A lot of patients in outpatient neuro are diabetic. It's not surprising because a lot of them are here because of stroke. And most common causes of stroke are all the cardiac risk factors such as hypertension, obesity, sedentary lifestyle, etc. So what I want to say... to myself, is that watch your patients' response to exercise very carefully.
Patient 1 Vestibular Today was a short day. My CI let me treat two of her patients. One was a 87 year old lay who complained of spinning. The diagnosis is still unclear. Hallpike dix test was positive for both R and L, but there was no nystagmus seen on either side, which may be due to Meclizine she is taking. Patient reported that spinning was more severe with L Hallpike, so we decided to treat her L side first.