I was just reading this article about a woman who injected a crushed black widow spider to try and get high 🤦🏻‍♀️ So now I ask, what's the most bizarre case you've ever come across?

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I have two…strangely enough both involve ears. First a patient came in holding his ear in a fit. Reporting hearing loss and pain. Otoscope, obstructed but something isn’t right…I pull out the very large tip of his earphones. He lost it, forgot about it and then lodged it deep inside with Qtips.

Second one. Sudden onset tinnitus and unilateral ear pain. Impacted but Looks (and smells) very weird. My MA watches my face as I start to extract gelatinous material, then flakes… then “sticks” which turned out to be legs. A decomposed beetle. He had slept on the floor of his cousin’s two weeks ago. Goodness!

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That second one makes me never want to go camping ever again.

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I saw a 14 year old who rolled up a wrigkeys spearmint gum wrapper and stick it in his ear canal 2 years earlier. He’d forgotten he did it. Then, he remembered when he saw the wrapper. Asked him why he did it, he shrugged and said “dunno”.

Just the other day I had a patient come into pain management - paid for an initial consult and everything- to ask for butt implants.

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