UNUSUAL & DIFFICULT KERATIN ENCASED EAR CANAL CLEARANCE - EP867 

That was AMAZING! And please, don’t stop using the food analogies! They are so you, and you are so entertaining just the way you are!!

I know it’s not the tool for every occasion, but I love the alligator forceps. And a good food reference!😊

Please don’t stop the food analogies. Most of us ❤️❤️❤️ them!

We need a WOW button 😮

You can't contain your enthusiasm❤❤

The food analogies help me understand what consistency you are working with. I'm fine with you using them. 😊

I like the food comparisons. It's truly funny

Never stop using the food descriptions, Rhys!! I love it!👏🏻👏🏻

Love the Great British Bake off comment. Pastry and lamination is a perfect way to explain keratin. ❤

I love hearing you voice over wax/keratin removal . You make the listener really engaged . I really think you should be a car race announcer. Thank you for your time bringing these videos to us. ❤

Beautiful job, Rhys 👏🏾 .

Keep up with the food referances. Its almost anticipation of what food item will be used today

Thanks for another great video. It was interesting. Tough one today. Lots of dead skin to get out of ear. My compliments Rhys. Nicely done. Thanks. Iowa here. Steve.

Filo pastry and the proper term for the layers is leaves lol. I love the food references!

Ooh, good one! For whatever reason, I love the skin removals. Your food analogies are good by me. They make it much easier to understand the consistency of what you're dealing with.

Amazing skin peel. So satisfying thanks you muchly 👏❤️

My favorite kind of removal! Thanks for sharing. 😊

Brillant skin peel, my favourite 👍🏻 Thanks Mr.B . Take care ❤😘😘🍀🏴󠁧󠁢󠁳󠁣󠁴󠁿

Omgosh! That is my favorite type of removal! Love the skin! Great job, Rhys! 😊

I wish there was a simulator so I could know what this feels like (I know. I’m a weirdo but I can’t be the only one thinking this! 😆) also a game to play trying to get the earwax out, like the audiology version of “operation”

That removal was brilliant. I really wanted to have a go myself and pull that crispy stuff out :)

When you mention the layers.It`s called Aeration like in Filo Pastry.It`s to do with the air between the layers.

I missed this one!! 😵 Thank goodness I noticed. Brilliant removal Rhys and there is no way you can describe the texture etc except by using food analogies, so please carry on with that. 🥰

Don't worry about using food references. Dr. Pimple Popper and other doctors do bc it's something we can all understand. Just keep being you!

Great video! Gotta love those keratin peals. Take care❤

Thank you and Happy Halloween, everyone!!

Would this not be a good case for irrigation? Looks like Baclova as a good reference!

That is the best Trick and Treat I could have asked for. Happy Halloween Everybody 🎉😊

That was wonderful! Thanks so much for the great video!👏🏻💜

Laminated doughs, Rhys! Croissants, danish, napoleons, etc. I bake them all so the next time you’re across the pond, pop in for a cup of tea and treat of your choice! 😊

That was 👍 top shelf. Love the skin cast. Can't imagine how good that must feel after the removal. Great job.

Good gravy that was not playing any games! Whew.. I don't know if you could get molds of the ear canal that perfect haha thanks for another great watch hope everyone has a safe and Happy Halloween 🦇

Happy HALLOWEEN 🎃 🤪 to you, your lovely wife and Taylor ❤ Great video ❤

Great video Rhys!! Love the skin peels 😊 Take Care 🫰👍👍👍👍👍

I love the great british bake off almost as much as I love a good ear wax removal with my favourite audiologist xx but dont tell me who went out as I wont see it till tomorrow when I get home from work Happy Halloween waxaholics 👻🎃 xx

Question for you. For those of us outside the UK, can you talk about how a person would go about training to be an Audiologist where you live? Education and training? Not just a wax removal specialist, but a certified Audiologist. If you know the similarities/differences between your training in the UK and other areas of the world, that would be interesting as well. Thank you.

