From my chamber: A patient with impacted ear wax!! by hafiz34

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· @hafiz34 ·
$0.26
From my chamber: A patient with impacted ear wax!!
Although we (general physicians) are not an ENT specialist, patients do come to us with ear problems. We usually give treatment for simple ear problems such as infections, pain or impacted wax. For impacted wax, the first choice is an ear drop which softens the wax and facilities its removal gradually. However, in some instance, drops fail to remove the wax, when we do the ear wash.

Today one Omani lady came to me with mild deafness in both of her ears due to impacted wax. She already took ear drops from another doctor but her symptoms persisted. So that I needed to go for the next treatment option, which was ear wash. 

As a procedure, which itself is quite dangerous, we at first put a few drops of hydrogen peroxide in the external ear canals. After a period of 10-15 minutes, we irrigate the canal with warm water using a syringe. In most of the cases, the wax comes out. If fails in the first try, we put hydrogen peroxide again for another 10-15 minutes and try for the second times.

As my today’s patient already used the wax softener drops, it was quite an easy wash. Upon finishing the washing, the patient was quite happy as she could hear the sound well.

If there is any defect in the tympanic membrane (eardrum) or there is an active infection, washing an ear can be quite dangerous. So we take a proper history about any prior significant illness in patient’s ears. <br/> _This report was published via Actifit app ([Android](https://bit.ly/actifit-app) | [iOS](https://bit.ly/actifit-ios)). Check out the original version [here on actifit.io](https://actifit.io/@hafiz34/actifit-hafiz34-20201119t194938485z)_ <br/> <br><img src="https://cdn.steemitimages.com/DQmXv9QWiAYiLCSr3sKxVzUJVrgin3ZZWM2CExEo3fd5GUS/sep3.png"><br><table>	<tr>		<img src="https://cdn.steemitimages.com/DQmRgAoqi4vUVymaro8hXdRraNX6LHkXhMRBZxEo5vVWXDN/ACTIVITYCOUNT.png">	</tr>	<tr>		<div class="text-center"><b>11001</b></div>	</tr></table><table>	<tr>		<img src="https://cdn.steemitimages.com/DQmZ6ZT8VaEpaDzB16qZzK8omffbWUpEpe4BkJkMXmN3xrF/ACTIVITYTYPE.png">	</tr>	<tr>		<div class="text-center"><pre><b>Aerobics, Daily Activity, House Chores, Moving Around Office, Play with kids/grand kids</b></div></pre></div>	</tr></table><table>	<tr>		<img src="https://cdn.steemitimages.com/DQmdnh1nApZieHZ3s1fEhCALDjnzytFwo78zbAY5CLUMpoG/TRACKM.png">		<td><div class="text-center"><div class="phishy"><h6>Height</h6></div>			<h6>165 cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmfSsFiXem7AxWG1NCiYYPAjtT4Y7LR8FsXpfsZQe7XqPC/h1.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Weight</h6></div>			<h6>68.8 kg</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmVqJVEWUwicFRtkEz2WYq2mDH61mQLDsrzN1yBrKLrpyZ/w1a.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Body Fat</h6></div>			<h6> %</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmPJ2Vvi3mBQXKHoy5CTG7fyLFWMG8JaAZ8y1XZFeDkRUC/bd1.png"></td>	</tr> 	<tr>		<td><div class="text-center"><div class="phishy"><h6>Waist</h6></div></div>			<div class="text-center"><h6> cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmZ2Lfwg77FLaf3YpU1VPLsJvnBt1F8DG8y6t6xUAKnsYq/w1.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Thighs</h6></div></div>			<div class="text-center"><h6> cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmbbAAFy6hwwBWqtSmcSwosTyNZi9rcd6GNeugQRY9MF1h/t1.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Chest</h6></div></div>			<div class="text-center"><h6> cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmbaoNBT5Unnjqh8JgP6TPj4mFKFnyKkLgP6eDYnnkiLkB/c1.png"></td>	</tr></table><div class="text-center"><img src="https://cdn.steemitimages.com/DQmY67NW9SgDEsLo2nsAw4nYcddrTjp4aHNLyogKvGuVMMH/A-9.png"><a href="https://bit.ly/actifit-app"><img src="https://cdn.steemitimages.com/DQmQqfpSmcQtfrHAtzfBtVccXwUL9vKNgZJ2j93m8WNjizw/l5.png"></a><a href="https://bit.ly/actifit-ios"><img src="https://cdn.steemitimages.com/DQmbWy8KzKT1UvCvznUTaFPw6wBUcyLtBT5XL9wdbB7Hfmn/l6.png"></a></div>
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properties (23)
post_id88,483,601
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vote details (610)
@actifit ·
Congrats on providing **Proof of Activity** via your Actifit report!

You have been rewarded 199.8671 AFIT tokens for your effort in reaching 11001 activity, as well as your user rank and report quality!
You also received a 3.13% upvote via @actifit account. 
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padding: 5px;"><div class="avatar pro-card-av" style="border-color: orange;background-image: url(https://actifit.io/img/gadgets/protein-shake-v2.png); width: 90px; height: 90px;"></div><img src="https://actifit.io/img/gadgets/protein-shake-v2.png" class="no-actifit"><div><i class="fas fa-star text-brand"></i><i class="fas fa-star text-brand"></i></div><div>Protein Shake - L2</div><div>+ 15 % AFIT</div></div><div style="flex-direction: column; padding: 5px;"><div class="avatar pro-card-av" style="background-image: url(https://actifit.io/img/gadgets/water-v2.png); width: 90px; height: 90px;"></div><img src="https://actifit.io/img/gadgets/water-v2.png" class="no-actifit"><div><i class="fas fa-star text-brand"></i></div><div>Water Bottle - L1</div><div>+ 5   AFIT</div></div><div style="flex-direction: column; padding: 5px;"><div class="avatar pro-card-av" style="border-color: orange;background-image: url(https://actifit.io/img/gadgets/water-v2.png); width: 90px; height: 90px;"></div><img src="https://actifit.io/img/gadgets/water-v2.png" class="no-actifit"><div><i class="fas fa-star text-brand"></i><i class="fas fa-star text-brand"></i></div><div>Water Bottle - L2</div><div>+ 10   AFIT</div></div><div style="flex-direction: column; 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