Obviously, the least invasive form of care out there is treatment over the phone.
I have started several of my dizzy patients over the 'phone, with CH, discussion of red flags, reassurance and advice re graded exposure to movement. One came in this morning for examination. Although she has vestibular neuritis, there is a positional component and she consented to a Dix-Hallpike test with immediate follow through to an Epley manouver with good effect. It was pretty horrible for her and she was distressed and sweaty afterwards, but felt much better within minutes.
She commented on how much better she felt following the 'phone call and the added bonus of being able to chat to our receptionist, who is a few months down the line with a similar presentation.
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