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About Harriet B Jacobster, Au.D.
Expertise
I am a Board Certified Doctor of Audiology with 25 years of experience. I can answer questions regarding hearing loss, both general and specific, dizziness and vertigo, auditory processing disorders, hearing aids, aural rehabilitation as well as specialized audiologic testing, i.e., Auditory Brainstem Response, VideoNystagmography, Otoacoutic Emissions. I have worked with both pediatric and adult populations. Because of my extensive musical background, I am able to respond to questions regarding the special needs of musicians.

Experience
I have been an audiologist for over 25 years with a specialty in electrophysiology of the auditory and vestibular systems and pediatric evaluations. I currently work in my private consulting practice providing services to nursing homes and schools. My Doctoral research was on specialized techniques in Auditory Brainstem Responses.

Organizations
American Academy of Audiology, - American Speech Language Hearing Association, - Hearing Loss Association of America

Education/Credentials
Au.D. (Doctor of Audiology), Nova Southeastern University, 2000. Board Certified Doctor of Audiology (American Board of Audiology) Certificate in Audiology from the American Speech-Language-Hearing Association

 
   

You are here:  Experts > Health/Fitness > Audiology/Otolaryngology > Audiology/Otolaryngology > Meniere's disease

Audiology/Otolaryngology - Meniere's disease


Expert: Harriet B Jacobster, Au.D. - 10/5/2009

Question
Hi Dr. Jacobster,

I have been diagnosed with Meniere's disease recently and have had symptoms for the last 2 months.  The symptoms have been really bad in the last 10 days and I'm having vertigo attacks almost every day.  I am on a low sodium diet (under 1 gram per day) and on 25mg of hidrochlorothiazide 2x per day.  So far that treatment has not worked.  If it continues to be ineffective, what is the next step in treatment and also I'm interested in your thoughts on using gentamicin as a treatment and the risks for hearing loss associated with that.  Thankyou

Answer
Hi Robert,
You need to return to your ENT and discuss these issues with him. You may need to have your medications adjusted.  What tests were done to diagnose the Meniere's?  As for gentamicin, it is an ototoxic drug and the risks for hearing loss are high. Treatments are not always effective.  

Hope this helps.
Dr. Harriet B. Jacobster, AuD
Board Certified in Audiology

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