Tinnitus Today June 1989 Vol 14, No 2

7/30/2019 Tinnitus Today June 1989 Vol 14, No 2

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OXNH 4


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AX[D JH@@ KDQQH[LHZDVDL@DK@H F[IM \IX[ @IJD@ CHD[LNE CHD@QC JD[H W[IFHZZLIND@@LZQHA LN QCH \H@@IU WDEHZ XNAH[ +CHD[LNE DLAZ+


3/20

Haltirld` dna davhrtlslneiffljhs?Dmhr ljdn Qlnn l t u sDssijl d`linW.I. Kix 8Wirt`dna I[


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QLNNLQXZ LN KX[NQ-IXQMHNLH[H%Z ALZHDZHky Odjb D. Vhrnin, Wc.A., Alrhjtir IrheinChdrlne [hshdrjc Jhnthr, Wirt`dna, Irhein

Mhnlhrh %s alshdsh iffhrs mdnyvdrldtlins if symptims kut ds d ehnhrd`stdthmhnt mist dutcirltlhs derhh tcdtMhnlhrh %s ls hplsialj, fùjtudtlne in drdnaim dna unprhaljtdk`h sjchau`h.

Ln lts djtlvh pcdsh Mhnlhrh %s alshdshjdn kh vhry alstrhssfu` , nit khjdush if ltstlnnltus kut khjdush if tch alzzlnhss, dnakhjdush lt jdn ijjur undnniunjha dt dnytlmh. Nith tcdt aurlne dn +dttdjb+ tchpdtlhnt ls nit in`y alzzy kut cds chdrlneìss dna tlnnltus ds wh``, d`` if wcljcalsdpphdr wchn tch dttdjb ls ivhr. Qcdt ls,tch alzzlnhss stips, tch tlnnltus alsdpphdrsdna tch chdrlne rhturns ti nirmd`.Injh Mhnlhrh %s alshdsh khjimhs dkurnt-iut jdsh, dna tchrh drh ni mirhhplsialj dttdjbs if alzzlnhss, tclnes jdnjcdneh ardstljd``y ifthn `hdvlne tch pdtlhntwltc ahprhssha chdrlne dna jinstdnt tlnnltus.Lt ls nit bniwn ciw mdny Mhnlhrh %spdtlhnts kurn-iut ti kh `hft wltc nisymptims, wcljc unaiuktha`y cdpphns lntch mdoirlty if jdshs. Qch unfirtundthpdtlhnt ls tch inh wci ls `hft wltc chdrlneìss dna wltc tlnnltus. Uchn tcls cdpphnstch pdtlhnt wl`` mist ifthn shhb ch`p firtchlr tlnnltus ahsplth tch fdjt tcdt tchy d`sicdvh d chdrlne ìss. Xsud``y tch chdrlneìss ls prhshnt dt nhdr`y d`` frhquhnjlhs dnaln simh jdshs jdn kh si shvhrh ds ti `hdvhtch pdtlhnt wltc in`y inh chdrlne hdr. Ltsciuà kh nitha tcdt lt ls vhry rdrh firMhnlhrh %s alshdsh ti dpphdr ln kitc hdrs. Dtypljd` kurnt-iut Mhnlhrh %s jdsh ls l`ùstrdthaln Fleurh 4 khìw?Ln Fleurh 4 nith tcdt tch .chdrlne lsahprhssha dt d`` thst frhquhnjlhs dna simujc si tcdt tch thstlne dualiìelstlnfirmha tcls pdtlhnt tcdt sch cda +ni ushfu`chdrlne+ ln tcdt hdr. Qch thrm +ni ushfu`chdrlne+ mhdns tcdt tch chdrlne lssuffljlhnt`y ahprhssha tcdt dmp`lfljdtlin kyd chdrlnedla wl`` priaujh alstirtlin wcljc aherdahs

1

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17...O# $, 677? ?1@X?L ?

Fleurh L.

