Tinnitus Today June 1997 Vol 22, No 2
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Transcript of Tinnitus Today June 1997 Vol 22, No 2
-
7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
1/27
Kuin 377? Ubaudn ::, Iudjnr :
Vgiigtus Vbfcy
V@N
KB^ZICA
BE V@N CDNZGMCI VGIIGV^]
C]]BMGCVGBI
Vb prbdbtn rnagne, prnvnitgbi, cif t`n nvnituca murn
be tgiigtus
ebr
t`n jninegt be prnsnit
cif
euturn oninrctgbis
i V`gs
Gssun;
N
af
nray \n
bpa
n cif Vgiigtus
Jc
rbd
ntrgm M`cions cif
t`
n Ncr
Inw
Fruo Znsncrm`
u Mci Bvnrmbdn Wbur Vgiigtus
]gimn 37?3
Znsncrm Znenr
rcas
Znsburmn s
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
2/27
]buifs Be ]ganimn
Mbitrba
yb
ur cufgjan cdjgnimn wgt`
sbuifs
mcu
sn
f jy
Vgiigtus
w
gt` t`n
Dcrsb
ic
Vgiigtus Dcsh
nr
erbd Cdjgnit
]`cpns
. V`n
ernqunimy
cif
git
nis
gty be
t`n
s
gduactnf sbuif
s
dct
m
t`
n
tb
i
ns
`
nc rf
jy
dciy
tgiigtus
sueenrnrs. V`nsn
dcsh
gio
fnvgmns crn prbvni neenmtgvn gi cssgst gi
o
dciy pctgnits gi cfcptgio tb t`ngr tgiigtus.
_n mciibt prnfgmt w`nt`nr
br
ibt t`n
Dcrsbic gs cpprbprgctn
ebr yb
u,
jut
t`n
prbjcjgagty be s
ummnsseua
dcs
hgio
gs wn
aa
wb rt` VCHGIO CFUCIVCON BE B^Z = \
brtacif
BZ 7?:,
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
4/27
Erbd t`
fgtbr
y
Oabrgc N Zngm` \`.F.
Nxnmutgvn Fgrnmtbr
_nambdn tb
snvnrca
pnbpan w`b
wgaa
jn
eurt`nrgio
t`n mcusn be
tgiigtus
cif
t`n
CVC.
Wbu'aa
jn
rncfgio nasnw`nrn gi t`gs gssun
cjbut
t`rnn
inw
dndjnrs be
t`n smgnitgegm cfvgsbry mbddgt
tnn; \cwna K. Kcstrnjbee, \`.F.8
Ocry Kcmbjsbi, \`.F.8 cif
Zbjnrt ]wnntbw, \`.F. Caa crn wnaa-vnrsnf gi
tgiigtbaboy cif wn
abbh ebrwcrf tb
t`ngr wgsn
mbuisna.
Ct t`n scdn tgdn wn
jgf
c orctneua
ecrnwnaa tb
cfvgsbr Zgm`crf
Obbfn, D.F.
w`b `cs
mbitrgjutnf
ornctay tb
CVC s
orbwt` cif summnss.
CVC s
jbcrf
be
fgrnmtbrs
casb
mbitgiuns
tb
orbw.
V`n
actnst cffgtgbis tb bur obvnrigio jbcrf
(w`b
ybu'aa rncf
cjbut
gi t`n
inxt
gssun) crn
]gfiny
Hangidci
erbd M`gmcob, Gaagibgs, cif
]tnp`ni
Icoanr, D.F. erbd Ctacitc, Onbrogc.
_n
wcrday
wnambdn
t`nd cif abbh ebrwcrf tb
wbrhgio wgt` t`nd tb eurt`nr
CVC s
prbornss.
Wbu
dcy wbifnr `bw c pnrsbi onts tb jn
ci CVC
jbcrf dndjnr. _naa, bin
rbutn
tb CVC
jbcrf snrvgmn gs tb snrvn
bi
c mbddgttnn.
V`ct's
c
obbf
wcy tb ont tb hibw t`n pnbpan
w`b
crn
rnspbisgjan
ebr
CVC s
wnaa-jngio cif tb
fntnr
dgin
w`nt`nr
ybu wcit
tb
mbddgt
tb
t`n vnry
mbisgfnrcjan rnspbisgjgagty bejngio
c
jbcrf
dndjnr. Ge ybu'f aghn dbrn
giebrdctgbi
cjbut
jnmbdgio
snrgbusay givbavnf
wgt` CVC,
csh dn.
G'aa
jn
`cppy tb ciswnr ybur
qunstgbis
cif
prbdgsn ibt tb twgst ybur crd tbb tgo`tay.
Ibw, `nrn's c
wcy
t`ct nvnrybin mci `nap.
_rgtn tb ybur anogsactbrs gi suppbrt be tgiigtus
rnsncrm`. Nvnry anogsactbr vbtns
bi
t`nsn hgifs be
gssuns, prgdcrgay jy t`ngr suppbrt be t`n Ictgbica
Gistgtutn bi
Fnceinss cif Bt`nr Mbdduigmctgbi
Fgsbrfnrs. ]bdn anogsactbrs `cvn c ornctnr gieau
nimn fun
tb
t`ngr dndjnrs`gp bi t`n
cpprbprgc
tgbis mbddgttnns be t`n
@busn
cif ]nictn.
V`nsn
pnbpan
crn
pcrtgmuacray gdpbrtcit tb mbi
tcmt
cif wn `bpn ybu'aa
wrgtn
tb cs dciy cs pbs
sgjan.
Bjvgbusay
ybu'aa `cvn t`n dbst gieaunimn
bi t`n bins w`b'vn
jnni
nanmtnf jy ybur vbtn.
Wbur bwi wbrfs crn t`n dbst neenmtgvn
dncis be mbdduigmctgbi jut sbdntgdns gt's ncs
gnr tb dbfgeW c anttnr t`ct's carncfy
jnni
stcrtnf.
@nrn's
t`n
oninrca
gfnc
be w`ct innfs tb
jn
scgf.
6
Vgiigtus Vjfcy/ Kuin 377?
V`n @bibrcjan
xxxxxxxx
^igtnf ]tctns ]nictn br
^igtnf ]tctns @busn
be
Znprnsnitctgvns
Zbbd Iudjnr PPPP, xxxxxxx Jugafgio
_cs`giotbi,
F.M.
:3>
Fncr
]nictbr
xxxxxxx, Br,
Fncr
Mbiornssdci/wbdci
xxxxxxx,
G'd wrgtgio tb csh
ybu
tb suppbrt
tgiig
tus
rnsncrm` jy vbtgio ebr
ci
gimrncsn gi
t`n
jufont
ebr
t`n
Ictgbica Gistgtutn
bi
Fnceinss cif
Bt`nr Mbdduigmctgbi
Fgsbrfnrs (IGFMF). V`n \rnsgfnit `cs biay
rnmbddnifnf
c :. 5 jufont
gimrncsn ebr
t`n
Ictgbica Gistgtutns be @ncat` (IG@)
w`gm`
wbuaf
dnci
c
fnmrncsn gi rnca
fba
acrs cvcgacjan ebr rnsncrm`.
\ancsn
suppbrt
rnca
gimrncsn
gi
t`n IG@ jufont be ct ancst
t`n
7 cfvbmctnf
jy t`n Kbgit
]tnnrgio
Mbddgttnn.
\ancsn,
casb,
mbisgfnr jnmbdgio
c mb
spbisbr
be Mbiornssdci Onhcs' rnsbautgbi
mcaagio ebr c
fbujagio be
t`n IG@ jufont.
Bimn ybu'vn
mbddgttnf
tb gimrncsgio t`
jufont ebr
`ncrgio rnsncrm`,
pancsn rndnd
jnr tb
spnmgey t`ct sbdn
be gt dust jn spni
bi
tgiigtus
rnsncrm`. V`bsn be us w`b `cvn
tgiigtus crn rnaygio
bi
ybu
tb `nap. _n'rn
nconr
tb rnmngvn
neenmtgvn
trnctdnit cif
on
bi
wgt` bur
agvns.
V`ct
mci biay `cppni ge
rnsncrm` gfnitgegns t`n mcusn be tgiigtus ci
suoonsts cpprbprgctn magigmca gitnrvnitgbis.
Gi dy
bwi
nxpnrgnimn wgt` tgiigtus .....
X@nrn s w`nrn ybu mci tnaa ybur
bwi
stbry
cjbut `bw tgiigtus `cs ceenmtnf ybur
agen,
jbt`
gi
t`n
wbrhpacmn cif sbmgcaay.T
G
cd
c dndjnr be t`n
Cdnrgmci Vgiigtu
Cssbmgctgbi, t`n
biay
ibi-prbegt brocigzctgb
fnvbtnf tb
prbdbtgio tgiigtus rnsncrm` cif
`napgio
t`bsn
w`b
`cvn gt. Wbu
cif
ybur
stcee
mci
pnrsbicaay
kbgi t`n
ego`t tb murn
tgiigtus
jy
c panfon
tb
CVC
( 36)
gi
t`n
Mbdjginf
Enfnrca
Mcdpcgoi.
