CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 14 0000. ref SDS 13 0000.
040502 -
040503 -
040504 -
040506 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Letter to Robin saying...
040902 -
040903 - 1. Subject: On the Mend??
040904 - Date: Sun, 03 Jun 2012 10:56:58 -0700
040911 - ..
040912 - 2. Glad you have stepped back from Reumofan, noted in your letter
040913 - on Friday, shown below. Sounds as well that Glucosamine
040914 - Chondroitin has provided some relief while your knee recovers
040915 - from surgery. [...referencing Robin's letter on 120601 2232.
040916 - ref SDS 14 HX9I; and further referencing order placed with
040917 - Costco on 120516 1048. ref SDS 11 E99F...]
040919 - ..
040920 - 3. Personally, I have always avoided cortisone injection for pain
040921 - relief, long used for athletes, but clouded in controversy. In
040922 - your case, Doctor Lawler evidently indicated that cortisone
040923 - "accelerates" healing. Did he provide documentation? Research
040924 - indicates cortisone may only mask pain while the underlying
040925 - medical problem gets worse. See for example...
040926 -
040927 - 1. "TEN REASONS NOT TO GET A CORTISONE SHOT"
040928 -
040929 - http://www.neuropathypro.com/id9.html
040930 -
040931 - 2. "Phys Ed: Do Cortisone Shots Actually Make Things Worse?"
040932 -
040933 - http://well.blogs.nytimes.com/2010/10/27/do-cortisone-shots-actually-make-things-worse/
040935 - ..
040936 - 3. Cortisone and Ryan Howard: Easing the pain, or worsening it?
040937 -
040938 - http://articles.philly.com/2012-05-21/news/31789006_1_cortisone-michael-ciccotti-ryan-howard
040940 - ..
040941 - 4. Doctor Fow and others can address issues of pain relief and
040942 - recovery from surgery complications in a 2nd opinion, discussed
040943 - previously.
040945 - ..
040946 - 5. The report that Doctor Stewart maintains nothing can be done
040947 - about dizziness caused by ear canal buildup seems surprising.
040948 - Millie suffered this problem and was treated with "ear wash"
040949 - reported on 030915 (see line 310802. ref SDS 7 WS47
040951 - ..
040952 - 6. Three years later treatment was less effective after recurrence
040953 - of dizziness shown on 060428 (see line CA0402. ref SDS 9 PT4K
040955 - ..
040956 - 7. Your symptoms are much worse than Millie suffered, and seem to
040957 - present risks when driving, as you point out. Doctor Stewart's
040958 - diagnosis of "Benign Positional Vertigo" yields several
040959 - treatment protocols from research on the Internet...
040961 - ..
040962 - 8. Wikipedia says in part...
040963 -
040964 - http://en.wikipedia.org/wiki/Benign_paroxysmal_positional_vertigo
040966 - ..
040967 - "CRP employs gravity to move calcium build-up that causes the
040968 - condition.[13] The particle repositioning maneuver can be
040969 - performed during a clinic visit by health professionals or
040970 - taught to patients to practice at home. In the Semont maneuver,
040971 - patients themselves are able to achieve canalith
040972 - repositioning.[14] Both treatments, when performed by a health
040973 - professional, appear to be equally effective. When practiced at
040974 - home, the CRP is more effective than the Semont maneuver. The
040975 - most effective repositioning treatment for posterior canal BPPV
040976 - is the therapist-performed CRP combined with home practiced
040977 - CRP."
040979 - ..
040980 - 9. The Mayo Clinic says in part...
040981 -
040982 - http://www.mayoclinic.com/health/vertigo/DS00534
040984 - ..
040985 - "Although benign paroxysmal positional vertigo can be a
040986 - bothersome problem, it's rarely serious except when it
040987 - increases the chance of falls. You can receive effective
040988 - treatment for benign paroxysmal positional vertigo during a
040989 - doctor's office visit."
040990 -
040991 - [On 120815 0621 suffered prolonged dizziness of 4 - 5
040992 - hours, with weakness, ref SDS 17 CW6I, research indicated
040993 - possible symptom of CAD. ref SDS 17 SK9I
040995 - ..
