Dr. Nagler's Tinnitus Corner
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Staced

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 #1 
Hello Dr Nagler,

Honestly, I feel like I’m going insane. I have had tinnitus for years now, I feel like it’s been progressive. My first test revealed i had a 20% loss of high frequency hearing in my left ear. Ten years later- 60% (ish). The high constant, ring, along with some clicks to remind me- just in case I forgot about it for a milisecond- has made every moment less significant because I’m unrelentlesly annoyed. As a beginner in researching solutions/ relief, where, in your opinion, do you think I should start?

Regards,
Stacey
Dr. Nagler

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 #2 
Hello Stacey and welcome.

I am sorry to hear that you are struggling, but I am glad that this board could be here for you.

As to where you should start, that sort of depends on what you have done to this point. You refer to your hearing loss, which means that you have had at least a couple of audiograms. Have you been evaluated for your tinnitus by an ENT or neurotologist, and, of so, what were you told at the conclusion of that evaluation?

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
Staced

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 #3 
Dr. Nagler,

Thank you for your prompt response! Most recently, I have been evaluated for my tinnitus by a specialist certified in otolaryngology and has sub specialty certification in Neurotology (had to look that up) at an Ear Institute close to where I live. Ultimately, I was referred to the hearing aid lab downstairs and was shown a couple of masking aids, as well as a few hearing aids with various capabilities. At that point, only being in my early thirties, I wasn't comfortable submitting to a 'quick fix'. I was still able to hear the ringing with a three thousand dollar aid in my ear. I was told the only other option was to increase Vitamin D, and learn to live with it, "I'll eventually get used to it". However, lately, I have noticed the tinnitus getting louder, or hearing it in the middle of completing a task at work (when my mind was focused entirely on the task), asking 'huh' or 'what' more frequently, and being more comfortable when I'm able to see the mouth of who I'm speaking to. I can't imagine what it'll be like in ten more years. I've looked into essential oils, acupuncture, vitamin supplements, the new thumping on the base of your skull thing that's taken over Pinterest. However, I haven't been able to find anything, scientifically- backed with facts that helps alleviate, let alone cures, tinnitus for good. I read you are also a tinnitus sufferer, and I applaud your creation of this board and your willingness to help us all. Sincerely, thank you. 

Regards,
Stacey 
Dr. Nagler

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 #4 
Got it, Stacey. Thanks.

So since you gave been properly evaluated by a neurotologist, you know two important things:

First, whatever is causing your tinnitus, it is not one of the fairly rare causes that can be fixed with the expectation that fixing the cause will fix the tinnitus. You know that because if it were one of those fairly rare causes, the neurotologist would have fixed it.

Second, whatever is causing your tinnitus, it is not one of the extremely rare causes that represent a threat to health. You know that because if it were one of those extremely rare causes, the neurotologist would have told you.

Now before you delve into any more research, let me ask you this incredibly important question: On a scale of 1 to 10 where 1 is "I have tinnitus and I'd prefer not to have tinnitus but in the grand scheme of things I do not care much one way or the other because my tinnitus does not affect my life," and 10 is "I have tinnitus and my tinnitus has totally, completely, permanently, and irrevocably destroyed my life," where would you place yourself along that huge continuum these days? Please just give me one overall average number. Your answer will greatly help me in responding to the question about where to start that you posed in your initial thread.

One other thing. If you feel comfortable in doing so (and only if you feel comfortable in doing so) why don't you get a copy of your most recent audiogram, cover your name and any other data that might identify you, scan it, any then upload it to this thread. (You'll need to click on "Use Full Editor" to get to a screen that will allow you to upload.)

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
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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.