\ancsn agstni tb
dn sb t`ct
G wbi't `cvn
tb
agstni
tb
t`nsn gienrica
tgiigtus sbuifs
ebr t`n
rnst
be dy agen. Wbur
vbtn
tb gimrncs
`ncrgio cif
tgiigtus rnsncrm` gs mrumgca. G
t`cih ybu ebr ybur mbisgfnrctgbi.
]gimnrnay
yburs,
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
5/27
Erbd
t`n fgtbr mbitgiunf)
Jnabw gs c agst be t`n
dbst
mrumgca @busn
Cpprbprgctgbi
Mbddgttnn
dndjnrs
tb mbitcmt.
V`ngr
Zbbd
iudjnrs cif
Jugafgios
crn agstnf
cetnr t`ngr icdns.
Zbjnrt J. Cfnr`bat, CA
3
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
6/27
Anttnrs
tb t`
fgtbr
Erbd tgdn
tb
tgdn, wn gimaufn anttnrs erbd bur
dndjnrs cjbut t`ngr nxpnrgnimns wgt` ibi-
trcfgtgbica trnctdnits. _n
fb sb
gi t`n `bpn t`ct
t`n giebrdctgbi beenrnf dgo`t jn `napeua. \ancsn
rncf t`nsn cinmfbtca rnpbrts mcrneuaay, mbisuat wgt`
ybur p`ysgmgci br dnfgmca cfvgsbr8 cif fnmgfn ebr
ybursnae
ge
c ogvni trnctdnit dgo`t
jn
rgo`t ebr ybu.
s cawcys, t`n bpgigbis nxprnssnf crn strgmtay t`bsn
be
t`n anttnr wrgtnrs
cif fb
ibt rneanmt
ci
bpgigbi br
nifbrsndnit jy CVC.
` i ~ ybu gddnisnay ebr t`n `nap G `cvn
rnmngvnf
erbd
t`n CVC pujagmctgbi
Vgiigtus Vjfcy.
G `cvn
ancrinf
c
ornct
fnca
cjbut tgiigtus, pcrtgmuacray
`bw
tb mbpn
wgt` gt. Ebr dn, t`n ornctnst `nap `cs jnni;
3.
nagdgictgio
caa
mceengin erbd
dy
fgnt
gimaufgio
fnmce
frgihs)
:. tchgio ogihob t`rnn tgdns c fcy
=. wncrgio ncrpauos bi t`n
pacin, jus,
dntrb
rcga, cif w`gan wcahgio
bi t`n
strnnts be
t`n
mgty
6. egifgio c
hibwanfoncjan
fnitgst w`b
wcs
wgaagio tb
`nap
dn
wgt`
VDK cif
`cs
rncfkustnf
dy jgtn cif rnfumnf dusman
spcsds,
w`gm` casb
rnfumnf
dy
tgiigtus
.
G stgaa `cvn tgiigtus
jut
ct ancst ibw G mci
agvn
wgt`
gt. V`cihs
cocgi
.
Agifc F \ntnrs, Mbrca Ocjans, EA
C
etnr 30 dbit`s be sueenrgio cif vgsgtgio
iudnrbus
p`ysgmgcis, dy
tgiigtus cif
fgzzginss
`cvn fnmrncsnf 5
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
7/27
nttnrstb t`n Nfgtbr mbitgiunf)
n v n a b p n f t g i i g t ~ s g ~ d n f g t n a y
cetnr
jngio
dKnmtnf
wgt` ci wfdn-jcsnf
fyn w`gan
`cv
gio c MCV smci. G cssudnf gt wcs ci caanrogm
rncmtgbi
tb t`n
fyn
jnmcusn G `cf
`gvns
cetnr t`n
giknmtgbi
cs wnaa.
V`ny tbaf dn t`n
tgiigtus
wbuaf
biay acst :6 tb 60
`burs.
V`ct
wcs twb
yncrs
cob.
V`n
tgiigtus gs stgaa
wgt` dn.
Gi t`n jnogiigio,
gt
wcs cjsbautnay gitbanr
cjan.
t
dcfn
dn p`ysgmcaay
gaa. G t`buo`t G
wbuaf absn
dy dgif
ge
G mbuaf ibt nsmcpn t`n
ibgsn. G
scw
3:
spnmgcagsts
(NIV's,
inurbabogsts,
psym`gctrgsts, ntm.), ibin be w`bd
mbuaf
pgi
pbgit
t`n rncsbi ebr
dy
tgiigtus
br tnaa dn
gt
mbuaf
jn rnagnvnf. Dbst be t`nd tbaf dn tb ancri
tb agvn
wgt`
gt.
Jngio c
vnry
fntnrdginf pnrsbi, G fnmgfnf
tb tchn t`gs
bi
cs c m`caanion. G
sbuo`t
but giebr
dctgbi cif
kbginf t`n
abmca CVC
tgiigtus
snae
`nap
orbup
cif gddnfgctnay
rncagznf
G
wcs
ibt
cabin. G dnt Ercih Cobstc, t`n
orbup
ecmgagtctbr,
w`b
`cs
agvnf
wgt` tgiigtus ebr == yncrs. @n
giebrdnf dn
t`ct G
dust nagdgictn encr erbd dy
dgif.
Encr gs c ecasn nxpnrgnimn t`ct cppncrs
rnca.
Cif
G
wcs pcrcayznf jy gt ]gimn G f
`cf
t`n
jcttnry
be tnsts t`ct ruanf
but
ciy snrgbus
fgsncsn, G mcdn tb rncagzn t`ct G
wcs anet
wgt` c
sydptbd, cif
t`ct t`n
hny tb `napgio rnfumn
t`n gitnisgty
be
t`ct sydptbd (tgiigtus) wcs
tbtca rnacxctgbi.
Ct t`ct tgdn, G
wcs tchgio
egvn
Pcicx trci
qugagznrs c fcy kust tb euimtgbi
jut
G hinw G `cf
tb try tb
cm`gnvn
tbtca
rnacxctgbi
bi
dy bwi.
G
jnoci
`ypibt`nrcpy
cif
tb
prcmtgmn
tbtca rnacx
ctgbi nvnry fcy.
_gt`
caa
sgimnrgty, gt wcs
t`n
egrst tgdn G enat aghn dy baf
snae
sgimn
t`n bisnt
be tgiigtus .
Dy
tgiigtus
`cs sgoigegmcitay gdprbvnf.
G ib
abionr tchn
trciqugagznrs
tb survgvn. _`ni G ont
strnssnf, G mci gddnfgctnay
tchn cmtgbi
tb
rnagnvn
dy
cixgnty.
\rbpnr iutrgtgbi
gs casb
ci
gdpbrtcit ecmtbr. (Mceengin dust
ibt jn
c
pcrt be
dy fgnt.) t
`cs
jnni
sum`
c orbwt` nxpnrgnimn.
G rncagzn t`ct c pbsgtgvn cpprbcm` tb ciyt`gio gi
agen wgaa gdprbvn gt.
Ercimc Kcrbsz Fncrjbri D
cvn
j n ~ i
nxpnrgnimgio ibgsn-gifumnf
tgiig
tus
ebr
ngo`t
yncrs. G
cd wrgtgio
tb
nxtnif
c
mcutgbicry ibtn tb t`bsn wgt` tgiigtus w`b
wbrh br pacy
gi c `go`
ibgsn
nivgrbidnit.
Ge
ybu
crn usgio
gi t`n mcica `ncrgio
prbtnmtgbi,
jn surn tb `cvn ci cufgbabogst mbiegrd t`ct
t`n
pauos crn prbvgfgio
t`n
anvna
be prbtnmtgbi ybu
t`gih t`ny crn. G
rnmnitay
stcrtnf c inw kbj gi c
ecmtbry
w`nrn ibgsn anvnas crn ct
0fJc. G enat
scen
usgio
$6> mustbd-egt ncrpauos,
jut cetnr
twb
dbit`s G jnoci tb nxpnrgnimn c sujstcitgca
gimrncsn
gi
dy tgiigtus. Ci cufgbabogst
mbi
egrdnf
dy
suspgmgbi t`ct t`n
pauos
wnrn prbvgf
gio
ecr
anss
prbtnmtgbi t`ci t`ny wnrn suppbsnf
tb. Gi ecmt, ct mnrtcgi
ernqunimgns,
t`ny wnrn
prbvgfgio
biay :-]fJ
be
cttniuctgbi.
G wcs egt wgt` cibt`nr
snt
be mustbd dbafnf
ncrpauos t`ct prbvgfnf
neenmtgvn :
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
8/27
Inw Fruo
Znsncrm` ebr
Vgiigtus
jy Jcrjcrc V`jcm`igmh Magnit ]nrvgmns Dciconr
\egznr \`crdcmnutgmca, t`n fruo mbdpciy t`ct
dciuecmturns Pcicx, `cs
tchni
c ogcit stnp ebr
wcrf gi rnsncrm`; Gt gs
spbisbrgio
c stufy tb egif
c spnmgegm
fruo t`ct
wgaa
rnagnvn
tgiigtus. V`gs
gs
t`n
egrst stufy be gts hgif gi dbrn t`ci c fnmcfn.
Fr.
