Tinnitus Today December 1988 Vol 12, No 4

7/30/2019 Tinnitus Today December 1988 Vol 12, No 4

1/20

ABLBDEBU 30>> VHIRDB 35) JRDEBUQ`jj`tus QhacyQNB GHRUJCI HF QNB CDBU@LCJ Q@JJ@QR\ C\\HL@CQ@H

%Qh lcrry hj cja supphrt rbsbcrln cja baulct`hjci clt`v`t`bs rbict`jm th tnb lurb hf t`jj`tuscja htnbr abfblts hr a`sbcsbs hf tnb bcr*--

NP_BUCLR\@\7]NBJ QNB %VHIRDB$LHJQUHI KJHE% EUBCK\CiC-\ JB] _\C-\

RJ\BU FIHCQ

UBFIBLQ@HJ\ HJQNB _CQNH_NP\@HIHMP HF Q@JJ@QR\UB_HUQ\7A*L* Q@JJ@QR\ FHURD

NBCU@JM \HL@BQP


2/20

@fPhu \uffbrFrhdQ`jj`tusPhuJbbaQhNbcrQn`s*Fbbi tnb hlbcj-ssprcy ** mh ecrbfhhtey c sw`ft dhujtc`j strbcd ** hr tckbc wcik j nb suddbrrc`j*CrbPhuHjbHfQnbBst`dctba


3/20

NP_BUCLR\@\7 ]NBJ QNB%VHIRDB$LHJQUHI KJHE%EUBCK\ ey Li`ff Lhii`js.Li`ff Lhii`js `s c frbb$icjlb ghurjci`sti`v`jm `j Cihnc Hrbmhj* Nb cish wr`tbsc e`wbbkiy nbcitn lhiudj `j Qnb._hrticja) \ujacy Hrbmhj`cj*

Qnb ybcr `s 30= 2) hj c wcrd\hutnbrj j`mnt* C mrhup hf fr`bjas crbct c lhi`sbud rhlk lhjlbrt) cja hjb 53$ybcr$hia hev`husiy w h ~ i a rctnbr jht ebtnbrb7 \bctba ct tnb bja hf tnb rhw) nbrbdcds frhzbj tnrhumnhut) n`s tbbtnmjcsnba thmbtnbr cs tnb bcr$wrclk`jmecrrcmb phujas `j n`s nbca*stbcis micjlbs ct n`s fr`bjas)whjabjjm ~ h w tnby lhuia eb mrhhv`jmhj 35? abl3ebis tnct crb `jfi`lt`jm hjiyd`sbry `jsàb n`s skuii* Qnb N$ehde@bvbi pbcks mh hj fhr nhurs) cja wnbjtnb kàs ibcvb) tnb yhujm dcj nbcrs n`sfr`bjas cs `f tnrhumn c tujjbi) tnb`rvh`lbs fìtbr`jm tnrhumn n`s bcrs cs ` ffrhd c arbcdi`kb a`stcjlb* Cja tnbrb `sc r`jm`jm) ihuabr tncj tnb shuja hf tnb`rXvh`lbs) blnh`jm i`kb shdb bbr`b lhsd`lw`ja* @t wcs gust hjb j`mnt) tnct j`mnt `jtnb -=?s) eut `t lncjmba tnb 53$ybcr$hia-si`fb pbrdcjbjtiy* Jh dhrb lhuia nbbjlhujtbr jh`sb w`tnhut pcy`jm c pr`lb*N`s bcrs rcjm ihuaiy fhr dhjtns) pbrncpsfhr c ybcr* Frhd tnct acy fhrwcra)wnbjbvbr nb wcs crhuja sustc`jbaj h ` s ~ $$ c dhv`jm lcr) sphrts bvbjts)dhv`bs) dus`l cja pbhpib s`jm`jm) clrhwaba rbstcurcjt $$ tnb r`jm`jm `j n`snbca whuia rbturj fhr c spbii* Bcrpiumseblcdb cs bssbjt`ci cs kbys) wciibt cjaphlkbt lncjmb7 nb lhuia mh jhwnbrbw`tnhut piums ct tnb rbcay*Qnb bcrs ah jht fhrmbt* Qn`rtbbjybcrs cftbr tnb 53$ybcr$hia ibft tnctlhjlbrt w`tn bcrs r`jm`jm) bcrpiums cihjbhftbj crbj-t bjhumn* Cs sh hftbjncppbjs w`tn bcr `jgury) tnb whrstacdcmb snhwba up c ablcab ictbr* Eyjhw) wnct wcs hjlb cj `jlhjvbj`bjlbncs eblhdb i`fb$citbr`jm* Cs tnb ybcrswbjt ey) n`s bcrs eblcdb dhrb cja dhrb

