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Medical Forum / Diseases and Disorders / Tinnitus / June 2004

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Ear infection question

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Richie - 09 May 2004 17:16 GMT
I hope this is the right group for such a question.

Can anyone with medical knowledge answer a small question for me. Is it
possible by just looking into the ear to determin 100% if there's any
infection in the *inner* ear?
Jim Chinnis - 09 May 2004 17:24 GMT
Richie <nospam@no-spam.invalid> wrote in part:

>I hope this is the right group for such a question.
>
>Can anyone with medical knowledge answer a small question for me. Is it
>possible by just looking into the ear to determin 100% if there's any
>infection in the *inner* ear?

No.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Richie - 09 May 2004 17:31 GMT
> Richie <nospam@no-spam.invalid> wrote in part:
>
[quoted text clipped - 5 lines]
>
> No.

Wow that was quick. Thank you, come Monday morning I'm going to be
throwing a certain doctor out of a first floor window head first. :-)
My impressions of him are correct, clueless.

Thanks again.
R Benner - 09 May 2004 17:57 GMT
One answer, from someone you don't know, have never met, and you are ready
to kill a doctor?

Getting a second opinion is valid, but involves going to the right person
for that advice.

Why not let a few more folks respond before you form your own opinion,
assuming that you have not already decided what to believe and are only
seeking someone to co-sign your BS.

The person who answered you could very well be totally qualified, it is not
my intention of being disrespectful.

> > Richie <nospam@no-spam.invalid> wrote in part:
> >
[quoted text clipped - 11 lines]
>
> Thanks again.
Richie - 09 May 2004 19:23 GMT
> One answer, from someone you don't know, have never met, and you are ready
> to kill a doctor?

Maybe you missed the smiley at the end of the sentence. As I'm sure most
people will apreciate dealing with a clueless doctor is frustrating at
best. I may well be blunt and tell someone what I think of them but even
I'm not stupid enough to carry out such an act and end up in prison.

> Getting a second opinion is valid, but involves going to the right person
> for that advice.
>
> Why not let a few more folks respond before you form your own opinion,
> assuming that you have not already decided what to believe and are only
> seeking someone to co-sign your BS.

This isn't the first place I've sought an opinion, which in all fairness
maybe I should have said, I just need as much information as possible to
put my case.

> The person who answered you could very well be totally qualified, it is not
> my intention of being disrespectful.
[quoted text clipped - 14 lines]
>>
>> Thanks again.
ENTconsult - 10 May 2004 17:16 GMT
Wow that was quick. Thank you, come Monday morning I'm going to be
>> throwing a certain doctor out of a first floor window head first. :-)
>> My impressions of him are correct, clueless.

on the contrary I believe it was you who misunderstood what your doctor said.
Your doctor is correct in saying when he looks into your ear canal that he
doesn't SEE evidence of inner ear infection - no pus pouring out. But Tinnitus
is not necessarily an infection.

In various studies they have shown that patients rarely remember more than 30%
of what the doctor said and why it is necessary to write everything down. No
reflection on the patient - its just that people are human.
Murray Grossan, M.D.
http://www.ent-consult.com
Jim Chinnis - 09 May 2004 19:14 GMT
Richie <nospam@no-spam.invalid> wrote in part:

>> Richie <nospam@no-spam.invalid> wrote in part:
>>
[quoted text clipped - 11 lines]
>
>Thanks again.

Some cautions:

You may be using the term, "inner ear," incorrectly. If you really meant,
"middle ear," then a good ENT can do a pretty good job of determining if there
is significant infection there by observing signs and symptoms. No one can say
that there is a 100% probability of no infection, however.

The inner ear is enclosed in part of the skull, inside the bone. Not even a
CT-scan or MRI will catch most types of infection there.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

terri231@knowspam.mam - 09 May 2004 18:15 GMT
>I hope this is the right group for such a question.
>
>Can anyone with medical knowledge answer a small question for me. Is it
>possible by just looking into the ear to determin 100% if there's any
>infection in the *inner* ear?

There is only one ENT that frequents this group that I know of and
that is Murray Grossan.  The rest would be speculating, IMO.

Terri
Susan - 09 May 2004 19:00 GMT
>There is only one ENT that frequents this group that I know of and
>that is Murray Grossan.  The rest would be speculating, IMO.
>
>Terri

This just isn't true.  I'm not an infectious disease specialist nor a doctor,
but I know more about tick borne diseases than most of them do (according to my
own ID doc).