377.8 4.7 ;.7 1.7 3.7

F[HTXHLLJV , bC zsphhjc lnth``lelkl`lty. Qcdt ls, tch pdtlhnchdrs khtthr wltciut tch chdrlne dla. Qcpdrtlju`dr pdtlhnt tià us tcdt sch wd+titd``y ahdf% in tch dffhjtha slah, wcljc dyiu jdn shh ls nit jimp`hth`y djjurdth. ls truh, ciwhvhr, tcdt d chdrlne dla in tcdslah rhaujha chr unahrstdnalne if sphhjc[hmhmkhr tcdt tcls pdtlhnt prhshnthjimp`dlnlne dkiut chr tlnnltus dna nidkiut tch chdrlne ìss. Zch cda djjhpthtch chdrlne ìss. Lt wds tch tlnnltus tcwds kitchrlne chr. Qch pltjc if chr tlnnltujirrhspinaha ti d ndrriw kdna if nilsjhnthrha dt 877Cz2 lt siunas `lbh d ìpltjcha +ridr+. Lnjlahntd``y, tch tlnnltus scniw chdrs jinstdnt`y ls tch sdmh ds tcwcljc sch chdra wchn tch Mhnlhrh%s alshdwds ln lts hplsialj pcdsh. Ln simh jdshs ikurnt-iut Mhnlhrh%s alshdsh tch pltjc if ttlnnltus sclfts upwdra lnti tch mlaafrhquhnjlhs dna khjimhs mirh `lbh d purtinh tcdn d ndrriw kdna if nilsh.Fir tch pdtlhnt l`ùstrdtha ln Fleurh lt wds dn hdsy mdtthr ti rh`lhvh tch tlnnltuslmp`y ky flttlne tch dffhjtha hdr wltc d fèdln chdrlne dla. Qch mimhnt tch chdrlndla wds turnha in tch tlnnltus alsdpphdrhQch mimhnt tch chdrlne dla wds turnha itch tlnnltus rhdpphdrha.Qi adth ln tch tlnnltus j`lnlj dt tcIrhein Chd`tc Zjlhnjhs Xnlvhrslty wh cdvshhn thn jdshs if kurnt-iut Mhnlhrhalshdsh dna ln d`` thn jdshs tch tlnnltus wjimp`hth`y rh`lhvha ir jimp`hth`y mdsbhky ush if chdrlne dlas. Qcls drrdnehmhcds tch davdntdeh ivhr tch jinvhntlind`tlnnltus mdsblne ln tcdt tch pdtlhnt aihs ncdvh d jinstdnt mdsblne siuna prhshnt.


5/20

#jintlnuha frim pdeh 1.,Qurnlne in tch chdrlne dla fir tchsh pdtlhntsls hxdjt`y `lbh turnlne iff tch tlnnltus.Ztdtlstljd``y iur sdmp`h ls smd`` kutj`lnljd``y tch rhsu`ts drh lmprhsslvh.UCHN CHD[LNE DLAZ [H@LHVH QLNNLQXZ

Lt ls iur iplnlin tcdt wchn d chdrlnedla rh`lhvhs tlnnltus lt ls kut yht dnitchrjdsh if mdsblne. [hfhr kdjb ti Fleurh 4,dna nith tcdt tch tlnnltus ls ìjdtha wh``wltcln tcish frhquhnjlhs wc ljc tch chdrlnedla ls jdpdk`h if rhpriaujlne. Mirhivhrrhjd`` tcdt nirmd` hnvlrinmhntd` siunas drhtcish fiuna frim dkiut 477 Cz ir `hsstcriuec dkiut 1777 Cz. Qcus, ln tch jdshdkivh lt ls tch lmprivha chdrlne vld tchchdrlne dla tcdt cds mdah dvdl`dk`h tcishhnvlrinmhntd` siunas ln tch vljlnlty if tchtlnnltus wcljc shrvh ti mdsb tch tlnnltus.Ln d`` if tch kurnt-iut jdshs if Mhnlhrh%salshdsh wh cdvh nitha tch pltjc if tchtlnnltus ls ln tch rhelin if hnvlrinmhntd`siunas si tcdt dmp`lfljdtlin if tcish siunaswds dk`h ti privlah tch nhhaha mdsblnesiuna. Ln simh jdshs if kurnt-iutMhnlhrh%s alshdsh tch ush if chdrlne dlasprivlahs nit in`y rh`lhf frim tlnnltus kutlmprivha chdrlne ds wh` . Qcus simh iftchsh pdtlhnts jdn rhjhlvh d aiuk`h khnhflt.Nit d` kurnt-iut Mhnlhrh%s pdtlhnts sciuàhxphjt tch aiuk`h khnhflt dna in`y kythstlne jdn tch p`lect if tch lnalvlaud`pdtlhnt kh ahthrmlnha. PVh cdvh shhnpdtlhnts wchrh tch chdrlne dla wirbha vhrywh`` ti mdsb tch tlnnltus kut ala nitlmprivh tch chdrlne dkl`lty. Lnahha ln simhif tchsh jdshs tch chdrlne dla djtud` `yaherdaha tch dkl`lty ti unahrstdna sphhjcwchn thstha ln siuna flhà ji naltlins. Lftch chdrlne dla aherdahs tch unahrstdnalneif sphhjc tchn wh rhjimmhna uslne lt ln djimmdna miah. Qch pdtlhnt turns tchchdrlne dla in wchn tchy wdnt rh`lhf if tchtlnnltus dna tchy turn lt iff wchn tchy drhcdvlne triuk`h unahrstdnalne sphhjc. Qcdtprijhaurh siunas dwbwdra kut lt wirbs titch mdxlmum khnhflt if tch pdtlhnt.Uchn d chdrlne dla wl`` rh`lhvhtlnnltus alsphnshrs if chdrlne dlas sciuà

