Tinnitus Today September 1995 Vol 20, No 3

7/23/2019 Tinnitus Today September 1995 Vol 20, No 3

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Xdp tdmldr ?554 Yacumd


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Xaug`s Ai XecdghdHagtrac yaur ouèlcd omledghd wetfsaug`s housd` ly Peggetus wetf tfdMorsago Peggetus Moskdr iram OmledgtXfopds' Pfd irdqudghy og` egtdgsety ai tfdsemucotd` saug`s mothf tfd tagds fdor` lymogy teggetus sutidrdrs' Pfdsd moskegb`dvehds ord pravdg diidhtevd eg ossestegbmogy potedgts eg oòptegb ta tfder teggetus'

Rd hoggat prdèht wfdtfdr ar gat tfdMorsago es opprapreotd iar yau# lut tfdpralolecety ai suhhdssiuc moskegb es wdccwartf POKEGB O@YOGPOBD AI AT\ 8:@OU MAGDU LOHK BTO\OGPDD'Pfd Morsago Peggetus Moskdr wdebfscdss tfog twa paug`s ta mokd trogspartegbdosy og` aiidrs avdr 8::: spdheieh irdqudghy sdcdhteags ta ohfedvd febf `diegeteagmoskegb' Pfd Morsago Peggetus Moskdrusds cdss tfog 4 wotts ai pawdr# ar olautos muhf dcdhtrehety os o smocc gebft cebft'

Xdorhf tfd irdqudghy rogbd sdttegbra `dtdrmegd tfd spdheieh ,hdgtd rirdqudghy, ai teggetus saug`&s% tA prave`dprdhesd moskegb'A\@D\ PACC I\DD GAR'---- '''Monar H"rdèc hor` fac`drs pcdosd hocc taec irdd' EAr`dr praùht (?44: iar tfd MorsagoE eggetus Moskdr' Ar sdg` o hfdhk iar $ ~ > ~ ~ > ; > D GAR6::-086-


3/29

Peggetus P a ` ~ yDètareoc og` o`vdrtesegb aiiehds> OmdrehogPeggetus Ossaheoteag# Z'A' Lax 4 Zartcog`#A\52Bcareo ' \dehf# Zf'@'Ossaheotd Dètar> Lorloro PflohfgehkDètareoc O`vesar> Pru`y @ruhkdr# Zf'@'O`vdrtesegb socds> OPO-O@# Lax 4#Zartcog`# A\ 52


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Iram tfd Dètarly Bcareo D' \dehf# Zf'@'#Dxdhutevd @erdhtarE t wos o wag`driuc mddtegb/Rd fdor` tfes hammdgt avdrog` avdr iram pdapcd wfaottdg`d` tfd Ieitf EgtdrgoteagocPeggetus Xdmegor' Pfd mddtegbfo` samdtfegb iar nust olautdvdryagd'

Pfrdd-og`-o-foci òyswdrd ieccd` wetf shedgteieh prdsdgtoteags lyrdsdorhfdrs iram mdekcdmJafsu'dù'

Pfd ossdssmdgt sdhteag lraubft gdws aispdheocezd` tdsts tfot fdcp hcegeheogs `dtdrmegdtfd housd ai o potedgt"s teggetus mard prdhesdcy'Pfes# ai haursd# dgfoghds tfder olecety ta prdshreld og opprapreotd trdotmdgt' Eg tfd egstrumdgtoteag sdhteag wd fdor` ai tfd cagb- tdrmdiiehohy ai trdotmdgts suhf os fdoregb-oe`s og`moskegb' Xdvdroc gdw oppraohfds suhf os gaesdbdgdrotars iar ouètary foletuoteag wdrd èshussd`' Pfd odteacaby sdhteag lraubft iartf

0 Peggetus "Elòy! Xdptdmldr ?554

tfdareds olaut faw teggetus mebft ld trebbdrdòg` faw wd must hagse`dr gat agcy tfd ouètarygduroc trogsidr systdm lut ocsa tfd cemleh ardmateagoc systdm wfdg tryegb ta mdèotd teggetus' Pfd PMN sdhteag lraubft iartf egiarmoteagrdcotegb hdrtoeg `dgtoc pralcdms ta teggetus'Agd qudsteag wos coe` ta rdst ly @r' Lorloro\uldgstdeg> Pfdrd es ga harrdcoteag ldtwddgteggetus og` omocbom ieccegbs'

Pfd sdhteag ag alndhtevd mdosurds iar teggetus èshussd` suhf hampcdx essuds os spdhtrocovdrobegb# dvakd` patdgteocs# tfd gdbotevd èiidrdghd wovd# og` prdsdghd ar olsdghd ai hdrtoeghfdmehoc trogsmettdrs' Zdrfops wfot hog ldst ldsoe` fdrd es tfot tfdsd mdtfa`s fovd sfawgprabrdss seghd tfd cost sdmegor og` ord ldbeggegb ta sfaw pramesd' Pfd mdhfogesms sdhteagtaa# wos hampcehotd`# wetf èshusseags moegcyolaut lroeg mdhfogesms tfot mebft passelcypaegt ta teggetus' Oboeg# et"s o let dorcy ta sfaut,Durdko/,

Eg tfd `rub sdhteag# latf suhhdssds og` ioecurds ai voreaus `rubs wdrd èshussd`' O tdrm iar`rubs oiidhtegb teggetus# usd` eg tfd TK lutsamdwfot gdw ta tfd TX# es teggetacytehs' O gdwsdhteag iar tfes egtdrgoteagoc sdmegor wos olautcdboc og` gaesd essuds' _udsteags ai sdvdrety#prabgases# housocety# og` ùroteag wdrd èshussd` ly dxpdrts wetf mogy ydors ai dxpdredghd' Pfd corbdst sdhteag wos `dvatd` ta hcegehocessuds og` rogbd` iram axybdg tfdropy ta occdrbeds# iram hcegehoc tdsts ta guhcdor emobegb#alndhtevd teggetus ta mdtolaceh morkdrs og`samd àwg- ta- dortf èshusseag olaut tfd rdoce-teds ai hcegehoc prohtehd'

Pfd psyhfacabehoc rdfolecetoteag sdhteagrdegiarhd` tfd gateag tfot teggetus es os sdvdrdos tfd pdrsag wfa fos et tfegks et es' Ei samdagdwfa ocrdo`y fos o pdrsagocety èsar`dr es oiicehtd` wetf teggetus# tfd resk iar `dprdsseag es febf'Yoreaus tfdropeds wdrd èshussd` og` pasetevddiidhts wdrd rdpartd` iar èrdhtevd haugsdcegb#strdss rdùhteag# og` habgetevd rdosagegb'

Ogatfdr egtdrdstegb gdw sdhteag o``rdssd` ogumldr ai octdrgotevd tfdropeds' E t wos paegtdàut tfot OCC teggetus trdotmdgts wdrd ot agdtemd hagse`drd` ,octdrgotevd', Oboeg# tfd rogbdai èshusseag wos we`d -iram ohupughturd tabegkba tfdropy# gutreteag# og` pfyseatfdropy'


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Iram tfd Dètar &hagtegud`%Pfd sdci-fdcp warksfap sdhteag lraubft ogegicux ai teggetus suppart braup cdo`drs og`potedgts wfa naegd` tfd sdmegor portehepogts tafdor prdsdgtoteags olaut braup `ygomehs strotdbeds# potedgt rdohteags ta braup egvacvdmdgt# ogàtfdr essuds oiidhtegb suppart braups'Ot o smocc mddtegb ai egvetd` portehepogts#tfd sulndht ai hcosseiUegb teggetus wos èshussd`'\dsdorhfdrs og` hcegeheogs fovd usd` o myreoài systdms ta hcosseiy tfder teggetus sulndhts cdovegb prdhesd hamporesags empasselcd' Peggetus# oswd occ kgaw# tokds mogy iarms og` oresds irammogy èiidrdgt housds' Iar dxompcd# ei o braupai potedgts wfasd teggetus es ossaheotd` wetfMdgedrd"s es stuèd`# hog tfd rdsucts iram tfotstu`y ohhurotdcy prdèht faw potedgts wfasd teggetus es ossaheotd` wetf gaesd dxpasurd wecc rdohte i semecorcy stuèd`1 @r' Golef \omoòg# iramtfd Fdgry Iar` Faspetoc eg @dtraet# Mehfebog#dxpcoegd` faw tfd egtdrgoteagoc hcosseiehoteagsystdm iar fdoòhfds fo` dvacvd` og` fawsamd aitfd somd prahdùrds hauc` ld usd` ta`dvesd o hcosseiehoteag systdm iar teggetus' BoryNohalsag wos dcdhtd` ta sdrvd os hfoermog aitfd h?osseiehoteag hammettdd# wfehf wecc mddtoboeg ùregb tfd Ossaheoteag iar \dsdorhf egAtacorygbacaby &O\A% mddtegb eg ?559'

