it, 309 00:12:54,150 --> 00:12:56,620 it’s really more how do we get you taken care of 310 00:12:56,652 --> 00:12:58,422 and get you home, 311 00:12:58,454 --> 00:13:00,894 so that we can continue to take care of everybody else. 312 00:13:01,324 --> 00:13:02,324 All right. 313 00:13:02,958 --> 00:13:03,988 Thank you, sir. 314 00:13:10,299 --> 00:13:12,159 [George] Can you let the table up for me, please, mam? 315 00:13:13,002 --> 00:13:14,072 Let’s get it done. 316 00:13:14,103 --> 00:13:15,233 Grasper, please? 317 00:13:15,271 --> 00:13:16,101 [nurse] Yes, sir. 318 00:13:17,807 --> 00:13:21,277 Quick list of the things that I’ve pulled out of a rectum. 319 00:13:21,310 --> 00:13:23,640 Bunch of dildos, shampoo bottles. 320 00:13:23,679 --> 00:13:25,279 Beer bottle one time. 321 00:13:25,314 --> 00:13:28,054 One of those little change purses that you squeeze. 322 00:13:28,084 --> 00:13:30,924 I did pull a crack pipe out of lady’s butt one time. 323 00:13:30,953 --> 00:13:33,493 She got arrested for smoking drugs 324 00:13:33,522 --> 00:13:35,892 and she put the crack pipe in her butt 325 00:13:35,925 --> 00:13:37,195 to hide it from the cops. 326 00:13:38,794 --> 00:13:41,164 [George] You can see the vibrator. 327 00:13:41,197 --> 00:13:43,507 And it’s actually in there pretty deep. 328 00:13:43,532 --> 00:13:46,102 When I compare this to what I saw on the X-RAY, 329 00:13:46,135 --> 00:13:50,405 it looks like it’s not just a small vibrator. 330 00:13:50,439 --> 00:13:51,839 It’s actually about eight inches long. 331 00:13:51,874 --> 00:13:53,914 The metal part that we were looking at, 332 00:13:53,943 --> 00:13:56,813 is really just the battery and the motor. 333 00:13:56,846 --> 00:13:59,916 So, we’re gonna do now, is kinda go around it with the camera 334 00:13:59,949 --> 00:14:02,749 to see if she caused any damage up higher. 335 00:14:02,785 --> 00:14:05,455 You know worst case scenario is if you stick something 336 00:14:05,488 --> 00:14:06,358 in your rectum, 337 00:14:06,389 --> 00:14:08,619 it actually goes through the rectal wall. 338 00:14:08,657 --> 00:14:11,527 If that’s the case, you actually have a hole in your rectum 339 00:14:11,560 --> 00:14:14,530 and poop or whatever is leaking into your abdomen. 340 00:14:14,563 --> 00:14:16,563 And it just gets worse from there. 341 00:14:18,300 --> 00:14:20,270 [George] So, it’s actually in there pretty deep. 342 00:14:20,302 --> 00:14:22,802 We’re almost up into the sigmoid colon. 343 00:14:22,838 --> 00:14:24,668 This just became a bigger emergency. 344 00:14:32,681 --> 00:14:34,151 [George] So, it’s actually in there pretty deep. 345 00:14:34,183 --> 00:14:35,953 We’re almost up into the sigmoid colon. 346 00:14:35,985 --> 00:14:38,685 We don’t see any evidence of perforation. 347 00:14:38,721 --> 00:14:40,421 So, there’s no hole in the colon. 348 00:14:40,456 --> 00:14:42,596 So, Brittany came into the emergency room 349 00:14:42,625 --> 00:14:45,125 after having a vibrator stuck in her rectum 350 00:14:45,161 --> 00:14:47,261 for about five or six hours. 351 00:14:47,296 --> 00:14:49,536 We’re now, taking her to the operating room 352 00:14:49,565 --> 00:14:50,765 to get it out 353 00:14:50,800 --> 00:14:53,200 because it’s gone too high for us to be able to remove it, 354 00:14:53,235 --> 00:14:54,675 while she’s awake. 355 00:14:54,703 --> 00:14:56,043 [George] Patient doing okay? 356 00:14:56,071 --> 00:14:56,971 [nurse] 357 00:14:57,006 --> 00:14:58,106 [George] Great, thank you. 358 00:14:58,140 --> 00:14:59,670 I can see why she lost her grip. 359 00:14:59,708 --> 00:15:01,938 This thing looks like it’s silicon 360 00:15:01,977 --> 00:15:03,817 and the ring is pretty slippery. 361 00:15:07,149 --> 00:15:08,479 There’s no bleeding. 362 00:15:08,517 --> 00:15:10,227 So, I don’t think she caused any injury 363 00:15:10,252 --> 00:15:12,522 that’s gonna require more of an operation. 364 00:15:12,555 --> 00:15:14,925 So, what I’m gonna do now, is just grab it with my grasper, 365 00:15:16,058 --> 00:15:18,658 and then just kinda slowly got it back, 366 00:15:18,694 --> 00:15:20,494 looking at it to make sure that we’re not... 367 00:15:20,996 --> 00:15:22,236 injuring anything. 368 00:15:23,766 --> 00:15:24,606 Yeah, got it. 369 00:15:26,235 --> 00:15:28,535 So, we’ve got it to the end. So, we’ll just pull it out. 370 00:15:35,578 --> 00:15:37,088 I’m glad that we got this out of her 371 00:15:37,112 --> 00:15:39,012 and it’s not stuck in there anymore. 372 00:15:39,048 --> 00:15:40,558 [George] Surgery went fantastic. 373 00:15:40,583 --> 00:15:42,553 We were able to pull it out through her rectum. 374 00:15:42,585 --> 00:15:44,425 The inside of her rectum looks great. 375 00:15:44,453 --> 00:15:45,653 So, there was no holes, 376 00:15:45,688 --> 00:15:47,498 no tears and no bleeding. 377 00:15:47,523 --> 00:15:50,193 So, I don’t think she will have any residual problems 378 00:15:50,226 --> 00:15:52,496 with this and I think she’ll be able to... 379 00:15:52,528 --> 00:15:54,398 go party another day without any problems. 380 00:15:58,234 --> 00:16:00,374 [Brittany] The reason that I shared this story, 381 00:16:00,402 --> 00:16:02,402 and the reason that I’ve said it so many times, 382 00:16:02,438 --> 00:16:03,508 people are so interested in, 383 00:16:03,539 --> 00:16:05,739 is because you need to educate yourselves on... 384 00:16:05,774 --> 00:16:07,244 sticking things inside of your body 385 00:16:07,276 --> 00:16:09,386 because they will go somewhere and they will get stuck. 386 00:16:09,411 --> 00:16:11,111 [George] All right, Bren. She should be good. 387 00:16:11,146 --> 00:16:11,986 That’s it. 388 00:16:12,481 --> 00:16:13,381 [Brittany] 389 00:16:15,818 --> 00:16:17,458 and you’re not prepared for something like that, 390 00:16:22,258 --> 00:16:24,398 Like I would’ve never thought in a million years, an orgasm 391 00:16:40,276 --> 00:16:42,616 [Lynn] My name is Lynn and I’m a physician assistant 392 00:16:42,645 --> 00:16:44,445 at the ear, nose and throat institute. 