Dr. Gianoli tends to diagnose most of his patients with PLF – perilymphatic fistula. PLFs are extremely rare, and yet somehow every person who comes to his office with some form of dizziness gets this rare diagnosis. Many of his tests are not covered by insurance and surprise, Dr. Gianoli is treating PLFs with surgery. It’s a scam.
There were two flags with Dr. Gianoli: first, he pushed so hard for the surgery, as to say I will lose my hearing if I were to opt against it. I did not have the surgery and did not lose my hearing. Among the battery of inner ear tests I had, most were negative except one showed that there was an irregularity (and why should I believe even that?) but nothing conclusive and in no way related to a PLF. Still, Dr.Gianoli pushed hard for surgery.
Second, when I got a copy of my medical records from Dr. Gianoli to transfer to another doctor, there was no mention of a possible PLF or Dr. Gianoli insistence that I have surgery. In the event that someone is confused as to why a doctor would not put his recommendation and his diagnosis in his notes, it’s because Dr. Gianoli is covering his ass.
Should he ever be reviewed by the inept Medical Board of Examiners of Louisiana, featuring top most corrupted state in the US, he will be exposing himself to the disproportionate number of patients that he diagnosed with the same problem and were recommended to have the same surgery. So, by not referring to his insistent to have surgery, he evades detection should he ever be reviewed. Dr. Gianoli is an unethical doctor. Do not go to him.
Had Dr. Gianoli at least written that PLF was a possibility or that surgery was an option, I would think Dr. Gianoli is an incompetent doctor. But he is worse: Dr. Gianoli is also a dangerous unethical con cutting into people, recommending them surgeries that they probably don’t need.
Unless PLF is the most under diagnosed medical problem in the gerontological world and it isn’t, there should not be dozens of PLF surgeries. Gerard Gianoli is an unethical and dishonest doctor. Don’t go to him and if you do, don’t be surprised if you are diagnosed with a PLF and don’t say you weren’t warned.