DECEMBER 1992 VOLUME 17, NUMBER 4

Tinnitus Today
THE JOURNAL OF THE AMERICAN TINNITUS ASSOCIATION
"To carry on and support research and educational activities relating
to the treatment of tinnitus and other defects or diseases of the ear."
1o[iday (jreetings
IN THIS ISSUE: Tinnitus of TMJ Origin
Are You a Fear Junkie?
Tales of Tinnitus & Recovery - #2

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Tinnitus Today
Editorial and advenising oflices:
American Tinnitus Association. P.O. Box 5 Port-
land. OR 97207
Executive Director & Editor:
Gloria E. Reich, Ph.D.
Editorial Advisor:
Trudy Drucker, Ph.D.
Advertising sales: AT A-AD, P. 0. Box 5, Port-
land, OR 972r.J7 (800-634-8978)
Tinnillls Today is published quarterly in March,
June, September and December. lt is mailed to
members of American Tinnitus Associat.ion and a
selected list of tinnitus sufferers and professionals
who treat tinnitus. Circulation is rotated to 200.000
annually.
The Publisher reserves the right to reject or edit
any manuscript received for publication and tore-
ject any advertising deemed unsuitable for Tinni-
IIIS Today. Acceptance of advertising by Tinniws
Today does not constitute endorsement of the ad-
vertiser. its products or services, nor does Tinnitus
Today make any claims or guarantees as to the ac-
curacy or validity of the advertiser' s offer. The
opinions expressed by contributors to Tinnitus To-
day are not necessarily those of the Publisher, edi-
tors, staff. or advertisers. American Tinnitus
Association is a non-profit hwnan health and wel-
fare agency under 26 USC 501 (c)(3)
Copyright 1992 by American Ti nnitus Associa-
tion. No part of this publication may be repro-
doced, stored in a retrieval system, or transmitted
in any form, or by any means, without the prior
written permission of the Publisher. lSSN: 0897-
6368
Scientific Advisory Board
Ronald G. Amedee. MD, New Orleans. LA
Robert E. Brwnmen. PhD, Portland, OR
Jack D. Ciemis. MD, Chicago, L
John R. Emmett, MD, Memphis, TN
Barbara Goldstein, Ph.D., New York, NY
Richard L. Goode. MD. Stanford, CA
Chris B. Foster. MD, San Diego. CA
John W. House, MD. Los Angeles, CA
W. F. S. Hopmeier. St. Louis. MO
Robert M. Johnson. PhD, Portland, OR
Gale W. Miller, MD. Cincinnati. OH
J. Gail Neely, MD, St. Loui>, MO
Jcny Northern, PhD, Denver, CO
Robert E. Sandlin, PhD, San Diego, CA
Abraham Shulman, MD, Brooklyn, NY
Mansfield Smith, MD. San Jose, CA
Harold G. Tabb, MD, New Orleans. LA
Alfred Weiss, MD, Boston, MA
Honorary Board
Senaror Mark 0 . Hatfield
Mr. Tony Randall
Board of Dir ectors
Edmund Grossberg, Chicago, IL
Dan Robert Hocks. Portland. OR
Robert M. Johnson. PhD, Portland, OR
Philip 0 . Morton, Portland, OR
Aaron I. Oshcrow, St. Louis. MO
Gk>ria E. Reich, PhD. Portland. OR
Thomas Wissbawn, CPA, Portland, OR
The Journal of the American Tinnitus Association
Volume 17 Number 4 December 1992
Tinnitus, ringing in the ears or head noises, is experienced by as
many as 50 million Americans. Medical help is often sought by those
who have it in a severe, stressful , or life disrupting form.
Contents
4
11
12
13
16
17
Tinnitus of TMJ Origin: A Preliminary Report
by Douglas H. Morgan
Are You a Fear Junkie? I Was.
by Syd Hunt
Mission 2000
ATA's Long Range Plan
Self Help: News from the Groups
by Laurie Bauer Rosborough
Tales of Tinnitus and Recovery
by Elliot Wineburg, M.D.
Meetings Update
by Patricia Daggett & Gloria Reich
Regular Features
7
10
18
19
Questions & Answers
Media Watch: Tinnitus in the News
Tributes, Sponsor Members, Professional Associates
Books Available, Donation Form
Cover photo: Mt . Hood ( 11,235 ft .), Oregon's tallest peak, reflects into Lost
Lake in the Mt. Hood National Forest. Photo by Larry Geddis, Gresham, Oregon
Cartoons: Thank you, ATA members: P.J I, AI Testa; P.JJ &14, Beuy Mathis;
P.17, Ernie Olson.
Tinnitus of TMJ Origin: A Preliminary Report
by Douglas H. Morgan, D.D.S., La Crescenta, California
What follows is an abbreviated version of the report pub-
lished in "The Journal of Craniomandibular Practice",
Apri/1992. The complete report is available from Dr. Mor-
gan or through the ATA Bibliography service. The research
was supported by a grant.from the American Tinnitus Asso-
ciation.
History
A syndrome in which ear and sinus symptoms
were related to disturbed function of the temporo-
mandibular joint (TMJ) was first described by Cos-
ten in 1936. That same year, Goodfriend also wrote
concerning ear symptoms related to dental factors.
In 1969, Bernstein et al. wrote ofTMJ dysfunction
masquerading as Ear Nose & Throat (ENT) dis-
ease; and in 1971, Morgan wrote of results of joint
surgery correcting pain, dysfunction, tinnitus, and
vertigo. More recently, in 1984, House etal. related
the results of TMJ surgery over a 14 year period.
In this study there was an elimination or improve-
ment in over 80% of the pain symptoms. In the
symptoms other than pain, including tinnitus, there
was an elimination or improvement of the tinnitus
in 39%.
These cases involved individuals who had
osteoarthritis of the TMJ that did not respond to
non-surgical treatment. Their chief symptoms
were pain and dysfunction. However, a significant
percentage also had tinnitus, vertigo, subjective
hearing loss, nausea, and other otologic symptoms.
One patient had no pain and/or dysfunction, only
severe vertigo and moderate tinnitus. X -rays and a
clinical examination revealed he had severe
osteoarthritis in the right TMJ.
It was explained to him that surgery was
usually accomplished for pain and/or dysfunction.
He had been to a center specializing in problems
of the ear, but no otologic basis for his Meniere's-
lik:e symptoms could be found. He agreed to TMJ
surgery on an experimental basis. After surgery the
vertigo was eliminated and the tinnitus loudness
was reduced. Although an individual might have
ear symptoms related primarily to a TMJ disorder,
this area is not usually considered or examined
unless there are apparent TMJ symptoms.
4 Tinnitus Today I December 1992
In 1962, Pinto described a tiny ligament that
seemed to connect the malleus, a bone in the mid-
dle ear, to the capsule and disk of the TMJ. He
noticed that when the ligament was moved, the
chain of ossicles(the bones of the middle ear) and
the tympanic membrane( the ear drum) also moved.
