### Patient: Hi doctor, I've been experiencing difficulty hearing lately, especially when there's a lot of background noise. I feel like I can't understand speech as clearly as I used to.
### Doctor: Okay, based on your symptoms, I recommend undergoing ophthalmologic and otologic diagnosis and treatment. We need to evaluate your eyes and ears to determine what's causing your hearing loss. We'll also conduct other diagnostic procedures, such as an interview and consultation, and possibly an MRI to get a more detailed look at your ear, if necessary. Additionally, we may need to perform other therapeutic ear procedures or occupational therapy assessment, such as speech therapy or other therapeutic procedures, depending on the results of your tests.