393 00:16:44,480 --> 00:16:46,480 I have been working in otolaryngology 394 00:16:46,515 --> 00:16:48,055 for the past one to two years. 395 00:16:48,083 --> 00:16:49,783 And this is actually my first specialty 396 00:16:49,818 --> 00:16:51,948 out of finishing PA school. 397 00:16:51,987 --> 00:16:54,427 My favorite thing about working an ENT, 398 00:16:54,456 --> 00:16:57,966 is removing all things that are stuck in the ear and the nose. 399 00:16:57,993 --> 00:17:00,293 Today, we have Devon and his wife in the office 400 00:17:00,329 --> 00:17:03,229 and Devon has not been able to hear well out his ear 401 00:17:03,265 --> 00:17:04,805 for the past several months. 402 00:17:04,833 --> 00:17:07,433 On top of that, Devon has had a hearing loss 403 00:17:07,469 --> 00:17:10,469 for years already, that has been affecting his speech. 404 00:17:10,506 --> 00:17:12,476 So, we’re gonna take a look inside his ear 405 00:17:12,508 --> 00:17:14,948 and see what’s causing him to lose its hearing. 406 00:17:16,679 --> 00:17:19,109 - [Lynn] Hello, Mr. Preston. - [Devon] Hey. 407 00:17:19,148 --> 00:17:21,318 - [Lynn] How are y’all doing today? - [Devon] Good. 408 00:17:21,350 --> 00:17:23,780 [Devon] 409 00:17:23,819 --> 00:17:25,849 [Lynn] When you can hear again, huh? 410 00:17:38,400 --> 00:17:39,770 [Lynn] So, what I’m actually gonna do is, 411 00:17:39,802 --> 00:17:42,032 I’ll show you what the inside of your ear looks like. 412 00:17:42,071 --> 00:17:42,901 [Devon] 413 00:17:46,642 --> 00:17:48,372 [Lynn] Well, look at all that. 414 00:17:48,410 --> 00:17:51,510 That’s just all wax inside. 415 00:17:51,547 --> 00:17:53,287 So, we can’t see any eardrum. 416 00:17:53,315 --> 00:17:56,385 - It’s just all a lot of wax inside, huh? - Yeah. 417 00:17:59,254 --> 00:18:00,294 [Devon] This is crazy. 418 00:18:00,322 --> 00:18:01,792 [Lynn] Looking inside Devon’s ear, 419 00:18:01,824 --> 00:18:03,964 I just see a wall of dark 420 00:18:03,993 --> 00:18:06,293 brown, gooey, dry looking ear wax 421 00:18:06,328 --> 00:18:08,688 that’s completely blocking the ear drum. 422 00:18:08,731 --> 00:18:10,501 Looks like it’s actually completely almost 423 00:18:10,532 --> 00:18:12,762 petrified onto the side of the ear canal. 424 00:18:16,672 --> 00:18:19,472 [Lynn] It’s a hard place to look inside. 425 00:18:19,508 --> 00:18:21,468 A build of ear wax over time 426 00:18:21,510 --> 00:18:23,010 can occlude the ear canal 427 00:18:23,045 --> 00:18:25,715 and give you what’s called a cerumen impaction. 428 00:18:25,748 --> 00:18:29,928 This can lead to dizziness, hearing loss, ear pressure 429 00:18:29,952 --> 00:18:31,422 and as the years go on, 430 00:18:31,453 --> 00:18:33,853 it gets to be very hard to remove as well. 431 00:18:33,889 --> 00:18:37,259 So, imagine almost a fossilized ear wax in the ear. 432 00:18:37,292 --> 00:18:41,392 So, same thing over here. A lot of wax inside. 433 00:18:43,298 --> 00:18:45,398 In otolaryngology, or ENT, 434 00:18:45,434 --> 00:18:47,234 we have a number of different tools 435 00:18:47,269 --> 00:18:50,199 to help us remove ear wax from patients’ ears. 436 00:18:50,239 --> 00:18:52,139 One of my favorites is the suction. 437 00:18:54,043 --> 00:18:56,113 [Lynn] So, what I’m gonna use, is a loud suction. 438 00:18:56,145 --> 00:18:57,515 So, it’s a vacuum. 439 00:18:57,546 --> 00:19:00,186 It essentially forms a vacuum with just air. 440 00:19:00,215 --> 00:19:02,515 It allows you to gently peel off 441 00:19:02,551 --> 00:19:04,551 the wax from the side of the ear canal, 442 00:19:04,586 --> 00:19:05,786 and out of the patient’s ear. 443 00:19:05,821 --> 00:19:06,891 You ready? 444 00:19:08,257 --> 00:19:09,627 [Lynn chuckles] Okay. 445 00:19:12,961 --> 00:19:13,791 I’m sorry. 446 00:19:14,963 --> 00:19:16,733 Suction’s going in. 447 00:19:20,102 --> 00:19:21,802 - Doing okay? - [Devon] Yeah. 448 00:19:28,410 --> 00:19:30,310 After I used my suction on his ear, 449 00:19:30,345 --> 00:19:32,385 I noticed that there’s still quite a bit of wax 450 00:19:32,414 --> 00:19:33,914 that’s remaining inside. 451 00:19:33,949 --> 00:19:37,579 The suction only works if we have really soft ear wax. 452 00:19:37,619 --> 00:19:39,889 If it’s been inside for too long, 453 00:19:39,922 --> 00:19:41,152 so that it becomes hard, 454 00:19:41,190 --> 00:19:43,160 the suction really is not strong enough 455 00:19:43,192 --> 00:19:45,122 to remove the wax from the ear. 456 00:19:45,160 --> 00:19:48,260 So, I decide to use my irrigation instead. 457 00:19:48,297 --> 00:19:51,567 [Lynn] So, what we’re gonna do now, is we’re gonna flush the ear out. 458 00:19:51,600 --> 00:19:54,600 I think we’ll have you hold it up to your ear 459 00:19:54,636 --> 00:19:56,906 and there’s a little pocket, where your ear... 460 00:19:56,939 --> 00:19:59,269 That’s perfect. Yeah. You’re ready? 461 00:19:59,308 --> 00:20:00,178 - [Devon] Yes. - [Lynn] Okay. 462 00:20:01,276 --> 00:20:04,186 So, it’s gonna be some warm water here. 463 00:20:07,549 --> 00:20:08,779 [Devon grunting] 464 00:20:11,687 --> 00:20:13,557 - [Lynn] Doing great. - [Devon] Yes. 465 00:20:14,790 --> 00:20:16,120 [grunting] 466 00:20:16,158 --> 00:20:17,368 [Lynn] Doing great. 467 00:20:17,392 --> 00:20:18,662 What does it feel like? 468 00:20:18,694 --> 00:20:20,694 [Devon] It feels... [screams] 469 00:20:21,530 --> 00:20:23,200 [speaking indistinctly] 470 00:20:25,167 --> 00:20:28,807 [Lynn] I got a big chunk of wax out of there. 