This provided one possible explanation for the
TMJ-ear connection. In 1986, Komori confirmed
the presence of this ligament by his dissections.
However, he was unable to show movement of the
middle ear bones and tympanic membrane, possi-
bly due to the condition and preparation of the
specimens he used.
Similar relationships appear in articles by Ar-
len in 1977 (the Otomandibular Syndrome);
Frumker & Kyle, (tinnitus: a symptom of TMJ
dysfunction), 1987; Morgan (TMJ, tinnitus and
related symptoms), 1987; Williamson (inner rela-
tionship of internal derangements of the TMJ and
headaches, vertigo, and tinnitus), 1990; Ruben-
stein (symptoms of crania-mandibular disorders in
patients with tinnitus), 1990; Eckerdal (petrotym-
panic fissure as the connecting link between the
tympanic cavity and the TMJ),1991; and Ash and
Pinto (relationship of the middle-ear and TMJ due
to the sphenomandibular ligament or the disk-
omalleolar ligament), 1991.
Materials and Methods
A computerized mandibular scan and elec-
tromyographic studies were done on each subject,
TMJ, (Continued)
S(/,ematic of thl' JUIIII.
a ted with TMJ dysfunction is often reported. Ad-
ditionally, specialized dental X-rays were taken of
the areas where most TMJ related osteoarthritic
damage occurs. Clinical examination involved a
careful palpation (feeling with the hands) of the
jaw, face, and neck muscles for "trigger points."
Information from these areas was recorded as were
joint sounds such as popping, clicking, snapping,
or crepitus (the rattling sound of bones rubbing
together). Lastly, the joint itself was palpated for
soreness.
Results
Table 3 shows the results of the various ex-
aminations. It is interesting to note only 4 of the
subjects were women. It is often stated that TMJ is
primarily a female disorder. Our experience has
been that it affects men and women almost equally.
Scan No.1 showed 14 of the 20 or 70% had abnor-
mal opening and closing movements of the mandi-
ble. Scan No.2, the velocity trace, demonstrated
70% of the subjects had abnormal velocity meas-
urements on opening and/or closing.
Ninety-five percent of the subjects x-rayed
had some indication of organic osseous (bone)
changes in the joint. A diagnosis of internal de-
rangement or disk disease was not attempted from
these x-rays. However, if x-rays revealed a bone-
on-bone contact in the joint with erosion of the
temporal and mandibular components and distinct
crepitus could be heard, it is not unreasonable to
infer that the disk was compressed and perforated.
Muscle trigger points as defined by Travell
and Simons were found in 75% of the individuals
palpated.
Scans No.9 and No.lO, which related to elec-
tromyographic studies of the right and left anterior
temporalis and medial masseter muscles, indicated
75% had abnormal electromyographic scans be-
fore the muscles were relaxed. Afterward, when
the muscles were pulsed with a transcutaneous
electrical nerve stimulation unit for 45 minutes,
there was only a 25% hyperactivity of the same
temporalis and masseter muscles.
Joint sounds that were clearly audible with a
stethoscope in one or both joints were next noted.
These sounds were described as popping, clicking,
snapping, or crepitus. It was discovered that 20%
of the subjects had some type of joint sound. Inter-
estingly, only two individuals were aware of occa-
sional joint sounds. The other two people were not
conscious of these sounds until the examiner
brought them to their attention. One person com-
mented that he wished he had not been made aware
of the sound because it now annoys him.
Tinnitus Today I December 1992 5
TMJ, (Continued)
The last examination involved palpating the
TMJ. Seventy-five percent of the subjects had
some soreness or pain upon palpation. Most of the
group was surprised at how painful the joint was to
this type of pressure. All of the group denied being
aware of any joint pain until they were palpated in
this area.
Discussion and Conclusion
In 1962 Pinto first speculated that ear symp-
toms could relate to a TMJ abnormality when he
showed that a heretofore unidentified ligament
which tuns from the front of the malleus to the back
of the TMJ causes the middle ear bones to move.
In 1974, Watanabe and his colleagues associated
tinnitus with hyper-contraction of the stapedial
muscle. He demonstrated that severance of the
stapedial tendon eliminated this particular tinnitus.
Embryologically, the first branchial arch or
Meckel ' s cartilage, gives rise to the structures of
the TMJ and some of the structures of the middle
ear. It is not yet known the exact mechanism by
which a pathologic condition of the TMJ affects
the middle and inner ear. However, this does occur.
This study presents, for the first time, an
examination of 20 individuals whose primary
symptom was tinnitus and who were examined for
possible tern ooromandi bul ar cfj sorder connection.
These subjects were not known to have a disorder
of the temporomandibular apparatus. They did not
have pain and/or dysfunction. They were examined
by ear specialists who could find no otologic basis
for the tinnitus. Some were given medication, nia-
cin, histan1ines, and cortisone. None of these medi-
cations changed their symptoms.
In some cases, where a sensorineural hearing
loss was detected by audiograms, a hearing aid was
recommended. This did not help. In some, a mask-
ing device was used, which also did not help.
However, it must be stated that some individuals
with tinnitus are helped by masking devices and/or
hearing aids.
The tests perfmmed in this study confirmed
19 of the 20 subjects had one or more radi agraphic
and/or dinical indications of organic diseases of
the joints.
When an individual bas tinnitus and an
otologic examination cannot discover any ear basis
for this symptom, an examination of the temporo-
mandibular apparatus should be performed.
The List of References is available in the
unabridged version of this study. (Please send a
self-addressed stamped envelope with your re-
quest.)
Table 3
Results of All Tests Performed on 20 Patients with Tinnitus
Abnormal Abnormal
scan No. I Abnormal Abnormal Muscle Scan No. 9
saginal and scan No. 2 ray finding trigger points and 10 Joint TMJ pain to
No. Age Sex frontal velocity osteoarthritis palpation electromyography sounds palpation
I. 65 M Yes Yes Yes Yes Yes-No No Yes
2. 69 M Yes Yes Yes No Yes-No No No
3. 59 M Yes Y ~ s Yes Yes Yes-No Yes Yes
4. 65 M Yes Yes Yes Yes Yes-No No Yes
s. 38 M No No Yes No Yes-No No No
6. 74 F Yes Yes Yes Yes Yes-No No Yes
7. 29 M No Yes Yes Yes Yes-No No Yes
8. 60 M Yes No Yes Yes No-No No Yes
9. 47 M NA NA Yes No Yes-No No No
10. 55 M Yes Yes Yes Yes Yes-No No Yes
11. 57 M Yes Yes Yes Yes Yes-No Yes Yes
12. 22 F No No No Yes No-No No Yes
13. 66 M Yes Yes Yes No No-No No No
14. 55 M Yes Yes Yes Yes Yes-No No Yes
15. 51 F No Yes Yes Yes No-No No Yes
16. 59 M Yes No Yes Yes Yes-No No Yes
17. 48 M No No Yes Yes No-Yes No Yes
18. 59 M Yes Yes Yes Yes Yes-No Yes Yes
19. 71 F Yes Yes Yes Yes Yes-No Yes Yes
20. 57 M Yes Yes Yes No Yes-No No No
6 Tinnirus Today I December 1992
Questions & Answers
by lack Vernon, Director, Oregon Hearing Research Center
Some questions, due to limited column space and the length
of the answer required, have been answered directly rather
than through this column. If my answers have provoked
unresolved questions, please feel free to submit those addi-
tional questions. We have learned about tinnitus primarily
from tinnitus patients. Thus, you may have experiences or
comments that inspire questions appropriate for this col-
umn. lf so, send them in.