Hi RHYS great video mate great job done love these videos mate job well done mate

What a relieve this must have been!

Would a silicon tip on the suction tube provide a better suction than bare metal?

Wowzer!! That was some keratin plug!!❤😊

Points to Rhys for watching Bake Off! Fantastic show that we thankfully can get here in the US on Netflix.

Absolutely love watching you guys. I'm an RGN and you have taught me so much about ears (and to stop using q tips!!) You have helped me find effective treatments for my elderly patients .I'm retiring early and would love to know what qualifications are needed to do your job. Thanks again.

Great as always Rhys❤

Good Evening Mr B And Taylor G 🙋🏽.

And you got it all. Wow. Wasn't sure that was going to happen. The patient must have been pleased to get that all out.

Hi Rhyse, say not too worry about negative remarks… food references are fine by me! You just do you!🥰🥰

Those who complain need to learn to laugh!!!

I just found my favorite video of yours! I loved this one! Wow❤

Thank you so much for your explanation. You help to understand what you are doing. I know it helps me

That was a nail-biter. It didn't look, at first, as if it would be a problem, but you are so right, it really got complicated fast.😮 As per usual, you did an amazing job! Thank you!

I love the food analogies! It takes imagination 😂

Lovely job! Cheers from Maine.

A different removal and quite fascinating. ❤❤❤

What a great video! Thanks!

Lamenation is the technique/process of Manufacturing a material in multiple layers,so that the composite material achieves improved strength,stability,sound insulation,appearance,or other properties from the use of the differing materials,such as plastic.

I LOVE FOOD ANALOGIES!!! Bring them on.

Such a satisfying removal!

Guy I have had a stonking cold for weeks ( joy NOT lol ) ears and tubes where in agony so i bit the bullet after wanting to bang my head on the wall. Told I had to wait 2 weeks to see Dr as not emergency!!! Fortunately the wonderful ear nurse was in the back of reception and although she was due lunch she spirited me off for an exam. I had lost a bullet sized chunk of wax in the night fromm my left ear after treating both ears with warm water soaks and gallons of medical grade olive oil ( learned not to use otex from you guys ) nurse got Dr. In and for the next. Few days I have to use earcalm to treat a mild infection as I'm allergic to certain antibiotics. If it doesn't work then it's onto the ones I can til it's sorted...the Dr has informed reception if I need to be seen about my ears it is an emergency as I'm partially deaf in both and atm can't wear my hearing aids so it's even affecting my speech a little. If my ears need wax removal I'm coming to you all the way from Bristol with my partner from nr Bath as I don't trust anyone else

I love your food analogies so keep it going please

Very satisfying !

Rhys, if you want a non-food reference for lamination, a piece of plywood is a good example, at least here in the USA.

_Lamina_ is a general anatomical term meaning "plate" or "layer" and _laminated_ (or lamellated) means "made of laminae", so it's a medically accurate description. If you want to avoid food analogies, the closest thing I can think of is paper mache.

It gives me nightmares that someone can walk around with this in their ear. Itsso satisfying that you clean this mess out😊.

I loved this one

We just want to come visit!😅

That manoeuvre you performed with the St. Bart's hook at the end of the procedure could have been performed near the beginning with a slightly deeper placement of the hook into the matrix, and thus would have shortened the procedure time to a fraction.

Is the pt. one of those that will need to come in regularly to prevent Keratosis obturans?

Interesting.

❤❤❤YOUR CHANNEL!

Is there something like a speculum for ear canals?

Maybe sir try twist and pull when using the forcep

This makes my ears itch just watching...

Hi Rhys it's everybody

Pastery is boc-la-va!

That was a goodie

I claim this space in the name of pseudo-stratified columnar epithelium and periosterium.

Good old croc forceps!