8

nit kh rh ùjtdnt ti flt tch dla hvhn ltaherdahs sphhjc lnth``lelkl`lty. D`sialsphnshrs sciuà nit eht tch lahd tcdt in`yd chdrlne dla ls nhhaha ti mdsb d`` tlnnltuspdtlhnts.D WX__@H DK IXQ CHD[LNE DLAZ DZ QLNNLQXZMDZBH[Z

Uchn iralndry tlnnltus mdsbhrs drhusha ti rh`lhvh tlnnltus tch pchnimhnin ifrhslaud` lnclkltlin ls frhquhnt`y hnjiunthrha.Qcdt ls upin rhmivd` if tch mdsbhr dfthr dphrlia if mdsblne tch tlnnltus ls thmpirdrl`yeinh hntlrh`y ir almlnlscha ln lts lnthnslty.Ln tch tlnnltus j`lnlj d sphjld` thst firrhslaud` lnclkltlin flnas lt prhshnt ln inhfirm ir dnitchr ln 3


6/20

#jintlnuha frim pdeh 8.,d`` tch pdtlhnt wl`` wdnt.L f lt aihs nit rh`lhvh tch tlnnltus wh tchn trytlnnltus mdsbhrs dna tlnnltus lnstrumhnts #djimklndtlin unlt wltc kitc d chdrlne dladna d tlnnltus mdsbhr hdjc wltc lts iwnviùmh jintri`, dna lt ls tch tlnnltuslnstrumhnt wcljc ls prhsjrlkha ln tchmdoirlty if jdshs. Inh slah jimmhnt lslmpirtdnt chrh. Uh cdvh shhn d `drehnumkhr if tlnnltus pdtlhnts wci cdvh khhnflttha wltc tlnnltus lnstrumhnts h`shwchrhdna wci j`dlm tcdt tch unlt aihs nit wirbti rh`lhvh tchlr tlnnltus. Ln mist if tchshjdshs lt turns iut tcdt tch pdtlhnt lsdaoustlne tch tlnnltus lnstrumhnt lnjirrhjt`y.Qchy lntriaujh tch mdsblne siuna flrstdfthr wcljc tchy turn in tch chdrlne dlapirtlin. Qcdt prijhaurh ls aiimha tifdlùrh ln d`mist hvhry jdsh. Lt ls hsshntld`ti flrst turn in dna daoust tch chdrlne dlapirtlin si ds ti jimphnsdth fir tch chdrlneìss dfthr wcljc inh tchn daas ln in`yhniuec mdsblne ti jivhr tch tlnnltus. Lftch mdsblne ls turnha in flrst tchn lt mustkh mdah ìua hniuec ti mdsb nit in`y tchtlnnltus kut lt must ivhrjimh tch chdrlneìss ds wh`` wltc tch rhsu`t tcdt mujc tiimujc mdsblne siuna ls rhqulrha. Fir tcishif yiu wci cdvh ir drh ti eht tlnnltuslnstrumhnts rhmhmkhr ti daoust tch chdrlnedla pirtlin khfirh daalne ln tch mdsblnesiuna.Niw kdjb ti tlnnltus ln kurnt-iutMhnlhrh %s jdshs. Lt ls iur strinerhjimmhnadtlin tcdt pdtlhnts wltc djtlvhMhnlhrh%s alshdsh sciuà shh tchlr Hdr Nish& Qcridt pcysljldn. Qchy nhha ti kh trhdthafir tch alzzlnhss dna nit tch tlnnltus. Uchntch Mhnlhrh %s dttdjbs stip lt ls nit d`wdystch jdsh tcdt tch pdtlhnt wl`` suffhr rhaujhachdrlne dna tlnnltus. Mdny Mhnlhrh%spdtlhnts flna tcdt tch dttdjbs slmp`y eidwdy `hdvlne ni dfthrmdtc if tlnnltus irchdrlne ìss. Kut fir tcish kurnt-iut jdshswchrh tlnnltus prhvdl`s rh`lhf ls hdsl`yprivlaha ky ush if priphr`y flttha chdrlnedlas. Qchrh ls inh jinaltlin ciwhvhrwcljc jdn jdush triuk`h. Ds ìne dsdmklhnt hnvlrinmhntd` siunas drh prhshnttch chdrlne dla jdn privlah tch nhjhssdry

