Dr. Nagler's Tinnitus Corner
Sign up Latest Topics
 
 
 


Reply
  Author   Comment  
theclagster

Member
Registered:
Posts: 12
 #1 
Hi Dr N,

Apologies on posting another question in such a short space of time. I appreciate if others are more pressing and you want to skip this one.

I have Tinnitus in only my left ear. Each morning I awake to near silence. Indeed the Tinnitus only begins as I begin my day and ramps up with each and every new noise that appears. It goes up to its maximum level after about an hour on public transport so when i am in work it is at its max.

My question is a simple one and one that I know will not be a popular question.

Given that the T seems to only appear when external sounds present themselves - Is there a chance that cutting off the Auditory Nerve in this scenario may lessen the T or indeed permanently keep it at its low level.

I ask this as I realize that the characteristics of my T are not typical. 

Also as it has reached new heights and is highly variable I am struggling with habituation.

This is something I am seriously considering having done. I realize I will have my work cut out to talk my ENT around but it is something I am weighing up attempting to get agreed. In Ireland it is a purely Private Medical system for this kind of thing so  there is scope to argue a case on an individual level. 

I believe there is a 45 % chance in normal circumstances that it could improve the situation. In my own case perhaps this could be greater?

Any opinion would be gratefully received.

Many thanks

Robert
Dr. Nagler

Owner
Registered:
Posts: 1,599
 #2 

Hi Robert -

If you don't mind, I am going to pull a few sentences out of your post and switch the order a bit.

You wrote [in part]:

I have Tinnitus in only my left ear. 

Well, that's not exactly true. Your tinnitus is in your brain. You happen to hear it in your left ear, but it comes from your brain.

..............

Given that the T seems to only appear when external sounds present themselves - Is there a chance that cutting off the Auditory Nerve in this scenario may lessen the T or indeed permanently keep it at its low level.

Since your tinnitus comes from your brain, the impact on your tinnitus of cutting one (or both) auditory nerves is unpredictable - even in a case such as yours where you awake to near silence. Indeed, cutting your left auditory nerve might actually make your tinnitus sound louder that ear. And you will be deaf on that side to boot!

..............

This is something I am seriously considering having done.

I can understand why you feel that way. And in my opinion it's an absolutely horrible idea.

...............

Also as it has reached new heights and is highly variable I am struggling with habituation.

Then instead of trying to talk an ENT into performing an irreversible procedure you may well regret, my suggestion would be to get some help with habituation!

...............

Any opinion would be gratefully received.

Done!

All the best.

Stephen M. Nagler, M.D.


__________________

The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi

No bird ever soared in a calm. Adversity is what lifts us.
-
David McCullough quoting Wilbur Wright
theclagster

Member
Registered:
Posts: 12
 #3 
Sound advice Dr N. I am as you can probably guess a desperate man.

Habituation is possible but in my new scenario I have not made any inroads yet.

Thanks for your time and effort

Ps you like soccer - My Grandad played for Ireland so I am a big fan also.

Take care

Dr. Nagler

Owner
Registered:
Posts: 1,599
 #4 
You are not “a desperate man,” Robert. It just feels that way. I suspect that in time you’ll be fine. Just don’t put a calendar on it!

And as far as habituation goes, you might check out my article on “Barriers to Habituation” under Frequently Requested Articles. You certainly don’t want to make it any tougher than necessary!

Alll the best -

Stephen M. Nagler, M.D.


__________________

The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi

No bird ever soared in a calm. Adversity is what lifts us.
-
David McCullough quoting Wilbur Wright
theclagster

Member
Registered:
Posts: 12
 #5 
I wonder if you could do me a favor Dr N. I would very much like to send you a bottle of the finest whiskey. If you could provide a postal address I will get it to you. You have helped me out on more than one occasion down the years and I would very much appreciate the opportunity of showing my gratitude in a small way. 


Dr. Nagler

Owner
Registered:
Posts: 1,599
 #6 
Quote:
I wonder if you could do me a favor Dr N. I would very much like to send you a bottle of the finest whiskey. If you could provide a postal address I will get it to you. You have helped me out on more than one occasion down the years and I would very much appreciate the opportunity of showing my gratitude in a small way.

Robert, thank you so much for your kind offer. I doubt that there are many beverages in the world as wonderful as a fine Irish whiskey.

But that said, if you wish to in some way show your gratitude, please consider making a donation to your favorite charity in any amount you feel appropriate.

That would go down just about as smoothly as a fine Irish whiskey - and the positive effect would last far longer!

All the best -

Stephen M. Nagler, M.D.

__________________

The best way to find yourself is to lose yourself in the service of others.
- Mahatma Gandhi

No bird ever soared in a calm. Adversity is what lifts us.
-
David McCullough quoting Wilbur Wright
Previous Topic | Next Topic
Print
Reply

Quick Navigation:

Easily create a Forum Website with Website Toolbox.



Dr. Nagler's Tinnitus Corner is provided for education and information only. It is not intended for the purpose of providing medical care and should in no way substitute for appropriate in-person consultations with qualified healthcare professionals. By using this site, participants agree to hold Dr. Nagler and Atlanta Tinnitus Consultants, LLC harmless with respect to any loss, injury, claim, liability, or damage arising from following the postings herein.