D. is an 88 year old woman living in an elder care home. I treated her for the first time in January of 2018, when she presented with a history of vertigo, high blood pressure, pain in multiple joints, severe scoliosis, fatigue, and nerve damage from shoulder surgery 5 years previous. She was not experiencing vertigo at the time, but over the next several months she had a number of episodes, some of which were so severe she was unable to get up off the couch. In the past some maneuvers would reduce the vertigo, but it would always return after some time. She reported that when she slept she would violently throw herself from side to side, and thought that this may have been the reason she kept experiencing vertigo. The spinning would come on suddenly when she either sat up from lying down or when she lay down from a sitting position. She would also experience vertigo with turning her head from side to side. More recently this vertigo was accompanied by a feeling of weakness and unsteadiness in her legs, making it difficult for her to walk.