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Medical Forum / Diseases and Disorders / Tinnitus / September 2003

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whooosh - 30 Aug 2003 20:16 GMT
Hi Guys,

don't take this the wrong way but this place is kinda daunting for newbies.
I did come here looking for tinnitus support, but there seems to be a war
going on.

May be I'll see if it calms down a bit before i post for advice.....

lol
terri231@knowspam.mam - 30 Aug 2003 20:22 GMT
>Hi Guys,
>
[quoted text clipped - 5 lines]
>
>lol

There is support in between the battles.  Go ahead and ask.

Terri

http://pub219.ezboard.com/btinnitusactivismandsupport
whooosh - 30 Aug 2003 21:14 GMT
ok!

My tinnitus first started in february this year. It was after a night at a
local club (I used to go clubbing every week). At the time I considered it
normal for both my ears to ring for 24-48hrs after going out (!?), as you
can guess that particular week it just carried on, but in my left ear only.

To cut a long story short(er), I eventually saw a private ENT guy (in UK) I
had various audiograms and an MRI over the course of about 4 months. The
audiograms showed hearing loss on my left side only, my right side was near
perfect and i didn't have tinnitus in that side.

At the consultants advice I kept well away from clubs & loud environments
until about July, when I did go out 2 or 3 times wearing filtered earplugs
in both ears. I've been as careful as I can about exposing myself to any
loud noise, making sure that I always wear earplugs.

Anyway, I've had a cold / flu about a week and I've got ringing on my right
side as well now, I'm hoping this is just to do with congestion or
something, but I can clear my ears ok my holding my noise etc.

It also seems strange that noise induced hearing loss would occur in one ear
if it was going to clubs.

What do you think?

(i also posted this on that ezboard forum)

> >Hi Guys,
> >
[quoted text clipped - 11 lines]
>
> http://pub219.ezboard.com/btinnitusactivismandsupport
Jim Chinnis - 31 Aug 2003 03:44 GMT
"whooosh" <whooosh@nospam.com> wrote in part:

>To cut a long story short(er), I eventually saw a private ENT guy (in UK) I
>had various audiograms and an MRI over the course of about 4 months. The
>audiograms showed hearing loss on my left side only, my right side was near
>perfect and i didn't have tinnitus in that side.

But right side had some loss?

>At the consultants advice I kept well away from clubs & loud environments
>until about July, when I did go out 2 or 3 times wearing filtered earplugs
>in both ears. I've been as careful as I can about exposing myself to any
>loud noise, making sure that I always wear earplugs.

Clubs can be very loud, and people vary in their susceptibilty to damage.
Plug--if they fit just right--should protect you unless levels were very high.

>Anyway, I've had a cold / flu about a week and I've got ringing on my right
>side as well now, I'm hoping this is just to do with congestion or
>something, but I can clear my ears ok my holding my noise etc.

It's possible that you have some congestion that is reducing your hearing and
therefore causing you to notice very faint tinnitus.

>It also seems strange that noise induced hearing loss would occur in one ear
>if it was going to clubs.

Did people try to shout over the music into your left ear? I've known that to
happen.
Signature

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

whooosh - 31 Aug 2003 09:36 GMT
that's true. People always shout in your ear in clubs, I hadn't really paid
much attention to it before. It can't help.

I did wonder if the filtered plugs offered enough protection or not, but I
didn't seem to have any more ringing than usual after going into them (if
that is a good measure). I have significantly reduced the amount of time
that I spend in them, maybe once a month if that.

I've also noticed that a lot of pubs/bars in the UK play deafeningly loud
music, which isn't helpful either.

> "whooosh" <whooosh@nospam.com> wrote in part:
>
[quoted text clipped - 25 lines]
> Did people try to shout over the music into your left ear? I've known that to
> happen.
Jim Chinnis - 31 Aug 2003 15:48 GMT
"whooosh" <whooosh@nospam.com> wrote in part:

>that's true. People always shout in your ear in clubs, I hadn't really paid
>much attention to it before. It can't help.

Speech has to be louder than the music, in order for you to understand much.
And it tends to be directed to one ear because the person speaking has to get
very close to your ear in order to be loud enough to be heard.

>I did wonder if the filtered plugs offered enough protection or not, but I
>didn't seem to have any more ringing than usual after going into them (if
>that is a good measure). I have significantly reduced the amount of time
>that I spend in them, maybe once a month if that.

What are the "filtered plugs" like? What kind of dB reduction? Are they a
custom fit, made to fit your ear canal?

The amount of ringing after clubbing is not a good measure. Tinnitus can be
pretty unrelated to any hearing loss and hearing loss seems to be a better
indicator of damage. Unfortunately, the hearing loss ("temporary threshold
shift") can be fairly small, requiring an audiologist to measure it, and still
turn into permanent loss. And tinnitus from noise exposure is less predictable
still.