The same is true with insulin resistance and most internists.

Anyone with enough interest in a medical topic to have sought information is
qualified to share it in a support group.  That's what support groups are for,
IMO.  

Susan
terri231@knowspam.mam - 09 May 2004 19:01 GMT
>x-no-archive: yes
>
[quoted text clipped - 14 lines]
>
>Susan

Your point is well taken.

Terri
ENTconsult - 09 May 2004 22:54 GMT
a. the inner ear is rarely infected. When it is you know it because there are
lots of seruous symptoms
b. you can't look into the inner ear.
c. you can't get a fluid sample of the inner ear except via seriuous surgery.
d. CT and MRI are of minimal value for examiningn he inner ear.
Murray Grossan, M.D.
http://www.ent-consult.com
Jim Chinnis - 09 May 2004 23:08 GMT
entconsult@aol.comnospam (ENTconsult) wrote in part:

>a. the inner ear is rarely infected. When it is you know it because there are
>lots of seruous symptoms

That doesn't mean that you know when it is infected. One theory about
Meniere's is that it is caused by a viral infection of the inner ear that
reactivates and remits. Many cases of labyrinthitis are essentially of unknown
cause--you don't know if an infectious agent is present or not.

You can say with near 100% probability when the *inner* ear is NOT infected.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Terea - 03 Jun 2004 14:22 GMT
> entconsult@aol.comnospam (ENTconsult) wrote in part:
>
[quoted text clipped - 7 lines]
>
> You can say with near 100% probability when the *inner* ear is NOT infected.

Do you think labyrinthitis can be caused by allergies?  A hayfever sufferer?
Jim Chinnis - 03 Jun 2004 15:40 GMT
DvdTurnbull@aol.com (Terea) wrote in part:

>Do you think labyrinthitis can be caused by allergies?  A hayfever sufferer?

Yes.

There are also some published papers on this by Dr. Derebery at the House Ear
Institute in Los Angeles.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Terea - 04 Jun 2004 06:27 GMT
> DvdTurnbull@aol.com (Terea) wrote in part:
>
[quoted text clipped - 4 lines]
> There are also some published papers on this by Dr. Derebery at the House Ear
> Institute in Los Angeles.

Do you think I would be able to get hold of a copy of these papers by
writing to this doctor?  I would be interested in reading them.
francispoon - 04 Jun 2004 02:04 GMT
> entconsult@aol.comnospam (ENTconsult) wrote in part:
>
[quoted text clipped - 4 lines]
> Meniere's is that it is caused by a viral infection of the inner ear that
> reactivates and remits.

(1)Could the infection be 'cured'?
(2)My ENT doctor prescribed me Bymeniere(Betahistine Mesilate).
According to the explanation pamphlet, this medicine is used for
Meniere disease?  How does this work or what is the mechanism
involved?  Does it tend to restrict the production of inner ear fluid
like carbonic dehydrase inhibitor?

Your answering these questions could save me US$100 that will be paid
to visit my ENT doctor in HK.  He does not answer questions over the
phone.

Thank you in advance,

FP
=============================================

Many cases of labyrinthitis are essentially of unknown cause--you
don't know if an infectious agent is present or not.

> You can say with near 100% probability when the *inner* ear is NOT infected.
Jim Chinnis - 04 Jun 2004 04:31 GMT
fyfpoon@hotmail.com (francispoon) wrote in part:

>(1)Could the infection be 'cured'?

Not today.

>(2)My ENT doctor prescribed me Bymeniere(Betahistine Mesilate).
>According to the explanation pamphlet, this medicine is used for
>Meniere disease?  How does this work or what is the mechanism
>involved?  Does it tend to restrict the production of inner ear fluid
>like carbonic dehydrase inhibitor?

If it is similar to histamine, which it (and SERC) almost certainly is, it
increases circulation to the inner ear. It may also directly affect vestibular
nuclei.

It does not, as far as is known, restrict production of inner ear fluid
(endolymph). Neither does a carbonic dehydrase inhibitor, as far as I know.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

Oregon7 - 11 May 2004 05:28 GMT
I would imagine this MD asked a lot of questions with regard to your health
along with the physical exam.........how about the rest of the story....

MJ
 
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