Question:
I received a copy today of what may be the most used audiology textbook, at least in the US. I was interested to see if tinnitus is beginning to be discussed in any detail. Sadly, the 464-page year 2000 text has about two pages that discuss tinnitus. Treatment methods described briefly are three: masking ("Most patients have given disappointing reports on the effects of tinnitus maskers"), biofeedback (two sentences), and tinnitus retraining therapy. TRT receives the longest commentary: "Tinnitus Retraining Therapy (TRT) has been shown to lprovide patients with a means to habituate to the presence of their tinnitus (Jastreboff & Hazell, 1998). This therapy is based upon the observation that the auditory system’s contribution to the annoyance of tinnitus may be secondary to that of the limbic (emotional) and the autonomic nervous systems. TRT requires a substantial amount of direct work with patients, but when done properly it yields a success rate for reducing tinnitus annoyance greater than 80 percent." There you have it: all that some audiologists ever learn about tinnitus. — Jim Chinnis / Warrenton, Virginia, USA Join the American Tinnitus Assn: 800-634-8978 or http://www.ata.org Meniere’s? See http://groups.yahoo.com/group/MenieresDG All comments are my personal opinions and should not be construed to represent the opinions of anyone else or any organization.
Response:
jchin…@SPAMalum.mit.edu (Jim Chinnis) wrote in part: >There you have it: all that some audiologists ever learn about tinnitus.
Sorry–I forgot to include the reference: Martin, FN, and Clark, JG. Introduction to Audiology (Seventh Edition). Boston: Allyn and Bacon, 2000. — Jim Chinnis / Warrenton, Virginia, USA Join the American Tinnitus Assn: 800-634-8978 or http://www.ata.org Meniere’s? See http://groups.yahoo.com/group/MenieresDG All comments are my personal opinions and should not be construed to represent the opinions of anyone else or any organization.
Response:
On Fri, 10 Aug 2001 03:18:09 GMT, jchin…@SPAMalum.mit.edu (Jim Chinnis) wrote: >This therapy is based upon the observation that the >auditory system’s contribution to the annoyance of tinnitus may be >secondary to that of the limbic (emotional) and the autonomic nervous >systems. TRT requires a substantial amount of direct work with patients, >but when done properly it yields a success rate for reducing tinnitus >annoyance greater than 80 percent."
Operate words: "may be". What an offense to our educational system that somehow, no doubt due to the ATA and their strong preference for TRT, that they somehow got a leading publisher to state something definitively which is not the case at all. It doesn’t say "may yields." It states that TRT "yields" a success rate of greater than 80 percent. That is bullshit and you know it. But you’re happy to see it in there. And you have no problem with it. It speaks volumes. >There you have it: all that some audiologists ever learn about tinnitus.
I’d rather see them learn from experience than learn from lies.
Response:
"Thomas Crick" <tscrick@ yahoo.com> wrote in message news:09s6nt477mmblmqc2tcn3hc1q95adet0rc@4ax.com… – Hide quoted text — Show quoted text -> On Fri, 10 Aug 2001 03:18:09 GMT, jchin…@SPAMalum.mit.edu (Jim > Chinnis) wrote: > >This therapy is based upon the observation that the > >auditory system’s contribution to the annoyance of tinnitus may be > >secondary to that of the limbic (emotional) and the autonomic nervous > >systems. TRT requires a substantial amount of direct work with patients, > >but when done properly it yields a success rate for reducing tinnitus > >annoyance greater than 80 percent." > Operate words: "may be". What an offense to our educational system > that somehow, no doubt due to the ATA and their strong preference for > TRT, that they somehow got a leading publisher to state something > definitively which is not the case at all. > It doesn’t say "may yields." It states that TRT "yields" a success > rate of greater than 80 percent. That is bullshit and you know it. But > you’re happy to see it in there. And you have no problem with it. It > speaks volumes. > >There you have it: all that some audiologists ever learn about tinnitus. > I’d rather see them learn from experience than learn from lies.
Quite simply… you’re wrong Simpson!
Response:
"Jim Chinnis" <jchin…@SPAMalum.mit.edu> wrote in message
news:4lj6ntolomgrimhiv045ahmiugs1g8ee8v@4ax.com… > There you have it: all that some audiologists ever learn about tinnitus.