_cmb 6) nb cttbjabac ecskbtecii thurjcdbjt* Qnb pbp ecjascja tnb ihuaspbckbr sbbdba ihuabr tncjtnby snhuia; nb kjbw jbvbr th cttbja cecii mcdb w`tnhut wbcr`jm piums) eutjhw) tnby aàj-t sbbd cabquctb*Fhr tnb prbv`hus ablcab) nb sbiflhjsl`husiy nca lcrr`ba bcrpiums crhuja)phpp`jm tnbd `j surrbpt`t`husiy $$ i`kbLicrk Kbjt si`pp`jm `jth tnb pnhjb ehhtnth lncjmb lihtnbs wnbjbvbrsurrhuja`jm bvbjts a`ltctba* Nb fhujatnct dhrb cja dhrb s`tuct`hjs rbqu`rbaprhtblt`hj) bvbj ncv`jm th `jsbrt c piumd tnb whrst bcr wnbj i`stbj`jm th tnbbvbj`jm rca`h jbws ct nhdb* ]nbj nbwcikba ahwj n`s strbbt) lcrs shujaba thhihua) cja nb nca th php `j c pium*Qnbj) ey lncjlb) nb scw cj crt`libcehut t`jj`tus cja nbcr`jm acdcmb* @tthia hf tnb Hrbmhj Nbcr`jm UbsbcrlnLbjtbr cja tnb Cdbr`lcj Q`jj`tusCsshl`ct`hj) ehtn ecsba `j tnb _hrticja)Hrbmhj) crbc wnbrb nb i`vba* Nblhjsàbrba *mh`jm `j fhr cj bcr bxcd) eutnb tnhumnt tnby whuia tn`jk nb wcswb`ra hr shdbtn`jm; cftbr cii) n`s t`jj`tuswcsj-t lhjstcjt cja `t wcsj-t sbvbrb*Cish) nb kjbw n`s nbcr`jm wcs pbrfblt*@z7t fclt) `t sbbdba thh pbrfblt $$ `jabba)n3s wnhib prheibd wcs7 nb lhuia nbcr

Lhjt`juba _cmb 1


4/20

NP_BUCLR\@\7 ]NBJ QNB %VHIRDB$LHJQUHIKJHE% EUBCK\) lhjt`jubathh wbii* ]huia tnhsb pbhpibujabrstcja) whuia tnby tn`jk nb wcslrczy `f nb thia tnbd7 bvbrytn`jm sbbdsthh ihua8Nb put tnb crt`lib hj n`s absk)rbturj`jm th `t cehut hjlb c wbbk) eut nbaàj-t mh sbb tnb ahlthrs dbjt`hjba `jtnb sthry* @jstbca) nb mht c jbw typb hfbcrpium) tn`jk`jm tnct dust eb tnbprheibd* Nb lncjmba wb`mnti`ft`jmmyds) c rbmuicr nheey) try`jm th t`ja hjbw`tnhut ihua dus`l cja jh`sb) eblcusbnb wcs ncv`jm th wbcr bcrpiums cii tnbt`db jhw wnbj ct tnb ihua myd* @t ncaebbj tn`s wcy fhr sh ihjm7 ct dhv`bscja snhws) nb nca th wbcr bcrpiumseblcusb hf tnb jh`sb ibvbi) eut tnct dcab`t ncra th lhdduj`lctb w`tn pbhpib nbwcs w`tn* ]cs nb snhut`jm hrdudei`jm8 Nb lhuia jht tbii) eut nblhuia nbcr bvbryhjb bisb bcsìy tnrhumntnb piums*Ey tnb spr`jm hf 30>6) nb ncaeblhdb dhrb cja dhrb abprbssba)ncv`jm th m`vb up ah`jm tn`jms nbbjghyba eblcusb dhst jh`sbs wbrb thhmrbct cja tnb t`jj`tus dhrb frbqubjt*Fr`bjasn`ps abtbr`hrctba eblcusb nb wcsujwìi`jm hr ujceib th rbvbci n`s bcrprheibds th cjyhjb) lnhhs`jm `jstbca thnàb tnbd cja bvbj th abjy tnbd thn`dsbif* @j Dcrln) ujceib th ujihca cpc`r hf t`lkbts nb-a purlncsba fhr clhjlbrt) nb absphjabjtiy wcikba `jth tnbsnhw ey n`dsbif*Bxpblt`jm tnct tnb frbsn jbw pc`rhf bcrpiums) thppba hff w`tn c pc`r hfwcx bcrpiums hj tnb hutsàb) whuiaprhtblt n`d) nb ablàba th m`vb `t c try*Cftbr cii) `j cjy jh`sy bvbjts nb ncaebbj th s`jlb 30=2) nb nca ciwcys whrjbcr prhtblt`hj) cja `t nca whrkba wbii*@ f tnb s`jmbr wcs thh ihua) nb thian`dsbif) nb whuia ibcvb $$ jht dck`jmtnb d`stckb jhw) ct cmb