040996 - 10. Another source, MedlinePlus, says in part...
040997 -
040998 - http://www.nlm.nih.gov/medlineplus/ency/article/001420.htm
041000 - ..
041001 - "The most effective treatment [...paroxysmal positional
041002 - vertigo...] is a procedure called "Epley's maneuver," which can
041003 - move the small piece of bone-like calcium that is floating
041004 - inside your inner ear. Other exercises that can readjust your
041005 - response to head movements are less effective."
041006 -
041007 - [On 120617 1048 letter to Robin asks about results using
041008 - Eply's manuever to relieve dizziness from paroxysmal
041009 - positional vertigo. ref SDS 16 PC4T
041011 - ..
041012 - 11. Wikipedia explains "Epley's maneuver" which seems complicated
041013 - and so should be performed by a doctor...
041014 -
041015 - http://en.wikipedia.org/wiki/Epley_maneuver
041017 - ..
041018 - "The Epley maneuver (or canalith repositioning maneuver) treats
041019 - benign paroxysmal positional vertigo (BPPV)[1] of the posterior
041020 - or anterior canals[2] . Free floating particles from the
041021 - affected semicircular canal are relocated, using gravity, back
041022 - into the utricle, where they can no longer stimulate the
041023 - cupula, therefore relieving the patient of bothersome
041024 - vertigo[2][3]. It is often performed by a doctor, chiropractor,
041025 - or a physical therapist, after confirmation of a diagnosis of
041026 - BPPV using the Dix-Hallpike test and has a reported success
041027 - rate of between 9095%[4][5][6]. This maneuver was developed by
041028 - Dr. John Epley and first described in 1980.[7] Physiotherapists
041029 - and some chiropractors now use a version of the maneuver called
041030 - the "modified" Epley that does not include vibrations of the
041031 - mastoid process originally indicated by Epley, as they have
041032 - since been shown not to improve the efficacy of the
041033 - treatment.[8]"
041034 -
041035 - [On 120815 0621 suffered prolonged dizziness of 4 - 5
041036 - hours, with weakness, ref SDS 17 CW6I, research indicated
041037 - possible symptom of CAD. ref SDS 17 SK9I
041039 - ..
041040 - 12. There are 10 steps for Eply's maneuver which you can try at
041041 - home. Best results occur with professional assistance.
041042 - Accordingly, you might follow Doctor Stewart's advice to let
041043 - nature cure the problem over time. For example, one source
041044 - indicates changing sleep position can help solve the problem.
041045 - Of course maintaining a constant sleep position is difficult,
041046 - and, even if done, can cause other problems.
041048 - ..
041049 - 13. Since you are seeing a chiropractor for your neck and spine
041050 - issues, you might ask if they are familiar and can help you
041051 - apply the Eply maneuver to relieve vertigo. Otherwise I would
041052 - get a 2nd opinion and affirmative help from a doctor.
041054 - ..
041055 - 14. Keep me posted on solving the vertigo problem.
041057 - ..
041058 - 15. Congratulations on getting Honda to step up and fix the visor
041059 - that just failed out the blue on your Civic. You can add "Car
041060 - Maintenance Management" to your resume - yaaaaaa!
041062 - ..
041063 - 16. Hopefully, you can keep in touch with Terra doing lunches and
041064 - things, even though she has left the organization. [...
041065 - responding to Robin's letter that her friend Terra has resigned
041066 - from her job where Robin works, reported on 120601 2232.
041067 - ref SDS 14 YQ4Q...]. You seem such good friends that she will
041068 - want to maintain connection. Speaking of "change," maybe
041069 - people leaving will alert management to improve personnel
041070 - relations by changing the administrator.
041071 -
041072 - [On 120617 1048 Robin reports Terra visiting on June 29th,
041073 - and the next day on June 30th they are driving to Southern
041074 - California for the weekend. ref SDS 16 9J8T
041076 - ..
041077 - 17. Thanks for keeping in touch. Love your letters and calls.
041079 - ..
041080 - 18. Whew - bet you're thinking - Ala Be Praised this is ending!!
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