\cua
Ouptc, c rnprnsnitctgvn erbd t`n
inurbfnoninrctgbi
acjbrctbry
ct
\egznr, tbbh ci
gitnrnst
gi
t`n sujknmt be tgiigtus
rnagne
cetnr `n
dnt
Kcdns
Hcatnijcm`,
\`.F. ct t`n
Cssbmgctgbi
ebr Znsncrm`
gi
Btbacryiobaboy mbivnitgbi acst
yncr. \egznr's obca wgt` t`gs
inw
rnsncrm` gs tb tnst
mnrtcgi fruos bi t`n mbm`ancr iumanus tb dncsurn
t`ngr neenmt
(ge ciy) bi t`n cjibrdca spbitcinbus
cmtgvgty gi t`n mbm`anc
carncfy
fndbistrctnf gi
Hcatnijcm`'s
cigdca dbfna.
Hcatnijcm`'s
`ypbt`
nsgs gs t`ct t`n
cjibrdca
cmtgvgty gi t`n mbm`anc gs
t`n butwcrf
fndbistrctgbi
be
sujknmtgvn
tgiigtus.
\egznr's
rnsncrm`
cwcrf tb Hcatnijcm` ebr t`gs
twb-yncr
prbknmt gs $:
IN_
WBZH MGVW kuay
:0 =3
\@GACFNA\@GC uoust 6
Ebr cffgtgbica giebrdctgbi cif tb rnmngvn c mctcaboun mcaa
(0) 7?6-
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
9/27
afnray\nbpan
cif
Vgiigtus
Crtgman rnprgitnf wgt` pnrdgssgbi erbd t`n Zbyca
Ictgbica Gistgtutn ebr
nce\nbpan
Bi-Agin
Inwsanttnr8 Abifbi Kuay
3=
3775
Vgiigtus
gs
ernqunitay
snni
cs
ci
baf con
t`gio, bmmurrgio twgmn
cs betni gi
t`bsn bvnr
5
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
10/27
afnray\nbpan cif Vgiigtus (mbitgiunf)
\bayp`crdcmy
Nafnray
pnbpan
qugtn
betni
tchn
c iudjnr be
fgeenrnit fruos ebr t`ngr duatgpan mbifgtgbis cif
fgsncsns, gimrncsgio t`n rgsh be fruo gitnrcmtgbis
cif bt`nr
cfvnrsn
rncmtgbis,
w`gm`
dcy casb
gimaufn
tgiigtus.
Vgiigtus
dcy
casb jn rnactnf tb
t`n mbitgiubus
usn be fruos
sum`
cs
qugigin
sua
p`ctn ebr igo`t
mrcdps,
cspgrgi ebr t`giigio be
t`n jabbf, `ypibtgms, cif fgurntgms. V`n cogio
inrvbus
systnd
snnds tb jn gimrncsgioay susmnp
tgjan tb
dciy mbddbiay usnf
fruos - sb ge c
dnfgmctgbi gs tb trgoonr
tgiigtus
gt dcy fb sb
dbrn
rncfgay
gi ci
bafnr pnrsbi.
Gsbactgbi cif abinaginss
]bmgca
gsbactgbi betni
ebaabws
rntgrndnit
br jnrncvndnit,
cif t`n
abss be intwbrhs be
ecdgay, ergnifs, cif
ingo`jbrs.
C abinay rbutgin
wgt`
enw fgvnrsgbis
tb dgigdgzn tgiigtus wgaa
ginvgtcjay pacmn gt gi
t`n
ebrnorbuif be
fcgay
agen
- fnsmrgjnf gi
ci
Cdnrgmci stufy cs
jbrnfbd
wgt` nxmnss
tgdn
wgt` agttan tb fb jut
agstni
tb
bin's tgiigtus.
ttgtufns
Congst cttgtufns erbd
fbmtbrs
mci
rnsuat
gi
nafnray
pctgnits jngio
turinf cwcy
cs tbb
nxpni
sgvn br uirncagstgm tb
trnct.
_gt` tgiigtus gt's caa
tbb ncsy tb
fgsdgss baf
pnbpan w`b `cvn gt wgt`
_`ct fb ybu
nxpnmt
ct
ybur
con2
cif
Wbu'aa
`cvn tb ancri tb agvn wgt` gt.
Nafnray
pctgnits t`ndsnavns dcy
`cvn
fgeenrnit trnctdnit
nxpnmtctgbis,
sbdn jcsnf bi
prnvgbus
NIV
nxpnrgnimns,
w`gm` ebmus
bi bpnr
ctgbis, pgaas, cif murns, rct`nr t`ci bi ci bpni-
3< Vgiigtus Vjfcy/Kuin 377?
inss tb t`nrcpgns sum` cs mbuisnagio
br
mboigt
t`nrcpy.
C
jcsgm
prndgsn
be mbuisnagio
gs t`ct
pnbpan mci m`cion
ge
t`ny wgs`.
Unribi \rnss
(3775W
`go`ago`t t`n
gdpb
tcit
rban
be t`n
magigmgci
gi
prbvgfgio rncssur
cimn
cif
mbuisnagio ebr tgiigtus pctgnits
w`b
crn
betni
cixgbus cjbut
t`n
euturn. \ctgnits
in
tb
hibw
t`ct t`nrn gs ib rncsbi tb
nxpnmt
t`ct
tgiigtus
wgaa
jnmbdn
dbrn snvnrn wgt` con.
V`bdpsbi (377>)
0
crouns t`ct tb trnct
baf
pnbpan cs ge t`ny crn
gi
innf be mcrn
cif
cttni
tgbi, sgdpay jnmcusn t`ny crn baf, gs ibt biay
vgnwgio baf
con gi
prnfbdgicitay dnfgmca
tnrds,
jut
mci jn c
mbisgfnrcjan sburmn
be
bpprnssgbi
cif
fgstrnss.
@n
casb
scys
t`ct t`n
ecmt t`ct ci bafnr pnrsbi dcy innf
mcrn
cif
cttnitgbi s`buaf
ibt jn nquctnf
wgt`
gaainss. E
nxcdpan, t`n sgmh rban dcy cppnca tb t`n pnrs
mbimnrinf cif dcy jn tchni
bi
jbcrf, t`nrnj
mrnctgio fnpnifnimy cif cmtgio cs c
jcrrgnr
tb
ndpbwnrdnit.
Gt's gdpbrtcit ibt tb jn caa fbbd cif
oabb
cjbut bafnr pnbpan cif
tgiigtus,
tb t`gih
biay
tnrds be w`ct
mci't
jn
fbin
cif be
t`n
nxtrc
prbjands baf con prnsnits gi
fncagio
wgt` tgii
tus. Dbst nafnray pnbpan crn `ncat`y
gi jbt`
jbfy cif dgif cif ancf gifnpnifnit cif
uisuppbrtnf agvns. V`n rntgrndnit yncrs mci
jrgio ornct bppbrtuigtgns ebr givbavndnit cif
pnrsbica
fnvnabpdnit.
3.
Onrgctr
gm
tgiigtus;
mcusns, magigmca
trnctdnit
cif
prnvnitgbi, U. Zbss, H.
Nm`nvcrrgc,
J. Zbjgisbi. K.
Onrbitca
Iur.s Bmt 3773, 3? (3=-5:.
=. Npgfndgbaboy be
Vgiigtus cif
gts Magigmca Znanvcimn,
Cfrgci Fcvgs.
Mbursn Ibtns
erbd
t`n
35t`
Vgiigtus ci
gts
Dcicondnit
Mbursn,
Ibttgio`cd
]m`bba
be
Cufgbaboy/
DZM Gistgtutn
be
@ncrgio
Znsncrm`/
ZIGF 3775.
6.
Vgiigtus gi
Baf
Con
^.
Zbsni`caa,
C.
Hcrassbi.
]mcif
Cufgba3773
:< (=), pp.35>-3?a.
>.
@ncrgio
Abss gi
t`n
Nafnray, ]FO ]tnp`nis gi
C Ougfn
t`n Mcrn be t`n Nafnray
@D]B 3775.
5. Fnegigtgbi cif Macrgegmctgbi be Vgiigtus,
Fceyff
]tnp`
gi
Mbursn
Ibtns
erbd
t`n 35t` Vgiigtus cif gts
Dcicondnit Mbursn,
Ibttgio`cd
]m`bba be
Cufgbaboy/ DZM
Gistgtutn
be
@ncrgio Znsncrm`
/
ZIGF 3775.
?. Vgiigtus gi t`n Nafnray, Kcmh Unribi, Agifc \rnss,
gi
\rbmnnfgios
be
t`n >t` Gitnrictgbica Vgiigtus ]ndgicr.
Cdnrgmci Vgiigtus
Cssbmgctgbi, Oabrgc Zngm`, \`.F.,
c
Kcmh Unribi, \`.F.,
(nfs
.) 3775.
0.
Con
cif
Fgoigty
- _brhgio wgt` Bafnr \nbpan, Inga
V`bdpsbi, rnic
377>. G]JI 30>?6: :>33.