5/20

Nb lciiba `t nypbrclus`snbcr`jm* N`s li`j`l ncabbj c ncjafui hf htnbrs w`tn tnblhja`t`hj cja dhst nca cish ncat`jj`tus* ]nct wcs ujusuci wcs tnctjhjb hf tnb pct`bjts nca cjy dbcsurceibnbcr`jm ihss dhst $$ i`kb tn`s


6/20

_N@ICABI_N@C UBM@HJCIQ@JJ@QR\ LHJFBUBJLBJbcriy fhur nujarba pbhpib lcdbthmbtnbr hj Hlthebr 55 30>> thpcrt`l`pctb `j c acy ihjm lhjfbrbjlbfbctur`jm whrksnhps hj vcr`hus cspblts

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Ar* Ucipn Jcujthj) A`rblthr) Jct`hjci @jst`tutbJburhihm`lci cja Lhdduj`lct`vb A`shrabrs)Kbyjhtb \pbckbr*

Lhjfbrbjlb cttbjabbs ct tnb hpbj`jm sbss`hj*

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_cmb 6


7/20

CQ@HJCI NBCU@JM C@A\HL@BQP LHJVBJQ@HJ CJ%BCU H_BJBU% FHU CQC-\B^BLRQ@VB A@UBLQHU@t `s trub tnct hjb jbvbr ibcrjs

nct `j d`ja @ ablàba tnct tn`s wcs tnbbcr pbrshjciiy th cttbja tnb JNC\@ bjtbrba tnbbm`strct`hj ncii hj t n ~ f`rst d h r j ` j ~ hfnb lhjvbjt`hj bxpbltdm th sbb c nttibnhur hfhpbj`jm* ]nct @ wcikba `jth wcs* cdìi`jm tnrhjm hf tnhuscjas hf nbcrdmspbl`ci`sts wnh wbrb rbm`stbr`jm fhr tnbdcjy lhjt`ju`jm baulct`hj lhursbs cjalhjvbjt`hj clt`v`t`bs tnct wbrb th hllupytnbd fhr tnb jbxt fhur acys* @ qu`lkiysbt up CQC s trcvbi`jm bxnè`t cja ebmcjth cjswbr qubst`hjs cja ncja hut CQCerhlnurbs cja Jbwsibttbrs* @t wcspcrt`luicriy pibcscjt th dbbt dcjy hf tnbpbhpib wnh crb cltuciiy prhvà`Xjm nbipth pct`bjts w`tn t`jj`tus cja nbcrdm ihss*Dcjy hf tnhsb wnh lcdb th tnb ehhtncrb wbii kjhwj th CQC ncv`jmpcrt`l`pctba `j hur baulct`hjci prhmrcdscja rbfbrrci jbtwhrk fhr dcjy ybcrs*Qnbrb wbrb cish v`s`thrs wnh nca jh àbctnct wb bx`stba cja wbrb abi`mntba thf`ja c shurlb hf `jfhrdct`hj fhr tnb`rli`bjts*Qnb rbci %bcr hpbjbrs% wbrb tnblhddbrl`ci bxnè`ts ct tnb lhjvbjt`hj* @lhjsàbr dysbif c fc`riy shpn`st`lctbanbcr`jm$cà usbr) ncv`jm whrj tnbd fhrcehut 32 ybcrs jhw cja abdcja`jmjhtn`jm snhrt hf pbrfblt`hj `jpbrfhrdcjlb* @ wcs cwba ey tnb *rcjmbhf càs cvcìceib cja hf tnb bxpbrjsb hftnb pbhpib dcrkbt`jm tnbd* Qnbrb crb shdcjy lnh`lbs cvcìceib th tnbprhfbss`hjcis wnh sbrvb us tnct cidhstcjyhjb snhuia eb ceib th *ncvb t ~ b ` r nbcr`jm prheibds shivba w3tn c ntmnabmrbb hf sct`sfclt`hj* Qnb dhst ~ ~ l ` t ` j m bxnè`ts fhr db wbrb tnhsb pbrtcddm thcss`st`vb i`stbj`jm abv`lbs* I`kb dcjy hfus @ ncvb mhttbj cihjm prbtty wbii w`tndy nbcr`jm càs ci98jb eut tnbrb crbs`tuct`hjs wnbrb c nttib dhrb nbip `s

