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Medical Forum / Diseases and Disorders / Tinnitus / March 2005

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Dissappointed with TRT

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deut6 - 24 Mar 2005 21:28 GMT
Hi, you have probably beaten this topic to death, but what about TRT?
Has anyone tried it?  Did it help anyone?  Did it make the T worse?
fyfpoon@hotmail.com - 24 Mar 2005 21:43 GMT
I am curious about the answer to this question too.

Some months ago, a TRT expert in alt suggested me to go to his TRT
course for a modest fee.  When I told him what I was suffering, his
response was that as long as I could be taught to 'habituate' the T,
whatever discomfort I was experiencing would have disappeared.
Frankly, I don't see how my T would have gone improved had I not gone
to have my neck needled by an experienced person.  Thus I think TRT is
like getting used to what you are feeling and if you were suffering
then do so in silence!

FP
noname@news.net - 25 Mar 2005 18:55 GMT
I'm not an expert on TRT, T, needles or anything. But I do know that TRT
with a trained audiologist helped me immediately, and within weeks or a
couple of months, my T was no longer a problem. That's the important
point - my awareness of it completely changed, the loud T disappeared, I
have long periods where I'm totally unaware of my T. That is thanks to
TRT and sound therapy. I use white noise CDs at night by my beside.
Initially I used them all day long, on my computer etc.

If you haven't tried TRT, I'd suggest it's unfair to knock it. Maybe you
have and it didn't work for you. If that's the case, I feel for you. But
TRT does _not_  makes everyone's TRT "disappear" completely, or even
help everyone at all. So I'm not sure why the "TRT expert" said that
your T discomfort would disappear. That seems like a very extravagant claim.

I haven't tried needles, so I can't comment. Maybe they'd help me even
more, who knows. But I don't knock needle therapy if it works for you.

I definitely do not feel like I am now "suffering in silence." Quite the
opposite - I am enjoying my life again, can tolerate complete silence
just fine, and do not feel like I'm suffering at all. Naturally I'd
prefer not to have T. But I do, and TRT helped me immensely.

My 0.02 cents.

> I am curious about the answer to this question too.
>
[quoted text clipped - 8 lines]
>
> FP
fyfpoon@hotmail.com - 25 Mar 2005 23:04 GMT
> I'm not an expert on TRT, T, needles or anything. But I do know that TRT
> with a trained audiologist helped me immediately, and within weeks or a
[quoted text clipped - 15 lines]
> I definitely do not feel like I am now "suffering in silence." Quite the
> opposite - I am enjoying my life again, can tolerate complete silence

> just fine, and do not feel like I'm suffering at all. Naturally I'd
> prefer not to have T. But I do, and TRT helped me immensely.
>
> My 0.02 cents.
====================
I have not had TRT and thus would only speculate what it contains.  I
would imagine a good TRT program would encompass a hearing aid by which
sound could be masked.  I was given the impression that a TRT program
means one in which a t patient has to go through all sorts of
psychological councilling to forget the T.  Could you give me a site
where I could take a look at an authentic TRT program?  I was suffering
from a mix of nerve discomfort and t sound.  Though related, these were
two distinctly separate and different entities in my case.

FP
=================
noname@news.net - 26 Mar 2005 05:56 GMT
Here is the official TRT site:
http://www.tinnitus.org/home/frame/THC1.htm   It has lots of helpful
information, including about sound therapy.

I didn't have a lot of counselling, psychological or otherwise. I had
only three sessions altogether. The audiologist gave me material to
read, took some questionnaires, measured my T sound and evaluated my
hearing. Based on my answers, give me some specific advice. (She has T
herself so was very sympathetic.) The counselling wasn't particularly
psychological, but did address the issue of worrying about T and gave
suggestions for relaxation and focusing on other things in life. She
answered some technical/medical questions too, and that was very reassuring.
By the time I saw the audiologist, I had already discovered
sound-masking CDs (white noise basically, I made the CDs myself with a
freeware program and use the CDs by my bedside at night) and my T was
getting better. With the TRT help, it's now very manageable.

