Dr Joel Goebel

Great. Glad you came out with a diagnosis that’s meaningful to you. That’s what’s needed. Oh how I would love to have been there to ask how he decided on VM and BPPV. I say this because I was originally diagnosed with BPPV which, fair enough, was the symptoms I was experiencing at the time. Treatment for BPPV is by manoeuvre not by preventatives and that was unfortunate for me because although symptoms changed dramatically, my doctors (local, not specialist consultants), wouldn’t rethink it, and I was ‘stuck’ with it for over a decade. Well my ‘BPPV’ symptoms eventually morphed into VM/MAV but much later the VRT therapist, having wound my condition up still further, again tried to convince me I had both. Hence my comment. Not that it matters to your case at all. You are already on what your expert thinks is the correct medication for the VM. You couldn’t be better placed other than never to have developed it in the first place I suppose. But I will say it seems strange my ‘BPPV’ symptoms seem to have receded in line with the MAV symptoms. Odd given that BPPV is supposedly crystals in the ears that are settled by Epley, Brandt Dorff and other manoeuvres. Helen

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