Show How a Cold Produces Produce Earache che I This Should Not Be Left to Lo Itself Y family physicians called in into into into MANY MAl to relieve a childs child's earache say all will go well when the drum ruptures ruptures rup nip tures and the tho ear discharges This attitude according to Dr Rufus B Scarlett of Trenton N. N J. J has Undoubtedly undoubtedly undoubtedly un un- cost tho the life Ufe of more than one patient The New York Medical Journal reports reports reports re re- re- re ports what he said recently to tho the members of the tho Mercer County Count Medical Medical Med Med- ical Ica Society In instructing them how to cure an ar an earache Most of or these theses tho the pains that human beings can suffer result from an Infection of the middle ear gt generally arising through the Eustachian Eus Eus- tubes as a complication of measles scarlet fever fe Influenza or other such diseases A simple cold coldIn In the tho head Is often the primary cause The bodies of ot the noso nose are swollen and obstruct the nasal passages the patient blows his nose violently generally holding one nostril closed and strenuously trying trIng to clear the other Instead of the full volume of air finding an exit through the nose part of It Is forced up Into the Eustachian tube and carries with It some of the infected secretion which thus reaches the middle car ear Another common cause is a small boll in tho external canal This is not large largo enough to allow tho the boil to swell and the effect is precisely that of ot pressing hard on a boil boll This form of ot earache is easily c discovered by looking looking lookIng look- look I Ing into tho the ear with a speculum and I If tr moving the tho lobe of the car makes It more painful Then the trouble Is In the middle ear car the drum appears bulging and In In- In flamed Dr Dry heat generally ally soothes the pain wet heat aggravates the trouble The first treatment Is a brisk cathartic and andrest andrest rest In bed The throat and nose should be carefully examined and the orifices of or the Eustachian tubes cleared so as to establish free drainage drain- drain ago age from the middle ear car Nothing should be put into the ear except a 5 or 10 per cent solution of carbolic acid and glycerine which may be dropped gently Into the tho canal when the patient is lying down If these applications do not stop the pain the drum must be cut through A. A clean incision heals far more quickly than a break break in in fact it sometimes closes within thirty six to forty-eight forty hours This lets out the pus that has been causing the pain and relief is generally instantaneous An anaesthetic anaesthetic is rarely necessary as the operation op op- op- op oration c-atlon takes less than a second Local anaesthetics are arc useless and of ot the general anaesthetics Dr Scarlett Scar- Scar l lett tt prefers ethyl ethl chloride After the operation the ear has only to be kept dry unless the discharge becomes copious when it 1 Is to be douched gently with some mild antiseptic antiseptic antiseptic anti anti- septic and then carefully dried When tho the drum has healed the tho middle car ear should be carefully Inflated at first dally daily then at gradually gradual lengthening in Intervals ten |