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I entered a building swarming with naked humans herded like cattle and treated with less concern, pervaded by a fetid odor so heavy, so nauseating, that the stench seemed to have almost a physical existence of its own." Reports of patient abuse were still rampant through the 1980s

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However, it is still possible for these other sources to cause false alarms in some cases

The examination may reveal: redness, air bubbles, or pus-like fluid inside the middle ear fluid draining from the middle ear a perforation in the eardrum a bulging or collapsed eardrum This exam is rarely painful, but some children may be bothered