Best Procedure of the Day
Posted by GruntDoc on April 26th, 2008
The patient’s CC: bug in ear.
Physical exam: Pt in mild distress, holding one ear. Otoscope exam shows the back end of a bug.
I started by filling the ear with 1% lidocaine, to drown the bug so they quit moving (which is apparently painful and freaky in an attached-to-your-brainstem weirdness kind of way).
Then it happened, something that hasn’t happened in years of doing this: the bug came out to keep from drowning! There’s a little bug running on the bed, which met its maker quickly. Re-exam showed the inside of the ear none the worse for wear, and the relief of everyone was terrific.
First time I’ve been charged by a bug, though.
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April 26th, 2008 at 6:00 am
Totally awesome.
April 26th, 2008 at 6:38 am
When in an ambush, charge out of the kill zone, as it were.
April 26th, 2008 at 9:18 am
You are real lucky Doc, they charge when they are wounded.
rockhead
April 26th, 2008 at 9:52 am
AAAAUUUUGGGGHHHHH!!!! The stuff that nightmares are made of.
April 26th, 2008 at 4:34 pm
Any jumping and screaming involved in the alleged attempted by the bug to assault a healthcare provider in the line of duty?
I think not!
Judge and Jury were not consulted, I think it was a case of vigilant justice on a homeless bug.
April 28th, 2008 at 9:42 pm
Another trick is to put some Vaseline on the lens of a flashlight and shine it in the ear; the bug will (hopefully) fly toward the light and get stuck in the Vaseline.