Hello everyone - My name is John and I’ve posted a few notes but I am relatively new to this forum. I have had MM for several years and it was under control with medication and giving up caffeine/alcohol. But early this year, it resurfaced. I am going to the House Ear Institute in Los Angeles under the direction of Dr. John House. He altered my medication earlier in the year but it hasn’t helped. He then tried steroid injections in the affected ear but that didn’t work either. Last week I underwent a VNG test as he wanted to see whether a Gent injection might be a possibility. But the test came out completely normal in both ears. There has been no destruction of my balance nerve in my bad ear. As a result he will not give me the Gent injection because he is opposed to destroying a perfectly good balance nerve. The rehab after the injection would be very severe. So the next step is either the shunt surgery or trying to see if it is allergy or viral related or perhaps trying the John of Ohio VMS route. I had a brain MRI several years ago when my MM was being diagnosed and they ruled out an acoustic neuroma. For any of you that has had the shunt surgery could you give me a playbook of what to expect? My doctor says it is about 70% effective. How is the surgery, how much pain is there and how is the aftercare? I read where there could be quite a lot of dizziness after the surgery and the aftercare is not fun. My options are becoming more limited. I am having an episode once every week or two. Please help me with your feedback. Thank you all very much.