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Tinnitus  
User currently offlineMD11Engineer From Germany, joined Oct 2003, 13798 posts, RR: 63
Posted (5 years 9 months 2 days 16 hours ago) and read 2008 times:

Yesterday (sunday) morning I woke up with a numb feeling in my right ear (as if the ear was stuffed with cotton wool, also with a feeling of pressure) and a low, high frequency beeping, like a high sine wave sound. It is similar to the feeling if somebody fired a gun or a firecracker close to the ear.
It stayed for the whole day, so I decided to go to the doctor if it would still persist this morning.
So I went to my GP, who sent me to a throat-ear-nose specialist. This specialist confirmed my suspicion (she also carried out an audiometric test, which showed that I can't hear the higher frequencies on the affected ear), that I had a tinnitus, most likely caused by a lack of blood circulation in my right inner ear.
Now I take things like this extremely seriously. My father, who was not, or just a little overweight, did not smoke, did physical activities and only drank alcohol in very moderate amounts (everything the same as me, also my blood pressure is in the lower to normal range), had a brain stroke at the age of 47, most likely through a temporary closure of the right carotis interna, which left him partially paralised .

Through hard work, he managed to train other areas in his brain to take over for those damaged by the stroke, so that after 5 years you wouldn't have noticed it, unlessyou knew him well before. He went back to his work as a geologist and palaeontologist
But when he was 57 he had a second stroke, unfortunately during a holiday in Madeira, where medical facilities are not that advanced. This stroke practically left him a vegetable, he had no control over his facial muscles and throat, so that he wasn't able to speak or to eat (he had to be fed through a PEG tube through the belly skin right into his stomach). He was always covered in saliva. It also left him incontinent and partially paralised, so that he couldn't move about anymore. I also suspect that his personalitywas affected, he changed quite a lot and became really slow in understanding things.
Three years later, at the age of 60, the home care nurse, who was coming to his place twice a day, found him dead in the bath tub, probably of another stroke (he was warned by his doctor not to take a bath if he was alone), I don't know the details though, because at this time I was working in Ireland.

I don't want to follow him that early, especially since I'm now nearing the age when his first stroke occured.

So now I've got to undergo an infusion therapy for ten days (500 ml 6% NaCl plus 250 mg of a corticoid each day). Afterwards the situation will be re-assessed. The GP will probably send me to a neurologist to have a NMR scan done to see in how far the blood vessels in my head are affected. I will also undergo a full medical check-up to check my blood values (espercially cholesterol and blood sugar).

Even though I have to pay Euros 30 as contribution to the medications, I'm glad I'm insured.
I had to wait for two hours at each doctor, but they explained to me that they had a lot of new "emergency" cases today due to it being monday.

Jan

[Edited 2008-07-21 09:44:39]

25 replies: All unread, showing first 25:
 
User currently offlineHT From Germany, joined May 2005, 6525 posts, RR: 25
Reply 1, posted (5 years 9 months 2 days 16 hours ago) and read 1992 times:

Quoting MD11Engineer (Thread starter):
So now I've got to undergo an infusion therapy for ten days (500 ml 6% NaCl plus 250 mg of a corticoid each day). Afterwards the situation will be re-assessed. The GP will probably send me to a neurologist to have a NMR scan done to see in how far the blood vessels in my head are affected. I will also undergo a full medical check-up to check my blood values (especially cholesterol and blood sugar).

Definitely take your time to get things checked.

That infusion therapy might cure you of the Tinnitus, but there is no guarantee that it will work 100% or partially. Just be warned to put your expectations not too high to save you from disappointments.
A relative of mine (aged 70+) is living with a Tinnitus for more than a decade now and none of the (early and later) therapies tried worked ... Also, he acquired the Tinnitus without specific reason/cause - same as you.

All the best !   
Holger

[Edited 2008-07-21 09:58:13]

[Edited 2008-07-21 09:58:45]


Carpe diem ! Life is too short to waste your time ! Keep in mind, that today is the first day of the rest of your life !
User currently offlineMD11Engineer From Germany, joined Oct 2003, 13798 posts, RR: 63
Reply 2, posted (5 years 9 months 2 days 16 hours ago) and read 1973 times:

My primary worry isthat it might be an indicator of more serious vascular problems in my head or an early warning of an oncoming stroke. I don't want to end up like my father.

