After keeping us waiting 40 minutes past our appointed time on Monday, the ENT took 1 minute to confirm what I already knew: Tootle's left ear tube is out and needs to be replaced. She agreed to put in the tube that lasts for 3-4 years but wouldn't commit to replacing the right one at the same time unless she sees a problem when she looks at it during surgery. To her credit, she did appear to feel slightly regretful that she didn't replace them both back in November. Surgery is scheduled for the middle of next month so I'll only have to listen to Tootle tell me that her ear is popping about 1,000 times between now and then.
One good thing did come out of the long wait in the doctor's office: Tootle was able to read an easy counting book by herself, which has sparked an interest in learning to read. She has the building blocks; she knows her letters and sounds. Now she's starting to put it all together.