Some doctors suggest that using Q-Tips does more harm than good, because doing that the wrong way can push ear wax further into the ear, hindering the self-cleaning of the ear. - That's what ear wax is for after all!
These docs recommend simply wiping your ears clean after a shower with a towel or a piece of tissue.
In the cases where ear wax gets impacted (a big problem since it can impede hearing), a person can get the wax removed by their doctor. Usually the doctor will flush the ear out with a stream of saline solution, but for those really tough cases, he/she will use forceps and carefully pull the stuff out chunk by chunk.
There is the old Asian practice of using an ear spoon. This is my method of choice, but it's definitely not for most people. painful for the uninitiated and definitely hazardous.
------------------ May suffering and pestilence befall the %$@! who broke into my car.
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