Apple CEOSteve Jobs ac-knowledgedthat the com-pany’s iPhone 4had
some re-ception prob-lems and apol-ogized to userswho were
af-fected. Jobssaid the com-pany would of-fer a free case,which
wraps around the rim of the phoneto fix the flaw, to anyone who
buys aniPhone 4 through Sept. 30. Apple will letpeople sign up for
the cases online latenext week. News 3
TRIAL TO STAY IN O.C.The trial of a man charged with
second-degree murder in a crash that killed An-gels pitcher Nick
Adenhart and two of hisfriends will remain in Orange County,
aSuperior Court judge ruled. Local 1
CAP APPEARS EFFECTIVEBP’s oil well in the Gulf of Mexico
appearsto be holding tight after it was fitted with acontainment
cap, but some puzzling pres-sure readings have raised
uncertaintyabout whether there is a leak. News 3
50 YEARS FOR SLAYINGA former apartment manager in SantaAna was
sentenced to 50 years to life inprison for shooting a man between
theeyes after losing hundreds of dollars in aCambodian dice game.
Local 2
APPLE OFFERSIPHONE FIX
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HOME & GARDEN
Inside outPlants and accessories keep Lagunacottage in touch
with rustic roots
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News as it happens onwww.ocregister.comMobile:
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PRICE: 75 CENTS FOUNDED IN 1905SATURDAY, JULY 17, 2010
Go to OCRegister.com/dealoftheday
50% off to Gemmell’s French Restaurant in Dana Point!
($70 Value for $35)
NEWPORT BEACH ● The chairstarts spinning.
And as it spins, a little boy,Casey, 3, wearing very
coolgoggles, watches lights thatseem to travel with him as hesits
and twirls in a darkenedchamber atop his mother’slap.
Heidi Brandl has a routineto keep her son engaged dur-ing these
45-minute therapysessions. When the “disco balllight” goes on,
projecting hun-dreds of pinpoints of light onthe wall, they name
and“shoot” the stars.
“You’re like a space com-mander!” Brandl tells Casey.
MARK RIGHTMIRE, THE ORANGE COUNTY REGISTER
Casey Ecker, 3, is evaluated for overall inner ear functionas he
sits on the lap of his mother, Heidi Brandl, of New-port Beach.
THE MORNING READ
A real spin doctorDr. Mango can star in a production of‘Guys and
Dolls’ and fix the dizzies.By GREG HARDESTY
THE ORANGE COUNTY REGISTER
SEE DIZZY ● PAGE 1 9
Orange County’s unem-ployment rate jumpedto 9.5 percent in
June,but employers are hir-ing. In Orange County,
5,100 new jobs were createdfrom May to June.
Chapman University econo-mist Esmael Adibi called that agood
sign. “We knew unem-ployment was going to increase– you have
college grads, highschool students and just collegestudents looking
for summerjobs – so it’s very normal for the
June labor force to increase,”he said. “If your labor force
isgrowing, the unemploymentrate is going to go up.”
PRICES DOWNAnother bit of good news:
Prices and area rents are dip-ping.● Southern Californians
areseeing bargains these days withconsumer prices declining
0.2percent from May to June andup only 0.9 percent over thepast
year. Nationwide, the Con-
sumer Price Index edgeddown 0.1 percent from May toJune and rose
1.1 percent inthe past 12 months.● The June CPI also showedthat the
cost of renting a resi-dence in Southern Californiafell at an 0.7
percent annualrate in the first half of 2010.That’s the first
six-month de-cline since 1995 and reflects apush by landlords to
fill emptyapartments and other rentalswith discounted
rents.Business 1 and 3
O.C. jobless rate rises9.5%
June 2010O.C. and
nationwide rates
Unemployment
Source: California Employment Development Department
June 2009 - June 2010:
J J A S O N D J F M A M J2009 2010
U.S. O.C 12%
10
8
6
4
2
0
Influx of students drives the jump, though hiring increases.
COSTA MESA ● Kettle corn, live-stock, fried food and
sun-screen.
Only one place in OrangeCounty can capture all of
those aromas and blend theminto a perfect balance that willbe
welcomed, even sought af-ter, by thousands this summer.
It is the smell of the OrangeCounty Fair.
Hundreds waited in line Fri-day to be among the first to set
foot on the fairgrounds for theopening of “The Beat GoesOn” at
the Orange CountyFairgrounds.
This year’s event will wel-come old favorites, such as
LEONARD ORTIZ, THE ORANGE COUNTY REGISTER
Riders go for a “spin” on the Tango on Friday, the opening day
of the OC Fair.
TRADITION, NEW ATTRACTIONS DRAW CROWD TO FAIR
By JAIMEE LYNN FLETCHER
THE ORANGE COUNTY REGISTER
SEE FAIR ● PAGE 2
ONLINE EXTRAS
For more photosand video, go toocregister.com/costamesa
SEC: News DT: 07-17-2010 ZN: 1 ED: 1 PG #: 1 PG: Cover_A BY:
bcronin TI: 07-16-2010 22:40 CLR: CKYM
The Orange County Register Saturday, July 17, 2010 News 191
THE MORNING READ
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The rotational chair maylook like an amusement-park ride, but
it’s actually asophisticated, $250,000tool in the diagnosis
andtreatment of vertigo andother balance disorders.
And the weekly spins arekeeping Casey from bump-ing into walls
or habituallyfalling and bruising his tinybody – behavior that,
untilrecently, confounded hisparents.
