I wanted to take a moment to express my deep concern over the emergency limits regarding Cerumen Management by Audiologists and any proposed future limits for Cerumen Management (CM). As an audiologist I received more than sufficient training to perform cerumen management and to recognize when specialized attention from an Ear Nose and Throat Physician was indicated. I agree with the statements of my colleagues who have already pointed out that unlike many nurses, nurse practitioners and physician's assistants, our training specifically includes cerumen management. It is absurd to think that an audiologist could take a deep ear canal impression, place a electrode on the ear drum, or place a Lyric hearing aid and not be able to remove those things. Cerumen Management by the audiologist is also an effective way to help reduce unnecessary medical expenses.  It has been my personal experience that my ability to perform CM has been appreciated in both the hospital and ENT Physician's Office settings. Licenses and ethical obligations prevent audiologists from performing cerumen management without proper training, skill and comfort with the procedure. Rather than trying to restrict the scope of practice of the Audiologist, we should be celebrating their contribution to the medical care of Virginians.