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Medical Forum / Diseases and Disorders / Tinnitus / February 2006

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Help for Tinnitus Sufferers

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Saleem Ali - 25 Feb 2006 04:25 GMT
Instructions from Dr. Poon

Perform the following steps:
(1)sleep with a chiro pillow or use a wrapped towel to support your neck when
you sleep.
(2)Visit a chiro once a week to have your spine relaxed.
(3)With the advice of your pharmacist, take one tablet of gingko biloba each
morning with breakfast and do so for at least 3 months.
(4)If you visit Vancouver, call this Dr.Zhang for a couple of visit to her
acupuncture clinic(604-4390865).

Remember, the treatment of tinnitus takes a long long time.  So repeat the
above steps for as long as you can.  Gingko biloba helps your body in other
aspects.  One tablet a day under the instruction of your phamacist is not
going to do you any harm at all.  You can always reduce it to half if you
want.  Buy those that are made of leafs but not extracts.
fyfpoon@gmail.com - 25 Feb 2006 11:09 GMT
Thank you for calling me a doctor albeit I have not had any medical
training at all.  But since none of the 15 trained doctor I have
visited is of any good and has no clue what was happening to my T, I
had to finally read enough books and try enough methods to have
declared victory over my T, I thus feel previleged being called a
doctor and I think I deserve every bit of it!
Martin Smith - 25 Feb 2006 11:15 GMT
> Thank you for calling me a doctor albeit I have not had any medical
> training at all.  But since none of the 15 trained doctor I have
> visited is of any good and has no clue what was happening to my T, I
> had to finally read enough books and try enough methods to have
> declared victory over my T, I thus feel previleged being called a
> doctor and I think I deserve every bit of it!

What did you do to cure T?
fyfpoon@gmail.com - 25 Feb 2006 15:16 GMT
I finally found out that i was suffering from a mix of 2 ills, which
may or may not have been related to each other.  These two ills
were:(1)discomfort in the head and (2)noise.  I by accident ran into
that Dr.Zhang in Vancouver and after two treatments my discomfort was
gone!  She explained to me that the discomfort was due to a pinched
nerve in the spine, which might have come about as a result of sitting
in front of a computer with an improper head posture often for
prolonged time periods.  The second ill was noise, which gradually came
down with gingko biloba, neck stretching exercise,  and
..............TIME.  During this time period I noticed that using a
wrapped towel to support my neck while I slept made a whole world of
difference!  Actually if you could lie flat while you sleep, it is even
better.  I used to be afraid of napping.  Now, I nap whenever I want
and this is a big improvement.  However, try to avoid napping if you
can.  Enrol yourself into an exercise program in order to train
yourself to ignore the sound.

Remember, even if you have done all the right thing, it still takes
time for t to go away or to come down in volume.  The nerve takes time
to heal!

About 2 years ago my t started, and i came to this group, which was a
group of dooms and grooms.  A guy named Ringing Ear told the group that
his sister-in-law in Toronto got treated of her head noice using
acupuncture, but the rest of the group either ridiculed him or ignored
what he had to say.  The reason was because the irresponsible statement
or generalization "there is no cure for tinnitus" was so powerfully
popular.  And 'doctors' came along to espouse their 'habituation'
theory, citing all sorts of 'controlled' studies. Many people mistook
that advice to be what it liternally was, that is, do nothing and
habituate!
Susan - 25 Feb 2006 16:52 GMT
> About 2 years ago my t started, and i came to this group, which was a
> group of dooms and grooms.

LOL!

  A guy named Ringing Ear told the group that
> his sister-in-law in Toronto got treated of her head noice using
> acupuncture, but the rest of the group either ridiculed him or ignored
> what he had to say.

This is untrue.  Some folks posted controlled studies of acupuncture for
T that found no benefit, and I mentioned that one person who used to
post here felt that it may have helped her some.

 > The reason was because the irresponsible statement
> or generalization "there is no cure for tinnitus" was so powerfully
> popular.

There is no cure where the cause of tinnitus *is not found*, which is
most of the time, or when damage is permanent.  For some of us, the cure
is treatment for infection, hormonal dysregulation, hyperinsulinemia.

 > And 'doctors' came along to espouse their 'habituation'
> theory, citing all sorts of 'controlled' studies.

