Professional Documents
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Tinnitus Today
THE JOURNAL OF THE AMERICAN TINNITUS ASSOCIATION
"To promote relief, prevention, and the eventual cure of tinnitus for
the benefit of present and future generations"
Education -
Since 1971
Advocacy - Research -
In This Issue:
Masking in the Millennium
Tinnitus Research Consortium
Acoustic Neuroma: A Success Story
Filing a Successful Tinnitus VA Claim
Curing Tinnitus with a New Pair of Genes
Support
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MitigAtiontM
Tinnitus Tod~y
Editorial and Advertising offices: American Tinnitus Association, P.O. Box 5, Portland, OR97207 503/248-9985, 800/634-8978 tinnitus@ata.org, www.ata.org
Editorial and Advertising offices: American
Tinnitus Association, P.O. Box 5, Portland, OR
97207 , 503/ 248-9985, 800/ 634-8978,
tinnitus@ata.org, http: / / www.ata.org
Executive Directo r: Cheryl McGinnis, M.B.A.
Editor: Barbara Thbachnick Sanders
Tinnitus Tbday is published quarterly in March ,
June, September, and December. It is mailed to
American Tinnitus Association donors and a
selected list of tinnitus patients and professionals who treat tinnitus. Circulation is rotated to
80,000 annua lly .
The Publisher reserves the right to reject or
edit any manuscript received for publication
and to reject any advertising deemed unsuitable for Tinnitus Tbday. Acceptance of advertising by Tinnitus Tbday does not constitute
endorsement of the advertiser, its products or
services, nor does Tinnitus Tbday make any
claims or guarantees as to th e accuracy or
validity of the advertiser's offer. The opinions
expressed by contributors to Tinnitus Tbday are
not necessarily those of th e Publisher, editors,
staff, or advertisers. American Tinnitus
Association is a non-profit h uman h ealth and
welfare agency under 26 USC 501 (c)(3).
" 2000 American Tinnitus Association.
No part of this publication may be reproduced,
stored in a retrieval system, or transmitted in
any form , or by any mean s, without th e p rior
written permission of th e Publisher. ISSN:
0897-6368 (print), ISSN: 1530-6569 (online)
Executive Director
Cheryl McGinnis, M.B.A., Portland, OR
Board of Directors
Stephen Nagler, M.D ., Atlanta, GA, Chairman
Joel Alexander, Park Ridge, NJ
Dhyan Cassie, M.A., CCC-A, Medford , NJ
James 0. Chinnis, Jr., Ph.D., Manassas, VA
Gary P. Jacobson, Ph.D ., Detroit, MI
Sidney Kleinman , Chicago, IL
Paul Meade, Tigard, OR
Kathy Peck, San Francisco, CA
Dan Pmjes, New York, NY
Susan Seidel, M.A. , CCC-A, Thwson, MD
Tim Sotos, Lenexa, KS
Richard S. 1Yler, Ph.D., Iowa City, IA
Jack. A. Vernon, Ph.D ., Portlan d, OR
Honorary Directors
The Honorable Mark 0. Hatfield, U.S. Senate,
Retired
Thny Randall, New York, NY
William Shatner, Los Angeles, CA
Scientific Advisors
Ronald G. Amedee, M.D., New Orleans, LA
Robert E. Brummett, Ph .D. , Portland, OR
Jack D. Clemis, M.D., Chicago, IL
Robert A. Dobie, M.D., Bethesda, MD
John R. Emmett, M.D., Mem phis, TN
Barbara Goldstein, Ph. D., New York, NY
John W House, M.D., Los Angeles, CA
Gary P. J acobson, Ph.D., Detroit, MI
Pawel J. Jastreboff, Ph.D., Atlanta, GA
William H . Martin, Ph.D., Portland, OR
Douglas E. Mattox, M.D ., Atla nta, GA
Mary B. Meikle, Ph.D., Portland, OR
J. Gail Neely, M.D. , St. Louis, MO
Gloria E. Reich, Ph.D., Portland, OR
Robert E. Sandlin, Ph.D., El Cajon, CA
Alexander J. Schleuning, II, M.D., Portland, OR
Michael D. Seidman, M.D.,
West Bloomfield, MI
Abraham Sh ulman, M.D ., Brooklyn, NY
Mansfield Smith, M.D., San Jose, CA
Robert Sweetow, Ph.D., San Francisco, CA
RichardS. 1Yler, Ph.D., Iowa City, !A
Table of Contents
8
9
10
12
14
15
16
18
20
21
22
Regular Features
From the Executive Director
by Cheryl McGinnis, M.B.A.