471 00:20:28,837 --> 00:20:30,507 I’ve seen all sorts of different things 472 00:20:30,539 --> 00:20:31,839 come out of the ear. 473 00:20:31,874 --> 00:20:34,444 Harder ear wax, flaky ear wax. 474 00:20:34,476 --> 00:20:36,116 Wet and goopy ear wax. 475 00:20:36,145 --> 00:20:39,715 Colors ranging all the way from bright lemon yellow 476 00:20:39,748 --> 00:20:42,308 to almost have a black-ish looking color. 477 00:20:42,351 --> 00:20:45,181 I’ve seen wax mixed with puss inside the ears, 478 00:20:45,220 --> 00:20:46,890 wax mixed with fungus, 479 00:20:46,922 --> 00:20:50,062 bugs come out of ears that have almost disintegrated 480 00:20:50,092 --> 00:20:51,992 overtime as well. 481 00:20:54,696 --> 00:20:58,006 [Lynn] There’s another big old piece of wax coming out his ear. 482 00:21:04,773 --> 00:21:07,013 There’s our big old piece there. 483 00:21:07,042 --> 00:21:09,882 Look at this big old piece of wax we got here. 484 00:21:10,712 --> 00:21:12,142 That’s what came out of your ear. 485 00:21:12,181 --> 00:21:14,011 [Devon] 486 00:21:14,049 --> 00:21:15,879 [Lynn] I’m always happy to remove 487 00:21:15,918 --> 00:21:18,558 bigger chunks of ear wax from patients’ ears. 488 00:21:18,587 --> 00:21:21,497 It’s almost satisfying, just seeing so much relief 489 00:21:21,523 --> 00:21:23,023 from the patient for it. 490 00:21:23,058 --> 00:21:25,658 [Lynn] So, now if I do this, can you hear this? 491 00:21:25,694 --> 00:21:26,764 - Yeah. - [Lynn] Yeah. 492 00:21:26,795 --> 00:21:28,595 Now on this side if I do that, can you hear that? 493 00:21:28,630 --> 00:21:29,760 - [Devon] Yeah. - [Lynn] Yeah, good. 494 00:21:29,798 --> 00:21:31,728 - And it sounds about the same on both sides? - Yeah. 495 00:21:31,767 --> 00:21:33,537 [Lynn] Perfect. 496 00:21:33,569 --> 00:21:36,369 I recommend for patients not to use cotton swabs 497 00:21:36,405 --> 00:21:37,675 to clean their ears, 498 00:21:37,706 --> 00:21:40,016 just because the cotton swab only gets to the tip of the wax. 499 00:21:40,042 --> 00:21:41,942 Kind of like the tip of an iceberg. 500 00:21:41,977 --> 00:21:45,187 The rest of the wax just gets pushed down further inside, 501 00:21:45,214 --> 00:21:48,084 kind of like packing the wax like brown sugar. 502 00:21:48,116 --> 00:21:50,586 That’s when it can damage the ear drum 503 00:21:50,619 --> 00:21:53,889 and it makes the wax really hard to remove as well. 504 00:21:53,922 --> 00:21:57,192 The longer you wait, the more wax that your ear makes 505 00:21:57,226 --> 00:22:00,066 and the harder it is to get that wax out. 506 00:22:00,095 --> 00:22:03,035 If y’all wanna come back every, say six months or so, 507 00:22:03,065 --> 00:22:05,565 then we can get your ears cleaned out for you. 508 00:22:05,601 --> 00:22:07,701 That way, we don’t let it build up 509 00:22:07,736 --> 00:22:10,006 to the point that it starts affecting your hearing. 510 00:22:10,339 --> 00:22:11,939 [Devon] 511 00:22:13,575 --> 00:22:16,145 [Lynn] Of course, of course. That’s what we’re here for. 512 00:22:16,812 --> 00:22:18,812 [Devon] 513 00:22:28,190 --> 00:22:29,090 [Devon chuckles] 514 00:22:36,999 --> 00:22:39,029 I was going outside to check the mail. 515 00:22:40,802 --> 00:22:42,432 [man 2] That’s an impressive splinter there. 516 00:22:44,439 --> 00:22:45,269 [woman 2] Oh my God! 517 00:23:02,124 --> 00:23:03,624 [chatter] 518 00:23:05,794 --> 00:23:06,834 I’m Dr. Larry Mellick. 519 00:23:06,862 --> 00:23:08,562 I’m an emergency medicine physician 520 00:23:08,597 --> 00:23:11,567 and I work at the University of South Alabama Hospitals, 521 00:23:11,600 --> 00:23:13,000 here in Mobile, Alabama. 522 00:23:14,002 --> 00:23:16,602 They call us, sometimes, adrenaline junkies. 523 00:23:16,638 --> 00:23:19,468 We really thrive on some excitement. 524 00:23:20,842 --> 00:23:21,672 [woman] Come in. 525 00:23:23,111 --> 00:23:24,441 And so, just everyday, 526 00:23:24,479 --> 00:23:26,709 you never know what you’re gonna see in the emergency department. 527 00:23:28,350 --> 00:23:30,520 Today, we’ve got a young girl that comes in 528 00:23:30,552 --> 00:23:33,292 with a massive splinter in the bottom of her foot. 529 00:23:34,523 --> 00:23:35,923 It’s buried in there. 530 00:23:35,958 --> 00:23:38,468 So, I’ve got my job cut out for me. 531 00:23:42,664 --> 00:23:46,204 So, this is not your average run of the mill... 532 00:23:46,568 --> 00:23:47,468 splinter. 533 00:23:47,502 --> 00:23:48,832 [Auhamalai] Yeah. No, it’s pretty big. 534 00:23:50,172 --> 00:23:52,472 It just feels like somebody just stabbed me. 535 00:23:53,642 --> 00:23:55,972 Like, straight up like, stabbed me. 536 00:23:56,011 --> 00:23:59,811 It’s not uncommon to have patients with splinters. 537 00:23:59,848 --> 00:24:03,048 It’s less common to have splinters that large. 538 00:24:04,186 --> 00:24:05,356 [Larry] Can you tell me your story 539 00:24:05,387 --> 00:24:06,857 as to what happened today? 540 00:24:08,924 --> 00:24:11,994 So, it happened when I was going outside to check the mail. 541 00:24:13,428 --> 00:24:14,858 [screams] 542 00:24:14,896 --> 00:24:17,706 And that got in my foot randomly. 543 00:24:17,733 --> 00:24:19,803 Then, I was screaming. I was like, "Mom, mom!" 544 00:24:19,835 --> 00:24:21,035 I mean, I was worried. 545 00:24:22,938 --> 00:24:24,248 I didn’t know... 546 00:24:24,272 --> 00:24:25,902 what steps I needed to take 547 00:24:25,941 --> 00:24:28,971 and I wanted to make sure she had the best care. 548 00:24:29,011 --> 00:24:30,011 That’s why we came here. 549 00:24:30,045 --> 00:24:31,745 [Larry] Well, we’ll get this out. 550 00:24:31,780 --> 00:24:33,250 [woman] Thank you. Good deal. 551 00:24:33,281 --> 00:24:36,151 Those foreign bodies bring along with them bacteria. 552 00:24:36,184 --> 00:24:38,384 They can actually cause serious infections, 553 00:24:38,420 --> 00:24:39,420 cellulitis 554 00:24:39,454 --> 00:24:41,554 and bacteria that gets into the blood stream 555 00:24:41,590 --> 00:24:43,590 causes shock and sepsis. 