What doctors were those?  You label a lot of non doctors as doctors,
including yourself.

>Many people mistook
> that advice to be what it liternally was, that is, do nothing and
> habituate!

The same folks who talk about their successful habituation also talk
about many techniques, quite different from doing "nothing."  Masking,
hypnosis,  medications, supplements, diet and TRT have all been discussed.

It's important for folks to google your usenet posting history in order
to evaluate you and your negative, self aggrandizing and inaccurate
contributions here.

Susan
fyfpoon@gmail.com - 26 Feb 2006 03:21 GMT
Susan, the statement "there is no cure for tinnitus" has never been
qualified by so many conditions as you have cited.  You put the words
into the months of those who espoused it. How accurate is your
contribution?  By being accurate, do you mean you have found the right
treatments for the types of tinnitus described here by tinnitus
patients?  At least I have been narrating my own type of tinnitus in
great details and the solutions for it.  Individuals that are suffering
from similar symptoms can make reference of what I have posted.  And I
have visited 15 doctors to have come to a conclusion that most doctors
are at a loss when it comes to treating tinnitus.  So how have you
helped the participants around here?  The type or types of tinnitus ill
you cited above should be handled by professionals but not with someone
as amateurish as you are and to do so online!
Susan - 26 Feb 2006 15:45 GMT
> Susan, the statement "there is no cure for tinnitus" has never been
> qualified by so many conditions as you have cited.

No, I've been posting and reading here for years longer than you have,
and all of those causes have been discussed by all participants.

  You put the words
> into the months of those who espoused it. How accurate is your
> contribution?  By being accurate, do you mean you have found the right
> treatments for the types of tinnitus described here by tinnitus
> patients?

Some of us have, yes, others have come and gone who have.

  At least I have been narrating my own type of tinnitus in
> great details and the solutions for it.  Individuals that are suffering
> from similar symptoms can make reference of what I have posted.  And I
> have visited 15 doctors to have come to a conclusion that most doctors
> are at a loss when it comes to treating tinnitus.  So how have you
> helped the participants around here?

With information, rather than orders to do as I say and slams against
every other participant and the group as a whole.

  The type or types of tinnitus ill
> you cited above should be handled by professionals but not with someone
> as amateurish as you are and to do so online!

You take amateurish to a level heretofore unimagined.  I leave readers
to google up your usenet history to confirm it.

Susan
fyfpoon@gmail.com - 27 Feb 2006 00:58 GMT
Just answer my questions directly without getting other people to
google my other posts as  a way to alleviate your lack of credible
cause for having 'talked back' in this thread.  If you don't have
anything to say, just be silent!
Susan - 27 Feb 2006 01:01 GMT
> Just answer my questions directly without getting other people to
> google my other posts as  a way to alleviate your lack of credible
> cause for having 'talked back' in this thread.  If you don't have
> anything to say, just be silent!

I'll continue to respond in the way I think is appropriate, without any
instruction from you.

Susan
drfrank21@gmail.com - 27 Feb 2006 01:15 GMT
> x-no-archive: yes
>
[quoted text clipped - 7 lines]
>
> Susan

Is Francis back ranting and raving?  What a nutcase.

frank
fyfpoon@gmail.com - 27 Feb 2006 11:32 GMT
Yes, ranting and raving as I am.  But i do help and i do get an
audience.  How about you? Do you help?
drfrank21@gmail.com - 27 Feb 2006 01:34 GMT
> Instructions from Dr. Poon
>
[quoted text clipped - 12 lines]
> going to do you any harm at all.  You can always reduce it to half if you
> want.  Buy those that are made of leafs but not extracts.

Geez, Francis aint' no doctor and he should feel ashamed for mis-
leading posters as such.

Ginko, in most to all studies has shown to be
INEFFECTIVE for tinnitus and can
cause brain hemorrhages so it should be taken with
prudence and caution so yes, it can cause harm.

frank
fyfpoon@gmail.com - 27 Feb 2006 11:44 GMT
Dr., this is not meant to insult your intelligence.  As far as I am
cocerned, you do not even have the basic intellectual substance to
express yourself in an objective manner.

Look at what you have said:

"Ginko, in most to all studies has shown to be
INEFFECTIVE for tinnitus..."