As far as I know only in cases of significant hearing loss do people
require hearing aids, and sometimes people are fitted with special white
noise generators in cases of severe T and/or hyperacusis. But again, I'm
not an expert. A good TRT-trained audiologist could likely answer your
questions very quickly.

The audiologist I saw has a patient who lives in the wilderness. She
wasn't able to get to him for quite a while. He was suffering terribly
with T. So she recommended that he go sit by a nearby creek and let the
soothing sound of the water act as sound therapy. Apparently it helped
him tremendously! You might notice that your T is better in the shower,
e.g.  Or when there is a soft fan in the background or soft music.
That's the basic idea of sound therapy.

I hope this helps, Francis.  All I can say is that TRT really helped me.

> ====================
> I have not had TRT and thus would only speculate what it contains.  I
[quoted text clipped - 8 lines]
> FP
> =================
deut6 - 26 Mar 2005 22:10 GMT
ah, i am dissapointed, because i went to an atlanta trained specialist
who charged me $450 for "counselling" that was pretty much what one can
READ FREE on the TRT site.  my T is noise exacerbated and the TRT made
it worse while I participated. (for another $2000) additionally, i hear
30 decibels more than normal....no deafness here.  oh, and i was
charged an extra $85 for the Dr. to look in my ear each time i met with
the audiologist.  have you ever looked in an ear?  you can't see much
with a scope.  i think TRT is ummmmmm, snake oil?  glad to hear it
helped someone.  prior to this, i had never heard of anyone who was
helped.  the T is not gone though, is it?
noname@news.net - 27 Mar 2005 18:51 GMT
Your experience certainly would be disappointing - more than
disappointing, it sounds like a ripoff. Very unfortunate. But that
doesn't make TRT snake oil.
No, my T is not gone. Do you know of any "treatment" that totally
removes T for everyone? Tinnitus no longer plays a central role in my
life, and 90% of the time, I'm not even aware of it. That is thanks to
my own efforts with sound masking and to TRT.
I too have excellent hearing, and my T is exacerbated by noise. But TRT
didn't aggravate my T.
Hope you have better luck with something else.

> ah, i am dissapointed, because i went to an atlanta trained specialist
> who charged me $450 for "counselling" that was pretty much what one can
[quoted text clipped - 6 lines]
> helped someone.  prior to this, i had never heard of anyone who was
> helped.  the T is not gone though, is it?
deut6 - 27 Mar 2005 23:58 GMT
hi, i already did not concentrate on the T most of the time, but the
TRT folks say it cures it.  no one has been cured?

for me, the most annoying thing is hearing too much.  i hear things
other folks do not and they irritate me.  i do not get "used" to noise.
but, since the acupuncture cut my T back, i mostly only notice it while
i am watching TV and when waking up, going to sleep, or after blowing
my nose. i can hear it right now, but the computer is more annoying.
Jim Chinnis - 28 Mar 2005 00:30 GMT
"deut6" <deut6_4_10@yahoo.com> wrote in part:

> the
>TRT folks say it cures it.

The developer of TRT is Pawel Jastreboff. He has published most of
the R&D on TRT. He has never claimed that it cures tinnitus. Some
unscrupulous clinicians have.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG

fyfpoon@hotmail.com - 28 Mar 2005 19:50 GMT
you wrote:"Do you know of any "treatment" that totally removes T for
everyone?
=========
No, but i do know ONE patient who was totally cured.
fyfpoon@hotmail.com - 26 Mar 2005 23:50 GMT
Thanks for the link.  The closest I get to in terms of sound therapy is
the hearing aid that mimics that sound of your t.  The cost is about
US$3000.  According to the doctor, it takes to wear it for about 18
months before the t could be rooted out.

