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DECEMBER 1994 VOLUME 19, NUMBER 4

Tinnitus Today
THE JOURNAL OF THE AMERICAN TINNITUS ASSOCIATION
"To carry on and support research and educational activities relating
to the treatment of tinnitus and other defects or diseases of the ear."
In This Issue:
Alternative Therapies - Another Look
Sleep
The "Odd Couple" Reunites to Benefit ATA
Ti nnitus Today/December 1994
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Tinnitus Today
Editorial and ad,eni,ing offices:
Amencan l1nmtu' A"ociation. P.O. Box 5
Portland. OR 97Z07
Executive On-ector & Editor:
Gloria E. Reich, Ph.D.
Ed1tor.al Advi<or:
Trudy Drucker. Ph D.
Advenismg ..ales: AT A-AD. P. 0. Box 5.
Ponland. OR 97207 (800634-8978)
Tinnitm TO<ItiJ is quanerly in Mareh.
June, September nnd December. I! is mailed to
members of American Tinnitus Association and a
selected li 't of tonnltu\ sulTerer:. 1111d professionals
who treat unnitus. Circulation is rotated to I 00.000
annually.
The Publi,her re<erves the right to reject or edit
any manu<cnpt re<:et\'ed for publication and to re-
ject any ad\erti"ng deemed unsuitable for Tinnllu.f
Todtl) . Accepunce of advertising b} Tinniws To
do' does 001 con>titute endorsemeot of the adver-
it, products or <en ices. nor doe& Tinninu
Toda.v mal..e any claims or guarantee. as to the nc-
cui'3Cy or vahdity of the adveniser's offer. The
exprcs\cd by contributors to Tinnilll.f To-
tlay are not necessarily those of the Publisher, edi-
tOr,, staff. or udvertisers. American Tinnitus
Association b a non-profit human health and wel-
fare agency onder 26 USC 501 (cX3)
The Journal of the American Tinnitus Association
Volume 19 Number 4 DECEMBER1994
Tinnitus, ringing in the ears or head noises, is experienced by as many as 50 mil-
lion Americans. Medical help is often sought by those who have it in a severe, stressful,
or life-disrupting form.
Contents
4
7
10
11
From the Editor
by Gloria E. Reich
Alternative Therapies - Another Look
by Barbara Tabaclmick
Development Directions
by Brent R. Mower
Copyright 1994 by American Tinmtus Associa-
tion. No pan of thts publication may be repro- 12
The Talents You Possess
by Barbara Tabachnick
Sleep
dueed. stored on a retrieval system. or transmitted
Ill any form. or by any means. without the prior
"ritten permi"ion of the Publisher.
ISSN:
Sclentitk Ad\MI') Committee
Ronald G. A111<.-dce, M 0 . New Orleans.. LA
Roben E. Brummett, Ph.D., Portland, OR
Jack D. M.D., Ch1cago, ll
Robert A. Dobie, M.D . SanAntonio. TX
John R. Emmett, M D .. Memphis. TN
B. M.D . San Diego, CA
Barbarn Ph.D .. New York, NY
Richard L. GoOOe. M.D .. Stanford, CA
John W. Hou,e. M D .. Lo> Angeles, CA
Roben \4. John \On, Ph.D .. Ponland. OR
Gale W \t 0 . Cincinnati. OH
J G:ul '\eely. \t.O .. St. Lou.-.
Jeny !\orthem. Ph 0 .. Ocn,er. CO
Roben E. Sandhn. Ph.D . San Diego, CA
Alexander J. Schlcumng.O, MD. Portland.OR
Abrnltam Shulman. M.D . Brooklyn. NY
Mansfield Smuh M D .. San Jose. CA
Ronorar) Roortl
Senator Mark 0. Hatfield
Mr. Tony Randall
Legal Counsel
Henry C. Breithaupt
Stoel Ri'e' Boley Jones & Grey
Portland. OR
Boartl ot Directors
Edmund Chica!!o. n.
Dan Roben lt(l(k,, Ponland. OR
W F S. Hopmc1er. St. Louis. MO
Ph1hp 0 \1onon. Portland. OR. Chmn.
Aaron I 0-heruw. St. Louis. MO
Gloria E Re1ch. Ph 0 .. Ponland. OR
Timotb) S Soto,, Leneu, KS
15
19
20
21
23
Regular Features
5
16
17
22
by Maltina Levy
Announcements
Odd Couple Reunites for ATA Benefit
IHS Annual Convention
by Patricia Daggett
AT A's Largest Bequest In Its History
Fifth International Tinnitus Seminar Announcement
Letters to the Editor
Media Watch: Tinnitus in the News
Questions & Answers
Tributes, Sponsors, Special Donors, Professional Associates, etc.
Cover artwork: "Whirling Dirvish" painting, by Joan English. Inquiries to Black-
fish Gallery, 420 NW 9th A venue, Portland, OR 97209.
From the Editor
by Gloria E. Reich, Ph.D.,
Executive Director
In this issue you'll read
about the wonderful and gener-
ous bequest from Robert and
Eileen Barindt which will enable
AT A to fund more tinnitus re- ~
search projects. This is particu- ~
larly important right now
because research efforts are close
to identifying underlying mecha- ~ ~ s = = ~ = =
nisms of tinnitus. We're anxious, as you are, to see
these breakthroughs come quickly and to provide
the basis for more effective treatments.
We're continuing the popular "Letters to the
Editor" column because it allows you to comment
freely on a variety of issues and gives us a means
to tell you about ways people have found relief
even in the absence of scientific data. Please re-
member that inclusion of a letter in this column
does not imply endorsement by AT A.
Barbara Tabachnick continues her popular
series on tinnitus treatment with an article about
alternative therapy. Information included in this
article is supported by scientific research data, but
again endorsement by ATA is neither offered nor
implied.
An article about sleep should interest those
who suffer from insomnia as well as tinnitus. The
author's patients have found it helpful to separate
the sleep problem from the tinnitus as much as
possible and to deal with the sleep issue first.
This is a time of year to say thank-you to many
people have helped ATA in 1994. In January Dr.
Jim Snow, director of the National Institute on
Deafness and other Communicative Disorders, and
Dr. Stephen Epstein who chairs the NIDCD advi-
sory committee invited me to present the case for
tinnitus. We're grateful for that opportunity and
hope that this meeting was just a beginning of the
NIDCD's recognition of tinnitus as a serious disor-
der. In February AT A was privileged to be a part
of the Association For Research in Otolaryngol-
ogy's annual meeting. Encouraging these distin-
4 Tinnitus Today/December 1994
guished auditory scientists to work on tinnitus is
our best hope for finding an answer. In March our
display at the American Society on Aging was
swamped with health professionals seeking infor-
mation about tinnitus for their clients. We enjoyed
giving the inf01mation as much as they seemed to
enjoy receiving it. In April we brought our message
to the annual meeting of the American Academy of
Audiology. This organization of practicing audi-
ologists probably attends to the needs of most
tinnitus patients. May was the biggest meeting of
the year as AARP' s Anaheim convention drew
over 25,000 attendees. We gave out lots of infor-
mation. At the end of August the International
Hearing Society met and AT A again brought
timely news about tinnitus to hearing professionals.
Our advisory committee of medical and scientific
experts met during the American Academy of Oto-
laryngology convention in September. Several
classes and a study group about tinnitus were pre-
sented to the physicians attending the convention.
We also held a public forum about tinnitus. Tony
Randall and Jack Klugman were there as honored
guests at a special reception for AT A members. In
October, Rich Tyler chaired a workshop at the
University ofiowa Hospitals about Tinnitus Patient
Management. I was honored to be part of the fac-
ulty for that meeting. November's American
Speech-Hearing Association convention brought
us together with yet another group of audiologists
and provided us with another opportunity to host a
tinnitus public forum. Finally, in December, we
will attend the annual National Voluntary Health
Agencies meeting where 65 health agencies co-
operate to raise funds for medical research and
health programs through the Combined Federal
Campaign.
It was a great year and I thank everyone who
helped make it so, especially my staff whose dedi-
cation to our mutual concerns is unsurpassed.
Thanks to the many volunteers who give so gener-
ous! y of their time, effort, and money to AT A, both
here and nationwide. Thank you, one and all. Your
dedication and perserverence will help put an end
to tinnitus.
Letters to The Editor
The opinions expressed are strictly those of the
letter writers and do not reflect an opinion or
endorsement by AT A.
T he September, 1994, Smithsonian magazine in-
cluded a review of a book called "Hedgemaids and
Fairy Candles: The Lives and Lore of North Ameri-
can Wildflowers," by Jack Sanders. The author
wrote about "hedgemaids," or ground ivy, which
he finds beautiful. To quote from the review: "He
goes on to note that herbalists used ground ivy to
treat deafness, citing one early botanist who
wrote'The juice dropped into the ear doth wonder-
fully help the noise and singing of them, and
helpetb the hearing which is decayed."' this inter-
esting historical tinnitus treatment was shared by
Elizabeth Helfman of Medford, NJ
Almost every letter in the September, 1994 issue of
Tinnitus Today mentioned some sort of medication
that was helping. However, the letters failed to men-
tion the side effects of the medication. I use
Klonopin for the relief of the stress that contributes
to increased intensity of tinnitus. Klonopin does not
reduce my tinnitus. It only makes it bearable. I stopped
taking Klonopin for 8 months, gradually reducing my
dosage over a 2 month period and then tried living
withouti.tfor6 months. I don'tlike to take drugs. Also,
for over a year I made sure I did not consume any
caffeine. Sorry to say I had to go back on theKlonopin.
