text:  Most of the time. So if it's just hearing loss and there's no red flags, which is what 90% of the patients have who really come in, that's where you really don't need an evaluation by an ERS or physician because we can just manage that. If it's just run-of-the-mill hearing loss, meaning it's equal in both ears, you can have tinnitus, but there's no red flags coming in. It runs in the family or you've had a history of noise exposure. You've had heart problems, something like that. Everything that can lead to hearing loss