556 00:24:43,625 --> 00:24:45,095 Obviously, we’re gonna have to numb her up. 557 00:24:45,127 --> 00:24:45,967 [Auhamalai] Okay. 558 00:24:53,602 --> 00:24:56,702 And we’re gonna have to protect her from the pain 559 00:24:56,738 --> 00:24:58,738 of just getting the numbing medications. 560 00:24:58,774 --> 00:25:01,744 So, we’re gonna use a vapor coolant to spray on that. 561 00:25:03,245 --> 00:25:04,885 [Auhamalai] So, it should be pretty numb. 562 00:25:04,913 --> 00:25:06,953 Do you feel if I like manipulate it, moving around? 563 00:25:06,982 --> 00:25:08,052 [Auhamalai] Not really? Good. 564 00:25:08,083 --> 00:25:09,353 Let me know if you can feel anything, 565 00:25:09,384 --> 00:25:11,054 if it even hurts, okay? 566 00:25:11,086 --> 00:25:13,456 Not much of a difference. It’s still pretty stuck in there. 567 00:25:14,756 --> 00:25:17,226 [Larry] Splinters can be really hard to get out. 568 00:25:17,259 --> 00:25:20,129 My goal is to minimize pain in the children I work with. 569 00:25:23,932 --> 00:25:25,232 [Auhamalai] Do you feel any of that? 570 00:25:25,267 --> 00:25:26,267 I don’t feel anything. 571 00:25:27,102 --> 00:25:29,002 - I’m happy. - [Larry] Good, good. 572 00:25:36,778 --> 00:25:38,008 [Larry] That is one tough one. 573 00:25:39,481 --> 00:25:41,381 [Larry] The wood just breaking apart, 574 00:25:41,416 --> 00:25:43,656 making our job a 100 times harder. 575 00:25:46,788 --> 00:25:47,888 [Larry] Yeah, I mean, 576 00:25:47,923 --> 00:25:49,223 don’t open it all the way up. 577 00:25:49,257 --> 00:25:51,927 Okay. Give yourself a little bit more of a point to assess. 578 00:25:56,498 --> 00:25:57,808 [Auhamalai] Couldn’t feel any of that? 579 00:25:57,833 --> 00:25:59,163 - [patient] No, sir. - Good. 580 00:25:59,201 --> 00:26:01,131 [speaking indistinctly] 581 00:26:01,169 --> 00:26:02,469 [Auhamalai] That’s it. It’s coming out. 582 00:26:05,006 --> 00:26:06,276 - Here you go. - [Larry] You got it. 583 00:26:06,308 --> 00:26:07,478 Can I take a picture of it? 584 00:26:07,509 --> 00:26:08,539 [Larry] Yeah, take it. 585 00:26:08,577 --> 00:26:10,017 [woman] Think we need to get our porch replaced? 586 00:26:10,045 --> 00:26:12,385 [all giggle] 587 00:26:13,348 --> 00:26:14,848 [Auhamalai] So, there’s some of it. 588 00:26:14,883 --> 00:26:16,013 [Larry] It’s not in one piece 589 00:26:17,018 --> 00:26:19,648 but I think we got it all out. 590 00:26:19,688 --> 00:26:21,628 I’m just glad it’s over with and she’s good. 591 00:26:21,656 --> 00:26:22,626 Yeah, yeah. 592 00:26:23,558 --> 00:26:24,818 [Larry] How was it? 593 00:26:24,860 --> 00:26:26,460 It actually didn’t hurt at all. 594 00:26:26,495 --> 00:26:27,665 Except for the first part. 595 00:26:27,696 --> 00:26:28,666 [Larry] Okay. 596 00:26:28,697 --> 00:26:30,707 Yeah, once we got your numbed up, you did good. 597 00:26:30,732 --> 00:26:32,702 Thank you. I appreciate your help. 598 00:26:32,734 --> 00:26:34,604 [Auhamalai] Now, we’ll just rinse it up really good. 599 00:26:34,636 --> 00:26:37,676 [Larry] Yeah, just irrigate the heck out of that then. 600 00:26:37,706 --> 00:26:41,046 The potential for leaving debris in there was good. 601 00:26:41,076 --> 00:26:44,516 So, we took a catheter with sailing hooked up to it 602 00:26:45,313 --> 00:26:47,213 and just irrigated it thoroughly. 603 00:26:48,650 --> 00:26:51,150 To confirm that we didn’t leave any debris in there, 604 00:26:51,186 --> 00:26:53,856 we got the ultrasound machine and we got a really good look. 605 00:26:55,724 --> 00:26:57,094 [indistinct] 606 00:26:59,161 --> 00:27:01,061 [Larry] Yeah, it looks super clean. 607 00:27:02,430 --> 00:27:03,500 We got everything out of there. 608 00:27:03,532 --> 00:27:06,562 So, it was a success in that regards. 609 00:27:06,601 --> 00:27:09,671 Unfortunately, a lot of these are just freak accidents that 610 00:27:09,704 --> 00:27:12,674 you would never have thought was gonna happen 611 00:27:12,707 --> 00:27:14,077 until it does. 612 00:27:14,109 --> 00:27:16,139 Really, it’s been just very crazy to me 613 00:27:16,178 --> 00:27:17,848 and it’s a cool story. 614 00:27:17,879 --> 00:27:21,009 Like, it’s probably never gonna happen again. 615 00:27:21,049 --> 00:27:21,949 Let’s hope not. 616 00:27:31,526 --> 00:27:33,936 What you’re seeing with Trish is about... 617 00:27:33,962 --> 00:27:36,232 one of the worst noses that you’re gonna see. 618 00:27:38,266 --> 00:27:40,376 It’s so damaged from previous infections. 619 00:27:41,903 --> 00:27:45,743 I mean, basically, crusted from one side to the other. 620 00:27:45,774 --> 00:27:49,414 It just turns into sort of this rubber cement glue in there. 621 00:28:17,606 --> 00:28:18,876 [Trish] My name is Trish. 622 00:28:18,907 --> 00:28:22,617 I’m here because I’ve constantly had sinus infections 623 00:28:22,644 --> 00:28:25,544 and I couldn’t breathe for a couple of years now. 624 00:28:25,580 --> 00:28:26,950 Morning, Trish. How are you today? 625 00:28:26,982 --> 00:28:28,282 [Patricia] Good today. How are you doing? 626 00:28:28,316 --> 00:28:29,286 [Daniel] All right, good. 627 00:28:29,317 --> 00:28:32,227 My infection in my nose came from 628 00:28:32,254 --> 00:28:34,424 bad habits, picking in my nose, 629 00:28:34,456 --> 00:28:35,856 illegal drugs and stuff. 630 00:28:36,992 --> 00:28:40,632 So, I was doing bad things long time ago 631 00:28:40,662 --> 00:28:42,962 that made me to have to come here. 632 00:28:42,998 --> 00:28:44,908 And have two surgeries. 633 00:28:44,933 --> 00:28:46,973 Just to kind of, recap, 634 00:28:47,002 --> 00:28:48,902 when I saw you for the first time, 635 00:28:48,937 --> 00:28:50,447 you had had previous sinus surgery 636 00:28:50,472 --> 00:28:53,172 and then inside of your nose, was completely blocked. 