Q uestion: "What about the use of Ginkgo biloba
for the relief of tinnitus." Mr. D. from Pennsylva-
nia.
A nswer: This question has come up several
times but allow me to repeat. Ginkgo biloba has
not been tested in a controlled manner to determine
whether or not it helps with tinnitus. Ginkgo, atone
time or another, has been claimed to relieve many
things; stroke, memory loss, vertigo, deafness,
macular degeneration, impotence, etc. Dr. Ross
Coles at Nottingham, England, conducted an open
study of Ginkgo and found that 2 of 23 patients
obtained slight relief and 2 got very slight relief.
Dr. Coles concluded the results of the open study
did not justify the time and effort necessary to
conduct a properly controlled study. An open study
means that both his patient and the experimenter
knew that all patients received the drug under
study. Ginkgo is not a prescription drug, and thus
is easily available. Perhaps that is one of its attrac-
tions. (ed.note: We continue to receive articles
about Ginkgo. We try to contact the sources for the
testimonials in these writings and will inform you
when and if we receive compelling evidence of its
effectiveness. In the meantime, the substance is
said to have an ability to increase blood flow and
to be relatively free of side effects.)
Mr. D. also indicated that he has been taking
niacin for many years. I realize niacin has often
been prescribed for tinnitus on the theory that, as a
vasodilator, it would improve the blood supply to
the ear. I have never seen a tinnitus patient who has
been helped by niacin. But then, if they had been
helped, they would not have sought my help.
Would they? To recommend niacin is to suggest
the tinnitus is actually located in the inner ear
when, in fact, we do not yet have tests which can
determine the actual location of the problem gen-
erating the tinnitus.
Q uestion: "Is there noise reduction research go-
ing on in this country?" Mr. M. from Maryland.
A nswer: No, there is no research devoted to
noise reduction beyond testing of ear-plugs and
ear-protectors. There are some Federal guidelines
about noise for industry but nothing about recrea-
tional noise and nothing about ordinary everyday
noise. Mr. M. goes on to say, "We talk about a war
on drugs, a war on teen-age pregnancy, a war on
AIDS, a war on cancer, etc., but how about a war
on noise?" I agree completely! We need a war on
noise! There is no health problem more prevent-
able than the loss of hearing due to exposure to
excessive noise.
WE NEED A WAR ON NOISE.
Each of you could conduct a war on noise by
working through the local public schools to
teach the students about the effects of exces-
sive noise.
Q uestion: "Are the inner ear hairs altered by the
aging process the way the hair on our head is
altered- turning gray, thinning, coming out etc.?"
Mr. Me from New Jersey.
A nswer: This question was prompted by an ar-
ticle about otoacoustic emissions in the Science
section of the New York Times (June 9, 1992). The
article states that otoacoustic emissions are due to
movement of the hair cells in the inner ear.
The cilia on the cuticular plate of the hair cells
in the inner ear are very different from external
hair; they do not tum gray, etc. The aging process,
in my opinion, is a very real phenomenon but it is
not simply that the ear gets older- it is an accu-
mulation of noise damage over time.
It should be clear that the otoacoustic emis-
sions are not tinnitus. That possibility has been
tested and found wanting. Those of us working in
tinnitus had so hoped that otoacoustic emissions
would tum out to be tinnitus so the identification
Tinnitus Today I December 1992 7
Questions & Answers
of tinnitus could be easily and reliably established.
Unfortunately, it is not so.
Q uestion: "I invariably awaken with a racing
pulse, shortness of breath, and loud pulsing tinni-
tus. Can you explain this exacerbation of my tinni-
tus, which seems to be caused by sleep?" Mrs. D
from Ontario.
Answer: I wish I could. I am complete! y puzzled
by the effect of sleep upon tinnitus, which occurs
in a small select group of our patients. The fact that
you awaken with a racing pulse and shortness of
breath suggests that you should see your cardiolo-
gist. You say you cannot exercise, and I think you
should ask your cardiologist about that. We see
many tinnitus patients who are exercising even
though for some there is a temporary exacerbation
of their tinnitus. It seems, Mrs. D. , that everything
has its price.
Q uestion: "My tinnitus happened after awaken-
ing from knee surgery. What is the relationship of
that surgery to tinnitus?" Mrs. K from Wisconsin.
Answer: I think we may never know the real
cause of your tinnitus, but we have heard other
patients give a similar description as to the origin
of their tinnitus. The main thing is that if the
tinnitus is bothering you, we need to see if relief is
possible. If, on the other hand, your tinnitus is more
of a curiosity, then mark it up as an unusual occur-
rence and forget it.
Someone told you your
tinnitus was due to the
stress of three knee sur-
geries. It is almost cer-
tainly true that tinnitus
can be exacerbated by
stress, but I do not think
it can be produced by
stress.
Q uestion: "Why do I
get more relief from
heating pads around my
neck than I do from
pills? Why does motion
8 Tinnitus Today /December 1992 disturb me more than
noise? And, why does Tylenol seem to make my
tinnitus worse?" Mrs. K , no address.
A nswer: You did not indicate what pills you
have tried, nevertheless, if the heating pad works,
use it. It is unlikely that Tylenol has exacerbated
your tinnitus. It is possible that if your hearing has
declined, the tinnitus will appear louder. You men-
tioned movement disturbs you. Does that mean that
normal movement makes your tinnitus worse? Or
does it mean movement creates unsteadiness or
disequilibrium? Depending on the severity of the
problem, I'd suggest seeing an otolaryngologist
who specializes in balance problems.
Q uestion: "My tinnitus seems to be on a seven
day cycle. When I awaken on the seventh day to a
hissing in the left ear, it continues for seven days
after which there are seven days of quiet and then
the cycle repeats itself. Why?" Mr. C. from Penn-
sylvania
A nswer: I have heard of tinnitus being turned on
and off by sleep but not in such a cyclic fashion. I
am almost afraid to make a suggestion for fear I
might cause you seven days of noise. But consider
this. Something is ongoing during sleep that serves
as a trigger or switch to change your tinnitus. Thus,
could certain impositions during sleep influence
the trigger? For example, while you are in an "ON"
phase, could FM masking during sleep activate the
"OFF" trigger? Readers, if we find a solution you
shall hear about it.