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mdsblne kut injh tch pdtlhnt ls tcriwn lntitd` sl`hnjh tchn tch tlnnltus wl`` m`lbh`y rhdpphdr. Qcus ln sujc sltudtlins tpdtlhnt sciuà d`wdys drrdneh ti cdvh sikdjberiuna siuna prhshnt. Ln tch stl``tch nlect inh wiuà ai wh`` tI cdvh nilsh if d fdn ir d sift rdali ir dnjinaltlinhr prhshnt. Qch siuna if runnlwdthr wcl`h nit jinvhnlhnt`y priaujhanhvhrtch`hss dn hxjh``hnt mdsblne nilsh dphrcdps d smd`` rhjlrju`dtlne fiuntdlntch khariim ls nit d kda lahd. Qi priphdpprhjldth tchsh siunas ahslenha ti ahftch stl``nhss if tch nlect tch pdtlhnt wiuprikdk`y rhqulrh dn ln-tch-hdr ir jdnchdrlne dla. Qchsh drh simh if tch tclntch alsphnshr nhhas ti jinslahr ln irahrch`p wltc tch sh`hjtlin if tch chdrlne dla.JINJ@XZLINZWdtlhnts wltc kurnt-iut Mhnlhalshdsh wci drh triuk`ha ky tlnnltus jhdsl`y iktdln rh`lhf fir tch tlnnltus ky ushpriphr`y flttha chdrlne dlas. Iur sdmp`hthn pdtlhnts ls d smd`` sdmp`h kut iktdlnha rh`lhf ky ush if chdrlne dlQcish wci ush chdrlne dlas ti mdsb tctlnnltus sciuà bniw tcdt rhslaud` lnclkltlwl`` nit ijjur hvhn tciuec tch mdsbljimp`hth`y jivhrs tch tlnnltus. Qprijhaurh if mdsblne fir tch kurnt-iMhnlhrh%s pdtlhnt sciuà nit kh jinfuwltc rh`lhf prijhaurhs rhqulrha ky tch miusud` pdtlhnt wltc shvhrh tlnnltus. Ln tciphip`h chdrlne dlas privlah rh`lhf if tlnnlln in`y dkiut


7/20

Oicn U. Ciush, M. A., djjimpdnlha ky cls wlfh, Wdtrljld Ciush,Wc .A.? rhjhlvhs lPQD Cijbs Mhmirld` Dwdra frim Alrhjtir, E`irldH. [hthc, WcA.4


8/20

#jintlnuha frim Wdeh 5.,ush if tch JDQ sjdn dna)ir M[L if tchchda drhd. Qch alfflju`tlhs fir sphjlflj dnadjjurdth aldenisls ds wh`` ds fir tchprhaljtlin if rhsu`ts fir sureljdàhjimprhsslin whrh frdnb`y alsjussha.Djjurdjy fir aldenisls dna trhdtmhnt aihsnit hxlst dt tcls tlmh kut ls jinslahrha ti khln prierhss.W.O. Odnnhttd M.A. prhshntha dclstirljd` phrsphjtlvh ti tch jinjhpt tcdtvdsju`dr h`hmhnts hltchr slne`y ir mu`tlp`hjdn ky lts pisltlin priaujh jimprhsslin ifdn dppriprldth jrdnld` nhrvh dna lnthrfhrh lnnhrvh funjtlin ti priaujh symptims. Ltwds strhssha tcdt tch j`lnljd` clstiry dnahxlstlne thst kdtthry ls stl`` ln tch prijhss ifahvhìpmhnt. Dt tcls tlmh ni sphjlfljpritiji` ir thst kdtthry jdn hstdk`lscjinjùslvh`y vdsju`dr jimprhsslin if tchHlectc Nhrvh. Ciwhvhr ardmdtlj rhsu`tsfir vhrtlei dna tlnnltus jintri` cdvh khhnrhpirtha wltc d nhurisureljd` thjcnlquh ifvdsju`dr ahjimprhsslin if tch Hlectc Nhrvh.Lt lnvi`vhs h`hvdtlin dna shpdrdtlin if tchkìia vhssh`s frim tch nhrvh.Tuhstlins frim tch dualhnjh rhf`hjthatch nhha ti lmprivh aldenistlj jdpdkl`ltlhsfir hstdk`lsclne dn djjurdth aldenisls. Qchlnjlahnjh if vdsju`dr jimprhsslin synarimhls jinslahrha ti kh lnfrhquhnt kut sciuà kh.jinslahrha ky tch j`lnljldn dtthmptlne tihstdk`lsc tch htliìey if tch tlnnltussymptim. Zurehry if tch Hlectc Nhrvh firvdsju`dr ahjimprhsslin sphjlfljd``y fir tchsymptim if tlnnltus ls jinslahrhalnvhstledtlvh dt tcls tlmh. QCH LNQH[NDQLIND@ QLNNLQXZ ZQXA\ E[IXWNHUZ @HQLH[

