### Patient: Hi doctor, I've been experiencing a lot of ear pain, discharge and hearing loss for a long time now. I think I might have chronic otitis media. 
### Doctor: Based on your symptoms, it is possible that you might have chronic otitis media. In order to confirm the diagnosis and provide appropriate treatment, I would recommend a thorough ophthalmologic and otologic diagnosis and treatment, as well as other diagnostic procedures such as an interview, evaluation, and consultation. Additionally, you may need excision or removal of the affected tissue, and if necessary, tonsillectomy and/or adenoidectomy. Furthermore, we may need to conduct diagnostic procedures on your ear, as well as other diagnostic and/or therapeutic procedures on your nose, mouth, and pharynx.