Dr. Nagler's Tinnitus Corner
Latest Topics
 
 
 


Reply
  Author   Comment  
jdjd8888

Member
Registered:
Posts: 3
 #1 
Hi Dr Nagler,

So, I have "gotten" Tinnitus starting about a month ago (mid December).  It occurred because I had a noisy neighbor and I was studying for a final for my computer science class.  I have always been protective of my hearing (I even wore ear plugs to concerts all the time and rarely ever went to them or clubs or anything really).  However, I thought if I put earplugs in and turned up my music I could protect my hearing AND drown out my neighbor at the same time.  

Well, I did that and in a few hours into it my ears rang.  I ignored it because I work 40 hours a week + 20 hours of school.  I had no choice but to continue (now I know I should have stopped regardless of school, but what is done is finished I guess) and couldn't focus if I heard noisy neighbor.  Well, after finals I had no problem until two week afterwords when I woke up to that "noise" of a high pitched sound. 

I had this issue in the past once (also due to noise).  That past situation was because I had a noisy neighbor at work in a call center and had to turn my headset up to hear people on the phone.  However, that time, the problem was easily to ignore and eventually it went away after a couple of months (also I turned down my headset and moved desks).  I could barely hear it unless I looked for it with that time.

However, this time, I can hear it even over music.  It's very concerning that I can hear it almost all the time.  It got concerning enough that I am currently even in the AM-101 trial and considering getting the injections to my ears (don't know if I will get the real thing or not though).  I have to decide in two weeks if I will go through with the injections or not.  Also, they did a hearing test on me with that trial and I do have slight hearing loss in the ear with the "tinnitus issue".  For example, I have to have sound up to 40db to hear 8khz.  The other ear without the issue is normal though.

However, I have also picked up some TRT material and listened to the material.  It sounds to me like I may possibly be able to habituate to this issue like the last time (to the point like the last time that I didn't hear it unless in dead silence or "listening" for it).  It went over the fact that most everyone can hear this noise in dead silence, that the brain can filter out noises that it finds unimportant, it went over a few of the models key in TRT, and gave a few exercises to do. 

But one major concern from listening to that material is it acted like having "imbalance" in the ears could cause problems with "habituation".  Maybe I just misheard what it was saying.  Is this true?  While I do have slight hearing loss in the ear with the issues, it still is technically in the "normal" range I believe.  I assume this wont be an issue with habituation right?  I mean, I can tell the difference between the two ears hearing wise slightly.  But, my other ear is still "ok".

I really can't afford TRT therapy but feel I can at least follow the material on my own and attempt to do a "hybrid" of it for some benefit.

So, with all that backstory (sorry for the length, just very stressed out about all this), here are my main questions:

1.)  Can I still habituate if I have slight imbalance in hearing in one ear vs. the other ear?  I remember having this issue in the past and last time I remember habituation happening then.  I worry this situation may be different with the slight hearing loss in one ear.  I really don't know.  Maybe I am wrong.

2.)  Do you feel that doing the AM-101 trials would be a bad idea?  Should I hold off and just attempt to habituate on my own?  I'm afraid that puncturing my ears with a needle may make all this worse.  Are there any major risks with it?  Obviously I asked the doctor running it this and he stated the procedure is very low risk and while it is a trial drug, the drug used by it is very low risk and he hasn't seen anyone have "tinnitus" or anything else get worse permanently from it.

3.)  Will tinnitus ruin my life?  I am very good at programming and enjoy it a lot.  I enjoy thinking and solving logic problems and thinking about them.  However, I worry that now with my hearing loss/this issue, that maybe my thinking will be effected compared to before.  Is this true?  Or is there a chance I can just habituate and be "normal" again and think and be able to solve problems like I did before?  I just worry that somehow I "broke" myself.  Obviously its causing me concern right now.  But, part of me also believes this is just a sound that I may habituate to like before and it will have no effect on me.

Anyways, sorry for the length of this (I am very stressed out and its late).  But, if you have the time to answer this I would greatly appreciate it.  I have read some of what you have written in the past and found you to be very knowledgeable on this subject.  Hopefully I'm not a lost cause and my life isn't forever changed to where I can't pursue what I loved before this issue.










Dr. Nagler

Owner
Registered:
Posts: 1,764
 #2 
Quote:
Originally Posted by jdjd8888
1.)  Can I still habituate if I have slight imbalance in hearing in one ear vs. the other ear?

Yes.

Quote:
2.)  Do you feel that doing the AM-101 trials would be a bad idea?

I really don't have an opinion one way or the other.

Quote:
Should I hold off and just attempt to habituate on my own?

I'm not sure exactly how one "attempts" to habituate. As I understand it, habituation is a natural event. You can do some things to facilitate the process, of course. (See, for instance, Barriers to Habituation.) But as far as actually attempting to habituate, to me that's like trying not to think of a pink elephant. The harder you try, the more pronounced the elephant becomes in your mind's eye.

Quote:
3.)  Will tinnitus ruin my life?

I certainly hope not.
Perhaps going through The Henry and Wilson Book very slowly a couple of times will help.

Dr. Stephen Nagler
Atlanta Tinnitus Consultants, LLC

__________________

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
jdjd8888

Member
Registered:
Posts: 3
 #3 
Thanks for your responses.  Another concern I have is the mild hearing loss I have at higher frequencies.  They gave me a hearing test at the AM-101 trials.  Basically it shows that I have mild hearing loss at 8khz (has to be 40dbs), I think 6-7khz were (30db) and everything below was 20dbs or 10 dbs.  The other ear (without the issue really with T) was 20dbs and 10bs across the board.

