Myringotomy 1886. The vinyl tube used today was introduced by Beverley Armstrong in 1954. There are numerous indications for tympanostomy in the pediatric age group, the most frequent including chronic otitis media with effusion (OME) which is unresponsive to antibiotics, and recurrent otitis media. Adult indications differ somewhat and include Eustachian tube dysfunction with recurrent signs and symptoms, including fluctuating hearing loss, vertigo, tinnitus, and a severe retraction pocket in the tympanic membrane. Recurrent episodes of barotrauma, especially with flying, diving, or hyperbaric chamber treatment, may merit consideration. Myringotomy is usually performed as an outpatient procedure. General anesthesia is preferred in
What Part of No in a social setting is approached repeatedly by a persistent man who sends her a rose, then buys her a drink and asks her to dance. The woman, uninterested in the man despite his advances, finally asks "What part of 'no' don't you understand?" The writer Sandy Carter cites "What Part of No" in an article on the politics of country music, giving it as an example of his argument, "Most significantly, the commercial appeal of the current generation of country women seems directly linked to a feminist oriented lyric." He argues that this song, together with Morgan's other hits