637 00:28:53,208 --> 00:28:55,278 - Yes. - You had absolutely no... 638 00:28:55,310 --> 00:28:56,510 ability to breathe. 639 00:28:56,544 --> 00:29:00,314 So, I’ve been seeing Trish since about last fall. 640 00:29:00,348 --> 00:29:02,148 And as a result of... 641 00:29:02,717 --> 00:29:04,127 some misspent youth, 642 00:29:04,152 --> 00:29:06,922 she had a really bad situation with her nose. 643 00:29:06,955 --> 00:29:08,595 She had scarring and there was a... 644 00:29:08,623 --> 00:29:10,923 very large septal perforation that was crusting 645 00:29:10,959 --> 00:29:12,859 and she couldn’t breath through her nose at all. 646 00:29:12,894 --> 00:29:15,134 And we did a sinus surgery. 647 00:29:15,163 --> 00:29:17,633 She’s a lot better but I don’t know if she’s ever gonna be 648 00:29:17,666 --> 00:29:20,106 able to have a completely normal nose. 649 00:29:20,135 --> 00:29:22,135 [Daniel] What we were able to do is, 650 00:29:22,170 --> 00:29:24,540 kind of reduce the turbinate size 651 00:29:24,572 --> 00:29:25,802 open things up 652 00:29:25,840 --> 00:29:28,110 and I think you did great after that. 653 00:29:28,143 --> 00:29:29,343 Yeah. 654 00:29:29,377 --> 00:29:31,217 And then, we had a little bit of a... two steps backwards 655 00:29:31,246 --> 00:29:33,486 with a little bit of an infection. 656 00:29:33,515 --> 00:29:35,115 Right now, I think what we’re dealing with 657 00:29:35,150 --> 00:29:36,450 is just a little bit of crusting. 658 00:29:36,484 --> 00:29:39,124 - Yes. - So, we’ll kind of just clean things out so you can... 659 00:29:39,154 --> 00:29:40,794 - breathe a little better, okay? - Okay. 660 00:29:40,822 --> 00:29:42,822 I think one of the most important things 661 00:29:42,857 --> 00:29:45,697 just to feel well is to be able to breathe through your nose. 662 00:29:45,727 --> 00:29:48,637 And if you snort drugs into your nose, 663 00:29:48,663 --> 00:29:50,463 that shrinks the blood vessels. 664 00:29:50,498 --> 00:29:53,528 And the cartilage, which is in the middle of the nose, 665 00:29:53,568 --> 00:29:55,068 doesn’t have any blood supply. 666 00:29:55,103 --> 00:29:58,143 And when you take that blood supply away, 667 00:29:58,173 --> 00:30:02,313 the cartilage can die and end up with a huge, crusty hole in your nose. 668 00:30:02,344 --> 00:30:03,414 And it can be quite serious. 669 00:30:04,512 --> 00:30:07,482 Looking inside, you can see there’s kind of... 670 00:30:07,515 --> 00:30:11,325 discolored mucus and scabs and crusting. 671 00:30:11,353 --> 00:30:12,853 [Daniel] What you’re seeing with Trish, 672 00:30:12,887 --> 00:30:16,127 is about one of the worst noses that you’re gonna see. 673 00:30:17,959 --> 00:30:20,429 It’s so damaged from previous infections. 674 00:30:20,462 --> 00:30:25,332 I mean, she has basically crusted from one side to the other. 675 00:30:25,367 --> 00:30:28,077 So, there’s some crust in here, that will clean out. 676 00:30:28,103 --> 00:30:30,033 They kind of just get stuck 677 00:30:30,071 --> 00:30:32,501 because of... the membrane’s a little bit raw. 678 00:30:32,540 --> 00:30:34,670 You know, like, some people have to get their ears cleaned 679 00:30:34,709 --> 00:30:35,809 with ear wax. 680 00:30:35,844 --> 00:30:37,844 You know, her nose gets clogged with dried up mucus 681 00:30:37,879 --> 00:30:38,709 and crust. 682 00:30:39,948 --> 00:30:41,788 All right, just tell me if this is uncomfortable. 683 00:30:41,816 --> 00:30:44,126 We’re not gonna numb this up ’cause it’s really just 684 00:30:44,152 --> 00:30:45,452 kind of a loose... 685 00:30:45,487 --> 00:30:46,557 scabs that are in here. 686 00:30:49,624 --> 00:30:52,624 I don’t know if you’ll like ever be completely rid of this. 687 00:30:52,660 --> 00:30:55,460 We’ll get you on a schedule to sort of clean things out intermittently. 688 00:31:06,007 --> 00:31:09,777 In cleaning her nose out, what we’re finding in there, 689 00:31:09,811 --> 00:31:11,911 is just a combination of scabs and mucus 690 00:31:11,946 --> 00:31:14,916 and bacterial sort of colonization. 691 00:31:16,918 --> 00:31:20,588 It just turns into sort of this rubber cement glue in there. 692 00:31:20,622 --> 00:31:22,292 If you take that out in one piece, 693 00:31:22,323 --> 00:31:24,093 it will literally bounce. 694 00:31:24,125 --> 00:31:27,735 You can be holding it and it will be like, doink, you know. 695 00:31:27,762 --> 00:31:29,532 And that’s so satisfying to get that out. 696 00:31:33,168 --> 00:31:36,978 So, we’re moving this from the margin of the septal perforation. 697 00:31:43,678 --> 00:31:45,008 Sorry if that’s a little uncomfortable. 698 00:31:53,021 --> 00:31:54,991 So, the nose produces a lot of mucus. 699 00:31:56,191 --> 00:31:58,021 Most people don’t realize how much it is... 700 00:31:58,059 --> 00:32:00,529 It’s like a court or something like that a day and it... 701 00:32:00,562 --> 00:32:02,332 it kinda just gets dried up. 702 00:32:04,632 --> 00:32:06,462 So, your nose really can’t clean itself 703 00:32:06,501 --> 00:32:09,671 like it could before and so... 704 00:32:09,704 --> 00:32:11,604 You know, we have to do this intermittently 705 00:32:11,639 --> 00:32:13,669 just to kind of get you back to... 706 00:32:14,509 --> 00:32:15,539 being able to breathe. 707 00:32:19,314 --> 00:32:20,144 So, we’ll get this... 708 00:32:21,382 --> 00:32:23,112 cleaned out and then we’ll get another culture 709 00:32:23,151 --> 00:32:25,481 and we’ll see if we’re still dealing with the staff infection 710 00:32:25,520 --> 00:32:26,420 that we had before. 711 00:32:36,931 --> 00:32:38,361 Still a little bit raw in here. 712 00:32:48,443 --> 00:32:50,643 So, this right here is the... 713 00:32:50,678 --> 00:32:52,508 septum and there’s supposed to be 714 00:32:52,547 --> 00:32:54,987 a wall here and this is just all open. 715 00:32:55,016 --> 00:32:56,416 You’ve lost, I don’t know, 716 00:32:56,451 --> 00:32:58,721 80 per cent or more of your septum. 