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
11/27
Cgr
Jco
Zuagio
jy Jcrjcrc Vcjcm`igmh Magnit ]nrvgmns Dciconr
V`n Ictgbica @go`wcy
Vrceegm
]centy
Cfdgigstrctgbi
(I@V]C)
cfvgsns
us t`ct t`n
gssuns surrbuifgio
cgr
jco
fgsmbiinmtgbis, bi-bee
swgtm`ns,
cif
t`n
rnfnsgoi be t`gs scenty
fnvgmn
crn
stgaa uifnr
mbisgfnrctgbi.
Cmmbrfgio tb
Fbrbt`y Ichcdc erbd I@V]C's anoca
fnpcrt
dnit,
t`n conimy
rnmngvnf
c
wgfn rcion
be mbd
dnits cjbut
t`nsn fnvgmns cif
gs
t`nrnebrn
tchgio gts tgdn tb nxcdgin t`n bpgigbis cif
(`bpneuaay)
fnmgfn
wnaa.
Ichcdc
fgf
ibt
hibw
w`ni I@V]C wbuaf ciibuimn gts fnmgsgbi.
Bvnr
t`n
acst enw dbit`s, wn `cvn `ncrf
erbd
snvnrca CVC
dndjnrs w`b `cf wrgttni tb
I@V]C ebr
fncmtgvctgbi cut`brgzctgbis cif
wnrn
orcitnf t`nd. V`ct
wcs
t`n
obbf inws.
V`n
ibt-sb-obbf inws
wcs t`ct dbst be
t`nsn
pnbpan
crn stgaa uicjan tb egif dnm`cigms w`b
wgaa
fncmtgvctn
t`n jcos.
C rnprnsnitctgvn erbd Cdnrgmci @bifc's
Mbisudnr Ceecgrs
Fnpcrtdnit rnpbrts t`ct
t`ny'vn rnmngvnf dciy mcaas
erbd ercitgm
mcr
bwinrs
w`b wcit t`ngr
cgr jcos
fgsmbiinmtnf
br
bi-bee swgtm`ns gistcaanf. Jut anocaay,
@bifc
scys, t`ngr `cifs crn tgnf. Cdnrgmci mcr dciu
ecmturnrs
dust
nqugp
mcrs
wgt` scenty encturns cs
prnsmrgjnf
jy
I@V]C.
^itga
I@V]C dchns gts
ruagio hibwi, @bifc mustbdnrs crn jngio
rnenrrnf tb t`n Ictgbica Dbjgagty
Nqugpdnit
Fncanrs
Cssbmgctgbi (IDNFC) ct 0%
be
t`n pbpuactgbi gs susmnptgjan tb `ncrgio
fcdcon erbd abuf gdpua
sn
ibgsn,
aghn
t`ct
be ci
nxpabfgio cgr
jco.
(V`n cgr jcos
gi
t`gs
stufy
prbfumnf 355-3?
-
7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
12/27
Jcmh
gssuns
be
giigtus
bfcy
ibw
cvcgacjan
V`n
ebaabwgio gs c
agst
be t`n encturnf
tbpgms
gi
ncm` gssun. Cadbst nvnry gssun mbitcgis Fr.
Kcmh Unribi s
S C mbaudi, giebrdctgbi cjbut
snae-`napgio, cif (erbd
]nptndjnr
3776 tb t`n
prnsnit)
Anttnrs
tb t`n Nfgtbr.
V`n mbst
pnr
gssun;
:.>< (dndjnr
prgmn)8
>.
- Dcshgio8
_gaagcd
]`ctinr
cif
CVC 8
Fn-strnssgio
Vnm`igquns
]npt. 377>
-
Eget` Gitnrictgbica Vgiigtus
]ndgicr8 Fbmtbr tb Fbmtbr - Vgiigtus \ctgnit
Nvcauctgbi8
Nandnitcry
]m`bba @ncrgio
Mbisnrvctgbi
prborcd
Kuin
377>
-
Nanmtrgmca ]tgduactgbi8
Mbm`ancr
Gdpacits8 Vndpbrca Jbin fbictgbis8
Ogihob
jgabjc
cif cigdca rnsncrm` (\@BVBMB\GN]
BIAW)
3: Vgiigtus Vjfcy/Kuin 377?
Dcrm` 377>
-
Fruos
cif
Vgiigtus
Znagne
Fnmndjnr
3776 -Catnrictgvn
V`nrcpgns8
]an
Dcicondnit
]nptndjnr 3776 - VDK8 Btbtbxgmgty
Kuin
3776 - @ncrgio \rbtnmtgbi Fnvgmns
Dcrm`
3776
-
Cufgtbry @cjgtuctgbi8 V`ans be
Vgiigtus Znmbvnry
(\@BVBMB\GN] BIAW
Fnmndjnr 377= -Catnrictgvn Vrnctdnits
Ogihob8
Znsncrm`
\aci (\@BVBMB\GN]
BIAW
]nptndjnr 377=
@bw
Vgiigtus
gs
Oninrctn
@ypibsgs
Kuin 377=
-
3}rpns be
@ncrgio
Abss
Dcrm`
377= - Cictbdy be t`n Ncr8 Znsncrm`
rnpbrt
(\@BVBMB\GN] BIAW)
Fnmndjnr
377: - VDK
]nptndjnr 377:
- Gifustrgca Agcjgagty Mcsn
Kuin
377:
-
CVC
`gstbry8 Dbigtbrgio
Wbur
Vgiigtus
Dcrm`
377: - Gitnrcmtgbi be Ncrdbaf
Cmbustgms, Znca Ncr
Znsbicimns,
cif Vgiigtus
Dcshnr Znspbisns
Fnmndjnr
3773
- Eburt` Gitnrictgbica
Vgiigtus ]ndgicr8 \nrsbica
Gikury
acwsugts
]nptndjnr
3773
-Vgiig tus
gi t`n Iursgio
@bdn8 Znsncrm` rnpbrt8 Mbm`ancr
gdpacits
Kuin 3773 UC
Gieb8
@ypnrcmusgs8 Znsncrm`
`go`ago`ts
(\@BVBMB\GN] BIAW)
Dcrm`
3773 - Ibgsn cif Vgiigtus8 V`nr n gs
@bpn8 Vbiy
Zcifcaa
Fnmndjnr
377 Vgiigtus Dncsurndnit8
Fruo V`nrcpgns
]nptndjnr 377 Bafnr
Cdnrgmcis
cif
Vgiigtus8
Znsncrm`
Znpbrt8 CFC
Kuin 377
Ibv. 3703
Dcrm` 3700
Kuin
370>
Kuay
3703
Fnm. 370?
Dcrm`
370> Enj. 3703
]npt. 370? Bmt. 3706 Bmt. 370.
\nrusgio t`nsn \rbmnnfgios gs aghn tburgio c
vnry acron
dusnud; ncm` be t
`n
3=
snmtgbis
rnsndjans c
`caa
wgt`
dciy
nx`gjgts. Ugsgtbrs be
fgeenrnit jcmhorbuifs
wgaa egif sbdn nx`gjgts
dbrn gitnrnstgio cif mbdprn`nisgjan
t`ci
bt`nrs.
_`ni tchni
tbont`nr, `bwnvnr, t`nsn
\rbmnnfgios mbivny ci
nxtrcbrfgicry
rcion be
cmtgvgty
prnsnitnf gi bvnr
3:> pcpnrs
jy
smgni
tgegm givnstgoctbrs,
dnfgmca
prcmtgtgbinrs,
cif
gifgvgfucas mbimnrinf wgt`
t`n dcigenst cif
fgvnrsn mcusns,
trnctdnits,
cif
rcdgegmctgbis
be
tgiigtus, mgrmc 377>.
Ct t`n
butsnt be
t`n tbur,
ibtn t`n wnambdgio
cffrnss
jy
t`n
Fgrnmtbr
be t`n
Ictgbica
Gistgtutn
be
Fnceinss cif Bt`nr
Mbdduigmctgbi
Fgsbrfnrs (IGFMF).
Gi
gt
`n fnsmrgjns
mrumgca
crncs ebr
euturn
tgiigtus rnsncrm`
gfnitgegnf ct
c
rnmnit IGFMF
wbrhs`bp. Bin be
t`nsn
crncs
gs
ntgbaboy
cif
pct`boninsgs
-
w`ct dchns
tgiig
tus
`cppni,
w`y
gs
gt
sb
fgeenrnit erbd bin
gifg
vgfuca tb t`n inxt,
w`ct
gs
t`n
rban
be onintgm
ecmtbrs, ntm. Bt`nr
mrumgca
rnsncrm` crncs gfnitg
egnf
jy
t`n
IGFMF
orbup crn
t`n fnvnabpdnit be
tbbas ebr fntnmtgbi cif
cssnssdnit
be
tgiigtus,
t`n innf
ebr cigdca
dbfnas be t`gs
fgsbrfnr,
givnstgoctgbi
be
t`n
euimtgbi cif fyseuimtgbi be
t`n
mbm`anc
- t`n
broci
mrgtgmca ebr trcisebrdgio
p`ysgmca
sbuif ninroy gitb t`n inrvn gdpuasns
t`ct uatgdctnay
jnmbdn bur
nxpnrgnimn be
sbuif,
cif t`n
rban
be
mnitrca
dnm`cigsds,
g.n.,
w`ct
bmmurs
gi
t`n
jrcgi w`ni wn
nxpnrgnimn
tgiigtus.
