Re: does anybody know of this MD?

[Guest guest]

Jack, what you've heard about is vestibular testing done at Good Sam

Hospital. Epley is a neurootoolgist who works with balace and other ear

disorders. I've had mixed patient outcomes with him, not because of his

Tx, but because of the severity of injury. These conditions can come

about as a result of head trauma and or whiplash. There are several types

of conditions, and some of them can be disabling. Deshaw does a

good job of helping us field Docs understand this in his Injury issues

seminar, give him a call. Ron Johansen,Portland

On Thu, 2 Jan 2003 08:28:00 -0800 " J. Pedersen DC "

<chirodoc@...> writes:

> Epley, M.D., a Portland physician who works with dizziness?

>

> I've been told is that after several days/weeks of examination he

> subjects the patient to some kind of spinning/tumbling in a device

> developed by/for the space administration.

>

> Information please.

>

>

> J. Pedersen, DC

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[Guest guest]

I have heard from pts. that he is fairly eccentric and has a flaky practice.

(All right. No jokes about the above being like Dennis Rodman saying he is

an odd dresser or some such thang.)

In other words, long waits, doesn't follow up. On the other hand, he is

brilliant and has come up with the Eply Maneuver which works wonderfully. I

had two dizzy pts. at the same time last spring and both responded to this

maneuver when nothing else helped. (One of them was Eply's pt. but wouldn't

go back because of the hassle getting seen. I'll send you her email address

[privately] for you to converse with her if it will help.)

Abrahamson, D.C.

> From: " J. Pedersen DC " <chirodoc@...>

> Reply- " J. Pedersen DC " <chirodoc@...>

> Date: Thu, 2 Jan 2003 08:28:00 -0800

> " Oregon DCs " < >

> Subject: does anybody know of this MD?

>

> Epley, M.D., a Portland physician who works with dizziness?

>

> I've been told is that after several days/weeks of examination he subjects

> the patient to some kind of spinning/tumbling in a device developed by/for

> the space administration.

>

> Information please.

>

>

> J. Pedersen, DC

>

[Guest guest]

Jack,

I concur with , I have had only one experience with Dr. Eply and can

verify that he never returned phone calls and the patient waited 2 hours in

his office after driving 3 hours from Prineville to see him. Nevertheless,

she felt like he helped her.

I also know that there are some of our colleagues which have diplomates in

neurology that are getting tremendous results. Perhaps its time we

formulate a list of those chiropractors in our state that have expertise in

various conditions.

Yours,

DR. COBY L. HANES

991 NE THIRD STREET

PRINEVILLE, OR 97754

voice: 541.447.7230

fax: 541.447.5775

dochanes@...

does anybody know of this MD?

>

> Epley, M.D., a Portland physician who works with dizziness?

>

> I've been told is that after several days/weeks of examination he

subjects

> the patient to some kind of spinning/tumbling in a device developed

by/for

> the space administration.

>

> Information please.

>

>

> J. Pedersen, DC

>

OregonDCs rules:

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it is against the rules of the listserve to copy, print, forward, or

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her consent, unless all personal identifiers have been removed.

[Guest guest]

Very good inner ear doc.

does anybody know of this MD?

Epley, M.D., a Portland physician who works with dizziness?

I've been told is that after several days/weeks of examination he subjects the patient to some kind of spinning/tumbling in a device developed by/for the space administration.

Information please.

J. Pedersen, DC

OregonDCs rules:1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated.2. Always sign your e-mails with your first and last name.3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed.

[Guest guest]

Great idea, Coby. Who out there has a diplomate in neurology and would like

to be " bothered " by our difficult cases? Ann Goldeen

does anybody know of this MD?

> >

> > Epley, M.D., a Portland physician who works with dizziness?

> >

> > I've been told is that after several days/weeks of examination he

> subjects

> > the patient to some kind of spinning/tumbling in a device developed

> by/for

> > the space administration.

> >

> > Information please.

> >

> >

> > J. Pedersen, DC

> >

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is to

> foster communication and collegiality. No personal attacks on listserve

> members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

However,

> it is against the rules of the listserve to copy, print, forward, or

> otherwise distribute correspondence written by another member without his

or

> her consent, unless all personal identifiers have been removed.

>

>

[Guest guest]

From: Dizziness " R " Us

As a Board Certified chiropractic neurologist DDX of the " dizzy patient " be

one of the things I specialise in. I also utilize the " Clinical Vestiubular

Labortory " at Good Sam when my work-up suggests true vestibular pathology

e.g., cupulolithiasis (crystals disrupting the enodolymphatic flow in the

posterior semi-cir-canal) which is what Dr. Eply's manuver is treating by

repositioning these crystals).