Have you or has anyone done a survey as to the percentage of studies
ever conducted on gingko "all over the world' and discovered that
"most" or more than half of the studies done have demonstrated this
conclusion?.

"and can cause brain hemorrhages so it should be taken with prudence
and caution so yes, it can cause harm."

If it could 'definitely' cause brain hemmorrhages, it should not be
taken at all and it should NOT be taken even with prudence and caution.

Go and polish up your English before coming back.
drfrank21@gmail.com - 27 Feb 2006 20:12 GMT
> Dr., this is not meant to insult your intelligence.  As far as I am
> cocerned, you do not even have the basic intellectual substance to
[quoted text clipped - 17 lines]
>
> Go and polish up your English before coming back.

Francis, why are you such a nitwit??  I have better luck conversing
with a 7 year old than with someone like you.  I am not going to waste
my time on you submitting to you ALL the studies on Gingko that show
it to be ineffective or inconclusive. You would just scratch your head
and dismiss them anyway.

You obviously do not have the skills to grasp the concept of the
"benefit vs
risk" ratio used in medicine. One has to weigh the possible benefit of
gingko (small) with their tinnitus to getting a bleed (small).
Does everyone get a bleed? Of course not, doofus. But does one want
to risk a brain bleed to help their tinnitus (not likely)? That's up to
the
individual to decide. So my remarks are consistent no matter how you
try to mangle them.

frank
fyfpoon@gmail.com - 28 Feb 2006 03:32 GMT
If taking gingko as prescribed OTC has a high likelihoold of causing
brain bleeding, and if having one's neck manipulated by a certified
chiro runs the risk of having one's neck broken, and if the prescribed
amount of sleeping pills causes people to sleep forever, these 3
practices should have been stopped long time ago either through public
outrage or lawsuits.  Too much of  aspirin can also cause brain
breeding too.  So does it mean people should stop using aspirin?

When a manufacturer of gingko sells its products, does it produce
instruction on how much is appropriate in view of its own research?

What kind of doctor are you?
Elly Byrne - 27 Feb 2006 19:25 GMT
>Geez, Francis aint' no doctor and he should feel ashamed for mis-
>leading posters as such.
[quoted text clipped - 3 lines]
>cause brain hemorrhages so it should be taken with
>prudence and caution so yes, it can cause harm.

It does help some people so should not be written off completely.
Studies are not the 'be all' and 'end all' of medicine.

Elly's Tinnitus Resources
http://eebee.net/
drfrank21@gmail.com - 27 Feb 2006 20:02 GMT
> > It does help some people so should not be written off completely.
> Studies are not the 'be all' and 'end all' of medicine.

Elly, one of the cornerstones (IMO) for ethical medical practice
is that it has to be driven by "evidence base". The basis of
"evidence based" medicine is on valid and repeatable studies
showing the benefits of the treatment in question.

Thus, I can't tell my patients to "stare at the sun" and you'll
no longer need to wear glasses. There are no valid or repeatable
studies to support my claim.

Ginko falls into the category that the studies (at least at the ones
I'm aware of)are from inconclusive to being totally ineffective so
anyone that touts it otherwise is ignoring the evidence.

frank
Susan - 27 Feb 2006 20:30 GMT
> Elly, one of the cornerstones (IMO) for ethical medical practice
> is that it has to be driven by "evidence base". The basis of
> "evidence based" medicine is on valid and repeatable studies
> showing the benefits of the treatment in question.

This is just not so in good clinical practice, where trial and
observatin is sometimes the best "evidence" one has.  Often, the studies
are crap, too; like HRT, frex.  Clinical experience by a thoughtful,
experienced clinician trumps it every time, IME.

> Thus, I can't tell my patients to "stare at the sun" and you'll
> no longer need to wear glasses. There are no valid or repeatable
> studies to support my claim.

Bad example.  It's known to cause only harm, never a benefit.

> Ginko falls into the category that the studies (at least at the ones
> I'm aware of)are from inconclusive to being totally ineffective so
> anyone that touts it otherwise is ignoring the evidence.

The problem with Ginkgo isn't that studies find no use for it, even
Steven Nagler recommended experimenting with it due to some positive
evidence and anecdotes, but only if one could find a standardized
product; he recommended one in particlar, Ginkgold.

