> > Paul, since most people, left untreated, habituate their tinnitus over a
> > period of one to two years, any treatment would, for these people, seem
[quoted text clipped - 5 lines]
> judge if a treatment made my tinnitus better or not. Also, Paul never
> said in his post how long he's had tinnitus.
I referred to "most people" because I don't know how long Paul has
experiencing tinnitus. My tinnitus varies considerably. Sometimes when I
pause to listen for it I hear crickets. Sometimes I hear venting steam.
Sometimes it sounds very loud, sometimes I can barely hear it. It would be
impossible for me to attribute the variations to anything in my diet. Last
night I took my very first Simvastatin to deal with high cholesterol. At
this moment my tinnitus sounds like venting steam and is very, very loud. I
certainly couldn't attribute this to the Simvastatin, however, since I've
heard it like this many times before.
Zuzu, if your tinnitus is always the same, then I suppose you could
associate a change with a treatment, but that isn't my experience.
Bill
ENTconsult - 03 Jul 2004 17:38 GMT
Bill raised a very good point, after 6 months of believing the pills will work,
habituation takes place and "faith" takes over. Not only in tinnitus, studies
have shown improvement with placebo, etc. Patients have insisted that the
operation helped them when all studies showed no improvement.
This is why any T study without audiometirc and tinnitus measuements are not
"valid".
On the other hand there is faily good evidence that certain products can "help"
the physiology of the ear. For example, antioxidants have been shown to reduce
presbycusis in rats. So if you have an aged rat and you want to help prevent
hearing loss, consider that.
My idea is to use the stuff that shows evidence that it helps the physiology of
the ear. But it is a shotgun approach since we can't get into the ear and
measure the fluids. And I must strain not to get improvement due to "patient
wants to please" effect.
Even worse: any patient getting a hearing test Feb 1 may show a better test
March 1,with or without treatment. so how to prove that the pills did it?
To do a true study of effects of meds on T requires huge numbers, placebo, and
care to avoid placebo effects. And takes a great deal of time.
Murray Grossan, M.D.
http://www.ent-consult.com