FP
======================
> Here is the official TRT site:
> http://www.tinnitus.org/home/frame/THC1.htm   It has lots of helpful
> information, including about sound therapy.
>
> I didn't have a lot of counselling, psychological or otherwise. I had

> only three sessions altogether. The audiologist gave me material to
> read, took some questionnaires, measured my T sound and evaluated my
> hearing. Based on my answers, give me some specific advice. (She has T
> herself so was very sympathetic.) The counselling wasn't particularly

> psychological, but did address the issue of worrying about T and gave

> suggestions for relaxation and focusing on other things in life. She
> answered some technical/medical questions too, and that was very reassuring.
> By the time I saw the audiologist, I had already discovered
> sound-masking CDs (white noise basically, I made the CDs myself with a
> freeware program and use the CDs by my bedside at night) and my T was

> getting better. With the TRT help, it's now very manageable.
>
[quoted text clipped - 26 lines]
> > FP
> > =================
Murray Grossan - 27 Mar 2005 07:05 GMT
On 3/26/05 2:50 PM, in article
1111877436.831017.303630@l41g2000cwc.googlegroups.com, "fyfpoon@hotmail.com"

> Thanks for the link.  The closest I get to in terms of sound therapy is
> the hearing aid that mimics that sound of your t.  The cost is about
> US$3000.  According to the doctor, it takes to wear it for about 18
> months before the t could be rooted out.

For 20 bucks or less you can have a CD made of your tinnitus sound and use
that as a masker.
Skycloud - 27 Mar 2005 10:42 GMT
> On 3/26/05 2:50 PM, in article
> 1111877436.831017.303630@l41g2000cwc.googlegroups.com, "fyfpoon@hotmail.com"
>
> For 20 bucks or less you can have a CD made of your tinnitus sound and use
> that as a masker.

And if you then chop that same sound up and play it in little bursts it
works even better...

S
Eric J. Scharer - 28 Mar 2005 06:04 GMT
> On 3/26/05 2:50 PM, in article
> 1111877436.831017.303630@l41g2000cwc.googlegroups.com,
[quoted text clipped - 7 lines]
> For 20 bucks or less you can have a CD made of your tinnitus sound and use
> that as a masker.

   Dr. Grossman,

   Can you point me to a link where I can have such a CD made. And how
   do I match my tinnitus sound?

   Thank you.
Murray Grossan - 28 Mar 2005 07:02 GMT
On 3/27/05 9:04 PM, in article 114f42r9m46thc4@corp.supernews.com, "Eric J.
Scharer" <scharer@directcon.net> wrote:

>> On 3/26/05 2:50 PM, in article
>> 1111877436.831017.303630@l41g2000cwc.googlegroups.com,
[quoted text clipped - 14 lines]
>
>   Thank you.

Any audiologist can identify your tinnitus sound. One of the writers here
mentioned a site that provides free ware for this. Or, after you get the t
measured, visit Radio Shack, they usually know someone locally that makes
these CD's.  Any recording studio too.
The CD can be used two ways
1. Simple masking
2. "Nerve enhancement". This is a biofeedback method. You put the cd sound
into the good ear. Relax. Then lower the volume of the CD. Try to match the
lowered volume of the CD from the affected ear. About 20 minutes every other
day. Because your body sees what to do right, some persons can lower their
tinnitus volume this way.
Bart V - 28 Mar 2005 14:09 GMT
>Can you point me to a link where I can have such a CD made. And how
>do I match my tinnitus sound?
    If your computer is a PC (not a Mac) and if your tinnitus
sounds like an audio tone - download the freeware Audio Freq Generator
on this page: http://www.haruteq.com/tin-02.htm.
It's a breeze for matching your tin freq and logically speaking, you
should be able to produce your own CD with it.
Good luck,
Bart.
-
Check my most up to date email address at:
  www.haruteq.com/contact.htm
banjo bridges, tabs, stained glass:
www.haruteq.com

**may your moments of need be met by moments of compassion**

Murray Grossan - 29 Mar 2005 01:28 GMT
On 3/28/05 5:09 AM, in article 424800e8.515021@news.cogeco.ca, "Bart V"
<bart@not.here.com> wrote:

>> Can you point me to a link where I can have such a CD made. And how
>> do I match my tinnitus sound?
[quoted text clipped - 12 lines]
>
> **may your moments of need be met by moments of compassion**

Thank you Bart for that information.
fyfpoon@hotmail.com - 29 Mar 2005 22:51 GMT
Dr.Grossan,

Next time when you are in China as a visiting professor, try to be a
student too in a TCM class.  In particular, discuss with the Chinese
professors in TCM and find a way to CURE tinnitus.  The latter would
make use of the medical knowledge in both disciplines.

