I had the opportunity to head to Portland, Oregon USA recently to attend a meeting on the multidisciplinary care of patients with dizziness. It was a long way to travel in a short space of time, and so I was taking a gamble on the quality of the meeting. This has been an interest of mine for a long time for both personal and professional reasons as I have been involved in the visual rehabilitation of patients for many years. It turns out that the trip turned out to be a success, the meeting was excellent.