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Medical Forum / Diseases and Disorders / Tinnitus / April 2006

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TRT effective? Ginkgo effective?

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jack94960@yahoo.com - 02 Apr 2006 23:13 GMT
I have looked in the archives of this group to try to determine whether
Tinnitus Retraining Therapy and/or Ginkgo can be effective. All I found
was nasty charges and countercharges from people with a money interest
in tinnitus.

My question is: Has anyone in this group been helped by TRT and/or
Ginkgo, or do you know of anyone who has? If not, can you please
summerize if and why you think it may be a scam.  Please do not respond
if you benefit financially in ANY WAY from tinnitus.  Please respond
directly to my email address. Thank you.
Susan - 02 Apr 2006 23:44 GMT
> I have looked in the archives of this group to try to determine whether
> Tinnitus Retraining Therapy and/or Ginkgo can be effective. All I found
[quoted text clipped - 6 lines]
> if you benefit financially in ANY WAY from tinnitus.  Please respond
> directly to my email address. Thank you.

Neither is a scam, and yes, folks with long term, unhabituated T did
reporrt having been helped by TRT.  A brit named Alan Cocks did, I
think, you might try googling his report.

I know of one person who said Ginkgo helped her T, I don't recall other
such reports.  The biggest prob with Ginkgo is getting a standardized
dose and making sure you're not mixing it with other antithrombotic
drugs or supplements (blood thinners).  One brand that's been mentioned
here as being reliably potent was Ginkgold, I believe, try googling it.

Other folks have reported help from self hypnosis, white noise machines,
other masking sounds, antidepressants, Xanax, and even habitutation.

Google up "habituation for dummies" by Bill Gerrells on this group for a
great DIY guide.

HTH,

Susan
Murray Grossan - 03 Apr 2006 07:08 GMT
On 4/2/06 2:13 PM, in article
1144016029.196730.66030@v46g2000cwv.googlegroups.com, "jack94960@yahoo.com"

> I have looked in the archives of this group to try to determine whether
> Tinnitus Retraining Therapy and/or Ginkgo can be effective. All I found
[quoted text clipped - 6 lines]
> if you benefit financially in ANY WAY from tinnitus.  Please respond
> directly to my email address. Thank you.

First of all, I do profit from those who suffer from Tinnitus. They pay for
my private jet, my Villa in Italy, my penthouse in Vegas and my private
south sea island.

Nevertheless, here goes. the reason it is so difficult to objectify various
treatments is that Tinnitus is subjective.

With a broken finger, you can tell what works best. You can even create
scientific studies to evaluate all kinds of therapy and with photographs and
X rays tell what works.
No such luck with Tinnitus. No way to measure or objectify.

Besides, today we know that T can be on various levels including ear, nerve,
various brain locations. But even with MRI and Brain Mapping we still can't
say where each one is.
So what should a person do?
Of course, start with the one that works for ALL subjective symptoms -
change your breathing to in four and out six. Reduce the anxiety factor. If
music helps as a distraction, keep music with you at all times. Use whatever
reduces the anxiety reinforcement.
Since you don't want to hear from anyone who profits from the suffering of
Tinnitus patients, I am unable to tell you that these and other suggestions
are at www.ent-consult.com, otherwise I would.

Murray Grossan, M.D.
fyfpoon@gmail.com - 04 Apr 2006 08:05 GMT
Murray wrote:"They pay for my private jet, my Villa in Italy, my
penthouse in Vegas and my private
south sea island. "

Is that all?
fyfpoon@gmail.com - 05 Apr 2006 06:35 GMT
Your life would be considered full and rich if what you are having in
terms of "my private jet, my Villa in Italy, my penthouse in Vegas and
my private south sea island" were to be accompanied by young and pretty
looking leggies. But if all these economic goodies were shared among
old couple, well, there would be something unfulfiling!
fyfpoon@gmail.com - 03 Apr 2006 13:27 GMT
The use of gingko transformed my tinnitus from ringing at the centre of
my head into ringing on ear drums.  That was a startling improvement.
It may not do anything for you.
Patrick Hennessey - 04 Apr 2006 12:40 GMT
>I have looked in the archives of this group to try to determine whether
> Tinnitus Retraining Therapy and/or Ginkgo can be effective. All I found
[quoted text clipped - 6 lines]
> if you benefit financially in ANY WAY from tinnitus.  Please respond
> directly to my email address. Thank you.

