The Screaming Patient

“Angela” became my patient when she was only a year old.

She suffered many ear infections and required ear tubes. She did very well after surgery and her infections subsided. Like many small children, she was wary of doctors. She announced her arrival into the office with loud piercing screams. No matter how hard we all tried to reassure her, we were far from the best of friends.

Then one day, months later, there were no screams. Instead she sat nervously next to her mother and peeped at me with her beautiful doe eyes. To my surprise and joy, she slowly walked towards me, tugged at my dress, and then climbed onto my lap. Maybe we could be best friends after all. Now she gives me a big hug during each office visit, and even sits on my lap while I examine her. We often talk and laugh about the old days, and I see that beautiful smile again and again.

More about Ear Tubes

So what about tubes? …Indeed a very common procedure throughout the United States. It is performed for recurring middle ear infections, persistent middle ear fluid and hearing loss, Eustachian Tube dysfunction, acute Mastoiditis, and sometimes a severe acute middle ear infection that is not responsive to medication. Adults can have the procedure under local anesthesia in the office, although a general anesthetic is used for infants and children. A tiny incision is made in the ear membrane and a cylindrical tiny tube gently inserted. Air replaces fluid in the middle ear and hearing improves. Recovery is quick with minimal post operative discomfort. Patients are followed in the office every 4-6months and tubes will often spontaneously extrude within 6 to 18 months.

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About the Authors

Kari Kingsley, MSN, CRNP

Kari works as an otolaryngology nurse practitioner in collaboration with Dr. Neeta Kohli-Dang. Together they share nearly forty years of ENT experience. They treat dizziness, ear infections, hearing loss, nasal congestion, sinus infections, thyroid nodules, tonsillitis, neck masses, hoarseness, trouble swallowing, and a multitude of other ear nose and throat conditions.

Neeta Kohli-Dang, M.D., F.R.C.S. (C)

Dr. Neeta Dang has had a successful and busy practice since 1987 with vast experience in the treatment of ear, nose and throat disorders, both pediatric and adult.

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It was a dull and rainy weekend. I was busy making house rounds and telling my kids to clean up their room – so I could at least see the floor!! As usual I got the same reply – their friends have even messier rooms. And I am supposed to be content with that?? Fat...