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hi everybody this is dr. F rat coming back to you with another case of otitis media in this case there was thick middle ear fluid it's called gloomier actually so we use topical anesthesia to again and that's the ties the eardrum the difference between this exam and this ear drainage and the prior one which I've posted is that the middle ear fluid and this patient was very very thick and it's what we call almost a glue ear the middle ear fluid is very thick and tenacious and it causes a significant hearing loss in this patient it was ongoing for over a month despite using allergy medicines decongestants and antibiotics so decision made was to drain the ear and now when we suction out the fluid you see that it's not just a watery Floyd you see how thick and tenacious it is and there is such significant improvement in the hearing once this is performed again this is performed endoscopy wi