Ge ybu
crn
gitnrnstnf
gi
ciy be t`nsn
tbpgms
`cvn
c
abbh
ct t`n ebaabwgio
snmtgbis be
t`n
\rbmnnfgios; Cntgbaboy8
Dnm`cigsds8 Cigdca
Dbfna/Bjknmtgvn Dncsurns8
Cssnssdnit
Dncsurns8
Npgfndgbaboy cif Fndborcp`gms8 cif
sbdn
be
t`n pcpnrs
gi Gistrudnitctgbi cif
Dnfgmca/Magigmca. V`hn
spnmgca
ibtgmn be pcpnrs
jy
@cznaa, Kcstrnjbee,
cif t`ngr
cssbmgctns,
prn
snitgio fgeenrnit cspnmts be
c inurbp`ysgbabogmca
dbfna
be tgiigtus wgt`
jrbcf
gdpagmctgbis ebr
snvnrca
be
t`n
mrumgca crncs be
rnsncrm`
ibtnf
cjbvn.
Nxcdgin t`n rnsncrm`
fnsgois
cif agtnrc
turn rnvgnws beenrnf jy Inwdci,
]cavg,
]`uadci, 'KWanr,
cif
Unribi, cs
nxcdpans be `bw
tb
csh cif ciswnr qunstgbis
cjbut tgiigtus
gi
c
dciinr t`ct mbddcifs t`n rnspnmt be obvnri
dnit euifgio conimgns
cif t`n smgnitgegm
mbdduigty
cs c w`ban.
V`nsn pcpnrs
casb ogvn
t`n rnst
be
us
ci
cpprnmgctgbi
be
kust
`bw
fgeeg
mu
at
gt
gs tb
mbifumt tgiigtus rnsncrm` t`ct `cs
rnca
smgnitgegm vcaun. Cif fbi't
inoanmt
t`n egin
pcpnrs jy
Mbans
be
t`n ^.H.,
Anicrz be Onrdciy,
@caajnro be ]wnfni,
cif Dctsu`grc be Kcpci,
cdbio bt`nrs. V`n innf
ebr
rnouacray sm`nfuanf
gitnrictgbica mbienrnimns bi
tgiigtus
gs
mancray
jrbuo`t `bdn jy t`n onborcp`gmca fgvnrsgty be
`go` qucagty rnsncrm`
gi t`nsn
\rbmnnfgios.
Bin `go`
prgbrgty
crnc
gfnitgegnf jy
t`n
IGFMF gs t`ct
be gitnrvnitgbi
-
`bw
mci
wn
gitnrvnin
tb caanvgctn t`n
fgstrnss be t`bsn w`b
`cvn tgiigtus2 V`gs
mbimnri
gs wnaa
rnprnsnitnf
gi t`n
\rbmnnfgios
jy snmtgbis bi Catnrictgvn
Vrnctdnits,
Fruos, \sym`babogmca/Zn`cjgagtctgbi,
cif
]nae-@nap _brhs`bp. Cs c tgiigtus suppbrt
orbup
ancfnr, G
wcs nspnmgcaay gitrgounf jy Kb
@cznajy's
tgtan
be
Mnrtgegnf Vgiigtus Mbuisnabr
gi
t`n ^.H. cif t`n nxmnaanit
mbursn
murrgmuaud
s`n
mbdpantnf tb
qucagey
ebr
t`gs
pbsgtgbi.
V`n
CVC dgo`t
wnaa
mbisgfnr spbisbrgio sum`
c
mbursn
sb t`ct
snae
-
`nap
vbauitnnrs cif bt`nrs
mbuaf ancri
tb
dchn usn be
V`jcm`igmh's wnaa
fnsmrgjnf
agstnigio shgaas cif
strctnogns
ebr
rui
igio
c
suppbrt
orbup,
cs
wnaa
cs
t`n
gisgo`ts
cif
nxpnrgnimn cvcgacjan
gi Frumhnr's,
Ncyrs' cif t`n
]cuifnrs' pcpnrs.
G
wcs pcrtgmuacray gitrgounf jy
Fnns'
prnsnitctgbi
suoonstgio
t`ct ebur mancr
stcons
be tgiigtus tbanrcimn
mci
jn fnaginctnf,
c
mbimnpt fnrgvnf erbd t`n wbrh be Z ]
@caacd,
bin be
t`n
ornct
pgbinnrs
be
mbitndpbrcry tgiig
tus rnsncrm`. Ci gitnrnstgio \`.F. t`nsgs cwcgts
c
ybuio givnstgoctbr
wgaagio tb uifnrtchn c rgo
brbus
ndpgrgmca
vcagfctgbi
be t`gs stcon
dbfna.
Ugsgtbrs tb
t`n
\rbmnnfgios wgaa casb ibtn
rnactgvnay
inw
mbimnris wgt`
spnmgca
pbpuac
tgbis, n.o., m`gafrni cif
t`n
nafnray,
anoca
gssuns,
cif t`n usn be mbdputnr tnm`ibaboy
tb ecmgagtctn
rnsncrm` cif magigmca neebrt
s
Gi suddcry,
w`ctnvnr
ybur
spnmgegm
gitnrnst
br
a
nvna be sbp`gstgmctgbi
gt wgaa
jn
fgeegmuat
ibt
tb egif
ci cttnitgbi-onttgio
nx`gjgt gi
t`n
\rbmnnfgios b t`n Eget` Gitnrictgbica Vgiigtus
]ndgicr. V`gs
gs c
dust
`cvn
vbaudn
ebr prb
enssgbicas cif acy pnrsbis caghn.
Vgiigtus
V`fcy
/ Kuin 377?
3>
-
7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
16/27
gzgio
V`gios p
jy Jcrjcrc Vcjcm`igmh
Magnit ]nrvgmns Dciconr
C wbdci cshnf dn rnmnitay tb
fnsmrgjn t`n dbst summnsseua
tgiigtus suppbrt
orbup
G
hinw
be
-
`bw
gt
wcs
rui, w`ni cif
w`nrn gt dnt,
`bw dciy
pnb
pan cttnifnf
gt. ]`n
wcs gitnr
nstnf gi stcrtgio
c
orbup
`nrsnae cif
wcitnf
tb
ecs`gbi
gt cetnr c prbvni dbfna be summnss.
Vwb
CVC suppbrt
orbups
mcdn
gistcitay tb
dgif. V`n egrst
bin
wcs
bin
t`ct
rci
ebr 3>
yncrs, mbifumtnf
gi macssrbbd styan (m`cgrs gi
rbws ecmgio erbit),
cif wcs anf
jy
c
ebrdnr
mba
anon
prbenssbr
w`b `cf
tgiigtus.
Dnfgmca prbens
sgbicas
spbhn ernqunitay ct t`nsn
nvnry-bt`nr
dbit` cetnribbi
dnntgios. V`gs
pbpuacr orbup
`cf ci cmcfndgm
eacvbr tb gt
cif
c
typgmca
turibut be 6< cttnifnns. V`n bt`nr orbup t`ct
mcdn tb
dgif
`cs
jnni dnntgio dbit`ay
ebr 3=
yncrs. V`n ecmgagtctbr gs
ci
cufgbabogst w`b `nr
snae cs
tgiigtus.
]`n
bmmcsgbicaay jrgios gi
ounst
spnchnrs,
betni
fbns
pbsgtgvn
vgsucagzctgbi
nxnrmgsns wgt` t`n
orbup
dndjnrs,
cif cawcys
rnsnrvns tgdn ebr 'rbuif-t`n-rbbd
fgsmussgbis
(t`ny
sgt
gi
c mgrman). C turibut
be
:> cttnifnns gs
typgmca ebr
t`gs wcrd
cif
euzzy orbup.
G stnppnf
jcmh
cif
abbhnf
ct
t`n
rnst
be
bur
suppbrt orbups, cif
gt
wcs strghgio - t`n vcrgnty
be s`cpns,
sgzns,
pcttnris,
tnxturns.
]bdn be bur
orbups crn vnry mcsuca cif dnnt twgmn
c
yncr8
bt`nrs crn mbdpcrctgvnay
ebrdca wgt`
funs,
dgi
utns, anifgio agjrcrgns, cif dnntgios nvnry
dbit`.
]bdn
orbups `cvn
`cf nxtnisgvn
abmca
dnfgc
nxpbsurn
(VU
cppncrcimns, encturn stbrgns
35 Vgiigtus V`fcy
uin
377?
gi
inwspcpnrs)8 bt`nrs
struooan
wgt` stujjbr
inwspcpnr
stcees tb ont
dnntgio ciibuimndn
gi
t`n mcanifcr
snmtgbi. ]bdn dnnt
ct `bspgtc
bt`nrs ct agjrcrgns.
]bdn orbups
`cvn
c orbu
wgt`gi
t`n
orbup -
c
mbddgttnn be `napnrs
w
cssgst
t`n ancfnr wgt` dcgagio inwsanttnrs, mb
tcmtgio ounst spnchnrs, crrciogio
ebr rnerns`
dnits, cif
fbgio
w`ctnvnr nasn innfs tb jn
fbin.
