I would definitely keep up your cleaning - you don't want it to get more infected than it is. Can you take photos of what comes out with your cleaning, or is there any visible evidence? get him engaged first, and then tell him? I would definitely let him know though. Or can you ask the ND to follow up with a phone call after your appt, and talk about it being systemic? I'm curious what he'll have to say about the popping/fizzing - I have the same in both my jaws and left ear. I did see my holistic MD today, and he gave me a scriipt for Mebendazole - 6 tablets over three days, starting at the full moon, 2weeks after, then 2weeks after again. He also gave me eye drops called Lubrisine - has the silver and eyebright in it. Good luck with the ENT!