Thanks for your research and getting info out to doctors. I'm 7 yrs disabled after a VAD (chiropractor) and cerebellar stroke. ER treated me for nausea and sent me home. Acute onset vomiting, EXTREME PAIN in eyes and ears and unable to remain upright. CT scan 24 hours after symptoms and MRI 24 hours after that!!😡 2+ years for dx after being told "you'll be fine in a few weeks". Finally dx with bilateral vestibular dysfunction, poor VOR, abnormal saccades and eye convergence, teaming, tracking problems. Caloric testing , posturography and neuro optometric testing were most helpful while ER dr, hospitalist, neurologists and standard optometry were USELESS!! Now, adapting and not stressing about getting better...not gonna happen.
@tonyf315
3 жыл бұрын
These videos are more important than ever for the vestibular physical therapy group I facilitate, as with the pandemic, "in person" learning is getting harder to provide but video learning is an ever-available lifeline-many thanks!
@amandakiernan3374
7 ай бұрын
Cant understand this speaker...talks way too fast I'm even more confused! And I've 2 degrees.
@augiecig2749
3 жыл бұрын
perfect. After 10 years of practicing and not having a real approach to these patients, we are finally on to something big here. Ill spread the gospel to my group
@mariaosip5376
3 жыл бұрын
Waw!!! Thanks from Belerus!!! it's very useful information for my practice. Your channel is the best on KZitem in vertigo topics.😄
@Anthony-ge2ux
3 жыл бұрын
Audiologist here. Thank you for the helpful information
@louiselmf6671
3 жыл бұрын
I'm a VAD and cerebelar stroke patient. My treatment and DX were terribly poor. I am available to any provider, student or researcher who has questions or if I may be of any research help. Louise.funny gee mail
@EduardoMaiaMP
3 жыл бұрын
Thanks! I'm a Brazilian 1st-year medical student and I've been struggling with those tables for a couple weeks since I noticed that the differences weren't so clear depending on the case. This is really helpful and I'll recommend that to all my friends here in Brazil.
@sallas5534
3 жыл бұрын
I hope i can help any medical students when i finish my specialist I am thanking you alot doctor
@aolli2359
3 жыл бұрын
Thanks for making such an enlightening video. I agree that this division into peripheral and central causes of vertigo mainly serves to confuse everyone.
@brunomontagna4801
3 жыл бұрын
Awesome. Greetings from Brazilian Medical student.
@zuneid375
3 жыл бұрын
Hi Dr. Johns, Thank you for this helpful tip, I will spread your video across my community. Best regard from Mozambique.
@hanktsung-hanlee1188
3 жыл бұрын
Dr. Johns thanks for making the topic of vertigo SO CLEAR! For years I felt I didn't have a good grasp to the approach of undifferentiated vertigo. It was only luck that serious causes are rare and I haven't had an adverse outcome. I've watched every video of yours and found them to be so helpful! Recently I was able to diagnose a migraine vertigo with confidence and successfully treat it. I like to use chlorpromazine + N saline for that, as I found metoclopramide not as helpful. What do you think about chlorpromazine? Thank you again for your teaching and always looking forward to another video. Wish you (and Epley) well! (A New Zealand ED resident)
@PeterJohns
3 жыл бұрын
I haven't used it in 30 years, but it did work back then. You get more hypotension with it compared to metoclopramide though..
@jeekid
3 жыл бұрын
Great video! Textbooks should change thier central vs peripheral dichotomy to Dr. John's big three. Let's teach big three to our residents; let's change emergency physician's practice.
@PeterJohns
3 жыл бұрын
Tintinalli's emergency medicine textbook latest edition was written by myself and Brian Goldman. Thanks for your support Jason!
@louiselmf6671
3 жыл бұрын
I'm a VAD and cerebelar stroke patient. My treatment and DX were terribly poor. I am available to any provider, student or researcher who has questions or if I may be of any research help.
@pinkpanther275
3 жыл бұрын
Excellent job as usual! Greetings from Ukrainian fan🖐️
@johnkuo855
9 ай бұрын
🌹🌹🌹Thanks for making such an enlightening video.🌹🌹🌹
@drjws1
3 жыл бұрын
Thank you for this. My experience is essentially identical to yours.
@PeterJohns
3 жыл бұрын
Interesting! Are you a doctor?
@drjws1
3 жыл бұрын
@@PeterJohns Yes a neurologist
@PeterJohns
3 жыл бұрын
@@drjws1 Glad you were able to find the light! Many neurologists and ENT and emergency MD's and family MD still have not.
@drjws1
3 жыл бұрын
@@PeterJohns I agree many robotically follow the tables you correctly criticize. I started to look into this much more carefully years ago after reading an early report of a patient with a cerebellar stoke with nystagmus mimicking “peripheral nystagmus”.
@ericandrius
3 жыл бұрын
What a amazing vídeo!!!!
@harishchandergoel5159
2 жыл бұрын
Nice👍
@whonix4317
3 жыл бұрын
I’ve seen many cerebellum strokes sent home. I expect your approach would improve that rate.
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