_cmb =

jbbaba* @ cirbcay ncvb cdpi`f`bancjasbts hj cii hf dy tbibpnhjbs ehtn ctnhdb cja `j tnb hff`lb) cja @ lcrry cphrtceib tbibpnhjb cdpi`f`br wnbj @trcvbi* @ usb c ihhp systbd ct nhdb fhrtnb QV `j dy a`j`jm rhhd cja k`tlnbj*@ lcj nbcr tnb sbt cir`mnt wnbj @-ds`tt`jm ihhk`jm ct `t) eut tnb ihhp s y s t b ~ ciihws db th turj dy eclk hj tt)i`stbj`jh v`c tnb tbibpnhjb sw`tlnbs hjdy nbcrijm càs) cja f`x a`jjbr hr wcsna`snbs* @ usb cjhtnbr typb hf i`stbj`jmabv`lb wnbj @ wctln QV `j tnb ebarhhd*@t `s c a`rblt pium$`j frhd dy càs th tnbQV cua`h hutput* Dcjy htnbr nbipfuiabv`lbs wbrb eb`jm bxnè`tba $$ i`mnts thcibrt hjb th shujas suln cs sdhkbcicrds ahhrebiis) tbibpnhjbs cja sh- *fhrtn $$ abv`lbs th nbip us nbcr dtnbctbrs cja lhjlbrts $$ pbrshjci abv`lbssh tnct lhjvbrsct`hjs lcj tckb piclb `js`tuct`hjs tnct crb usuciiy fcr thh jh`syfhr dhst nbcr`jm$cà usbrs th eb ceib thujabrstcja spbbln) tnbsb cja dhrb#]b-ii eb tbii`jm yhu cehut shdb hftnbsb prhaults `j futurb `ssubs cja dhsti`kbiy wìi eb csk`jm yhu fhr yhurpbrshjci bxpbr`bjlbs w`tn tnbd cs wbii*Cjhtnbr fbcturb hf tnb JNC\lhjvbjt`hj wcs tnb prbsbjtct`hj hfrblhmj`t`hj cwcras th ihjm stcja`jmdbdebrs* ]b wbrb pibcsba th sbb tnctsbvbrci hf CQC-s mhha fr`bjas nca ebbjsh nhjhrba* @jliuaba wbrb7 Ahrhtny @*Eczhjsk`) Gcdbs Abik) Uhebrt Ncrdhj)Ibsi`b _* Ibcib) Ibh F* \bbi`m) cjaAhjcia \* ]ìibtt* Lhjmrctuict`hjs th ciihf yhu#

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Lhde`jbaFbabrciLcdpc`mj


8/20

CI RJ\BU \_BCK\ HRQ FHUQ@JJ@QR\Qnb _hrticja) Hrbmhj Eus`jbssGhurjci hf \bptbdebr 30tn lcrr`ba tnbcjjhujlbdbjt hf c puei`l rbict`hjscwcra th Hayssby _rhault`hjs fhr tnb`rprbss rbibcsb %Hayssby _rhault`hjs\nhhts Ci Rjsbr*% Cltuciiy) Hayssbydcab c puei`l sbrv`lb cjjhujlbdbjtfbctur`jm C@ Rjsbr cja Hiydp`l MhiaDbaci st Gbff Fihct* Qnbsb _\Cs crbjhw eb`jm c`rba ey dhrb tncj 32? QVstct`hjs jct`hjwàb cja hvbrsbcs tnrhumntnb Crdba Fhrlbs Uca`h & QV Jbtwhrk*Ci-s slr`pt lihsba w`tn tnb i`jb %***cja csk -bd wny C@ Rjsbr vhiujtbbrbath scy tn`s*% Dcjy pbhpib aà csk wnyC@ eblcdb cj CQC vhiujtbbr* Nb thiatnb fìd lrbw tnct `t wcs eblcusb nbsuffbrba frhd t`jj`tus cja nbcr`jm ihssn`dsbif cja wcjtba th ah n`s pcrt th tryth prbvbjt htnbrs frhd jbbaibssiyacdcm`jm tnb`r bcrs* Fhrtujctbiy fhryhujm ar`vbrs tnbrb crb jhwshpn`st`lctba tblnjhihm`bs cvcìceibwn`ln bjceib tnbd th wbcr bcr prhtblthrswnìb ct tnb scdb t`db stcy`jm `j rca`hlhjtclt w`tn tnb`r p`t lrbws*_ibcsb rbdbdebr $$ dhrb tncj ncifhf tnb pbhpib wnh suffbr frhd t`jj`tuslcj rblcii s`mj`f`lcjt jh`sb bxphsurb tnctdcy ncvb lcusba tnb`r bcr jh`sbs* Qnbsbpbhpib dhrb tncj i`kbiy cish suffbr frhd`dpc`rba nbcr`jm lcusba ey tnct scdbjh`sb* Ey nbip`jm CQC th baulctb tnbpuei`l cehut phtbjt`ci tnrbcts th nbcr`jmyhu lcj cssurb tnct futurb mbjbrct`hjswìi ncvb tnb kjhwibamb rh prhtblttnbdsbivbs cmc`jst ihua jh`sb*GBFF FIHCQ \_BCK\ HRQ FHUQ@JJ@QR\

