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It's. It was filled with. Not earwax, but mucus. Oh, okay. So she suggested either [ORGANIZATION] [ORGANIZATION] or an [ORGANIZATION]. So I thought, given the time that it takes to get in to see you, I went to [ORGANIZATION] [ORGANIZATION]. They looked at it. They [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] it. Only took them [DURATION] [DURATION] to get back to me to tell me what the problem was. And. And then they prescribed [DRUG], [DRUG], or. Yeah, said [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] for [DURATION] [DURATION]. I did it [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] for [DURATION] [DURATION]. And the sloshing or the water sensation has gone away, subsided, but not the chirping. So I don't know if there's still water there or what the situation is, but I just. I. I can't wear my hearing aids because of that. Right. So. Okay. And it was that both ears or was it just. Just the left side. Okay. And the right ear has been doing okay this whole time? Yeah. In fact, when I initially got my hearing device [DURATION] [DURATION] ago with [PERSON_NAME]. [PERSON_NAME]. Yeah. It was left ear only. Okay. So when I did a checkup maybe [DURATION] [DURATION] after the fact at [ORGANIZATION], they said, oh, you. I was just going to get another one for my left ear. She said, well, your right ear is diminished. Really? I don't know that or I don't sense it. But they. Then they suggested both. Okay. So. And I saw you'd been through the [MEDICAL_PROCESS] and all that. The [INJURY] part of the [INJURY] [INJURY] with [PERSON_NAME]. [PERSON_NAME], I think. Okay, perfect. Well, let's get a good look and see. Have a seat. Pause. Okay. Next section is [MEDICAL_PROCESS] [MEDICAL_PROCESS] and the [MEDICAL_PROCESS] [MEDICAL_PROCESS]. On the left, the external auditory canal is occluded with chunky white discharge, period. This material was [MEDICAL_PROCESS], period. The underlying canal is reddened inferiorly and there is superficial edema of the TM period. On [MEDICAL_PROCESS] [MEDICAL_PROCESS], the nasal septum is deviated to the left and then the rest of the [MEDICAL_PROCESS] [MEDICAL_PROCESS] is normal. Next section is procedure and it's [MEDICAL_PROCESS] [MEDICAL_PROCESS] and the procedure is [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] and that would be on the left. And the total Procedure time is [DURATION] [DURATION]. Next paragraph is assessment. Number one is [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] hyphen, left. Number two is [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Open paren, ICD10 canal, [MEDICAL_PROCESS] [MEDICAL_PROCESS] closed paren, spacebar, hyphen, spacebar left. Next paragraph. The patient reports [DURATION] [DURATION] of clogging of the left ear with a feedback chirping sound from his hearing aid period. He went to [ORGANIZATION] [ORGANIZATION] in [DATE_INTERVAL] [DATE_INTERVAL] and [MEDICAL_PROCESS] at that time grew [MEDICAL_CONDITION], for which he was started on [DRUG] [DRUG], period. He used it for [DURATION] [DURATION] but continues to have symptoms, period. [MEDICAL_PROCESS] [MEDICAL_PROCESS] confirms the presence of occlusion of the left external auditory canal with debris comma, which is most likely fungal in origin, period. However, comma, a [MEDICAL_CONDITION] [MEDICAL_CONDITION] is also a potential at this time period. Number Next is history of [INJURY] sensorineural [INJURY] [INJURY]. Base bar, hyphen, spacebar, Left next line. Hyphen. [MEDICAL_PROCESS], [DATE_INTERVAL] [DATE_INTERVAL] at an outside hospital was normal period. Next line hyphen. The patient is aided bilaterally. Next paragraph. Plan number one. [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS], [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] as described above in the procedure section on the left side. Number Next. [MEDICAL_PROCESS] taken for [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] of left ear discharge period. Call patient with result and plan based on results period. Next line is restart [DRUG] [DRUG], period. The patient has a good supply left, period. We will change this if needed based on the [MEDICAL_PROCESS] result period. Number Next is return to clinic based on above progress. End of patient thanks.",
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