>The answer to your questions are-NO.

Patrick
Murray Grossan - 04 Apr 2006 18:02 GMT
On 4/4/06 4:40 AM, in article e0tlum$jka@dispatch.concentric.net, "Patrick
Hennessey" <pmhennessey@hydromer.com> wrote:

>> I have looked in the archives of this group to try to determine whether
>> Tinnitus Retraining Therapy and/or Ginkgo can be effective. All I found
[quoted text clipped - 10 lines]
>
> Patrick

TRT is an accepted form of tinnitus therapy. It treats on several levels
A. by acceting a soft sound , the limbic systme decides that tinnitus is not
a BAD
B Various levels of personal support are given
C  It uses the patient's taking charge as a theraputic measure
D It is usually drug free
E The persons doing the TRT have been trained and are qualified to do this

On the neg side it is time consuming and exensive and rarely covered by
insurance.
Few ENT specialists are trained in TRT
It is more a therapy of the symptoms rather than a cure of the cause. For
example you could have a cause of hypertension making the T and the TRT
would reduce your symptoms significantly.

Will it work for you ? Impossible to say without knowing full details. It
certainly won't work for 100%. Most TRT practitioners are pretty good at
patient selection. Are you in Portland Oregon?

Murray Grossan, M.D.
Www.EarAid.info
Jim Chinnis - 05 Apr 2006 03:30 GMT
"jack94960@yahoo.com" <jack94960@yahoo.com> wrote in part:

>I have looked in the archives of this group to try to determine whether
>Tinnitus Retraining Therapy and/or Ginkgo can be effective. All I found
[quoted text clipped - 6 lines]
>if you benefit financially in ANY WAY from tinnitus.  Please respond
>directly to my email address. Thank you.

People here over the years have been helped by TRT, sometimes markedly.
Others reported no benefit.

I am unaware of a credible report of ginkgo success. One would expect some,
since tinnitus sometimes fades away and placebo effects are not zero.

I think ginkgo may be a scam. It was shown to be no more effective than
placebo in a very large randomized controlled trial in the UK some years
back, yet is still pushed. Frequently those pushing it stand to gain from
its sale. There seems to be no logic for its claimed effect.
Signature

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

fyfpoon@gmail.com - 05 Apr 2006 06:33 GMT
JIm wrote:"I am unaware of a credible report of ginkgo success"

I reported to this group that the use of ginkgo transformed by brain
ring into drum ring, but you don't call that credible.  Should I go by
how I as a patient feel or the result of a large controlled study?

Jim continued to write:"There seems to be no logic for its claimed
effect"

Of course there is.  Gingko improves the blood circulation of the
brain, which helps those t patients whose cause  may have come from the
nerve.

In the final analysis, I think each patient should try it under the
supervision of the knowledgeable.  It it does not work, they can always
drop it.
Martin Smith - 05 Apr 2006 14:39 GMT
> JIm wrote:"I am unaware of a credible report of ginkgo success"
>
> I reported to this group that the use of ginkgo transformed by brain
> ring into drum ring, but you don't call that credible.  Should I go by
> how I as a patient feel or the result of a large controlled study?

You should go by the study unless you can prove it is the ginko that
changed your feelings.
fyfpoon@gmail.com - 05 Apr 2006 22:04 GMT
Is clinical experience as important as any 'controlled' study?  Gingko
was prescribed to me by a doctor who graduated from Cambridge.  Is he
good enough to give advice.

Talking about studies, can you cite me a survey done on the use of
gingko that shows *all* studies done point to the uselessness of gingko
in treating tinnitus?
Martin Smith - 06 Apr 2006 08:11 GMT
>Is clinical experience as important as any 'controlled' study?  Gingko
>was prescribed to me by a doctor who graduated from Cambridge.  Is he
>good enough to give advice.