THANK YOU, FEDERAL EMPLOYEES,
FOR HELPING TO FIGHT TINNITUS
THROUGH YOUR DESIGNATIONS IN
THE COMBINED FEDERAL CAMPAIGN
AMERICAN TINNITUS ASSOCIATION
#0514 ON YOUR CFC PLEDGE CARD.
HEARING
CENTERS
"COPING WITH TINNITUS""
e STRESS MANAGEMENT & TREATMENT
e TINNITUS MANAGEMENT IS OFI'EN
COMPLICATED BY ANXIETY AND STRESS
e NOW A UNIQUE CASSETI'E PROGRAM IS
AVAILABLE DESIGNED TO PROVIDE DAILY
REINFORCEMENT AND SUPPORT FROM THE
STRESS OF TINNITUS WITHOUT COMPLEX
INSTRUMENTATION & VALUABLE OFFICE TIME
There Is a growing interest in psychological methods of tinnitus
control such as systematic relaxation procedures which help the
patient cope with the tension of tinnitus.
Subjects with tinnitus are being taught ways to relax as part of a
total tinnitus program which may Include hearing aids, tinnitus
maskers and progressive muscle relaxation based on prindples of
conditioning. Relaxation procedures are usually easily mastered and can be performed dally in the
patient's home environment It has been demonstrated that the relaxation response can release muscle
tension, lower blood pressure and slow heart and breath rates.
A relaxation method has been developed entitled Metronome COnditioned Relaxation (MCR) which
has successfully treated for many years chronic pain, tension headaches, insomnia and many other
conditions.
The program consists of one cassette tape of Metronome COnditioned Relaxation and two additional
tapes of unique masking sounds which have demonstrated substantial benefit whenever the patient
feels the need of additional relief. These recordings can be used to induce sleeping or as a soothing
backdrop for activity and can be played on a simple portable cassette player.
AU. ORDMS MUST Be ACCOMPANieD 8Y
CHI!CK, VISA. OR JNS1T11J1'JONAL P.O.
6796 MARKeT ST., UPPeR DARBY, PA 19082
Phone (215) 352-0600
Is Tinnitus Fashionable? Of Course Not.
Tinnitus T-Sbirts - Funky & Wearable Fund Raiser? We Hope So!
Your Response Needed- Let us hear from you!**
Send us a note expressing your interest (post cards are easiest)
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per shirt. Therefore, due to the small number of requests ( 40), we have not ordered T -shirts (a few hundred
was the goal). We're hoping for more interest so that we can place a realistic, cost-effective order!
Tinnirus Today I December 1992 9
Media Watch: Tinnitus in the News
by Cliff Collins, Oregon freelance writer. Please address
clips, including source and date, to Media Watch,
PO Box 5, Portland, OR 97207.
"You look perlectly all right. Doctors can't
find anything wrong. People wonder what's the
matter with you. They say it's all in your head. And
they're right."
This neat summary of tinnitus comes from
81-year-old Eva Benson, a resident of Winfield,
British Columbia. Benson acquired tinnitus 40
years ago after a bout of meningitis, according to
an interview in The Calendar, a community news-
paper.
Never heard of The Calendar? My column
generally highlights media coverage of tinnitus
that originated in major markets and nationally
known publications. But each issue, a portion of
the mail hails from the hinterlands.
That's good, because small-town newspa-
pers, radio and television programs also are impor-
tant means of reaching the people- those with
tinnitus and related ear problems, and those who
might benefit from hearing about these problems
and how they may be prevented. If the word is
making it into the backwoods and burgs-not just
The New York Times- that's progress.
Benson herself said she was one of the
125,000 folks who learned of the ATA through
Ann Landers' first column on tinnitus a few years
back. She saw it in her hometown paper.
Survival of the fittest: Joseph J. Schall, writ-
ing from Colchester, Vermont, responded to my
request in previous columns for readers to tell us
about historical figures who "experience the phan-
tom sounds of tinnitus," as Schall puts it. He re-
ports that the great 19th-century naturalist Charles
Darwin, father of evolutionary theory, was a tinni-
tus sufferer. Darwin joins such previously men-
tioned notables as Beethoven, Luther, and van
Gogh.
According to Schall, Darwin kept a careful
record of the rise and fall of the noises in an attempt
to discover what caused his "bad days." Schall adds
that Darwin's scientific accomplishments included
10 Tinnitus Today I December 1992
important work in early childhood development as
well as botany, geology and zoology.
"I think these examples show that anyone can
have tinnitus and that it is possible to use one's
strength of will and love of life to overcome the
suffering and go on to a very productive life,"
writes Schall, who rightly figures that if these great
men "could get up each day to produce such won-
derful works," that should serve as inspiration for
all "who have had the bad luck to be visited by
these noises."
He also passes words that The New York
Times Magazine recently ran a story on comedian
Steve Martin, recounting that Martin got tinnitus
filming the movie "Three Amigos." Martin "had to
shoot over and over a segment in which a gun goes
off close to his head, " says Schall. "He since has
had rather severe tinnitus," yet has continued to
work frequently in ftlms and television. Former
actors Ronald Reagan and Hugh O'Brian paid for
their cowboy roles with tinnitus and hearing loss;
as I recall, Reagan says he got permanent tinnitus
the same way Martin did, from a gun firing near
his head. O'Brian has urged young people to pro-
tect their hearing from loud noises. [ed.note. ATA
has written to Martin's agent requesting his help in
making people aware of tinnitus and the need to
protect their hearing.]
End-of-the-year roundup: A tip ofthe T-cap
to Ann Revere (Warsaw, Virginia) and Bill Haskin
(Westland, Michigan) for sending in the bulk of the
news clippings this time. The Saturday Evening
Post ran a brief on tinnitus. Self magazine, the
Richmond (VA) Times Dispatch, The Family
Handyman, the Detroit Free Press and The Detroit
News all carried stories on noise's dangers. And
reports continue of young children and teens dam-
aging their ears. "We teach our kids to keep their
hands off hot stoves and to look both ways before
crossing the street," says a musician quoted in one
story. "Let 's do the same thing with their hearing."
Are You a Fear Junkie? I Was.
by Syd Hunt, Gwynedd, Pennsylvania. Mr. Hunt has been a
member of AT A for many years. We always envied him when
he lived in. the British Virgin Islands. How could it be
possible to Live in such an idyllic place and suffer from
tinnitus?
In my opinion, the British Tinnitus Associa-
tion has long been convinced that anxiety is the
only cause of tinnitus. Anxiety, however, disguises
itself: fretting, hate, worry, dread, overconcern,
disappointment, anger, hesitancy, hostility - each
springing from basic fear. In 1990 I admitted to
years of fear that seemed to generate little "tinni-
tuses." Under these little short term noises I could
still hear the unchanging long established rumble
and roar.
All the fears I recognized seemed superficial.
