About two thirds of patients recover with corticosteroid therapy: the usual corticosteroid administered is prednisolone in Europe and prednisone in the USA; these differ by only one functional group and have the same clinical effect. The corticosteroid is initially administered in high dosage, typically 50 mg per day tapering down to zero over a six-month to one-year period. [ citation needed ] If the corticosteroid treatment is halted too quickly the disease may return. Other medications [ vague ] must be taken to counteract side effects of the steroid.
Kanzi is Ian and Hayley’s third precious Rhodesian Ridgeback. Their previous two dogs, brothers Alfie and Bertie, both suffered lameness, and both had surgery at Fitzpatrick’s. After a brave recovery Alfie sadly had to be put down. Kanzi joined the family as a companion for Bertie, but he too has now died. Now Ian and Hayley are worried Kanzi will also need surgery to treat her intermittent lameness. Noel diagnoses two separate genetic spinal disc problems, and suggests that a disc replacement and a distraction fusion may be most appropriate. Kanzi is sent home to wait for the implants to be made. But when she’s brought back for the operation both Noel and the family are concerned about putting her through surgery. Together they must decide what the right thing to do is.
I have suffered with vertigo for more than 25 years. It started in 1981 but was not diagnosed as vertigo. The next bad attack was 10 years later in 1992. This lasted two years, and I had all the tests, scans etc., and was diagnosed as having vertigo. The next bad episode was in 2001 after an operation. This lasted more than one year and was very bad. I was diagnosed as having damage to my right ear, probably caused by a virus and this caused cognitive problems and crystals in my inner ear. I could not drive, could not go to work, could not concentrate. I had a lot of therapy, light, re-education of the brain, various medications, etc., and all this has helped. From 2001 to date, I have constant vertigo. Sometimes the vertigo is manageable, and this can last for months. Other times, it is bad, and I stay at home. I do not take any medication as I do not think this works for me. I avoid anything that might bring on an attack, but if the crystals in my inner ear move, then I have a bad attack that lasts for days or weeks. I am learning to live with it, but sometimes it is depressing.