~~~~~~~~~~~~~~ I disagree. I have NEVER met ONE audiologist who didn’t thoroughly understand tinnitus. I go back to 1957 working with audiologists in many cities. How about you, Jim, what’s YOUR experience with audiologists? The fact is that there are additional "classic" textbooks about tinnitus, which audiologists also have to study. One is by Jack Vernon. That’s a funny scenario–getting a masters or Ph.D. to become an audiologist based on reading one book you just found? You would not believe how hard it is to get through the graduate study and clinical training to become an audiologist. Mary Holmes Dague
Response:
"Mary Holmes Dague" <dag…@epix.net> wrote in part: >I disagree. I have NEVER met ONE audiologist who didn’t thoroughly >understand tinnitus. I go back to 1957 working with audiologists in many >cities. How about you, Jim, what’s YOUR experience with audiologists? The >fact is that there are additional "classic" textbooks about tinnitus, which >audiologists also have to study. One is by Jack Vernon. That’s a funny >scenario–getting a masters or Ph.D. to become an audiologist based on >reading one book you just found? You would not believe how hard it is to >get through the graduate study and clinical training to become an >audiologist. >Mary Holmes Dague
Mary, I received the textbook yesterday and eagerly searched it to see if tinnitus was beginning to be addressed in basic audiology texts. That’s all. I was disappointed by the tiny–almost non-existent–coverage, and by the shallowness of it. I was a good friend of Susan Moreland, an audiologist who shepherded this group before her tragic death. She wrote about the pathetic state of training of audiologists wrt tinnitus. At the time of her death, she was trying to produce notes for a course on tinnitus for audiologists. Jack Vernon’s book is terrific, but it is not an audiology text. I am very doubtful that a typical MS audiologist would have studied it. Most audiologists that folks run into have virtually no training in tinnitus. Some have taken an interest in tinnitus treatment and educated themselves further on tinnitus. A few others, particularly those with research degrees (PhDs), are tinnitus experts. There are plenty of exceptions to this sorry state of affairs. The third audiologist I saw in my own quest for help was an exception, having severe tinnitus herself! She was a substantial help. Unfortunately, she has retired. — Jim Chinnis / Warrenton, Virginia, USA Join the American Tinnitus Assn: 800-634-8978 or http://www.ata.org Meniere’s? See http://groups.yahoo.com/group/MenieresDG All comments are my personal opinions and should not be construed to represent the opinions of anyone else or any organization.
Response:
<<It doesn’t say "may yields." It states that TRT "yields" a success rate of greater than 80 percent. That is bullshit and you know it. But you’re happy to see it in there. And you have no problem with it. It speaks volumes. >> I agree completely…
Response:
<<Quite simply… you’re wrong Simpson!>> try again, jackass Jimmy Hewitt, are you that paranoid?
Response:
Medical tests usually only stand up under medical rules but the same thing is not allowed to apply for Natural or Homeopathic remedies. They do "fair" tests with their rules to make sure it all fails. "Thomas Crick" <tscrick@ yahoo.com> wrote in message news:09s6nt477mmblmqc2tcn3hc1q95adet0rc@4ax.com… – Hide quoted text — Show quoted text -> On Fri, 10 Aug 2001 03:18:09 GMT, jchin…@SPAMalum.mit.edu (Jim > Chinnis) wrote: > >This therapy is based upon the observation that the > >auditory system’s contribution to the annoyance of tinnitus may be > >secondary to that of the limbic (emotional) and the autonomic nervous > >systems. TRT requires a substantial amount of direct work with patients, > >but when done properly it yields a success rate for reducing tinnitus > >annoyance greater than 80 percent." > Operate words: "may be". What an offense to our educational system > that somehow, no doubt due to the ATA and their strong preference for > TRT, that they somehow got a leading publisher to state something > definitively which is not the case at all. > It doesn’t say "may yields." It states that TRT "yields" a success > rate of greater than 80 percent. That is bullshit and you know it. But > you’re happy to see it in there. And you have no problem with it. It > speaks volumes. > >There you have it: all that some audiologists ever learn about tinnitus. > I’d rather see them learn from experience than learn from lies.