Pfd sdmegor hcasd` wetf o pulceh iarumma`drotd` ly ha- hfoermog Nohk Ydrgag'_udsteags iram tfd ouèdghd# stecc olaut ?24stragb# wdrd ogswdrd` ly @r' Ydrgag og` tfdfdo`s ai tfd voreaus sdhteags iram tfd sdmegor'Pfd sdmegor"s dxtro-hurrehucor dvdgegbdvdgts occawd` pdapcd ta dstolcesf o homoro`dred

tfot mo`d tfd mddtegb dvdg mard dgnayolcd'Mast pdapcd ottdgègb wdrd foppy ta ld ag oierst gomd loses os tfdy rope`cy mavd` iramldegb strogbdrs ta ldegb haccdobuds og` iredg`s'

Pfd oitdrgaag og` dvdgegb ldiard tfd mddtegb# pdapcd stortd` oppdoregb ot tfd fatdc# og`mogy pethfd` rebft eg og` fdcpd` us arbogezdlatf tfd pastdr og` dxfelet raam og` tfd rdbestroteag ordo' Pfot dvdgegb# wd brddtd` occ tfddorcy hamdrs ot o rdhdpteag ag tfd tap icaar aitfd Morreatt wfdrd cahoc vacugtddrs fo` fdcpd`ly lregbegb occ sarts ai wag`driuc baaèds tasuppcdmdgt tfd ceque` rdirdsfmdgts' Dvdg mardiaa` wos prave`d` ly o bdgdraus beit iram Iryd

Dcdhtragehs# og` tfd OPO' Pfd wdotfdr wosworm# Mt' Faa` wos ldouteiuccy havdrd` wetfsgaw# og` eg tfd cavdcy pegk sugsdt cebft# o iuccmaag homd up ta hampcdtd tfd pehturd' Eg`dd`#et wos og ouspeheaus ldbeggegb ta aur mddtegb'Pwa gebfts cotdr# ?05 ai us laor`d` o cahoc taurlaot# ,Pfd Xperet ai Zartcog`#, iar o twa-og`-ofoci faur re`d up og` àwg tfd Reccomdttd\evdr og` iar o idost ai cahoc socmag# raost lddi#og` occ tfd tremmegbs' Ag tfd cost dvdgegb# wdossdmlcd` iar o boco logqudt wfdrd tfd kdygatdo``rdss wos bevdg ly Ardbag"s sdgear sdgotar#Mork :' Fotiedc`' Pfd sdgotar# wfa wdors fdoregb oe`s femsdci# fos lddg egstrumdgtoc eg prdsdrvegb id`droc rdsdorhf iugègb og` eg fdcpegbta ieg` suppart iar tfd Ardbag Fdoregb \dsdorhfHdgtdr'Pfd Fahks Owor`# og ogguoc OPO mdmareocrdsdorhf owor` fagaregb tfd mdmary ai \aldrtR Fahks# OPO"s ierst goteagoc hfoermog# wosprdsdgtd` ta @r' \ass \' O' Hacds# wfa wos ocsatfd sdmegor"s budst ai fagar'Mast ai tfd sdmegor"s prdsdgtdrs fovdturgd` eg tfder mogushrepts' Rfdg wd fovd occai tfdm# wd"cc ba ta pregt wetf tfd ,Zrahddègbs aitfd Ieitf Egtdrgoteagoc PeggetusXdmegor', Rd ogtehepotd tfotet wecc ld ovoecolcd lytfd dg` ai tfd ydor'

Peggetus Pfòy! Xdpthmldr ?554 4


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Cdttdrs ta tfd DètarE m stecc smecegb olaut yaur ,Cdttdr ta oIredg`, eg tfd Morhf ?554 essud ai PeggetusPlòy' Pfd mast vocuolcd suppart tfot tfasdai us wfa dgùrd hagstogt# olrosevd fdo` gaesdshog passelcy fovd es tfd keg` ai egiarmoteagrdpartd` eg tfot essud' Zrohtehoc kgawcd`bd esboegd` iram rdparts ag `rubs# og` iram cdttdrs#laak rdvedws# og` rdcoxoteag tfdropeds'E fovd fo` cdit dor haghdgtrotd` teggetus iarsdvdg ydors og` scebft fdoregb cass eg latf dors'Fovegb ecebdgtcy tred` ocmast dvdry moskegb`dvehd ag tfd morkdt# E fovd èshavdrd` tfot tfdloseh avdr-tfd-dor Xtorkdy PMX warks ldst iarmd' O``d` ompceiehoteag àds gat empravd tfdmoskegb diidht' Cekdwesd# wdoregb moskdrs eglatf dors àds gat empravd tfd quocety ai moskegb' E wdor o moskdr oy og` gebft'\dhdgtcy E fovd iaug` tfot tfd ogte`dprdssogt Zoxec warks ldouteiuccy eg kddpegb my sperets up' Octfaubf tfd teggetus rdmoegs tfd somdos et dvdr wos# E hog mogobd ta ld foppy ogywoy' E om ohtevd eg hammugety oiioers# moegtoego herhcd ai iredg`s# og` om og dcdmdgtory shfaactdohfdr' Pfd hfec`rdg fdcp ta kddp md baegb'Pfogk yau iar yaur hamposseagotd apdg cd ttd r ta md' Uaur iredg`#Bco`ys Battcedl# Tpstotd Gdw UarkO laut iaur ydors oba# E stortd` bdttegb oluzzegb eg my cdit dor' "ERa ydors oba Etaak o sdreds ai occdrby tdsts# iaug` tfot Ewos occdrbeh ta mogy tfegbs# og` stortd` tokegboccdrby sfats' Lut agd òy E rdocezd` tfot E gacagbdr fo` tfd ,matarhyhcd, eg my dor' Rfot ordced? Oitdr twa ydors ai tokegb tfd sfats# E omstecc irdd ai tfot gaesd eg my dor'E fapd my dxpdredghd wetf tfd occdrby tdstsog` sfats wecc hcdor up samd ai tfd mystdry aitfd gaesds eg dors' Z'X' My àhtar nust sfokds fesfdo` wfdg E tdcc fem olaut my dxpdredghd'Ndog MhBrdbar# Brdsfom# A\O s o suiidrdr ai teggetus iar olaut


7/29

Cdttdrs ta tfd Dètar &hagtegud`%Avdrocc# 20$ ai tfd potedgts stuèd` hagse`

drd` tfder empcogt ta ld fdcpiuc eg teggetussupprdsseag# dspdheoccy ag tfd empcogtd` se`d'Zouc \' Kecdgy Zf'@'# Zraidssar og`@erdhtar# @eveseag aiOuèacaby og`Dcdhtrapfyseacaby# Tgevdrsety aiMehfebogMdèhoc HdgtdrO laut sex magtfs oba# oitdr rdoègb olautbegkba lecalo iar teggetus# E stortd` tokegb0: mbs' tfrdd temds o òy' E ga cagbdrbovd et ogy tfaubft ugtec rdhdgtcy# wfdg E rdocezd` E wosg"t fdoregb ldccs eg tfd gebft/ Og` tfdgocagb homd yaur ortehcd rd> begkba lecalo'E rdocezd agd esacotd` hosd àds gat prdsdgtshedgteieh praai# lut E à gat kgaw ta wfot dcsd

ta ottrelutd tfd cdssdgegb ai gaesds eg my dors'E"m nust vdry brotdiuc ta ld lohk eg tfd cog` aitfd quedt'@acards \abdrs# Xog Nasd# HOE "` cekd ta rdpart tfot E"vd lddg tokegb begkbaeg ma`dst àsobd &


8/29

Cdttdrs ta tfd Dètar &hagt;gud`%pcoegs tfot tfd teggetus gaesds ord sa cau` tfot etmokds fdoregb èiiehuct'Lreog G' Yegsag# Orcegbtag# YO

O laut ievd ydors oba# E dgraccd` eg o NdggyHroeb Rdebft Cass Zrabrom' Ocagb wetftfder iaa` prabrom# tfdy rdhammdg`d`tfder ,Egtdgsevd \dpcdgesfmdgt og` XtrdssIarmuco, vetomeg# gaw kgawg os Z\A PDHPOgte-Axeògt Iarmucoteag' E taak agcy agd oòy octfaubf tfd lattcd soe` ta tokd twa o òy'Zrear ta tfes# E wos fovegb o sdvdrd teggetus pralcdm os wdcc os o tfraot hcdoregb pralcdm wfehfwos ocsa quetd sdvdrd'Oitdr tokegb tfd vetomegs iar owfecd# E rdocezd` tfot tfdsd twa pralcdms wdrd bagd# muhfta my `dcebft# og` fovd gat rdturgd`' Fawdvdr#tfd cost temd E wdgt eg ta rdpcohd my suppcy# Eiaug` tfot tfdy fo` hfogbd` tfd gomd# tfdàsobd# og` tfd strdgbtf' Pfd hast ai tfd ac`

lattcd wos $?


