Tales of the Unexpected
Sometimes medicine is enthralling, but at others it leaves one with a feeling of trepidation. I was teaching my new trainee today in my clinic in the NHS. He had never done any ENT before and was impressing me with pertinent questions about the patients we were seeing together in a very busy clinic. I had just made the point that there are no short-cuts in medicine when an otherwise well, non-smoking young lady in her 30’s came in with an “ear infection”. Or that’s what her GP referred her as. Turns out she had a nasty cold whilst on holiday and her ear became blocked and full. On return, she received some antibiotics, but five weeks later, it was still blocked. Her hearing test suggested some fluid behind the eardrum, but it really didn’t looked inflamed at all. I asked my trainee to feel her neck carefully for any glands and he asked if you normally get glands in the neck from an ear infection. Meanwhile, I took a fibreoptic endoscope and passed this gently through her nostril to take a look at the postnasal space, where the eustachian tube opens. There, I found a pink, fleshy mass covering over the opening of the tube.
We are making urgent arrangements to biopsy this under general anaesthetic. Problem is, this may well turn out to be a malignant tumour. when it finally dawned on my trainee that this was no simple ear infection his face suddenly dropped. Then he understood what I meant by “no shortcuts”. I think it may have ruined his day.
Tags: Throat cancer
November 27th, 2009 at 12:54 pm
Good job! Can’t wait to start my own blog.
December 13th, 2009 at 4:25 am
Easily, the post is actually the freshest on this laudable topic. I concur with your conclusions and will eagerly look forward to your forthcoming updates. Saying thanks will not just be enough, for the fantasti c clarity in your writing. I will at once grab your rss feed to stay abreast of any updates with my appendicitis review website.Solid work and much success in your business endeavors!Thanks.
December 26th, 2009 at 5:01 pm
I wanted to thank you for this excellent read!! I definitely loved every little bit of it. I have you bookmarked your site to check out the latest stuff you post.
January 3rd, 2010 at 3:03 pm
Wow. A New Year but where are the new posts? Please write something new
- Bill
January 18th, 2010 at 8:25 pm
Aw, this was a really quality post. In theory I’d like to write like this too - taking time and real effort to make a good article… but what can I say… I procrastinate alot and never seem to get something done.
January 18th, 2010 at 11:15 pm
I like your weblog greatly. Will bookmark. Keep up to excellent writing on it. ty
January 22nd, 2010 at 10:17 pm
Aw, this was a really quality post. In theory I’d like to write like this too - taking time and real effort to make a good article… but what can I say… I procrastinate alot and never seem to get something done.
March 5th, 2010 at 7:28 am
Great job on your blog.
March 7th, 2010 at 12:55 pm
Wonderful content! This can aid a lot of us learn about this matter. Do you want to include video clips besides these? It would certainly help out. Your reason was spot on and owing to you; I perhaps won’t have to discuss all sorts of things to my pals. I can simply lead them here.
March 15th, 2010 at 2:30 am
Good job! Can’t wait to start my own blog.reciprocal link checker
March 21st, 2010 at 1:14 pm
Easily, the article is really the best on this worthy topic. I agree with your conclusions and will eagerly look forward to your next updates. Saying thanks will not just be enough, for the exceptional clarity in your writing. I will right away grab your rss feed to stay abreast of any updates.Solid work and much success in your business dealings!Thank you.
April 4th, 2010 at 5:11 pm
Keep up the good work.
April 16th, 2010 at 3:39 pm
This post was mentioned on MySpace by Richard Hawkesford.
May 2nd, 2010 at 3:25 am
Great post! Would mind guest posting on my blog?
May 10th, 2010 at 5:52 am
Bookmarked, i will add your homepage to my toolbar
May 14th, 2010 at 6:28 am
I must say, I enjoy reading your post. Maybe you could let me know how I can bookmark it ? Also just thought I would tell you I found this site through Bing.
May 21st, 2010 at 7:03 pm
Impressive blog post man, I genuinely like the look and additionally the feel of this unique internet page. You write actually well, you should be a aware guy. Will definitely come back
May 22nd, 2010 at 2:48 am
Excellent article post on the blog man, I realistically like the look and additionally the feel of this kind of weblog. You write essentially well, you should be a knowledgable guy. Will really come back
May 25th, 2010 at 7:21 pm
Wow dude, this is really helpful information, much appreciated.
June 25th, 2010 at 12:42 pm
I stumbled across your site and think it’s fantastic, keep us posting
June 25th, 2010 at 5:45 pm
You have a great Blog here Mate. Love your content very informative, Please keep up the good work.
July 2nd, 2010 at 11:07 pm
I found your blog on google and read a few of your other posts. I just added you to my Google News Reader. Keep up the awesome work Look forward to reading more from you in the future.
July 4th, 2010 at 4:31 pm
This article is very important to me, and I like it very much, I will add it to my favorites.