Qch LQZE Nhws @htthr ls puk`lscha twljh d yhdr dna cdshstdk`lscha ltsh`f ds d firum fir tcish wltc d mutud` lnthrhst ln tchj`lnljd` dna rhshdrjc dsphjts if tlnnltus. Lt jintdlns up-ti-adthlnfirmdtlin in tlnnltus rhshdrjc. jiurshs. mhhtlnes dnapuk`ljdtlins dna d jimprhchnslvh `lst if dkstrdjts.Qch nhws `htthr jists 48.77 #tchrh drh twi lssuhs d yhdr,dna yiur pdymhnt jivhrs fiur lssuhs frim wchn yiur suksjrlptlinls rhjhlvha.Zhna sthr`lne pdymhnt i f 48.77 #ir Vlsd MdsthrjdraDmhrljdn Hxprhss. ir Alnhrs Jùk jdra ahrdl`s. lnjùalne numkhrdna hxplry adth, ir dny suksjrlptlin hnqulrlhs ti LQZE [email protected] Zuksjrlptlins Lnthrndtlind` @ta..


9/20

QUI-DNA-D-CD@F \HD[Z ULQCQLNNLQXZ DNA NI HNA LN ZLECQky D`lius [ijbhttIn Ou`y 1, 4


10/20

#jintlnuha frim pdeh


11/20

H@F - CH@W NHUZF[IM DQD ZXWWI[Q E[IXWZ#Haltir%s nith? Qcls jiùmn wl ` kh dheu`dr fhdturh ln Qlnnltus Qiady. Lthms iffrim tch eriups wl`` kh rhpirtha dstchy drh rhjhlvha. Daaltlind``y wh wl`` `lstnhw mdthrld`s dvdl`dk`h wcljc mlect khushfu` ti eriup `hdahrs fir mhhtlnes dnaQch sh`f-ch`p eriups drhdffl`ldtha wltc DQ D kut drh ìjd``ydutinimius. Whip`h wlsclne ti oiln ìjdèriups ir ti stdrt nhw eriups mdy jintdjtDQD fir furtchr lnfirmdtlin. Mhmkhrsclpln DQD ls prh-rhqulslth. Ln daaltlin phip`hdrh strine`y davlsha ti cdvh cda d jimp`hthitiìelj dna dualiìelj hvdùdtlin khfirhpdrtljlpdtlne ln sh`f-ch`p fir tchlr tlnnltus.,W`hdsh - rhmhmkhr tcdt tch ìjd` jintdjtndmhs dna numkhrs drh fir tch jinvhnlhnjhif iktdlnlne lnfirmdtlin dkiut tch ìjdèriup. Qchsh phip`h drh viùnthhrs dna wl``dpprhjldth yiur jiurthsy ln nit alsturklnetchm ln tchlr cimhs wltc rhquhsts firlnfirmdtlin khst iktdlnha ky jintdjtlni tchndtlind` DQ D iffljh. iKH[EHN JIXNQ\ QLNNLQXZ ZH@F-CH@W E[IXWJintdjt? Qruay Arujbhr #;74, 661-5611Qcls tch iàhst dna mist djtlvh iftch DQD eriups mhhts in simh Zdturadysln Uyjiff Nhw Ohrshy. Aindtlins drhdjjhptha dt tch mhhtlnes ti ch`p ahfrdymdl`lne jists. Hxjhss ivhr hxphnshs lsfirwdraha ti DQD fir rhshdrjc. Qcls eriupd`si cds mdah tlnnltus rhshdrjc aindtlins lncinir if euhst sphdbhrs.Ln Odnudry dkiut 87 phip`h jdmh tichdr Advla N. Zjcwdrtz M.A. sphdb dkiut+Mhaljd` Dsphjts if Qlnnltus+. Qch eriup%snhws`htthr sukshquhnt`y jdrrlha niths dkiuttcls td`b si tcdt tcish wci whrh undk`h tidtthna jiuà khnhflt dna tcish wci whrhprhshnt kut ala nit tdbh niths jiuà rhvlhwtch lmpirtdnt lnfirmdtlin tcdt wdsprhshntha.In Mdrjc ;


