Ménière's disease turn, is strongly associated with developing MD, but not everyone with EH develops MD: "The relationship between endolymphatic hydrops and Meniere's disease is not a simple, ideal correlation." Additionally, in fully developed MD the balance system (vestibular system) and the hearing system (cochlea) of the inner ear are affected, but there are cases where EH affects only one of the two systems strong enough to cause symptoms. The corresponding subtypes of MD are called "vestibular MD", showing symptoms of vertigo, and "cochlear MD", showing symptoms of hearing loss and tinnitus. The mechanism of MD is not fully explained by EH,
One Word is Too Often Profaned his relationship with Jane. He says that this word has been so often profaned or misused that he will not use it to describe this relationship. He then goes on to say that the usage of this word may be rejected by Jane herself and that his feelings for her are too pure to be "falsely disdained". He uses the word "pity" and states that the feeling of pity from Jane is more dear than love from any other woman. At this point he starts elevating Jane's stature to something larger than other women of the world. Shelley chooses to