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,
Tale for a Deaf Ear injection to Laura as the chorus intones the moral, "The only death in life is the death of love." The opera has been performed very infrequently since its premiere; in 1997, a production was mounted in New York with the Center for Contemporary Opera. In February 2018, the opera will receive its Midwest premiere at the College-Conservatory of Music at the University of Cincinnati, where it will be grouped in a triple bill with Bernstein's "Trouble in Tahiti" and Gian Carlo Menotti's "The Telephone". Tale for a Deaf Ear Tale for a Deaf Ear is an opera in one act