Jan


User currently offlineHT From Germany, joined May 2005, 6525 posts, RR: 25
Reply 3, posted (5 years 9 months 2 days 15 hours ago) and read 1965 times:



Quoting MD11Engineer (Reply 2):
My primary worry isthat it might be an indicator of more serious vascular problems in my head or an early warning of an oncoming stroke. I don't want to end up like my father.

Very well understood.
That combination of immediate therapy and more thorough investigation afterwards is essential.
Holger



Carpe diem ! Life is too short to waste your time ! Keep in mind, that today is the first day of the rest of your life !
User currently offlineDocLightning From United States of America, joined Nov 2005, 18699 posts, RR: 58
Reply 4, posted (5 years 9 months 2 days 15 hours ago) and read 1964 times:

MD11, best of luck.

Tell me, do you have the German Nationalized insurance or what?


User currently offlineMD11Engineer From Germany, joined Oct 2003, 13798 posts, RR: 63
Reply 5, posted (5 years 9 months 2 days 15 hours ago) and read 1953 times:

Quoting DocLightning (Reply 4):
MD11, best of luck.

Tell me, do you have the German Nationalized insurance or what?

In Germany every employed person(the majority of the population, who's income is below a certain level, but this level is quite high and normally not reached by normal employees) has to be compulsorily insured in an approved health insurance. The monthly premium depends solely on the net salary and is deducted from it by the employer, who has to pay 50% of the premium from his own pocket (the same applies to the old age pension, unemployment and nursing care insurance, the invalidity due to accident at work insurance is covered completely by the employer).
There exist several hundred approved health insurance companies between you can choose.
Some are government connected, others to big companies with many employees or to guilds. I'm in the technician's health insurance company, which works as a cooperative (a member is at the same time an owner of this company).
We distinguish between hospitals, which are only allowed to carry out stationary or emergency treatment and are privately owned, but many as well government owned or owned by e.g. churches, and individual doctors, who run their clinics as a private business.
They send their bill to the insurance company via the doctor's association. I have to pay a quarterly fee of 10 Euros to my GP, this is intended to make people think about going to the doctor, same as my contribution to the medications (in the past, when it was free, e.g. people, who didn't feel like working just went to their GP to get a cert for a day off at full pay (we have full sick pay in Germany). Also, in the past, people would get expensive medications, but would not use them, because they were "free").
Unemployed people or people on welfare either stay insdured with their old insurancecomapny and the minimum premium gets paid by the welfare department or they join the government owned insurance company (again paid by welfare).

In short, if you are employed, it is illegal not to be insured, but you have a choice between physicians and insurance companies.

Self employed people or people above the income threshold can voluntarely join this programme or they can join one of the private insurance companies, which calculate the premium in accordance with the risk (so healthy young people often can get get a better deal than with the compulsory system, but the premiums increase with age and medical history).

Also, except for child delivery, there is no waiting period between signing the contract and insurance cover with the mandatory insurance.

Jan

[Edited 2008-07-21 11:53:41]

User currently offlineDocLightning From United States of America, joined Nov 2005, 18699 posts, RR: 58
Reply 6, posted (5 years 9 months 2 days 14 hours ago) and read 1945 times:

I like the German system the more I hear about it...

User currently offlineMD11Engineer From Germany, joined Oct 2003, 13798 posts, RR: 63
Reply 7, posted (5 years 9 months 2 days 14 hours ago) and read 1933 times:

a medical question:

This morning at the GP my blood pressure was 140 over 86 (I was a bit excited, normally my systolic pressure is lower, in the 120s-130s), but I juust measured my BP a few minutes ago (sitting at my desk without physical excertion) and it is 169 over 96.
Could the additional fluid volume (500ml), which I received by the infusion be the reason?


Jan


User currently offlineDougloid From , joined Dec 1969, posts, RR:
Reply 8, posted (5 years 9 months 2 days 13 hours ago) and read 1915 times:

My wife managed a good permanent tinnitus from a viral infection. I've got a little bit of it every now and again but it's mostly due to nerver damage from too much aircraft noise. It's an occupational hazard of aircraft mechanics that kills your hearing in the conversational range while it's giving you tinnitus

The guys who really get it are guys like Jeff Beck who spend their working days standing in front of Marshall stacks at full tilt. The only thing that keeps them from raging insanity is having background noise on all the time-Sony Walkman, white noise machine, whatever.

