Dear. Dr. Olende. Greetings from Iraq. I have a new employment appointment from Unicef in Kampala starting from 01.08.2023 and for medical clearance which is urgent, they have asked that you confirm the following regarding my long ear treatment: 1. Brief history 2. Current status with functional evaluation 3. Treatment and follow up plan 4. Prognosis 5. Fitness to work in a highly stressful environment and to travel by flight, necessary modifications/limitations (if any) I am not available to visit you at the clinic but will be grateful if you can urgently attend to my request to enable the medical clearance. You can send the response directly to: medicalclearance@unicef.org and copy me: w_okanda@yahoo.com. In case of any charges please let me know and i will pay by mpesa through tel. no. 0702088366. Thank you for your urgent support, i look forward to coming for review soon. Best regards Wilfred