Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram abnormal, Biopsy breast, Condition aggravated, Conductive deafness, Confusional state
Clinical narrative: On the evening of the 28th I felt like there was a fullness in right ear and that side of my head and I noticed I couldn't hear well. I put in my hearing aid and that did not help. That morning I had been at the dentist and had a filling but did not think that was related but it was on the upper right side of my mouth. The next day thinking it may be allergies I took some medication to maybe try and help that. I started with Mucinex, Store brand Severe cold and Flu multi-symptom with acetaminophen, then I tired the Mucinex with Sudafed. None of that helped so I had done a Neti pot, a dehumidifier, and nothing helped. Finally I tried a Benadryl which I realized later was expired. I went to the ER on the 29th because nothing was helping and I still could not hear. The ER gave me Flonase- they did not run any tests or labs. I then realized I had conductive loss in my head and that scared me- I do have a history of Otosclerosis but it has not been progressing recently- my hearing has been stable. I have had bilateral stapedectomy and have now have titanium  bilateral stapes. Monday I made contact with the doctor's office. On May 2nd I had right breast biopsy's and the following day I had an ocular migraine that made me go to Urgent Care-I had a mild headache that occurred after but I did have the visual disturbance with fogging and jagged rings along with a lot of confusion and disorientation. This made me feel like my brain was having a difficult time processing and was having a hard time verbalizing anything. The Urgent care said I should see an eye specialist. On May 4th I saw a doctor and we did an Audiogram and there was a 90% hearing loss and it was profound hearing loss on the right side-further explained it was a mixed and conductive hearing loss meaning middle and inner ear. He gave me an prescription for Prednisone 10mg. I started the med on the afternoon of the fourth, and stopped the Flonase, I was on the Prednisone for 16 days and titrated the dose down over the those 16 days. I also saw an Audiologist that day and she looked in my ear and it all looked normal to her other than a small dry patch but it was all normal. On May 5th I was evaluated for a stroke because of the confusion I had experienced with the ocular migraine. The next day I saw an OD he and a student both evaluated me that day and he stated that my eye looked normal and encouraged more cardiac care and Imaging with my PCP. I had an MRI on May 9th to look into my ears more. I asked my PCP to add a scan for a TIA but it was incomplete. May 11th I went back to the doctor and we did another Audiogram there was a little improvement in some areas of my hearing about 50-55 decimoles but I also lost some hearing in other areas.  He kept me on the Prednisone and referred me back to my PCP. I am trying to work with a new Audiologist to calibrate my new hearing aids to this new hearing loss and follow up Thursday June 9th. I do not hear normally, there is an echo and sometimes it sounds like I am in a tin can. I try and pop my ear like when you are on an airplane and your ear pops it feels like I need to do that on the right ear. Sometimes things sound normal other times there is major distortion.