Quoting MD11Engineer (Reply 7):
This morning at the GP my blood pressure was 140 over 86 (I was a bit excited, normally my systolic pressure is lower, in the 120s-130s), but I juust measured my BP a few minutes ago (sitting at my desk without physical excertion) and it is 169 over 96.

help me out here Doc.

I would walk carefully and deliberately to the nearest doctor and get medicated. Your BP is spiking far too high. I started Benicar when I was running around 135/95 and these days I'm usually about 105/85, sometimes a little less, sometimes a little more.


User currently offlineHT From Germany, joined May 2005, 6525 posts, RR: 25
Reply 9, posted (5 years 9 months 2 days 12 hours ago) and read 1891 times:



Quoting MD11Engineer (Reply 5):
I'm in the technician's health insurance company,

"TK" ?! Same here ...

Quoting MD11Engineer (Reply 7):
I juust measured my BP a few minutes ago (sitting at my desk without physical excertion) and it is 169 over 96.

A bit high, but seeing that you are under medication it can be tolerated for a short term.
Nothing to worry about for the next hours.
To be sure for the coming days, ask your question to your GP resp. the doctor you are seeing tomorrow. But no need to call in a doctor now.

BTW, if you are insured by TK (Techniker Kasse), they are said to have its own medical staff that can answer questions via telephone (haven't tried it yet):

http://www.tk-online.de/centaurus/ge...__arzt/frage__den__arzt__text.html

-HT



Carpe diem ! Life is too short to waste your time ! Keep in mind, that today is the first day of the rest of your life !
User currently offlineNA From Germany, joined Dec 1999, 10364 posts, RR: 11
Reply 10, posted (5 years 9 months 2 days 12 hours ago) and read 1888 times:

I´m sorry for you as I know all too well what you´re going through.

I´m suffering from Tinnitus since 3 years. I don´t want to make you afraid, as from people I know some overcame temporary Tinnitus, but sadly i´m not one of them.
With me it started like this: I had been busily working 10 hours at my computer on a sunday when I listened to the TV which showed a short report about Tinnitus. Two hours later I went to bed - and felt irritated by a high frequency noise in my head. I began sweating, blood pressure went up, and I couldn´t sleep being in state of slight panic, too much aware about what I´d heard on the TV earlier. The next morning I went to a doctor. I was also treated with 10 infusions over the next days, and got acupuncture treatment (sidenote: I´m privately insured). It didn´t help. The symptons got better, but the noise in my head never left, it was just differently each day, one day less, one day worse. The Tinnutis at the beginning was accompanied by backpain, and further treatment by an orthopedist revealed that dorsal problems are partly responsible for the noise in my head.
Being out of work for two months I got a prescription for an accoustic hearing apparatus which sends out white noise to tone done the Tinnitus. I used that for some time, but don´t do so anymore, getting used to my Tinnitus. A year later I quit my job as a creative director, which proved to be too demanding for my state of health. I´m now self-employed and that, overall, is much better for me as due to the Tinnitus I cannot stand regular 9 to 7 work anymore. I now only do the jobs I want, currently write on an aviation book that´ll be published next year, and don´t care for the extra 2000 Euros more each month which causes only unnessesary stress.
Over the years I occasionally had some alternative treatments, an oxygen-therapy (expensive and useless) and Ayurveda (better, but no decisive breakthrough. A long-year friend of mine though went for a 6 week Ayurveda-therapy to India and came back without his Tinnitus).

Let´s hope the infusions help you, the chances are higher than 75% as you went to the doctor quickly. If not, be assured you somehow will get used to it. My doctor told me not to join Tinnitus self-help groups, and I didn´t, as there are always some hopeless cases which make others mad. Most of the time my head noise doesn´t really disturb me, but 1 or 2 days a week are lost for me still, and each night before I sleep its getting worse at the time you need it least. I avoid crowded, and even more so, noisy places. Partys into the morning are a thing of the past for me, and I don´t drink almost no alcohol anymore as that I found really bad for the Tinnutus. I understand your fears regarding stroke especially with your fathers fate in mind. My father also suffered a non-fatal stroke a few years ago although he was already 73 then. Go to a neurologist, I do twice a year for an EEG and general neurological check-ups. My neurologist prescribed me the only medicine that helps temporarily. This drug I take each time I have a bad day, and provided I get 10 hours of sleep afterwards the next day its ok again, with a 90% chance.