Response:
jchin…@SPAMalum.mit.edu (Jim Chinnis) wrote in message <news:4lj6ntolomgrimhiv045ahmiugs1g8ee8v@4ax.com>… > I received a copy today of what may be the most used audiology textbook, > at least in the US. I was interested to see if tinnitus is beginning to > be discussed in any detail. Sadly, the 464-page year 2000 text has about > two pages that discuss tinnitus. > Treatment methods described briefly are three: masking ("Most patients > have given disappointing reports on the effects of tinnitus maskers"), > biofeedback (two sentences), and tinnitus retraining therapy. TRT > receives the longest commentary:
"Jastreboff may say TRT’s the best thing since sliced bread but I haven’t seen any scientific evidence."" – Dr. Robert Levine of the Massachusetts Eye and EarInfirmary/Massachusetts General Hospital. 1999]’ "It’s very expensive, long term, and has had limited success," – Dr. Anil K. Lalwani of the University of California San Francisco Department of Otolaryngology-Head and Neck Surgery. 1999 "Much is made of Jastreboff ‘neurophysiological model. But the model itself really seems to be little more than a schematic representation of the mechanisms of hearing, that are already well accepted. THere is little new in it that is specific to perception of and reaction totinnitus" – Dr. Russ Coles, Royal National Institute for the Deaf, UK, RNID 2001 – Hide quoted text — Show quoted text -> There you have it: all that some audiologists ever learn about tinnitus.
Response:
What say U Cricky?… LOL! "BlueM0ZARK" <bluem0z…@aol.com> wrote in message
news:20010810112328.23081.00003585@ng-ba1.aol.com… – Hide quoted text — Show quoted text -> <<Quite simply… you’re wrong Simpson!>> > try again, jackass Jimmy Hewitt, are you that paranoid?
Response:
ALways wrong…go away..you are a pest. read the posting paths…not the same direction. "WrongAgain" <wr…@again.com> wrote in message
news:DV%c7.5369$6c.156273@typhoon.kc.rr.com… – Hide quoted text — Show quoted text -> What say U Cricky?… LOL! > "BlueM0ZARK" <bluem0z…@aol.com> wrote in message > news:20010810112328.23081.00003585@ng-ba1.aol.com… > > <<Quite simply… you’re wrong Simpson!>> > > try again, jackass Jimmy Hewitt, are you that paranoid?
Response:
You are one tough monkey Lixative… ROTFLMFAO!!!!! "Larry Lix" <Larry…@yahoo.calm.dn> wrote in message
news:je0d7.50891$jA2.4654691@news20.bellglobal.com… – Hide quoted text — Show quoted text -> ALways wrong…go away..you are a pest. read the posting paths…not the > same direction. > "WrongAgain" <wr…@again.com> wrote in message > news:DV%c7.5369$6c.156273@typhoon.kc.rr.com… > > What say U Cricky?… LOL! > > "BlueM0ZARK" <bluem0z…@aol.com> wrote in message > > news:20010810112328.23081.00003585@ng-ba1.aol.com… > > > <<Quite simply… you’re wrong Simpson!>> > > > try again, jackass Jimmy Hewitt, are you that paranoid?
Response:
There’s no place like home….there’s no place like home…there’s…… "WrongAgain" <wr…@again.com> wrote in message
news:tM0d7.5373$6c.156320@typhoon.kc.rr.com… – Hide quoted text — Show quoted text -> You are one tough monkey Lixative… ROTFLMFAO!!!!! > "Larry Lix" <Larry…@yahoo.calm.dn> wrote in message > news:je0d7.50891$jA2.4654691@news20.bellglobal.com… > > ALways wrong…go away..you are a pest. read the posting paths…not the > > same direction. > > "WrongAgain" <wr…@again.com> wrote in message > > news:DV%c7.5369$6c.156273@typhoon.kc.rr.com… > > > What say U Cricky?… LOL! > > > "BlueM0ZARK" <bluem0z…@aol.com> wrote in message > > > news:20010810112328.23081.00003585@ng-ba1.aol.com… > > > > <<Quite simply… you’re wrong Simpson!>> > > > > try again, jackass Jimmy Hewitt, are you that paranoid?
