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allancurran

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 #16 

Hi Dr Nagler

I've not had any LDL testing.  The only test I had at ENT recently was a pressure test and a hearing test, which was within normal parameters and hasnt changed since 2015 [pre my episode with the piano].

Sorry, I know that probably doesnt help.

Allan

 

Dr. Nagler

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 #17 
Quote:
I've not had any LDL testing.  The only test I had at ENT recently was a pressure test and a hearing test, which was within normal parameters and hasnt changed since 2015 [pre my episode with the piano].
Sorry, I know that probably doesnt help.

Actually it helps quite a bit. You are flying without a net! You are seeking my recommendation but have not had the basic testing necessary for me to offer that recommendation responsibly!

Allan, from your numerous previous postings it is obvious to me that neither your ENT nor your therapist has much (if any) experience in evaluating and effectively addressing the problems that bring you to this board, problems that are markedly affecting your life. You are trying (admirably, I might add) to cobble something together for yourself ... but it's just not working. I think you should see Jacqui Sheldrake and/or Laurence McKenna. Their offices are a few hours drive from your home, and for the life of me I cannot understand what is keeping you from arranging to be evaluated by each of them in person and then set up some sort of telephone or Skype follow-up program.

Stephen M. Nagler, M.D.

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The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi

No bird ever soared in a calm. Adversity is what lifts us.
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David McCullough quoting Wilbur Wright
allancurran

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 #18 
Thanks Dr Nagler.

Ok...I will have a good think about seeing the people you mention. It's not that Im opposed to it, it's just a 3 hour drive or 4 hour train journey to us Brits is actually a fair way to go. I know when I've been to the USA, as it's so vast, a 3 hour drive is a drop in the ocean but ok, I will look into it.

Thank you again.
Dr. Nagler

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 #19 
Allan, let’s say your wife had a serious medical problem that markedly affected her life and that the doctors near you couldn’t help her, but there was a specialist three hours away who handled this sort of thing routinely, Would you take her to see the specialist - or would you just tell her to suffer because three hours is a pretty long way to drive?

Stephen M. Nagler, M.D.

__________________

The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi

No bird ever soared in a calm. Adversity is what lifts us.
-
David McCullough quoting Wilbur Wright
allancurran

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 #20 

No of course not Dr, no expense would be spared.

 I'll look into it, thank you.

Dr. Nagler

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 #21 
Excellent. All the best with it.

Stephen M. Nagler, M.D.

__________________

The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi

No bird ever soared in a calm. Adversity is what lifts us.
-
David McCullough quoting Wilbur Wright
allancurran

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Posts: 41
 #22 

Just an FYI Dr Nagler

 

My GP has switched me from Fluxetine to Citalopram [20mg] today.  I'll see how it goes.

Thanks again

Dr. Nagler

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 #23 
Allan, I think about you a lot and want you to get better in the worst way.

You may be right, but I honestly don't believe that your solution lies in tweaking your meds.

As I see it, your solution lies in mitigating your reaction to your tinnitus regardless of how loud it might be at any point in time - and the longer you focus on the little tweaks, the longer will be your path to your goal. Why? Because focusing on the little tweaks gives your tinnitus more power over you than it deserves, which in my opinion is ZERO. 

Anyway, this is a Q&A board - so kindly restrict your posts to questions that you would like me to try to answer.

I wish you well.

Stephen M. Nagler, M.D.

__________________

The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi

No bird ever soared in a calm. Adversity is what lifts us.
-
David McCullough quoting Wilbur Wright
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