GUEST SPEAKERS Joel Goebel, MD, FACS, Jeff Walter, PT, DPT & Mark Haehn. November 5-7, 2009

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Micromedical Technologies, Inc. Presents ASSESSMENT, INTERPRETATION & MANAGEMENT OF BALANCE DISORDERS An Intermediate to Advanced Course for those interested in Vestibular Testing GUEST SPEAKERS Joel Goebel, MD, FACS, Jeff Walter, PT, DPT & Mark Haehn November 5-7, 2009 River Terrace Inn 1600 Soscol Avenue Napa, CA 94559 (707) 320-9000 COST: $500 for Days 1 & 2 (Th/F) till 10/5/09 ($550 afterwards) $250 for Day 3 (Sat) till 10/5/09 ($300 afterwards)

Hotel Accommodations River Terrace Inn 1600 Soscol Avenue Napa, CA 94559 (707) 320-9000 Room Rates: $169 Single/Double Rates available until 10/5/09 Call hotel directly to make your reservation, mention Micromedical Technologies to get the special rate http://www.riverterraceinn.com/ Parking: Complimentary Valet and Self-Parking

Directions & Airports: From the East: Take I-80W towards San Francisco. Take the State Hwy 12 exit toward Napa/Sonoma. Merge onto CA-12/Jameson Canyon Rd. Turn right at CA-12/CA-29. Slight right towards CA-221 (signs for downtown Napa). Slight right at CA-221. Continue on Soscol Ave. The hotel will be on the right. From the South: Take I-80E towards Sacramento. Take exit 33 towards Auto Mall Pkwy. Keep left at the fork, follow signs for Napa/CA-37 and merge onto CA-37W. Take exit 19 toward Napa/State Hwy 29. Turn right at CA-29/Sonoma Blvd. Slight right towards CA-221 (signs for downtown Napa). Slight right at CA-221. Continue on Soscol Ave. The hotel will be on the right. From the West (State Hwy 116): Take CA-121/Fremont Dr. Turn left at CA-12/CA-121/CA-29. Exit onto Lincoln Ave. Turn right at Lawrence St. Turn left at Vallejo St. The hotel will be on the right. From the North (I-5): Take I-5S towards San Francisco. Take I-505S towards San Francisco/Winters. Take the exit onto I-80W towards San Francisco. Take the State Hwy 12 exit toward Napa/Sonoma. Merge onto CA-12/Jameson Canyon Rd. Turn right at CA-12/CA- 29. Slight right toward CA-221 (signs for downtown Napa). Slight right at CA-221. Continue on Soscol Ave. The hotel will be on the right.

Area Airports San Francisco International (SFO) 59 miles South of Hotel Directions: Take US-101N to San Francisco. Continue on I-80E (Partial Toll Road). Take exit 33 towards Auto Mall Pkwy. Keep left at the fork, follow signs for Napa/CA-37 and merge onto CA- 37W. Take exit 19 toward Napa/State Hwy 29. Turn right at CA- 29/Sonoma Blvd. Continue to follow CA-29. Slight right towards CA-221 (signs for Downtown Napa). Slight right at CA-221. Continue on Soscol Ave. The hotel will be on the right. Shuttle available by Evans Airport Service (24hr notice required) $45 (one way) Ph: 707-255-1559 www.evanstransportation.com Estimated Taxi Fare: $250 Mineta San Jose International Airport (SJC) 82 miles South of Hotel Directions: Take I-880N towards Oakland. Take the exit onto I- 580W/I-80E towards Sacramento/San Rafael. Continue to follow I-80E (Partial Toll Road). Take exit 33 towards Auto Mall Pkwy. Keep left at the fork, follow signs for Napa/CA-37 and merge onto CA-37W. Take exit 19 towards Napa/State Hwy 29. Turn right at CA-29/Sonoma Blvd. Continue to follow CA-29. Slight right towards CA-221 (signs for downtown Napa). Slight right at CA-221. Continue on Soscol Ave. The hotel will be on the right. Oakland International Airport (OAK) 52 miles South of Hotel Directions: Take I-880N towards Oakland. Take the exit onto I- 580W/I-80E towards Sacramento/San Rafael. Continue to follow I-80E (Partial Toll Road). Take exit 33 towards Auto Mall Pkwy. Keep left at the fork, follow signs for Napa/CA-37 and merge onto CA-37W. Take exit 19 toward Napa/State Hwy 29. Turn right at CA-29/Sonoma Blvd. Continue to follow CA-29. Slight right towards CA-221 (signs for downtown Napa). Slight right at CA-221. Continue on Soscol Ave. The hotel will be on the right. Shuttle available by Evans Airport Service (24hr notice required) $45 (one way) Ph: 707-255-1559 www.evanstransportation.com Estimated Taxi Fare: $250