Response:
LOL… You can’t compete with me can you asshole boy? I LUV BLUE!!! LOL!!!!!! "Larry Lix" <Larry…@yahoo.calm.dn> wrote in message
news:DR0d7.54505$5c.3990157@news20.bellglobal.com… – Hide quoted text — Show quoted text -> There’s no place like home….there’s no place like home…there’s…… > "WrongAgain" <wr…@again.com> wrote in message > news:tM0d7.5373$6c.156320@typhoon.kc.rr.com… > > You are one tough monkey Lixative… ROTFLMFAO!!!!! > > "Larry Lix" <Larry…@yahoo.calm.dn> wrote in message > > news:je0d7.50891$jA2.4654691@news20.bellglobal.com… > > > ALways wrong…go away..you are a pest. read the posting paths…not the > > > same direction. > > > "WrongAgain" <wr…@again.com> wrote in message > > > news:DV%c7.5369$6c.156273@typhoon.kc.rr.com… > > > > What say U Cricky?… LOL! > > > > "BlueM0ZARK" <bluem0z…@aol.com> wrote in message > > > > news:20010810112328.23081.00003585@ng-ba1.aol.com… > > > > > <<Quite simply… you’re wrong Simpson!>> > > > > > try again, jackass Jimmy Hewitt, are you that paranoid?
Response:
I can’t compete… I can’t compete…I can’t compete!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! ! !!!!!!!! "Larry Lix" <Larry…@yahoo.calm.dn> wrote in message
news:DR0d7.54505$5c.3990157@news20.bellglobal.com… – Hide quoted text — Show quoted text -> There’s no place like home….there’s no place like home…there’s…… > "WrongAgain" <wr…@again.com> wrote in message > news:tM0d7.5373$6c.156320@typhoon.kc.rr.com… > > You are one tough monkey Lixative… ROTFLMFAO!!!!! > > "Larry Lix" <Larry…@yahoo.calm.dn> wrote in message > > news:je0d7.50891$jA2.4654691@news20.bellglobal.com… > > > ALways wrong…go away..you are a pest. read the posting paths…not the > > > same direction. > > > "WrongAgain" <wr…@again.com> wrote in message > > > news:DV%c7.5369$6c.156273@typhoon.kc.rr.com… > > > > What say U Cricky?… LOL! > > > > "BlueM0ZARK" <bluem0z…@aol.com> wrote in message > > > > news:20010810112328.23081.00003585@ng-ba1.aol.com… > > > > > <<Quite simply… you’re wrong Simpson!>> > > > > > try again, jackass Jimmy Hewitt, are you that paranoid?
Response:
Hi Lixative… how tough are you… LOL!!!!!!! Answer? Let’s meet!!! "Larry Lix" <Larry…@yahoo.calm.dn> wrote in message
news:DR0d7.54505$5c.3990157@news20.bellglobal.com… – Hide quoted text — Show quoted text -> There’s no place like home….there’s no place like home…there’s…… > "WrongAgain" <wr…@again.com> wrote in message > news:tM0d7.5373$6c.156320@typhoon.kc.rr.com… > > You are one tough monkey Lixative… ROTFLMFAO!!!!! > > "Larry Lix" <Larry…@yahoo.calm.dn> wrote in message > > news:je0d7.50891$jA2.4654691@news20.bellglobal.com… > > > ALways wrong…go away..you are a pest. read the posting paths…not the > > > same direction. > > > "WrongAgain" <wr…@again.com> wrote in message > > > news:DV%c7.5369$6c.156273@typhoon.kc.rr.com… > > > > What say U Cricky?… LOL! > > > > "BlueM0ZARK" <bluem0z…@aol.com> wrote in message > > > > news:20010810112328.23081.00003585@ng-ba1.aol.com… > > > > > <<Quite simply… you’re wrong Simpson!>> > > > > > try again, jackass Jimmy Hewitt, are you that paranoid?
Response:
In article <4np7nt47qosbts1f6im07h8aflu05r6…@4ax.com>, jchin…@SPAMalum.mit.edu (Jim Chinnis) writes: >Mary, I received the textbook yesterday and eagerly searched it to see >if tinnitus was beginning to be addressed in basic audiology texts.
I think it is a myth that is spread on AST that ENTs and audiologists don’t know about tinnitus. My experience is that they do. I’ve been to three of each and found five of the six very helpful in explaining and understanding tinnitus. I learned much more from them than I learned by following AST closely for quite sometime. I was disatisfied with the first ENT, not because of his lack of knowledge, but because of his personality and the manner in which he related to me. He may have been quite knowledgable, but if he couldn’t convey it to me, he was useless. The audiologists knew how to do tinnitus matching and seemed well versed in tinnitus. A basic audiology text would only give an brief overall view of audiology and wouldn’t be expected to go much into specialized areas. My psychology 101 text was simply an introduction to the field, while the many courses that I took subsequently delved into the advanced areas. And then there is graduate work where the courses are even more specialized. It’s my understanding that a graduate degree is essential in audiology. Ginny
Response:
ginn…@aol.com (GinnyK2) wrote in part: >A basic audiology text would only give an brief overall view of audiology and >wouldn’t be expected to go much into specialized areas.