Bt`nr orbups crn rui
tbp-tb-jbttbd
jy
abin ancfnrs - sbdn w`b mci't egif t`n `napn
cif bt`nrs w`b
rncaay
aghn
fbgio
gt caa
t`nd
snavns.
Dbst
orbups crn ibt
ecmgagtctnf
jy
prb
enssgbicas
be
ciy hgif. (C mrnfnitgcanf
ecmgagtctbr gs
orctneuaay wnambdnf jut ibt ci
gifgmctbr
be
c
orbup's
ornctnr
wbrt`. Nxpnrgni
wgt` tgiigtus cif rncfginss
tb `nap crn
t`n d
nstnndnf
mrnfnitgcas.)
Jy
cif
acro
n,
c orbup'
styan
gs c
rneanmtgbi be t`n pnrsbicagty
be
t`n
gifgvgfuca w`b ancfs gt.
]tgaa,
summnss
gs `crf tb ocuon. ]bdn orbup
acst ebr dbrn
t`ci
c fnmcfn8 bt`nrs
fgsjcif c
c yncr. ]gimn
t`ny
caa fb
t`n wbrh t`ny
crn
gitnifnf tb fb ebr `bwnvnr abio t`ny fb gt, c
orbup's
furctgbi gsi't
ci cmmurctn ycrfstgmh
b
summnss. Cif
dbst
be
CVC's
orbups fb ibt oni
ctn
t`n cufgnimn sgzn
be
t`bsn twb
orbups
cif
wbuaf t`nrnebrn ibt dncsurn up ge iudjnrs
cabin
tbaf t`n
tcan. (V`n
cvnrcon
iudjnr be
cttnifnns gs 33.)
Bin be bur
ecmgagtctbrs p`bin
dn sbdn tgdn
jcmh,
ennagio
fgsmburconf jy
c
sdcaa turibut ct `nr dnntgio.
]`n enat
t`ct t`
biay
tciogjan dncsurn
be
`nr
neebrt
wcs
t`n
mbuit be `ncfs t`ct wcahnf
t`rbuo`
t`n fbbr
.
cshnf `nr tb tnaa dn
`bw
t`n
dnntgio wnit.
wcs cmtucaay
obbf, s`n scgf. V`n ebur
be us
`cf
panity
be tgdn
tb tcah. G t`gih nvnrybin a
ennagio jnttnr. Cif
ge
biay
bin
pnrsbi
`cf
s`bwi up ..
2
G cshnf. ]`n scgf,
G t`gih
t`ct
wbuaf
`cvn
jnni bhcy
tbb.
Aumhy
ebr us, t`n
fnegigtgbi
be
summnss
gs ebr
t`n
m`bbsgio.
Ge ybur
gitnrnst gs pgqunf
ct t`n
t`buo`t b
`napgio
bt`nrs,
cif ybu `cvn t`n tgdn
tb fb g
pancsn wrgtn
tb
us
ebr fntcgas.
Ge
ybu
wcit
tb
e
c
suppbrt mbitcmt
incr
ybu,
wrgtn
ebr
ybur
abm
agst
.
Bur suppbrt intwbrh mbvnrs
t`n mbuitry
c wcrd cif cdpan ocrdnit, wbvni bi t`n ab
be nxpnrgnimn. Vty gt
bi ebr sgzn. ]nn
ge gt
egts.
-
7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
17/27
Kcmh Unribi s Anmturn bi
Ugfnb cpn Cvcgacjan
Ibw
Gi
Kciucry,
377?, Brnobi @ncat`
]mgnimns
^igvnrsgty s
(B@]^) Dcrqucd @gaa
Anmturn
]nrgns encturnf c anmturn bi tgiigtus jy
Kcmh
C
Unribi, \`.F. Fr.
Unribi
gs t`n ebrdnr
Fgrnmtbr
be
B@]^'s
Brnobi @ncrgio Znsncrm` Mnitnr
cif
c
rnmboigznf
pgbinnr gi tgiigtus
rnsncrm`.
Gi t`gs
U@]
vgfnb be t`ct anmturn,
Fr
Unribi fgsmussns
t`n
brgogis
be tgiigtus trnctdnit cif t`n mbi
tndpbrcry cppagmctgbis be
dcshgio, `ncrgio
cgf
usn, cif bt`nr trnctdnits ebr tgiigtus rnagne.
@gs
ebrdgfcjan hibwanfon,
prcmtgmca nxpnrgnimn,
cif
orcmgbus
dciinr
`go`ago`t
t`n `bur.
Mbst; $:7 dgiutns, :< snmbifs
]nif
m`nmh tb;
B@]^ - Beegmn be
Mbdduigty
Znactgbis
Ctti
;
Vnrry
Nrj
=303
]cd Kcmhsbi \crh Zf., A3< s`gppgio
cif
`cifagio tb;
Fcp`in Mrbmhnr-_`gtn, \`.F.
3:7< @bwcrf Cvn. =:=
Juragiocdn,
MC 76
tcx
pnr
jbbh.)
Fr Mrbmhnr-_`gtn gs oninrbusay fbictgio caa
prbegts erbd t`gs jbbh
tb
CVC.
Vgiigtus
Vjfcy
/
Kuin
377?
3?
-
7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
18/27
Jcrbdntrgm M`cions
cif
t`n Ncr
jy Jcrjcrc Vcjcm`igmh Magnit ]nrvgmns Dciconr
\nbpan
betni
nxprnss
mbimnris - tb t`ngr
fbmtbrs cif tb
us
- cjbut t`n neenmt t`ct eaygio
dgo`t `cvn bi t`ngr tgiigtus. t gs ci uifnrstcif
cjan
mbimnri. Ncrs
betni pbp, enna pauoonf, br
cm`n furgio br cetnr eago`t.
Vnm`ibaboy
`cs
cttndptnf
tb
caanvgctn
t`nsn
prbjands.
Mbddnrmgca cgrmrcet mcjgis crn prnssurgznf tb
fupagmctn
c stcjan
cgr
prnssurn nquca tb
ci
0,
-
7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
19/27
crbdntrgm M`cions cif
t`n
Ncr mmbit8iunf)
Fr. Ocry
Kcmbjsbi, Fgrnmtbr
be Cufgbaboy ct
t`n
@niry
Ebrf @bspgtca, wrgtns, G `cvn `cf
pctgnits
tnaa
dn t`ct t`ngr prn-nxgstgio tgiigtus
wcs tndpbrcrgay
wbrsninf
ebaabwgio
cgr
trcvna.
Jcrbtrcudc,
`bwnvnr,
bmmurs
giernqunitay cs c
rnsuat
be
mbddnrmgca cgr
trcvna.
]buif Anvnas Bi jbcrf
Vb eurt`nr
`gs
uifnrstcifgio
cjbut
tgiigtus
cif
eaygio, Fr.
Kcmbjsbi
sncrm`nf ebr
giebrdc
tgbi
cjbut sbuif
anvnas
gi
mbddnrmgca cgrmrcet
mcjgis. @n stctns, _n
ebuif
kust bin pcpnr
cffrnssgio t`gs gssun
(Ugnaanebif nt ca., 37??).
V`n givnstgoctbrs rnpbrtnf biay t`ct ibgsn
anvnas
wnrn
`go`,
cif
t`ct t`n
cmbustgmca spnmtrud be
t`n
ibgsn wcs
fgstrgjutnf bvnr t`n abw, anss fcd
cogio (tb t`n
broci be
Mbrtg)
ernqunimgns.
Fbicaf
M.
Ocscwcy, D.C.,
@ncrgio
Mbisnrvctgbi
]pnmgcagst ebr Cncrb
Mbdpciy, `cs
jnni mbaanmtgio ibgsn fctc bi Ibrt`
Cdnrgmci
cif Nurbpnci cgrmrcet ebr :> yncrs. @n s`crnf
`gs egifgios; V`n ibgsgnst
gitnrgbr
pcrts be mbd
dnrmgca
cgrmrcet wgt` wgio-dbuitnf knts (aghn t`n
?=?) crn ct
t`n
wgio cif tbwcrf t`n rncr.
Dgfwgio
sncts crn cawcys
dbrn ibgsy, `n scgf,
jnmcusn
t`n
cgr mbifgtgbigio cif prnssurgzctgbi
systnds crn `busnf uifnr t`n wgios. Cgrmrcet
wgt`
tcga-
dbuitnf
knts (?:?, FM-7, FM-3
-
7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
20/27
Jcrbdntrgm M`cions cif t`n Ncr (mbitgiunf)
dnfgmctgbis wgt` ybur fbmtbr. Ge
ybu
`cvn ci
uppnr rnspgrctbry
gienmtgbi,
gt gs
cawcys
t`n
scenst
(t`buo` ibt
cawcys
t`n dbst
prcmtgmca)
m`bgmn tb
pbstpbin
ybur
eago`t.
bw tb Bpni t`n Nustcm`gci Vujn
M`nw, swcaabw, sgp
bi
eaugfs,
ycwi,
bpni t`n
dbut` wgfn (t`buo` ibt bvnr-wgfn ge VDK fys
euimtgbi
gs casb c
prbjand),
br pgim` t`n
ibstrgas
w`gan swcaabwgio. Caa crn strbio cmtgvctbrs be
t`n
dusman t`ct bpnis t`n nustcm`gci
tujn.
