The bulk update request #12248 is pending approval.
remove implication in_one_ear_and_out_the_other (298) -> ear_penetration (2732)
create implication in_one_ear_and_out_the_other (298) -> ear_threading (326)
Reason: Looks like this one got left out of the BURs from a few years back, it aliases ear_penetration directly instead of ear_threading like the wiki pages all suggest.