As of Sunday, December 18, 2022, Jefferson Surgical Clinic (JSC) physicians and staff are employed by Carilion Clinic.

JSC and Carilion share the same philosophy about the practice of medicine. As a patient, you’ll receive the same care and compassion from your surgical provider. Also, you’ll have access to additional resources including MyChart, a secure online health management tool, and easy connections to many specialty services through an electronic medical record system.

If you have questions regarding an upcoming appointment, you can continue to reach your care team at (540) 283-6000..

The patient portal is no longer active due to system changes. You are able to pay your account balance using the “Bill Pay” button below instead of calling. For account questions, you may still call (540) 283-6070.


An alternative to ear tubes would be undergoing balloon dilation of the eustachian tubes, which uses a balloon catheter to gently open the areas located between the nose and the back of the throat to provide lasting relief of ear congestion symptoms.

Who is a candidate?

Good candidates for ear tubes have:

  • Persisting ear fluid with fullness, muffled hearing
  • Difficulty clearing or popping the ears, such as with plane flights
  • Frequent episodes of ear infections despite treatment
  • Hearing loss from ear fluid

What to expect

With this procedure, the nose is sprayed with topical numbing medicine and decongestant. After this takes effect, additional numbing is performed until the procedure can be done comfortably. The balloon is inserted while looking with a sinus endoscope camera. The inflation just takes a couple of minutes and the balloon is then removed, but still providing lasting relief. There is typically no pain after the procedure and no significant recovery, as no surgery is performed.