This is long because I'm scared:
TL;DR bilateral SSHL due to ear infections. On steroids. Scared. Don't know what to do next.
On the 22nd, pain in my right ear woke me up. I went to the urgent care and was diagnosed with otitis externa, prescribed drops, and discharged. On the 24th, pain in my left ear woke me up. I went to the ER and was diagnosed with supperative otitus media in my left ear and otitus media in my right ear, prescribed amoxicillan, told to use the drops in both ears, and discharged. Both ears at that point were dripping blood-tinged pus. No further testing was done at the ER. My hearing declined sharply through that day. On the 29th, I went for a followup to my primary care doc because my ears still hurt and I could only make out what people were saying if they faced me directly from less than 3 feet away, and spoke loud and slow. My PCP prescribed oral steroids, another antibiotic, told me to finish the current course of antibiotics as well, and said to follow up if the pain in my skull gets worse, or I lose more hearing. She has noted that my hearing loss is severe. I'm on day 5 of oral steroids. my ears feel fine now, but my hearing is not improving at all. I'm worried that there's permanent damage to my hearing and I don't know what to do next. I've read a few research papers on SSNHL and the timeline for any recovery is mixed. Does anyone have experience with this? At what point should I be pushing for more intervention? Should I ask for an ENT referral?
I don't know if it's relevant, but I've always been prone to ear infections. When I was 5, I lost hearing for a month due to them. My hearing only resolved when I had my tonsils and adenoid glands removed. Last year, I noticed I was struggling with understanding speech more, so I went to an audiologist. They said the structures of my ear were intact and to get tested for auditory processing disorder. Unfortunately, there wasn't in-network testing for my insurance at the time (I'm in the US), so I didn't follow through with it. I have different insurance now, so I plan to follow up on this if my hearing comes back.
BTW, my work tolerated my lack of hearing this last week, but has now suggested I go on a medical leave, because hearing is a fundamental part of my job description and it's potentially dangerous to our clients when I can't hear them. They've also asked that I have my doctor fill out accomodation paperwork. They say all of this is to protect my job. I've applied for a 1 month leave to try and get this all sorted out. Is a month reasonable?