The clinical course of Meniere's disease is variable.
There are sufferers that experience one or two attacks of combined symptomatology and then they are "symptoms free" for the rest of their life. On the other part of the scale of severity are those Meniere's disease patients with repeated attacks of vertigo and tinnitus and incapacity to work and maintain productive life.
The medical approach of the literature in Ear Nose and Throat is mainly The Ear.
Patients with mild to moderate severity can benefit from the application of the Text-Book Medicine Approach. In most of them it is impossible to know what is the mechanism of their improvement: spontaneous cure or response to the management.
I offer my patients a western medical approach to the severely affected sufferers. This medical approach has good results when the Meniere's disease patient is motivated to be cured and can cooperate in prolonged treatment.
You can read more about it through the following link: Medical Aprroach
Since we discuss the medical condition of Meniere's disease patients in my clinic, they should follow the basic criteria for a patient in the clinic.
Who is defined as a Chronic Meniere's disease patient?
I) Previous diagnosis of Meniere's disease by a specialist of Otolaryngology.
II) The patient was tested for other medical conditions by objective tests: Audiograqm, ENG or VNG, MRI or fMRI.
III) The patient tried medical treatments for Meniere's disease according to the current western medical literature.
IV) The treatments that the sufferer tried did not work, or had a partial effect.
Ability to cooperate in starting the treatment
I) The patient is attacked by frequent symptoms in a way that interfers with his occupation: ability to function at work or academic studies in students.
II) Significan deterioration in social life and pleasurable activities such as parties, sport, going to movies, theaters, concerts or clubs.
III) The quality of life is severly affected by sleep disorder (abnormal biological clock), anxiety, irritability and a feeling that he does not derive pleasure from life as before.
IV) The patient have high motivation to reach a complete cure and not just a mild relieve in the level of his symptoms.
V) The sufferer is ready to give a very high priority for the treatment.
VI) The decision of the sufferer to come for treatment is based on deep research that includes commnication with patients that were treated in my clinic.
Ability to cooperate in continuing the treatment
I) Ability to follow my instructions exactly as they are.
II) The patient is ready to tollerate the uncertainty that is associated with the timetable of the treatment. It means: if he is lucky (as it happenes in 5% of the patients) he can feel improvement after 1 months. If he is very unlucky it may take more than 18 months.
III) The patient accepts me as his main medical authority regarding all his medical problems with one exception: for patients who receive oncological treatments or care, I am the second one. The oncologist should be the first.
IV) The patient is able to tollerate the ups and downs in his medical condition. It means: since many times the improvement is not immediate, the attacks of Meniere's disease or the effect of the treatment may be involved in an unstable medical condition. The problems starts when a patient that felt good is experiencing another attack of meniere's disease, and decides to stop the treatment.
V) The patient is ready to come to Israel and devote time for the treatment.The medical evaluation and the initiation of the treatment consumes at least 5 weeks for an average patient. Many sufferers can not leave their work for such a long time, and remain untreated. The patients who see the treatment as important issue in their life, are ready to find the time for coming, in spite of the other important issues in their lives.
The medical analysis includes: most of the fields of Internal Medicine, Neurology and Psychiatry. A considerable part of the interview is dedicated to those areas of medicine that are neglected by many of the western medical doctors, such as Nutrition, medications with Iatrogenic effects and Food Supplements.