12/20

Mdln`y jinstltutha ds d suppirteriup mhhtlnes drh chà dkiut hvhry itchrmintc. Euhst sphdbhrs drh lnvlthaijjdslind``y dna cdvh lnjùaha ahntlstssphdblne dkiut QMO dualiìelsts dnapsyjciìelsts. Qch eriup ls jinslahrlnehstdk`lsclne d tlnnltus %Cit-@lnh%. Ar. Wlnhslnltldtha d tlnnltus rhshdrjc priohjt d fhwyhdrs dei lnvi`vlne d psyjciìeljd` survhy.Z\[DJXZH #N\, QLNNLQXZ E[IXWJintdjt? [ltd Miynlcdn #:48, 686-


13/20

Zhrvljh Dnniunjhmhnts tiQV stdtlins.

QDMWD KD\ QLNNLQXZ ZH@F-CH@W E[IXWMhhts `dst tcursady if hdjc mintc.

if tclsQchlr rhjhnt Nhws`htthr lnj`uaha dif d stuay dkiut QlnnltusAhprhsslin wcljc wds ainh dt tchif Udsclnetin Zhdtt`h. Qchtcdt

mdy rhaujhtlnnltus. Jdn yiu kh`lhvhmhhtlne cda ti kh jd``haf khjdush if lnj`hmhnt whdtchr9 Lnyht$ Dt tch Mdrjc mhhtlne nhw

if tch eriup damlnlstrdtlvh pisltlinsQcls eriup hnoiys cdvlne

dna d rh`dxdtlin jinsu`tdntwirblne wltc tchm ds wh`` ds d numkhr iflnalvlaud`s. Qclsmhhtlnecd`` dna mdl`lne jists wltc tch hxjhssfirwdraha ti DQD fir tlnnltus rhshdrjc.AD\QIN ICLI QLNNLQXZ E[IXWJintdjt? Odn Ciyne #84:, 3


14/20

khtwhhn mhhtlnes. Qch eriup ijjdslind``ycds euhst sphdbhrs dna ardws d `drehdtthnadnjh fir tchsh hvhnts. Qch `hdahrs drhdnxlius ti wirb wltc DQD ti krlne dkiut dehnhrd` hxjcdneh if lahds dmiune tchvdrlius eriups.WI[Q@DNA I[HEIN ZH@F-CH@W Jintdjt?Khtty Mdtcls #87:,68


15/20

K\ CD_H@@A ODZQ[HKIFF LNJ@XAH, JINVH[ZDQLINZLQC VH[NINAr. O dstrhkiff dna Ar. Cdzh`` hdjc

wirb. Nhdr`y twi ciurs if4dstrhkiff dna Oindtcdn Cdzh``s vlahitdpha dna wl`` siin kh haltha lntilne.tch tdph khjimhsQipljs alsjussha rdneha frimti arues usha ti

nilsh

Wdwh` ]dstrhkiff, Oindtcdn C d z h ` ~ &Eìrld [hljc jinfhr khfirh vlahitdplne

odjb Vhrnin, Wdwt` ]dstrhkiff, ] i)``.`tcdn Cdzh`àurlne tch vlahitdplne shsslin

Oindtcdn Cdzh``, Odjb Vh rnin, & Wdwh` ]dstrhkiffaurlne tch vlahitdplne shsslin48

DW[L@ ;5 HVHNQZ LNJ@XAH KXZCBLJBIFF MHZZDEH, WD[DAH QIUCLQH CIXZHKhtthr Chdrlne & Zphhjc Mintcfhstlvltlhs jimmhnjha dt tch CithÙdsclnetin wchrh Jiunjl` jcdlrmdn,Zurehin Ehnhrd` J. Hvhrhtt Biip,lntriaujha tch 4


16/20

JINZXMH[ QLWZW[HJDXQLINZ FI[ WHIW@H ULQC QLNNLQXZ I[ IQCH[ CHD[LNE W[IK@H

DQ QCH AHNQLZQ WH[ZIND@ MDZBLNE AHVLJHZZimhtlmhs tch nilsh if tch ahntd` arl`` jdnmdbh tlnnltus wirshn. Qi dvila tchprik`hm oust dsb yiur ahntlst ti arl`` lnscirt kursts elvlne yiur hdrs #dna cls$, dscirt rhst phrlia ln khtwhhn.

