### Patient: Doctor, I am experiencing difficulty in hearing and it feels like I have lost my hearing abilities gradually over time. 
### Doctor: Based on your symptoms, you will require an ophthalmologic and otologic diagnosis and treatment. Additionally, a Magnetic Resonance Imaging (MRI) will be required to identify any underlying cause of your hearing loss. Other diagnostic procedures such as an interview, evaluation, and consultation will also be done to determine the underlying cause of the hearing loss. Based on the diagnosis, other therapeutic ear procedures and diagnostic procedures on the nose, mouth, and pharynx may be required. Psychiatric evaluation and therapy may also be provided depending on your condition. Tracheoscopy and laryngoscopy with biopsy may be needed to diagnose underlying issues in the throat.