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Balance/Vestibular

Balance/Vestibular

CSI: Audiology Image

CSI AUDIOLOGY | Considering Birth History When It Comes to High-Frequency Hearing

Case History

The 26-year-old mother was healthy throughout the term of the pregnancy and went into labor at 40-weeks' gestation. The pregnancy was complicated just prior to delivery with a possible abruption. There was significant bradycardia with the heart rate of the patient down to 40 beats per minute prior to delivery. This required a stat cesarean section.

Topic(s): Hearing Loss, High Frequency, Balance/Vestibular, Patient care

Coding and Reimbursement Image

CODING AND REIMBURSEMENT | Advanced Beneficiary Notice of Noncoverage Use: Mandatory or Voluntary?

Understanding the correct use of the Advance Beneficiary Notice of Noncoverage (ABN) Form CMS-R-131 is important to ensure billing compliance for traditional Medicare (Part B). Audiologists may face challenges determining when Medicare covers a service and when an ABN is required. Federal law requires that providers, including audiologists, must notify a Medicare beneficiary in advance when a service that Medicare typically covers is likely to be denied and/or when the item or service is not considered by Medicare to be medically reasonable and necessary. The ABN meets this requirement.

Topic(s): Medicare, Coding, Reimbursement, Centers for Medicare and Medicaid Services (CMS), Balance/Vestibular

CSI: Audiology Image

CSI AUDIOLOGY | When Is Ménière’s Disease Not Ménière’s Disease?

Dizziness is a common complaint, with approximately 35 percent of adults reporting dizziness, with the prevalence increasing dramatically with age (Agrawal, 2009). As the profession of audiology has evolved, so has our understanding of the various disorders that cause imbalance and dizziness. This article will walk you through the case of Sunny Susan (patient’s name changed to protect identity), a woman who I first saw as a balance patient after she had spent over 22 years struggling with recurrent dizziness and progressive hearing loss. 

Topic(s): Dizziness, Balance/Vestibular, Meniere’s Disease (MD), conductive-mixed hearing loss, Hearing Loss, Tinnitus, Patient care

Author(s): 

Publication Issue: Audiology Today March/April 2018

Cheetahs Always Prosper, Thanks to Their Remarkable Vestibular System

Cheetahs hold the record for being the fastest land animal and are a top predator in their habitat. Watching a cheetah on a run-down is awe-inspiring, and with new high-speed cameras capturing every second, even more so. 

They can turn on a dime all while keeping their eyes focused on their prey and not miss a beat. What makes them so good? Turns out, in comparison to other felines, cheetahs have significantly larger vestibular structures, with a greater volume of the inner ear devoted to the vestibular structures.

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How We Make Decisions

The world is full of difficult decisions and our orientation in space may actually affect our ability to make them. Additionally, trying to make critical decisions in zero gravity may be even more challenging. 

A recent article highlights ongoing research regarding decision-making abilities while subjects experience altered gravitation situations. The information gained from these studies is important as longer duration space exploration occurs and the necessity to make the right decision in high stakes situations is critical to astronauts’ survival.

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Warm Coffee with Your Warm Caloric

Instructions for patients undergoing vestibular testing often include some request to refrain from ingesting caffeine prior to the evaluation.  A recent series of publications from the SUNY Buffalo suggest that this may be unnecessary. In the current issues of the Journal of the American Academy of Audiology (JAAA), McNerney et al (2018) examine the influence of caffeine on rotary chair and oculomotor testing.

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Gallaudet Eleven

You are probably familiar with the premise of “Ocean’s Eleven,” a team of highly specialized criminals take down a seemingly impenetrable casino vault. But are you familiar with the Gallaudet Eleven? In the 1950s, 11 men were recruited from Gallaudet University to help study the effects of extended exposure to weightlessness on the human body. What made this team of men so unique was that most team members had acquired spinal meningitis, which severely damaged their vestibular systems in addition to impairing their hearing.

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Academy Collaborates with Audiology Project: Hearing Loss Link to Diabetes and Other Comorbidities

In an initiative to raise awareness within the Centers for Disease Control and other national organizations on the link between hearing loss and diabetes mellitus, the Academy has engaged in a memorandum of understanding with the Audiology Project.

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Age-Related Prejudice Toward Hearing Loss in United States?

A new study published in JAMA suggests age-related prejudice toward hearing loss in the United States—that is, although 98 percent of newborns are now screened for hearing loss, we continue to accept that hearing loss is a normal consequence of aging, despite links to social isolation, depression, and other related health conditions.

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Academy Announces Dr. Janky as Honorary Chair for Balance Awareness Week

The American Academy of Audiology is proud to announce that Academy member Dr. Kristen Janky has been named the 2015 Honorary Chair for the Vestibular Disorders Associations Balance Awareness Week. “I feel privileged to have been selected as this year’s chair because I feel strongly that as vestibular professionals we share an obligation to help patients understand that vestibular disorders are treatable illnesses,” says Dr. Janky. 

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