Page 14 - Outstanding Women Friendly Physicians (2)
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Dr. Erik Viirre                                              By Judith A. Habert


                                                                                             Photo by Lisa K. Miller

     Dr. Erik Viirre’s entrance into the medical field
     may have been unusual to those who knew
     him growing up in Canada, but his family
     clearly understood his interest.  As a young
     boy he suffered from severe bouts of asthma
     and pneumonia, and since there was no other
     doctor in the family, his parents can only attri-
     bute his strong desire to go into medicine as
     a direct result of spending most of his child-
     hood around physicians and hospitals.
     It might be expected that, given his child-
     hood, the last thing Dr. Viirre would want to
     do was spend his life in the medical field,
     but it had just the opposite effect.  By the
     7th grade Dr. Viirre knew he wanted to be a
     doctor.  He went to medical school in Canada
     at the University of Western Ontario.  Being a
     self-proclaimed geek, Dr. Viirre jumped at the
     opportunity to participate in the newly formed
     joint MD/PhD program. “This allowed me to
     fulfill both my geeky science urges by doing
     research, while following my quest to be a
     doctor.  I’ve been very lucky in my life and a
     large part of it was that I was born in Canada
     and received most of my medical training at
     no cost.”
     Doctor Viirre notes, “My quest has been to do
     interesting and important work at the same
 14 time as serving patients. It was through my
     PhD work on the inner ear balance function
     that I ultimately ended up getting some sub
     specialty training in what we call Neuro-otolo-
     gy, which is what my specialty is. I handle the
     medical end of this specialty, referring my pa-
     tients to Neuro-otology surgeons if needed.”
     Although his high school yearbook pro-
     claimed  his path in life would be as a heart
     surgeon, he quickly realized that his real
     interest lie in studying the brain, particularly
     how the brain controls and keeps movements
     of the eyes accurate. “In the brain there are
     very precise systems so when you have an
     eye or ear disease it creates dizziness.  To
     provide an analogy you can liken this system
     to driving a car.  When a car has wheels
     which are out of alignment the car doesn’t
     feel like it is driving straight.  So my patients
     with these problems often feel that their
     bodies are not driving straight.  Just like a car can be realigned,   your Patients.” After 15 years at UCSD, Dr Viirre has realized
     the brain has a similar ability to be fixed and get back on track   that there are times when it is crucial to choose your words care-
     repairing the balance system so we can go back to feeling per-  fully. He explained this to his audience with the following sce-
     fectly aligned.  This is the area I focused on for my PhD.”  nario. “I have very carefully chosen the words I use while talking
     When asked about advances in his specialty of medicine Dr.   with patients. As an example, I see many patients who have
     Viirre shares, "A lot of innovations have been made over the last   inner ear viral infections. The most common virus that causes
     century in the area of Neuro-otology, primarily over the past 20   the infection is herpes simplex one.  If I use the word herpes
     years. One of the ways I try to help my patients is to fully explain   some patients get very upset.  Then I have to tell them that, yes
     their disease.  Understanding their diagnosis helps patients get   they do have herpes, but it is also known as the cold sore virus,
     better in a number of ways, especially when they feel motivated   so instead of alarming my patients, I choose my words very care-
     to work towards the progress I know they can make.”   fully and tell them they have the cold sore virus. The truth is just
     Dr. Viirre recently participated as a speaker at a conference on   about every US adult has the cold sore virus in their body, often
     dealing with dizziness, for other physicians who were involved   hiding in the facial nerves, which can result in cold sores, and in
     in this specialty.  Part of his session focused on “How to Talk to   some cases inner ear viruses.
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