The problem is that many such products don't contain a reliable amount
of the active substance.  The other problem is that folks need to know
not to take it with any other anti-thrombotic, such as garlic, fish oil,
vitamin E or aspirin, for examples.

Susan
drfrank21@gmail.com - 27 Feb 2006 21:27 GMT
> x-no-archive: yes
>
[quoted text clipped - 7 lines]
> are crap, too; like HRT, frex.  Clinical experience by a thoughtful,
> experienced clinician trumps it every time, IME.

Susan, the problem arises for someone to tell whether something
is a "sham" by trial and observation versus something that may
be indeed valid.

There's also a problem w. testersubject bias (whether conscious or
not)-
someone is who so convinced that his/her treatment works that
the "observation" is manipulated or falls into the placebo
effect. That's why studies like double blind or independent (objective)
verification is so important. Many "observation" type discoveries in
the
clinical setting can lead to new treatments later verified by studies,
especially "off-label" medications (antidepressants for tinnitus for
example).  Are some studies "crap"? Sure, but there's where
the "evidence base" comes into play-  is the ponderance of
evidence  (studies, clinical observation) of treatment in favor
or not? If a thousand studies (valid) shows that the treatment
doesn't work in contrast to a couple of observations/studies
that show otherwise, in which direction is the evidence pointing
to?

> > Thus, I can't tell my patients to "stare at the sun" and you'll
> > no longer need to wear glasses. There are no valid or repeatable
> > studies to support my claim.
>
> Bad example.  It's known to cause only harm, never a benefit.

Actually there's a near cult-like following of Bates (an opthalmologist
of many decades past)who claimed that sun gazing and staring at the
sun is beneficial in eye relaxation and helps to rid of glasses. The
overwhelming evidence (other than Bates) points otherwise,
don't you agree? Bates based his treatments without any
studies (most, if not 100% ,of the independent studies debunked
has debunked his work many times over) but on his observations
alone.

> > Ginko falls into the category that the studies (at least at the ones
> > I'm aware of)are from inconclusive to being totally ineffective so
[quoted text clipped - 4 lines]
> evidence and anecdotes, but only if one could find a standardized
> product; he recommended one in particlar, Ginkgold.

Actually, there have been many studies concerning ginkgo and it
is inconclusive although the "evidence" points to it being ineffective.
Hey, I'm not against people experimenting but they have to realize
the risks involved (from what you mentioned, poor standardization,
synergistic reactions with other medications to brain bleeds). Many
people think that because a product is otc that it must be safe
which is not true.

frank
Susan - 27 Feb 2006 21:44 GMT
> Susan, the problem arises for someone to tell whether something
> is a "sham" by trial and observation versus something that may
> be indeed valid.

Frank, sadly, that's also the case with many drugs that pass the FDA
approval process.  Among them, HRT, LymeRix, Rezulin, Vioxx, Celebrex,
off the top of my head.  Empiric trials with a good doctor have yielded
a cure for my child after a horrid 3 1/2 years of tick borne diseases,
and have helped me in many ways for various conditions.  It's up to us
to be informed consumers who do our homework, not blindly led sheep who
do what we're told by doctors afraid to think for themselves and to take
carefully thought out chances.

> There's also a problem w. testersubject bias (whether conscious or
> not)-
> someone is who so convinced that his/her treatment works that
> the "observation" is manipulated or falls into the placebo
> effect.

The largest meta study to look at the question has found this to be
untrue.  But folks keep repeating it as if it is true.

 That's why studies like double blind or independent (objective)
> verification is so important.

Frenk, not every single clinically useful treatment is going to be
studied in that way, it's not what the economic structure fosters.  The
treatment protocol that cured my child was never, and may never be
studied for the off label use we employed.  I'm not sorry we tried it
with 100% success.

 Many "observation" type discoveries in
> the
> clinical setting can lead to new treatments later verified by studies,
[quoted text clipped - 6 lines]
> that show otherwise, in which direction is the evidence pointing
> to?

