Hi everyone- The dex shot thankfully went very well-it was at 2:00, so I was in and out pretty quickly and I'm feeling just fine so far (I realize it's early yet-hope things stay this good!) He said it might take up to a week before it starts kicking in. It wasn't very painful at all and the quick dizziness after was not nearly as bad as it was w/ the gent injection-very minor. He sounded really optimistic about it working, so I'm just going to assume the best! He said he has had good results with it in the past. He said he has had some patients who needed more than one shot, and some who it just didn't work for, but it works well with many people. I said, well, isn't it just a short term relief though and he didn't seem to think that at all, that some people never come back after, some may need a shot once a year or every 3-5 years, etc. Dr. Gacek (my AV doctor in Mass) also seemed very optimistic-that dex injections have really helped his AV patients who get breakthrough vertigo. I am just going to remain extremely hopeful that this will help me. Like I said, I don't really trust this local neurotologist that much though-he says the AVs are totally unproven and don't do anything, etc. ALSO, that it is HIGHLY unlikely that allergies are causing this episode for me-that it's just a classic presentation of Meniere's and allergies wouldnt affect it that much. WHAT???!!!! All that being said, I said I am done with this hanging over my head, and talked to him about VNS vs. shunt as a next step (if the dex doesn't work and I need an option). He said he has done many shunts and had excellent results with it, and only extremely rarely has anyone needed VNS after he does a shunt. And that the shunt is outpatient, much less recovery, risk, etc, whereas VNS is a last-resort surgery-would cause MAJOR dizziness during recuperation, lots of vestibular rehab needed, etc.-which I knew all that. (Also, I would never have him do a VNS-I would take out a loan if I had to and go to House, so VNS would be a super $$$$ option for me.) I had pretty much ruled out shunt in my mind before he said all this, thinking they weren't very effective, so I would have skipped right over that and done a VNS. So now I'm kind of happy to hear that he has done a lot of shunts with great results. Now I feel like I have a better next option available (if needed) than VNS or laby. Anyway, thanks for all your prayers and good thoughts today!