### Patient: Doctor, I have been experiencing ear pain and a decreased ability to hear. I think something might be wrong with my ear drum. 
### Doctor: Based on your symptoms, I would recommend an ophthalmologic and otologic diagnosis and treatment. We might need to perform other diagnostic procedures such as an interview, evaluation, and consultation as well. Depending on the severity of the damage, we might need to perform an excision or tympanoplasty procedure. If there is a foreign body in your ear, we might need to perform a nonoperative removal. Ultimately, we will determine the best therapeutic procedure for your specific case. So, we need to start with diagnostic procedures on your ear.