I had a conversation with ChatGPT about the utility of the HINTS exam in a patient without nystagmus T rest. I eventually managed to get the following statement out of them.

Great vertigo related couple of days. Cured my brother of posterior canal BPPV yesterday, had a zoom vertigo session with neurology residents in Mecca this morning, and have an in-person meeting with David Newman-Toker this afternoon!.

Why do patients have trouble answering the question "What do you mean by dizzy?" Here is my answer in a 6 minute video.

One of my pet peeves is the incorrect use of the term "fatiguable" or "non-fatiguable" to describe he duration of nystagmus. So I made a video about it.

Cerebellar hemorrhage "masquerading" as vestibular neuritis? With mild dysmetria and dysarthria? That's hiding in plain sight! And no mention if headache was present or not?

So patient presents with severe ear pain, headache, neck pain, double vision, inability to walk, horizontal and vertical nystagmus at rest. After a normal CTA and without having had a Dix-Hallpike test, , they considered BPPV. Ack!!

A lot of work to be done. This survey showed only about 1/3 of ED residents and attendings in Saudi Arabia disagreed that HINTS can be used on all patients suffering from vertigo. It should be 100%. HINTS should only be applied to patients with nystagmus at rest.

A screen shot from another misleading and dangerous "peripheral vs central" table just found on YT. I made this video about how wrong these tables are 5 years ago.

If you see a patient with constant dizziness but no nystagmus, is that more likely to be a central or peripheral cause? I explain my take on this problem in my new video.

A patient's perspective on what it feels like to have vestibular neuritis. Also how to diagnose it with the HINTS plus exam.

A sad but excellent learning case about vertigo on "Bouncebacks". See my comment on the discussion also. @UCPracticeTips @embouncebacks

This is what happens when you get AI to make videos about medical information. This channel with 2 subscribers published 20 videos in the last 10 days. They are all pretty much useless. Especially this one.

Fabulous trip to Riyahd Saudi Arabia, to teach about The Road to Vertigo Competence and/or Excellence to the residents at KAMC. Great to see old friends and meet new ones!

RT @MNGHAED: @malsalamah1 @PeterJohns84 @alsomalism Today’s Activities at a glance✨

RT @HassanAlshaqaq: Vertigo Bootcamp with the vertigo expert Dr. Peter Johns (@PeterJohns84) organized by @MNGHAED! . Got a patient with ve….

RT @HassanAlshaqaq: Dr. Johns provided clear demonstrations of maneuvers, ensuring that every detail was understandable. .

RT @MNGHAED: . VERTIGO BOOTCAMP. Join us! Dive into hands-on training to master the assessment, diagnosis, and management….

2/. and also "the lowest miss rate across the broadest range of ED setting lies in focusing on EPs and providing them with the necessary knowledge and tools.".