Dr. Nagler's Tinnitus Corner
Register Latest Topics
 
 
 


Reply
  Author   Comment  
bethcoast_

Member
Registered:
Posts: 7
 #1 
Hi Dr. Nagler, first and foremost I wanted to thank you like most members on here for your solid knowledge and understanding of us tinnitus sufferers. You really do provide a place to come to for sound advise, unlike Tinnitus Talk, which literally is probably why I obsess and can't get over my current situation as easily.

Over the weekend I went to an outside music festival wearing 33db reduction foam earplugs. I did use a db meter on my iphone that showed the loudest it reached was 111db leaving me to be exposed to 78db but not taking into account the time spent there and the bass frequencies. As soon as I put on my earplugs I immediately heard my tinnitus louder since there were no outside sounds. You should know that I hear it almost all the time anyways, but after reading some questions here I decided my risk was low that I would experience any more damage. I didn't think about it aggravating my T though. I did try to keep a good distance but one set in particular had very loud drumming when I happened to be closer, and I think they may have caused some damage. After I left the venue I took out my earplugs and could hear my T, not necessarily louder, but I felt like I was focusing on it more.

I was so exhausted I managed to sleep 3.5 hours uninterrupted, which is rare. I can't help but think my T has worsened though now that I can hear the same type of frequency just louder and mostly over everything. This did happen right after the concert, so am I being too anxious in thinking it's connected? You've stated before that you have gone to concerts and been fine. I was only trying to enjoy myself which I thought was enough protection, was it the amount of time? Should I go to urgent care for a round of prednisone as it's helped before about 3.5 weeks ago upon onset?

I know you can't answer most of these question matter of factually, but I do need some reassurance to know that I will be okay. This condition is so frightening. I'm only 27 and need to attend school and haven't been sleeping right in almost a month. Thank you for any knowledge regarding this.

Dr. Nagler

Owner
Registered:
Posts: 1,078
 #2 
From what you describe, it is highly unlikely that you suffered any actual auditory damage. Sounds to me like the precautions you took were appropriate and reasonable. As you know, any number of factors can contribute to an exacerbation of tinnitus, but I honestly would not be overly concerned about hair cell injury in your case. As to whether or not to take a Medrol Dosepak, prednisone, etc., I do not have an opinion. I guess if it will buy you some peace of mind, go ahead and do it - but know that there really are no good data in that regard.

Hope this helps more than frustrates.

Stephen M. Nagler, M.D.
Atlanta Tinnitus Consultants, LLC

__________________

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

Member
Registered:
Posts: 7
 #3 
On the day of my original post I decided to go to urgent care for prednisone. The doctor or nurse practioner (not sure what she was) said I had an ear infection because both of my ears were red. I am a bit baffled because I have seen 4 doctors total. One 3.5 weeks ago, a week later in the ER and my primary just 4 days prior to this most recent doctor finding an apparent infection. Does this sound odd to you at all? She prescribed Amoxicillin, Allergy pills and Flonase. However no steroids. I feel like the hissing sound is over everything now and I am regretting going to this concert. If no actual damage was done would my T return to what it was before attending? 

and what are my chances after this supposed ear infection clearing for my T to go away?
Thank you

Dr. Nagler

Owner
Registered:
Posts: 1,078
 #4 
If I understand you correctly ... you might or might not have an ear infection AND you are taking a course of medication that might or might not effectively treat the ear infection that you might or might not have AND you would like me to responsibly respond to your question regarding whether or not your tinnitus will resolve after you complete your course of medication that might or might not be effective in treating the infection that you might or might not have.

Well, wherever the answer might lie, based on the information you have provided it is definitely above my pay grade!

I totally understand that you are overwhelmed and very concerned, but the only thing I can tell you for certainty is that your regret over going to the concert with proper protection is a regret based on your emotion of the moment rather than logical rational thinking. So please don't beat yourself up over it. You suffered no auditory damage.

Stephen M. Nagler, M.D.