Gbff-s nbcr`jm prheibd ebmcj cftbrc lnìanhha ìijbss* N`s lhp`jm styib ncsciwcys ebbj th bxlbii `j sp`tb hf tnbnbcr`jm prheibd* Qn`s styib wcssullbssfui fhr Gbff $ yhu 33 rbdbdebr tnct`j 30>1 nb wcs \w`d Qbcd Lcptc`j cjawhj twh Mhia Dbacis `j tnb Hiydp`lMcdbs* Gbff `s jhw c sullbssfuieus`jbssdcj `j jhrtnbrj Lci`fhrj`c eutnb f`jas t`db th nbip pbhpib w`tn nbcr`jm

a`ff`luit`bs ujabrstcja tnb`r prheibds cjabci w`tn tnbd* Pbs) nb ncs t`jj`tus thhQnb cllhdpcjy`jm p`lturbs wbrtckbj hj ihlct`hj ct tnb Qucict`j VciibUblrbct`hjci Lbjtbr `j Cihnc) Hrbmhwnbrb tnrbb puei`l sbrv`lcjjhujlbdbjts fbctur`jm Gbff wbrfìdba*

CQC-s a`rblthr sbrvbs cs dckbup crt`st wnbj tnblcdbrc rbvbcis acrk l`rlibs ujabr G b*ffs bybs*Gbffs nbcr`jm$cà `s v`sèib `j tn`s pnhth*Lcj yhu spht `t8

Hayssby _rhault`hjs lcdbrc lrbwtrclks Gbi f cs nb sw`ds c icp*

Gbifs eclkstrhkb ncs w`jj`jm fhrd*_nhths lhurtbsy hf Qnbhahrb B* Ub`_cmb >


9/20

]C\N@JMQHJ) AL Q@JJ@QR\FHURD UB_HUQ\tcja`jm Uhhd Hjiy wcs tnbtnb \bptbdebr 56tn Q`jj`tusct tnb Mrcja Nyctt Nhtbi `jcsn`jmthj) AL* Dhrb tncj 5?? pbhpibcdb frhd cs fcr cwcy cs Qhrhjth)jtcr`h th nbcr tnb ictbst jbws cehut

t`jj`tus* Mihr`c Ub`ln hpbjba tnbdbbt`jm cja `jtrhaulba tnb spbckbrs*Qnb f`rst spbckbr wcs Gclk Vbrjhjabslr`pt`hj hf nhw dcsk`jm wcssiàbs hf pct`bjts-bcriy ybcrs hfbr abvbihpdbjt* Qnbsb siàbs

th snhwlcsb %tcumnt us shdbtn`jmdcsk`jm%* Qnb cua`bjlb cppbcrbaeb r`vbtba `j tnb`r sbcts cja surbiylhdb cwcy kjhw`jm dhrbtnby bvbr nca ebfhrb*

C* Vbrjhj* _n *A* Cercncd \nuidcj D*A*

Qnb sblhja spbckbr) Ceb \nuidcj)prbsbjtba tnb pnys`l`cj-s v`bw hf tnbpct`bjt w`tn sbvbrb a`scei`jm t`jj`tus*Nb sphkb cehut tnb abvbihpdbjt hfvcr`hus tbsts th abtbrd`jb bt`hihmy cjawcys hf hegblt`v`s`jm t`jj`tus rbphrt`jm*Ar* \nuidcj rbfbrrba th tnb whrk hf Ar*Ncrcia Fbiadcjj scy`jm tnct Q`jj`tus `sjht i`kb c jcturci shuja) rbqu`r`jmspbl`ci prhthlhis cja trbctdbjt*

_cmb 0

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10/20

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11/20

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_cmb 33

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12/20

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_cmb 35

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13/20

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14/20

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15/20

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Tinnitus Today December 1988 Vol 12, No 4

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Transcript of Tinnitus Today December 1988 Vol 12, No 4