The stress was unbearable. But Klonopin has an
insidious side effect. I started to lose my short term
memory. After I went back on the Klonopin (25mg in
the am. and 25mg before bed,) I noticed a dark cloud
would descend on me at about 1 or 2 p.m. I discovered
that a cup of regular coffee in the morning, and one,
if needed, in the early afternoon solved the problem.
From Mel Freedenberg of Ridgewood, NJ.
I used to have hyperacusis. It was a devastating,
painful ultra-sensitivity to normal sounds. Someone
once said it was like "living in a world with the volume
control broken." They were right.
It is difficult for a person with normal hearing to
appreciate the level of discomfort a person with hy-
peracusis can have. For me, the world was a frighten-
ing place filled with unexpected moments of sharp
pain. The rustling of a newspaper and the clinking
of dishes were painful enough to make me want to
run away. The blasting siren of a fire engine was
excruciating. I could not even walk on a city street.
I turned the western medical world upside-
down in a vain attempt to find a cure or control for
my condition. I conferred with otolaryngologists,
nutritionists, allergists, audiologists, acupunctur-
ists, neurologists, homeopathists, rolfers, physical
therapists and dentists.! tried food desensitization,
exposure of my nasal passages to essential oils,
neurolinguistic training, rehydration of my mucous
membranes, posture correction, progressive TMJ
relaxation and, of course, earplugs -- which were
the only way I was able to survive in my painful
world.
As a researcher with 30 years of experience in
science and engineering, I took on the job of help-
ing myself. I came upon the French-developed
medical specialty known as Auriculotherapy. Al-
though not well-known in the U.S., this technique
is widely practiced in Europe, Canada and China.
Paul Nogier, M.D. of France theorized that the
body is represented in miniature upon the ear.
Dysfunction of certain pru1s of the body show up
as tender areas on the ear when pressure is applied
to them. According to Nogier, these tender areas
can be stimulated by a variety of methods that can
cause a reflex reaction in the corresponding body
part. This reaction promotes improved circulation
and the body's own healing ability.
He also described a "Line of Sound" on the
ear where specific points correspond to hyperacusis
and TMJ dysfunction. These were of high interest
to me considering the results of the 1992 AT A patient
survey that showed a statistical association between
TMD and hyperacusis. I reasoned that my hyperacusis
might be treatable by stimulation of the hyperacusis
point in conjunction with balancing my TMJ muscu-
lature.
Although bite balancing alone has proven an
ineffective hyperacusis treatment, I speculated that
prior stimultation of the hyperacusis point might se-
date the inner ear nerve and provide a way to control
my problem.
Tinnitus Today/December 1994 5
Letters to the Editor (continued)
I developed a technique which employed Ap-
plied Kinesiology (ie: muscle strength testing) to
numerically measure changes in my hyperacusis
point. I used auriculotherapy magnetic stimulation
methods to create a small electrical current in a
pellet adhered to the point. No skin puncture was
involved.
Within 35 minutes of the frrst treatment, I
noticed that the noise of my barking dogs did not
brut. An hour later, the feeling of fullness and
pressure was relieved. I continued treatments for
seven weeks and stopped when kinesiological test-
ing showed no additional improvement was occur-
ring. At that time I had a 45% improvement.
I then worked with my TMJ dentist who used
osteopathy to manipulate my craniosac-
ra1Jmandibular complex. Immediately following,
he balanced by bite with an occlusal adjustment.
Within weeks I was 90% improved. I stopped
wearing earplugs all the time and have been ear
plug-free for two years since the occlusal adjust-
ment. I have published two books on my research
and have given numerous lectures to professionals
who are interested in the technique. (Recently, a
licensed New York State Acupuncturist trained in
my method successfully treated a patient who has
had hyperacusis since 1977.) Copies of the books
may be obtained by contacting me.
I urgently invite correspondence from medi-
cal specialists (acupuncturists, dentists, chiroprac-
tors, ENT' s, etc.) who are open-minded and willing
to learn this technique with the intention of gather-
ing research data and conducting clinical trials.
Meyer R. Rosen, M.S., Executive Board Member
National Dental Acupuncture Society
PO Box 66, East Norwich, NY 11732
Tel: 516-922-4010 Fax: 516-922-3830
I am a new sponsor and tinnitus sufferer. My story
may be unique but I suspect the lack of medical help
I am receiving is not.
As a captain for a major airline, I am responsible
for the operation of commercial aircraft and the
6 Tinnitus Today/December 1994
safety of my passengers. Flying both commercial
and private flying has been my avocation and vo-
cation for over 25 years. To say I love to fly is an
understatement of the pleasure I enjoy in the sky.
Knowing this about me is important in under-
standing my frustration.
In October of last year while on duty, a company
employed mechanic exploded a homemade bomb
on the ramp that went off within feet of my right
ear. I lost some hearing, but most disturbing has
been the continuous ringing that has not yet gone
away. It has taken on many of the symptoms de-
scribed in AT A's literature. Loss of sleep, frustra-
tion, and anger only a few.
I'm not sure that the people at workers compensa-
tion have any idea of how tinnitus could be the
problem it is. Each time a physician tells Work-
ers Comp. that tinnitus cannot be measured accu-
rately, I get sent to another physician, I suspect,
trying to fmd one that will say I should be flying.
I've been to four of their physicians and have
been scheduled for another. I had to argue for the
use of a tinnitus masker to aid in sleeping, which
by the way bas been helpful. It seems to me
some clinical counseling along with rest would
help me develop the ability to cope and be able
to return to flight status. The powers in control
do not see it that way.
The frustration of dealing with people who do
not understand is beyond explanation. If I had
been told how big a problem tinnitus is and how
even physicians are so uninformed and unable to
direct a patient toward help, I would have
thought the facts overstated. Now, for me the
facts speak for themselves. I'm writing in the
hope that people will become better informed.
Most of all, I hope my ear stops ringing.! hope
every tinnitus sufferer's ringing goes away.
Thank you so much for your work.
From Ed Terry, Greensboro, NC
Alternative Therapies - Another Look
by Barbara Tabachnick,
Client Services Coordinator
At ftrst people refuse to be-
lieve that a strange new thing can
be done, then they begin to hope it
can be done, then they see it can be
done - then it is done and all the
world wonders why it was not
done centuries ago. - Frances
Hodgson Burnett
The phrase "alternative
medicine" has a polarizing effect. In some people,
it strikes a responsive chord; in others it strikes fear
in the heart. Without our government's sanction of
it, non-traditional medical research was destined to
remain mysterious and suspect. But in 1992, a
congressional mandate established the National In-
stitute of Health's Office of Alternative Medicine
(OAM) in response to a shifting public conscious-
ness. The door of credibility for non-traditional
therapies in the U.S. opened for the first time.
Today it is still a door that only an allegiant minor-
ity has stepped through.
Alternative medicine, as defined by the OAM,
is "any medical practice or intervention that does
not have sufficient documentation in the United
States to show that it is safe and effective against
specific diseases and conditions." When American
researchers review alternative treatment, as often
as not they are looking at therapies being used
outside of the U.S. where the language and the
research practices are foreign. Worries- some more
valid than others - surround these foreign research
papers: Has vital information been lost in the trans-
lation? Were the studies scrupulously controlled?
Was the data collection protocol imprecise or just
different and therefore suspicious?
ATA' s view of alternative therapies remains
a neutral one- a balance between the search for new
tinnitus treatments and a careful awareness that
desperate people are easiest to exploit. This article
will look at less-than-conventional tinnitus treat-
ments, NOT as an endorsement but as a service to
our membersltip. All who experience tinnitus are
strongly encouraged to see an ear, nose and throat
physician before any treatments - conventional or
otherwise - are tried.
DMSO - dimethyl sulfoxide
In 1962, Dr. Stanley W. Jacob, a researcher
and surgeon at the Oregon Health Sciences Univer-
sity, stumbled upon an inexpensive industrial waste
product (made from the cement-like substance
found in tree cells) that had some unusual medical
properties. He originally intended to use tltis sub-
stance, DMSO, for better tissue preservation in his
animal research. The extraordinary properties of
DMSO soon became manifest: It worked as an
analgesic, anti-inflammatory agent, and a free-radi-
cal scavenger that quickly entered the blood stream
via topical application; it facilitated absorption of
other drugs; it prevented permanent paralysis in
animals who suffered spinal cord injuries; and it
alleviated brain swelling and intracranial pressure
in patients with severe closed head trauma. In in-
dustrial use, it sped up chemical reactions by as
much as one billion times. Tests continued and
FDA approval was sought. The observable side
effects were minimal - a resultant garlic-like odor
and a temporary skin rash at the site of application.
When Jacob's studies of DMSO reported success-
ful arthritis and bursitis relief, the media attention
propelled the new drug into a national spotlight. In
the next three years, thousands of independent
DMSO studies were conducted worldwide. Health
food stores stocked it, and millions were using it.
In 1965, a New York Times article declared DMSO
"a wonder drug."