Bin mci
casb fb t`n Ucascavc Dcinuvnr - onitay jabw cgr
but t`rbuo` t`n
ibstrgas w`gan
pgim`gio t`n ibsn
cif mabsgio t`n dbut` - tb ncsn fgsmbdebrt fur
gio fnsmnit.
_`ni
fbgio t`gs dcinuvnr,
gt gs
gdpbrtcit tb usn t`n
m`nnh
cif t`rbct
dusmans
biay (invnr usn ebrmn erbd t`n m`nst br
fgcp`rcod)
tb
pus`
cgr but
be
t`n
ibsn.
V`n
dcinuvnr ebrmns cgr jcmh gitb t`n dgffan nc r.
Fb
t`gs
cs sbbi cs t`n pacin jnogis gts
fnsmnit,
cif mbitgiun
fbgio
gt nvnry enw dgiutns uitga t`n
pacin `cs acifnf.
Ci
cffgtgbica
tgp;
Csh
c eago`t
cttnifcit tb
dchn
surn
ybu
crn
cwchn
jnebrn
t`n
\]WM@BCMB^]VGM NS^CAG[NZ
@CZDBIGM
EGAVNZ
]NC _CUN IBG]N \ZBMN]]BZ
\rgmnf
ct 5:
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
21/27
Sunstgbis cif iswnrs
y cmh Unribi \`.F.
X T
Ds. H gi Cacjcdc cshs, G `cvn snni
snvnrca fnsgoictgbis
be fgeenrnit hgifs
be
stufgns
jut
G
fbi't uifnrstcif
t`n
fgeenrnimns. V`n tnrds crn; (3) fbujan-jagif,
pacmnjb-
mbitrbaanf stufy,
(:)
bpni stufy, cif
(=) fbujan-jagif, mrbss-bvnr
stufy.
Mci ybu
nxpacgi t`nsn tb dn2
(3) C fbujan-jagif, pacmnjb-mbitrbaanf
stufy gs bin gi w`gm` `cae t`n pctgnits
(usucaay
mcaanf
sujknmts) gi t`n stufy
crn ogvni
t`n
cmtgv
n
fruo cif
`cae
crn ogvni
c
pacmnjb, t`ct gs c suocr pgaa . V`gs prbmnfurn gs
usnf
tb rnfumn t`n
neenmt be suoonstgbi
.
t
gs
fbujan-jagif w`ni ingt`nr t`n pctgnits ibr t`n
nxpnrgdnitnrs hibw w`b
gs
rnmngvgio t`n
cmtgvn
fruo cif w`b gs rnmngvgio
t`n
pacmnjb. Caa
pctgnits crn
tbaf t`ny wgaa
rnmngvn
t`n
cmtgvn
fruo . _`ni
t`n stufy
gs mbdpantnf,
t`n
mbfn
gs
jrbhni
cif
t`n rnsuats rnmbrfnf.
Ge
t`n cmtgvn
fruo
fbns
ib
jnttnr t`ci t`n pacmnjb,
t`n
fruo
gs mbisgfnrnf be agttan br ib
vcaun cs
c trnctdnit.
t
gs casb
gdpbrtcit,
gi
dy nstgdctgbi,
t`ct
t`n
neenmt be t`n fruo jn dncsurnf gi tgiigtus
stufgns. Ebr nxcdpan,
gi t`n
Pcicx stufy, t`n
pctgnits'
rnpbrts cjbut t`ngr tgiigtus wnrn
rnmbrfnf
.
Gi
cffgtgbi,
t`n
abufinss
be t`ngr
tgiigtus
wcs
dncsurnf
jnebrn cif cetnr t`n
trnctdnit
. Ebr
t`bsn w`b
bjtcginf tgiigtus rnagne
erbd
Pcicx,
t`n
cvnrcon
dncsurnf tgiigtus
abufinss wcs
?.>fJ
]A (t`n anvna cjbvn
`ncrgio
t`rns`baf ebr t`ct sbuif) jnebrn
trnctdnit
cif
cvnrconf :.=fJ cetnr trnctdnit. V`
dy
wcy be
t`gihgio,
t`n abufinss dncsurns
wnrn pbssgjay
dbrn
bjknmtgvn t`ci t`n rnpbrts
erbd
t`n
pctgnits.
(:) C
fbujan
-jagif, mrbss-bvnr stufy gs bin
gi
w`gm`
`cae t`n pctgnits
crn ogvni
t`n
cmtgvn
fruo
cif `cae
crn ogvni
t`n
pacmnjb
cif ingt`nr
t`n nxpnrgdnitnrs ibr
t`n
pctgnits
hibw
w`b gs
onttgio
w`gm`. Ct t`n nif be t`n fruo trnctdnit,
t`n
twb orbups
be pctgnits
crn
rnvnrsnf -
t`bsn
w`b rn m
ngvnf
t`n
pacmnjb
crn
ogvni
t`n cmtgvn
fruo
,
cif t`bsn
w`b
rnmngvnf t`n
cmtgvn fruo
crn ogvni t` n pacmnjb. ^iebrtuictnay, gt gs betni
t`n mcsn
t`ct
sgfn
neenmts
rnvnca
t`n prnsnimn be
t`n cmtgvn fruo t`us fnenctgio ciy dncigioeua
mrbss-bvnr
fnsgoi
.
(=) Ci bpni stufy gs
w`nrn
nvnrybin hibws
t`ct biay t`n cmtgvn fruo gs jngio usnf . 'VWpgmcaay
ci bpni
stufy
gs usnf tb fntnrdgin w`nt`nr br
ibt t`n fruo wbrhs.
Bpni stufgns
betni prnmnfn
dbrn fntcganf stufgns.
Bin egica mbddnit cjbut t`n pacmnjb
neenmt.
Gi dbst
fruo stufgns
t`n
pacmnjb neenmt
mci jn cs `go`
cs
=>%, t`ct gs =>% be t`bsn bi
t`n
pacmnjb bjtcginf t`n
scdn rnagne
cs fgf t`bsn
bi t`n
cmtgvn
fruo.
Gi
tgiigtus stufgns w`nrn c
pacmnjb-mbitrba gs
usnf, t`n
pbsgtgvn
pacmnjb
rnspbisn gs betni ibt bvnr >%. V`ct dcy gifg
mctn
t`ct tgiigtus pctgnits
crn ibt
cs
susmnptgjan
tb suoonstgbi
cs
crn pctgnits wgt` bt`nr
`ncat`
prbjands.
X T
Dr
.
V
erbd
Cdcrgaab, V`xcs
scgf t`ct `gs
ncr prbjands jnoci sgx yncrs cob wgt`
ci ncr gienmtgbi t`ct
fgf ibt
mancr up
wgt` ngt`nr
t`n
gisnrtgbi be tujns gi t`n ncrs br
jy tchgio
brca citgjgbtgms. @n rnmnitay
m`cionf
ncr
spnmgcagsts
cif ancrinf t`ct
`n `cf
c orbwt`
mabsgio up t`n ncr mcica. V`n p`ysgmgci fgf c
shgi
orcet
cif
mancinf
but t`n ncr mcica. (V`n
egrst
ncr fbmtbr
t`buo`t t`ct t`n
orbwt`
gi t`n
ncr mcica wcs t`n ncrfrud ) V`n sujstcimn gs
bimn cocgi
orbwgio
gi t`ct ncr, cif t`n bt`nr
ncr
gs
mabsnf bee
mbdpantnay
jy
t`n scdn
sbrt be
orbwt`. V`n tgiigtus cif `gs `ncrgio
crn wbrsn
gi
t`ct
ncr.
Dr
.
V.,
ybu `cvn c
rnca
cif
mbrrnmtcjan
p`ysgbabogmca
prbjand .
Ge
t`n
mcica
gs
egaagio gi cocgi, t`n orbwt` mci jn
rndbvnf. \nr`cps
ybu
mbuaf
rnturi tb
t`n
p`ysg
mgci w`b
fgf
t`n
brgogica
mcica pacsty.
Zndndjnr,
gt's aghn c
snn
scw. Cs `ncrgio obns
fbwi,
tgiigtus
obns up.
X T
Ds. J. be Mbabrcfb wrgtns, G rnmnitay
`cf
c
jcf
mbaf
cif t`n
fbmtbr
put
dn bi
N-Dymgi. Cetnr t`n egrst fcy be tchgio
t`n
fruo,
dy
tgiigtus
obt
abufnr. Jy
t`n
nif be t`n
3
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
22/27
Sunstgbis cif iswnrs (mbitgiunf)
Ds.
J.
ct t`n egrst
sgoi be
gimrncsnf
tgiigtus, ybu
s`buaf `cvn mbitcmtnf
ybur
p`ysgmgci. Gi ecmt, ybu s`buaf
`cvn tbaf
ybur p`ysgmgci
cjbut
ybur tgiigtus
prgbr
tb tch
gio
ciy
dnfgmctgbi.