Sacramento International Airport (SMF) 64 miles Northeast of Hotel Directions: Take Airport Blvd. Merge onto I-5N via the ramp to Redding Take exit 537 for Main St. towards Woodland/State Hwy 113S. Turn left at E. Main St. Turn left at Industrial Way. Take the ramp onto CA-113S. Merge onto I-80W. Take the State Hwy 12 exit towards Napa/Sonoma. Merge onto CA-12/Jameson Canyon Rd. Turn right at CA-12/CA-29. Slight right towards CA- 221 (signs for downtown Napa). Slight right at CA-221. Continue on Soscol Ave. The hotel will be on the right. Estimated Taxi Fare: $175 COURSE AGENDA*: Thursday November 5, 2009 7:30-8:00 Registration 8:00-9:30 Pathogenesis of Dizziness 9:30-9:45 BREAK 9:45-11:15 Pathogenesis of Dizziness, Continued 11:15-12:00 Migraine Anxiety Related Dizziness 12:00-1:00 LUNCH (Meal Provided) 1:00-2:00 Neuro-otologic History & Interpreting VNG 2:00-3:15 Interpreting VNG, Continued 3:15-3:30 BREAK 3:30-5:00 Interpreting VNG, Continued Friday November 6, 2009 8:00-9:30 Identification & Treatment of Benign Paroxysmal Positional Vertigo 9:30-9:45 BREAK 9:45-10:45 Management Options including Vestibular & Balance Rehabilitation Therapy 10:45-12:00 Summary of Clinical Utility of Rotational Chair & Dynamic Posturography 12:00-1:00 WORKING LUNCH Actual Cases will be given to groups for discussion (MEAL PROVIDED) 1:00-2:00 VEMP, SVV, AHR and DVA testing general information 2:00-2:15 BREAK 2:15-4:15 Essentials of Direct Office Exam 4:15-5:00 Review of Working Lunch Cases

Saturday November 7, 2009 8:00-10:30 Introduction to Vestibular Testing 10:30-12:00 Basic Case Studies 12:00-1:00 LUNCH (MEAL PROVIDED) 1:00-2:00 Vestibular Testing 2:00-4:30 Hands-on Testing 4:30-5:00 Questions and Answers *Subject to Change Joel A. Goebel, M.D., F.A.C.S Professor, Department of Otolaryngology Head & Neck Surgery Dizziness and Balance Center Washington University School of Medicine, St. Louis, MO Dr. Goebel is board-certified in Otolaryngology and is director of the Dizziness and Balance Center and a Professor and Vice Chairman of the Otolaryngology Department. His clinical interests include dizziness, balance disorders, Meniere s disease, vestibular disorders and vertigo. He has been listed as one of the Best Doctors (Best Doctors, Inc.) for 5 out of the last 6 years. Jeff Walter, P.T., DPT, NCS Vestibular & Balance Rehabilitation Geisinger Medical Center, Danville, PA Jeff Walter is a sought-after speaker who has lectured at numerous professional conferences, universities and continuing education courses for audiologists, physicians and therapists involved in managing patients with dizziness and imbalance. Mark Haehn Micromedical Technologies, Inc. Mark has 15 years experience in vestibular testing. Prior to working for Micromedical Technologies, Inc. Mark practiced at Cleveland Clinic under the direction of Mohammed Hamid, M.D., Ph.D.; John Oas, M.D.; and Judith White, M.D. Mark s experience includes the testing of over 5000 dizzy patients.

INTENDED AUDIENCE: Otolaryngologists Neurologists Audiologists Physical Therapists VNG Techs This is an intermediate to advanced course for those interested in vestibular testing. Examples of test abnormalities will be discussed and cases used to illustrate how to apply the test results to achieve successful treatment strategies. The third day will focus on testing techniques with hands-on instruction. CONTINUING EDUCATION: AAA Credits - Micromedical Technologies, Inc. is applying for 1.6 CEU Credits through the American Academy of Audiology to offer AAA CEU s for each Thursday/Friday Course at each location. We will apply for 0.8 CEU s for each Saturday Course at each location. AAA approval of this continuing education activity does not imply endorsement of course content, specific products, or clinical procedures. COURSE FOCUS The first two days of this course are designed to review the practical performance and principles of balance assessment and management with emphasis on interpretation. This is an intermediate to advanced course, directed at otolaryngologists, neurologists, audiologists, physical therapists and others interested in vestibular testing. Examples of test abnormalities will be discussed and cases used to illustrate how to apply the test results to achieve successful treatment strategies. The third day will focus on testing techniques with hands-on instruction. FAX OR MAIL IN THE COURSE REGISTRATION FORM ON FOLLOWING PAGE TO SIGN UP TODAY!

REGISTRATION FORM THURSDAY/FRIDAY (11/5 & 11/6) Registration: $550.00 after 10/5/09 Early Registration: $500.00 on or before 10/5/09 Registration: $300.00 after 10/5/09 Early Registration: $250.00 on or before 10/5/09 SATURDAY (11/7) Name Company Name Address City State Zip Ph ( ) Fax ( ) Email Specialty Check or Money Order, payable to Micromedical Technologies (US funds only) (a $25 service charge will apply to checks returned for insufficient funds) Charge My: Visa Master Card Credit Card # Exp. Date: M M Y Y Name printed on card Billing Address of Card if different than above: Signature I authorize Micromedical Technologies to charge the amount determined by Micromedical Technologies as registration fees to my credit card Please Mail this form to: Micromedical Technologies 10 Kemp Drive OR call us directly: 800-334-4154 OR FAX to 217-483-4533 CODE: CA COURSE