In that same year, findings from a DMSO
study conducted at the University of Pennsylvania
School of Veterinary Medicine indicated "abnor-
mal changes in the eyes of laboratory animals." It
was the first serious DMSO-related side effect
noted. When the Wall Street Journal reported a few
months later that a woman had died after an allergic
reaction to DMSO, the popularity and interest in
the drug came to a sudden halt. A major drug
manufacturer voluntarily stopped DMSO produc-
tion. Other side effects from the drug were soon
made public: nausea, flaky and itching skin,
drowsiness, hypotension, and finally (though not in
a formal scientific report) progressive myopia in
four out of 11 scleroderma patients who received
oral doses ofDMSO.
Tinnitus Today/December 1994 7
Alternative Therapies ... (continued)
At the same time, federal legislation went into
effect requiring double-blind placebo trials before
FDA approval could be granted for any drug.
DMSO supp011ers were frustrated; the necessary
placebo trials could not be conducted on DMSO
because of its distinctive odor. Drug companies
were not interested in DMSO research, says Dr.
Jacob, because the drug's ready and inexpensive
availability offered the companies no promise of
financial gain. Independent research on DMSO
continued principally outside of the U.S.
In 1975, the Chilean researcher Aristides
Zuiliga Caro conducted the only known clinical
study of the effects ofDMSO on tinnitus. All of the
15 participants had subjective tinnitus of unknown
origin, had had their tinnitus for at least six months,
and had not adapted to the noise. The tinnitus
patients were treated with a 2 ml solution (-y-keto-
phenylbutazone, moroxydine HCI, hydrocorti-
zone, lidocaine HCI, n-propylcarbinol, and
DMSO) sprayed directly into the external ear canal
once every four days. Simultaneously, the patients
each received a daily 5 ml intramuscular injection
of buphenine chlorhydrate, -y-aminobutyric acid,
acid, 1-acetyglutarnine,
lidocaine chlorhydrate, DMSO (0.5 ml), and water
(q.s.5 :ml) for 30 days. Side effects of heavy-head-
edness, tachycardia (rapid heart beat), and "an-
guish" were felt initially but lasted only a few days
and did not recur. The odor was reported to be more
troubling for the families of the patients than for the
patients themselves.
At the end of 30 days, nine of the 15 patients
reported complete disappearance of the tinnitus,
two reported diminished tinnitus, and four reported
that the tinnitus became occasional, triggered espe-
cially by cold weather. The results were unchanged
over the next year. Patients who'd had insomnia,
vertigo, headaches, ear aches, and hyperacusis de-
scribed improvement. Caro's research also noted
that in 12 of the 15 patients, the tympanic mem-
brane temperature was lower in the presence of
tinnitus than it was when the tinnitus had lessened
or disappeared. Researchers speculate that an im-
proved blood flow was the cause. To date, this
research has not been duplicated.
8 Tinnitus Today/December 1994
When DMSO became prescriptive in 1978,
Dr. Jacob began DMSO/tinnitus treatments in Ore-
gon with a slightly different protocol. His success
rate was also different- 50% of his patients showed
"some improvement." Dr. Jacob had worked with
DMS02, a metabolic end product of DMSO, in his
limited work with tinnitus patients. Because
DMS02 has no odor, its discovery could signifi-
cantly color future research.
Today, DMSO is commonly used by
vetemiarians, is the drug of choice for interstitial
cystitis, a rare badder condition, and is still widely
used in industry as a solvent. Although it can be
found in the less potent and, Jacob warns, less pure
commercial grade, this non-prescription quality
DMSO should be avoided.
Hyperbaric Oxygen Therapy
A 1984 German research paper by M. Pil-
gramm and K. Schumann describes the effects of
hyperbaric - or greater than normal pressure - oxy-
gen therapy and vasoactive injections on 122 male
soldiers who experienced sudden hearing loss and
tinnitus as a result of acoustic trauma. In order to
participate in this study, the patients had to begin
treatment within 48 hours of trauma. Patients were
excluded from this study if their loss of hearing did
not reach 40dB, if they'd had a previous acoustic
trauma, if the middle ear was the site of the damage,
if their hearing improved more than 20dB in the
fust 24 hours, or if they had a known tendency to
convulsions or hyperventilation. Ninety-seven per-
cent of the patients in the study had tinnitus. Six
percent complained of dizziness. (The researchers
admit that spontaneous recovery from acoustic
trauma is common but state that their findings take
this possiblity into account.)
The patients were randomly divided into four
groups and hospitalized for 14 days. All treatments
were given daily.
Group I received IV drips of 10% dextran-40 solu-
tion and 5% sorbitol solution;
Group 2 received the IV treatment of Group l plus
24 mg of betahistine;
Group 3 received the IV treatment of Group I plus
10 courses of hyperbaric oxygenation (1 hour in a pressure
chamber of pure oxygen at 2.8 bar);
Alternative Therapies ... (continuedJ
Group 4 received the IV treatment and betahistine of
Group 2 plus I 0 courses of hyperbaric oxygenation.
Patients were not allowed to smoke during the study.
Groups 2 and 4 continued taking betahistine after their
hospital stay. Only rwo patients had side effects: one in group
3 experienced maxillary barosinusitis and one in group 4
experienced oxygen intoxification.
The results: Patients in groups 3 and 4 who
received oxygen therapy experienced a quick re-
covery of hearing and a significant decrease in their
tinnitus. Patients in groups 1 and 2 showed moder-
ate improvements. All symptoms of dizziness dis-
appeared after the first treatment. (The group
number[s] of those patients was not stated in the
study.) Four weeks after hospital release, 21% of
group 1, 34% of group 2, 6% of group 3, and 3%
of group 4 experienced deterioration in their hear-
ing or an increase in their tinnitus.
This study is based on earlier research con-
ducted by Larnm. Lamm, and Zimmerman that
cited benefits to the acoustically damaged hair cells
of guinea pigs when the animals were saturated
with oxygen in hyperbaric conditions. The oxy-
genation was done immediately following the
acoustic trauma, theoretically before "cell death"
had occured.
Magnetotherapy
In the Oct-Dec 1978 American Journal of
Acupunture, Hsu and Fong discuss the use of mag-
nets throughout history - most notably in China -
in the treatment of disease. The authors correlate
positive effects on living organisms with the use of
powerful magnets in animal experiments. Their
paper discusses clinical observations of magnet
therapy on hypertension patients who not only
experienced a drop in blood pressure when the
magnets were used, but had their tinnitus, dizzi-
ness, and insomnia disappear.
A 1987 research study in Japan conducted by
Dr. H. Takeda reported the results of inserting a
powerful ( 1800 Gauss) 4mm by 2mm samarium-
cobalt rare-earth magnet deep into an ear with
tinnitus. Of the 56 tinnitus ears so treated, 37 had a
reduction in the tinnitus, 18 had no change, and one
became worse. Changes were noticed within 4-7
days; the effects lasted 3-9 weeks.
This research was the impetus for an open.
uncontolled study conducted in England by Coles,
Bradley, Donaldson, and Dingle in 1990. (Dr.
Takeda sent magnet samples to Dr. Coles for this
study.) In the trial, 40 patients with intractable
tinnitus had magnets insetted into their affected
ears. When 30% reported benefit, Coles, etal. de-
cided to conduct a full double-blind placebo study
with 50 participants. After four weeks, seven of the
26 recipients of the active magnet had improved
and seven had worsened. Four of the 23 non-active
magnet recipients improved and three had wors-
ened. (One patient was eliminated from the study.)
The results after this first phase were considered
mixed, so mixed in fact that the researchers opted
to discontinue the study. (Note: A stronger but different
magnet - a 2550 G neodymium-iron-boron - was used in the
double-blind study.) * * * *
Those opposed to alternative therapies have
based their concerns on assumptions of faulty or
absent research. Those in favor of alternative therapies
in backlash have ridiculed the FDA for being too rigid,
and tie the FDA's rulings to the drug companies'
interests. True or not, the recent creation of the Office
of Alternative Medicine introduces a new chapter in
the book of American research.
We continue to challenge the estab-
lished scientific community to conduct
meaningful tinnitus research. However,
we cannot forget that all conventional
treatments today were at one time untested
and new. Everything has its beginning.
Resources for this article:
K. Pilgramm and K. Schumann
Dept of Otorhinolaryngology, Federal Anny Hospital
Oberer Eselsberg 40, D-7900 VIm, Germany
Stanley W. Jacob, MD
Oregon Health Sciences University
3181 SW Sam Jackson Park Rd
Portland OR 97201-3098. (503) 494-8474
Dr. Ross Coles
MCR lnstitue of Hearing Research, University Pak
Nottingham NG7 2RD, United Kingdom
Tinnitus Today/December 1994 9
Development Directions
by Brent R. Mower,
Director of Development
It is such an incredible in-
spiration to arrive at work each
day and see the stacks of enve-
lopes from our supporters. We
never forget that your contribu-
tions represent hours, days and
years of bard work on your part
and for many means stretching an
already overextended budget
even further. We never forget that your contribu-
tions come from the heart and represent your hope
that your help will someday lead to a better under-
standing - and elimination -of tinnitus. We never
forget that you truly care.
. Asking people for money is never an easy
thmg to do. But it is necessary for a non-profit
organization to exist and to carry out its mission.
Asking for money means good things can happen.
Asking for money means progress towards a cure
or alleviation. Asking for money means more peo-
ple are helped, and fewer people suffer. Because
ATA receives no governmental funding, asking for
money is the only way to look to and plan for the
future. And the future is exciting.