Interestingly the medics often refer to this condition as " Benign Paroxysmal

Positional Vertigo " (aka BPPV) as the hallmark symptoms of this supposed DX

is positional vertigo that is they become very dizzy when lying on one side

or the other or when extending or flexing their head/neck (usually

extension). The medics tend to believe these folks are almost always have

inner ear/vestibular pathology e.g., a virus, crystals, fistula what have

you.

Funny thing is a great many if not the majority of these folks are suffering

true vertigo (the room is turning " objective vertigo " or they feel like they

are turning in the room " subjective vertigo " ) because of aberrant muscle and

joint capsule proprioception into the neuroaxis secondary to facet joint and

cervical muscular injury/dysfunction (fixation/subluxation/somatic

dysfunction " name your poison). Most commonly these folks have suffered a

recent history of truama (whiplash) to the head and neck. This is why DCs

do so well with the majority of these folks! For the most part our medical

cousins mis this boat completely.

What I do here at " Dizziness " R " Us " is to rule out the dangerous stuff

first hypotension, basilar artery ischemia, tachy or brady arrhythmias,

seizures, acoustic neurinoma, (central pathology). Then I focus on the

peripheral pathologies, is the dizziness or true vertigo vestibular in

origin, musculoskeletal in origin (most common), or a combination of both of

these? Any hint of significant vestibular pathology off to Good Sam they go

to determine the sepcific nature of the vestibular component/pathology.

One cavaet I will leave you with which is this; If there are no true

concomitant neurological signs then the WORSE the vertigo the more benign

or pheripheral the lesion expecially if the vertigo is head/neck movement

dependent and thus less cause for you to worry your patient has a life

threatening condiition.

So you can send them to me, I'll take them darn dizzy folk! (been doing so

for years!).

BTW Ann I believe I am still the only Board Certified Chiropractic

Neurologist in Oregon!

Vern Saboe, DC.,DACAN.,FICC.,DABFP

915 SE 19th Ave

Albany, Oregon 97322

(541)926-3162 Office

(541)928-2742 Fax

does anybody know of this MD?

> > >

> > > Epley, M.D., a Portland physician who works with dizziness?

> > >

> > > I've been told is that after several days/weeks of examination he

> > subjects

> > > the patient to some kind of spinning/tumbling in a device developed

> > by/for

> > > the space administration.

> > >

> > > Information please.

> > >

> > >

> > > J. Pedersen, DC

> > >

> >

> >

> > OregonDCs rules:

> > 1. Keep correspondence professional; the purpose of the listserve is to

> > foster communication and collegiality. No personal attacks on listserve

> > members will be tolerated.

> > 2. Always sign your e-mails with your first and last name.

> > 3. The listserve is not secure; your e-mail could end up anywhere.

> However,

> > it is against the rules of the listserve to copy, print, forward, or

> > otherwise distribute correspondence written by another member without

his

> or

> > her consent, unless all personal identifiers have been removed.

> >

> >

[Guest guest]

Sorry! Thought I was still the only chiropractic neurologist in Oregon,

never new Dr. Voight existed my hats off to him (well done).

I recieved my board certification 13 years ago may I humbly ask when

Dr. Voight recieved his?

Thanks,

Vern Saboe

does anybody know of this MD?

> > > > >

> > > > > Epley, M.D., a Portland physician who works with dizziness?

> > > > >

> > > > > I've been told is that after several days/weeks of examination he

> > > > subjects

> > > > > the patient to some kind of spinning/tumbling in a device

developed

> > > > by/for

> > > > > the space administration.

> > > > >

> > > > > Information please.

> > > > >

> > > > >

> > > > > J. Pedersen, DC

> > > > >

> > > >

> > > >

> > > > OregonDCs rules:

> > > > 1. Keep correspondence professional; the purpose of the listserve is

> to

> > > > foster communication and collegiality. No personal attacks on

> listserve

> > > > members will be tolerated.

> > > > 2. Always sign your e-mails with your first and last name.

> > > > 3. The listserve is not secure; your e-mail could end up anywhere.

> > > However,

> > > > it is against the rules of the listserve to copy, print, forward, or

> > > > otherwise distribute correspondence written by another member

without

> > his

> > > or

> > > > her consent, unless all personal identifiers have been removed.

> > > >

> > > >