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To the Editor.—In answer to your inquiries regarding comments on Dr. Fick's manuscript in the May, 1964, Archives of Otolaryngology. I would like to give the following observation.
A 46-year-old female was first seen in our office on Jan 3, 1962, with a chief complaint of severe vertigo. At that time she had a speech reception threshold of 24 db in her right ear with a 92% discrimination and a speech reception threshold of 42 db in her left ear with 56% discrimination.
For approximately a year she did very well on conservative treatment of histamine and control of her fluid and saline intake. However, in October, 1963, there was a sudden turn for the worse in both ears. At that time her speech reception threshold in the right ear was 44 db with discrimination of 68%, whereas in the left ear the speech discrimination had dropped to 10%. One
PIRKEY WP. Letters to the Edition. Arch Otolaryngol. 1964;80(4):475. doi:10.1001/archotol.1964.00750040487020
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