Your support means we can fund over a quarter
million dollars in research projects during the
next year. And more if funding allows. That
translates into a much better understanding of
what tinnitus is, what causes it, and most impor-
tantly, what can be done about it.
Your support means we will produce several
broadcast and print public service an-
nouncements during the next year. This publicity
will both increase our base of support and get
help to the millions of other Americans who
don't know about AT A. Watch for the spots
your support creates.
Your support enables A TA to help other people.
People who are having trouble coping with their
tinnitus. People who don't know where to turn
for help. People who need support- yours and
ours together.
10 Tinnitus Today/December 1994
You have already or will soon receive from AT A
an appeal for a holiday gift which wilJ be used exclu-
sively to fund research projects and help us realize our
first $1 million towards our $5 million research fund
goal. Because of the generosity of the Barindts, whose
legacy you will read about elsewhere in this issue,
we're already well on our way to the first million.
100% of their donation and 100% of your special
holiday donation will go to research. Research has
brought us several successful treatments for some and
more importantly, holds the key to our ability to put
AT A out of business by finding successful treatments
for everyone. It's our number one goal and the pri-
mary focus of everyone here at ATA headquarters.
We realize these special appeals, in addition
to your regular membership contribution, may be
asking a lot. Membership contributions support our
basic services such as publication of Tinnitus Today,
creation and maintenance of the professional referral
and self-help group networks, educational and public
awareness programs, professional workshops and
seminars and administration. We're very pleased to
report that our administrative and fund raising ex-
penses are only 15% of income, meaning 85 of every
contributed dollar goes to programs and services. In
the non-profit sector, that's admirable, and we' re
proud of that accomplishment.
Even with all of the programs and services
which require support, we're still able to support
some research every year with your membership
?ontributions. But much more research is required
m order to see substantial and quicker improve-
ments in the understanding and treatment of tinni-
tus. Much more. Which means we need to raise
even more money. That's where we need your help
and your increased support. Please give what you
can this holiday season and then think about giving
even more. Every extra cent will go right to a gifted
and promising researcher. And we' 11 all be fmther
toward the goal of ultimately eliminating this dis-
tressing condition.
Let's ring in the New Year with a million
dollars for tinnitus research. What a celebration that
will be.
The Talents You Possess
by Barbara Tabachnick, Client Services
Coordinator
Over the years and in a variety of
ways, you have helped us reach out to
undoubtedly millions of tinnitus suffer-
ers - people who had not even known
there was a name to their affliction. Many
of you still express a desire to support
others with tinnitus but are stopped by
health concerns. Perhaps you should
know how we measure the help we get.
An offer of help is precious in its own right.
Following through is done by those who can.
Individual circumstances determine but do not di-
minish the size of the gift one has to give.
We all have the capacity to shine. How much
and when, though, are very personal decisions. If
you sincerely want to help, try answering the fol-
lowing questions. You could find out your ATA
shine quotient, and at the same time discover if
today's the day.
Can you write a letter to someone with tinnitus
who needs support? Are you able to go to a local
health fair and hand out AT A's brochures? Do you
know the name and address of a doctor, audiologist,
or other hearing health professional who you would
recommend to tinnitus patients? Can you call one
hospital in your town to see if they would like a
packet of tinnitus information? Can you call two?
Are you able today to write an essay or article about
your tinnitus experience and the steps you've taken
to get help and feel better? Can you call your local
TV or radio station and fmd out if they would run
ATA's public service announcements? Can you
send us the name and address of a senior center, a
pharmacy, or a library in your city that would
welcome our free materials? Can you implore your
congressional representative to support federal
funding for tinnitus research? Do you know a
school teacher who is interested in hearing protec-
tion and tinnitus prevention classroom materials?
Are you able to talk on the phone with someone
who is troubled by tinnitus? Are you willing to find
a meeting room in your area, send local zip codes
to ATA, and let us mail flyers to help pull a core
group together for self-helping? Can you put a
"Tinnitus Sufferers Know No Silence" bumper
sticker on your car?
If you can answer "yes" today to even one
of these, please write to us. Every time the word
tinnitus is seen or heard, its recognition is moved
forward. A single step could impact thousands.
Our strength is in our numbers. We can wait
for you.
Use what talents you possess: the woods would
be very silent if no birds sang there except those
that sang best. - Henry Van Dyke
We extend a grateful welcome to our new
Support Network volunteers.
Self-Help Group leaders:
Bob Lewicki, PO Box 27747, Las Vegas,
NV 89126-17 4 7, (702) 878-6408
Richard L Marr, 3047 Larimer #1 06A, Den-
ver, CO 80205, (303) 292-6408
Telephone/Letter contacts:
Walter Czarnecki, 1303 N 17th Ave, Mel-
rose Park, IL 60160, (708) 345-7642
Theris Aldrich, 2357 W Main Rd, Silver
Creek, NY 14136, 716/934-4837 (from 5/10 to
1 0/20) and 5602 Saddlebag Lake Rd, Lake
Wales FL 33853, (813) 696-1444 (from 10/24 to
5/6)
With much sadness, we report the death of
Ken Willson, a long-time ATA support group
leader and friend. Ken started a group in Central
Florida 14 years ago. Despite ill health in recent
years, he remained active as a support network
contact. In his last letter to us, he wrote of his
health problems and his tinnitus (that lessened
when he reduced his caffeine consumption),
and the difference his wife, Betty, had made
through it all.
If you are interested in starting a sup-
port group or joining the network as a tele-
phone contact or pen pal, write to me for our
Self-Help Information Packet.
Tinnitus Today/December 1994 11
Sleep
by Malvina C. Levy, M.A., San Francisco Center
for Hearing and Speech
"No small art is it to sleep; it is necessary for
that purpose to keep awake all day." Fredrich Wil-
helm Nietzsche (Thus Spake Zarathrustra).
"I just couldn't sleep last night." Any one of
80 million Americans. (Gallup survey, June,
1991.)
We've all had an occasional bad night, when
the mind races and we recall all of our life's events.
This occasional "transient" insomnia is annoying
but not too se1ious, and usually lasts no more than
a few nights or at most a few weeks. It can be
triggered by jet lag, a fight with a loved one, or
some other stress. "Short-term" insomnia can last
many days or weeks, and usually is the result of
ongoing psychological stress such as breavement,
divorce, or relocation. "Chronic" insomnia is usu-
ally defined as lasting more than three weeks and
can last for months or years.
If you have some sleep disturbance and won-
der if you should be worried, the important factors
are duration and severity: How long has it been
going on? Does it interfere with your daily func-
tioning? Most sleep researchers agree that people
develop insomnia from a tangled interplay of psy-
chological, emotional, biological, medical and en-
vironmental factors. It is important to remember
that insomnia, like tinnitus, is not a disease, but a
symptom of a problem.
HOW MUCH SLEEP DO WE NEED?
Standards for adequate sleep are hard to set;
our need for sleep depends on many variables and
changes as we grow and age. For example, most
newborn babies sleep 17-18 hours a day. By age 10
this has dropped to 9-10 hours. About two-thirds
of adults sleep 7-8 hours per night, one-fifth sleep
less than 6 hours and one-tenth sleep more than 9.
As people age, sleep diminishes to an average of
6.5 hours.
WHAT IS A SLEEP DISORDER?
Sleep researchers often describe three broad
categories of symptoms that may indicate a serious
sleep disorder: 1) insomnia; 2) daytime drowsi-
ness; and 3) a variety of abnormal sleep patterns.
12 Tinnitus Today/December 1994
Insomnia, is the most common type of sleep
disorder expe1ienced by tinnitus patients.
Drs. Hauri and Linde of the Mayo Clinic in
Minnesota classify insomnia into 4 main catego-
ries: 1) insomnias associated with psychological
problems; 2) insomnias associated with medical
problems; 3) insomnias due to lifestyle; and 4)
insomnias caused by poor sleep habits.
WHAT CAUSES INSOMNIA?
According to national statistics, at least one-
half of all insomnias are caused by psychological
problems. Waking up too early is common for
people who are depressed, and difficulty falling
asleep is often caused by anxiety.
Medical causes such as chemical imbalances,
hormone upsets, infections, allergies, arthritis,
pain, headaches, and coughing can cause you to
sleep poorly. Insomnia is a side effect of many
medications. Check with your pharmacist to see if
your prescriptions are contributing to your sleep
problems. Alcohol and drug addiction can also
interfere seriously with sleep.
Lifestyle can affect sleep when we design our
lives in ways that don't fit our body's needs. People
need periods of work, play and rest. An occasional
deviation from the daily rhythms of our lives
should not cause a problem. But if one works
constantly without taking a break or a vacation, this
can eventually interfere with the body's need to
rest. Insomnia can be a result of running beyond
these limits.
If you bring your interpersonal problems to
the bedroom, negative feelings can keep you
awake. Even after the problem is solved, you may
continue to have a difficult time falling asleep for
Sleep (continued)
a few nights. Sleep is often thwarted by trying too
hard to sleep and being conditioned against your
own bedroom.
WHAT STEPS CAN I TAKE TO SLEEP
BETTER?
To try to resolve these problems, reduce caf-
feine, limit alcohol and eliminate smoking. Caf-
feine is a stimulant found in coffee, tea, cola,
chocolate and in many prescription and non-pre-
scription drugs. Small amounts of alcohol may
bring on drowsiness, but larger amounts can lead
to nightmares and sudden awakening. Smoking
interferes with oxygenation of the blood and can
disrupt sleep.