July 6th, 2010 at 5:00 pm
Smart piece of writing man, I incredibly like the look and additionally the feel of this excellent website. You write fully well, you should really be a aware guy. Will undeniably come back
July 11th, 2010 at 6:24 am
with regard to the excellent publish. Very informative and Our appreciated looking that at the same time as your various other content. bless you for sharing and carry on good operate.
July 12th, 2010 at 6:04 am
I found this information interesting.
July 12th, 2010 at 2:16 pm
I found this information interesting.
July 12th, 2010 at 5:12 pm
This post is good.
July 12th, 2010 at 8:43 pm
What a fantastic article,and the blog theme is so Beautiful,could you tell me where can download this theme.
July 12th, 2010 at 10:43 pm
In one moment in my search, I find your site, and always return for here because enjoy it.
July 13th, 2010 at 12:53 pm
Normally I don’t submit on blogs, but I would like to say that this article definitely forced me to complete so! genuinely nice submit.
July 14th, 2010 at 7:43 pm
I very much like your website. Great content. Please continue posting such really good cotent.
July 14th, 2010 at 8:33 pm
Excellent website, where did you come up with the info in this piece? I’m pleased I discovered it though, ill be checking back quickly to see what other content articles you have.
July 17th, 2010 at 7:25 pm
We are a group of volunteers and starting a new initiative in our community. Your site provided us with valuable information to work on|.You have done a marvellous job!
July 18th, 2010 at 7:28 pm
I truly appreciate this article post.Thanks Again. Really Great.
July 21st, 2010 at 1:00 am
Nice post. Thanks
July 25th, 2010 at 3:56 pm
Thanks for the information. It’s nice to know I’m doing something right!
July 27th, 2010 at 2:05 am
hey all, Keep up the good work. very informative, and love all the information provided. I love everything i have read so far
July 27th, 2010 at 6:42 pm
I loved what youve completed the following. The design and style is stylish, your material classy. Nonetheless, youve acquired an edginess to what youre providing here. Ill undoubtedly come back for additional when you keep this up. Dont lose wish if not as well a lot of people see your vision, know youve gained a fan correct below who values what youve received to say and the way youve presented oneself. Excellent on you!
July 29th, 2010 at 10:32 pm
Thanks for the interesting content!!!
July 30th, 2010 at 2:53 am
well I just discovered this website for the first time today. outstanding article. Thank you for the good read. Will add to RSS feed.
August 4th, 2010 at 2:21 am
I’m impressed!! Really informative blog post here my friend. I just wanted to comment & say keep up the quality work. I’ve bookmarked your blog just now and I’ll be back to read more in the future my friend! Also nice colors on the layout, it’s really easy on the eyes.
August 5th, 2010 at 12:32 am
cool. i need tips from bloggers like your self to get my websites right. excellent info, well constructed.
August 5th, 2010 at 5:30 am
I’m impressed!! Really informative blog post here my friend. I just wanted to comment & say keep up the quality work. I’ve bookmarked your blog just now and I’ll be back to read more in the future my friend! Also nice colors on the layout, it’s really easy on the eyes.
August 5th, 2010 at 6:36 pm
I’m impressed!!! Really informative blog post here my friend. I just wanted to comment & say keep up the quality work. I’ve bookmarked your blog just now and I’ll be back to read more in the future my friend! Also nice colors on the layout, it’s really easy on the eyes.
August 7th, 2010 at 1:44 pm
I wanted to thank you for this great I definitely loved every little bit of it. I have you bookmarked your site to check out the latest stuff you post.
August 9th, 2010 at 12:01 pm
I can see how you can be agitated all these article directories. I need all the article directories that quickly posts your article.
August 9th, 2010 at 4:12 pm
I know this is really boring and you are skipping to the next comment, but I just wanted to throw you a big thanks - you cleared up some things for me!
August 9th, 2010 at 6:10 pm
I admire what you have done here. I like the part where you say you are doing this to give back but I would assume by all the comments that this is working for you as well.
August 11th, 2010 at 12:32 am
Easily, the post is actually the greatest on this deserving topic. I agree with your conclusions and will thirstily look forward to your coming updates. . . . .
August 11th, 2010 at 1:00 am
I love reading this and hearing what you think
August 11th, 2010 at 5:05 am
What a well written blog. I spend days on the internet reading blogs, about tons of different subjects. I have to first of all give kudos to whoever created your website and second of all to you for writing what i can only describe as an amazing post. I honestly believe there is a skill to writing articles that only a few posses and frankly you have it. The combination of informative and quality content is definitely extremely rare with the large amount of blogs on the internet.
August 11th, 2010 at 5:34 am
awesome post. I have discovered for myself just how flexible WP is, as a hosting platform for your website. you literally have everything you need to publish a website at your fingertips, through WordPress. thanks.
August 11th, 2010 at 12:30 pm
Many people will agree with your opinion whoever many other’s will not agree. Anyway I appreciate your work here.
