Sunday, February 20, 2011

One method of having gentamicin put in your ear

I have written a lot about my experiences with gentamicin injections and that seems to be a popular topic among readers. Some believe it is worthwhile others don’t think so. In my own case I don’t really think that the six shots that I had did any good, if anything it seems to make my balance worse. Another problem, at least for me, was that pain involved with it. My eardrums are very sensitive so even the application of the anesthetic on my eardrum hurt. I know that the level of discomfort is different from person to person. Through one of the comments that I received the other day I learned something about one of the options of how the medicine is given.




This comment comes from Peggy who was responding to the post on caloric water test. Here is part of the comment.

“I never had pain when the doctor applied anything to my eardrum to numb it, but at one point when I was putting the gentamicin into my own ear by way of a tiny tube in the eardrum, if the gentamicin wasn't warmed up to body temperature, it was agonizing when it went through the tube to the middle ear. “



I don’t think that I had heard about putting the gentamicin in your ear by yourself. I looked up Dr. Hain website and it had a write up about it. Apparently in his office he doesn’t recommend it because of the negative effects that it has on the patient.



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2 comments:

  1. Hi, David! I knew the tube approach was a little controversial, but it came in handy for awhile when I was giving myself small doses on a daily basis.

    I think it's good for Meniere's patients to be aware that there is not total agreement as to how large the doses of gentamicin should be or how often and for how long they should be administered. There have been quite a few studies done on this, comparing the results of larger doses less often vs. smaller doses more frequently, and I don't think there's a lot of agreement yet in that area.

    I wonder if the fact that I was doing the low doses myself on a frequent basis could be part of why my vestibular nerve regenerated every time?

    In addition, if you have pain simply when a numbing agent is applied to your eardrum, I wonder how it would respond to having a tiny tube left in place? It's an in-office procedure, but I have a feeling you would have a very bad time with it.

    I guess this keeps coming back to how different every case of Meniere's is. Ultimately, the gentamicin wasn't enough for me, but I hear that for some patients, it works. You just have to keep trying one protocol after another until something works.

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