Tympanic membrane retraction become eroded. As skin cells die they form a barrier of dry protein called keratin. This layer of keratin is normally pushed out of the ear by migration of skin cells along the ear canal and is turned into wax. Clearance of keratin can be disrupted by tympanic membrane retraction so that keratin accumulates within the retraction pocket. When keratin becomes trapped deep inside the ear and cannot be cleaned out, it is known as cholesteatoma. Growth of bacteria in the trapped keratin causes smelly discharge from the ear and can spread to cause serious infection. Various strategies may be
What Work Is workers, but artists, readers, and academics. Levine's poetry is accessible and moving and is utterly American. The poems in "What Work Is" are more subtle in their thematic construction. Levine does not use caricatures in these poems but instead intimates real blue-collar workers. Many of the poems give a representation of a station of life not common in the subject matter of contemporary American poetry. Although not all of "What Work Is" is primarily about the working class. Instead the poems have a wide range and variety. However many of these poems, despite their subject matter, show elements that identify