A friend of mine with Tinnitus cured his with a trick: He held an electric shaver to his ears, and the vibrations drove the Tinnitus away. A trick his doctor told him. I didn´t get such advice in time unfortunately, and the longer the Tinnitus stays, the higher the chance it won´t go away.

All in all I hope I didn´t make you afraid with what I wrote.


User currently offlineMD11Engineer From Germany, joined Oct 2003, 13798 posts, RR: 63
Reply 11, posted (5 years 9 months 2 days 12 hours ago) and read 1883 times:



Quoting HT (Reply 9):
Quoting MD11Engineer (Reply 7):
I juust measured my BP a few minutes ago (sitting at my desk without physical excertion) and it is 169 over 96.

A bit high, but seeing that you are under medication it can be tolerated for a short term.
Nothing to worry about for the next hours.
To be sure for the coming days, ask your question to your GP resp. the doctor you are seeing tomorrow. But no need to call in a doctor now.

Ok, I took the BP again under the guidance of my girlfriend, who is a registered nurse. Over the last hours it dropped again to acceptable values. She suggested to wait until tomorrow and to bring it up tomorrow when I see the GP for the next infusion, also to watch if it increases again after the next infusion. I mean 500 ml is a lot of addional volume for a normally healthy body (not suffering of blood loss). My kidneys have been working overtime to get rid of this additional liquid.

Jan


User currently offlineRedngold From United States of America, joined Mar 2000, 6907 posts, RR: 45
Reply 12, posted (5 years 9 months 2 days 12 hours ago) and read 1880 times:

I have experienced both transient tinnitus the visual equivalent - palinopsia. It bothers me the most when I am looking at a monochrome suface (of any color.) The surface appears to shimmer, have patterns or lines on it, or have light and dark patches. Afterimages persist much longer than expected. I'm going to see a neurologist about this.
http://en.wikipedia.org/wiki/Palinopsia



Up, up and away!
User currently offlineDougloid From , joined Dec 1969, posts, RR:
Reply 13, posted (5 years 9 months 2 days 12 hours ago) and read 1867 times:



Quoting Redngold (Reply 12):
I have experienced both transient tinnitus the visual equivalent - palinopsia. It bothers me the most when I am looking at a monochrome suface (of any color.) The surface appears to shimmer, have patterns or lines on it, or have light and dark patches. Afterimages persist much longer than expected. I'm going to see a neurologist about this.

Sounds a lot like migraine auras. I get migraines once every few years, but I get the auras on a regular basis-they're triggered by stress.


User currently offlineJAGflyer From Canada, joined Aug 2004, 3460 posts, RR: 4
Reply 14, posted (5 years 9 months 2 days 9 hours ago) and read 1844 times:

Please do not get too scared after reading this, I am going to tell you about tinnitus in my family.

Unfortunately my dad suffers very severely from this. He has had it for about 8 years and according to him it never goes away. Although it has gotten better, he seems to focus on the negative side. He does his best to function both with our family and his work but sometimes he is unable to do things. We used to drive places (Montreal, my parent's home city) but after getting the tinnitus he is no longer able to drive longer distances. Hopefully, now that I drive we will be able to share the distance (which he willing to do). Without going into detail, I will say it has affected our family (me, mom and dad) GREATLY. Unfortunately in my dad's case it doesn't look like it will ever go away. He does take medication but it does not fully stop the noise.

My dad has been speaking a woman who runs the Tinnitus Association of Canada. My dad credits her to saving his life by offering support for the illness. This lady knows of many people who have taken their own lives due to this. If you or anyone you know live in Canada and suffer from Tinnitus I will be able to get her contact info from my dad. They have become close friends and she is truly a magnificent woman.

-Josh

[Edited 2008-07-21 17:11:35]


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User currently offlineRedngold From United States of America, joined Mar 2000, 6907 posts, RR: 45
Reply 15, posted (5 years 9 months 2 days 6 hours ago) and read 1821 times:



Quoting Dougloid (Reply 13):
Sounds a lot like migraine auras. I get migraines once every few years, but I get the auras on a regular basis-they're triggered by stress

This is why I need to see a neurologist. When I have migraines, about 50% of the time I get a visual aura that feels almost like vertigo - a visual "shift" about five minutes before the pain knifes my right eye. My headaches have changed recently so a recheck is in order. The reason we think it's palinopsia is because it is nearly continuous in presence and intensity while the headaches still come and go.



