RDU Update RDU Update National Center for Pharmaceutical Access and Management, Department of Health c/o Department of Pharmacology and Toxicology College of Medicine University of the Philippines A quarterly publication on the rational use of drugs of the 547 Pedro Gil Street, Ermita, Manila, Philippines 1000 National Center for Pharmaceutical Access and Management, Dep
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Richmondent.comPostop Instructions: Myringotomy and Tubes
After surgery, your child will be ready to go home about 15 minutes. Your may bring a
bottle or snack. All effects of anesthesia will wear off quickly, often after a short nap.
Routine activity is allowed as soon as your child is acting normally.
We will give you eardrops immediately after surgery. Floxin
Otic and Ciprodex are FDA-approved for use in perforated ears. Do not use any other
brand without clearance from our doctor or nurse practitioner. We may instruct you to
place drops in each ear, twice a day for two to ten days. Do not be alarmed if you see
infected mucus or small amounts of blood draining from the ear after surgery. This is
normal. If there is continued or recurrent drainage, you may wipe it away with the corner
of a tissue, and continue to use the eardrops for several more days. Do not use Q-tips. If
drainage persists for more than a week, please call the office for an appointment for a
Swimming is permitted. We recommend that you avoid intentionally dunking your
child's head in dirty bath water because of the presence of soap and bacteria. A free
sample of earplugs may be offered at the time of surgery. Your child is welcome to
wear them if desired. For most children, however, earplugs are unnecessary and
probably ineffective. Enjoy the water! The tubes will fall out between six months and
two years after they have been placed. The eardrums usually heal without further
Please schedule a postoperative appointment with our nurse practitioner two to three weeks after surgery. If
hearing loss was identified before surgery, please also schedule a follow-up audiogram with our audiologist. We will
follow your child with ear and hearing exams every 6 months until the tubes are out and the ears are healed. Call
(804) 330-5501, or request an appointment through the patient portal at www.RichmondENT.com.
In an emergency, or if you have any questions immediately after surgery, please call or text any physician or nurse
practitioner on our mobile phone.
If we are not immediately available, there will be a message directing you to the physician on call. If necessary, go directly to the emergency department at Henrico Doctor's Hospital, which is where we routinely admit inpatients. You may also go to the pediatric emergency department at Chippenham or to Kid Care urgent care center in Short Pump. After-hours care is also available at several Patient First locations. In a life-threatening emergency, call 911 or go to the closest emergency room without hesitation. Fortunately, medical emergencies are very rare after myringotomy alone. Please make an appointment with our nurse practitioner two to three weeks after surgery. For Additional
instructions or information, visit www.RichmondENT.com.
Appointments and routine questions: Office phone 804 330-5501
Emergency Mobile Phone Numbers: Physician On Call 1-888-833-8063
Mike Armstrong, MD 804 437-3687
Shoo, flu, don’t bother me! We are beginning to see the flu and flu-like illnesses that we normally see at this time of year, and we need your help. If your child is sick with flu-like symptoms (temperature of 100 degrees Fahrenheit or more, sore throat, cough), please keep your child home and call our school nurse or attendance clerk and let them know. The Department of Health and Env