I don’t consider tinnitus a rare affliction. It seems that two pages out of 400 plus in a standard audiology text is insufficient. I also question whether a patient who is not an expert in tinnitus can judge that an audiologist is on top of the field. — Jim Chinnis / Warrenton, Virginia, USA Join the American Tinnitus Assn: 800-634-8978 or http://www.ata.org Meniere’s? See http://groups.yahoo.com/group/MenieresDG All comments are my personal opinions and should not be construed to represent the opinions of anyone else or any organization.
Response:
"Jim Chinnis" <jchin…@SPAMalum.mit.edu> wrote in message
news:n7rantkde2t4u8fe3ohncdl97lflg6c7gk@4ax.com… > ginn…@aol.com (GinnyK2) wrote in part: > >A basic audiology text would only give an brief overall view of audiology and > >wouldn’t be expected to go much into specialized areas.
~~~~~~~~~~~~ Why don’t you complain to the editors,Jim? You Do understand that a certified audiologist must have at least a masters degree and many have a Ph.D. You must, as Ginny says, pass strictly supervised clinical service before you can become certified. Anyone who has a CCC-A should be highly qualified to deal with tinnitus. If, in the post to me, you believed I was referring to the new Vernon/Tabachnick Sanders book, I was not. That was written for laymen as was a previous book by Jack Vernon. But if memory serves, Jack did write a textbook for specialists in audiology and otology about tinnitus a very long time ago. I’m sure you will correct me if I am wrong about that. If so, there are other textbooks, not written for laypeople, but for otologists and audiologists. ~~~ …whether a patient who is not an expert in tinnitus can judge > that an audiologist is on top of the field.
~~~~~~~~~~~~~ Excuse me? Are you referring to Ginny? Me? Yourself? People who have had tinnitus and/or hearing impairment a long time can tell whether the audiologist is on top of the field. Equipment changes; ideas change. If the audiologist isn’t keeping up, I could quickly ascertain that. I haven’t just been lucky all my life; I’ve found the best wherever I’ve lived, and traveled some distance when necessary to be with the best. Have a little faith in the power of one’s participation in one’s own healthcare. Mary
Response:
In article <n7rantkde2t4u8fe3ohncdl97lflg6c…@4ax.com>, jchin…@SPAMalum.mit.edu (Jim Chinnis) writes: >I don’t consider tinnitus a rare affliction. It seems that two pages out of >400 plus in a standard audiology text is insufficient.
It’s hard to say, as I would think that in order for someone to have expertise in tinnitus, he or she would have to have expertise in hearing and all its related dysfunctions, as well. >I also question whether a patient who is not an expert in tinnitus can judge >that an audiologist is on top of the field.
and >The third audiologist I saw in my own quest for help was an exception, having >severe tinnitus herself! She was a substantial help.
Neither of us is a tinnitus expert, but we both judged our audiologists from the patient perspective according to our own assessments of degree of expertise and ability to be helpful. Whether it is tinnitus or any other ailment, I think it is important for the patient to be ultimately responsible for his own health care decisions. Probably most of us judge a professional based on reputation among his esteemed colleagues and reputation among his patients, as well as our own experiences with him. Ginny
Response:
ahhhhhhh….shucks!..thanx Mar! LOL "Mary Holmes Dague" <dag…@epix.net> wrote in message news:ZKfd7.1061$KD2.920653@news1.epix.net… – Hide quoted text — Show quoted text -> "Jim Chinnis" <jchin…@SPAMalum.mit.edu> wrote in message > news:n7rantkde2t4u8fe3ohncdl97lflg6c7gk@4ax.com… > > ginn…@aol.com (GinnyK2) wrote in part: > > >A basic audiology text would only give an brief overall view of audiology > and > > >wouldn’t be expected to go much into specialized areas. > ~~~~~~~~~~~~ > Why don’t you complain to the editors,Jim? You Do understand that a > certified audiologist must have at least a masters degree and many have a > Ph.D. You must, as Ginny says, pass strictly supervised clinical service > before you can become certified. Anyone who has a CCC-A should be highly > qualified to deal with tinnitus. > If, in the post to me, you believed I was referring to the new > Vernon/Tabachnick Sanders book, I was not. That was written for laymen as > was a previous book by Jack Vernon. But if memory serves, Jack did write a > textbook for specialists in audiology and otology about tinnitus a very long > time ago. I’m sure you will