September 9, 2021 - One decade... be present.

It’s been a decade since I got sick. I didn’t know then, that night, that my life was dramatically changed. I’ve done therapies, and they’ve...

September 11th 2015 Why do we need Balance Awareness Week?

NOTE: Please cut and paste into Google Translate to listen if needed.

I have a vestibular and vision disorder (Migraine Associated Vertigo and Convergence Insufficiency with impaired VOR respectively), neither of which are obvious when you look at me.  The VEDA Ambassador Board - which is comprised of non-medical people, and of which I am a member - needs to bring awareness to the public - and the medical community - that many people have balance problems.  A healthy sense of balance is something that a lot of people take for granted.  There are many people who have invisible disorders that affect that sense of balance, due to various symptoms; vertigo, dizziness, disequilibrium, or some combination of these.  Migraine Associated Vertigo (MAV) - which I have - and Meniere's Disease are just two that come to mind.  What causes vertigo, or dizziness, can be hard to diagnose because there are so many possible causes. 

Balance, as basic as it is, is a very complex task that involves a lot of pieces.  Many people don't know this, and don't think about it - they just do it.  People don't think about their vision, their brain, their sensory system, their vestibular system all working together.  People don't think about Traumatic Brain Injury (TBI) or strokes (in the young as well as older people) causing vertigo and disequilibrium.  A lot of people probably don't know what their vestibular system is - a part of the inner ear, or that vision is much more than literally seeing.  Or that the nerves in the bottoms of their feet provide information to their brains that is crucial for that sense of equilibrium. 

Benign Paroxysmal Positional Vertigo - BPPV - is considered the most common balance disorder, but I suspect that's simply because it's the easiest to diagnose, and often (unless it's recurring) relatively easy to treat.  Compare that to MAV, which is a fairly new official diagnosis, and therefore under-diagnosed, and can be much harder to treat.

So people like me want to speak up and draw attention to a whole host of invisible disorders.  Many people look fine, some don't - some look as if they're drunk or are using a cane.  There's a wide range of experiences among people who have disorders that affect their balance.  I want people who are suffering to know about, and to gain information about these disorders, so they can ask questions and hopefully get answers.  With diagnoses hopefully treatments are figured out - whether dietary changes, therapies, medication, and in some cases surgery - so people can find relief.  These invisible disorders can at the very least become more manageable, or greatly reduced, and in some cases, overcome.

But none of this happens without awareness, so Balance Awareness Week informs everyone. It's been wonderful to be connected to the VEDA Ambassadors to help spread the word about my invisible disorders, and I was honored when Cynthia Ryan, of VEDA, submitted my story to NORD for Mother's Day. I'm constantly reminded of how difficult it is for people to understand my situation, and how appreciative I am to be able to help raise awareness so more people, hopefully, can get answers.  Not knowing what's going on is SO much worse than getting a diagnosis.  Finding out you have any one of a number of invisible vestibular or vision disorders is hard, but it's the only way to have any idea of what to do, and feel some degree of control!


Last but not least, since I'm posting this on 9/11 - RIP to all those who died on this day 14 years ago - whether at the hands of the terrorists, or trying to save a life..... you are not forgotten....




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September 10th 2015 Balance Awareness Week is coming Sept. 14th

Four years ago, in September of 2011, I woke up sick in the middle of the night.  Now, four years later, I am participating for the second year in VEDA's Balance Awareness Week.  Please take a look at my Personal Campaign Page and share it - spreading the word about invisible disorders is what really matters to me.


For more about my story, please take a look at other articles on this blog site - http://visiblepersoninvisibleproblem.blogspot.com/- such as "About Me...", "When my challenges really began...", and "More of my story....".  In "More of my story..." I discuss my vision disorder - vision plays a key role in balance! 

Also please take a look at VEDA's site www.vestibular.org for more info on vestibular disorders, and the College of Vision Development -www.COVD.org  - for more about functional vision disorders, and Vision Therapy - it's not just for kids.


Thank you to all my readers - Look for more articles coming during BAW!

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September 4th 2015 Balance - it's about more than your inner ear

NOTE: Please cut and paste into Google Translate to listen if needed.

Whenever I write about vision, I hear from people grateful to find out about a missing piece of their puzzle, as it was for me.  Balance is a complex system, and when something is wrong, it can be hard to diagnose the source of the problem... that's why checking EVERYTHING - including vision - is so important. Vision is part of our sensory system - a really important part.  Vision impacts learning on multiple levels, and is a major piece of our system of balance. 