G
cd
mbiegfnit
t`ct ybur
tgiigtus wgaa rnturi tb gts brgogica anvna jut gt wgaa
tchn tgdn,
c abt be tgdn . ]bdntgdns t`nsn t`gios
tchn
dbit`s tb mbrrnmt t`ndsnavns. Fbi't ont
fgsmburconf jy t`n sabw prbornss. G `bpn t`ct
euturn
rnsncrm` wgaa
prbvgfn
sbdn wcy tb ont
uiwcitnf neenmts but be t`n ncr cs ecst cs
t`ny
mci ont
gitb t`n ncr.
X T
Ds. J. erbd _gsmbisgi wrgtns t`ct `nr
"rbcrgio
gs
tnrrgjan"
cif gt gs abmctnf caa
bvnr
`nr
`ncf. ]`n obns
bi
tb
scy
t`ct
tchgio
do
be
Pcicx
t`rnn
tgdns
c fcy wcs
jnogiigio tb
prbvgfn tgiigtus rnagnejut
t`ct `nr
p`ysgmgci tbbh `nr bee t`n Pcicx.
]`n
casb gifg
mctns
t`ct s`n
abvns
`nr
]pnmtrc
:: jut t`ct
gt
fbns
ibt`gio
ebr `nr tgiigtus.
Ds.
J.
sgimn
Pcicx wcs
`napgio ybu
cif
sgimn gt casb `napnf wgt`
sannpgio,
G
t`gih
ybu
s`buaf
fgsmuss ybur
prbjands
wgt` ybur prnsmrgjgio p`ysgmgci cif try tb
rnturi tb tchgio gt. V`n
]pnmtrc
:: gs c mbm`ancr
gdpacit
. (Ibtn;
Bin `cs
tb jn
prbvni
fnce tb
qucagey
ebr
t`n
mbm`ancr gdpacit.)
G
t`gih t`ct
wgt` spnmgca nqugpdnit
gt dgo`t
jn pbssgjan tb
rnfumn ybur tgiigtus
vgc nanmtrgmca
stgduactgbi
t`rbuo`
ybur ]pnmtrc ::.
Bin be
t`n
vnry
egrst
Q / trnctdnits ebr tgiigtus
wcs t`n usn be
nanmtrgmca
a'e
kk,..,...-;
stgduactgbi
be
t`n ncrs
mbi
fumtnf
jy
c
Onrdci
p`ysg
mgci gi 30
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
23/27
Sunstgbis cif Ciswnrs
(mbitgiunf)
X T
Dr. H gi
B`gb
cshs, Crn ybu cwcrn
be
ciy rnsncrm` bi tgiigtus
cif
Fgacitgi2
Fgacitgi,
Dysbagin,
cif
Vnorctba `cvn caa
jnni
usnf wgt` tgiigtus
pctgnits.
V`nsn
fruos crn citg-npganptgm
(citgmbivuascit)
dnfgmctgbis. ]bdn yncrs cob, smgnitgsts
gi
Inw
[ncacif wnrn trnctgio npganptgm pctgnits wgt`
t`nsn
dnfgmctgbis
w`ni bin sum`
pctgnit rnpbrt
nf t`ct t`n trnctdnit cf stbppnf `nr tgiigtus.
V`ny
prbmnnfnf
tb
trnct tgiigtus pctgnits wgt`
t`nsn scdn fruos.
V`n
summnss
wgt`
t`nd
`cs
jnni
dbfnrctn. G
t`gih t`ct t`n pctgnits w`b crn
`napnf
wgt` t`nsn fruos crn t`bsn ebr w`bd
t`n
jrcgi abmg ebr t`n pnrmnptgbi
be t`ngr
tgiigtus
`cppnis
tb
mbgimgfn wgt` t`n
jrcgi
sngzurn
crnc.
G rndcgi mbivgimnf t`ct jrcgi dcppgio wgaa uatg
dctnay
prbvgfn c
murn
ebr ct
ancst sbdn
ebrds be
tgiigtus .
X T
Dr. ]. erbd Inw Wbrh
cshs ge
eaygio gs
cfvgscjan ebr
t`bsn wgt`
tgiigtus.
@n
gifgmctns t`ct `n wncrs `ncrgio cgfs.
^ianss
ybu `cvn Nustcm`gci tujn
prbj
ands,
eaygio s`buaf
jn
ib prbjand. G fb
rnmbddnif t`ct
ybu rndbvn t`n `ncrgio
cgfs cif gisnrt
ncrpauos
ebr
tchn
bee cif
acifgio.
Casb,
t`n
cgrmrcet
niogin ibgsn
gs
anss t`n ecrt`nr
ebrwcrf ybu sgt bi t`n
pacin.
^ianss ybu `cvn
nxpnrgnimn tb t`n mbitrcry, G
wbuaf scy t`ct
eay
gio
gs bhcy ebr tgiigtus pctgnits. G nimburcon ybu
tb try tb agvn ybur agen
cs
ibrdcaay
cs
pbssgjan,
jut cawcys tchn t`n
prnmcutgbi
tb
prbtnmt
ybur
ncrs
erbd
abuf
sbuifs.
]nn
Jcrbdntrgm M`cions gi t`n Ncr, pcon 30)
X T
Dr. Dn.
gi
Inw Knrsny mbddnits t`ct
sgimn
tgiigtus gs c sydptbd sgdgacr tb
pcgi,
w`y ibt
trnct tgiigtus wgt` pcgi
dnfgmctgbi2
_`ni sbdnt`gio
gs wrbio
gi
t`n jbfy,
t`n usuca sgoica be t`ct mbifgtgbi gs
pcgi.
Vgiigtus
gs c
sgoica t`ct sbdnt`gio
gs
wrbio sbdnw`nrn gi t`n `ncrgio
systnd
(cif
sbdntgdns
nasnw`nrn gi t`n jbfy
tbb). G suppbsn
t`ct
ge gt
turis but t`ct t`n jrcgi mnitnr rnspbisg
jan ebr
tgiigtus
gs casb c jrcgi
crnc
rnspbisgjan
ebr t`n pnrmnptgbi be pcgi, t`ni usn be
pcgi
dnf
gmctgbi
dgo`t jn `napeua
ebr
tgiigtus
.
X T
Ds.
J.
erbd Dcsscm`usntts
prnsnits
ci
gitnrnstgio cif betni cshnf
qunstgbi;
_`ct gs t`n fgeenrnimn jntwnni
rnmrugt
dnit cif `ypnrcmusgs2
@ypnrcmusgs gs c mbaacpsn be abufinss
tbanrcimn w`nrngi cadbst caa jut t`n
qugntnst
be
sbuifs
crn
pnrmngvnf
cs
jngio
uimbdebrtcjay abuf. Znmrugtdnit gs sgdpay
t`n
rcpgf orbwt` be
abufinss
ebr t`bsn
sbuifs
t`ct
crn
abmctnf gi t`n pgtm` rnogbi mbitcgigio
`ncrgio gdpcgrdnit.
G
mci
gaaustrctn t`gs fgeenr
nimn jnttnr gi
t`n ebaabwgio fgcorcd.
K
? IbiicgAbufinss
Ibrdca
G
Fgsmbdebrt Anvna
G
G
G
G
G
GZnmrugtdnit
G
-
--- --------- - - - - - - - - - - - - -
. . ~ @ypnrca2usgs Abufinss
- Fgsmbdebrt Anvna
ypnrcmusgs
G
]buif itnisgty
Gi t`n
fgcorcd cjbvn,
ibtn
t`ct
t`n
rnmrugt
gio ncr rncm`ns cjbut t`n scdn abufinss
anvna
cs t`n
ibrdca
ncr jut fbns sb
gi
c
vnry
rcpgf
ecs`gbi. Znmrugtgio bmmurs
biay
ebr t`bsn tbins
ebr
w`gm`
t`nrn gs c `ncrgio
gdpcgrdnit.
@ypnrcmusgs pctgnits, bi
t`n
bt`nr `cif, egif
t`ct
caa
sbuifs crn uimbdebrtcjay abuf. Dciy
be
t`nsn pctgnits kufon
t`ct t`ny `cvn supnr
snisgtgvn
`ncrgio cjgagty
jut
t`ct gsi't
trun.
Gi
ecmt, dciy be
t`nsn pctgnits
cmtucaay
`cvn
`ncrgio gdpcgrdnit.
Fnspgtn dy rntgrndnit, G `bpn ncm` be ybu wgaa enna ernn
tb
mbitgiun
tb
csh qunstgbis be
dn.
G casb `bpn ybu wgaa ibt jn s`y
cjbut prbvgfgio ciswnrs
tb
t`n qunstgbis be bt`nrs.
Ibtgmn. Dciy
be
ybu `cvn anet dnsscons rnqunstgio t`ct G
p`bin ybu. G sgdpay mciibt ceebrf
tb
dnnt t`bsn rnqunsts. \ancsn
enna
ernn
tb
mcaa dn bi ciy _nfinsfcy, 7;=< c.d. - ibbi cif
3.=
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7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
26/27
Vrgjutns ]pbisbrs.
mbitgiunf)
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cif
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-
7/23/2019 Tinnitus Today June 1997 Vol 22, No 2
27/27
IB_
GI
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