This article on #CochlearImplant argues postop antibiotics do not meaningfully change post-op infection rates within 2y of surgery.
I included it in our #otology/ #neurotology journal club tomorrow because it argues for a different position than what I do. Minor quibbles aside, I found the article convincing. Particularly during a post- #COVID abx shortage, I think I have to abandon postop abx except in select otology cases.
A very fascinating thing happened to me today. I got a #migraine. I rarely get them, so I did what I recommend to my patients: look for triggers. The only thing out of the ordinary was that I went to the playground with my 5yo and played on the spinning seat.
I gave myself 100% physiologic #nystagmus--and hours later got a migraine.
#neurology #neurotology #vertigo #vestibular #VestibularMigraine #MedMastodon
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I suppose I should do one of those #introduction things.
I'm a #neurotologist--a surgeon of the lateral skull base and ear. I like all things #auditory, #vestibular, and #neuroradiology. I care a lot about my residents, and I'm currently an #otolaryngology Associate #ProgramDirector in #SanAntonio. I wear a uniform, but I'm not weird about it. I love #AcademicMedicine, #science, and #research, and I taught myself #Rstats. 1/3
Isaac Erbele, MD