correct me if I am wrong about that. If so, > there are other textbooks, not written for laypeople, but for otologists and > audiologists. > ~~~ > …whether a patient who is not an expert in tinnitus can judge > > that an audiologist is on top of the field. > ~~~~~~~~~~~~~ > Excuse me? Are you referring to Ginny? Me? Yourself? People who have had > tinnitus and/or hearing impairment a long time can tell whether the > audiologist is on top of the field. Equipment changes; ideas change. If > the audiologist isn’t keeping up, I could quickly ascertain that. I haven’t > just been lucky all my life; I’ve found the best wherever I’ve lived, and > traveled some distance when necessary to be with the best. Have a little > faith in the power of one’s participation in one’s own healthcare. > Mary
Response:
"Mary Holmes Dague" <dag…@epix.net> wrote in part: >"Jim Chinnis" <jchin…@SPAMalum.mit.edu> wrote in message >news:n7rantkde2t4u8fe3ohncdl97lflg6c7gk@4ax.com… >> ginn…@aol.com (GinnyK2) wrote in part: >> >A basic audiology text would only give an brief overall view of audiology >and >> >wouldn’t be expected to go much into specialized areas. >~~~~~~~~~~~~ >Why don’t you complain to the editors,Jim?
My purpose in posting was not to attack a particular audiology textbook. It was simply to report that tinnitus is still not considered a significant problem in audiology–as represented in a major new edition of a standard text. >You Do understand that a >certified audiologist must have at least a masters degree and many have a >Ph.D.
No. Most audiologists in the US who treat patients have a masters degree: roughly a two year program. The text I referred to is a basic text in such programs. Other audiologists earn either an Au. D. degree, meaning that they have had additional coursework beyond the MS, or a Ph.D., meaning that they had had additional coursework plus studied research methods and have completed a dissertation. >You must, as Ginny says, pass strictly supervised clinical service >before you can become certified. Anyone who has a CCC-A should be highly >qualified to deal with tinnitus.
Your conclusion does not follow. Susan Moreland used to write to me about her coursework in audiology and about her work toward her CCC-A. She wrote many letters about how poorly trained the typical audiologist is to deal with tinnitus. Most know nothing about residual inhibition or the wide variety of masking techniques and the different responses different people have to each technique. Habituation? Biofeedback? Outcomes of surgeries? Drugs? Hypnosis? Hardly. >If, in the post to me, you believed I was referring to the new >Vernon/Tabachnick Sanders book, I was not. That was written for laymen as >was a previous book by Jack Vernon. But if memory serves, Jack did write a >textbook for specialists in audiology and otology about tinnitus a very long >time ago. I’m sure you will correct me if I am wrong about that.
I assumed you meant the 1995 text he wrote with Aage Moller. But I don’t disagee that audiologists who get interested in tinnitus will look up such books or work them into their PhD or AuD programs. My point was just that out of 400 pages in a basic audiology text, only two pages addressed tinnitus. I think that is revealing of the emphasis audiokogists receve in their training. And my experience in meeting a dozen or so audiologists and talking with them about this confirms my belief. > If so, >there are other textbooks, not written for laypeople, but for otologists and >audiologists.
There is precious little written in any discipline about tinnitus. >>…whether a patient who is not an expert in tinnitus can judge >> that an audiologist is on top of the field. >~~~~~~~~~~~~~ >Excuse me? Are you referring to Ginny? Me? Yourself?
I think any patient who has not studied tinnitus research and been trained in a related discipline would have trouble knowing if an audiologist were current about tinnitus. >People who have had >tinnitus and/or hearing impairment a long time can tell whether the >audiologist is on top of the field. Equipment changes; ideas change. If >the audiologist isn’t keeping up, I could quickly ascertain that.
Maybe so, Mary. I don’t know your skills. What I do know is that you should reject most audiologists if you have severe intrusive tinnitus. They just aren’t trained to address it adequately. > I haven’t >just been lucky all my life; I’ve found the best wherever I’ve lived, and >traveled some distance when necessary to be with the best. Have a little >faith in the power of one’s participation in one’s own healthcare.