Lt cds jimh ti iur dtthntlin tcdt sahvljhs usha ti mdsb tlnnltus prisiunas tcdt drh pithntld``y admdelne tihdr. Uchnhvhr yiu drh uslne mdsblne dny sirt - ti jivhr up ir almlnlsc tlnnltus kh jdrhfu` nit ti cdvh tch stii ìua. \iu ain%t nhha ti jivhrtlnnltus jimp`hth`y ln irahr ti djclhvhahslrha hffhjt. Ln fdjt lt ls prhfhrdk``lsthn ti tch mdsblne siuna simhkhìw tch lnthnslty if tch tlnnltus. trljb ls ti `lsthn fir d ìne hniuec tlmhyiur dualtiry systhm ti djjimmiadth tinhw slend`s.

DQ QCH CIZWLQD@Lf yiu cdvh khhn sjchau`ha fir Mdenhtlj[hsindnjh Lmdelne #M[L, kh surh ti whdrhdrpùes aurlne tch thstlne. Qchrh drh ìuasiunas ehnhrdtha ky tch hqulpmhnt wcljccdvh khhn bniwn ti jdush thmpirdrychdrlne ìss ln simh pdtlhnts. Lf hdrpùesdrh nit riutlnh`y lssuha dt yiur cispltd` -tdbh yiur iwn.

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Qchrh ls d eriwlne lnthrhst ln psyjciìeljd` mhtcias if tlnnltusjintri` sujc ds systhmdtlj rh`dxdtlin prijhaurhs wcljc ch`p tchpdtlhnt jiph wltc tch thnslin if tlnnltusZukohjts P``ltc tlnnltus drh khlne ~ u e c t wdys ti.rh`dx.ds p ~ r t 9fdtitd` tlnnltus prierdm PPcljc mdy mjùah chdnne dtas. tmmtusmdsbhrs dna prierhsslvh musj`h rh`dxdtlin kdsha in prlnjlp`hs ifjina ltlinlne. [h`dxdtlin prijhaurhs drh usud``y hdsl`y mdsthrha d n ~ jdn kh phrfirmha adl`y ln tchpdtlhnts cimh hnvlrinmhnt. Lt cds khhn ahminstrdtha tcdt tch rh`dxdtlin rhspinsh jdn rh`hdsh musj`hthnslin . `mhr kìia prhssurh dna sìw chdrt dna krhdtc rdths. . . . .D rh`dxdtlin mhtcia cds khhn ahvhìpha hntlt`ha `%`htrinimh Jina ttìnha [h`dxdtlin #MJ[ , wctjccds sujjhssfu`$} trhdtha fir mdny yhdrs jcrinlj pdln. thnslin chdadjchs. lnsimnld dna mdny itchrjinaltlins. .Qch prierdm jinslsts if inh jdsshtth tdph if Mhtrinimh J i n a l t l i n ~ a [h`dxdtlin dna twi daaltl09nd`tdphs if unlquh mdsblne siunas wcljc cdPh ahminstrdtha sukstdnttd` khnhflt ~ h n h v h r tch p d t t ~ n t fhh`s tch nhha if daaltlind` rh`lhf. Qchsh rhjirames jdn kh usha ti maujh s`hhpme ir ds d siitcmekdj`0arip fir djtlPlty dna jdn kh p`dyha in d slmp`h pirtdk`h jdsshtth p`dyhr.

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18/20

Lf\iu ZuffhrFrimQlnnltus,\iu NhhaQiChdrQcls.Fhh` tch ijhdn% s sprdy . . ei kdrhfiitky d swlft miuntdln strhdm .. ir dbhd wd`b n ch surrunhrrdln.Drh \iu Inh IfQchHstlmdtha :6Ml``linWhip`hZuffhrlneFrimQlnnltus.Qchsiitclne ndturd`siunasiftchMdrsind 4.;77jdn sukstltuthfir tch frustrdtlne rlnelnesiunasjdushaky tlnnltus.Qchfrhquhnjydna lnthnsltyif ch slmu`dtha siunaif rdln sw f dna wdthrfd``smdtjctch tinhschdra ky mdny tlnnltussuffhrs. Qcls mdsblneahvljhcdsprivhnhxtrhmh`y hffhjtlvh ndsslstlne pdtlhnts ndadptlne titchlr lnnltus. Hvhn tciueclt%s nit pisslk`h ti prhaljtwchtchrir ni t Mdrsindlsdppriprldth fir yiu tchprikdkl`lty if sujjhssfu`mdsblne s wh``wirtc tdblnedavdntdehifiur:7 ady minhy kdjbeudrdnthh.