Have you had experience with people with this off difference in hearing?  Have they habituated to the point that they can no longer hear tinnitus unless they are seeking it out per say (aka, when they listen to music or anything else they don't hear it)?

Also, I am still confused on how habituation can get to the point that you don't hear tinnitus anymore per say, unless you seek it out.  How does that work?  Can this even happen in quiet rooms?

I will take a look at that book (thanks for doing that too btw, the book was very expensive on amazon and it is what prevented me from reading it before).  Do you know many people who have achieved habituation with that book quicker?  Is there a general idea of what I could expect from that book really (it seems like CBT therapy, but not sure how that would lead to habituation.  Not disagreeing with it, just don't understand is all).

Anyways, thanks again for this board and taking the time to respond to everyone like you do.  You obviously aren't required to do any of this, but just wanted to say I really do appreciate it.
Dr. Nagler

Owner
Registered:
Posts: 1,764
 #4 
Quote:
Thanks for your responses.

You are welcome. 

Quote:
Another concern I have is the mild hearing loss I have at higher frequencies.

A rather common condition.

Quote:
They gave me a hearing test at the AM-101 trials.  Basically it shows that I have mild hearing loss at 8khz (has to be 40dbs), I think 6-7khz were (30db) and everything below was 20dbs or 10 dbs.  The other ear (without the issue really with T) was 20dbs and 10bs across the board.

OK. So you have some asymmetrical hearing loss. If there is no clear explanation for the asymmetry, it should probably be evaluated. But that has nothing to do with habituation.

Quote:
Have you had experience with people with this off difference in hearing?

Loads.

Quote:
Have they habituated to the point that they can no longer hear tinnitus unless they are seeking it out per say (aka, when they listen to music or anything else they don't hear it)?

Well, here you are asking about my own experience with my own patients. So first of all, I only see individuals who are totally miserable, in truth far worse off that the average person who might visit a tinnitus support site. And in spite of the severity of their tinnitus, the overwhelming majority of my patients - through considerable effort on their part and mine - do incredibly well, which includes those who have asymmetrical hearing loss. Obviously, however, 100% of my patients have decided to be evaluated by and embark upon a treatment protocol in the hands of a knowledgeable and experienced tinnitus clinician, in this case moi. Now you have decided to "go it alone" and not see any of a number of knowledgeable and experienced tinnitus clinicians scattered across the world. There is absolutely nothing wrong with that at all. Nothing, that is, unless it doesn't work. I do not wish to be harsh here - but that's the reality. When I myself was suffering from severe intrusive tinnitus back in the mid 90's, there is no way in the world I would have dreamed of trying to go it alone! To me it would have been akin to having a heart attack and not seeking appropriate professional care.

Quote:
Also, I am still confused on how habituation can get to the point that you don't hear tinnitus anymore per say, unless you seek it out.  How does that work?

Here's an analogy. People who have grandfather clocks in their homes hardly ever hear the chimes unless they purposely listen for the sound every hour. But visitors to their homes cannot help but hear the chimes. In fact, they wonder how their hosts could ever live with that racket! Sure, tinnitus is internal and the chimes are external. But the principle holds regardless.

Quote:
Can this even happen in quiet rooms?

Well, not in dead quiet rooms as you yourself noted in the fifth paragraph of your first post in this thread. But in the types of environments we normally consider to be quiet, sure.

Quote:
I will take a look at that book (thanks for doing that too btw, the book was very expensive on amazon and it is what prevented me from reading it before).  Do you know many people who have achieved habituation with that book quicker?

No. All I know is that I have never encountered a person who read the book slowly, did every exercise with pen and paper, and then repeated the entire process a few weeks later who was not better off for having done it.

Quote:
Is there a general idea of what I could expect from that book really (it seems like CBT therapy, but not sure how that would lead to habituation.  Not disagreeing with it, just don't understand is all).

See above.

Quote:
Anyways, thanks again for this board and taking the time to respond to everyone like you do.  You obviously aren't required to do any of this, but just wanted to say I really do appreciate it.

Glad to help.

Dr. Stephen Nagler

__________________

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
jdjd8888

Member
Registered:
Posts: 3
 #5 
Thanks again for your response.  I do have one follow up question, and I apologize if I'm asking too many questions.

I am also very concerned and annoyed by the hearing loss in right ear.  As I said before, my hearinng loss was 8khz at 40dbs to here, I think 30db for 6khz, and rest seems ok. 

I now have to offset my headphone to hear "equally" and also in the car.

I found out that when I saw my doctor GP originally, I should have been prescribed prednisone.  While its not guaranteed to work, it could possibly work.  Could it work a month out by chance?

I don't know how to get over the fact that my doctor could have helped me with the hearing loss instead of saying "deal with it" and not reversable.  I'm at a complete loss. 

I really don't know how to get over this.  Do you have any suggestions?  I can't accept having a hearing aid at 27 year old, this is just crazy for me.
Dr. Nagler

Owner
Registered:
Posts: 1,764
 #6 
I'm having trouble understanding your description of your audiogram. Please attach a copy of the audiogram itself (without your name) as a pdf or jpg file so I can see what you are talking about.

Thank you.

Dr. Stephen Nagler

__________________

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.