WHAT ABOUT SLEEPING PILLS?
Sleeping pills make you feel groggy and ap-
pear to promise better sleep, but actually lead to
fragmented, disturbed sleep. People often try sleep-
ing pills when they feel they cannot get out of a
cycle of insomnia. However, they are really only
borrowing sleep because a phenomena called "re-
bound insomnia" occurs. Once your body has
learned to rely on pills, your system may go through
a physiological withdrawal that may cause your
insomnia to be worse. Speak with your doctor first
about the pros and cons of drugs for sleep and their
possible side effects.
Recommendations from the National Insti-
tutes of Health Conference on Insomnia suggested
that, "The treatment of insomnia should start with
the correction of sleep hygiene -poor sleep habits,
before sleeping medication is used. After that, if
pills must be used then patients should receive the
smallest effective dose for the shortest clinically
necessary period of time."
ARE THERE ALTERNATIVE TREAT-
MENTS FOR INSOMNIA?
For long-term insomnia, sleep professionals
suggest alternative treatments such as biofeedback,
stress management, psychotherapy, and sleep hy-
giene techniques. The hormone melatonin is now
being studied at MIT by Dr. R. J. Wurtman, profes-
sor of neuroscience. His research has shown that
melatonin, a nonaddictive agent, will bring on
slumber quickly and may also be effective in treat-
ing jet lag. Ed Note: Some herbal remedies such as
valarian root, have been reported by tinnitus pa-
tients to have helped their insomnia.
The following sleep suggestions may help:
DESIGN YOUR BEDROOM FOR MAXI-
MUM SLEEP COMFORT
Room temperature between 60 and 65 degrees
is most conducive to sound sleep. (Too cold- you ' 11
be fumbling for covers; to hot- you ' 11 have restless,
light sleep.)
Keep your bedroom as quiet as possible. If
you live near an airport or highway, you can mask
offending sounds (and tinnitus) with a device that
generates white noise or pink noise or by playing
soothing background sounds such as simulated
rain, surf, or waterfall. Sometimes ear plugs can
block out offending noises, although they may also
increase the loudness perception of your tinnitus.
Try sleeping on an air mattress or water bed
and replace any mattress that is saggy or lumpy.
Make sure your mattress, pillows, sheets, and blan-
kets are comfortable. A fleecy woolen or foam egg
crate mattress pad placed between the mattress and
bottom sheet can minimize tossing and turning.
Overly soft, fluffy pillows can cause neck stiffness
and disrupt sleep.
.-------
ASSOCIATE YOUR BEDROOM WITH RE-
LAXATION AND SLEEP.
Don't use your bedroom as an office.
Don't use the bedroom as a battlefield.
Practice relaxation techniques or self-hypnosis
in the bedroom.
If you haven't fallen asleep after 15-30 minutes,
get Uf! and leave the bedroom. This way you
won t associate your bedroom with sleeplessness.
Leave worries qutside the pedroon:r by giving
yourself a specific worry ume durmg tfie day.
Tinnitus Today/December 1994 13
Sleep (continued)
YOUR STIMULATION LEVELS AFFECT
SLEEP.
Situational insomnia is the name given to
short periods of sleeplessness that occur before,
during, or after times of great stress. Stressful
events, both good or bad, can trigger it.
Boredom can also cause loss of sleep. Poor
sleepers spend more time shopping, watching TV,
and thinking about going to bed. Good sleepers are
mentally and physically active and spend more
time working, talking and doing chores.
Increase social contacts. Isolated people are
poor sleepers and those with a social support sys-
tem sleep better.
Become other-preoccupied instead of self-
preoccupied. Get involved in a project or volunteer
work to get your thoughts off of yourself.
REFINE YOUR SLEEP ROUTINE.
Don't go to bed until you are sleepy. Do
something relaxing until you feel tired.
Get up at the same time each morning, every
day of the week, regardless of when you went to
bed, when you fell asleep or how you slept. By
doing this, your body's circadian rhythm is reset
enabling you to awaken at the same time the next
day.
If your brain still feels cluttered with details,
write them down on a piece of paper. That way your
head doesn't have to remember them.
Love your place of sleep. Decorate your bed-
room in your favorite colors and fabrics, and with
objects, photos, and souveniers that help you recall
pleasant times in your life.
Oversleeping on weekends can disrupt your
body's clock. You are not only less alert after too
much sleep, but you reduce the number of waking
hours, making it more difficult to fall asleep the
next night.
Many books tell you never to nap during the
day because it might decrease the quality and quan-
tity of nighttime sleep. However, some people
sleep better at night if they take a daytime nap,
because they feel less desperate to sleep at night if
they have aheady had some sleep. If you are going
14 Tinnitus Today/December !994
to take a nap, make it brief in the early or mid
afternoon. Do what works for you.
Do you close all windows, check that the
doors are locked, wash up, read before bed? Sleep
rituals prepare you for bed psychologically as well
as physically and should be continued even when
you're away from home.
Sleeping alone after years of having a partner
can cause sleep disturbances. Consider getting a cat
or dog to cuddle, or use an extra pillow.
When taking business trips (notorious for dis-
turbing sleep patterns), take along your favorite
pillow and pajamas. Have the hotel operator give
you a wake-up call to eliminate the fear of over-
sleeping.
HOW DIET CAN AFFECT SLEEP
One of the keys to good health is a good diet
consisting of whole grains, fiber foods, salads and
fresh vegetables, and a variety of foods. The body
needs more than 50 nutrients for optimal health.
Limit fat and avoid foods that are likely to give you
indigestion or heartburn.
Decrease all liquids in the late evening, al-
though a Light bedtime snack is okay.
Don't go to bed hung'Y.; even if you are dieting.
Hunger pangs can leaa to rest1essness and a
poor night's sleep.
Don't go to bed right after a mammoth meal. It's
hard to sleep when your digestive system is work-
ing overtime.
For the name of a sleep disorders center near
you, write to the American Sleep Disorders Asso-
ciation, 604 2nd St. SW, Rochester, MN 55902.
Recommended Reading:
Dement, William. The Sleepwatchers, The
Portable Stanford Book Series, Stanford Alumni
Assoc., 1992.
Hauri, P. The Sleep Disorders, Current Con-
cepts, The Upjohn Company, 1982.
Hauri, P., and Linde, S. No More Sleepless
Nights, John Wiley & Sons, Inc. 1990.
Nicol, Rosemary, Sleep Like A Dream The
Drug-Free Way, Sheldon Press, Mail Order Dept.
S.P.C.K. 36 Steep Hill, Lincoln LNZ lLU, Eng-
land.
Announcements etc.
Tinnitus Bibliography
Supplement #6, listing articles published since the
Fall of 1992 is now available. The price is $25.00, mem-
bers price $15.00.
The Tinnitus Bibliography is a list of over 2500 ti-
tles and sources of writings relating to tinnitus. Many of
the articles are available in hard-copy. You may specify
a particular area of interest for a subject search. For ex-
ample, if you want to know about the relationship of
drugs to tinnitus you would specify a subject search
about drugs.
The complete Tinnitus Bibliography is $75.00,
members price is $40.00. Subject searches are $10.00
each, members price $5.00.Piease call for FAX prices.
To order, please use the form on the envelope en-
closed with this magazine.
Holiday Art Contest Begins -
Get Out Your Brushes, Paints,
Pencils or Cameras
Among the ranks of ATA members and supporters there
is assuredly a number who possess genuine artistic ability and
who enjoy creating art for others. Perhaps you have a friend or
relative with these abilities whose art work ought to be shared.
For the 1995 Holiday Season, AT A will be producing
holiday cards to sell as a fund raiser. All proceeds from the sale
of these cards will be used for tinnitus research.
That's why we're asking our artistic friends and support-
ers to enter their holiday rut or photos, appropriate for holiday
greeting cards, into ATA's fust ever Holiday Art Contest.
You'll be sharing not only your artistic talents with others, but
you'll also be an integral part of the effort to fund research.
Entries will be judged by a panel of rutists and art dealers.
Your reward will be the satisfaction of seeing your art in
print and knowing you' 11 be making a big difference in the lives
of others.
Please submit your entries, along with your name, com-
plete address and day time telephone number by June I, 1995
to AT A at the address on the back cover of this magazine. All
artwork will be returned by October 1, 1995. We look forward
to seeing your creations.
PAID ADVERTISEMENT
SPECIAL PILLOW CAN RELIEVE
EAR NOISES AND AID SLEEP
Your sleeping habit may be robbing you of a
proper night's sleep. The Ear Relaxer can change
your life. Austin Skaggs, the inventor of the Ear
Relaxer Pillow, reports it has helped him and many
other people who have tried it. It is comfortable for
those who wear their hearing aids or maskers to
bed. Testimonials are available on request from Mr.
Skaggs.
To order, send $17.95, outside the U.S., send
$20.95 (U.S. funds), for postage paid shipment to:
EAR RELAXER
POBOX90
VICTOR WV 25938
Replacement pillow slips are available for
$5.00.
PAID ADVERTISEMENT
'R'.
