Dizziness Depot

                    Part II: When the test results                     and the history don’t match   Of course, sometimes the history is anything but clear. Another basic rule (again, not always true) is that, if after ten to fifteen minutes of questions you have no idea what is wrong with the patient, there is a very good chance that there is some

Brain Droppings Regarding Vestibular Screening Exams   In 1997, George Carlin published his book, Brain Droppings. According to the cover, the book contains page after page of “”jokes, notions, doubts, opinions, questions, thoughts, beliefs, assertions, assumptions, and disturbing references” and “comedy, nonsense, satire, mockery, merriment, sarcasm, ridicule, silliness, bluster, and toxic alienation.” Any fan of George Carlin will know that this is

Wrestling and Dizziness -Say What? We have the ability to diagnose and effectively treat most causes of dizziness. It is not a matter of “Can we help?”, but more a matter of getting the right patients to the right specialists. The vast majority of dizzy patients never make it as far as a vestibular clinic, even though epidemiologic studies have

Is a Beauty Queen Smarter than an Audiologist? A few years ago, a poor young lady competing in the 2007 Miss USA Teen Pageant had a classic brain freeze moment. When asked why she thought one of five Americans can’t locate the U.S. on a map, she responded: “I personally believe that U.S. Americans are unable to do so because, uh,

Interesting Case Last week, I saw a very pleasant, intelligent young man referred to me for chronic imbalance and falling. He was a healthy, active man until a mobile home he was working on was struck by lightning several years ago. In addition to numerous other issues, he complained of bothersome bilateral tinnitus, but no appreciable hearing loss. The tinnitus

“Why are you doing a hearing test? My hearing is just fine.” I’ve heard this frequently enough over the years that I know to take a minute to explain to every vestibular patient, before we get started, why we require an audiogram. I keep it pretty straightforward and simple: “We do a quick hearing test on every patient complaining of

Many patients complain of dizziness or light headedness on rising from the sitting or supine position. Postural dizziness has been loosely correlated with postural or orthostatic hypotension (OH). The American Academy of Neurology (1996) has issued a consensus statement defining orthostatic hypotension which can be found here in a later post. There is some inconsistency in both education and practice

My worlds are colliding. By day, I am a nebbish vestibular specialist doing my darndest to figure out why people are falling over, or spinning around, or getting faint when they stand up. By night, I am an untrained, but passionate amateur aspiring wannabe sommelier and chef, pairing a Brunello with a Bolognese, or a Temperanillo with a Tagliatelle. Different

Last week I posted a short blurb about a recent Johns Hopkins study linking hearing loss and fall risk. The study claims that people with even mild hearing loss have a three times greater risk of falling, and that the risk increases as the hearing loss increases. Well, I operate a practice called Blue Ridge Hearing and Balance Clinic, and

Researchers at John’s Hopkins have recently published a study that links hearing loss to increased risk of falling. This information needs to be viewed from multiple perspectives. First, it adds to the list of consequential or associated issues that patients with hearing loss may suffer. Second, despite several different “risk factor” lists from several different specialty societies, this is the