FP
Murray Grossan - 30 Mar 2005 05:10 GMT
On 3/29/05 1:51 PM, in article
1112133091.714532.18570@o13g2000cwo.googlegroups.com, "fyfpoon@hotmail.com"

> Dr.Grossan,
>
[quoted text clipped - 4 lines]
>
> FP

As I previously said, I did investigate the claims of hearing improvement
and they were all proven false, when audiograms were used.
With hearing we can measure hearing so we have something to go by. With
tinnitus it is subjective and there is a good argument to using Bora Bora
juice.  
I'll bet there were 20 shops in Los Angeles claiming hearing cures. These
guys were on TV, in Life magazine, etc. They made a fortune. But when the
patients were tested - zero.
fyfpoon@hotmail.com - 30 Mar 2005 18:54 GMT
I was talking about tinnitus, not hearing loss.  *I* am the testimony
to the usefulness of acupuncture for tinnitus.  Out of so many doctors
I have gone to(almost 20 by now), the  things that work are gingko
biloba, betahistine, diurectics and acupuncture.  Now, I am on only the
gingko for blood thinning.  I would take it any way even if I didn't
have tinnitus.

By the way, has you heard of any success story using Bora Bora juice?
I could drink some and try.  After all, i tried out so many things that
are more dangerous than that.

FP
noname@news.net - 28 Mar 2005 19:33 GMT
Here's a list of freeware and shareware sound generators:
http://p080.ezboard.com/ftinnitussupport92262frm1.showMessage?topicID=12054.topic

I ended up buying Tinnitus Masker Pro, because it generates lots of
sounds (white, pink, brown noise etc. plus nature and other sounds)
which can be mixed and you can match your T sound quite closely. Then
burn the sound to a CD, which you loop so that it plays continuously. I
found it easier to burn the CD with the "pro" version.
http://www.relaxingsoftware.com/tinmaskerhome.htm

There's info on that site about how to actually make the CD.

Yes, you can match the "tone" of your T, but my understanding is that
you don't' need to match the tone or sound. You just need a sound (could
be music, nature sound like waterfall or rain, virtually anything) that
you find pleasant, that that it doesn't irritate you and further
exacerbate your T.

Here's a freeware sound generator for your PC:
www.serenesound.com
Very handy if you spend a lot of time at your computer.

TRT.org says this:
"Sound enrichment should not suppress tinnitus (make it inaudible);
habituation cannot occur to a sound you cannot hear.  When you first
turn on your sound source check that you can still hear your tinnitus,
and that is has’t altered or changed."

And this:
"It is essential that any sound enrichment never produces any aversion,
dislike or results in increased arousal.  The purpose of TRT is to
reduce the aversive reaction to tinnitus or external sound.  Introducing
a new sound into the environment, which produces an aversive reaction,
will simply make matters worse.  It may take some time and
experimentation to find the sound that you like, and that produces a
relaxed feeling."

I am not a doctor or expert. This is just what I did and it worked for
me. Proceed advisedly.

>     Dr. Grossman,
>
>     Can you point me to a link where I can have such a CD made. And how
>     do I match my tinnitus sound?
>
>     Thank you.
noname@news.net - 27 Mar 2005 19:27 GMT
Francis,
Here's the direct link to the sound enrichment info:
http://www.tinnitus.org/home/frame/Handout%204_sound%20enrich_oct%202002.pdf
You can also click to it from the Tinnitus.org link "Sound Enrichment."

