Richard Rathe<p><span class="h-card" translate="no"><a href="https://mastodon.nz/@iangriffin" class="u-url mention" rel="nofollow noopener" target="_blank">@<span>iangriffin</span></a></span> </p><p>"A lovely young doctor examined me and said, "You probably have a blocked eustachian tube". I begged to differ. .... Even she had to look it up! So two, relatively young but experienced doctors hadn’t come across this thing that apparently is an emergency!"</p><p>[It is a positive that she looked it up BTW!]</p><p>I taught physical diagnosis for twenty years at a major university in the US. We older doctors often lamented that good old history and physical exam skills were being lost to the next generation.</p><p>Your history was "not normal" for a eustachian tube problem. "...over about a minute, the hearing on my right side faded until I couldn't hear anything at all." A *Red Flag* we would say. Sudden loss of any neurological function is an emergency.</p><p>There are easy bedside tests that could have been done to confirm this (see graphic). Did the young docs know them/perform them?! A good review...</p><p><a href="https://www.jabfm.org/content/34/1/216.long" rel="nofollow noopener" translate="no" target="_blank"><span class="invisible">https://www.</span><span class="ellipsis">jabfm.org/content/34/1/216.lon</span><span class="invisible">g</span></a></p><p><a href="https://universeodon.com/tags/SSNHL" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>SSNHL</span></a> <a href="https://universeodon.com/tags/SSHL" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>SSHL</span></a> <a href="https://universeodon.com/tags/HearingLoss" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>HearingLoss</span></a> <a href="https://universeodon.com/tags/Hearing" class="mention hashtag" rel="nofollow noopener" target="_blank">#<span>Hearing</span></a></p>