Up, up and away!
User currently offlineNA From Germany, joined Dec 1999, 10364 posts, RR: 11
Reply 16, posted (5 years 9 months 1 day 14 hours ago) and read 1762 times:



Quoting Redngold (Reply 15):
This is why I need to see a neurologist. When I have migraines, about 50% of the time I get a visual aura that feels almost like vertigo - a visual "shift" about five minutes before the pain knifes my right eye. My headaches have changed recently so a recheck is in order. The reason we think it's palinopsia is because it is nearly continuous in presence and intensity while the headaches still come and go.

My in-law was plagued with migraines for years, standard medicine didnt lead to positive results, then a treatment by a homeopath helped. And he doesn´t drink coffee anymore.

Jan, do the infusions help you?
Today is a lost day for me with the Tinnitus quite strong. I made the usual mistake last night, reading in bed for an hour. My own fault.


User currently offlineMD11Engineer From Germany, joined Oct 2003, 13798 posts, RR: 63
Reply 17, posted (5 years 9 months 1 day 14 hours ago) and read 1756 times:



Quoting NA (Reply 16):
Jan, do the infusions help you?
Today is a lost day for me with the Tinnitus quite strong. I made the usual mistake last night, reading in bed for an hour. My own fault.

Yes, so far. The cotton wool feeling is mostly gone, but I still have this mosquito sound in my ear.
Today I talked to the MD about the high BP peak last night, he said that it was a sideffectz of the medication, but he expects my body to get used to the cortison, so that thiseffect will go away. Additionally they arelowering the cortison dose every day (yesterday it was 250 mgs, today only 130 mgs, tomorrow will be less again).

I'm more interested in the thorough check up after the initial treatment, to make sure that I have no risk for a brain stroke or heart problems.
The MD told me already that he is going to send me to a neurologist and to get a NMR scan and possibly a doppler sonogram done (to check for restricted blood vessels).

Jan


User currently offlineDocLightning From United States of America, joined Nov 2005, 18699 posts, RR: 58
Reply 18, posted (5 years 9 months 1 day 12 hours ago) and read 1742 times:



Quoting MD11Engineer (Reply 17):
Yes, so far. The cotton wool feeling is mostly gone, but I still have this mosquito sound in my ear.
Today I talked to the MD about the high BP peak last night, he said that it was a sideffectz of the medication, but he expects my body to get used to the cortison, so that thiseffect will go away. Additionally they arelowering the cortison dose every day (yesterday it was 250 mgs, today only 130 mgs, tomorrow will be less again).

Also, in order to diagnose hypertension, you have to have three separate elevated BP readings on three different occasions. Not just a single isolated reading.


User currently offlineMD11Engineer From Germany, joined Oct 2003, 13798 posts, RR: 63
Reply 19, posted (5 years 9 months 1 day 12 hours ago) and read 1738 times:



Quoting DocLightning (Reply 18):
Quoting MD11Engineer (Reply 17):
Yes, so far. The cotton wool feeling is mostly gone, but I still have this mosquito sound in my ear.
Today I talked to the MD about the high BP peak last night, he said that it was a sideffectz of the medication, but he expects my body to get used to the cortison, so that thiseffect will go away. Additionally they arelowering the cortison dose every day (yesterday it was 250 mgs, today only 130 mgs, tomorrow will be less again).

Also, in order to diagnose hypertension, you have to have three separate elevated BP readings on three different occasions. Not just a single isolated reading.

What surprised me was that it was the highest BP reading I ever had and I was feeling dizzy. Normally my BP is in lower normal range, e.g. this morning, after getting up I measured 66/110.

Jan


User currently offlineDougloid From , joined Dec 1969, posts, RR:
Reply 20, posted (5 years 9 months 1 day 10 hours ago) and read 1725 times:



Quoting MD11Engineer (Reply 19):
What surprised me was that it was the highest BP reading I ever had and I was feeling dizzy. Normally my BP is in lower normal range, e.g. this morning, after getting up I measured 66/110.

Before I started with the Benicar my normal was 135/95 and I was getting regular headaches and night sweats....once I got it under control those have passed into memory.