I don't think that is relevant to the question. You have a choice
between results of a double blind scientific study, or you have your
anecdotal experience. Your own experience is valid if you can
unambiguously link the ginko to your improvement. Even if your
improvement is due to placebo effect, it doesn't matter. But if you
took ginko *and* substance X, then you can't say it was the ginko that
helped you. It might have been substance X. Or it might have been your
new office chair, or your new mattress, or your daily swimming
workout.

>Talking about studies, can you cite me a survey done on the use of
>gingko that shows *all* studies done point to the uselessness of gingko
>in treating tinnitus?

Maybe your tinnitus has improved because you have your head up your
a.s.
fyfpoon@gmail.com - 06 Apr 2006 12:52 GMT
Martin wrote:"Maybe your tinnitus has improved because you have your
head up your a.s".

Martin, when you are intellectually capable of providing a reply to a
question, you don't necessarily have to resort to insults or verbal
expression of an unscientific kind.  That you have done that has
illustrated the level of knowledge you have regarding what is being
scientific.  The so-called 'controlled' study is one kind of study that
has limitations like  any other kinds of study.  If you treated it like
God, you would subscribe to the absence of limitations related to
'controlled' study.  Go into Google or Yahoo, you will also find some
'controlled' studies done that have demonstrated gingko has the effect.
That you have refused to cite a survey is an indication of your
admission that the worshipped controlled study method carries with it
limitations.

Now, this time, hopefully your intellectual improvement has brought
back some sneses to you.  OK?
Martin Smith - 06 Apr 2006 13:10 GMT
>Martin wrote:"Maybe your tinnitus has improved because you have your
>head up your a.s".
>
>Martin, when you are intellectually capable of providing a reply to a
>question, you don't necessarily have to resort to insults or verbal
>expression of an unscientific kind.

Sorry, but my original reply to your orignal question was correct and
not meant as an insult.

Your original question: "Should I go by  how I as a patient feel or
the result of a large controlled study?"

My original reply: "You should go by the study unless you can prove it
is the ginko that changed your feelings."

Your susequent reply to my answer was clearly meant as an insult, and
you are obviously an a.shole.

>That you have done that has
>illustrated the level of knowledge you have regarding what is being
>scientific.  The so-called 'controlled' study is one kind of study that
>has limitations like  any other kinds of study.  If you treated it like
>God, you would subscribe to the absence of limitations related to
>'controlled' study.

Stop introducing crap that wasn't there. You asked a question, I
answered it. Nobody said anything about treating a study like God. You
gave a choice between a "large controlled study" and your subjective
feeling not verified by any science at all. In your example, you don't
know whether your improved feeling is due to the ginko. You don't
know. It could be caused by something else.

>Now, this time, hopefully your intellectual improvement has brought
>back some sneses to you.  OK?

Blow it out your a.s.
fyfpoon@gmail.com - 06 Apr 2006 14:48 GMT
Martin, go f.ck yourself!  That is what you get when you bring others
down to *your* level!
Martin Smith - 06 Apr 2006 14:57 GMT
> Martin, go f.ck yourself!  That is what you get when you bring others
> down to *your* level!

You should know. I descended to yours.
fyfpoon@gmail.com - 06 Apr 2006 16:11 GMT
Then we are equal ...
Martin Smith - 06 Apr 2006 18:41 GMT
> Then we are equal ...

Only in your alleged mind.
fyfpoon@gmail.com - 08 Apr 2006 08:16 GMT
Not in yours?  I think you can't help it.
Martin Smith - 08 Apr 2006 09:17 GMT
> Not in yours?  I think you can't help it.

You're trolling now, fyf. We're not equal. I'm a lot smarter.
fyfpoon@gmail.com - 09 Apr 2006 01:43 GMT
If you had been a lot smarter, you would not have wasted your precious
time wrestling with a troll!
Martin Smith - 09 Apr 2006 07:30 GMT
> If you had been a lot smarter, you would not have wasted your precious
> time wrestling with a troll!

It's what I do for entertainment.

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