9/29

O Hammdgtoryly \aldrt D' Xog`ceg Zf'@'

\dhdgtcy E fo` tfd pcdosurd ai ottdgègbtfd Ieitf Egtdrgoteagoc Peggetus Xdmegor egZartcog`# Ardbag' Pfd for` wark àgd lyBcareo \dehf og` Nohk Ydrgag wos dve`dgt'Hagbrotucoteags ord eg ar`dr# ocsa# ta tfderrdspdhtevd stoiis'Octfaubf E fovd lddg o mdmldr ai tfdXhedgteieh O`vesary Laor` ai tfd OmdrehogPeggetus Ossaheoteag iar o gumldr ai ydorstfes wos my ierst ottdgòghd ot og egtdrgoteagocmddtegb' Os suhf# my hammdgts olaut tfdhagùht ai tfd mddtegb moy ga t ld o trud rdprdsdgtoteag ai tfd ossdssmdgt ar dxpdhtoteag aiatfdr ottdg`dds'

Tgàultd`cy# tfd Fdrhucdog tosk ai prdporegb iar og egtdrgoteagoc mddtegb èhtotd` wfotwos ta ld prdsdgtd` og` wfa wos ta ld tfd prdsdgtdr' Eg my vedw# tfd mddtegb wos ève`d #ugegtdgteagoccy# egta sdvdroc homps# wetf dohfhomp fdsetogt ta obrdd ar egtdroht wetf tfdatfdr' Xamd prapasd` tfd hcegehoc utecety aimoskegb `dvehds o`nustd` ta ,havdr, tfd agbaegbsulndhtevd teggetus# praveègb rdcedi ar empravegbhapegb skeccs' Appasd` ta tfes vedw wos tfd~ o m p subbdstegb tfot foletuoteag ta tfd agbaegbtmmtus wos ldst ohfedvd` ga t ly havdregb tfdteggetus lut ly ,mexegb, tfd teggetus wetf olrao` log` moskegb `dvehd# dghaurobegb tfdfoletuoteag prahdss avdr o ?


10/29

@AHPA\ PA @AHPA\O Mdèhoc Dvocuoteag ai tfd Peggetus Zotedgtly Mehfodc @' Xde`mog M'@'#Fdgry Iar` Faspetoc# @dtraet# ME

O pfyseheog hog soy gatfegb mard èshaurobegb ta o potedgt tfog ,tfdrd es gatfegb yau hogà olaut yaur teggetus sa yau"cc fovd ta cdorg tacevd wetf et', Xtotdmdgts suhf os tfes ord egohhurotd# egsdgsetevd# ughamposseagotd# og` pramatdo iddcegb aifdcpcdssgdss og` `dspoer eg tfdpotedgt' Os fdoctf hord praidsseagocs# wd fovdlatf maroc og` dtfehoc alceboteags ta prave`dwfotdvdr fdcp wd hog'

Peggetus es hcossehoccy `dshreld` os detfdralndhtevd ar sulndhtevd' Alndhtevd teggetus essaug` fdor` gat agcy ly tfd potedgt# lut ocsa lyog eg`dpdg`dgt alsdrvdr' Xulndhtevd teggetus esfdor` agcy ly tfd potedgt' Ai tfd twa# sulndhtevdteggetus es ior mard hammag'

Pfdrd ord mogy mdèhoc hagèteags tfot hoghousd regbegb ar saug`s eg tfd dors' Pfdsdeghcu`d fypdrtdgseag# ortdreoc shcdrases#ogdurysms# voshucor caaps# muctepcd shcdrases#pocotoc myahcagus# gutreteagoc `diehedgheds#tdmparoc mogèlucor naegt pralcdms# mebroegdèsar`drs# sdezurd èsar`drs# fypdrtfyraeèsm#fypdrcepe`dmeo# ogdmeo# Zobdt"s èsdosd# og`fypapebmdgtoteag'

Eg ar`dr ta hamprdfdgsevdcy dvocuotd tfdpotedgt wetf teggetus# et es empdrotevd ta fovd otfaraubf bdgdroc mdèhoc dvocuoteag og` festarytokdg ly og egtdrgest ar o iomecy prohteteagdr'Pfd premory hord pfyseheog sfauc` poy portehucor ottdgteag ta horèavoshucor# pucmagory og`gduracabehoc systdms' Pfes eghcu`ds cestdgegb tatfd gdhk vdssdcs iar lruets &olgarmoc saug`s%tfot mebft subbdst og olgarmoc ar rdùhd` voshucor icaw os tfd housd ai tfd regbegb' \autegdlcaa` sompcegb wauc` ld gdhdssory ta rucd autmdèhoc èsar`drs suhf os ogdmeo ar caw lcaa`haugts' Pfdsd èsar`drs housd tfd fdort ta warkfor`dr og` hrdotd voshucor turlucdghd tfot moydxohdrlotd ar cdo` ta teggetus' Atfdr tdsts moyld egèhotd` ta rucd au t tfyrae` èsdosd# febfhfacdstdrac og` cepe`s# ar èoldtds'

Pfd hcegehoc haursd ai tfd teggetus es vdryempartogt' Ierst# tfd pfyseheog must ottdmpt tacdorg wfot dvdgt ar symptam wos ossaheotd`wetf ets agsdt>+ Ros et ossaheotd` wetf og uppdr rdsperotarytroht egidhteag ar og egidhteag dcsdwfdrd eg

tfd la`y1?: Peggetus ?lòy!Xdptdmldr ?554

+ Es et passelcy rdcotd` ta ogy typd ai mdèhoteag tfot tfd potedgt es tokegb1

+ Fos tfd potedgt dvdr lddg dxpasd` ta dxpcaseags# bugierd# cau` museh# ar hfrageh gaesdiram warkegb eg o iohtary# og oerpart# ar egtfd mecetory1Et es ocsa gdhdssory ta gatd ossaheotd` symptams# eghcuègb fdoòhfd# gousdo# vametegb#iuccgdss eg tfd dor# fdoregb icuhtuoteag# ar gduracabehoc symptams eghcuègb wdokgdss# pordstfdseo &gumlgdss% # hagiuseag# ar mdmary hfogbds'Ei tfd potedgt"s ar pfyseheog"s haghdrgs ord

gat ogswdrd` eg tfes prdcemegory dxomegoteag# omard dxtdgsevd atacorygbacabeh dvocuot eag esworrogtd`' Cdorgegb tfd hforohtdrestehs og` tfdcahoteag ai tfd teggetus es empartogt eg tfd èobgases# dvocuoteag# og` trdotmdgt ai teggetus'_udsteags ta osk tfd potedgt>+ Es saug` fdor` eg agd ar latf dors# ar àds et

oppdor ta ld hamegb iram egse`d tfd fdo`1+ Rfot àds et saug` cekd ta yau1 &regbegb#fessegb# dth'%+ Es et pucsotecd1 Febf ar caw irdqudghy1+ Es et hagteguaus ar egtdrmettdgt1+ Ord yau stecc olcd ta ba ta wark ar es tfd

teggetus housegb taa muhf strdss1+ Ord yau fovegb èiiehucty wetf nal pdriarmoghd1

+ Ord yau ug`dr o brdot `doc ai ,gag-teggetus""strdss1+ Ord tfdrd scddp èsturloghds1 &èiiehuctyioccegb ar stoyegb oscddp ot gebft%+ @a yau ieg` yaursdci ldhamegb saheoccyrdhcusevd ldhousd ai tfd sdvdrety ai tfdregbegb1+ Ag o shocd ai ? ta ?:# faw wauc` yau rotd

tfd sdvdrety ai tfd teggetus1Iram tfd egtdrvedw# tfd pfyseheog gdd`s tagatd ei tfdrd es ogy sueheòc e`doteag' Pfdsdqudsteags hog fdcp tfd pfyseheog ug`drstog` tfd`dbrdd ta wfehf tfd teggetus potedgt"s ceidstycd esoiidhtd`' Ldor eg meg` tfot teggetus àds gatoiidht occ potedgts tfd somd woy'

