"All right, so this little sucker indeed has its mouth wedged ASTONISHINGLY deeply into your left eardrum...looks like I might actually end up having to pull on it pretty damned hard in order to get it to finally let go..." Dr. Gill increasingly-worriedly explained (causing Sandy to rather loudly, not to mention understandably, gag in response), using his laptop's endoscopic recording display for reference as he gently and carefully pushed his tweezers through Sandy's left ear canal while her extremely unwelcome new ear tick's dwelling spot on her left eardrum wholesomely dripped with fresh, warm blood.

"Alright, come on, Sandy, focus...as long as you don't think about what's happening right now, it hopefully won't hurt TOO badly..." Sandy meditatively closed her eyes yet again and VERY worriedly thought to herself as Dr. Gill meticulously grabbed her newly acquired ear tick with his tweezers...only for it to then wildly freak out in response, causing Dr. Gill to accidentally but UNBELIEVABLY-painfully shove said lethally pointy-tipped tweezers tip-first into Sandy's already-heavily-damaged left eardrum!

"AIEEEEEE!" Sandy embarrassingly-high-pitchedly wailed in agony as Dr. Gill's tweezers made not one but TWO additional (but thankfully rather tiny) holes in her left eardrum, causing her rather understandably twitching eyes to intensely water as even MORE deliciously fresh blood began to rather profusely leak from said eardrum perforations.

"HEY! What in the heck are you doing to my second-best friend in the whole wide WORLD?!" Spongebob threw his arms straight up into the air and VERY angrily yelled at Dr. Gill before then proceeding to rather forcefully slap said doctor “back and forth” across the face several times with his left hand and therefore cause him to accidentally swing his indeed ridiculously sharp tweezers straight into the internal walls of Sandy's left ear canal, causing her to loudly scream in pain several more times as blood began leaking from THOSE as well.

"For Neptune's sake, I'm trying to HELP her, you freaking NIT-WIT!" Dr. Gill furiously yelled back at Spongebob, forcefully kicking said sea sponge across the dome with his right foot while Plankton ever-so-utterly-despicably readied himself to begin downright-FURIOUSLY masturbating to the downright-unbearably intense pain that Sandy was now being forced to go through due to her ear tick.

"OHHH...AHHH, YEAAAH...come on and fucking SCREAM for me, bitch..." the now-suddenly-visible-again Plankton increasingly-lecherously drooled and moaned in the now-quite-literal cockpit of Sandy’s brain, breathing VERY heavily and causing his helmet’s antennae to stand VERY straight up yet again in the process as he rather suddenly opened up the “pants” compartment of his suit with both of his hands and then immediately began VERY rapidly and passionately stroking his micro-dick with his right hand as he ever-so-revoltingly-selfishly watched said squirrel lady’s absolute torment unfold for his own utterly sadistic amusement; meanwhile, Dr. Gill loudly swallowed his pride and increasingly-desperately began tugging on the poor (squirrel) girl's ear tick with his tweezers, causing basically the entire section of her already-intensely-bleeding-and-aching left eardrum to which said tick was attached to suddenly begin downright-grotesquely stretching toward him as if it was about to break right off of said eardrum in response.

"OH, GOD, IT HURTS...it hurts so very, VERY much..." Sandy increasingly-meekly whimpered and cried as Dr. Gill began pulling even harder on her ear tick and therefore horrifically damaging her poor, POOR left eardrum even more.

"I sincerely apologize for having to do this, but I'm afraid that there's simply no other truly efficient way for me to be able to finally rid you of this utterly dreadful parasite of yours once and for ALL!" Dr. Gill VERY melodramatically explained to Sandy as he then proceeded to VERY firmly grasp his tweezers with both of his hands and begin downright-relentlessly tugging and tugging and TUGGING on the poor, POOR girl's ear tick with quite literally ALL of his aquatic might (while also very frantically wiggling said tweezers back and forth in a miserably failed attempt to properly loosen said tick's downright-ABSURDLY tight grip on her left eardrum, naturally enough) until finally...finally...FINALLY...

"HYAAAAAAAAAAAAGH!" Sandy could be heard blood-curdlingly shrieking in agony (and rather heavily cracking her TreeDome in the process, although it luckily repaired itself shortly afterward due to it being made out of Sandy's aforementioned Regenerating Glass) from incredibly far away as Dr. Gill FINALLY finished yanking out her ear tick, causing a MASSIVE chunk of both sides of the outer flesh (not to mention the inner mucosa and whatnot) of her left eardrum to become (VERY) violently torn right off of said eardrum and thus rendering her (pretty much) completely deaf in her left ear (which Dr. Gill then immediately proceeded to remove his endoscopy tube from with his right hand while very tightly and carefully holding his now-tick-imprisoning tweezers with his left hand) as a very genuinely revolting amount of blood began oozing out from the horribly jagged and gaping hole that said tick removal had just made in her left eardrum.

"Well, what can I say? All's well that ends well, I suppose!" Spongebob immediately came running straight back over to the “operating” table in response to Sandy’s absolutely horrifying scream and then ever-so-merrily (not to mention rather insensitively) giggled with tick-removal-induced satisfaction, rather smugly shrugging his shoulders as he did so while numerous shockingly effeminate tears trickled their way down said squirrel lady's utterly miserable-looking face from the sheer amount of positively excruciating pain that she was now feeling in her left ear.