The standard eye chart that everyone who's ever had an eye exam has seen, was invented back in 1862 by an ophthalmologist named Snellen.  It was probably quite a break through at the time.  Now there is a chart called the LogMAR chart that some use - to me it looks pretty similar, albeit a bit fancier.  Both charts test for focal acuity - how well you can literally focus.  It's called 20/20 because the point is to see how well someone can focus at 20 feet. 

If you go to an optometrist or an ophthalmologist you will be tested for acuity and eye health - in other words, how well you focus, and if you have any eye diseases.  This is obviously important, but leaves out functional vision problems.  Optometrists and ophthalmologists, as I've said before, do not test for functional problems like Convergence Insufficiency (basically eye teaming), Strabismus (which causes double vision) or what is commonly known as a wandering eye (the eye isn't really wandering - the muscles aren't doing their job quite right). 

Currently, the only way to get a complete exam is to go to a specialist.  Most people have heard of Neural Ophthalmologists, but they really are surgery oriented. And of course, eye doctors do glasses, but what about Vision Therapy?  Surgery for Strabismus, from what I've heard, often ends up backfiring after a certain period of time, or not working in the first place, which is why I think Vision Therapy is a better option.  How many people are told about Developmental or Behavioral Optometrists? 

The formal name is Optometrist in Vision Development.  See this Wikipedia page about the international College of Vision Development -
which was established in 1971.  Here's a direct link to their site - http://www.covd.org/.  Doctors with training from this institution specialize in vision therapy and vision rehabilitation, and work to help people with functional vision problems.

Functional vision problems have a dramatic impact on peoples' lives because vision is so important - it's about processing and comprehending info - it's major brain work.  Imagine not being able to see the world in 3D;  seeing two sets of everything until your brain shuts down the messages from one eye because it's just too confusing, so you essentially end up with monocular vision.  Or not being able to comprehend what you read, or re-reading multiple times and skipping lines.  Imagine what it's like to try to comprehend info if you're concentrating on simply being able to read the actual word.  What would it be like if your world looked blurry? And keep in mind that these problems are NOT necessarily visible, easily seen.

And don't forget your vestibulo ocular reflex (VOR).  Note that this term actually includes "vestibular" for the inner ear, and "ocular" for vision.  What if your VOR gets affected (in my case, by a vestibular disorder)?  VOR - from Wikipedia - "This reflex functions to stabilize images on the retinas (in yoked vision) during head movement by producing eye movements in the direction opposite to head movement, thus preserving the image on the center of the visual field(s)."  All of this really happens to people.  Imagine having problems like this - and imagine how it can affect your balance.  Think about how it affects how a person interacts with the world.

It can all be fixed if it's detected, but the proper testing needs to be done.  If doctors don't test for functional problems - if they're only concerned with focal acuity and disease - these problems go undetected.  Kids end up thinking they're stupid, or get misdiagnosed with things like ADHD, sometimes low level - or high functioning depending on how it's phrased - autism.  Developmental Optometrists do all the testing that Ophthalmologists and Optometrists do.  In addition, they do complete testing for tracking, proper convergence, 3D vision and peripheral vision.  Both of my daughters now get checked by Dr. Margolis (my Developmental Optometrist), and my husband recently went to him as well.  This meant that for the first time in his life, my husband had a truly complete vision exam!

As my friend Lori said recently, when people have knee surgery, the doctor thinks nothing of sending them for physical therapy.  But that's not the case with vision therapy.  There seems to be an attitude in the medical community that problems should be fixed with medication and/or surgery. But functional vision problems don't get fixed with either of these - vision therapy - training or re-training the brain is what works.  I don't know why people are born with these problems, but sometimes the brain needs help to get the messages right.  Vision therapy is time and effort intensive, though much less so for kids than adults.  VT for a five or ten year old is different than for someone like myself, in my 50's.  It's still effective for me, but it's a much slower process.


Children who exhibit problems need to be checked for everything, not just autism or ADHD.  Adults suffering from vertigo and/or dizziness - symptoms that can result from many conditions -  need to have their vestibular system checked,  but ALSO need to have a complete vision work-up.  If vision is overlooked, it's like checking a broken ankle, but ignoring a possible knee or hip problem.   You can't walk properly if one gets fixed, but another problem is ignored. 

NOTE: If a vision problem is detected, more extensive testing in a particular area may be done.

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