August 11th, 2010 at 1:47 pm
Genial dispatch and this fill someone in on helped me alot in my college assignement. Thanks you on your information.
August 11th, 2010 at 2:18 pm
Wow this is a great resource.. I’m enjoying it.. good article
August 11th, 2010 at 2:29 pm
We just couldnt leave your website before saying that we really enjoyed the useful information you offer to your visitors… Will be back soon to check up on new stuff you post!
August 11th, 2010 at 2:33 pm
Good collection of work & excellent site!
August 11th, 2010 at 2:57 pm
hey friend… i think your site is very interisting for me….. your site give me some important information.. thanks a lot!
August 11th, 2010 at 3:32 pm
Wow so nice! I like this site.Keep it working every day
August 11th, 2010 at 3:46 pm
Keep posting stuff like this i really like it, Good job My friend
August 11th, 2010 at 4:29 pm
I Found your site on delicious today and really liked it.. i bookmarked it and will be back to check it out some more later:)
August 11th, 2010 at 10:08 pm
Just wanna commentabout this article, after reading whole of this it make me to have new goal about one big event, hope I can read more quality news again from you so I subscribe your website.
August 12th, 2010 at 1:30 am
Educational and entertaining. I’ve additional your internet log to my “reading substance. ” Progress me updated!. . . .
August 12th, 2010 at 1:30 am
It’s good to see this information in your post, i was looking the same but there was not any proper resource, thanx now i have the link which i was looking for my research. . . . . .
August 12th, 2010 at 1:34 am
Amazing, truly excellent information. Your blog is really awesome. I bookmarked this and will come back once again. . . .
August 12th, 2010 at 1:46 am
Hey - great blog, just looking around some blogs, seems a really nice platform you are using. I’m currently using Wordpress for a few of my blogs but looking to change one of them over to a platform similar to yours as a trial run. Anything in particular you would recommend about it?
August 12th, 2010 at 4:15 am
I am really thankful to the author of this post for making this lovely and informative article live here for us. We really appreciate ur effort. Keep up the good work. . . .
August 13th, 2010 at 7:10 am
Thanks for good article. Hope to see more soon. . . . .
August 13th, 2010 at 7:18 am
Finding websites with as much information as this one is always a pleasure I wll be sure to come back and visit again real soon, keep up the good work.
August 13th, 2010 at 10:58 pm
Yes you learn more while you share your knowledge with others. . . . . .
August 15th, 2010 at 8:01 pm
Hi - I want to say thanks for an interesting post about a subject I have had an interest in for a while now. I have been looking in and reading the comments avidly so just wanted to express my thanks for providing me with some very good reading material. I look forward to more, and taking a more proactive part in the discussions here, whilst learning too!!
August 15th, 2010 at 11:40 pm
Fantastic send!!! I adore your articles and arrive in this article regular.
August 16th, 2010 at 2:40 am
Hello… I can not access your rss feed… Something trouble? Can you fix it? Thanks
August 16th, 2010 at 3:53 am
Nice site, I just dugg this keep up the good work!. . . . . .
August 16th, 2010 at 2:55 pm
Just want commentabout this article, after reading whole of this it make me to have new vision about one important event, hope I can read more great news again from you so I subscribe your website.
August 17th, 2010 at 1:48 am
Your site is first-class I will have to read it all, thank you for the diversion from my studies!
August 18th, 2010 at 11:24 am
Normally I don’t submit on blogs, but I would like to say that this article definitely forced me to complete so! genuinely nice submit.
August 18th, 2010 at 6:18 pm
Keep up the amazing work!! I love how you wrote this and I also like the colors here on this site. did you create this yourself or did you outsource it to a coder??
August 18th, 2010 at 9:57 pm
Thanks for the informative article. Will check out more of your blog posts!
August 19th, 2010 at 4:21 am
I really like and appreciate your blog.Much thanks again. Great.
August 19th, 2010 at 4:38 am
Amazing, truly excellent information. Your blog is really awesome. I bookmarked this and will come back once again. . . .
August 19th, 2010 at 2:09 pm
I always like this is type of article. Thank you.
August 19th, 2010 at 11:37 pm
Thanks for good article. Hope to see more soon. . . . .
August 20th, 2010 at 5:33 am
I thought it was going to be some boring old post, but it really compensated for my time. I will post a link to this page on my blog. I am sure my visitors will find that very useful. . . .
August 20th, 2010 at 6:02 am
Hey - great blog, just looking around some blogs, seems a really nice platform you are using. I’m currently using Wordpress for a few of my blogs but looking to change one of them over to a platform similar to yours as a trial run. Anything in particular you would recommend about it?
August 21st, 2010 at 6:45 am
This is a great blog and you should seriously think about building up this blog into a serious authority in this field, I’m sure you could definitely make a dollar or two from some ads. I would look into following recent news and raising the number of posts you make and I bet you’d start receiving some easy traffic soon. Just a thought, good luck regardless!