Khjdush t whlecs hss tcdn crhhpiunas yiu jdnjinvhnlhnt`y tdbhtc hMdrsind4;77wltc yiu in trlps.Djjimiadtlne447 vi`t tc hMdrsindjinsumhs `hss piwhr cdn d smd``nlect lect. Furtchr, yiu jdnjinnhjttch Mdrsind4;77 ti yiursthrhisysthm ir ush yiursthrhi chda-pcinhs fir sujc rhd`lstljsiuna yiujdn htyiur mdelndtlin ru n wlà dsyiu trdvh` frim tch miuntdlns ti tc hshdscirh.

R fyi udrh nitin tch DmklhntZcdphsmdl`lne lst ..yiusciuàkh .. Jd`` tiady irhjhlvhiurunlquhjdtdìe.

Jintri`yiur dualk`h dmklhnjh wltcMdrsind4;77frimDmklhntZcdphs .Ain%twdlt$ Jd``Niw-QI@@F[HH.I[AH[ QI@@ F[HHr-------- ..;oirjrhaltjdra ciàhrs p`hdsh jd`` LIX frhh.L Irahr priaujt * QMD4;7finch Mdrsind L4;77. Ir shnadjchjbfirZ`;


19/20

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hh`ji hNhwEh hrd inif p............jdtliHxjh``hnjh.

Hxjhptlind` Dhstchtljs. Qch 5 Zhrlhs% OQH dna jdnd` fdjhr`drhs% +Whjld`c- jintiurha hx thnir -.urfdjhs ChnO 2,miircc PP%ltc tch scdph t,ftch hdr 04nO mnjcd. Ultc hffljlhnt spdjlne e 0 ~ l n h O frim tch flxha mljflxha VJ. dnO smd``hr cmhr\ jinrdjrs. tch 5Zhnh?2% fdml`y if chdrlnedlOs pri\lah tch u`tlmdth Jtkmhtlj dna djnustlj j4mp`hmhnr ri tchjdrP nmurd` ahslen dna funjtlnn.

D Nhw Ehnhrdtlin if[h`ldkl`lty. Qch 5 Zhrlhs lnrwOujhs 04 % %c 4h nhw ehnhrdtlin ulOhslen hxjh``hnjh. D jimp`hth`ynhw f ~ B h r ` d r h wltc lsi`dtht` mljripcinh dnO dmp` lflhr pisltlinlnu l n j r h d ~ h ~ mdnufdjturlneh f f l j l h n j ~ PP%cl `h ,lrrud``y h`lmlndtlne mhj cOnljd` fhhakdjb.Qch ~ m d ` ` h r . mirh stdk`h clecthnsl`h ei`-4-p`drhO jintdjtsdìne wltc rch nhw u`trd-Oumk`hVJ dntl sijbht d&2hmk`y kitchnsu rh d mt4h rh`ldk`h phrfir-mdnjh PP%ltc ,lrrud` almmdtlinitmthrmmhnjv prnc`hms.

Uh`jimh ti tch Nhw Ehnhrdtlin. Nhhr k h t ~ 4 cds tch mO u ~ r r y hxphnhnjhO tcls ]hh` ifdmp` lfljdR`,m hxjh ``hnjh- d`ÒhslenhO r hncdnjh yiur iPvncl;c s r d n O d r O ~ nf shnljh hxjh``hnjh. Khjdu-h Prh drh OhOljdrhat ` % ~ rri\lalm? #ch PhrP% kh r tJ,f viudnO tcish , Y,u +hnh Prh kh`lhP%h?-P@@ yiur puhnrs sciuà chnjflttmm tcls nhwhst ehnhrdnin ufunhqud`ha r c l s t l j d r l i n . nimdtthr Prcdr tchy prhshnt`y whdr.

Ztdrbhy priaujts. lnjùalnetlnnltus mdsbhrs, drh d\dl`dk`hfrim yiur ìjd` chdrlnechd`tc jdrh prifhsslind` `lsthaln tch \h`ìw Wdehs unahr+chdrlne dlas+.

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Tinnitus Today June 1989 Vol 14, No 2

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