"COPING WITH TINNITUS" r r
)
e STRESS MANAGEMENT&. TREATMENT
e TINNITUS MANAGEMENT IS OFTEN
COMPLICATED BY ANXIETY AND STRESS
e NOW A UNIQ.UE CASSETTE PROGRAM IS
AVAILABLE DESIGNED TO PROVIDE. DAILY
R.EJNFORCEMENT AND SUPPORT fllOM THI.
STRESS Of TINNITUS WITHOUT COMPLEX
INSTRUMENTATION&. VALUABLE OffiCE TIME
The program consists of one cassette tape of Metronome
Conditioned Relaxation and two additional tapes of unique
masking sounds which have demonstrated substantial benefit
\ whenever the patient feels the
need of additional relief. These
9
9
5 recordings can be used to induce
$ 5
111
1\andl\1\'l sleeping or as a soothing back
drop for activity and can be played
on a portable cassette player.
All ORDERS MUST BE ACCOMPANIED
CENT
BY CHECK, VISA, MASTERCARD,
DR INSTITUTIONAL P.O.
6796 MARKET ST., UPPER DARBY, PA 19082
Phone (215) 352-0600
Tinnitus Today/December 1994 15
Media Watch: Tinnitus in the News
by Cliff Collins, Oregon freelance writer. Please
send clips, noting source and date to ATA, Media
Watch, PO Box 5, Portland, OR 97207-0005
The people are fighting back. They can't take
it anymore.
No, I'm not referring here to politicians, taxes
or TV violence. It is noise, neighborhood noise,
what unfortunately has become garden-variety
noise. Yes, the noise emanating from yards and
gardens. Not yours, maybe, but your neighbor's,
and theirs, and on and on.
The explosive growth of metropolitan areas,
coupled with easily available high-decibel ma-
chines -- mowers, leaf blowers, chain saws, weed
eaters, the list goes on -- equals endless noise. And
increasingly, folks are getting fed up with not hav-
ing a moment of peace, even in their own homes
and yards.
As a result, there is a grass-roots (a perfect
phrase) movement afoot to clamp down on all the
clatter. Time magazine (July 4), in "The Backyard
Besieged," reports that small rebellions are fomenting
all over the country. In Takoma Park, MD, Citizens
Against Lawn Mower Madness is fightino to con-
. e
vmce people to use push mowers, electric mowers or
alternatives to plain grass, such as ground covers that
require little water and no mowing.
Tinnitus Today reader Paul F. Caruso of New
York state sends word that his neck of the woods is
at a regionwide approach to controlling yard
nmse. An article he enclosed from his local paper lists
nearby cities that have enacted starutes to restrict
mowers. leaf blowers and other loud equipment to
certain hours and days. Political leaders quoted ex-
pressed hope that regulations will send a message to
manufacturers to tone down the sound in their ma-
chines. Caruso also notes with irony that on the same
page as the article "appeared an advertisement for a
super hearing aid costing $29.95."
Staten Island, NY, residents, fed up over a lot
of things these days, are attacking unwanted
sounds. The Staten Island Sunday Advance ran a
piece about islanders taking a stand against
nmse. The Staten Island Tinnitus Society has made
noise pollution a priority, the story says.
16 Tinnittl$ Today/December 1994
Finally, New York Times columnist Russell
Baker weighed in on boom boxes and the concur-
rent decline of the American teen-ager.
Ringing out the old year:
Syndicated columnist Paul G. Donohue,
M.D., who regularly fearures questions and an-
swers on tinnitus, did so again in August. He cor-
rectly predicts that "untold wealth and honors await
the person who devises a cure for tinnitus," which
he adds, can be "a maddening distraction." He
recommends the first thing a doctor should look for
in hearing-impaired patients complaining of tinni-
tus is a wax buildup in the ear canal. "It is the
simplest, most easily corrected cause, yet it is
widely ignored, " Donohue writes.
Muscle maven Joe Weider's Muscle & Fitness
magazine apparently wrote of tinnitus and men-
tioned the A TA in its September issue. A reader
saw the article. "It would be nice to know about the
cause of this vexation," she wrote the AT A, though
she did not include the article.
Dwight Jaynes, a sports columnist in The Ore-
gonian in Portland, writing about the tendency of
sports teams to jack up the volume purposely, said,
"A lot of franchises in all sports seem to be sub-
scribing to the theory that the louder the event, the
more fun everyone is having." He ridicules the
inanity of electronic scoreboards urging fans to
"make noise," and the predictable response it gen-
erates from the crowd. He adds that it would be
great if just once the crowd remained silent after
such prompting, to underscore that they are not
really sheep.
Musician magazine (issue uncertain) says the
heavy metal band Motley Crue has deigned to "sell"
earplugs to fans attending its concerts. "Most of our
stage and security staff use hearing protection," a
band member is quoted as saying. "In the light of
that, we think it's only fair to offer the same to
fans." We are supposed to be grateful for this? I
guess, but would it ever occur to them to tum down
their music? Nab.
The Seasons' best to you. May yours be quiet
and bright.
Questions & Answers
By JackA. Vernon, Ph.D . Director, OregonHear-
ing Research Laboratory, 3515 SW Veterans Hos-
pital Road, Portland, OR 97201.
Q. Mr. H. from Indiana says that Xanax makes
him very "slow: He likes the reduced tinnitus but
does not adapt well to the slowness.
A. It is true that a side effect of Xanax is sleepi-
ness. For some tinnitus patients who are having a
problem sleeping, Xanax can be something of a
double blessing. However, if Xanax makes you
drowsy or "slow" during the day, that is not desir-
able, and special precautions must be exercised
when operating machinery or driving. Usually, side
effects gradually habituate over time, and most
likely the slowness will disappear. If the problem
is severe, I would suggest cutting back on the
Xanax dose taken in the morning and at noon. The
half-life of Xanax is not great, and for that reason
one needs to take it spread out over time. However,
once the tinnitus has been reduced for, say, two
weeks or so, you might start reducing the daytime
doses. For example, if you are taking 0.5 mg three
times a day you might try taking 0.25 mg in the
morning and at noon and 0.5 mg at evening. If that
reduced dose keeps the tinnitus in check, then
reduce again by taking 0.25 mg in the morning,
none at noon and 0.5 mg in the evening. If that still
keeps the tinnitus in check then start taking 0.5 mg
in the evenings only-- and so on, until you fmd the
minimum dose that still gives relief. We have one
patient who now takes 0.5 mg once every three days
and finds that she hardly ever hears her tinnitus.
There are some patients who find that when Xanax
bas completely eliminated their tinnitus they can
gradually taper off the Xanax and yet sustain the
absence of the tinnitus. We have not studied this
aspect of the treatment but it does appear that for
some patients, once the cycle of the tinnitus has
been broken for a sufficient period, it is very slow
to return.
Q. Mr. R. in California indicates that his tinnitus
was initiated by an assault of electronic sound (I
imagine that means excessively amplified music),
and he goes on to say, " ... any electronic sound at
any volume, even barely audible, will raise my
head sound and my hyperacusis. Am I permanently
imprinted?"
A. Unfortunately, we have heard almost exactly
the same story from far too many patients. More
unfortunately, it could have been so easily avoided
by simply leaving the scene of the crime. Yes, I
most surely do feel it is a crime to inflict exces-
sively loud music upon the human ear. You may be
interested to know that recently in Elgin, IL, an
ordinance was passed making it unlawful to play
the car radio loud enough to be heard at a distance
of 75 feet. That ordinance was the result of the
efforts of a Neighbor Watch Group. We need more
of this sort of public involvement.
Mr. R., I don't think you have been perma-
nently imprinted. I think that retraining the loud-
ness tolerance of your ears will be the answer for
the hyperacusis. Once the hyperacusis is under
control, it will then be possible to determine
whether or not masking can relieve your tinnitus.
Most patients we see with both tinnitus and hyper-
acusis rank the hyperacusis as being the worse of
the two. We know we are making progress with the
hyperacusis when the patient starts complaining
about their tinnitus. Retraining loudness tolerance
is achieved by exposure to low levels of pink noise.
What is pink noise? White noise is a spread of noise
containing all the frequencies from 20Hz to 20,000
Hz. Pink noise is a spread of noise with the high
frequencies curtailed. Pink noise goes from 100Hz
through 6000Hz. Most of our
environmental sounds con-
tain very little of the high fre-
quency sounds. It is likely
that environmental sounds
are pretty much limited lo
4000 Hz and below. If one
measures the loudness toler-
ance of the hyperacusis, it is
inversely related to pitch --
the higher the pitch of the
sound the less the loudness
tolerance. Thus retraining
loudness tolerance with
white noise, (which was my
Tinnitus Today/December 1994 17
Questions & Answers (continued)
first attempt in this area) was retraining for many
frequencies that would never be used. At the sug-
gestion of a hyperacusis patient, we initiated a
retraining program with pink noise.
If you, Mr. R., are interested in this retraining
program, let me know, and we will send you a
cassette tape recording of pink noise along with
details of how to proceed.
Q. Ms. C. from California presents a very inter-
estmg situation. She says, "I was diagnosed with an
acoustic tumor but elected not to be operated upon
but to wait and see. I have been followed by MRI
and the tumor is now 1 112 em, and I have lost the
hearing in that ear. When the time comes, which of
the following removal techniques is best: stereotac-
tic, radiosurgery, gamma knife, photon, etc?"
A. Acoustic tumors are slow growing affairs so T
understand your waiting. I am, however, totally
unqualified to answer your question and would
suggest that the most qualified person to provide
the answer is the surgeon who is going to do the
operation. Allow him or her to pick the technique
with which they have had the most experience and
with which they feel most comfortable.
