Lauren goes in the OR under general once a year for a really good cleaning and is otherwise seen every few months in the office. At Brandyn's age we were doing it in the OR every 6 months it was so bad and she really couldnt get done what needed to be done outpatient at that age. Now she will sit for some digging and a little irrigation but it never really gets the deep stuff or the stuff on the eardrum. It is so quick under general that by the time John and I sit down in the parent waiting area, they are calling us in to see her in recovery. We havent had to deal with the tubes thing. Let me know how it goes.