717 00:32:59,721 --> 00:33:01,421 One last little scab here. 718 00:33:02,924 --> 00:33:04,594 I think her prognosis is actually 719 00:33:04,626 --> 00:33:07,036 quite good with regard to function breathing 720 00:33:07,061 --> 00:33:08,891 and her ability to smell and those types of things. 721 00:33:08,930 --> 00:33:12,160 But just her way back when remote history 722 00:33:12,200 --> 00:33:13,730 of intra-nasal drug use, 723 00:33:13,768 --> 00:33:15,198 it destroyed her nose. 724 00:33:17,472 --> 00:33:20,072 And you know, that’s something you end up having to live with 725 00:33:20,108 --> 00:33:21,318 forever, unfortunately. 726 00:33:21,910 --> 00:33:23,170 Okay. 727 00:33:23,211 --> 00:33:24,581 All right. We’re pretty much done. 728 00:33:24,612 --> 00:33:25,682 Looking good. 729 00:33:25,713 --> 00:33:27,383 - Feel great. - [Daniel] Yeah. 730 00:33:27,415 --> 00:33:29,055 [Patricia] So, I’m breathing better now. 731 00:33:29,083 --> 00:33:30,553 There’s no more crust. 732 00:33:30,585 --> 00:33:34,225 The next step is life. I’m gonna live right. 733 00:33:34,255 --> 00:33:35,795 Keep my nose clean. 734 00:33:37,325 --> 00:33:38,795 And do better things. 735 00:33:38,826 --> 00:33:40,066 Thank you so much. 736 00:33:40,094 --> 00:33:41,464 Good. We’ll see you in a few weeks, okay? 737 00:33:41,496 --> 00:33:42,566 [Patricia] Okay, thank you. 738 00:33:48,670 --> 00:33:50,800 I’ve got a 16-year-old young man, 739 00:33:50,838 --> 00:33:53,968 who’s got an earring stuck in his right ear lobe. 740 00:33:54,008 --> 00:33:56,638 The back of the earring is totally embedded 741 00:33:56,678 --> 00:33:57,888 in the ear lobe. 742 00:33:57,912 --> 00:34:00,382 [Larry] Here it comes. 743 00:34:00,415 --> 00:34:01,655 Am I causing you too much pain? 744 00:34:02,784 --> 00:34:04,284 We may have to get side cutters. 745 00:34:16,931 --> 00:34:18,101 Hey, what do you got? 746 00:34:18,132 --> 00:34:20,672 Oh, I’ve got a 16-year-old young man, 747 00:34:20,702 --> 00:34:24,072 who’s got an earring stuck in his right ear lobe. 748 00:34:24,105 --> 00:34:26,145 He noticed it’d been hurting about a week ago... 749 00:34:26,174 --> 00:34:28,644 - [Larry] Okay. - ...and then his mom took a look at it last night 750 00:34:28,676 --> 00:34:30,686 and she says the back of the earring 751 00:34:30,712 --> 00:34:32,912 is totally embedded in the ear lobe. 752 00:34:32,947 --> 00:34:34,057 Okay. 753 00:34:34,082 --> 00:34:35,812 We’re probably gonna have to really dig this thing out 754 00:34:35,850 --> 00:34:36,750 - and... - [Larry] Okay. 755 00:34:36,784 --> 00:34:38,284 He has a pretty high pain tolerance 756 00:34:38,319 --> 00:34:41,749 because I’ve tried to push it out without any numbing medicine. 757 00:34:41,789 --> 00:34:44,189 I think we will need to numb it up to really get it out. 758 00:34:46,861 --> 00:34:48,691 [Zion] My name is Zion Hill. 759 00:34:48,730 --> 00:34:51,030 I attend BC Rain high school. 760 00:34:51,065 --> 00:34:53,935 And I’m trying to get my earring removed 761 00:34:53,968 --> 00:34:55,998 that’s been bothering me for a couple of days. 762 00:34:56,037 --> 00:34:57,477 Just ready to get it out. 763 00:34:57,505 --> 00:34:59,505 [Kimberly] I tried to get it out. 764 00:34:59,540 --> 00:35:01,770 So, I cleaned it and I looked at and I was like, 765 00:35:01,809 --> 00:35:02,969 "No, this..." 766 00:35:03,011 --> 00:35:04,781 I didn’t see the back of the earring 767 00:35:04,812 --> 00:35:06,412 and then, when I flipped the ear, 768 00:35:07,348 --> 00:35:10,618 it was like embedded inside of the hole. 769 00:35:10,652 --> 00:35:12,352 He was like, "[screaming]." 770 00:35:12,387 --> 00:35:15,357 He was so loud that it was hurting, so... 771 00:35:15,390 --> 00:35:17,050 I was like, "Okay, let’s... 772 00:35:17,091 --> 00:35:18,191 go to the hospital." 773 00:35:20,361 --> 00:35:21,561 I’m Dr. Larry Mellick 774 00:35:21,596 --> 00:35:24,506 and I’ve been practicing emergency medicine 775 00:35:24,532 --> 00:35:26,002 for over 40 years. 776 00:35:26,034 --> 00:35:28,474 And I work at the University of South Alabama. 777 00:35:28,503 --> 00:35:30,303 Today, I have Zion, a neat young man, 778 00:35:30,338 --> 00:35:32,748 who presents here with an earring that is... 779 00:35:32,774 --> 00:35:34,914 embedded in the back of his ear. 780 00:35:34,942 --> 00:35:37,482 Usually, these things are fairly easy to get out. 781 00:35:37,512 --> 00:35:40,012 Put a little topical numbing medicine on there, 782 00:35:40,048 --> 00:35:42,718 and pop it out the back and you’re done. 783 00:35:42,750 --> 00:35:44,150 So, we’re gonna see... 784 00:35:44,185 --> 00:35:45,885 that this is an easy one to get out 785 00:35:45,920 --> 00:35:47,550 or if there’s gonna be challenges. 786 00:35:47,588 --> 00:35:49,148 [Larry] Hey, Zion. 787 00:35:49,190 --> 00:35:50,560 So, are you a football player? 788 00:35:50,591 --> 00:35:52,161 - Yes, sir. - [Larry] You are? Okay. 789 00:35:52,193 --> 00:35:53,063 How’d I guess? 790 00:35:53,094 --> 00:35:54,564 How long is this been stuck in there? 791 00:35:54,595 --> 00:35:58,005 [Zion] For... It’s been hurting for about a week or two. 792 00:35:58,032 --> 00:36:00,102 [Larry] I’m just doing a little inspection here on this. 793 00:36:00,968 --> 00:36:03,668 So, as I examine Zion’s ear, 794 00:36:03,705 --> 00:36:06,745 this just isn’t your average stuck earring. 795 00:36:06,774 --> 00:36:08,174 This is something a little bit more 796 00:36:08,209 --> 00:36:09,439 complicated. 797 00:36:09,477 --> 00:36:11,717 It might be an early infection even, too. 798 00:36:11,746 --> 00:36:14,556 Because it’s little red and it’s swollen. 