5 From the Editor
Curing Tinnitus with a New Pair of Genes
by Barbara Thbachnick Sanders
6 Letters to the Editor
23 Questions and Answers
by Jack A. Vernon, Ph.D.
25 Special Donors and Tributes
4
The Publisher reserves the right to reject or edit any manuscript received for publication
and to reject any advertising deemed unsuitable for Tinnitus Tbday. Acceptance of
advertising by Tinnitus Tbday does not constitute endorsement of the advertiser, its
products or services, nor does Tinnitus Tbday make any claims or guarantees as to the
accuracy or validity of the advertiser's offer. The opinions expressed by contnbutors to
Tinnitus Tbday are not necessarily those of the Publisher, editors, staff, or advertisers.
Resource:
www.ornl.gov /ThchResources/H uman_ Genome/ home.html
Masking
Ill
the patient: While waiting for somebody to develop an actual cure, please do not deny yourself
the significant benefits of tinnitus treatments that
(continued)
Masking
(continued)
relief after one year for ten out of 12 ears studied. The researchers, however, began the study
with 71 ears and have not yet explained this "loss
of ears" discrepancy in their report. Additionally,
all of the subjects in the study took Xanax for 30
to 60 days after the surgery. (Xanax is an antianxiety medication already known to reduce tinnitus loudness levels.) Some patients were given
antidepressants in addition to Xanax following
surgery if their emotional states warranted it.
The introduction of these drugs, plus the absence
of a "control" in the study (where some patients
would have been given inactive drugs to test for
the placebo effect), make it difficult to assess the
true value of the new lidocaine claims.
Lidocaine is still a fascinating medicine.
Something about it affects the chemistry in the
brain and causes a brief interference with tinnitus perception for some people. This new lidocaine research, however incomplete it might be,
could well spark new research interest in this old
tinnitus drug. 1B1
Help Network
by Rachel Wray, ATA Director of Support
In nearly every issue of Tinnitus Tbday, we
pay tribute to our generous self-help group facilitators - those compassionate souls who are on
the front lines of tinnitus support and resources.
In addition to our over 50 self-help group facilitators the American Tinnitus Association is also
ble;sed to have over 125 Help Network volunteers
- people who write letters and e-mails and talk
on the phone to tinnitus patients worldwide.
If you haven't accessed the Help Network yet,
now's your chance. Listings are available by calling the American Tinnitus Association at 800-6348978. Soon you'll be able to search for volunteers
near you on our newly designed Web site. Pick up
the phone and learn from people who have found
ways to manage their tinnitus, or try e-mail. More
and more of our volunteers are reachable on-line.
And if you're looking for a volunteer opportunity, we're accepting applications from ATA
members who want to share their tinnitus management ideas with others. We especially need
volunteers in the northern Rockies - Montana,
Wyoming, Idaho, and Alaska-and in New
England - Rhode Island and Vermont. 19
American Tinnitus Association
RESEARCH UPDATE
Towards the Cure
by Patricia Daggett
ATA Director of Research
With the advancement of
Cheryl McGinnis to the
directorship of the ATA,
I am pleased to assume
the responsibility of coordinating the grant proposal
process. I am ably supported
by the efforts of the
Scientific Advisory Committee, consisting of 22
extremely qualified hearing healthcare clinicians and researchers. Three projects, which are
described below, were approved at ATA's March
2000 Board meeting. A total of $170,250 has
been distributed in support of these studies.
New grant proposals received by August 1
will be evaluated by the Scientific Advisory
Committee in preparation for recommendations
to be made at the November 2000 Board
Meeting.
(continued)
10
Tinnitus Today
Readership
Surveys
(continued)
11
Lessons Learned
Filing a Succe
by An ATA member
This article discusses my successful approval
for service-connected disability compensation for
tinnitus in the absence of military medical treatment records. The approval was granted under a
June 1999 loosened VA evaluation criteria. The
VA term is "Presumptive Service Connection."
The injury incurred as the result of my exposure
to sudden, high traumatic noise levels of artillery
fire in military operations over 20 years ago.
Below are my insights and presentation tips to
assist others in the process.
Hearing Loss?
