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Having my VNS tomorrow.

Discussion in 'Your Living Room' started by Pupper, Sep 19, 2017.

  1. Pupper

    Pupper Active Member

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    Mac, Scott, point taken. Will do as you say if needed. Thank you.

    My House Clinic doctor/surgeon already transferred me out of his charge a few weeks ago, and into the charge of the clinic's MAV specialist.

    I wonder if I should start going to my regular primary physician to pursue anti-virals. He's been aware of my MM since the beginning and he's good about prescriptions.

    The advantage with my own PHCP is that he's right down the street from me. And I can schedule appointments fairly quickly. As opposed to the House Clinic in LA, which is hard to get to since I can't drive, and appointments are spaced far apart.

    I suppose it's best to stay with the House Clinic. They have all my records and are, after all, the specialists in MM. Plus I hear that their woman allergy doctor is good (if not very friendly).

    I think I'll have my local PHCP be my anti-viral guy. And still go to House Clinic for whatever they want to do with me.

    I don't know. I feel like I'm flying blind ever since my VNS doesn't seem to be working. I can't really blame my House Clinic doctor/surgeon, since I had an appointment with him weeks ago and I cancelled and rescheduled it for late December. Doctor's like face to face conversation, not emails where the patient cancels and then asks for new prescriptions, like I've done to him.

    You ever wish you had a life coach. A really smart, can-do life advisor? Like Harvey Keitel in Pulp Fiction. What was he called. A fixer?
     
  2. Pupper

    Pupper Active Member

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    Gosh I wish this guy would show up on my doorstep tomorrow.

    "You're Pupper? I'm Winston Wolf..."

    https://www.youtube.com/watch?v=dTkg6wq6ma4
     
  3. June-

    June- Well-Known Member

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    Dr derebery told me her rule of thumb was, try av for a month. If ANY improvement then 2 more months. And she had patients who took for years. I had some positive change in two weeks but a month brought maybe 60%. Talk to all the doctors. You did not miss the boat, they did. Hang in there.
     
  4. scott tom

    scott tom Active Member

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    I am shocked that your doctor did this surgery BEFORE sending you to the MAV specialist. MAV is statistically much more common than MM, and should always be eliminated before surgery.

    Here's my life coach advice. Get on the strictest MAV diet. Get on AVs immediately. Take the max dose for at least three months. Take the full JOH at the same time. Be sure to take 1000 mg of lysine 3x per day on an empty stomach. Stop putting these things off.

    Good luck!
     
  5. Pupper

    Pupper Active Member

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    Scott Tom, I will get on it today....this morning. Thank you.
     
  6. I agree with June and think this sounds much more plausible. Pupper, sometimes you have to do the best you can, with what you have, where you are; at a certain point you have to forget everybody else, and do what you feel is best for you. I support you, and whatever you decide to do for yourself.
     
  7. Pupper

    Pupper Active Member

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    Since I've had two multi hour spinning episodes since my VNS, should I insist that I be tested to see if I've gone bilateral? After my first episode, I asked my MM doctor if I should be tested, and he declined, stating that he's not as worried about bilateral as MAV. Well, I am worried about bilateral. In light of my 2 attacks, I feel that testing is the prudent thing to do. Imperative in fact. Am I wrong about this? (Sincere question, I'm not just being hot headed.) My last such test (ENG/Caloric) was in the fall of 2016, prior to my shunt surgery.
     
  8. scott tom

    scott tom Active Member

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    You should be tested for EVERYTHING. That should be standard procedure for doctors. Get another doctor if yours won't do his job.
     
  9. June-

    June- Well-Known Member

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    Ditto
     
  10. Pupper

    Pupper Active Member

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    Are you saying that primarily because of my two vertigo attacks since my VNS?
     
  11. PleaseNoDizzy

    PleaseNoDizzy Active Member

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    Do you have any other symptoms, whatsoever, in your "good" ear? Tinnitus? Fullness etc? I'm no expert but if I had to guess, if it's not giving you any noticeable problems otherwise, I'd be more inclined to assume MAV than bilateral MM.

    I've done more reading lately on MAV since it's looking more likely that that is what I am dealing with (in addition to MM) and I just read that MAV is much more likely to pop up than MM, and bilateral MM in particular is much more "rare".

    That being said, there's a lot of dispute about where the line is drawn between the two disorders. There's SO much overlap in symptoms and neither has a known cause (per the medical establishment. I know many on this board feel otherwise). My own oto pretty much believes they are often two sides of the same coin.

    I think the distinction between the two is more academic than practical UNLESS you are talking extreme measures like a second laby or other destructive procedure. It might be helpful to read up on some of the MAV treatments, like diet or even migraine meds, and see what you can try to do to address that issue, if it exists.
     
  12. scott tom

    scott tom Active Member

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    No, i'm saying that in general. Your doctor should have eliminated everything else before doing surgery. Now you need to get another doctor who cares about you enough to test for everything.
     
  13. BayMama

    BayMama Member

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    Is there a test now for Menieres? When I was being diagnosed (just a few years ago), there was no test. All the doctors could do was look at symptoms and rule other things out (sometimes with tests).

    So from that perspective, I agree that the first question would be: Do you have symptoms in the other ear?

    My oto has also told me recently that the latest research is that MM and MAV are connected. I think they are still figuring it out. Clearly there is a connection for many of us, at the least.
     
  14. June-

    June- Well-Known Member

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    No test because no definition. It is a diagnosis by exclusion, a set of symptoms not explained by anything else. It may be that it can be caused by sever different things or a combination of things. You may hear an immune system thing,mehich covers a multitude of sins.
     
  15. scott tom

    scott tom Active Member

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    There is no test of MM other than elimination. You CAN test for PLF, SCD, etc. They should be ruled out before diagnosing MM.
     
  16. June-

    June- Well-Known Member

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    Also the mri will rule out acoustic neuroma and ms.
     
  17. Pupper

    Pupper Active Member

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    Yesterday I had my third spinning episode since my VNS about 80 days ago. Every day I'm still quite dizzy. The dizzy gets worse around 10AM. Just like it always did prior to my VNS.

    I've been trying the Migraine diet. The night before yesterday's attack I had a few slices of pizza. Pizza bread is on the Migraine avoid list, as it's a yeast/rising bread. Did that cause it? Who knows.

    I'm probably bilateral. The only thing that makes me think I might not be bilateral is that during my spinning episodes, it's my VNS ear that gets bad tinnitus.

    I can't get my vestibular tests till late January. I'm having them to help see if I've gone bilateral.

    Still taking Lysine and antivirals for about 10 days now. No more cheating with pizza or whatever.

    This 3rd spinning attack really hurt my hope that the VNS worked. Still some hope. Either way, trying to train my mind to stay positive. Actually not even that, since that's difficult right now. Just trying to actually not think about it all.
     
  18. tdoak

    tdoak Member

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    Sorry to hear pupper. I have cut out so many foods my diet is very bland and sometimes I think it helps and other times I do not. My fear is that if that I went back to eating the food I cut out then my attacks would be worse
     
  19. BayMama

    BayMama Member

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    So sorry that happened--the spinning is bad enough without the big dose dose of disappointment.

    That is very interesting that there is a time pattern. That does sound like something other than Meniere's.
     
  20. June-

    June- Well-Known Member

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    I think i have read that there are times when the there are 'threads' of the vestibular nerve that occur on the hearing portion. When this happens, the vns may not be successful. It's just something i think i might have read here so this may not be accurate but it might be something to ask the doctor.
     

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