799 00:36:14,582 --> 00:36:16,082 [Zion] Before the season started, 800 00:36:16,117 --> 00:36:18,787 it wasn’t hurting as bad as it is now. 801 00:36:18,820 --> 00:36:21,450 But since the season started, with my helmet, 802 00:36:21,489 --> 00:36:24,019 and it just banging on it and banging on it. 803 00:36:24,058 --> 00:36:25,718 It was just like, gots to get it out. 804 00:36:25,760 --> 00:36:27,290 [Larry] One of my challenges with Zion is that, 805 00:36:27,328 --> 00:36:29,728 he’s a tough guy, he takes a lot of pain. 806 00:36:29,764 --> 00:36:32,034 He gets banged up in football practice 807 00:36:32,066 --> 00:36:35,036 and he has some discomfort when the helmet hits that earring. 808 00:36:35,069 --> 00:36:38,199 That... He doesn’t dwell on it and he just moves on. 809 00:36:38,239 --> 00:36:40,139 And that looks like it’s infected the 810 00:36:40,174 --> 00:36:43,214 ear lobe is actually significantly swollen. 811 00:36:43,244 --> 00:36:45,544 A little bit red, inflamed looking. 812 00:36:45,580 --> 00:36:47,580 And then, behind the ear lobe, 813 00:36:47,615 --> 00:36:50,455 it’s really, what we call, macerated. 814 00:36:50,485 --> 00:36:52,225 It’s really kind of torn up. 815 00:36:52,253 --> 00:36:55,453 And kinda what I would expect if someone’s a football player, 816 00:36:55,490 --> 00:36:56,990 wearing a helmet, having... 817 00:36:57,024 --> 00:36:58,164 an earring in place. 818 00:36:58,192 --> 00:37:00,892 It’s obviously buried in there, really deep. 819 00:37:00,928 --> 00:37:02,588 So, that’s gonna be kind of a challenge, I think, 820 00:37:02,630 --> 00:37:03,490 to get it out. 821 00:37:03,531 --> 00:37:04,931 So, we have a couple options here. 822 00:37:04,966 --> 00:37:06,966 One of my options is basically... 823 00:37:07,001 --> 00:37:10,101 to actually inject the longer acting numbing medicine, 824 00:37:10,138 --> 00:37:11,908 but that’s a little bit more painful 825 00:37:11,939 --> 00:37:14,639 and if I can just get by with simply 826 00:37:14,675 --> 00:37:17,115 putting some topical medication on there, 827 00:37:17,145 --> 00:37:18,745 that’s the direction I wanna go. 828 00:37:18,780 --> 00:37:20,110 On the other hand, 829 00:37:20,148 --> 00:37:21,858 you’re a lot bigger than I am. 830 00:37:21,883 --> 00:37:22,953 And so, 831 00:37:22,984 --> 00:37:25,684 if I hurt you, you gotta promise, not to hurt me. 832 00:37:25,720 --> 00:37:27,490 [chuckles] I keep teasing you. 833 00:37:27,522 --> 00:37:28,852 All right, so what I’m gonna do next, 834 00:37:28,890 --> 00:37:30,620 is I’m gonna go ahead and clean that off. 835 00:37:31,292 --> 00:37:32,592 Good, good, good. 836 00:37:32,627 --> 00:37:34,967 Okay, Zion, this can get really cold. 837 00:37:34,996 --> 00:37:36,866 And can be uncomfortable but just... 838 00:37:36,898 --> 00:37:38,308 be patient with me. 839 00:37:38,332 --> 00:37:40,902 [indistinct chatter] 840 00:37:44,238 --> 00:37:45,968 [Larry] I think we will probably put him 841 00:37:46,007 --> 00:37:47,877 on some antibiotics for a couple days. 842 00:37:49,844 --> 00:37:51,484 Okay. It’s nice and frosty. 843 00:37:51,512 --> 00:37:52,782 There’s a number of different ways 844 00:37:52,814 --> 00:37:54,054 I can approach this. 845 00:37:54,081 --> 00:37:57,111 And what I generally find works best 846 00:37:57,151 --> 00:37:59,321 is to put some topical numbing medicine 847 00:37:59,353 --> 00:38:00,583 on top of that. 848 00:38:00,621 --> 00:38:03,321 Then, I also have a vapor coolant, which is a freezy spray. 849 00:38:03,357 --> 00:38:05,067 Then work fast. 850 00:38:05,092 --> 00:38:06,122 [nurse] I’m gonna apply this. 851 00:38:06,160 --> 00:38:07,860 It’s like a really thick lotion 852 00:38:07,895 --> 00:38:10,665 around the top of the earring here. 853 00:38:10,698 --> 00:38:13,298 [Larry] If Zion had never told his mother about this, 854 00:38:13,334 --> 00:38:14,874 and didn’t come in today, 855 00:38:14,902 --> 00:38:18,672 and just allowed this earring to stay buried there, 856 00:38:18,706 --> 00:38:19,976 body’s gonna respond to that, 857 00:38:20,007 --> 00:38:23,017 the body’s gonna try and take it out itself. 858 00:38:23,044 --> 00:38:25,514 And that’s gonna be an inflammatory reaction. 859 00:38:25,546 --> 00:38:29,316 And with inflammatory reactions come secondary infections. 860 00:38:29,350 --> 00:38:31,150 Some patients come in with a... 861 00:38:31,185 --> 00:38:33,985 pericarditis, which is a big word, meaning, 862 00:38:34,021 --> 00:38:35,891 that the cartilage is now infected. 863 00:38:35,923 --> 00:38:39,423 Those are even more complicated problems. 864 00:38:39,460 --> 00:38:40,660 So, the longer it’s in there, 865 00:38:40,695 --> 00:38:42,995 there’s gonna be a very unattractive scar 866 00:38:43,030 --> 00:38:44,860 and that’s part of the reason we need to get it out. 867 00:38:44,899 --> 00:38:46,359 We need to get it out now. 868 00:38:46,400 --> 00:38:47,870 [Larry] Does that feel a little bit number? 869 00:38:47,902 --> 00:38:49,872 Now that we put this medicine on there? 870 00:38:49,904 --> 00:38:50,774 [Zion] Oh, yes, sir. 871 00:38:50,805 --> 00:38:51,645 [Larry] It does, okay. 872 00:38:52,974 --> 00:38:55,014 You can see that, right? That baby right there. 873 00:38:55,042 --> 00:38:56,742 I think it will poke through, nicely. 874 00:38:56,777 --> 00:38:58,517 The worst case scenario would actually having to 875 00:38:58,546 --> 00:38:59,886 take a blade, that will go in there and... 876 00:38:59,914 --> 00:39:03,184 and open up the back and we’ve done that on occasion too. 877 00:39:03,217 --> 00:39:06,087 The problem is, as ear lobe gets more swollen, 878 00:39:06,120 --> 00:39:08,550 then, it gets harder and harder to... 879 00:39:09,123 --> 00:39:10,023 find. 880 00:39:10,057 --> 00:39:11,927 Especially if it’s a small earring. 