I'm not sure where the $3000 US hearing aid info came from. I believe
the use of ear devices is dependent on the severity of one's T. I
certainly wouldn't spend that kind of money unless I was guaranteed a
"cure" or at least very substantial relief.

As I said earlier, I made white noise CDs that mimic my T from freeware,
and they work fine for me. Your experience may differ.

I believe there's at least one well-regarded TRT audiologist in
Vancouver. http://www.soundidears.com/index.html

> Thanks for the link.  The closest I get to in terms of sound therapy is
> the hearing aid that mimics that sound of your t.  The cost is about
[quoted text clipped - 103 lines]
>>>FP
>>>=================
Kuta - 28 Mar 2005 02:28 GMT
If you want a guarantee for a cure or treatment medicine you are dreaming.
There is only one guarantee in medicine.

> Francis,
> Here's the direct link to the sound enrichment info:
[quoted text clipped - 119 lines]
>>>>FP
>>>>=================
Murray Grossan - 28 Mar 2005 06:53 GMT
Speaking of sound enrichment
Bed Bath and Beyond is having a sale on "personal" water falls, gurgling
water and all for only 14 dollars. Its on their web site too. Ideal for
natural sound enrichment and quite relaxing. Its the kind that Hazel
recommends.  
fyfpoon@hotmail.com - 30 Mar 2005 19:03 GMT
You wrote:"I believe there's at least one well-regarded TRT audiologist
in
Vancouver. http://www.soundidears.com/ind­ex.html..."

That is the one I went to!  The doctor did not even bother to find out
how uncomfortable i was feeling with a cluster of moving nerve in my
head, she just prescribed me the expensive hearing aids.  If i had not
been needled on my neck by my acupuncturist, i would have continued to
suffer from the nerve discomfort.

Now, you understand why we have so little faith with 'specialists'.

FP
noname@news.net - 30 Mar 2005 19:14 GMT
I don't undertstand anyone else's trip but my own, Francis.
I'm sorry you had that experience. And I give up - there doesn't seem
any way to satisfy you.
Good luck working out your problems.

> You wrote:"I believe there's at least one well-regarded TRT audiologist
> in
[quoted text clipped - 9 lines]
>
> FP
francispoon - 31 Mar 2005 02:00 GMT
> I don't undertstand anyone else's trip but my own, Francis.
> I'm sorry you had that experience. And I give up - there doesn't seem
> any way to satisfy you.

I have already found a way with which I am quite satisfied, though it
could always be better..

FP
========================
noname@news.net - 25 Mar 2005 18:47 GMT
Your post subject says that you're disappointed with TRT. So I presume
you've tried it with a competent TRT-trained audiologist and it didn't
work for you.

As for me, the complete opposite - sound-masking worked almost instantly
 for me, and over a short time (weeks, maybe a couple of months) my
awareness of the T completely dropped off. It is now a minor irritant
from time to time, mostly not even on the radar. Certain things make me
more aware of the T, or make the T worse, whichever way you choose to
look at it. But that never lasts long and quickly fades into the background.

TRT absolutely didn't make my T worse. It helped me a great deal to get
reliable information about T from an audiologist and to stop scaring
myself into thinking it would go on forever and get worse continually.

That isn't to say that it works for everyone. But then, what does?

Best of luck and I hope this is helpful.

> Hi, you have probably beaten this topic to death, but what about TRT?
> Has anyone tried it?  Did it help anyone?  Did it make the T worse?
Jim Chinnis - 25 Mar 2005 20:12 GMT
"deut6" <deut6_4_10@yahoo.com> wrote in part:

>Hi, you have probably beaten this topic to death, but what about TRT?
>Has anyone tried it?  Did it help anyone?  Did it make the T worse?

Since you have been disappointed with TRT, why are you interested
in what happened for other people? Some did very well and others
were not helped.
Signature

Jim Chinnis / Warrenton, Virginia, USA
Want to discuss Meniere's? See http://groups.yahoo.com/group/MenieresDG


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