You say you have lost the hearing in the
affected ear. If the hearing on that side is impaired and
remains that way after the tumor removal, you may
find that a properly fitted hearing aid could be of great
benefit. If the hearing is really totally gone, you may
derive benefit from A CROS hearing aid. It would
allow the sound arriving on the affected side to be
piped over to the good ear so that you could hear things
coming from both sides. Therefore, you wouldn't
have to place people on your "good side." I am told
that if the ear to which the signals are routed also has
some hearing loss, the system works better. For addi-
tional and more professional information about
CROS hearing aids, I would recommend contacting
Mr. Sam Hopmeier in St. Louis, (314) 716-3344.
Q. Mr. S. from Washington State reports that he
purchased a tinnitus masker at the same time he
purchased a hearing aid and that the hearing aid
seems to do a better job of masking than does the
masker. He asks if this is possible.
18 Tinnitus Today/December 1994
A. For some patients all that is needed to mask
tinnitus is properly fitted hearing aids. If one has a
low frequency, or flat hearing loss and low fre-
quency tinnitus, it is possible to easily mask the
tinnitus with environmental sounds, and the hear-
ing aid makes it possible to hear those sounds.
I reviewed 592 tinnitus patients from our Tinni-
tus Clinic for whom masking, in some form, worked;
for 16% of those patients, only hearing aids were
needed to completely mask their tinnitus; for 21%,
tinnitus maskers were required; and, for 63%, the
combination unit was necessary. Thus you see the
hearing aid alone can effect masking in some cases,
and you, Mr. S., are one of those fortunate few.
In the not too distant past, we saw 192 patients
with hearing loss and tinnitus all of whom had been
told by different hearing aid dispensers that all they
needed to relieve their tinnitus was hearing aids.
Upon testing these patients, we found that 14 patients
(7%) could have their tinnitus relieved with hearing
aids; 24 patients (12%) required tinnitus maskers; and
77 (40%) required tinnitus instruments (the combina-
tion unit). By testing these patients with all three fonns
of masking devices, we were able to relieve 115 of
192 patients (59.9%). Whereas, if only hearing aids
had been used, the success rate would have been 7%.
There were 47 patients (24%) for whom no form of
masking worked, and the remaining 30 patients were
referred to other specialists.
Q. Mr. N. of New York indicates that he is in need
of dental work but fears that the sound of drilling
to effect the tooth reduction required for a crown
will exacerbate his tinnitus. He asks if there is any
way to desensitize the ears or to control the noise
so as to prevent exacerbation of tinnitus.
A. The only answer I know is to have the dentist drill
in short spurts and in, that way, minimize the noise
over time. As you say, the teeth are in contact with
bone and, therefore, the bone conduction of the sound
would defeat any usual form of ear protection. You
might discuss this problem with your dentist to see if
he or she knows of quieter drills or alternative proce-
dures. You pose a serious problem, and I wish we had
a better answer to offer you.
The ''Odd Couple'' Reunites to Benefit A TA
Tony Randall, an Honorary Director of A TA,
and his former Odd Couple co-star Jack Klugman,
joined together recently at a benefit reception for
AT A. The event, held at the San Diego Marriott
Hotel and Marina on September 19, 1994, raised
over $5,000. It was attended by a number of won-
derful ATA supporters, as well as ATA Executive
Director Gloria Reich and husband, Ted and sev-
eral A TA medical and scientific advisors. Good
food, wine and comradery were enjoyed by all.
Jack & Tony with Allan & Ramona Pacela
Bob Sandlin, Jack, Barbara Goldstein, Abe Shulman, Tony
Following a presentation by Tony, A TA
members Allan and Ramona Pacela of La Habra
Heights, California stepped forward with a check
for $1,000 for tinnitus research as a lead gift to-
Jack & Tony with Gerald & Wanda Shannon
wards ATA's $5 million research fund campaign.
Their generosity is greatly appreciated. Special
thanks also goes to ATA member Bob Boerner of
Encinitas, California who was the primary sponsor
Jack & Tony with Gloria Reich and Brent Mower
of the evening and to AT A supporters John E.
Meehan, Lawrence Happ, Sr.; Gerald and Wanda
Shannon; and Mr. and Mrs. Pacela who also helped
underwrite the reception. The event could not have
happened without their gracious and generous as-
sistance.
Equally important, we sincerely thank Tony
and Jack for volunteering to appear at the reception
and for giving of their valuable time and talents in
support of AT A's research efforts and goals.
Tinnitus Today/December 1994 19
The International Hearing Society
Annual Convention: 8/31-9/3/94, Nashville
by Patricia Daggett, Executive Assistant
One of the most impressive elements of the
International Hearing Society annual meeting was
the increased number of international participants.
This society successfully expanded its horizons
several years ago when it changed its name from
the National Hearing Aid Society to International
Hearing Society.
Once again, my husband, Walt Daggett, and I
represented the A TA, distributing information and
answering questions about the association's serv-
ices, from our booth in the exhibit hall. Many
members of AT A's professional referral network,
most of whom we see every year at this event,
stopped by to say hello and renew acquaintances.
It's also most interesting to have this opportu-
nity to talk with the other exhibitors and learn about
the hearing health care products they are promot-
mg.
One morning we managed to get our bodies in
gear at 6 a.m. in order to participate in The Better
Hearing Institute "Fun Run" through The Opryland
Theme Park. Kathy Buckley, comedienne, joined
us in our effort and provided a good many light-
hearted comments to keep us moving!
We also took time to meet with state directors
of The National Voluntary Health Agencies of
Tennessee and Ohio to determine how we can assist
them with this year's Combined Federal Cam-
paign. In these and many other states, AT A volun-
teers have been attending health fairs at military
installations and federal facilities. Little by little,
we're getting the word out about tinnitus. Thank
you volunteers!!
Cutoff Date for Receiving
Tinnitus Today
The 15th of the month previous to publication
is the last day we can receive your dues renewal and
assure you will receive the next issue. Example: If
your donation arrives after November 15, you will
miss the December issue. The first issue you would
receive is March.
20 Tinnitus Today/December t994
I.IA
12t
....
121
Wall & Pal Daggett, Dave & Marylou Luebbe-Gearhart
A SPECIAL THANK YOU, Federal Em-
ployees and Members of the Military, for
your generous contributions through the
Combined Federal Campaign. Your sup-
port has helped millions of tinnitus sufferers
find relief and has spurred research for bet-
ter treatment and an eventual cure.
NATIONAL \OOJNTARY
HEAL1H AGENCIES
CFC#OS14
AT A's Largest Gift In Its History
Robert M. and Eileen R. Barindt, long-time
members of the American Tinnitus Association,
died together on June 28, 1993, and left their estate
to ATA. Their bequest, in excess of $600,000, will
be used to create the Robert Martin and Eileen Ruth
Barindt Memorial Fund for tinnitus research. It
represents the largest single gift ever made to AT A.
The Barindts were a quiet, loving couple from
Chesterland, Ohio outside of Cleveland, who came
from modest beginnings and worked hard to create
comfortable and happy lives. They were loved by
their community and were very proud of their
achievements. Because they wanted their achieve-
ments to continue to benefit others, the Barindts left
this legacy.
The ATA is saddened by the loss of Mr. and
Mrs. Barindt and send our prayers and thanks for
their remembering the organization and its impor-
tant work in such a profound way. Their wishes to
improve the lives of others who have tinnitus will
surely come true.
Eileen and Robert Barindt
YOUR
CAN
us
BEQUEST
HELP
GROW
Did you know that you can make a mean-
ingful, lasting contribution to further the work
of the American Tinnitus Association?
Your bequest will enable us to continue
our efforts to find a cure for tinnitus, to end
the distress and disruption tinnitus causes in
so many lives, and to educate others about the
effects of tinnitus and some of the ways to
prevent it.
Support in your lifetime means a great
deal to ATA. You may wish to continue this
support by including a bequest in your will for
a specific dollar amount, a fixed percentage of
your estate, or for the balance of your estate
after other beneficiaries have been provided
for.
The American Tinnitus Association Be-
quest Program outlines specific ways to in-
clude ATA in your will, as welJ as tax
information concerning your charitable gift.
For further information, contact: Brent
Mower at ATA.(503) 248-9985 ext. 18
Tinnitus Today/December 1994 21
Tributes, Sponsors, Special Donors
Champions of Silence are a select group of donors demonstrating their commitment in the fight against tinnitus
by making annual contributions of $500 or more. Sponsors and Associates contribute at the $100 and above level.
The ATA tribute fund is designated 100% for research. We send our thanks to all those people listed below for
sharing memorable occasions in this helpful way. Contributions are tax deductible and are promptly acknow-
ledged with an appropriate card. The gift amount is never disclosed. GIFTS FROM 4-27-94 TO 10-1-94
CHAMPIONS OF SILENCE Trudy Drucker Lawrence E. Happ Sr. Gino Tozzi
Robert and Eileen Barindt Rosalie & Jim Traver James/Colleen Hartel John P. Waade
Ronald Berger Mary & Patrick Tully Jean E. Havens Lawrence S. Weiss M.D.
