Yes, after much thought Nate is tubing.
It will happen next Thursday. He will probably not like it. However, once he's done it, I think he will.
I met with an ENT(ear, nose, and throat specialist) today. He thinks tubes will help Nate. I agreed, so he is getting them. It is a quick and easy process. It has little recover time and will likely make a huge difference in how he feels.