Some people do very well and others have trouble finding knowledgeable help. It would be easier for all if basic training in audiology included tinnitus. — Jim Chinnis / Warrenton, Virginia, USA Join the American Tinnitus Assn: 800-634-8978 or http://www.ata.org Meniere’s? See http://groups.yahoo.com/group/MenieresDG All comments are my personal opinions and should not be construed to represent the opinions of anyone else or any organization.
Response:
Marsha Johnson wrote: > BTW, I did a little survey today and noted that several individuals > here take up 90 % of the room! Let’s have more contributions from > other people, please. > You don’t have to feel that you must respond to every post, guys, and > also your posts tend to be personally insulting to particular > individuals, which used to be frowned upon here at one time. It does > not help our cause when we see so much bickering……so please stop. > MJ
Marsha…… while you were ‘away’, conditions here deteriorated very badly and most new people were scared away by the actions of two people and the reactions to them by others. I have the most incredibly sized kill filter for this group because of this, and still almost every day that I log on here, I have to add another incarnation of the problem posters. I appreciate your very informative and condsidered posts and hope that you will keep it up. Ditto for other professionals here regardless of their agendas either real or imagined by others. It’s no different from watching TV; if you don’t like it or agree with it, don’t pay attention to it! Also, everyone has to remember that it is very difficult to have the written word truly express your intent and meaning and more so if the posters are suffering from health problems. I know sometimes I read after the fact some of my own posts and am ashamed of my grammer and lack of clarity. I’m struggling with the ravages of long term and serious oxygen deprivation so try to apply the compassion on others posts that I hope they are applying to mine. Regards, Lee — Lee Babcock Toronto, GWN
Response:
Thank you Jim for your well articulated point about the lack of material presented in general audiology textbooks on tinnitus (MUCH LESS HYPERACUSIS). I am probably the only person you will ever meet who……..TEACHES A GRADUATE LEVEL COURSE IN TINNITUS AND HYPERACUSIS TO AUDIOLOGISTS! Yes, folks, once a year I go down to POrtland STate University for a term and provide a course in these two areas. I love it. They love it. THe university has asked me back for another term. I feel it is critical as in virtually all circumstances, audiologists in ALL settings will encounter individuals who suffer from these conditions. And there is hardly any information on assessments, how to evaluate the results, and what to do for these people in the graduate level courses. Or in the job settings for that matter. About 4 years ago I began to research pulsatile tinnitus, which is incredibly difficult to tolerate and to treat. I have found that using TRT has not been effective for PT sufferers. IN my research I visited the medical libraries of our giant here in Oregon, The Oregon Health SCiences University, and several other in-house hospital libraries. It was a shock. When I read through the various medical textbooks for ENTS, otologists, and other specialists involving medicine of the head, these huge textbooks had 1 or 2 paragraphs on tinnitus. The actual number of sentences devoted to tinnitus decreased as time passed, say, from 1980 to 1990 to 2000. It was illuminating for me, however, and appears to suppport the very slight attention paid to tinnitus by most of our medical professionals. I have found, however, that publishing my articles, speaking to state audiology groups and hearing aid professionals, going out of my way to send off articles and information packes to the MDs of the patients who are in my clinic as well as my lengthy reports for each one, has gone a long way toward opening eyes and calling attention to these conditions. And teaching new audiologists is one of the most enjoyable parts of my own outreach. I would suggest that if you wish to see change happening, your support is needed. There are quite a few audiologists out there now and a very few MDs who have chosen to make tinnitus and hyperacusis their vocational focus in the world. You can contact the nearest graduate program in audiology near you (see the American Academy of Audiology website….I think it is aaa.org) and see if you can come to speak to the group, ask if they can set up a little workshop for the students, etc etc. Surely under the heading of medical audiology courses, this would be welcomed. Perhaps a speaker could be invited, i.e., one of the audiologists nearby who specializes in the field…..as well. BTW—-The ATA has nothing to do with supporting TRT or any other treatment method. I perceive the organization to support all new research or methods that appear to have some merit, and they mostly provide information and support to sufferers. I have respect for the founding parties and admiration for the staff there that I personally know…….they work very hard to provide something that is of use. BTW, I did a little survey today and noted that several individuals here take up 90 % of the room! Let’s have more contributions from other people, please. You don’t have to feel that you must respond to every post, guys, and also your posts tend to be personally insulting to particular individuals, which used to be frowned upon here at one time. It does not help our cause when we see so much bickering……so please stop. MJ
Response: