I recently developed a condition where I have ear pain and partial facial paralysis. Ear aches I can deal with, but when my face quits working, I go to the doc. So, that’s what happened. The ENT said that it resembled Bells palsy and the cause was idiopathic.

I can just imagine an attending physician and a resident in medical school taking future idiopathic specialists on their rounds. The doc walks in and greets a patient with an ear ache and a face that doesn’t work. “Yessir” he says with resignation, “another case of idiopathic syndrome. We just don’t know what the hell happened.” The resident turns to the med students and says gravely, “Look at this patient closely. Try not to confuse the distant stare and slack jaw with idiopathic disease. Even though this patient is from Iowa, we are convinced that there is an idiopathic condition overprinted on his presentation.”

The attending physician stands there thoughtfully for a moment, raises a bristled eyebrow and glances at his watch. “Let’s go people. The idiopathology wing is full of patients with mysterious conditions.” With that they shuffle off down the hall.


A round of acyclovir and prednisone cleared up the apparent Bells palsy. I am symmetric again and can pucker up to whistle a tune.