Follow-up visit

So, my yeast ear lady came back today. Sure enough, the culture showed budding yeasts. And for those who are keeping track, Diflucan does in fact work on extra-vaginal candida infections.

But here is the crazy part. My patient was not only rocking otic yeast.

As I skillfully manipulated the otoscope to visualize the canal, I perceived an eerie green glow. Did she have Kryptonite in her ear? Did she melt some Play-Doh in there?

In fact, no. She had a pseudomonas aeruginosa. And Cipro Otic costs approximately $80. How it sucks to be uninsured with an uncommon gram-negative otitis externa.