The chair is one of twomachines at the offices of aveteran
Newport Beachdoctor of audiology who,when he’s not treating
pa-tients, is belting out showtunes as a longtime commu-nity stage
actor.
Whatever role he’s play-ing, one thing’s for sureabout Dr.
Howard T. Man-go: The role had better benew and it had better be
big– or it’s not worth playing.
“If I had to do the samething, every day, for thepast 35 years,
I think Iwould have shot myself along time ago.”
● ● ●
Grasping the finer detailsof the treatment that Man-go and his
colleagues per-form at Newport Mesa Au-diology Balance and Ear
In-stitute is enough to make anoutsider feel, well, dizzy.
It’s easier to wonder howMango became a hearingspecialist. He
grew up inNew York and attended afew ear-splitting
culturalmilestones – the Beatlesconcert at Shea Stadiumand, later,
Woodstock.
Could there be a connec-tion?
Whatever the case, Man-go – that’s not a stage name,folks – has
made a name forhimself as a pioneer intreating hearing and bal-ance
disorders. When hepurchased a private audiol-ogy practice in
NewportBeach in 1977, he becameone of the first such special-ists
in the country.
And, while no one keepstrack of audiologists whohave tackled
roles such asNathan Detroit in “Guysand Dolls,” it’s a good
betMango’s in select companythere.
● ● ●
Born full-term, CaseyEcker (his mother uses hermaiden name) was
late hit-ting certain growth mile-stones such as rolling
over,sitting up and crawling. Hisspeech also was delayed.When he
wasn’t walking at18 months, his parents con-sulted a
pediatrician.
It wasn’t until this Febru-ary, however, when he wasreferred to
Mango’s office,that Casey was diagnosedwith peripheral
vestibulardysfunction.
The disorder won’t cur-tail his mental develop-ment, and it
won’t requiremedication to be treated.But Casey’s peripheral
ves-tibular dysfunction was,and is, an extreme case
ofdizziness.
A physician in Mango’soffice, Dr. Cara Makuta, hasbeen treating
the boy eversince the diagnosis, talkingto Casey through a
headsetas he spins in the chair, andblowing bubbles with himafter
each session.
● ● ●
The rotational chairCasey uses to improve hisbalance has
impressed topbrass at Camp Pendleton.Physicians at the base arein
the process of installingthe machine to treat mildtraumatic brain
injuriessuffered by troops return-ing from combat.
The showcase machinein Mango’s office, however,is a contraption
called theEpley Omniax – the onlyone of its kind in OrangeCounty
and one of only 14 inthe world, according toMango.
He fired up the machinein December.
The Epley chair is capa-ble of moving a patientthrough 360
degrees in anyplane and in any positionrelative to gravity – such
asupside down.
While moving the patientin different positions, Man-go monitors
eye move-ments. This allows him topinpoint which area of theinner
ear is causing dizzi-ness, and then treat theproblem by moving the
pa-tient in a different position.
Mango characterizes theEpley chair as a milestone
in technology that allowsfor the diagnosis and treat-ment of
vertigo withoutsurgery or medication.
“As recently as five yearsago, we still were missingpieces of
the puzzle,” Man-go says.
The Epley chair does au-tomatically what Mangoand other
specialists havebeen doing for years totreat positional vertigo:
ma-neuvering patients by handon a table.
● ● ●
Mango has never beenshy about thrusting himselfin the spotlight,
on stage orin his medical practice.
His decision to go intoprivate practice was con-troversial at
the time be-cause it then was viewed asunethical for audiologists
todispense hearing aids.
No longer.Mango has continued his
maverick ways by dumpinglots of money into new tech-nology like
the rotationaland Epley chairs – con-vinced he’s not just spin-ning
his wheels.
Patients such as Brandlwould agree.
According to medical lit-erature, dizziness and ver-
tigo are common problems,but fewer than 10 percent ofdizzy
patients are ever eval-uated by a specialist likeMango.
Brandl says Casey wasfunctioning at about 20 per-cent overall
when he start-ed therapy and now is at
about 65 percent. Sessionsin the chair help him retrainhis
system, Makuta said.
“I would constantly tight-en my stomach when Caseyapproached
stairs or un-even areas, where he had agood chance of falling
andhurting himself,” Brandlsays. “Since therapy, I nolonger have
that tightenedstomach feeling.”
● ● ●
Mango, 58, isn’t surewhat’s next on his actingplatter. He’s
pretty busyrunning a medical practiceand being a father to a
6-year-old son.“I married late,” he says.Meanwhile, his
lifetime
patient roster has tickedpast 30,000 – all visitors
to“Dizziland,” as Mango re-fers to his practice
online(www.dizziland.com).
He watches Brandl holdCasey as they both strap in-to the
rotational chair.
Then he hears her say aline that may or may nothave come out of
his mouthsomewhere, on some stageunder the bright lights:
“Wanna go for a spin,Boo-Boo?”
DIZZY: Rotational chair medical ‘milestone’FROM PAG E 1
PHOTOS: MARK RIGHTMIRE, THE ORANGE COUNTY REGISTER
Lauara Harrison, left, the physician marketing coordinator for
the Newport-Mesa Au-diology Balance and Ear Institute, demonstrates
the Epley Omniax System.
Dr. Cara Makuta gets the goggles ready before the pa-tient is
tested in the Neuro Kinetics rotational chair.
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bcronin TI: 07-16-2010 19:43 CLR: CKYM