881 00:39:11,959 --> 00:39:13,019 [Larry] All right, here goes. 882 00:39:13,060 --> 00:39:15,190 I’m just gonna see if I can just poke that baby 883 00:39:15,229 --> 00:39:16,089 right off through there, 884 00:39:16,130 --> 00:39:17,830 without causing you too much pain. 885 00:39:19,433 --> 00:39:20,263 Here it comes. 886 00:39:20,902 --> 00:39:22,372 Here it comes. 887 00:39:22,403 --> 00:39:24,343 It’s on there but it’s coming... 888 00:39:29,810 --> 00:39:30,980 We’re making progress. 889 00:39:35,850 --> 00:39:38,120 If I have to stop and re... 890 00:39:38,152 --> 00:39:40,252 spray you with that cold stuff, I can. 891 00:39:40,922 --> 00:39:42,622 But I’m just about there. 892 00:39:42,657 --> 00:39:44,427 [nurse] And it screws on. 893 00:39:44,458 --> 00:39:46,388 [Larry] Yeah. So, there it is. There it is. You got it. 894 00:39:46,427 --> 00:39:48,337 - I think that-- - [nurse] Oh, it screws on. Okay. 895 00:39:48,362 --> 00:39:50,392 Yeah. 896 00:39:50,431 --> 00:39:52,461 - [Larry] It’s coming. - [nurse] Here we go. 897 00:39:52,500 --> 00:39:53,960 [Larry] That baby was buried in there. 898 00:39:55,636 --> 00:39:56,836 You know, these football players, 899 00:39:56,871 --> 00:39:57,971 they don’t feel any pain. 900 00:39:58,005 --> 00:39:59,505 [giggles] 901 00:39:59,540 --> 00:40:01,440 [Larry] Okay. So, I got it out. 902 00:40:01,475 --> 00:40:03,575 All right, so let me see if I can just... 903 00:40:03,611 --> 00:40:05,611 Lefty-loosey, righty-tighty, right? 904 00:40:08,115 --> 00:40:10,155 This is like bent, a little bit. 905 00:40:10,184 --> 00:40:11,424 [Larry] The backing of this earring 906 00:40:11,452 --> 00:40:13,782 is a screw on type earring and I can’t unscrew it 907 00:40:13,821 --> 00:40:15,621 because the stem is bent. 908 00:40:15,656 --> 00:40:17,766 And obviously, I can’t pull it out the front. 909 00:40:17,792 --> 00:40:19,692 And I can’t pull it out the back. 910 00:40:19,727 --> 00:40:21,997 So, I need to figure out what to do next. 911 00:40:22,029 --> 00:40:23,159 [nurse] We might have to cut it. 912 00:40:23,197 --> 00:40:24,207 [Larry] Yeah. 913 00:40:24,231 --> 00:40:26,261 Would you be upset if I just cut this off? 914 00:40:26,300 --> 00:40:27,930 - [Zion] You talking about the earring? No. - Yeah. 915 00:40:27,969 --> 00:40:29,429 [Larry] Okay, good enough, all right. 916 00:40:29,470 --> 00:40:31,400 Let me go grab some tools here. 917 00:40:32,873 --> 00:40:35,513 My next choice is to cut it off. 918 00:40:36,210 --> 00:40:38,210 I don’t necessarily have 919 00:40:38,245 --> 00:40:40,855 a lot of tools for that sort of thing 920 00:40:40,881 --> 00:40:43,181 but I’ve learned over the years that 921 00:40:43,217 --> 00:40:45,887 a good side cutter, a good wire cutter, 922 00:40:45,920 --> 00:40:49,150 comes in valuable sometimes in the emergency department. 923 00:40:49,190 --> 00:40:51,290 I’m gonna do the freezy spray one more time. 924 00:40:51,325 --> 00:40:53,825 Because I wanna minimize the discomfort here, but... 925 00:40:53,861 --> 00:40:56,061 Let me know if it bothers you, so. 926 00:41:11,912 --> 00:41:12,742 [Larry] Got it. 927 00:41:13,280 --> 00:41:14,110 Came out. 928 00:41:15,082 --> 00:41:16,852 You know, I hated to think I might have been 929 00:41:16,884 --> 00:41:18,984 beaten by an earring but we got it. 930 00:41:19,020 --> 00:41:20,550 I love victories like this. 931 00:41:20,588 --> 00:41:22,658 And you know, it was a little bit concerning 932 00:41:22,690 --> 00:41:25,690 that we weren’t gonna be able to easily get this off. 933 00:41:25,726 --> 00:41:27,096 Your earring. 934 00:41:27,128 --> 00:41:29,938 And you know, obviously, I don’t wanna consult any of my... 935 00:41:30,631 --> 00:41:31,861 specialty colleagues. 936 00:41:31,899 --> 00:41:33,199 I need to do this myself. 937 00:41:33,234 --> 00:41:34,604 But we were successful here. 938 00:41:34,635 --> 00:41:36,005 Unfortunately, I had to cut it. 939 00:41:36,037 --> 00:41:38,077 I mean, if you had decided, "Look, hey, I’m just gonna... 940 00:41:38,105 --> 00:41:40,845 I’m gonna do a nose piercing, instead of my ear", 941 00:41:40,875 --> 00:41:42,515 you could have reused it, but you know, 942 00:41:42,543 --> 00:41:44,143 guess we’re out of luck now. 943 00:41:45,613 --> 00:41:47,183 [Kimberly] I think he’s done with you. 944 00:41:47,214 --> 00:41:48,054 [Zion] Yeah. 945 00:41:49,250 --> 00:41:51,050 [Kimberly] I’m proud of him, he did a good job. 946 00:41:51,085 --> 00:41:52,485 I’m glad he’s feeling better. 947 00:41:53,087 --> 00:41:54,457 I was worried. 948 00:41:54,488 --> 00:41:56,548 ’Cause he’d been in pain for a while now. 949 00:41:56,590 --> 00:41:58,220 So, I’m glad it’s over. 950 00:41:58,259 --> 00:41:59,619 I’m glad you’re feeling better. 951 00:41:59,660 --> 00:42:02,430 All right, thanks, Zion. You’re a good sport. 952 00:42:02,463 --> 00:42:04,063 - [Kimberly] Thank you. - [Larry] Appreciate it. 953 00:42:07,968 --> 00:42:10,098 That’s just stuck in your sinuses. 954 00:42:10,137 --> 00:42:12,447 This mucus was literally stuck there 955 00:42:12,473 --> 00:42:13,973 probably months to years. 956 00:42:14,008 --> 00:42:15,618 [Lynn] This was wax out of that one ear. 957 00:42:15,643 --> 00:42:20,313 [woman] Walk around like I’m cute, but that is just eeew. 958 00:42:20,347 --> 00:42:23,787 Our cannister is full of all kinds of loveliness. 959 00:42:23,818 --> 00:42:26,928 [Lynn] From ear wax, to puss, to fungus. 960 00:42:26,954 --> 00:42:28,154 To foreign bodies. 961 00:42:28,189 --> 00:42:30,289 [man] A ER physician tried to pull it out 962 00:42:30,324 --> 00:42:32,164 and it’s actually in there pretty good. 963 00:42:32,193 --> 00:42:33,663 [man 2] Ah, there goes the nail. 964 00:42:33,694 --> 00:42:35,334 [man 3] The immense pain at that point, 965 00:42:35,362 --> 00:42:37,832 it really felt like my muscles ripping out.