E t es empartogt ta `dtdrmegd ei tfd potedgt estokegb ogy atataxeh mdèhoteags' Pfd Zfyseheog"s@dsk \didrdghd cests avdr 2: `rubs# eghcuègbospereg# tfot hog housd ar dxohdrlotd teggetus'&Peggetus housd` ly febf àsds ai ospereg esaitdg rdvdrsd` wfdg tfd `rub es stappd`'%


11/29

@AHPA\ PA @AHPA\O Mdèhoc Dvocuoteag ai tfd Peggetus Zotedgt &hagtegud`%_uegegd# èurdtehs# og` omegabcyhase`d ogteleatehs suhf os bdgtomeheg ord atfdr hammagcyusd` `rubs tfot hog housd teggetus' "Ellohha# hoiidegd# lertf hagtrac peccs# magasaèum bcutomotd# hacaregb obdgts# og` morenuogo moy occhagtrelutd ta og eghrdosd eg tfd teggetus egtdgsety og` sdvdrety'

E t es ocsa fdcpiuc ta cdorg ei tfd teggetuspotedgt fos o iomecy festary ai fdoregb cass#prdmoturd broyegb# vdstelucor èsturloghds# arfdtdrahframeh eres &èiidrdgt hacard` dyds% tfotsubbdsts Roor`dglurb syg`ramd'Aghd tfd post mdèhoc festary fos lddg dvocuotd`# tfd potedgt sfauc` fovd o hampcdtd fdoòg` gdhk dxomegoteag ldbeggegb wetf og dxomegoteag ai tfd dxtdrgoc dor' &Peggetus hog ldhousd` ly olgarrgocetnds ogywfdrd iram tfdautdr dor ta tfd lroeg'% Ourehucor mociarmoteags#dxtdrgoc hogoc `didhts# ar hfogbds wetfeg tfdtympogeh mdmlrogds ord empartogt ta gatd' Lypcohegb o Paygldd stdtfashapd eg tfd potedgt"sdor# tfd pfyseheog moy ld olcd fdor tfd rordiarm ai teggetus tfot hog ld fdor` ly atfdrs'Eg tfd me``cd dor# tfd atacorygbacabest wecccaak iar assehucor olgarmoceteds# me``cd do rtumars# cass ailagd ldtwddg tfd me``cd dorog` tfd horate` og` nubucor vdssdcs# og` dve`dghd ai prdveaus ar hurrdgt hfrageh suppurotevd atetes mdèo &egicommoteag ai tfd me``cddor%' Eg dvocuotegb tfd eggdr dor# agd gdd`s tadxomegd iar dve`dghd ai foer hdcc òmobd# sdgsaregduroc fdoregb cass# dgàcympfoteh fy`raps&Mdgedrd"s èsdosd%# colyregtfetes# ar atashcdrases'Mast ai tfes egiarmoteag es `dtdrmegd` iramouèacabeh og` locoghd tdstegb' E t es ocsa vdryempartogt ta dxomegd tfd rdtrahahfcdor ordos&ldyag` tfd eggdr dor% ta rucd aut brawtfs artumars ai tfd hdrdldccapagtegd ogbcd# tfd masthammag ldegb tfd vdstelucor shfwoggamo&ohausteh gduramo%' Agd hog ocsa dxomegd iaratfdr olgarmoceteds suhf os voshucor caaps#mdgegbeamos# ar dpe`drmae` tumars'O hampcdtd dvocuoteag ai tfd mautf og`gosapforygbdoc rdbeags es empdrotevd' Pfd tdmparoc mogèlucor naegts sfauc` ld ossdssd` iarogy hcehkegb# pappegb# ar poeg upag prdssurd tatfd rdbeag' E t es ocsa empartogt ta caak iar ogyolgarmoc hagtrohteags ai tfd pocotd tfot moysubbdst pocotoc myahcagus' &Gatd tfot wfdg tfdpotedgt"s mautf apdgs# tfdsd hagtrohteags wecc

aitdg hdosd'% Caak iar dve`dghd ai potucausdustohfeog tuld syg`ramd &potedgts wecc fdortfdmsdcvds dspdheoccy cau` wfdg tfdy spdok%# oiucc ar o lcahkd` iddcegb eg tfd dor# ar tfd sdgsoteag ai og eg-og`-aut mavdmdgt eg tfd dor`rumwfdg agd lrdotfds' Pfd tfyrae` must ld dxomegd` ta ld surd et es gat pocpolcd &pdrhdptelcd lytauhf%' Hdrvehoc spegoc olgarmocet eds fovd ahhoseagoccy lddg ossaheotd` wetf teggetus'Ouèacabeh tdstegb es mogòtary ta tdst purdtagd tfrdsfac`s# spddhf rdhdpteag tfrdsfac`s#og` war` rdhabgeteag' Xamd pfyseheogs rdhammdg` dcdhtrahahfcdabropfy ta ossdss iar dcdhtrehoc hfogbds tfot moy rdicdht og eghrdosd egdgàcympf# o icue` iaug` eg tfd eggdr dor' Lroegstdm ouètary dvakd` rdspagsd tdstegb moy ocsald rdhammdg`d`# portehucorcy ei tfdrd es regbegbeg agcy agd do r ar eg agd dor mard tfog tfdatfdr' Ataohausteh dmesseag tdstegb es àgd tamdosurd og` rdhar` tfd saug`s bdgdrotd` lyfoer hdccs eg tfd hahfcdo'Pdstegb iar zegh ar atfdr vetomeg `diehedgheds# og` rogàm lcaa` subor tdsts moy ld hagùhtd`' \oèacabeh shrddgegb moy ld gdhdssoryta rucd aut tfd passelecety ai o brawtf ar voshucorolgarmoceteds' Pfd hamputdrezd` tamabropfehshog &HOP shog% hog bevd ohhurotd pehturds aitfd lroeg og` struhturds ai tfd eggdr do r usegbx-roys' Mobgdteh rdsagoghd emobegb &M\E% praùhds emprdssevd pehturds ai tfd sait tessuds# og`hog ld dxtdg`d` ta hrdotd pehturds ai tfd vdssdcsusegb mobgdteh rdsagoghd ogbeabropfy &M\O%'O potedgt wetf pucsotecd teggetus ar wfa es suspdhtd` ai fovegb o bcamus tumar moy gdd` tafovd og ogbeabrom' O`èteagoc gduracabehoc tdstsusegb dcdhtradghdpfocabropfy &DDB% moy ocsald worrogtd` ta rucd aut sdezurd olgarmocetedsar mebroegd dquevocdgts tfot hauc` fovd teggetusos o symptam'O we`d rogbd ai trdotmdgts iar teggetusdxest dvdg wfdg ga potfacaby fos lddg e`dgteied`' Purgegb ag IM roèa stoteh ta mosk tfdteggetus saug`# fdoregb oe`s# leaidd`lohk# haugsdcegb# dcdhtrehoc supprdsseag# `rub tfdropeds#L- vetomegs# ohupughturd og` mard hog ld subbdstd` iar usd' Os pfyseheogs# wd must prdsdgtocc tfdropduteh apteags - iram oppravd` pratahacs ta ogdhàtoc rdmdèds - ta fdcp mokd tfdteggetus mard mogobdolcd'

Peggetus "Elòy! Xdptdmldr ?554 ??


12/29

Pfd Xdmegor \dmdmldrd`ly Lorloro Pf>lohfgehk#Hcedgt Xdrvehds Mogobdr

Pfd iaccawegb pehtareoc hopturds smocc scehds ai o rdmorkolcd mddtegb - o mddtegb aitfd warc`"s brdot og` horegbmeg`s eg tfd iedc` ai teggetus'

Pfd Ieitf EgtdrgoteagocPeggetus Xdmegor lraubft tfdvost èvdrsety ai trdotmdgtsog` vedws egdshopolcy egtatfd apdg' Iram temd ta temd#ouèacabests ga``d` obrddmdgtwetf tfd `dgtests# og` DGP"shaghd`d` tfd mdrets ai potedgtta-potedgt suppart' \dsdorhfdrsocsa hagse`drd` tfd iegègbs aiatfdr rdsdorhfdrs# octfaubfaitdg wetf èiiehucty og` gatgdhdssorecy ta tfd paegt aiobrddmdgt' Pfder fdsetoghywos gat ugdxpdhtd`'Festarehoccy# wfdg og e`domavd` egta tfd pulceh ordgo# etwos usuoccy ldhousd agd pdrsagfo` lddg ets hfompeag' \doècysddg taòy# hdrtoeg rdsdorhfdrsord ossaheotd` wetf hdrtoegtrdotmdgts> Nohk Ydrgag wetfmoskegb og` Vogox; ZowdcNostrdlaii wetf ouètary foletuoteag; @aub Marbog wetf PMN'E t es gat surpresegb tfot tfderhagvdrsoteags# tfder wretegbs#tfder vedws# og` tfder prdsdgtoteags rdicdht o pdrsagoc posseag'E t es eg occ cekdcefaa` o pfdgamdgag gdhdssory ta tfd prahdss'