Still, it took lots of doing to rid even superficial
fears: worry about the kids; resentment of certain
people; disappointment in myself; anger over such
trivia as delayed letters- all day long there was a
parade of bellyachers. Once I stopped these anxi-
eties the little daily "tins" also stopped. The rela-
tionship seemed so clear it was actually exciting!
Then I discovered what seemed to be a deeper
layer of fear going back a long time. I still had a
tinnitus that went day after day varying unrelen-
tlessly. This tinnitus seemed more habituated than
from superficial anxieties.
Perhaps I had become a fear junkie.
I made a drastic change in my life. (That's
how great the "tin" obsession was.) I sold every-
thing I had in the Caribbean and moved back to the
mainland. I dropped my occupation as a freelance
travel writer. In this new setting I challenged each
frustration. In less than a year I reduced the daily
roaring tinnitus.
Then I developed nightmares. Every night.
The strangest thing was that every dream had
the same theme ... unemployment. They went back
to before I took early retirement: one time I was
displaced by a young man. Once I was given a test
which proved I could no longer do a simple task I
used to perform regularly. Gradually the night-
mares themselves became a disease with tinnitus
all day and the terror of unemployment every night.
I howled my exasperation at my niece, a psy-
chotherapist: "I have never been unemployed in
my whole life. I have gone from one job to another,
better. My father was often unemployed. He died
a wreck. But not me! Never. Now I have ahead full
of noises all day and a dread of unemployment all
night. I have never been unemployed."
Quietly she replied, "But you are now."
This opened a possible insight into my tinni-
tus. All my early years I felt sorry for my father. I
intended never to become an unemployed wreck.
This fear seemed much deeper than the spurts of
fear that maybe I had lost the car-keys, or that
someone had picked my pocket because, actually,
I had left my wallet in yesterday's pants.
Now I had to admit a second level- habituated
fear- deep down all my working life.
I cooked up a plan: anything I did which gave
me a feeling of being in charge seemed to reduce
the tinnitus. I got out all my financial papers and
put them in order. (They were all reassuringly
cozy.) I wrote a few small articles. Any direct
action seemed to reduce the cracklings and crickets
- in time, usually the next day.
A lifetime of gut worry is not easily erased.
"I'd rather hear my tinnitus than listen to you
Gab, Gab, Gab all day long."
Tinnitus Today I December 1992 11
(Fear, Continued)
Here roughly is a formula; perhaps you
would like to try and check it out with other "tin-
heads."
List everything that annoys, disgusts, frus-
trates you including - most definitely including -
people. Decide which is the item or trait that bugs
you most. Imagine the best that could be done to
remove the irritation. Then list the first feasible
action. If it is something such as "murder" substi-
tute a less drastic first step such as "avoidance,"
which might be translated into a long trip, or a new
job.
Write it out, even if you see no possible be-
ginning. This will irnpa11 a feeling of reality. Savor
the act awhile. This will give the thought a sense
of possibility, positive thinking, success.
Now do something, even the slightest some-
thing, toward the goal: telephone for information;
clip a coupon; write a letter that suggests action. If
mailing the letter seems too rash, stand it up where
you can see your start.
For me, just taking action while thinking of
the "tin" reduced the noise a little. When I followed
up with recreation and exercise, I got some relief
after about eight hours.
I don't expect sudden silence after twenty
years of sputtering, cracking, whirling. So far, I
have earned several three-week periods of silence.
Not much for some people, but for me ....... Hallelujah'
Classified
SPECIAL PILLOW CAN RELIEVE EAR
NOISES AND AID SLEEP
Your sleeping habit may be robbing you of a proper
night's sleep. The Ear Relaxer can change your life. Austin
Skaggs, the inventor of the Ear Relaxer Pillow, reports that it
has helped him and many other people who have tried it. It is
comfortable for those who wear their hearing aids or maskers
to bed. Testimonials are available on request from Mr. Skaggs.
To order, send $17.95 (postpaid), outside U.S. send $20.95
(U.S. funds), for postage paid shipment to:
EAR RELAXER
POBOX90
VICTOR WV 25938
Replacement pillow slips are available for $5.00
12 Tmrutus Today I December 1992
Mission 2000
The recently adopted "Mission 2000," a long
range plan, calls for action by the American Tinni-
tus Association in the following areas: Research,
Education/Prevention, Support. The ultimate re-
search goals are to identify the mechanism respon-
sible for tinnitus, which will eventually lead to its
cure; the education and prevention goals are to
publicize the affliction and its cause so that it is as
well known as cancer or AIDS; and the support
goals call for having a full anay of support services
in place such as self-help groups, referrals, activi-
ties, literature and newsletters.
Within the next year the research plan invites
the identification and contact of qualified medical
institutions interested in tinnitus research and the
release of funds for selected projects. In the field
of education and prevention, a marketing plan is
called for to produce public awareness materials
and place them where they will reach the largest
audience. Secondly, an attempt will be initiated to
bring awareness of tinnitus and hearing conserva-
tion into the school health curriculum.
The A TA staff has already accomplished
some of the near term goals in the support area.
These are to develop a brochure for tinnitus fami-
lies (in publication), to update the tinnitus refenal
list, and to recruit new volunteers and board mem-
bers. Coming soon will be a revival of the self-help
coordinators' newsletter, and additional support
for promotiOnal events such as health fairs, senior
centers 'activities, and conventions of other hearing
related organizations.
If you would like to become involved in these
or other ATA activities, or have additional sugges-
tions, we would welcome hearing from you.
Tinnitus Bibliography Service
The 1992 Update: Bibliography Supple-
ment Number 5, will be ready after January 1st.
You may order this supplement to complete your
present listings. Send $10.00 US funds only on
US banks, or International Money Order, to
BBL- ATA, PO Box 5, Portland, OR 97207-
0005.
Self-Help: News from the Groups
by Laurie Bauer Rosborough. [Ed.note:
Regular readers will notice the addition to
Laurie's name. Laurie Bauer and Rob Rosbor-
ough were married on September 5,1992. We
wish them a long and happy life together.]
Report from a new self-help group:
The "Tinn-Kan" Group
by Elmer P. Jennings, group coordinator, Wichita, Kansas
The enthusiasm of the group and the fact that
a scheduled two-hour meeting lasted two and one-
half indicated that the first "Tinn-Kan Group" ses-
sion was a great success. We met on Thursday,
September 24 at 7 PM in Room 104 of Hubbard
Hall on the Wichita State University campus. Our
speaker, Dr. Mike Wynne, said he felt that he
"hogged" the meeting, but the people wanted an-
swers, and Mike has answers. This is the first
tinnitus self-help group in Kansas in quite some
time; I hope it is not the last. We decided to add a
little humor to our group by creating a name for
ourselves using "tinnitus" and "Kansas"; thus, the
"Tinn-Kan" Group.
