Tuesday, June 29, 2010
It's been a while since my last blog because I have been busy getting all my academic requirements completed and am happy to report that I am officially done with residency. This story occurred about a month ago.
A 32 year old Hispanic female arrived holding her left ear and screaming at the top of her lungs. She was yelling in Spanish so I didn't know what she was saying. The triage nurse came up to me and told me that she had a live cockroach in her ear. I immediately went into the room and looked. Sure enough, a rather large cockroach was at the very back of her ear by the tympanic membrane (TM). I could see the tentacles moving and it's legs scratching at the membrane. It was the scratching which was causing her distress so I attempted to flush the thing out with some saline. In the process, I would periodically check to see if it had moved. Unfortunately, the roach would simply crawl back up into the ear after each irrigation.
I then put some viscous lidocaine in the ear to help with the pain and to try and kill the roach. Shortly after, I re-checked the ear and noticed that the TM perforated and now had a large hole in it! The roach had crawled into the hole behind her tympanic membrane (in layman's terms....bad shit!!!). At that point, I broke down and called ENT and she went up to the ENT clinic for roach removal. To this day, I don't know what happened in the ENT clinic, but I doubt it was good.
Posted by SerenityNow at 7:48 AM