Dr. Purcell and Dr. O'Leary work with a patient to help her overcome vertigo.
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EmpowHer Alvarado Hospital Docotors in Action Ian Purcell, M.D. and Michael 0’Leary, M.D. Otonuerologist Nuerologist/Skull-Base Surgeon Michael 0’Leary, M.D.: This the patient we saw last week that I had you see with the acute vertigo. She’s done beautifully with the first maneuver but now she’s actually developed a recurrence that I could show you on the tape with her goggles so we actually have bilateral crystals that are lose there in her ear. Ian Purcell, M.D: Okay. Michael 0’Leary, M.D.: So if we can treat this now, I think we can really clear up and diagnose it dramatically. Ian Purcell, M.D: Okay. Shirley: I was fine until that night but when I laid down, I lay on my back because of my lower back injury with the pillow on my feet and I laid down and took a little stand it went away. Michael 0’Leary, M.D.: The last time we did this it was with your head turned to the right but now this time the right look beautiful do you want to turn on the film here of our goggles. Over here a sec and if you look on the television good it looks straight ahead right through the goggles and you will see how nice and steady that eye is that’s our natural state now it’s put under a tape and watch happens when we go left. So here yes are going to close here now and now we’re turning her head to the left and when he is all laid down here we watch and you started to say to me oh my gosh I’m dizzy, I’m dizzy and she won’t even open the eyes. I would see the eye moving right there but now look at that so her head is steady when all that is going on. You have been experiencing that, that’s what the other doctors haddn’t been able to catch. Shirley: Right. Michael O’Leary, M.D.: But that’s so obvious and we know what that is, see these crystals banging to those little air cells, your brain knows your not moving and yet look at what your eyes are doing. So no wonder you have a tough time and the way we’re wired is when that happens your whole body says, don’t go out of the cave because your going to get eaten by the dinosaur because you can’t tell where your gravity is you can’t navigate the world like that so that’s what makes you feel so bad when this happens so but the good news is this is the one we can fix and so I want Dr. Purcell to see that because I think that is the problem to the left ear canal don’t you think? Ian Purcell, M.D: Yeah. Michael 0’Leary, M.D.: The second piece this week we got in the exact same finding like that. Alright so you feel better right now, correct? Shirley: Right. Michael 0’Leary, M.D.: SO we’re going to right track your— we’re not done and when we can get you down in both sides and there’s no more movement then you’re going to be feeling back to normal but until then you won’t but we’re making good progress there. Ian Purcell, M.D: Alright, and Shirley what we’re going to do is bring you back in next week. Michael 0’Leary, M.D.: Yeah due Tuesday. Ian Purcell, M.D: Let see if we can put you on— Michael 0’Leary, M.D.: We are going to do the chair again that we talked about and now we’re going probably work on other ear for you, alright.