HRT. SIDS.  Thousands of studies claimed a CVD benefit for low fat
diets, but it was never true.  Same with HRT, the benefits EVERYONE knew
to be true were in fact, elevated risks. Crap science comes wrapped in
the veneer of respectability way too often.>

>>>Thus, I can't tell my patients to "stare at the sun" and you'll
>>>no longer need to wear glasses. There are no valid or repeatable
[quoted text clipped - 10 lines]
> has debunked his work many times over) but on his observations
> alone.

One nut job doesn't make this an apt analogy.  :-)  My point stands.

> Actually, there have been many studies concerning ginkgo and it
> is inconclusive although the "evidence" points to it being ineffective.
[quoted text clipped - 3 lines]
> people think that because a product is otc that it must be safe
> which is not true.

Many people believe that their doc knows a lot about the drugs he's
rx'ing, or the illness he's treating, til they do their own homework.
Caveat emptor applies to both doctor's care, rx drugs and OTC.

Susan
drfrank21@gmail.com - 28 Feb 2006 16:03 GMT
> x-no-archive: yes
>
[quoted text clipped - 6 lines]
> do what we're told by doctors afraid to think for themselves and to take
> carefully thought out chances.

The  importance of evidence based medicine is in the dynamic
nature- newer studies outweighing  initial results. In the case
of many drugs clinical observations leads to investigation(s).
In the case of tinnitus it may well go the route of what happened
for your child.  The specialist I see recommended grape seed extract,
he has heard anectodal accounts from his peers that gse may
be beneficial but future investigations and studies will be the
way to see if it really works.

.
> Many people believe that their doc knows a lot about the drugs he's
> rx'ing, or the illness he's treating, til they do their own homework.
> Caveat emptor applies to both doctor's care, rx drugs and OTC.

The bigger danger lies in the person self-treating w.o. getting the
correct facts. The original poster thought Francis was a doctor of all
things - the internet can be a very dangerous with some people
taking it as fact if it's printed.  I can see someone thinking "if
a little is good, maybe a whole lot will be better" type of
mentality. In the case of ginkgo, that could be dangerous.

frank
Susan - 28 Feb 2006 16:08 GMT
> The bigger danger lies in the person self-treating w.o. getting the
> correct facts.

I understand you believe this, and maybe in your experience it's been
true.  I have not found doctors to be well informed about the risks or
AEs of medications they rx, except for the most commonly reported ones.
 They are notoriously ignorant of drug interactions.

The biggest risk is taking an active substance or undergoing treatment
without researching it yourself, rx or not.

> The original poster thought Francis was a doctor of all
> things - the internet can be a very dangerous with some people
> taking it as fact if it's printed.  I can see someone thinking "if
> a little is good, maybe a whole lot will be better" type of
> mentality. In the case of ginkgo, that could be dangerous.

It can be true of anything, even drinking water.

Susan
fyfpoon@gmail.com - 28 Feb 2006 03:50 GMT
Just taking away the aspirin and some kinds of HB pressure med is fine.
Actually, gingko in my experience has helped lower my blood pressure!
I am taking calcium channel blocker and AGE inhibitor.  But a
pharmacist feels gingko may neutralize HYDROCHLORITHIAZER if taken at
the same time.  While HBP pills are usually taken in the morning,
gingko can be taken after lunch or dinner daily to avoid the
interaction.  For example, I usually don't drink tea for at least one
houre after taking HBP pills in the morning.

It was gingko that first turned my ear ring into a drum ring.  It was
recommended to me by a Cambridge doctor.

Gingko helps with the blood circulation and improved blood circulation
helps nerve recovery, which in turn helps tinnitus "for some people".
fyfpoon@gmail.com - 28 Feb 2006 03:42 GMT
Evidence?  The following in my view is the most objective:

http://www.tinnitus.org.uk/information/info%20sheets/front%20page/complementary_
therapy.htm


"Three quite small studies carried out in the 1990's did show that
Gingko was fairly effective in reducing tinnitus, but the largest study
carried out to date - which involved many BTA members - showed more
disappointing results. Ewart Davies and his team at Birmingham
University, concluded that Gingko was not an effective treatment for
tinnitus for most people, although the possibility remains that certain
individuals might benefit, so the book is not yet closed on this one."

I AS A T PATIENT CAN TELL YOU THAT IT HELPED ME.  Call it psychological
if you can.

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