Alan R. Greene - The Parents Complete Guide to Ear Infections

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Page 1 The Parent's Complete Guide to Ear Infections

Page 2 OTHER BOOKS FROM THE PEOPLE'S MEDICAL SOCIETY Allergies: Questions You Have...Answers You Need Asthma: Questions You Have...Answers You Need Hearing Loss: Questions You Have...Answers You Need Self-Care: Your Family Guide to Symptoms and How to Treat Them So You're Going to Be a Mother Take This Book to the Hospital With You Take This Book to the Pediatrician With You What to Do When It Hurts: Self-Diagnosis and Rehabilitation of Common Aches and Pains Your Complete Medical Record

Page 3 The Parent's Complete Guide to Ear Infections by Alan R. Greene, M.D. People's Medical Society Allentown, Pennsylvania

Page 4 The People's Medical Society is a nonprofit consumer health organ ization dedicated to the principles of better, more responsive, and less expensive medical care. Organized in 1983, the People's Medical Society puts previously unavailable medical information into the hands of con sumers so that they can make informed decisions about their own health care. Membership in the People's Medical Society is $20 a year and in cludes a subscription to the People's Medical Society Newsletter. For in formation, write to the People's Medical Society, 462 Walnut Street, Allentown, PA 18102, or call 610-770-1670. This and other People's Medical Society publications are available for quantity purchase at discount. Contact the People's Medical Society for details. Many of the designations used by manufacturers and sellers to distinguish their products are claimed as trademarks. Where those designations appear in this book and the People's Medical Society was aware of a trademark claim, the des ignations have been printed in initial capital letters (e.g., Q-Tip). 1997 by Alan R. Greene Printed in the United States of America All rights reserved. No part of this publication may be reproduced or trans mitted in any form or by any means, electronic or mechanical, including photo copy, recording, or any information storage and retrieval system, without the written permission of the publisher. Library of Congress Cataloging-in-Publication Data Greene, Alan R., 1959 The parent's complete guide to ear infections / by Alan R. Greene. p. cm. Includes index. ISBN 1-882606-29-9 (pbk.) 1. Otitis media in childrenPopular works. I. Title RF225.G74 1997 618.92'09784dc21 97-8335 CIP 1 2 3 4 5 6 7 8 9 0 First printing, September 1997 Cover photography: Cheryl L. Greene

Page 5 Very few people today have heroes who don't eventually disappoint. I'm fortunate that John and Gwen Greene, my parents, are heroes whose shine only increases with time. This, my first book, is dedicated to them from the depth of my soul.

Page 7 Contents Acknowledgments 9 Introduction Why an Entire Book on Ear Infections? 11 1 The Normal Ear 21 2 What Is an Ear Infection? 25 3 What Causes Ear Infections? 29 4 Who Gets Ear Infections and Why? 37 5 Diagnosis 53 6 Initial Treatment 69 7 Alternative Treatments 105 8 Ongoing Treatment 117 9 Surgical Therapies 131 10 Complications 155 11 Prevention 173 Epilogue 187 Glossary 189 Index 203

Page 9 Acknowledgments Deep thanks to Bill Adler, of Adler and Robin Books, Inc., who conceived of this book, contacted me, and offered me the opportunity to write it. He planted the seed. Thanks to my wife and parents for believing in me and to the many "HouseCalls" readers whose questions convinced me of the need for this book. They prepared the soil. No project like this can grow to fruition without the care and nurturance of many people. Thanks to Harry Verby, M.D., Patricia Soong, M.D., Karen Lee, M.D., Alger Chapman, M.D., and Jeanne Vadhanasindhu, M.D., my colleagues at A.B.C. Pediatrics, for their care and flexibility. Thanks also to the staff at A.B.C. for working with my scheduling difficulties in a cheerful way. Thanks to Garrett, Kevin, Claire, and Austinthe greatest children anywhere. Thanks to Cheryl and Christine, the other two-thirds of the "HouseCalls" team, without whom I wouldn't even be writing. What gems they are! Thanks to John and Gwen Greene, Kris Lowe, and again Cheryl for reading the manuscript and offering many needful suggestions. Thanks to Mervyn R. Blas, Kris Lowe, Pharm.D., and

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