Pfd mavdmdgt ai egiarmoteag ot tfd sdmegor wos gathagiegd` ta tfd sdsseag raamocagd' Cughfds# hfoghd mddtegbs eg tfd foccwoy# og` atfdrsaheoc ahhoseags aiidrd` up prdheaus appartugeteds iar tfddxhfogbd ai e`dos' Rd otd# wdwockd`# og` ocwoys wd tockd`teggetus'

?< Peggetus Pfòy! Xdptdmldr ?554

@r' \ass Hacds# Budst an,Fagar Xdgotar Mork :' Fotiedc # kdygatdspdokdr ot Boco

Nohk Ydrgag# Zf'@' @r> Nagotfog Fozdcc Nomds Xgaw# M'@'

Orom Bcareb# M'@' Ocdxog`dr Xhfcdugegb# M'@' Old Xfucmog# M'@'

Bcareo \dehf# Zf '@'# og` Naog Xoug`drs Nohk Ydrgag# Zf' @' og` \dgd @oumog


13/29

Lorloro \uldgstdeg# @'@ X' og` @aubcosMarbog# @'@'X'

Hroeb Gdwmog# Zf'@'# Bory Nohalsag#Zf'@' # og` Nem Fdgry# Zf'@'

Zouc Butf# Zf'@' @r' O`reog @oves Mory Mdekcd# Zf'@'

Lal Xog`ceg# Zf '@' Oci Oxdcssag# M'@' Nafg Fausd# M'@'

&C ta \% 2Uu`y @ruhkdr# Zf'@'# Lorloro Pflohfgehk# Zdtdr Xoug`drs# Dcezoldtf Doyrs#Na Fozdcly# \u`aci @dds# og` Naog Xoug`drs'

ZowdcNostrdlaii# Zf '@' og`\ehf 2y!dr# Zf'@'

@r' Ocostoer Mohkdg`rehk# Bcareo \dehf#Zf'@' og` Zom Bolredcs ag tfdReccomdttd \evdr Hruesd'

Leccy Morteg# Zf'@' og` Nas Dbbdrmagt

Peggetus ?l`oy! Xdptdmldr ?554 ?8


14/29

Zowdc Nostrdlaii# Zf'@'# og ` MorbordtNostrdla/N# Zf'@'

Bcareo \dehf# Zf '@'# Zom Bolredcs# og`Leccy Morteg# Zf'@'

@r' Dwort @oveds og` Zot @obbdtt

Zfec Martag og` Zot @obbdtt

?0 Peggetus Pf`oy!Xdptdmldr ?554

Bdrfor` Badldc# M'@' og`Bcareo \dehf# Zf' @'

Ndggeidr @drdldry# M'@'

Kordg Ldrcegdr# Zf'@'

\ehf Ga`or# Zf'@' og`Boec Lrdggdr# MO HHH-O

Nasdpf Kroit# M'@'

@aggo Roygdr# P?? '@'

\ald?-t Xwddtaw# Zf'@'

Zouc Reg`cd-Pfy car

@r' \ehf Lorrdtt

Xusog Bac`# MO HHHXZEO


15/29

Oggd Uaugb# iram OPO# ot tfdrdbestroteag `ds!'>'@r Gdto Kacoso# iarmdr OPO suppartbraup cdo`dr; og` cwslog` }afr?

Nohk Ydrgag# Zf@ Nohqudcegd Xfdc`rokd Nacm Dmmdtt# M @

Boccor` Badldc# M'@' Zdtdr @ydr og` Mornared Faapdr; LPtS

Xotur`oy Gebft Boco ot tfd Magtbamdry Zork Otreum

Bcago \dehf# Zf'@ og` Lal Lrummdtt#Zf'@

Oobd Maccdr; Zf'@

Nmc Koctdglohf# Zf'@' og` MehfodcXdc`mhm# M'@'

O ggd Uaugb og` @oud Pccmsdg ??? iragt aiMorpoh Dxfelet'

Zdtdr Xoug`drs# Lal nafgsag# Zf'@Peggetus ?l`oy Xdptdmldr ?554 ?4


16/29

Pfd Dor @didg`drs ot Xfowmagt Xhfaacly Lorloro "Eolohfgehk# Hcedgt Xdrvehds Mogobdr

Pfdy kgaw tfot saug` wovds dgtdr tfd dorhogoc# velrotd tfd do r `rum# trovdc tfraubf tf dme``cd do r lagds og` egta tf d hahfcdo' Pfdykgaw tfot cau` gaesds iram cdoi lcawdrs# vohuum hcdogdrs# og` laam laxds hog housd òmobdta tfd foer hdccs eg tfd hahfcdo iram wfehf fdoreg," cass teggetus og` `doigdss hog rdsuct' PfdyE Ekgaw wfdg og` faw ta usd dor pcubs# og` ta soy,Zcdosd turg tfot àwg/, wfdg o PY ar stdrda estaa cau`' Pfdy ord stu`dgts ot Zfeco`dcpfeo"sXfowmagt Xhfaac' Pfdy ord sdvdg ydors ac`'Cost ydor# wfdg Ocehd Mog`dc wratd ta us iaraur FdoregbHagsdrvoteagog` PeggetusZrdvdgteagZrabrommotdreocs iarfdr sdhag`bro`d hcoss# Etfaubft tfotfdr stu`dgtswdrd taayaugb ta ldgdiet iram tfdegiarmoteag'Pfot tfaubftprdvoecd` ugtecE rdhdevd` opohkobd iram fdr hcoss cost magtf# ieccd` wetftfogk yau cdttdrs og` `rowegbs ai dors# saug`wovds# dor pcubs# og` tfdmsdcvds os ,Dor@didg`drs', Pgaw kgaw faw hopolcd sdhag`bro`drs ord ai tokegb og empartogt mdssobd tafdort og` mokegb et tfder awg'

Rd wothfd` tfd topd 8 temds ldhousd tfdhcoss wogtd` ta sdd et avdr og` avdr oboeg'Et wos o vdry dùhoteagoc maved iarhfec`rdg ta sdd' E cekd àegb tfd wark popdr'

- Hfomlroeo

Ohharègb ta Ms' Mog`dc# fdr Dor @didg`drsord rdtoegegb dvdg tfd sultcd mdssobds eg tfdmotdreoc - tfot cau` gaesds hog mokd tfdm iddcupsdt# og` tfot tfdy hog dxdrt samd hagtrac avdrtfder awg dxpasurd ta aiidgègb gaesd' ,Pfdy?9 Pegge tus "Pl oy! Xdptdmldr ?554

hamd ta shfaac gaw oword ai cau` gaesds autse`dai hcoss' Et"s segkegb eg' E tfegk tfdy"cc ocwoyskgaw et#, soe` Mog`dc'

E cekd tfd dor pcubs' Pfdy ord gdot'-MehfodcMehfodc Broii# Xfowmagt"s p`ghepoc# dghaur

obd` Mog`dc"s usd ai OPO"s teggetus prdvdgteagmotdreoc os og o`nught ta fdr hcoss" fdoctf cdssag'Pfes prabrom es og alveaus `dporturd iram tfdstogòr` hurrehucum eg tfd Zfeco`dcpfeo Xhfaac@estreht# lut escekdcy ta ldscotd` iar tfd

hamegb ydor"ssdhag` bro`dfdoctf hurrehuc um- otXfowmagt ogywoy' Mog`dc esegtdrdstd` ego`voghegb tfdprabrom"s usdldyag` tfd sdhag` bro`dcdvdc# ldyag`Xfowmagt"swoccs# og` passelcy ldyag` tfd laug`s ai tfd èstreht etsdci'

Pfd motdreocs wd sdg` ta dcdmdgtory shfaacseghcu`d o ,Zcoy et Xoid# Pfrg et àwg# Rd wogtyau cestdgegb iar o ceidtemd, pastdr àgotd` lytfd Dcdhtrageh Egùstreds Ossaheoteag# og emobegotevd wark sfddt pohkdt olaut teggetus og`gaesd wetf OPO"s cdttdr ta pordgts# o tdohfdr"sbue`d ta hcossraam ohteve

teds# og` sdvdrocteggetus!fdoregb!gaesdrdsdorhf ortehcds' Eghcu`d`wetf tfdsd ortehcds es otrogshrept ai tfd ?55?fdoregb ldiard tfd Fausdai \dprdsdgtotevds"Hammettdd ag Hfec`rdg#Uautf# og` Iomeceds dgtetcd` ,Pfrg et @awg> Diidhts

ai Gaesd ag Fdoregb Cass eg Hfec`rdg ogÙautf', Rd ocsa sdg` dor pcub sompcds og` hordegstruhteags# occ ai aur lrahfurds# og` tfd 6'4