Resource Development
14
0
0
0
Name
Address
ciw ________________________________
State ________ Zip __________________
Phone _______________________________
15
The Tinnitus Research Consortium appreciates the contributions to this research by the
University of Iowa, the University of California
San Diego, the Massachusetts Eye and Ear
Infirmary, The University of Michigan and Wayne
State University and commends their outstanding
efforts to advance knowledge on tinnitus. Ill
Dr Snow is Convener/Correspondent for the
Tinnitus Research Consortium, and the Former
Director of the National Institute on Deafness and
Other Communication Disorders, an institute of the
National Institutes of Health.
Free
Tinnitus
Public Forum
Washington, D.C.
The American Tinnitus Association's
free Tinnitus Public Forum series continues
Monday, September 25, 2000, from 7:00 to
9:00p.m., at:
ASAE Conference Center
1575 "I" Street NW
McPherson Square METRO
Washington, D.C.
Our guest speakers will be Robert Dobie,
M.D., from the National Institutes of Health,
Barbara Goldstein, Ph.D., from the Martha
Entenmmann Tinnitus Research Center, and
Stephen Nagler, M.D., from the Alliance
Tinnitus and Hearing Center.
The forum will include presentations on
tinnitus research, clinical treatments, and
the future of ATA, followed by a question
and answer session with the audience. Don't
miss this special opportunity to learn more
about tinnitus from the nation's top
researchers and clinicians.
Please RSVP to the ATA at 800-634-8978,
ext. 211. H
17
18
Acoustic Neuroma
Facts
Acoustic neuromas are very rare: two to three
thousand new cases are diagnosed in this country
each year-or about one per 100,000 Americans.
Though one-sided tinnitus is a symptom of this
kind of tumor, the two do not go hand in hand.
"The majority of unilateral tinnitus is not [caused
by] acoustic tumor," cautions Dr. Alexander
Schleuning, a doctor of otolaryngology and head
and neck surgery at Oregon Health Sciences
University. He continues, "They're very slowgrowing-about a millimeter per year is average
when they're good size," and even slower than
that in the early stages of growth. The size of the
tumor determines the severity of symptoms.
Small: less than 1 centimeter (10 millimeters = 1
em). Symptoms include unilateral tinnitus, hearing loss in one ear, feeling of fullness in the ear,
and balance problems.
Medium: 1.0 - 2.5 em. Hearing loss and balance
problems worsen.
Large: 2.5 - 4.0 em. New symptoms (facial
tingling and numbness, facial pain, disequilibria)
show up.
Giant: greater than 4 em. Vision loss and
persistent headache develop.
19
On Board!
New Chairman of the Board Stephen M. Nagler, M.D.
Our incoming Chairman of the
Board, Stephen M. Nagler, M.D.,
has served as an ATA Board member and Vice Chair since 1998, and
is currently the director of the
Alliance Tinnitus and Hearing Center in Atlanta,
Georgia. We are very grateful to Dr. Nagler for
investing his time in this voluntary role.
Dr. Nagler writes:
"As ATA's new Chairman, my personal thrust
will be to push for increased ATA membership,
for the promotion of more quality and relevant
research, and for developing productive relationships among our sister organizations in other
countries, because even though we are the
American Tinnitus Association, tinnitus is hardly
an American phenomenon. My thrust will also be
to promote advocacy both in the areas of noise
legislation and governmental funding for tinnitusrelated research, and to educate physicians and
audiologists who, with the exception of a refreshing handful, are largely ignorant and insensitive
to the needs of tinnitus patients. I want people
with tinnitus to know that even though today
there are no universal cures for tinnitus, there
are effective treatments for tinnitus."
20
(continued)
American Tinnitus Association
21
NEW
PRODUCTS in
ATXs Catalogue
(continued)
Mr. B. in Wisconsin
asks, "Can tinnitus be
so severe as to cause
the inner ear to hurt and in
turn cause headaches?"
hearing aids are equipped with compression technology that reduces the intensity of accidental
loud sounds which are a common part of our
everyday environment. I congratulate you on the
decision to acquire hearing aids. They will not
only improve the quality of your life but they will
make things nicer for all who are associated
with you.
Mr. W. from Maine has read that tinnitus
is produced by certain brain cells and that
removal of that particular portion of the
brain would cure tinnitus. He asks if any additional investigations been made along these lines.
Q
A
23
(continued)
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