__________________

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

Member
Registered:
Posts: 7
 #5 
my tinnitus was exasperated by the concert. It sounds louder and is more intrusive. How can I lessen this and get it back to baseline? I am trying not to be emotional about this but it is very difficult to sleep and I would like to get a grasp on this soon. Is there someone in Southern California that you can recommend me to for further evaluation or help?
bethcoast_

Member
Registered:
Posts: 7
 #6 
my tinnitus was exasperated by the concert. It sounds louder and is more intrusive. How can I lessen this and get it back to baseline? I am trying not to be emotional about this but it is very difficult to sleep and I would like to get a grasp on this soon. Is there someone in Southern California that you can recommend me to for further evaluation or help?
Dr. Nagler

Owner
Registered:
Posts: 1,078
 #7 
Hi bethcoast -

There is no need to submit your posts more than once. Sometimes it takes a day or two before I can get to posts - and until I clear them, nothing will appear on this board.

You ask how you can get your tinnitus back to baseline - and to be honest with you, when somebody can come up with a way to eliminate tinnitus or to predictably and lastingly mitigate its intensity, that individual is a shoe-in for a Nobel Prize. The best I can suggest is for you to do your best to avoid silent environments. You do not need to try to mask your tinnitus or anything like that, but do try to keep some soft sound around you. Why? Because in totally silent environments, your auditory system will try to do what it is designed to do: Hear. And if there is nothing "out there" to hear, your auditory system will seek out and amplify whatever sound is available to it, which in your case will be your tinnitus.

All the best with it.

Stephen M. Nagler, M.D.



__________________

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

Member
Registered:
Posts: 7
 #8 
Thank you Dr. Nagler. I'm not sure why my reply posted twice, I didn't realize that. Thank you for your suggestions, are you able to recommend a TRT specialist in my area? I'm located near Los Angeles or San Diego. I've been suffering for almost a month now. Thank you for any suggestions.
bethcoast_

Member
Registered:
Posts: 7
 #9 
I also wanted to add that my tinnitus seems to turn up the gain in any situation. Whether I am traveling in my car, at work, or listening to music or tv. The high screeching sound will go above it and decrease as I decrease the sound. This makes it difficult for me to have sounds playing in the background when I feel I have little relief from it. If there are some suggestions you have of how to calm this I'd appreciate it. It is why I am so desperate for additional help, I don't want to live the rest of my life taking sleeping aids, little sleep, and scared of nearly everything that would make my T worse even though I can't believe it's gotten to this point of intrusiveness.
Dr. Nagler

Owner
Registered:
Posts: 1,078
 #10 
I think it is wise that you are seeking a proper evaluation, TRT, etc. My person (admittedly biased) view is that people tend to wait too long. As I wrote in my article Tinnitus Retraining Therapy, to me the issue is how much you are suffering rather than how long you have been suffering. And from what you have written, I totally agree with your decision to move ahead.

I make it a policy only to recommend TRT clinicians whom I know very well and can personally vouch for their knowledge, experience, communication ability, compassion, commitment, and integrity. In other words, I have to be able to recommend that clinician unconditionally because when I recommend a TRT clinician, I feel that my own reputation is on the line as well. Anyway, with Paula Schwartz (Edina, MN) having recently retired, that leaves four individuals who satisfy the above-mentioned admittedly strict criteria: Gail Brenner (Bala Cynwyd, PA), Allen Rohe (Tempe, AZ), Jacqui Sheldrake (London, UK), and - if you really want to scrape the bottom of the barrel - me in Atlanta, GA. I do realize that the geographical factors can appear to be formidable at first blush, but please keep in mind that TRT can be done long-distance via phone or Skype after the first in-person visit, so it is generally not necessary to travel more than one time.

Hope this helps -

Stephen M. Nagler, M.D.

__________________

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

Member
Registered:
Posts: 7
 #11 
Lastly, I do realize that when I am reassured or put at ease (for example when my doctor said it was an infection) my T does seem noticeably lower and less intrusive. Could this mean it's anxiety based? I have yet to see an ENT or audiologist, so maybe I am jumping ahead but my fears have gotten the best of me as you can see.

Thank you again.
Dr. Nagler

Owner
Registered:
Posts: 1,078
 #12 
I did not realize that you hadn't taken that very first step. Please by all means see an ENT and an audiologist for a basic evaluation - very important.

As to what role, if any, anxiety might be playing, tinnitus is invariably multifactorial. Almost everybody's tinnitus loudness increases with increased anxiety and decreases with decreased anxiety. But that does not necessarily mean that it is based on anxiety.

I suggest that you try to catch your breath a bit. Perhaps read Tinnitus 101. See an ENT. And go from there.

Kind regards -

Stephen M. Nagler, M.D.



__________________

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