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My Independent Non Expert Viewpoint on Audiologists and Treating Balance Issues
To Golfing Eagles and CyberSpring, I offer a hopefully useful summary on audiologists and Balance Issues.
Based on a Google search of various topics, my observation (Non Doctor) follows: 1. Golfing Eagles Post #3 regarding the sequence of diagnosis steps basically matches what Mayo and others recommend. 2. Audiologists are not medical physicians and therefore do not provide medical-based treatment such as surgery or medication. They can help with doing the tests prescribed by a physician. 3. Audiologists and other rehabilitation professionals can help improve your balance and reduce dizziness and bothersome symptoms. Vestibular rehabilitation may include exercises with specific movements of the head, eyes, and/or body. Certain types of dizziness may be treated with repositioning procedures. (Epley maneuver?) In summary, Audiologists have a role but are not the primary place to start. They can help with the testing and non medical treatment. |
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Now here's an interesting idea: There are other physicians on this site, so I ask them to answer the following if they would. 1) How many times have you referred a vertiginous patient to an audiologist? 2) How many time would you recommend a patient with hip pain see a chiropractor first? I think the answers will be telling |
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And at the same time, I was writing my post trying to do what you were trying (I think). Your post was much better, but you didn't have any mea culpas to do like I did.:laugh: I hope Golfing Eagles (and others) can take from my post that I know he is right in his main point. I have been arguing form over function. |
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The response to your survey could hammer in the point, but I really have already conceded it. |
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By the way, my chiropractor has a great adjustment to prevent COVID. Let me know if you need his name or a referral. |
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Ok, I'll bite. Dr google can give you a very good idea of the symptoms of benign paroxysmal positional vertigo. Why even the Mayo Clinic gives you pretty much all you need to determine if your dizziness fits that diagnosis
https://www.mayoclinic.org/diseases-...s/syc-20370055 Many other sites will also walk you through the presentation of BPPV. If your story fits that diagnosis, yes self diagnosis. And you don't have any of the other worrisome accompanying symptoms... I have no problem with you going to you tube and seeing how to do at home Epleys for a few days to see if you get relief. Every patient does not need an MRI for every symptom. If all you have is BPPV and a couple days of home therapy works... go on with your life without seeing a doctor or having an MRI. Now, having said that, in our age group a percentage of persons will have unexpected findings on the MRI, up to and including brain tumors. |
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It can work if done correctly AND depending on the cause of the vertigo. There is a great Doctor in Celebration Florida. The practice is: Vertigo and Balance Treatment, Florida Ear and Balance - (321) 939-3000
They virtually eliminated my vertigo. It is not the most fun treatment but it utilizes the Eply Chair to correctly identify and treat most causes of Vertigo. It works and is not fake science. This is the only location in the Southeast that has an Eply chair. Call them and draw your own conclusions. |
Unbelievable how two people hijack a forum. Your first posts said everything you needed to say. The rest is purely self-serving.
