This case involves a male musician and music teacher who lost his hearing. He presented to the emergency room complaining of dizziness and was sent for an MRI. The results came back normal and the patient was referred to his primary care physician. The primary care physician said there was no cause for concern. The patient continued to complain of dizziness and hearing loss for the next 2 months. He returned to the emergency room and a second MRI was ordered. This MRI revealed an advanced acoustic neuroma. The patient required surgery to remove the neuroma and lost his hearing in that ear and remains legally deaf. A vocational expert was sought to opine on the issues the patient will face for future employment in the music industry.