Similarly, on the left ear, the eardrum, itself, did not appear infected and we simply talked about watching the number of infections that pop up this winter, as well as our potential need to replace tubes, if the infections become too bothersome or frequent.

I cannot change wording, but wondering if punctuation is correct?

Similarly, on the left ear, the eardrum itself did not appear infected, and we simply talked about watching the number of infections that pop up this winter, as well as our potential need to replace tubes if the infections become too bothersome or frequent.

Compare carefully to catch the changes I made in commas -- added and removed.