{ "text": "This patient is [PERSON_NAME] [PERSON_NAME]. [PERSON_NAME], Medical record number [HEALTHCARE_NUMBER]. It's very unobtrusive. So go ahead and take me through what's been going on. So I feel like there's something in my ear, like. And the right ear. Right ear. And sorry, no problem. And. And also ringing in both ears. So I kind of walked backwards from when I. I was in with my [OCCUPATION] [OCCUPATION]. [OCCUPATION], that I probably can take this back to [DATE_INTERVAL]. In [DATE_INTERVAL], we were going out to [LOCATION] and the morning know woke up and my [MARITAL_STATUS] happens to be a [MEDICAL_PROCESS] [MEDICAL_PROCESS], so. And so I woke up and I. And I had [MEDICAL_CONDITION] and sure enough, crystal in the wrong ear or canal. Yeah, not here. And so she was able to go through the positioning and rectify that. But on the flight out there, while we were out there on the flight back, I mean, the pressure just was not able to equalize itself very well. And I've never had that kind of issue before. So, I mean, I was in some decent pain on. On the flights, especially in the right ear. And so I think I can take it back to that far. I don't know if it goes further back than that because it just seemed of something that was kind of potentially slower moving as opposed to an acute thing, unless it was associated. Right. With that issue that I had with the, with the. The crystals and so forth. I don't, I don't recall like a head bang or anything, you know, nothing that would have driven that, you know, so it's just kind of a weird scenario. Yeah. Now, do you have any history of problems on airplanes before at all? No. And actually pretty well. I actually grew up with a dad who was a [OCCUPATION] [OCCUPATION], so I was up in time. So I really. That's never been a thing for me. Don't have any kind of [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] or [MEDICAL_CONDITION]. That was the first time I'd ever had [MEDICAL_CONDITION] before. So. Yeah, I just, you know, I've never really had that. And then. Is it. Can you get that right ear to clear itself or does it. It takes a. It takes a while. I mean, like, even now, like when I swallow, it feels like there's something in there every time I swallow. Kind of thing, you know, kind of a movement around or, you know, kind of a rubbing of. Must want to say a rubbing of something. But, you know, I think I first noticed like the. Like there was a swoosh. Like I woke up one morning, you know, sometime between then and now, you know, when I wanted to see [OCCUPATION]. [OCCUPATION] about this That I woke up in the middle of the night and just, you know, like, rolled over and I could swear somebody was in the room with us, you know, and, you know, just these phantom noises that are coming from the right, right side. So, yeah, I, I. Okay. It's kind of. It's a weird sensation. Yeah. With that and I kind of, I started to identify that, you know, throughout the day I was, oh, you know, what else? You know, I started to kind of think about what's going on more and more. And definitely throughout the day, I, I can hear, you know, that. And it's just, you know, it's gotten worse, you know, and when, when I saw [PERSON_NAME]. [PERSON_NAME]. Get me [DRUG] to try to clear this up. But, yeah, it doesn't really seem to have been. I mean, it's clearing up my sinuses for sure, you know, like, I think I'm sleeping better, maybe because of it, but it hasn't really cleared up the ear. How long did you use it for, do you think? I've been using it since I saw him. So I have a note from him in [DATE] [DATE]. Yeah, I guess. Yeah. So over [DURATION] [DURATION]. Yeah. Yeah. That's a good amount, too. So, okay. [MEDICAL_PROCESS], [MEDICAL_PROCESS] [MEDICAL_PROCESS], [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. How about neck pain, [INJURY] [INJURY]? Anything that stands out to you at all? I mean, I'm a fairly tense person, you know, because I'm an it, so I'm constantly on keyboard and so forth. And so I. My shoulders are tense, my neck. But nothing like that really stands out. Like, okay, like, injury type, you know, I don't feel like there's any kind of injury, but tightness, the. I mean, moving to work, work from home, that's probably not the. I might not be ergonomically, you know, best positioning, probably a little, you know, a better positioning probably at work than I was, than I am at home, but nothing, Nothing obvious. Okay. And then the noise you hear in the ears on both sides, is that constant or does that come and go or. No, it's pretty constant. It's this high frequency type. So it's high. Okay. And is it always present to some degree. Do you feel. Yep. Okay. Any ear pain at all? It's really just the right hand side that. And if, like, it feels like pressure more than, you know, an acute pain. Yeah. Or anything. Okay. All right. And anything else that you wanted to mention, otherwise, Any other symptoms that you can think of or. No. Okay, that's good. Okay, so let me pause this. Okay. Next paragraph or next section is [MEDICAL_PROCESS] [MEDICAL_PROCESS]. That's normal. Next section is [MEDICAL_PROCESS] [MEDICAL_PROCESS], [DATE] [DATE], [DATE]. Next line. Normal hearing thresholds. Next line. Normal [MEDICAL_PROCESS]. Next paragraph is assessment. Number one is oral fullness hyphen. Right. Number two is tinnitus hyphen. Bilateral. Number three is [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION]. Next line. The patient reports pressure symptoms in the right ear since flying in an airplane in [DATE_INTERVAL] [DATE_INTERVAL] [DATE_INTERVAL], period. He has been on [DRUG] so far for just over [DURATION] [DURATION] with no improvement, period. He also has bilateral soft tinnitus which is constant and high pitched, period. He denies any history of [INJURY] [INJURY], period. Next line. [MEDICAL_PROCESS] [MEDICAL_PROCESS]. [DATE] [DATE], [DATE] is normal comma, including normal [MEDICAL_PROCESS], period. I do suspect that the patient's right sided ear pressure is due to [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION], period. The tinnitus is of unknown cause, comma, but is not a sign of anything or of any underlying pathology, period. Next paragraph. Plan number one. Continue [DRUG]. [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] for the next [DURATION] [DURATION]. Number. Next. I ask the patient to call us in approximately [DURATION] [DURATION] if he's not. But better to schedule a [MEDICAL_PROCESS] [MEDICAL_PROCESS] and [MEDICAL_PROCESS] [MEDICAL_PROCESS] in clinic, period. This would be a [DURATION] [DURATION] slot clinic slot for [MEDICAL_PROCESS], comma, [DURATION] [DURATION] to [DURATION] [DURATION] for waiting in the waiting room, comma and then a [DURATION] [DURATION] clinic slot for actual [MEDICAL_PROCESS] [MEDICAL_PROCESS], period. If the patient at that [DURATION] [DURATION] mark finds that he is doing well, comma, he can cancel the appointment, period. I did discuss with him that [MEDICAL_PROCESS] [MEDICAL_PROCESS] has an approximately [STATISTICS] chance of improving the symptoms, period. End of patient. 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