RobinBigelowMD

Otology/ Neurotology fellow at House Ear Institute in Los Angeles

[RobinBigelowMD @robinbigelowmd]

His kmnbvgjiokkokjk#HOUvsTEX

[RobinBigelowMD @robinbigelowmd]

Today some medications for the ears also include anti-bacterial and anti-inflammatory medications, including the otolarynoglogy resident favorite Ciprodex, which, without insurance can cost over $200 for just 7.5mL, similar in price by weight to platinum https://t.co/LPmcIwjdME

[RobinBigelowMD @robinbigelowmd]

Here is a 2,400 year old recipe for an ear salve from the Hippocratic Corpus - Juice of jimsonweed mixed with sweet wine, honey, resin, myrrh, and nitre. Jimsonweed and myrrh are antibacterial, myrrh is also an analgesic and anti-inflammatory #histmed #otohistory

[RobinBigelowMD @robinbigelowmd]

In the 1950s tinnitus was occasionally treated with frontal lobotomy. Ménière's was the most common cause of tinnitus in a cohort of 20 patients: 1 died, 8 reported improvement, and 11 reported tinnitus was the same, but bothered them less #histmed #HistoryInMénièresDisease

[RobinBigelowMD @robinbigelowmd]

In 1939 for intractable Ménière's Dr Mollison would open the horizontal semicircular canal and inject alcohol to destroy balance function and stop vertigo attacks. Destructive procedures are still occasionally used today for Ménières Disease #HistoryInMénièresDisease #histmed

[RobinBigelowMD @robinbigelowmd]

Earache in England in 950AD? From Bald's Leechbook- hen's grease and an oyster shell. Set on live coals, warm and drip into the ears. Then warm the sap of coriander and the milk of a woman and drip into the ears. Coriander is anti-fungal and anti-pseudomonal #histmed #otohistory

[RobinBigelowMD @robinbigelowmd]

How did Ancient Egyptians treat an earache? The Berlin Papyrus (~1350 BC) suggested applying an ointment of Labdanum (a plant resin). Modern studies demonstrate Labdanum has antimicrobial properties, suggesting it may have been effective for otitis externa #histmed #otohistory

[Oren Gottfried, MD @OGdukeneurosurg]

What happened? Convenience store security footage of this scary event.

[RobinBigelowMD @robinbigelowmd]

Prosper Ménière (1861) described contemporary treatments for his now eponymous syndrome -quinine, purgatives, leeching or electricity to the ears, among others. Ménière himself said the condition was 'not one of those where art could usefully intervene' #HistoryInMénièresDisease

[RobinBigelowMD @robinbigelowmd]

@auditory_rob @WardensMD In 8 the vertebral artery was identified and Stellate ganglion was divided, but only in the last 4 cases of the series was vertebral ligated. The author does note the theoretical risk of PICA stroke and to avoid this procedure in those with arteriosclerosis

[RobinBigelowMD @robinbigelowmd]

In 1948 Dr Passe and Seymour report 12 cases of Meniere's disease treated by dividing the sympathetic fibers in the stellate ganglion. Also advocated for division of the vertebral artery which was completed in 4 of the 12 patients without complication #HistoryInMénièresDisease

[Bryan Ward @WardensMD]

Thomas Lempert (1946) thought the tympanic plexus on the cochlear promontory was functionally important. Others like Swedish ENT Frenckner removed it for disease, of course, including #Meniere's disease. Bonus for the specially designed instruments. #HistoryInMénièresDisease

[Bryan Ward @WardensMD]

Earliest (1951) transtympanic injections for #Meniere's disease. Authors felt it had to be done in the OR with a plug in the Eustachian tube to prevent drainage. They injected a mixture of cocaine, tetracaine, and alcohol. Guaranteed to induce vertigo. #HistoryInMénièresDisease

[Frank R. Lin, MD PhD @DrFrankRLin]

It’s happened!!! It’s happened!! Nearly exactly 5 years after the OTC hearing aid act was signed into law on Aug 18, 2017, the final regs have dropped!! https://t.co/GwhGP1VFUl

[RobinBigelowMD @robinbigelowmd]

https://t.co/U5jk9a0MrH
Dr Stefan Plontke from Germany will be speaking to @HouseInstitute on 'Management of intralabyrintine cochleovestibular schwannomas including hearing rehabilitation with cochlear implants' on Friday at 7am pacific. Looking forward to it!

[RobinBigelowMD @robinbigelowmd]

@HouseInstitute grand rounds this week Meg Dillon AuD will be speaking on "Use of intraoperative and postoperative imaging in the management of cochlear implant and electric-acoustic stimulation users" Join us friday 8/5 at 7am pacific (10 eastern) on zoom https://t.co/idPwUQbxYd

[RobinBigelowMD @robinbigelowmd]

Should be another great grand rounds tomorrow @HouseInstitute. Dr Michael Hoffer @mehoffer100 will give a talk ‘Toward the diagnosis of unique neurosensory dysfunction - from TBI to Havana’ Join at 7am pacific (10am eastern) on zoom https://t.co/5wskweqIky @HouseInstitute

[Frank R. Lin, MD PhD @DrFrankRLin]

Today marks the day when the @US_FDA is officially now overdue in issuing final regs for OTC hearing aids that were legislatively mandated by a bipartisan act championed by @SenWarren and @ChuckGrassley, signed into law by Trump in 2017, & spurred on by a Biden exec order in 2021

[RobinBigelowMD @robinbigelowmd]

Looking forward to part 2 of Dr Carey's vestibular grand rounds talk this Friday 7/15 at 7am pacific at @HouseInstitute . Join us on zoom! https://t.co/y9qJKbmlGE

[RobinBigelowMD @robinbigelowmd]

Looking forward to House Institute Grand Rounds @HouseEar @HouseInstitute tomorrow morning with Dr Bryan Ward @WardensMD, talking about MRI and the vestibular system. Join tomorrow (Friday) 7am pacific (10am eastern) https://t.co/ef07PfE6lp