>I've also noticed that a lot of pubs/bars in the UK play deafeningly loud
>music, which isn't helpful either.

Nope.
Signature

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

whooosh - 31 Aug 2003 20:59 GMT
> What are the "filtered plugs" like? What kind of dB reduction? Are they a
> custom fit, made to fit your ear canal?

I've tried lots of different ear plugs, but i get on best with two custom
fit sets (both filtered) that I had made;

The first are musicans earplugs - Elacin Er-25's with a noise reduction of
about 25db (as the name suggests). The second are produced by a local
company in the UK called PEP. The Elacins are the more expensive (about ?120
pounds sterling), but to be honest I get on better with the PEP moulded
plugs which were about ?48. I can't remember what the noise reduction is
with these, I'll have to look it up.

I also have a set of unfiltered plugs by PEP, which block out almost all
noise (I use these if I have to do DIY etc, or in situations where I don't
need to hear other peoples voices). All these sets required impressions of
the canal but the Elacin's require a 'deep' canal impression to be taken.

> Unfortunately, the hearing loss ("temporary threshold
> shift") can be fairly small, requiring an audiologist to measure it, and still
> turn into permanent loss. And tinnitus from noise exposure is less predictable
> still.

Is that to say I could experience loss that isn't appearing on the audiogram
yet? (sorry I couldn't quite work that one out)
Jim Chinnis - 01 Sep 2003 03:55 GMT
"whooosh" <whooosh@nospam.com> wrote in part:

>> What are the "filtered plugs" like? What kind of dB reduction? Are they a
>> custom fit, made to fit your ear canal?
[quoted text clipped - 13 lines]
>need to hear other peoples voices). All these sets required impressions of
>the canal but the Elacin's require a 'deep' canal impression to be taken.

OK. The 25 dB is pretty standard for musician's plugs. And they should
probably do 20 or so dB in the real world. If the club is at 115 dB, you are
still screwed if you have very sensive ears. If it's 105 dB, it's hard to see
how an occasional few hours should cause damage. It might be 100 dB, but
probably no less than that.

>> Unfortunately, the hearing loss ("temporary threshold
>> shift") can be fairly small, requiring an audiologist to measure it, and
[quoted text clipped - 5 lines]
>Is that to say I could experience loss that isn't appearing on the audiogram
>yet? (sorry I couldn't quite work that one out)

No. I just meant that you can have hearing damage that you won't notice, but
it should show up on an audiogram and should do so right away. A small loss
should disappear, at least if it is produced only once. But a tiny temporary
loss apparently can go along with permanent tinnitus in some people.
Signature

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

whooosh - 01 Sep 2003 19:05 GMT
> OK. The 25 dB is pretty standard for musician's plugs. And they should
> probably do 20 or so dB in the real world. If the club is at 115 dB, you are
> still screwed if you have very sensive ears. If it's 105 dB, it's hard to see
> how an occasional few hours should cause damage. It might be 100 dB, but
> probably no less than that.

Well I've thought about this, and I went out a bought a sound meter. Should
also help me work out what other things may have affected my hearing. I was
wondering whether driving on the motorway (highway) with the radio on would
be really noisy. I notice, driving around town I was getting spikes of about
95db.
Jim Chinnis - 02 Sep 2003 00:09 GMT
"whooosh" <whooosh@nospam.com> wrote in part:

>Well I've thought about this, and I went out a bought a sound meter. Should
>also help me work out what other things may have affected my hearing. I was
>wondering whether driving on the motorway (highway) with the radio on would
>be really noisy. I notice, driving around town I was getting spikes of about
>95db.

A 95 dB spike shouldn't affect most people, but it might affect you. Did you
use the slow response setting?

You can lower the sound level quite a bit by having the music off when the
driving noise is high.
Signature

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

whooosh - 02 Sep 2003 17:32 GMT
no fast, with 'C' weighting.
Jim Chinnis - 02 Sep 2003 17:55 GMT
"whooosh" <whooosh@nospam.com> wrote in part:

>no fast, with 'C' weighting.

Shouldn't be a concern, IMO.
Signature

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

Gym Bob - 02 Sep 2003 03:55 GMT
Get a car with A/C and close the windows.

> > OK. The 25 dB is pretty standard for musician's plugs. And they should
> > probably do 20 or so dB in the real world. If the club is at 115 dB, you
[quoted text clipped - 9 lines]
> be really noisy. I notice, driving around town I was getting spikes of about
> 95db.
whooosh - 02 Sep 2003 17:31 GMT
> Get a car with A/C and close the windows.
I do!

these spikes were measured using the 'C' weighting. Using 'A', it stays at
about 60 - 80db.
 
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