Clearly, the answer is one that is successful at managing individuals with imbalance and dizziness type disorders. Our office has been sub-specialized in seeing patients with imbalance problems and fall risk,
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The history of these individuals typically includes that of a small fortune spent on diagnostic testing, which could have been avoided with appropriate clinical examination and management early on. The last statistic I read in the medical literature estimated that almost 99% of the MRIs performed on patients referred with vertigo are normal. Thats a heck of a lot of money spent for a very small return, certainly not what I would consider an ideal use of the diagnostic dollar.
One of the main problems that I see everyday is that patients are first seen by their primary care provider, which is now the way with insurance HMOs. Being generalists,
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The one most important factor related to all of this is the initial examination. The examiner should be so trained that it becomes readily apparent during the examination as to the urgency of specialized studies such as MRI,
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We see this as being overlooked more often than not. Our office currently is compliant with JCAHO goal and requirement re: falls-risk identification,
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About The Author
Dr. Scopelliti is a Fellow of the American College of Functional Neurology and a Fellow of the American Board of Vestibular Rehabilitation, practicing at the 279 Professional Arts Bldg at Monmouth Medical Center,
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armani sunglasses, NJ. His office focuses on the management of patients with vertigo, dizziness, imbalance, presyncope,
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What needs to happen for me to reinforce this new way of thinking, dystonia, ADD ADHD,
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Polo Hats, and many other neurologic as well as behavioral and cognitive disorders. Dr. Scopelliti is an author and lecturer of postdoctoral neurology, and has also written several software applications for neurologic and vestibular rehabilitation. Find a wealth of information at Jersey Shore Regional Center for Vertigo, Dizziness,
Dolce Gabbana Sunglasses, Dystonia and ADD ADHD. Visit Dr. Scopellitis Guestbook to see what patients say.