Dizziness Depot

Sep. 17, 2011

Pitfalls of Adding Vestibular Services -Part I

Alan Desmond
Last week I proposed that dispensing audiologists should consider adding vestibular services to their practice. I have to say, I thought it was a pretty convincing argument.  And I still think that overall, there is great benefit to all involved, and I have been encouraging audiologists regarding this for years. The problem is, in the second to last paragraph of
Sep. 11, 2011

An Open Letter to Dispensing Audiologists

Alan Desmond
 Adding vestibular services to your practice provides benefits to all involved    Most of you are familiar with the frequently quoted statistics regarding hearing loss and hearing aid use.  This quote comes directly from the Better Hearing Institute website:  “The last MarkeTrak survey (2004) estimated that 31.5 million people report a hearing difficulty; that is around 10% of the U.S. population.”
Sep. 05, 2011

Tai Chi for Balance and Steadiness

Alan Desmond
We have another post this week from Dr. Phillip Griffin, Audiologist and Vestibular Specialist in the Greensboro/High Point, NC area. Perhaps you’ve heard of a new type of exercise that is popping up everywhere at local YMCA’s, senior centers, and retirement communities. It comes from a far away land and has an exotic sounding name. Its slow graceful movements make it
Aug. 28, 2011

Guidelines for Being a Good Patient

Alan Desmond
Is it your job to be a good patient?  I will make the assumption that when you are ill, you would prefer a good doctor, as opposed to the other kind. But, as a health care practitioner (HCP), let me tell you, “It takes two.” You can find the best doctor in the world, but if you are not a good patient, he/she
Aug. 25, 2011

A Case of Brain Stem Stroke and Dizziness

Alan Desmond
We have a guest contributor this week. Dr. Phillip Griffin is an audiologist and vestibular specialist practicing in the High Point/ Greensboro, NC area.  This entry will appeal to us vestibular geeks who sit around thinking about how the inner ear and brain work together. Lay readers will struggle with some of the terminology. A case of PICA…without eating all
Aug. 15, 2011

Fall Risk Questionnaire and Physician’s Guide – Part V

Alan Desmond
Fall Prevention, Part V – Desmond Fall Risk Questionnaire: a fifteen-item self-assessment designed to identify common risk factors for falling, and a physician’s guide with suggestions for management.    Fall Risk Questionnaire and Physician Guide Desmond Fall Risk Questionnaire Please answer all questions Name __________________________Date ________________   1.    ___Yes / No___ Have you had a fall or near fall in
Aug. 09, 2011

Fall Prevention –Developing a Fall Risk Questionnaire – Part IV

Alan Desmond
In an effort to quickly identify potential risk factors, I developed a fall risk questionnaire several years ago that I use routinely in my practice.( A copy of the questionnaire and accompanying “Physician’s Guide will be posted next week). The Fall Risk Questionnaire is a 15 item checklist to be filled out by the patient prior to examination. This allows
Jul. 29, 2011

Fall Prevention – Examination – Part III

Alan Desmond
Why is there so much disagreement regarding the best way to minimize the risk of falling?                                                    A review of several recent studies regarding the cause of falling reveals different assessments, different treatments, and different health care specialists involved. This makes it very difficult to effectively compare or reproduce findings. For example, in one study vestibular function was evaluated through
Jul. 24, 2011

Fall Prevention – Risk Factors – Part II

Alan Desmond
          What are the most common risk factors for falling? Lists of risk factors for falling often differ depending on the type of specialist performing the evaluation or the type of evaluation performed.  One thing that nearly everyone agrees on, the more risk factors present, the higher the chance of falling.  This is more eloquently stated by Tinetti  et al
Jul. 18, 2011

Fall Prevention – A Huge Problem

Alan Desmond
Over the next few weeks, we will take a look at the subject of “Fall Prevention.” This should more accurately be described as “Fall Reduction”, or “Minimization of Fall Related Injury.” It is impossible to prevent falls entirely. Accidents happen. Nonetheless, falling in the elderly is a huge health care problem. So even if we don’t have the answer, it