Rhys as much as I love the earwax I will confess that you suddenly coming out with those tattoos at an age of, shall we say over 30 (?), intrigued me. BTW you’ve never shared them with us and I’m betting I’m not the only one who would love you to share. Maybe devote an episode? Why not ask everyone out there and see what the consensus is. I wanted to get a tattoo a few years ago when my beloved husband was alive. Just one mind you, small and tasteful. Does anyone out there believe that? I didn’t think so. Well my husband (whom I loved with all my heart) suddenly put his large size 13 foot down, hard. “NO” he exclaimed! “No tattoos. Absolutely not. You can pierce your ears as many times as you want and have room for and I’ll buy diamonds for all the holes. But no tattoos.” Since this was maybe the second time in 35 years (and I don’t remember the first) that he’d ever said no to me, I was surprised. But I thought if he felt so strongly that I should give in and I did. My daughter backed him up saying I couldn’t stand the needles. Not true but oh well. OK fast forward to today. In 2021 my husband passed away. It’s been a rough 2 years since we were together 38 years but I’m trying to adjust. Last year I became aware of a British boy band called Collabro (there were a few years when I was tending to Alex and frankly hadn’t kept up with BGT, a favorite show). I got caught up with them, following their success and final split. One member in particular, the beautiful tenor, Thomas J. Redgrave, caught my eye from day 1. A number of reasons I’m sure, but his pure tenor soaring out, perfect pitch and tonal quality kept me mesmerized. Well as Simon put it “Britain really has got talent”. However in the period from 2014 (the start of the journey) until now, Thomas did something that caught my eye instead of my ear. He acquired two complete sleeves of tattoos. Now Thomas is a committed gamer and all his tattoos are characters from his favorite game (or games), something I know nothing about. But the tats were all done in that watercolor style with minimal outline. I am an artist, was married to an incredible artist and I know artwork when I see it. Now to get to the point (finally, I know), I began to think. I thought a small, tasteful tattoo, commemorating my husband and I. He’s not here to object soooo ….. Well as I thought, I began getting advice. My daughter decided to support me (once your kid hits their forties you never know what they’ll do) and gave me the name of a parlor where the guy is a true artist who even does portraits. That kind of opened the floodgates; once I thought about a portrait of Alex, I began to think of a number of items that represented special interests of ours or were private to us, etc. And so I decided that nothing less than a full sleeve would do. I’m fairly cool with pain, well not having my arm cut off obviously, but I think as long as it’s done in a number of sessions, I think I’ll be ok. I’m going to donate plasma for a few months to help pay for it because this artist only accepts full day clients and it’s $1,000 per day (not sure how many pounds that is but you all probably know). Ultimately it may seem crazy for a 70 year old woman to embark on this but somehow it feels right. Hope I didn’t bore you all but actually the main thrust here was to say that I’d love to know more about your tats Rhys and I’m sure I’m not alone. Thanks for listening and keep up the fascinating videos. I remain mesmerized by the delicacy of touch you and Taylor have.

WOW awesome peel 😊.

Is this a case of keratosis obturans?

Watching in Bellington WV

That was amazing 👍

Hey Rhys! To give us a better idea of the size of the average ear canal, could you blow up a small balloon to represent the size?

Nice job

Love keratin! Yiippeeeee ! A bit of fungus & infection you have the perfect Vanilla slice 😂

Interesting one.

Filo pastry ear

2:15 fk that was so good

We med people always compare bodily stuff to food! Currant jelly 🤢

I'm curious, do you ever have a patient where it is impossible or you are unsuccessful at removing these keratin layers?

Looks like the graphics or lighting is better in this video. i wonder why 🤔

Mmm, ear croissant 🥐

That probably felt great once out and they can hear better

What did people do if this service was unknown or unavailable? Just keep filing up? Whoa.

Keratin layers are like Philo Pastry.

I knew it was carroten, because it was so orange.

All that keratin possible KO

The ruler shot....looked like Kelloggs Corn Flakes 😉

Luv it

Look.at.that!!!!