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Obviously, you know a lot about Vertigo. One of my questions is whether you ever had severe Vertigo? |
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BTW: I find you bedside manner fine. I would rather have a doctor who is engaged in each of his patients and will be harsh when necessary. Who wants a doctor that holds your hand and tells you only what you want to hear? And says, Oh! You googled I was wrong? My bad! Thanks for updating me. Good luck recovering with a doctor like that! Please THINK before you go against an expert. Any layperson can find the answer they WANT on the internet. It doesn't mean it is the correct one. |
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No, I never had vertigo. Unfortunately, it is difficult to treat when it has an element of chronicity. You can try Epley maneuvers and pump the patient full of meclizine, but it usually recurs. More often I have seen the acute form----acute viral labyrinthitis. Almost anyone can diagnose it---you literally are fine one second and falling to the floor the next. It's more severe than the chronic variety, but also self limited. Best not to get either in the first place. |
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There is an allure and false air of authority to the internet. It seduces otherwise rational individuals into believing that their 5 minute google search makes them an expert. They fail to realize that much of the content is unverified, and that which is from a legitimate site is often "dumbed down" to the point of losing its true meaning as to make it more understandable to the average person. It is not written for professionals. Medicine frequently does not follow the rules of common sense and logic, some things are opposite from what one might expect. It is almost impossible to understand medicine without knowing some underlying principles. Then, there is always the difference between what the academicians think and write and what actually is done in the real world. Most here on this site mean well, but I agree there are some that want to argue with an expert. Arguing an opinion is one thing, fine. Arguing medical facts, well, that generally turns out embarrassing, even if that person doesn't realize it. But like I said, I'm no saint and I'm happy to call them out. |
I had a vertigo attack about two years ago. I would not have described it as dizziness. It was full on not being able to walk with safety as the room felt like it was spinning around me. Even when lying down, I felt like the bed was tilting crazily and would soon dump me on the floor! Husband took me to ER who referred me to Ear Nose and Throat doctor. After doing a few diagnostic tests, they determined that I did have vertigo and not some other neurological condition. They performed the Epley procedure and taught me how to do it myself in case vertigo returned. It has not. That said, if it does, I'd still err on the side of caution and seek additional testing.
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Audiologist needed
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If it was humor, it is very funny. If it is not an attempt at humor, I am going to guess that you posted after reading the initial post without reading the the whole thread (the one I hijacked). If that is the case, I would go back and read the whole thread for some great entertainment, and see why I say it was very funny (truly not intended as an insult). For Golfing Eagles....round 2??? |
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I never thought nor in any way claimed that I was an expert. Since I hijacked the thread, you have lots of content to use. Please point out a single statement I made that was not 100 % correct. I will wait.... |
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I hope you are feeling better Doc. |
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Not sure the OP's life is in danger, but your point is still valid. No one else argued with GE. Lots of people posted their experiences and some recommendations, but from reading them, those with recommendations hadn't appeared to have read the whole thread before posting, which is very often the case and is not intended to insult them (many people just want to jump in and help, and didn't know the Doc had already laid out an excellent recommendation). So, really the only person your post could have reasonably applied to is me. I argued in many posts with him (never about his advice). So again, I ask for any thing I said that was not 100% accurate. If you cannot provide any example, your post to which I responded has no value and is just plain wrong. If you want to say something along the lines of "I wish people would stop nitpicking statements people/experts make when their primary point is so on target" then I would have to drop my head and take my lumps. Or "some people should read the entire thread before providing recommendations because an expert may have already provided the right answer, that would be reasonable (but would not apply to the people who gave personal experience without providing recommendations). But to insinuate that I or anyone else claimed to be an expert and argued with the expert and got anything wrong would be complete non-sense, at least as far as this thread goes. |
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I apologize that my post came across so snarky. |
While in the service. I went to the base pool that had a 3 miter diving board. I was in the middle of a back flip when I heard my last name called out and dumb me cranked my head towards the voice, and Bam my right ear hit the water flat and busted my tympanic membrane. I was in terrible pain and things were super loud. I went to Wilford hall medical clinic in San Antonio and they diagnosed my issue. They said the membrane would grow back but there would be scar tissue and most likely I would loose a lot of hearing in that ear! I might also get vertigo real bad. I have only had vertigo a few times since then but I am super glad that it is not a more regular thing because it puts you down and is the worse feeling. I have never heard of the Epley proceedure before today(guess back in 78 it wasn't a thing)
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Vestibular physiotherapist
It took me awhile to get to the right type of specialist to find me the right person to treat vertigo. A vestibular physiotherapist is trained to assess your inner ear organs with positional testing which puts your head in different angles to try reproduce your vertigo while carefully noting the related nystagmus or patterns of eye reflexes.
I have Left Particle Vetigo so for me the Epley Maneuver works wonders. I know there are ways to do it yourself but I prefer the Vestibular Physiotherapist do it while he is monitoring my eyes so he can know the particles have moved away. Its been a game changer for me. Quote:
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