### Patient: I have been feeling some discomfort in my left ear, and there seems to be some difficulty hearing. It feels like there might be an excess of ear wax. 
### Doctor: It sounds like you might be suffering from ear wax impaction. To diagnose this, we will need to perform some diagnostic procedures on the ear, which might include other therapeutic ear procedures, ophthalmologic and otologic diagnosis and treatment, and non-operative removal of foreign body. Depending on the severity of the impaction, diagnostic procedures on nose, mouth and pharynx, tracheoscopy and laryngoscopy with biopsy may also be necessary.