Bryan G. Blevins Augusto Gonsalves JohnS. Heighway M.D. Gary White
Robert H. Boerner Norma Gonsalves/Mervyn's John E. Held Marilyn K. Zion
Thomas W. Buchholtz, M.D. Jack & Jeannie Harary-Anni- Dan R. Hocks RESEARCH SPONSORS
Bob Cannon versary Christopher V. Houghton Lydia G. Chan
Trudy Drucker Robert & Deborah Harary Gerald H. Houston Glen R. Cuccinello
Sukey Garcetti Or. Eric Holender-Graduation Shirma M. Huizenga Michael D. Deakin
Mr./Mrs. Ronald K. Granger Francine & Ray Holender Jesse Hunter Joyce Turberg Fabricant
Edmund J. Grossberg Joyce E Koehler-Birthday Nils P. Jensen Augusto Gonsalves
James C. Hansberger Joseph G Alam/Trudy Drucker George C. Juilfs Robert N. Lando
Elizabeth K. O'Halloran Mr & Mrs Charles Locking Suzanne T. Karpas Arno Michlowitz
John E. Meehan Bill Haskin Howard R. Katz Patrick O'Toole
Mr./Mrs. Steven Moksnes Minnie Schechter Dr. Khairy A. Kawi Dr. Allen F. Pacela
Dr. Allan Pacela Herman J Schechter E. Joseph Kubat Florence S. Reich
Anne E. Revere Allyn St Lifer & Irvin Kooris- L. P. Leale David J. Sand M.D.
N. Schaefer Wedding, Ruth Kramer Donald Lemmons PROFESSIONAL ASSOCIATES
Marion H. Schenk Jack A Vernon Ph.D. Frances L. Lerch Audiology SeNices
James L. Schiller Betty Webber Dr. Herbert A. Levin Audiol. Conslls. S. Alberta
Wanda M. Shannon Starkey Canada Stephen W. Lewis Bay Hrg. Aid Ctr.
Ron Spagnardi Marjorie J Youngen Dionisio T. Libl M.D. Better Hearing Ctr.
Jerry R. Thompkins J. Richard Youngen Jr Warren S. Line Jr. M.D. Bruce Bloom M.D.
William R. Wenerick SPONSOR MEMBERS Vince Majerus Chris B. Foster M.D.
IN MEMORY OF Joseph M. Baria Alex G. Margevicius Anne C. Galloway MS/CCC
Joe Bachmayer Louise Bartholomew Dr. Mary B. Meikle Norman Goldstein M.D.
Laverne Bachmayer David C. Bay Robert J. Mermuys Robert R. Harmon
Charlotte Goodman Michael M. Bigos Kenneth J. Meyer Henry T. Kleiner, M.D.
Maxine Bryant Bryan G. Blevins Patrick Michael Jr. Artine Kokshanian
Rosalie S. Eisenkramer Robert W. Booth Sara B. Neal Zoe Lambert
Selma B. Golden Alain G. Boughton Jeff L Norris Dianne Lank
Eloise Levand Ronald R. Bowden Doreen D. Parsons Les Leale
Jane A. Packman Charles T. Brown Curtis Pascarella Howard W. Matheson, BC-HIS
Pearl G. Rosen Carl H. Carlson Bobby R. Payne Gale W. Miller, M.D.
Lester Silbernagel Carolyn J. Carr Roger J. Peters Mississauga Hrg. Aid Ctr.
John E Greve Henry B. K. Chong Ruth M. Philpott Dennis Moore M.D.
Jim & Joanne Cooper Gardner C. Cole Gerald L. Rausa Carl Nechtman M.D.
Sarah Holender George Crandall Jr. Patricia R. Reuter Robert I. Oberhand M.D.
Francine & Ray Foster Ronald H. Dailey Jerome A. Rich William Lee Parker, Ph.D.
George M Rao Pierre David Ludie G. Richard Professional Hrg. SeN.
Mary Ann & Wllliam Mayer D. E. Dawson M.D. J. Thomas Roland Jr. M.D. Regina Hrg. Svcs. Inc.
Jack Reich & Sherman Family Joseph Decker David J. Sand M.D Richmond Hrg. Cnslts.
Florence S.Reich Jeffrey J. Derossette Alan L. Scharff Max L. Ranis M.D.
John G Vieira Eva A. Dimitrov M.D. Donna Scheckla Salmon Arm Hrg. Aid Cl.
Mary & Neves Charamuga Carolyn M. Domingus Marion H. Schenk David J. Sand
Mary & Joe Cunha Nancy W. Doyle Martin F. Schmidt Starkey Labs-Canada Ltd.
John & Eddi Santos H. Renwick Dunlap Robert M. Senyk James T. Yates Ph.D.
Grace E Shaw Donald F. Enright Marlene K. Shaw MATCHING GIFTS
Ann & Mario Silva James J. Fischer Ann Spencer Simon You might be able to double or triple the
MariaO Silva Mary A. Floyd Raymond/Sylvia Smith size of your gilt to the American Tinni
IN HONOR OF Alfred Frumkin Joseph Souto tus Association by taking advan-
Adele B Alam-Birthday Alen M. Fuller M.D. Richard V. Sowa tage of your employers Matching Gilt
Joseph G Alam/Trudy Drucker Stephen Gazzera Jr Connie Stanton Program. Many companies have
Joseph G Alam-Birthday Richard L. Goode James J. Steponik matched contributions to ATA. We urge
Nicholas Naif Basile- Marlene Greenebaum Robert Gerard Sullivan you to ask if your employer will match
Christening Irene R. Guilbert Doris D./Robert Tallman your gift. Or call AT A for the names of
Joseph G Alam/Trudy Drucker Paul R. Haas William E. Terry companies that match contributions.
22 Tinnitus Today/December 1994
Fifth International Tinnitus Seminar
Next Year in Portland, Oregon
Fifth quadrennial meeting, July 12-15, 1995,Port-
land Marriott Hotel, Portland, Oregon, USA. Spon-
sored by the American Tinnitus Association.
The Fifth International Tinnitus Seminar
brings you the best in the field of tinnitus- the most
distinguished speakers, the most provocative ad-
dresses and panels, and the latest in research find-
ings. This meeting is the preeminent quadrennial
event for all scientific investigators, because we
offer a carefully crafted program that transcends
the boundaries of specialties and explores tinnitus
from a variety of perspectives.
The 1995 Tinnitus Seminar features cutting
edue research while at the same time integrating
findings to clinical treatments. Diverse
poster presentations highlight specific research
questions and findings, all in a format allows
the audience time to absorb, react, and d1scuss the
data one-on-one with individual presenters.
In addition to the impressive scientific pro-
gram, the Fifth International Tinnitus Semi-
nar offers exhibits featuring the latest
equipment, publications, and services,
and opportunities to network with col-
leagues at social events. Another key at-
traction is the satellite meeting of the
International Tinnitus Support Associa-
tions; the self-help group leaders work-
shop; and the special session devoted to
legal issues related to tinnitus.
Don't forget the lure of the Pacific N01thwest
itself. Portland has a splendid array of museums,
monuments, restaurants, theaters, and most of all its
surrounding natural attractions; the Columbia River
Gorge, Mt. St. Helens, now 14 years past her great
emption; the Pacific coast; Mt. Hood, where you can
probably ski in July; the high desert country ofEaster?
Oregon; gateway to Alaska cmising or
ente1tainments. These are just a few of the specral
attractions you can enjoy with your entire family.
Registration forms and hotel information
be mailed automatically to those people presentmg
papers or posters or they may also be requested by
callinu the ATA office after January 1, 1995. (Tel:
(503)
0
248-9985, Fax: (503) 248-0024), E-Mail:
reichg @ ohsu.edu OR gloria @ ata.org
The most important component of the Fifth
International Tinnitus Seminar is the participation
of those involved in tinnitus research. New compo-
nents for 1995, featuring legal issues and self-help
have been included by popular demand. The Inter-
national Tinnitus Advisory Committee is con-
stantly looking to improve the quadrennial
by incorporating your ideas, recommendatrons,
and submissions. For more information on pro-
grammatic issues, or to seek advice on your sub-
mission, please contact Jack A. Vernon, P?.D.,
Co-Chairman, at (503) 494-8032, or Glona E.
Reich, Ph.D., Co-Chairman, at (503)248-9985.
See you in Portland in 1995!
Yes! I'm looking forward to beingpartofthe
Fifth International Tinnitus Seminar. Please send
me the following information.
D 1 am an investigator and wish to present a paper
about my tinnitus studies. Please send specific in-
structions for proposal preparation.
D I am a Self-Help Group leader or member and
would like to attend the session about tinnitus sup-
port. Please send me information about how to en-
rol l in the Self-Help workshop.
D 1 am a lawyer representing clients with tinnitus.
I'm interested in attending the Legal Aspects of Tinni-
tus presentations. Please send me information.
D I'm an ATA member who would like to register for
the entire Tinnitus Seminar, attend all the meetings
and ancillary activities, but I will not be presenting a
scientific paper.
Name __________________________ ___
Affiliation -------------------------
Street Address --------------------
City/State/Zip---------------
Phone (with area code) ----------------
Tinnitus Today/December 1994 23
FIFTH INTERNATIONAL TINNITUS SEMINAR
JULY 12-15,1995
PORTLAND, OREGON,USA
AMERICAN TINNITUS ASSOCIATION
P.O. BOX 5, PORTLAND, OR 97207-0005
FORWARD AND ADDRESS CORRECTION

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