We are fortunate to have Dr. Wynne and his
family as members of our busy city. Dr. Wynne,
who moved to Wichita in 1989, holds a PhD in
Speech and Hearing Sciences, an MA in Commu-
nication Disorders & Sciences, and a BA in Psy-
chology. Mike has had papers published in the
Journal for Computer Users in Speech and Hearing
and the Journal of the Acoustical Society of Amer-
ica. He has presented anum ber of papers at various
conventions and has a broad professional back-
ground. Besides all that, he is a great guy with a lot
of patience and understanding.
Our group was composed of both working and
retired people, with a large portion of aircraft-re-
lated employees (Boeing, Beech, Cessna, Learjet,
and Piaggio make this Wichita's main business).
Many fellow aircraft company employees have
sustained hearing damage because we didn't know
all that noise was hurting us. Machine noises so
loud that we had to shout to be heard took a toll .
Others in our group sustained head injuries or
illness that left its mark. Some have Meniere's
Syndrome, some have a hearing loss, some have
supersensitivity to sound (hyperacusis). Through
the variety of individual circumstances, we haven't
given up, and we look to each other, as caring
people with a similar problem, for support.
In starting this self-help and support group,
some unexpected seeds have been planted. Mike
told me today that because of the interest generated
by the group meeting, the Communications Disor-
ders and Sciences department will offer a one-
credit graduate course on tinnitus in the next
summer session! I challenge others in my state to
start a group- you never know what will tum up!
This meeting would not have been possible
without the help of ATA and Mike Wynne. ATA
told me how, encouraged me to do it, and provided
copies of Tinnitus Today and other materials. Mike
said "If you want to do it, I assure you that WSU
will give you a place to meet and I will speak to the
group." Thank you all.
..
... _,l
' -
J
... . - _j
f
..... l --r
. - ! --'-

Computer Support Network Update:
Tinnitus no longer an "Other" in Prodigy (R)
The September 1992 issue of Tinnitus Today
announced a sort of "electronic tinnitus support
group," using computers to bring people together.
Since that time, 85 computer users have "logged
on," sharing stories, information and suggestions,
mainly through the Prodigy system. Due to the
volume of use and efforts of two Prodigy users, the
tinnitus bulletin board is now found by name under
Tinnitus Today I December 1992 13
Self-Help: News from the Groups
a "Hearing Disorders" sub-category, rather than
"Support Groups - Other."
A variety of reasons:
Through the computer network, users share
information on such things as their experiences
with tinnitus, legal issues and disability claims,
how medications affect their tinnitus, and their
reasons for having tinnitus. Reported reasons for
tinnitus are as varied as people are different, an
observation noted by many self-help group coordi-
nators. As an example, the Honolulu group re-
cently reported tinnitus began for their group
members in conjunction with these diverse events:
> after surgery and use of painkillers
> sitting in front of1V one night feeling stress
> pistol shooting practice plus a stressful period
that led to heavy drinking
> aspirin use for arthritic condition
> a long aircraft flight after catching a cold
> sitting at home worrying about retirement
> accident on freeway resulting in whiplash
> stagefright before a speech
> during pregnancy
> accidental blow to head while doing yardwork
> listening to loud music at concerts
> watching the Lawrence Welk show.
We must all remember that each person's
situation is different, each person's tinnitus is dif-
ferent, and that we all search for the best way to
help ourselves. Our job in helping one another
requires that we offer infom1ation, support, en-
couragement and acceptance.
Pen-Pal Network
The Pen-Pal Network has a new address and
can now be reached by sending a Self-Addressed
Stan1ped Envelope and $2 for printing costs to:
Lorraine Cran1er
PO Box 47172
StPetersburg FL 33743-7172
14 Tinnitus Today I December 1992
To help in matching you with others, you are
asked to include information on your affliction,
age, and interests.
A note on Doctors:
Every day, we hear reports of frustrating in-
teractions between a doctor and tinnitus patient.
We are dispirited by this, right along with you!
Through our professional referral network, we
work to identify professionals who take an interest
in tinnitus, who will answer questions and discuss
options for relief. A variety of health care providers
take part, including doctors, audiologists, hearing
aid and masker dispensers, psychologists, psychia-
trists, dentists, and biofeedback therapists. We
continually revise and work to expand our network,
and we need your input! How You Can Help:
Tell your health care providers about A TA:
Explain that we have brochures they can or-
der, a tape with the "sounds of tinnitus," a tinnitus
magazine, a bibliography of books and articles on
tinnitus, support groups, and a referral network.
Tell US about THEM:
Send us the names and addresses of any pro-
fessionals you recommend, with a short comment
about WHY. If your doctor (or dentist, counselor,
audiologist, etc) doesn't know about A TA or could
use information about tinnitus, send the name and
address, and we 'II introduce ourselves and our
services!
Notices
New Tinnitus Brochure
"Tinnitus Family Information" is the latest in
the series of brochures about tinnitus. This bro-
chure is intended to help families and friends of
tinnitus sufferers learn more about the problem so
that they may be more supportive and under-
standing of the person who has it.
Tinnitus Family Information is an eight-panel
brochure. It is suitable for distribution to the gen-
eral public. Topics included in the brochure are "Is
Tinnitus a Common Problem?"; "How does a Per-
son With Tinnitus Feel?"; "What Causes Tinni-
tus?''; ''Can It be Treated?"; "Do Certain Things
Make Tinnitus Worse?"; "How Can the Family
Help?"; and "What is Being Done to Help Conquer
Tinnitus?"
You'll find ordering information on the Pub-
lications Page at the back of this magazine.
For your convenience, we '11 be enclosing a
free copy of this new brochure with each donor
acknowledgement for the next few months.
Hocks Award
ATA is pleased to announce the winner of the
1992 Hocks Memorial Award for outstanding serv-
ice to A TA and the field of tinnitus. This year's
recipient is Robert M. Johnson, Ph.D.
Bob has been serving as chairman of the AT A
Board of Directors since 1985. He has steadfastly
refused to allow us to present him with this honor.
This year, however, the board refused to let him
refuse!
He joins previous winners: Jack Vernon,
Ph.D. , Jonathan Hazell, F.R.C.S. , John House,
M.D., and Abraham Shulman, M.D.
Congratulations, Bob!
Bequests
At this special time of year when gift giving
is uppermost in our minds, we'd like to remind you
of ways you can help support the work of ATA that
may not have occurred to you.
Gifts of Stock can be made to the organiza-
tion. Sometimes a donor gives stock outright and
sometimes only the capital gains are given. Your
stock broker can advise you about the best method
to give to ATA in this way.
Gifts of Real Estate; Often substantial gifts
can be made during a person's lifetime which allow
the person to retain use of the property while the
charitable institution has ownership. This allows
the giver to utilize a tax deduction now rather than
waiting to transfer ownership after death.
Gifts of Life Insurance; As well as making the
institution a beneficiary, a person may assign cash
value as an immediate gift and annual policy divi-
dends as continuing gifts. For the older person
whose children are financially independent, this
method of giving is often attractive.
Corporate Gifts; If you are a major stock-
holder in your own corporation, you may be able
to let the corporation do some of your giving. Your
own lawyer can advise you about this kind of gift.
There are many ways to assist ATA andre-
duce your taxable income. If you need more infor-
mation, contact us. We'll try to help.
Tributes
Any gift to ATA can be restricted solely to
research programs by specifying it as a tribute.
Another benefit of this type of gift is the apprecia-
tion of the honoree or his family who will receive
an appropriate notice of your gift. (See page 18)
Tinnitus Today I December 1992 15
Tales of Tinnitus and Recovery - Number 2
by Elliot Wineburg, M.D., The Associated
Biofeedback Medical Group, New York, NY
Ruggedly handsome, gray-haired, casually
attired: tweed jacket and flannel slacks, all agreed
with Lawrence's (not his real name) vocation -
professor of philosophy at an Ivy League college.
"I'm here because of the sound: an incessant high-
pitched whistling- in my ear, in my head- wher-
ever. It began two and a half years ago at a summer
seminar I conducted. My family doctor reassured
me everything was fine but last year it just esca-
lated."
"Now I am about to get a bite plate from my
dentist but I have no hope it will aid me. For the
past half year I have been in a miserable state. And
it's not just the ringing. There is something new -
fear and panic. I have seen some of the foremost
ear nose and throat specialists. They put me
through a CAT scan, prescribed diuretics and anti-
histamines, and even tried maskers, but nothing
helped."
"One doctor prescribed Ativan, one of the
tranquilizers. It holds back the panic a little bit. I
seem to need two before dinnertime. Am I getting
addicted?"
"There are some moments when I think I am
coming apart. My head is going helter-skelter. It is
very upsetting for my family. I even have thoughts
of suicide now. I am sure I am depressed because
of this constant noise in my head. Only in the
shower do I feel fine."
Placing a two-way stethoscope in the patient's
ears and in my own, I was able to reassure
Lawrence that he heard a real sound. I could hear
it, too. At least he felt he was not crazy.
Course of treatment began with reduction of
muscle tension in and about the forehead and jaw
areas. Lawrence was asked to insert the little finger
in each ear and then move his jaw up and down.
Feeling the action of that joint (temporomandibular
joint) he understood that muscle contraction in
tensing the jaw may have an effect on the hearing
apparatus which anatomically is right next door.
16 Tinnitus Today I December 1992
After three sessions some improvement was noted
but there was still far more to be done.
"I can't stay too long at parties or put up with
the laughter of a crowd. The noise is intolerable."
No doctor gives guarantees, but Lawrence's clear
need to obtain rel ief spoke for a good prognosis.
Our patient was then begun on a series of
stress-reduction biofeedback techniques. Known
as temperature training, a very sensitive electronic
thermometer was taped to a fingertip. A series of
light bars showed differences of 1 one-hundredth
of a degree in surface wrumth. By observing when
the finger warmed or cooled, he was able to learn
actually how to direct blood in the hands up into
the fingers which is always accompanied by an
overall feeling of anxiety reduction or relaxation.
Lawrence noted that slight improvement was
not sufficient. His work with graduate students
required lengthy sessions hearing them read their
papers in class. The ongoing ringing seriously in-
terfered with his earlier superb powers of concen-
tration. He seriously considered giving up
teaching, his life's work.
At this point an additional treatment was in-
augurated. The presence of the sadness and the
earlier suicidal thoughts did not go unnoticed. In
addition, the panic reactions and the dependency
on tranquilizers was a further consideration. After
my detailed explanation Lawrence agreed to take
slowly increasing levels of an antidepressant.
As will happen with some patients, initial
medication proved ineffective but a second antide-
pressant was substituted. Now the responses to
both the biofeedback therapies and the medication
were clearly noted in the marked reduction of
tinnitus, a feeling of confidence, and a manage-
ment of symptoms. Some ringing remained but it
no longer was painfully intrusive. As therapy went
on Lawrence found that his work was again pleas-
urable and he was able to partake of social func-
tions despite the high noise level.
Further stress reduction techniques and symp-
tom relief were accomplished with hypnotic re-
laxation exercises recorded on a tape so the patient
could "take the doctor home wi tb him" and prac-
Tales, (Continued)
tice. A cooperative and energetic approach by
Lawrence resulted in abandonment of the use of
the potentially addictive tranquilizer. Work pro-
ceeded at a splendid pace and in fact during the
latter part of his therapy he completed a well-re-
ceived book guaranteeing him fame if not fortune
in the world of academia.
Depression was gone, functioning had re-
turned and management of the tinnitus was easily
exercised. Lawrence presented a difficult problem
that was only clinically managed by a combination
of appropriate therapies, namely antidepressant
medication, stress reduction with biofeedback, and
sel -administered relaxation techniques. Work was
required on the part of both patient and doctor.
The Lighter Side of Tinnitus by Ernie Olson, Ph.D.
But, Dr. Olson, that
was the bell--
not your tinnitus!
Meetings Update
International Hearing Society
Pat Daggett reports that although attendance
was down from previous national hearing aid con-
ventions, this year's event made it possible for her
to meet or renew acquaintances with many of the
hearing professionals who are part of our referral
network. It was especially encouraging to speak
with those who have taken the time to obtain
positive results for their tinnitus patients. The
meeting was held in Dallas, September 9-12, where
attendees received a warm welcome from local
residents and convention hotel staff. During this
past year the association changed its name to the
International Hearing Society and the meeting at-
tracted many people from outside the US. The
AT A was pleased to have the opportunity to make
new contacts for helping those who are trying to
cope with tinnitus in other countries.
ASHA Consumer Meeting
The ATA was asked to participate in a con-
sumer dialogue, sponsored by the American
Speech-Language Hearing Association (ASHA),
on October 3. The purpose of this gathering was
to inform national leaders of consumer groups with
an interest in communication disabilities what
ASHA is doing, to hear what unmet needs the
consumer groups have and to develop specific
work plans to meet these needs. Pat Daggett, who
represented ATA at this meeting, relayed recom-
mendations of interest to those with tinnitus. These
included a request for specialized tinnitus training
in the certification requirements for hearing profes-
sionals and an increased professional awareness
through tinnitus courses and seminars at state and
national conventions.
Annual ATA Advisory Board Meeting
Three new Advisory Board members were
elected at the meeting held September 21, 1992 in
Washington, DC. They are Ronald Amedee, M.D. ,
RobertBrummett,Ph.D.,andBarbaraGoldstein,Ph.D.
Gloria Reich presented the Long Range Plan
(Mission 2000), which was developed by the Ex-
ecutive Board, and the advisors pledged their sup-
port in helping to achieve the goals set out for the
next decade.
Tinnitus Today I December 1992 17
Tributes, Sponsors, Professional Associates
The ATA tribute fund is designated 100% for research. Thank you to all those people listed below for
sharing memorable occasions in this helpful way. Contributions are tax deductible and are promptly ac-
knowledged with an appropriate card. The gift amount is never disclosed.
IN MEMORY OF
Florence Accordino
Richard & Hazel Blackwell
Phyllis Trotta
Robert P Ahrens
Nancy J Ahrens
Lillian Davis
John & Faye Schlater
Etalo DeiFiorentlno
Leonard & Lucille Counihan
Peter & Zelinda Ferrai
Mr & Mrs H Sebree
Vida J Kern
Tom Fagerness
Jerry Fagerness
Mary Giovagnoli
Bernard & Anne Silverman
Dr Sewell Gordon
Mr & Mrs Efrom Abramson
Marilou Johnson's Mother
John & Faye Schleter
Seymour Mazer
Sylvia & Sam Eisenberg
Dr Proctor
Richard L Ruggles MD
Mrs Lena Roemer
GAO's New York Regional Office
Michael David Shapiro
Anne Shapiro
IN HONOR OF
Nancy Ahrens & Cathi Berke
Bergen Tinnitus Group
Adele B Alam- Bithday
Joseph Alam\ Trudy Drucker
Joseph G Alam- Birthday
Trudy Drucker
Jim & Rosalie Traver
Mary & Patrick Tully
John G Alam
Adele B Alam
Jules H Drucker
Mora C Emin
Julie & John Alam -Anniversary
Joseph Alam\Trudy Drucker
Gil Berger's Mother-Speedy
Recovery
Len & Marisue Mayer
Jules H Drucker- Birthday
Joseph Alam\ Trudy Drucker
Dr Hugo Gregory
Charles E Swain Jr PhD
Robert Johnson PhD
Bernice Dinner
Joyce E Koehler
Joseph Alam!Trudy Drucker
Dr E R Libby
Dr Irwin Rothman
James & Janelle Mejia
Alex & Linda Mejia
William L Reeder - Birthday
Ruth & Floyd Gathwright
Amanda Slook - Birthday
Dennis & Kimberly Slook
Dr Bradley Thedinger
W L Tigerman
SPONSOR MEMBERS
JULY TO OCTOBER 1992
Alan J Arnold MD
M Craig Bell
Thomas W Buchholtz MD
Arthur Cellini
Clayton School Employees
Foundation
Robert R Cooper MD
Burdell S Faust
Ronald T Ferguson
Eldin L Fisher
Bonnie Foster/ Westone Labs
Wanted! Hearing-Aids
and/or Maskers
in any condition
Hugh & Carolyn Grogan
James C Hansberger
Alfred E Heller
Lorraine Hizami
Robert H Lawrence
Romulus Z Linney
Frank Long MD
William Don Lovell
John M McNamara
Aaron J Martin
Barjona J Meek
Phyllis E Meier
Joyce Miller
Earl R Moore
Joy Narcusen
Gerard P Niles
Jeff L Norris
Aaron Osherow
Mary Ann Perper
Nolan D Shipman MD
Dennis & Kimberly Slook
Raymond & Sylvia Smith
Richard H Smith
Helena Solodar
Ronald Spagnardi
Michael Steelman MD
Douglas H Steves
Francois Viallon
Gentry Yeatman MD
CORPORATE SPONSORS
Cochlear Corporation
PROFESSIONAL ASSOCIATES
JULY TO OCTOBER 1992
Nancy J Ahrens, BC-HIS
Harold Arlen, MD
Natan Bauman, EdD. MSCCC-A
Knox Brooks
Sidney N Busis, MD
R Melvin Butler, MD
Emmett E Campbell, MD
Stanley J Cannon, MD
George D Charles, DDS
J Edward Dempsey, MD
M Monica Dietsch
Timothy L Drake, NBC-HIS
Jack A Erwin, MD
Roger Fagan, MSCCC-A
Bruce A Feldman, MD
Louis T Gnecco, MSEE
Paula S Gnecco, MA
Eric N Hagberg, PhD
K D Haggerty
Claude P Hobeika, MD
Kenneth R Johnson, PhD
Valerie P Kriney, MA/CCC-A
Stefan P Kruszewski , MD
Alan B Me Daniel , MD
Gordon T MCMurry, MD
Stephen Martinez, MA
Patricia J Michaels
Vicki Miller, MS/CCC-A
Anton P Milo, MD
John T Murray, MD
Dorothy Muto-Coleman, MA
Alan Nissen, MD
Barry S Novek, BC-HIS
Philip A Rosenfeld, MD
Ira D Rothfeld, MD
Irwin Rothman, MD
Richard L Ruggles, MD
Frank A Skinner, BC-HIS
Robert W Sweetow, PhD
Glenn Ellen Thomas
Michael Tobin
Hollis Underwood
Frank J Weldele, PhD
Richard J Wiet, MD
Richard D Zujko, MD
If you have ever wondered what to do with those aids that are just sitting in the drawer, think no
further. ATA will be happy to receive them and you will receive a receipt for tax purposes. Some of the
aids can be refurbished and given to people who need them and are unable to afford them. Even if they
cannot be re-used as is, the parts are needed for repairing other aids. Also, the plastic can be recycled. Your
old aid could give someone the gift of hearing! Package the aids in a small box or padded mailing bag and
send them to: Hearing Aid Recycle Program- ATA- PO Box 5- Portland, OR 97207-0005.
If you are using UPS or another alternate shipper- our street address is 1618 SW First Avenue, Portland,
OR 97201, telephone (503) 248-9985.
18 Tinnitus Today I December 1992
4. Describes
Hyperacusls,
the problem of
super-sensitive
ears and how
those who have
it are affected.
Urges protection
from noise.
/Jrthi't Jttil! tlr
111f/ll'fNIII(/I 1111\'
Rlr"HARD HALLAM
LIVING WITH TINNITUS
1. Information
is given in the
form of
questions and
answers about
tinnitus.
Covers causes,
treatments,
and effects.
5. Supportive
and useful
information
for families
and friends
of people who
have tinnitus.
LEARNING
TO UVE WITH IT
LESLIE SHEPPARD
il1d
AUDREY HAWKRIDGE

TINNITUS LEARNING TO
LIVE WITH IT
2. Presents
coping tips
for reducing
stress. Lists
ways for self-
control of
tinnitus, and
how to seek
help.
3. Describes
how noise can
cause tinnitus
and how to
avoid it.
Presents levels
of permissible
noise exposure.

TIIE SELF-HELP
PROGRAM
John 'Thddey, D.D.S.

TMJ THE SELF-HELP PROGRAM
Dealing with the ringing How to recognize a TMJ
in your ears through better Suggestions and advice problem, relieve pain and restore
understanding and changing from authors who overcame health. When to seek profes-
beliefs. much of their misery. sional help.
SEE INSIDE BACK COVER FOR FULL PUBLICATION LIST AND ORDERING INFORMATION.
AMERICAN TINNITUS ASSOCIATION
P.O. BOX 5. PORTLAND. OR 97207
ADDRESS CORRECTION REQUESTED