Only thing about Benicar is it smells really nasty, like rotting meat. If you let the pill sit in your mouth while you're looking for something to wash it down with, you get the taste...yecccccccch.


User currently offlineDFW13L From , joined Dec 1969, posts, RR:
Reply 21, posted (5 years 9 months 1 day 8 hours ago) and read 1722 times:

I've had tinnitus for 2 years now and haven't gone to the doctor. I read back then when it first hit me that there's not much that can cure it so I just hoped it would go away. I don't get migranes or anything. Just a high pitched ringing on the right side. One of the worst things for it is when I put on my Bose noise cancelling headsets on a longhaul flight without music! Then it's really pronounced. Most of the time I don't think about it and don't notice it. It doesn't really interfere with me and doesn't stop me from working.

User currently offlineSlamClick From United States of America, joined Nov 2003, 10062 posts, RR: 68
Reply 22, posted (5 years 9 months 1 day 5 hours ago) and read 1708 times:

By all means, and especially with your family history learn as much as you can about this. The tinnitus itself is little more than an annoyance compared with the other concerns you, yourself raised.

I developed an episodic balance disorder almost twenty years ago. It included over the years a total of only ten serious episodes of vertigo, nausea etc, but they were absolutely wretched and cost me the most productive part of my career. From the very beginning I've had pronounced tinnitus in one ear which "presents" as they say, at around forty decibels. Believe me that is LOUD. It has gone on at more or less that level for almost twenty years now and I suppose it will be the last "sound" I hear.


Quoting JAGflyer (Reply 14):
This lady knows of many people who have taken their own lives due to this.

A guy I worked with was talking that way. His had only been going on for a month or so and he was depressed to the point that it was scary. Personally I don't understand it. It has never even been a question whether or not I could stand it - it's just the way my life is, so I guess my weaknesses lie in other areas.

It affects every aspect of my life. It is inconvenient to say the very least, but I know lots of people who put up with conditions I'd deem to be a lot worse.

Eventually mine was diagnosed as Ménierè's Syndrome which, I gather is a bit of a catchall for a number of possible middle ear disorders than can cause tinnitus, hearing loss, vertigo, etc. I went through a lot of doctors on my way to that diagnosis, as well as one completely unnecessary surgery for a perilymph fistula I didn't have.

Anyway, all the various tests including a brain MRI, for things that can cause the symptoms, all being negative left me feeling a lot better. Like you, I didn't want to peg out early or, possibly worse, end up unable to live a life that brought me any pleasure.

Good luck with it, but for certain, have those tests!



Happiness is not seeing another trite Ste. Maarten photo all week long.
User currently offlineBongo From Colombia, joined Oct 2003, 1863 posts, RR: 5
Reply 23, posted (5 years 9 months 17 hours ago) and read 1681 times:

I hope you get better, but I´m so sorry to tell you that I have Tinnitus since 2.004, both ears, and no cure yet  Sad


MDE: First airport in the Americas visited by the A380!
User currently offlineDougloid From , joined Dec 1969, posts, RR:
Reply 24, posted (5 years 9 months 16 hours ago) and read 1666 times:



Quoting SlamClick (Reply 22):
A guy I worked with was talking that way. His had only been going on for a month or so and he was depressed to the point that it was scary. Personally I don't understand it. It has never even been a question whether or not I could stand it - it's just the way my life is, so I guess my weaknesses lie in other areas.

General Stonewall Jackson's staff officers were conversing at dinner and one mentioned that he'd heard in the paper that a man in Richmond, distraught over his dyspepsia, had committed suicide. Jackson (a famous dyspeptic) thought about it a minute and said "I can understand that."


User currently offlineSlamClick From United States of America, joined Nov 2003, 10062 posts, RR: 68
Reply 25, posted (5 years 9 months 8 hours ago) and read 1641 times:



Quoting Dougloid (Reply 24):
General Stonewall Jackson

Funny you should mention him in this thread because it has been reported that he had a habit of keeping one arm above his head (when he still had two arms) for reasons having to do with balance.

When I was having vertiginous episodes I DID find that it felt slightly less horrible if I kept one arm raised above my head - lying down. No idea why, or even whether it is some illusion but my wife and I have had a conversation about the effect.



Happiness is not seeing another trite Ste. Maarten photo all week long.
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