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Medical Forum / Diseases and Disorders / Tinnitus / October 2005extreme hyperacusis
An extreme case of hyperacusis is written up in Tinnitus Talk. The reference is healthyhearing.com A man started to develop hyperacusis at age 33. It slowly got worse and tinnitus followed soon after. This went on for 19 years. He moved to the country, spent most of his time in a sound-attenuated room. He bricked over the basement windows and boarded up the other windows in the house. The refrigerator was moved outside. He stopped using the phone, watched TV with the sound off and closed caption feature., Over time he avoided eating crunchy foods, stopped driving his car,, gave his guitar away and was isolated from society. (I have omitted some others.) He was seen by 5 ENTS and 5 audiologists. Also a psychiatrist, 2 psychologists, a chiropractor, an osteopath and 3 faith healers. And a few other things. In the beginning his hearing loss was measured at appr 1000-8000 Hz. He requested a home visit as his situation was so sever that he could not go out. With very gentle treatment using a TRT program he slowly improved. 27 months into the program the patient reported that he was doing very well. He revealed his windows, started playing guitar and driving the car, and helping other people. He enrolled in a local college. I admire the people who designed the program for this man. It obviously worked. His hearing also improved. My question is: WHY IS NO MENTION MADE OF A REPORT OF HIS HEARING 2 YEARS LATER? Elly's Tinnitus Resources http://eebee.net/ An extreme case of hyperacusis is written up in Tinnitus Talk. The reference is healthyhearing.com A man started to develop hyperacusis at age 33. It slowly got worse and tinnitus followed soon after. This went on for 19 years. He moved to the country, spent most of his time in a sound-attenuated room. He bricked over the basement windows and boarded up the other windows in the house. The refrigerator was moved outside. He stopped using the phone, watched TV with the sound off and closed caption feature., Over time he avoided eating crunchy foods, stopped driving his car,, gave his guitar away and was isolated from society. (I have omitted some others.) He was seen by 5 ENTS and 5 audiologists. Also a psychiatrist, 2 psychologists, a chiropractor, an osteopath and 3 faith healers. And a few other things. In the beginning his hearing loss was measured at appr 1000-8000 Hz. He requested a home visit as his situation was so sever that he could not go out. With very gentle treatment using a TRT program he slowly improved. 27 months into the program the patient reported that he was doing very well. He revealed his windows, started playing guitar and driving the car, and helping other people. He enrolled in a local college. I admire the people who designed the program for this man. It obviously worked. His hearing also improved. My question is: WHY IS NO MENTION MADE OF A REPORT OF HIS HEARING 2 YEARS LATER? Elly's Tinnitus Resources http://eebee.net/ I don't know why it wasn't mentioned, Elly. But it is more than likely that his hearing didn't change. Hearing losses in the 1000-8000 Hz range "typically" are sloping, going from better hearing at 1000 Hz to poorer hearing at 8000 Hz. They are sensorineural, meaning that they "typically" are permanent and do not improve. I don't know why he had hyperacusis. But hyperacusis is treatable through desensitization, including TRT. After treatment, however, hearing "typically" has not changed. I know I've used the word "typically" several times, but I can only speak in generalities without knowing the specifics of this case. HNG > I don't know why it wasn't mentioned, Elly. But it is more than likely that his hearing didn't change. Hearing losses in the 1000-8000 Hz range "typically" are sloping, going from better hearing at 1000 Hz to poorer hearing at 8000 Hz. They are sensorineural, meaning that they "typically" are permanent and do not improve. I don't know why he had hyperacusis. But hyperacusis is treatable through desensitization, including TRT. After treatment, however, hearing "typically" has not changed. I know I've used the word "typically" several times, but I can only speak in generalities without knowing the specifics of this case. > > HNG >After treatment, however, hearing "typically" has not changed. How do you know that? Is that a proven fact? Or another supposition? (What did you write this in? I had to copy and paste it into notepad so I could read the looooong line.) Elly's Tinnitus Resources http://eebee.net/ > An extreme case of hyperacusis is written up in Tinnitus Talk. The > reference is healthyhearing.com [quoted text clipped - 38 lines] > > HNG > > I don't know why it wasn't mentioned, Elly. But it is more than likely that his hearing didn't change. Hearing losses in the 1000-8000 Hz range "typically" are sloping, going from better hearing at 1000 Hz to poorer hearing at 8000 Hz. They are sensorineural, meaning that they "typically" are permanent and do not improve. I don't know why he had hyperacusis. But hyperacusis is treatable through desensitization, including TRT. After treatment, however, hearing "typically" has not changed. I know I've used the word "typically" several times, but I can only speak in generalities without knowing the specifics of this case. > > HNG >After treatment, however, hearing "typically" has not changed. How do you know that? Is that a proven fact? Or another supposition? (What did you write this in? I had to copy and paste it into notepad so I could read the looooong line.) Elly's Tinnitus Resources http://eebee.net/ Elly, I counted and I used the word "typically" three times and then further explained the reason for using "typically". My second sentence used the caveat "it is more than likely". And then you ask whether what I'm saying is a proven fact or a supposition? Isn't it kinda obvious that I'm speaking in generalities about what usually occurs and that I couldn't possibly know what is true about this individual? HNG I take all