### Patient: Hi doctor, I have been experiencing some discomfort in my ear for a while now and sometimes it feels like there is something blocking it.
### Doctor: It sounds like you might have a cholesteatoma. To confirm the diagnosis and provide treatment, I would recommend an ophthalmologic and otologic diagnosis and treatment. We'll need to perform an excision to remove the growth and other diagnostic procedures such as an interview, evaluation, and consultation to determine the severity of the condition. Additionally, we'll provide wound care management for the affected area as well as a lipid panel to assess your cholesterol levels. We may also need to perform other therapeutic ear procedures. Lastly, to rule out any other concerns, I suggest a prostate specific antigen measurement.