Ear tube gone?

Well, Jesse ended up waking up screaming in pain around 2AM this morning because of his ear, so I got him and Gracie and myself ready and took him to the ER. The doc said that he has a pretty bad infection, and couldn't see where the tube is supposed to be because there was so much fluid in the canal. I'm not an expert, but can only believe that since he was in so much pain, that the tube must've fallen out. He has had 2 infections since the tubes and both times, his ears just drained, and caused him no pain AT ALL. Guess we will see what happens. Made him a docs appt on Friday with the pediatrician. I will wait to see what he says before calling the specialist.