this 'typical' stuff to refer to people in general - and not to this man in particular. So how do you know in general that the hearing 'typically' does not change? Elly's Tinnitus Resources http://eebee.net/ > > > > I don't know why it wasn't mentioned, Elly. But it is more than likely that his hearing didn't change. Hearing losses in the 1000-8000 Hz range "typically" are sloping, going from better hearing at 1000 Hz to poorer hearing at 8000 Hz. They are sensorineural, meaning that they "typically" are permanent and do not improve. I don't know why he had hyperacusis. But hyperacusis is treatable through desensitization, including TRT. After treatment, however, hearing "typically" has not changed. I know I've used the word "typically" several times, but I can only speak in generalities without knowing the specifics of this case. [quoted text clipped - 17 lines] > > HNG Because of over 25 years experience as an audiologist in both academic and clinical practice. If the hearing loss has been gradual and therefore probably insidious, it most likely won't change even if the tinnitus habituates. If the sensorineural hearing loss is sudden and is treated soon after it's emergence, there is a reasonable chance that hearing will improve. If the hearing loss is conductive, there is a much stronger probability that it will improve with treatment. Hearing losses in the higher frequency region almost always are sensorineural. Of course there are exceptions, but I wouldn't bet the mortgage on the occurrence of an exception. HNG I take all this 'typical' stuff to refer to people in general - and not to this man in particular. So how do you know in general that the hearing 'typically' does not change? Elly's Tinnitus Resources http://eebee.net/ "Howard N. Gutnick" <hgutnick@hotmail.com> wrote: > > "Elly Byrne" <elly@eebee.net.noway> wrote in message news:m2rtj1td2hsv4kcq1mi3k0m1h78nm07lvl@4ax.com... > > > > I don't know why it wasn't mentioned, Elly. But it is more than likely that his hearing didn't change. Hearing losses in the 1000-8000 Hz range "typically" are sloping, going from better hearing at 1000 Hz to poorer hearing at 8000 Hz. They are sensorineural, meaning that they "typically" are permanent and do not improve. I don't know why he had hyperacusis. But hyperacusis is treatable through desensitization, including TRT. After treatment, however, hearing "typically" has not changed. I know I've used the word "typically" several times, but I can only speak in generalities without knowing the specifics of this case. > > > > HNG > >After treatment, however, hearing "typically" has not changed. > > How do you know that? Is that a proven fact? Or another supposition? > > (What did you write this in? I had to copy and paste it into notepad > so I could read the looooong line.) > > Elly's Tinnitus Resources > http://eebee.net/ > > > > > Elly, > > I counted and I used the word "typically" three times and then further explained the reason for using "typically". My second sentence used the caveat "it is more than likely". > > And then you ask whether what I'm saying is a proven fact or a supposition? Isn't it kinda obvious that I'm speaking in generalities about what usually occurs and that I couldn't possibly know what is true about this individual? > > HNG 'most likely' 'reasonable chance' 'stronger probability' You still haven't answered my question. How do you know? Did you do tests? I know you are an audiologist. Elly's Tinnitus Resources http://eebee.net/ >Because of over 25 years experience as an audiologist in both academic and clinical practice. > [quoted text clipped - 40 lines] > > > > HNG Ok, Elly. Here it is. I DON'T KNOW. I can only surmise about this person based on what he said in his post. There wasn't enough information there to say anything for sure. And yes I did tests. Thousands. And I did repeated tests on patients who returned for follow ups. I'm not trying to burst your bubble for it's own sake. If a person has a high frequency sensorinerual hearing loss that has not been sudden in onset or has not suddenly changed, it is permanent. It will not change even if the tinnitus improves or even if the tinnitus disappears. If it has been sudden or if it has recently changed, then there is a reasonable probability that it can improve. High frequency losses are not conductive - oops sorry, I can think of one woman we saw who had an high frequency conductive loss. She was an anomaly. A high frequency conductive loss would have to be mass dominated. That does not occur. On the other hand, low frequency conductive losses (stiffness dominated) do occur in isolation. Finally, low and high frequency conductive losses can occur with best hearing usually occurring at 2000 Hz, the new resonance frequency of the middle ear. You have just gone through a course of Audiology 401. HNG  SignatureHNG A Zen Thought: A day without sunshine is like......night. Howard N. Gutnick, Ph.D. Body Pride Personal Training BodyPride@cox.net www.BodyPrideOnline.com 757 496-3270 Home 757 630-9208 Mobile > 'most likely' 'reasonable chance' 'stronger probability' > You still haven't answered my question. [quoted text clipped - 71 lines] >> > >> > HNG Thank you Howard, My question was about tinnitus people in general. Not necessarily about this person in particular. Perhaps I was not specific anough. I meant sudden hearing loss associated with the onset of tinnitus. Also known as SHL. I can certainly accept that if hearing loss was already present before tinnitus then it is unlikely to change. But people are scared off by the premise that because there is SHL associated with tinnitus it is therefor certain that it is permanent. I have read too many instances where the hearing improves as the tinnitus improves. Now that is something that ATA could research. Elly's Tinnitus Resources http://eebee.net/ >Ok, Elly. Here it is. I DON'T KNOW. I can only surmise about this person >based on what he said in his post. There wasn't enough information there to [quoted text clipped - 19 lines] > >HNG |
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