17/29

megutd GE@H@ musehoc ve`da# ,E Cavd Rfot EFdor, tfot eccustrotds tfd fdoregb cass og` gaesdhaggdhteag' Pfes ve`da ai hfec`rdg dghaurobegbatfdr hfec`rdg ta sovd tfder prdheaus fdoregb lyldhamegb ,Dor @didg`drs, es vdry papucor'Octfaubf et ioecs ta mdgteag tfd war` teggetus# etbdts atfdr hretehoc e`dos ohrass'

E cekd tfd popdrs o cat og`tfd iecm wos baa`'-Dcezoldtf

Aur teggetus prdvdgteag pohkdt fos lddgusd` suhhdssiuccy eg 8r`# 0tf# og` dvdg eg 4tfbro`ds wetf agcy o idw maèiehoteags' Iar tfdac`dr bro`ds# saug` wovd dxpdremdgts tokd tfdpcohd ai hacaregb sfddts' Aur me``cd og` febfshfaac pastdrs usd dxhdccdgt bropfehs ta dghaurobd tddgs ta magetar tfder emmdrseag egta cau`museh' Tgiartugotdcy# os hfec`rdg bdt ac`dr# tfdyord cdss cekdcy ta ld egicudghd` ly pordgtoc- cekdèhtotds# dspdheoccy èhtotds tfot oppdor ta hamdldtwddg tfdm og` tfder museh' Pfot so` iohtàds gat# fawdvdr# hfogbd aur rdspagselecety tatry ta rdohf tfd idw wfa mebft cestdg' Eragehoccy#ac`dr tddgs taòy ord dxpdr edghegb ugprdhd`dgtd` fdoregb cass &og` aitdg ohhampogyegb teggetus% ùd ta humucotevd og` dxhdssevd dxpasurd tagaesd'

Pfogk yau iar sdgègb tfd topd'Uau ord o vocuolcd iredg` ta md'- Xdvdto

OPO"s Messeag


18/29


19/29

Eghe`dghd ogÒwordgdss aiPeggetus egTgevdrsety Xtu`dgts &hagtegud`%Debft &9$% rdspag`dgts fo` teggetus ,mast

ar occ aitfd temd, wfecd og o`èteagoc?< &5$%ogswdrd` ,yds, ta fovegb teggetus tfot costd`,ievd megutds ar mard', Og o`èteagoc 09 soe`tfdy dxpdredghd` teggetus symptams ogywfdrdiram aghd o magtf ta aghd o òy' Retfeg tfd?0-


20/29

_udsteags )Ogswdrsly Nohk O' Ydrgag# Zf'@'# @erdhtar# Ardbag Fdoregb\dsdorhf Hdgtdr# 84?4 XR Ydtdrogs Faspetoc \`'#Zartcog`# A\ 52


21/29

_udsteags )Ogswdrs &hagtegud`%teggetus es muhf mard cekdcy ta ld ùd ta dquocgduracabehoc egputs iram tfd twa dors' Et es passelcd ta à tfot wetf dxtdrgoc saug`s' Rfdg twadquoc# eg-pfosd saug`s ord `dcevdrd` ta tfd dorstfraubf dor pfagds# tfd pdrhdpteag ai tfdsaug`s es gat eg tfd dors lut rotfdr os o segbcdsaug` eg tfd fdo` '

E t es gat gdhdssorecy trud detfdr tfot teggetusrdsuctegb iram fdo` troumo es o hosd ai hdgtrocteggetus' Lcaws ta tfd fdo` hog praùhd òmobdot tfd eggdr dor os wdcc os eg tfd lroeg' Eg o semeco r moggdr# mogy ossumd o hdrvehoc haggdhteagldtwddg o wfepcosf egnury og` rdsuctegb teggetus' E t sddms muhf mard cekdcy ta md tfot tfdwfepcosf ohteag praùhd` lroeg egnury ly mavegb tfd lroeg olaut wetfeg tfd hrogeum'

[_] Mrs' P' iram Gdw Ndrsdy osks# ,E fovdrdo` ar fdor` tfot o tegy mehrapfagdegsdrtd` egta tfd dor hogoc hog `dtdht tfdteggetus saug`s wd fdor' Es tfot trud1,Uau fovd lddg rdoègb olaut,Ataohausteh Dmesseags', Pfdsd wdrdèshavdrd` ly Haceg Kdmp# og dgbegddrwarkegb eg Dgbcog`' Ataohausteh dmesseags orddxtrdmdcy caw-cdvdc saug`s tfot hamd eg twabdgdroc iarms' Pfdrd es tfd trogsmettd` dmes

seag# wfehf rdsucts iram stemucoteag ai tfd do rwetf saug`' Pfes dmesseag es o keg` ai dhfa#wfdrd tfd saug` dgtdrs tfd dor hogoc# trovdcstfraubf tfd eggdr dor# hamds aut ai tfd eggdrdor# og` es rdicdhtd` lohk tfraubf tfd dor `rumegta tfd do r hogoc wfdrd et es `dtdhtd` ly omehrapfagd usd` ta rdhar` tfd ataohaustehdmesseag'Pfd atfdr keg` ai ataohausteh dmesseag es ospagtogdaus dmesseag# wfehf es o saug` hamegb

aut ai tfd dor eg tfd olsdghd ai ogy saug` ldegbpu t egta tfd dor' Os yau hog emobegd# wfdg tfdspagtogdaus dmesseag wos ierst èshavdrd`#dvdryagd tfaubft et mebft ld teggetus' Og` wfoto wag`driuc tfegb tfot wauc` fovd lddg# lutugiartugotdcy et turgd` aut tfot tfd spagtogdausdmesseags è` gat hagdspag` ta tfd teggetus ogèg`dd` tfdy wdrd prdsdgt eg samd dors wetfautteggetus' Eg rord hosds# o pdrsag wecc fovd o gumldr ai èiidrdgt spagtogdaus dmesseags# mast aiwfehf wecc gat ld pdrhdevd`# lut agd tfot wecchagdspag` ta fes ar fdr teggetus'

[_] Mr' \' iram Pfxos osks# ,Rfot esfypdrohuses# og` seghd E fovd teggetus#à E ocsa fovd fypdrohuses1,Fypdrohuses es o cohk ai cau`gdsstacdroghd' Xaug`s tfot ord pdridhtcyohhdptolcd ta atfdrs ord ughamiartolcdta fypdrohuses potedgts' Pfd ioht es tfot fypdrohuses potedgts ord eg dxtrdmd èshamiart ocmastocc ai tfd temd' Pfegbs cekd rdirebdrotar matars#

garmoc hagvdrsoteag# èsf saug`s# ruggegbwotdr# ar outamalecd saug`s ord occ ughamiartolcy cau`' Mast fypdrohuses potedgts hampcoegtfot tfder fdoregb sdgsetev ety es dxhdssevd og`tfot tfdy fdor tfegbs atfdrs à ga t fdor# lut tfotes gat trud' Xamd fypdrohuses potedgts ohtuoccyà fovd fdoregb cass' Mogy tdg` ta avdrpratdhttfder dors# wetf tfd rdsuct tfot tfdy mokd tfderfypdrohuses warsd' Pfdy gdd` ta pratdht tfderdors iram trucy cau` saug`s# lut tfdy ocsa gdd`ta gat avdrpratdht tfdm iram arègory saug`s'E rdhammdg` tfot occ fypdrohuses potedgtsnaeg @og Mochard"s Fypdrohuses Gdtwark &@ogMochard# 000 D`bdwaa` @revd# Brddg Loy# RE408:


22/29

Peps iar Fdoregb Oe` Hordly Ldtty Motfes og` Bcareo D' \dehf# Zf '@'

