I took V to the ENT yesterday to follow up on the hearing loss (highly likely due to fluid). He has been taking zyrtec for 4 weeks in the hope of drying everything. He passed his hearing inthe right ear but the left ear, although a bit better, is still not where it should be. As far as visual appearance: they look the same, full of "stuff" but not infected. The ENT is aware of the coomunication issues and he admitted getting "real touchy" when he has a kid with both hearing/ear issues and speech language delay... On the otherhand, surgery would involve tubes, cutting nodules and tonsiles. He explained that it is the best protocole so we don't have to keep on puting tubes every 2 years. Enlarged nodules and tonsiles tend to block things and create ear problems. BUT, the sleep study did raise any red flags, which might mean there are no blockage even though his tonsiles and nodules are enlarged. Which bring the dilemma: surgery or not ? The ENT is really not sure. He thinks that the hearing issue is indeed not helping, but maybe not the reason of the communication dealy. He wants to be sure to do surgery for the right reasons. We agreed to wait on the developmental pediatrician. to decide. Let the devel. pediatrician. make the call. For now: see ET in 3 months and keep up with the zyrtec. We see devel. pediatrician on Tuesday. What are your thoughts??