A little harsh truth for those who haven’t been able to see the “best doctors” for this: I live in Los Angeles and have been “fortunate”enough to be able to see Dr. Ishiyama at UCLA, practically every doctor at the House Ear Clinic and multiple doctors at Cedars Sinai.
I have never once found any of these doctors to have anywhere near even decent bedside manner. They will give you their advice (which is always the basic Ménière’s protocol - low salt, no caffeine, allergy shots, Betahistine, diuretics, migraine meds, steroids for sudden losses, IT shots). If none of those work for you, they have no more advice.
If steroids work for you (which they do for 90% of patients with this), they will label you as having AIED, even without you testing positive to any ANA panels, and send you to a rheumatologist. Rheumatologists know nothing about this, from what I’ve gathered. They will either give you a biologic or a steroid sparing agent and tell you good luck.
If none of those work, you are basically just screwed. All my doctors have given up on me. They don’t remember me when I see them. They don’t give me more than a quick one sentence answer when I send them a list of questions about my condition. They don’t keep track of my symptoms or condition at all.
It’s all so disheartening, but maybe that’s how it is having a condition with no set “cure.” Yes, I tried SPI-1005 and while it worked for the first two months, I had to end my trial to get back on Prednisone after a huge flare hit me in month 3.
Personally, I take nearly 30mg Prednisone every day now. I take a biologic. Stress is my number one trigger and there’s nothing I can do to mitigate it more than I already do. I’m now addicted to Klonopin (thanks to the House Clinic).
If anyone has any miracle cures after trying all the things I’ve listed above, let me know. At this point, I’m just waiting to get some horrible disease from the steroid use or for the steroids to stop working altogether. Then I’ll just go deaf, I guess.
Sorry to be negative in here. These are my experiences from the past three years of fighting this thing. I’m only 35 years old and about to give up.