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elm's avatar

Well, Mark covered in an expert way, what I was thinking: you've got that new little bundle of frequently infectious joy! The little guys haven't got fully developed immune systems yet, so they catch things you don't - but you're then around them all the time so eventually you get it too. Condolences!

So I'm gong check the manual here [cracks open 'Instagram-speak for Dummies'**] and it says I'm supposed to say that You Should Embrace Getting to Enjoy the Fullness of Experience of this here Circle of Life. Or something like.

elm

** a dialect with a vocabulary apparently derived from the self-help movement but with a grammar drawn from real estate brochurese

mark clark's avatar

His Phoebe-

I am a recent subscriber to Feminine Chaos and so far I have really appreciated each episode. Thanks so much to you and Kat!

I have 35+ years experience in primary care medicine (MD) but am not an ENT doc- so take the following FWIW. As you may know, there are two kinds of bacterial infectious otitis (externa and media), and the appropriate treatment for one may be entirely ineffective for the other. Otitis media, which kids get all the time but which is less prevalent in adults, is only diagnosable by physician or Nurse Practitioner physical exam and is treated by oral antibiotics. Otitis externa (usually the ear canal will be obviously abnormal (narrowed, inflamed, etc) just by looking at it) needs to be treated by topical antibiotic plus anti-inflammatory drops rx.

In addition to these two bacterial infections, viruses that infect the throat (like SARS CoV2) could cause a fluid build up in the middle ear, Eustachian tubes, etc., which could cause pain, "fullness", etc. This would best be treated with decongestants (sudafed, etc.) and/or antihistamines, NOT antibiotics. The good news is that these ear complications of upper respiratory viral infections tend to be fairly short-lived (1-2 weeks max).

Covid is such a novel virus that it can probably infect many different anatomic sites. That said, "Covid ear" -if it exists at all- is not common, poorly understood, and not yet definitely a "thing." Before I wrote off my and my childrens' ear symptoms to "Covid Ear", I'd want to make sure that the common and typical external and internal (i.e. "media") bacterial infections had been ruled out. This is something that an experienced doctor should be able to do, but with which a resident might (resident's skills vary) have trouble - just due to lack of years on the job.

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