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  1. Laurence Stein DDS

    Perilymphatic Fistula

    Hi Sundtzu, I'm not one of the Docs you might want to hear from but here goes. For those reading this thread, a perilymphatic fistula is the leakage of perilymph (the fluid that fills the inner ear) into the middle ear through a tear in either the round or oval window. The contents of...
  2. Laurence Stein DDS

    Strange Feeling in One Ear

    Page.crow, With all due respect, when you hear hoof-beats, you don't think of a herd of zebras! With the stated symptoms, you do not first start looking for vertebral dysfunction. Giles45shop may not have needed the medication prescribed but that determination is a result of our best...
  3. Laurence Stein DDS

    Another DUMB question....

    Hi Amy, I can't explain your sea sickness but you might be interested in a personal story...then you decide if it's right for you ;) My wife used to dive. We have two kids...well, they are in college now but when these kids were just a twinkle in my eyes, we were on a dive vacation and...
  4. Laurence Stein DDS

    Teeth!!!!

    Hi Natalie, I don't believe I run across this question before but here goes... It sounds like you're describing hypocalcification of the enamel on your front teeth. This condition is a result of something that either caused the enamel to form inproperly during the time your teeth were...
  5. Laurence Stein DDS

    Cold Teeth Pain

    Hi Pete, Teeth that are sensitive to cold is rather common especially from the mid twenties to about 50. Women are affected more than men. Common causes are gum (gingival) recession, cervical erosions (wear at the neck of a tooth), bruxism/clenching, consumption of acidic foods like lemon...
  6. Laurence Stein DDS

    Sinus squeeze

    Meisburger, In the for what it's worth department...certain nasal sprays, i.e., steroid spays like Beconase or Flonase have, as a side effect, the possibility of nose bleeds. I don't know what you are using but that could be part of the problem. Certainly, see an ENT as already...
  7. Laurence Stein DDS

    Is the inner ear barotrauma DCI?

    Hi Luba, You have raised some interesting points with this case. HBOT under certain circumstances may be appropriate for this type of DCI injury but the treatment parameters must be well documented and developed into a protocol. I don't know why your diver's treatment was successful nor...
  8. Laurence Stein DDS

    Is the inner ear barotrauma DCI?

    Hi Liberato, You're right...donno why I thought LubaScuba was the patient...there is no reference in the posts...perhaps it was the close personal knowledge of the events that made it seem like he was the patient. Larry
  9. Laurence Stein DDS

    Is the inner ear barotrauma DCI?

    Please, call me Larry...Laurence sounds so much like a shakespearian actor. Hah! I knew there was more to this than meets the ears! Could you enlighten us to the ACTUAL nature and circumstances of YOUR dive injury? Maybe it goes without saying but your original question referred to a...
  10. Laurence Stein DDS

    Is the inner ear barotrauma DCI?

    Thanks I.G., I think that helped. Nomaster, either pronunciation is correct...I say to-ma-to and you say to-maw-to. LubaScuba...come on...you're holding back on us :) Each time you reply to a previous post, you add more information. It seems you know something we don't. Come on, you...
  11. Laurence Stein DDS

    Is the inner ear barotrauma DCI?

    LubaScuba, I'm back! Perhaps I have misunderstood your question. Are you actually referring to the use of recompression following a barotrauma to the inner ear? Speaking as a person who has experienced an oval window rupture with hearing loss, I can tell you that when it happens, it is...
  12. Laurence Stein DDS

    Is the inner ear barotrauma DCI?

    Hi LubaScuba, I think JBD is on to something....sort of. It is my understanding that DCI (decompression ILLNESS)is a heading under which pressure related problems are lumped. On the otherhand, DCS (decompression SICKNESS) is a specific type of DCI, also known as the "Bends". DCS is a...
  13. Laurence Stein DDS

    Dry Mouth

    Hi Goofystan, I don't know if is still available, but there is a device called a Scuda. It has a reservoir and a tube leading to your regulator. You put water in and drink underwater. Personally, when I'm lobstering in shallow water, I can be down nearly an hour and a half...even more...
  14. Laurence Stein DDS

    Equalizing

    Er...I haven't seen your ears....were they like stickin' way out? :) Don't you hate it when ears get swollen? Kind of looks like an elephant, huh? As I said before barotrauma is the mechanism by which the injury occurs. It is not the specific injury to a specific location. If there was...
  15. Laurence Stein DDS

    Equalizing

    Msange1, Ditto, liberato. Remember I'm a dentist and only work next-door to the ears. :) I've heard of recuperation periods of around 3 months for a perforated ear drum...especially caused by diving. You ENT has the last say and you should be re-examined after the waiting period and...
  16. Laurence Stein DDS

    Shallow ear drums?

    Hi Maltaman, I have never heard of shallow eardrums either. For what it's worth, you wife might actually have an easier time clearing with scuba than snorkeling. When scuba diving, the air supplied to the mouth and nose area is at ambient pressure. You have, so to speak a "head of...
  17. Laurence Stein DDS

    Medical Flexible Spending Accounts

    It should be mentioned that in addition to being tax free money for your medical expenses, any money you put away that is NOT spent in the calender year is LOST to Uncle Sam. Use it or lose it. This plan is great if you can anticipate your medical/dental expenses in a given year. I...
  18. Laurence Stein DDS

    Equalizing

    Luvspoodles...I think you're confusing us with the facts! :) Barotrauma, whether it is of the ear, sinuses, lungs, etc...anywhere there is an air space that must be equalized in some way during scuba diving, is simply a traumatic injury to that anatomic part of the body. Barotrauma is...
  19. Laurence Stein DDS

    Root Canal @ 100 ft. (ouch)

    Hi Ondine, Short prepared crowns frequently are a reason crowns come off. When we prepare the teeth for crowns, we try to create nearly parallel sides to help the preparations become naturally retentive. Unfortunately, people with small or short teeth don't give us much to work with. Teeth...
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