Pfdsd subbdsteags oppcy ta occ eg-tfd-dorog` ldfeg`-tfd-dor &LPD% oe`s' Xamd ai tfdsdteps wdrd cdorgd` tfd for` woy'? Kddp tfdm `ry ' &@a gat wdor tfdm eg tfdsfawdr# dvdg ug`dr o sfawdr hop'%< Kddp tfdm hcdog' Repd tfdm ot gebft wetfochafac# tokegb hord ga t ta bdt tfdm taa wdt'8 @ag"t tokd tfdm aii avdr o for` suriohd' Uaumebft `rap tfdm og` `omobd `dcehotd ports'&\dpoers ord ga t hfdop'%0 Ocwoys kddp spord lottdreds wetf yau egyaur pursd# pahkdt# ar hor'4 \dmavd tfd oe`s og` turg tfdm aii ot gebft'Uau hog tokd tfd lottdreds aut dgterdcy'9 Cdovd tfd oe`s eg tfd somd pcohd dvdrygebft' &Atfdrwesd yau mebft ba hrozy tryegbta ieg` tfdm eg tfd margegb/%2 \dmavd tfdm wfdg yau ba ta tfd foer`rdssdr' @a gat set ug`dr tfd `rydr wfecdwdoregb tfdm'6 Uaur oe` moy gat wark os wdcc eg o fat og`fume` hcemotd ldhousd maesturd hog bdt egtayaur dor og` egta yaur fdoregb oe`' Xacuteag> puttfd oe` eg o nor wetf o cettcd lob ai seceho hrystocs


23/29

Rdchamd og` Pfogks taAur Gdw Peggetus XuppartGdtwark Yacugtddrs>Xuppart Braup Haarègotars@dlarof Xoug`drs

Egtraùhegb dgterdcy gdw e`dos ag faw teggetuswarks og` faw ta stap et' \dvacuteagory tfdaredsprave`d o ugeied` dxpcogoteag iar dohf og` occ ai tfdpdhuceoreteds ai teggetus'

Rrettdg iar latf suiidrdrs og` praidsseagocs# wetfdxtdgsevd gdw leamdèhoc rdsdorhf rdidrdghds iargdurashedgteieh suppart' Xurpresegb rdvdcoteags eg>+spdhtrum d`bds + agatapeh mops+ gtdrgoc iectdregb + ectdr avdrcao`+ ouètary rdsagoghd +sdgsoteag oòptoteag+hahfcdor hopeccoreds +garmoc rdohteag regbegb?


24/29

Ohhdgtuotd tfd Zasetevdly Pfdre's Oc`rehf

Ogxedty og` idor swdpt avdr md iar magtfsoitdr su``dgcy ldegb stortcd` ly eghdssogt sfrec?fessegb eg my dor' Fawdvdr# wfdg E hampord mymesdrolcd quocety ai ceid o ydor oba ta my hurrdgt ohteveteds og` ottetu`d# E rdocezd tfot E fovdlddg mokegb o naurgdy iram `dspoer ta fapd'Dobdr ta dghaurobd atfdrs wetf wfam E sfordteggetus# E aiidr samd sdci-fdcp e`dos tfot mo`do warc` ai èiidrdghd ta md'Ldbeg wetf o tfaraubf mdèhoc dxomegoteagta `dtdrmegd ei yaur teggetus fos og e`dgteieolcdpfysehoc housd tfot moy ld rdmdèd`' Eg myhosd# gagd hauc` ld iaug`' Ot ierst# tfd rdpartèsoppaegtd` md; E fo` fapd` tf d pralcdm wossamdtfegb cekd hurolcd empohtd` dor wox' Pfdghammag sdgsd taak avdr' E tfaubft ai myiredg`# o trud fdraegd# wfa es haurobdauscy lottcegb muctepcd mdèhoc pralcdms eg o`èteag tateggetus' Xamdtemds agd gdd`s ta turg autwor`ta ld opprdheotevd ai wfot agd àdsg"t fovd'

Cdorg os muhf os passelcd olaut teggetus'Rfotdvdr tfd tmtf moy ld# et es mard og o`vogtobd ta agd"s wdcc-ldegb tfog ord emobegoryidors' Ldhousd tfdrd es mard ugkgawg tfogkgawg olaut teggetus# wdcc-àhumdgtd` cetdroturd ag tfd sulndht es sporsd ag celrory og` sfapsfdcvds' Rfdg E iaug` tfd Omdrehog PeggetusOssaheoteag# E ldhomd o mdmldr os saag os passelcd' E trdosurd tfder ortehcds og` rdhammdg`d`cetdroturd' Dquoccy vocuolcd es tfd ossaheoteag"siastdregb ai sdci-fdcp braups tfot fdcp dmpfosezd aur hammag fumog haggdhteag ta agdogatfdr'Kddp ta og aptemesteh dxpdhtoteag tfot teggetus dvdgtuoccy wecc ld ug`drstaa`' Lut eg tfdmdogtemd# à gat ld opotfdtehoccy rdsebgd` ta omesdrolcd dxestdghd' @dtdrmegd ta ld og ,ohteagrdsdorhfdr, ta empravd yaur awg ceid'Hagsuct og ouèacabest kgawcd`bdolcd olautmoskegb `dvehds purpasd` ta mokd teggetus cdssèsturlegb' Pfdsd `dvehds hog passelcy prave`dsfart pdrea`s ai temd irdd ai gaesd' Og ouèacabest iredg` ai megd subbdstd` og egèveùoccymac`d` eg-tfd-dor moskdr iar md seghd E fovdga opprdheolcd fdoregb cass' Pfd moskdr moguiohturdr aiidrs o tfrdd-magtf irdd treoc pdrea`


25/29

Prelutds# Xpagsars# Xpdheoc @agars#Zraidsseagoc OssaheotdsHfompeags ai Xecdghd ord spdheoc àgars wfa fovd `dmagstrotd` tfder hammetmdgt eg tfd iebft oboegst teggetus ly mokegb o hagtreluteag ar rdsdorhf àgoteag ai $4:: ar mard' Xpagsars og` Zraidsseagoc Ossaheotds hagtrelutd ot tfd $?::-$055 cdvdc' OPO"s trelutd iug` es `dsebgotd` ?:: iar rdsdorhf' Rd sdg` aur tfogks ta occ aitfasd cestd` ldcaw iar sforegb mdmarolcd ahhoseags eg tfes fapdiuc woy' Hagtreluteags ord tox `dùhtelcd ogòrd pramptcy ohkgawcd`bd` wetf og opprapreotd hor`' Pfd beit omaugt es gdvdr èshcasd`' BEIPX I\AM 0- 9- 54ta 2-?4-54>Hfompeags ai Fdlo \' Formag Orcdgd ) @dgges \atf I'R' Mogsiedc` Xmetf# M'@'Xecdghd Nomds ) Haccddg Fortdc Nohk Xocdrga @aggoX' Roygdr# Zf'@'Hforcds L' Fousdr Og`rd G' Xhfeppdr \aldrt N' Rdess# M'@'\al M' Hrehftag Moggy Feccmog \ehfor` X' Xhfwdekdr Fawor` @' êppdr# M'@'\ogòcc H' ) Dcesd @uhatd @aratfy \' Fectgdr Dvdcyg N' XhfwdrtcXpagsar Mdmldrs Carroegd Fezome Dorc C' ) Xylec Z' Xmocc Eg Mdmary Ai\aldrt L' Farg \aldrt O' Xpdrc Nomds FuegdrOgbdca N' Oreoge Og`rdw Frevgok @agoc` F' Xtdvds Orca ) Zfycces GosfHcouèo Loecdy Nohk Fuogb Fawor` H' Xte`fom Kotfryg KgutsagNafg N' Logovebd Recceom F' Furt \utf M' XwogNasdpf M' Loreo F' Nugd Evegs Nomds H' Pattdg Orca ) Zfycces GosfGd` K' LortfdNmos Lorry Y' Nafgsag Xhatt Pfrgdr Xdcmo ) Ocog \atfdgldrbMrs' Irog Ldckeg \utf M' Nafgstag Orcdgd L' Yoggar`dg Xusog \' DrehsagPfrred Ldrbmog C' Hroeb Nafgstagd @ove` Rocsf Brozeo Yacpd@dlarof ) Hforcds Ldrg Kdggdtf R' Nagds Lrdg`dg @' Rocz Xomoretog Faspetoc\' Nafg Lesfap Oroveg` Koghfdrco Mehfodc Rdlldr Lc`b' XdrvehdsEro I' Lrdetdr Forac` X' Korpd \eto Rdesgdr Mory D' PfamosHforcds P' Lrawg Forry ) Moreag Kdepdr Hforcds D' RfetdRecceom D' Lrawg# Nr' D`wor` G' Kdccy Kotfcddg M' Recceoms Eg Fagar AiO' Zouc Homdrega \aldrt O' Kerkmog @drweg C' Recceoms Lertfòy - Nafg B' OcomCdgard B' Hfopmog Xfercdy D' Ka`mur Xfercdy C' Rerdmog Nasdpf B O?om ) "Etu`y@agoc` N' Haak @ove` N' Kavoheh O`dcoe`d R' ôlresked @ruhkdr\ehfor` R' Haapdr Morveg Kawet Lertfòy - Nuced OcomBdarbd Hrogòcc Nr' \aldrt M' Kyvek \dsdorhf @agars Nasdpf B' Ocom ) "Etu`yBrdbary K' Hrauhf Ird` \' Cowsag Nasdpf B' Ocom @ruhkdrRoctdr ^' @oves \ehfor` O' Coytag Orgac` Ldccawd\aldrt L' @dcclrubbd Ldrgor` Cdfrdr Dugehd Ietzdcc Lertfòy - \ehfor` O'Bor`gdrD`weg @dvecless Bory C' Camlorè Corry H' Nomds# Nr'Ket @ehkdrsag Yeghd Mondrus Ndrry Pfampkegs Nasdpf B' Ocom ) "Etu`y@ruhkdrHoracyg M' @amegbus O' I' MortegPfyo @ulaggdt Lruhd Morteg Zraidsseagoc Lertfòy - Kdgt D' PfycarErdgd @uiiedc` Og`rdos Mottfdesdg Ossaheotds Nasdpf B' Ocom ) "Etu`yDcdogar B' Dbce Pfamos I' MhGucty @ruhkdrNomds P Idfag ONdxog`dr Mec cdr I' Awdg Lcohk# M'@' Lertfòy - Mory "iuccy\agoc` P' Idrbusag Mory P ) Nomds Marog Bdarbd P' Lares# M'@' Nasdpf B' Ocom ) ?fc`y\ehfor N' Iecogh Bcdgg O Martag Gdec M' @ogedcs# Zf'@' @ruhkdrLdrgor` Iesfmog Mohd Gduidc` Xfofg O' @evargd Hammugety Xdrvehd@ove` D' Icotaw Horacegd X' Gugog Lnarg Dreksdg Owor` - Pru`yMory O' Icay` \utf D' Ahfs Nohk \' Drweg# M'@' @ruhkdrNogdt B' Bormog @ove` Aregbùcpf Dvdcyg Bagb# M'O' Nasdpf B' OcomBdroc` Ates Botds Ldgnomeg Assmog Recceom H' Broy# M'@' Iotfdr"s @oy - NohkZdrry Bouct '\og`y C' Zorks R'I' Xomudc Fapmdedr# FororyOrtfur Bdcl LH-FEXPfamos N' Zotreheog Lal ) @dlled FororyKdg Z' Bdcegos Zfec \' Zdorhy Yocdred P' Kregdy#@ogedccd Bco`ègb MOc HHHO Broùoteag -Mory Ogg Zdrpdr @r' Fdrldrt O' Cdveg Kotdcygd CdidvdrdNomds X' Bac` \utf M' ZfecpattR' N' ) Fdcdg Batshfocc Pyragd D' Zawdcc Mork O' Ceptag# M'@' Nasdpf B' Ocom ) "Etu`yXac Morbfzor# MX!HHHO @ruhkdrHforcds Mork Brolegske Nomds K' _uerdRecceom D' Bramdg Xfercdy O' \omerdz Pfrrdghd Z' Murpfy# M'@' \dhavdry-Nasdpfegd K' Bump Icardghd \dehf Forvdy O Zegds# Zf'@ Carroegd XpevokCowrdghd D' Fopp Og`rdw N' \assdr

@r' Ates @' \ohkcdy# Nr' Nasdpf B' OcomPeggetus Pfòy!Xdptdmldr ?554


26/29

?554 Ovoecolcd Gaw for`havdrEXLG> :- Hcegehoc Empcehoteags# Nagotfog R' P' Fozdcc Peggetus os oZfogtam Zdrhdpteag> Pfdareds og` Hc egehoc Empcehoteags' Zowdc N' Nostrdlaii Peggetus og` XpagtogdausOhtevety eg tfd Ouètary Xystdm# Mosooke Ketoforo# Ferayo Ketoga# Mekea Xuzuke# og` Kozutama Ketonemo Gduroc Md`cogesms ai Peggetus wetf Xpdheoc \dcdrdghd ta tfd Zotfacabehoc Dgsdmlcd Xpagtogdaus Ohtevetyai tfd Ouètary Xystdm' Pfamos Cdgorz# Hfrestapf Xhfrdegdr' \ussdcc C' Xgy`dr# og` Orgd Drgst O Ma`dc iarHahfcdor Arebeg ai Xulndhtevd Peggetus> Dxhetotary @reit eg Apdrotegb Zaegt ai Eggdr Foer Hdccs# Dreh C' CdZobd O Hagvdrsoteag Olaut Peggetus# \aldrt O' Cdvegd o??` Gdcsag U'X' Keogb Xpdhtroc Ogocyses ai Lroeg Ohtevetyeg tfd Xtu`y a Peggetus' Recceom Foc Morteg Pfd Egtdrohteag ai Hdgtroc og` Zdrepfdroc Mdhfogesms egPeggetus' Mory L' Mdekcd Zotfapfyseacaby ai Peggetus' Oobd \' Mdccdr Zsyhfapfysehoc Alsdrvoteags og` tfdArebeg ai Peggetus' M'N' Zdggdr og` \'H' Lecbdr Pfd Ogocaby Ldtwddg Peggetus og` Zoeg> O Xubbdsteag &ar oZfyseacabehoc Loses ai Hfrageh Peggetus' Nudrbdg Pamtàri Ha`ccd or Matar Peggetus# Progsùhteag Peggetusog` Xebgoc Progsidr Peggetus- Pfrdd Ma`dcs ai Hahfcdor Pegrtetus# Fogs Zdtdr ^dggdr og` Orgd Drgst Eg`dx

Ar`dr Uaur Faceòy Hor`s Gaw/Iaur wfemsehoc# faceòy wotdrhacars wdrd `dsebgd` dxhcusevdcy iarOPO ly Mehfebog ortest Oggo-Moreo Rdotfdrs# weggdr ai aur ?554Faceòy Ort Hagtdst'Xdt ai ?< hor`s &0 ?!'x XR"% eghcu`ds 8 ai dohf `dsebg# wetf dgvdcapds$??'4: pdr sd tEgse`d brddtegb> Foppedst ai FaceòysOcc prahdd`s iram tfd socd ai aur faceòy hor`s wecc ld usd` iarteggetus rdsdorhf'Zcdosd sdg` md QQ sdt&s% ai 'OPO"s Faceòy hor`s x $??'4: = $ QQ&Xfeppegb es eghcu`d`%: Hfdhk dghcasd`: Zcdosd lecc ta my YEXO ar MH(--------------Dxp' òtdQQXebgoturd &e i usegb hrdèt hor`% Q QQQQQQQQQQQQQGomdO``rdssQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQHetyQQQQQQQQQQQQQ XtotdQ Q Q Q êpQQQQQ QPdcdpfagd &Q Q -------------- ----&Ar`drs rdhdevd` tfraubf @dh' ?st wecc ld sfeppd` eg temd iar tfd faceòys'%


27/29

GOPEAGOC E@RGPO\UFIOC?F OBDGHEDX

Pfd Omdrehog PeggetusOssaheoteag HIH(:4?0

Pfd Hamlegd` Id`droc Hompoebg &HIH%]ug`dr tfd ouspehds ai tfd GYFO ? wecc ldbeg ets ogguochforetolcd bevegb `revd eg Xdptdmldr'

Iar tfasd ai yau wfa hagtrelutd ta tfd OPOeg tfes woy] pcdosd sdg` us o hapy ai yaur pcd`bd iarm'&Gateiehoteag ai pcd`bds ta us es aitdg `dcoyd`'%

Ei yau ord olcd ta vacugtddr yaur temdos aur rdprdsdgtotevd ot o HIH fdoctf ioer eg yaur ordo]

wd ?` ld pcdosd` ta fdor iram yau'

OMD\EHOG PEGGEPTXOXXAHEOPEAGZ'A' Lax 4# Zartcog`# A\ 52


28/29

Zrahdd`egbs ai tfd IeitfEgtdrgoteagoc Peggetus XdmegorAvdr 5? popdrs og` 0 2 pastdrs wdrd

prdsdgtd` ly ??: rdsdorhfdrs# `ahtars# og`suiidrdrs iram


29/29

Pfes vocuolcd egiarmoteag wecc saag ld ovoecolcdeg o sait-laug` pulcehoteag' Hagtoegegb tfd iucctrogshrept ai dohf popdr og` pastdr# tfes laak wecc ldtfd mast hurrdgt og` hamprdfdgsevd saurhd aiteggetus egiarmoteag ovoecolcd ogywfdrd'

Ot agcy $OPOZA Lax 4Zartcog`# A\ 52

u's'Ierst Hcoss $0'::Laak \otd $?'50

Ar IOV Pa>&4:8%

Tinnitus Today September 1995 Vol 20, No 3

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Transcript of Tinnitus Today September 1995 Vol 20, No 3