September 1990 Volume 15, Number 3

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."
OLDER AMERICANS
AND TINNITUS:
A DEMOGRAPHIC
STUDY
NEW RESEARCH
FUNDED BY ATA
TINNITUS II
CONFERENCE
QUESTIONS AND
ANSWERS
HERBAL
MEDICATIONS , ARE
THEY SAFE AND
EFFECTIVE?
SELF, HELP GROUP
UPDATE
AMERICANS WITH
DISABILITIES ACT
OF 1990
FRIENDS OF THE
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tnnt
Editorial and advertising offices: American
Tinnitus Association, P.O. Box 5 Portland,
OR 97207 (503) 248-9985
Executive Director & Ed iror:
Gloria E. Reich, Ph.D.
National Chairman:
Robert M. Johnson, Ph.D.
Editorial Advisor:
Trudy Drucker, Ph.D.
Advertising sales:
AT A-AD, P. 0. Box 5, Portland, OR 97207
(800-634-8978)
Tinnitus Today is published quarterly in
March, June, September and December. It is
mailed to members of American Tinnitus
Association and a selected list of tinnitus
sufferers and professionals who rrear tinnitus.
Circulation is rotated to I 75,000 annually.
The Publisher reserves the right to reject or
edit any manuscript received for publication
and to reject any advertising deemed
unsuitable for Tinnitus Today. Acceptance of
advertising by Tinnitus Today does not
constitute endorsement of the advertiser, its
products or services. nor does Tinnitus Today
make any claims or guarantees as to the
accuracy or validity of the advertiser's offer.
The opinions expressed by Contributors to
Tinnitus Today are not necessarily those of
the Publisher, editors, staff. or advertisers.
American Tinnitus Association is a non-
profit human health and welfare agency
under 26 USC 501 (c)(3)
Copyright 1990 by American Tinnitus
Association. No part of this publication may
be reproduced, stored in a retrieval system, or
tramsmitted in any form, or by any means,
Without the prior written permission of the
Publisher.
ISSN: 0897-6368
The Journal of the American Tmnitus Association
Volume 15 Number 3 September 1990
Contents
4 Older Americans and Tinnitus: A Demographic Study
By Scott Campbell Brown, Ph.D.
5 New Research Projects Ftmded by AT A
6 Tinnitus ll Eastern Regional Conference
7 Questions and Answers
By Jack A. Vernon, Ph.D.
13 Herbal Are they Safe & Effective?
By Dr. Wolfe Segal
14 Group Update
16 Americans with Disabilities Act of 1990
17 Friends of the National Institute on Deafness and Other
Communication Disorders
By Geraldine Dietz Fox
Regular Features
12
17
18
19
19
Upcoming seminars
Classified Ads
Tributes, Sponsor Members
Books Available
Annual Donations
Cover painting "I Heard You" by Mary Josephson, Portland, OR.
Inquiries about]osephson's work may be directed to che Quartersaw
Gallery, 528 N. W. 12th Ave. ,Portland, OR 97209. Photographs on
page 6, by Gloria E. Reich.
3
4
180
Older Americans and Tmnitus:
a Demographic Study
by Scott Campbell Brown
Summary
The prevalence of reported tinnitus in the
United States population in the past has been
very large. The number of persons reporting
tinnitus is larger than those for cataracts,
coma, speech impairments, gout, ulcers, hernias,
anemias, epilepsy, kidney trouble, bladder
disorders, diseases of the prostate, rheumatic
fever, hardening of the arteries and emphysema.
Moreover, the numbers and percentages of
persons reporting tinnitus are increasing.
In order to increase understanding of the
interaction of demographic factors and tinnitus
among older Americans, this research seeks to
evaluate and reconcile the variety of estimates
measuring the prevalence of tinnitus among
older Americans, to discern demographic and
other characteristics of elderly persons with
tinnitus and to determine recent trends in
tinnitus prevalence among older people and the
causes thereof. The major sources of data for this
research are surveys conducted by the United
States Department of Health and Human
Services' National Center for Health Statistics.
Important findings are as follows:
When people are asked whether or not they
have tinnitus, they may misunderstand the
question. If this is factored into an estimate,
the population with severe tinnitus
constitutes a substantial population, at least
ten million people. This accounts for 4.5% of
the general population and 12.3% of persons
55 years of age and over.
When all variables are considered, the
prevalence of reported tinnitus is highly
associated with in the
labor force, hearing impairment, ear
discharge, and activity and functional
limitations, as well as a variety of poor health
measures, such as arthritis or rheumatism,
hardening of the arteries, hypertension and
varicose veins. Degree of hearing loss is very
important.
Even though the prevalence of tinnitus rises
with age, age is not more significant than
hearing and health status in predicting
tinnitus. Rather, the association of age with
tinnitus occurs, because both age and
tinnitus are related to hearing and health.
Gender and race do not appear to be
significantly related to tinnitus.
160

Even though the prevalence of tinnitus rises
with educational attainment, like age,
education is not more significant than
hearing and status in predicting tinnitus.
The association of education with tinnitus
also occurs because both education and
tinnitus are related to hearing and health.
! 140
e
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'"'
v
c:
<>
-;
>
100

A.
65 tO 74 75 and Over
Age Group in Years
Norr.heast Midwest South West
Estimated prevalence rate (per 1,000) of population 55 years of age
and over with reported tinnitus, by age group and region, United
States, 1984
Soorcc: National Ccnrer for Healrh S<>rlsrlcs. Narional Hcalrh lnrervocw Survey AglnR
Supplement, 1984
Even though there is a tendency for older
persons to leave the labor force, tinnitus may
force some to leave earlier than they
otherwise would have. This suggests that
there are economic implications of the
condition that, combined with the
prevalence figures, make tinnitus an
important issue for society to address.
The reported prevalence of severe tinnitus
may be a statistical artifact. Even so,
demographic changes may result in an
increase in the future, because the aging of
the American population could yield a rise
in hearing impainnents and other poor
health conditions, resulting in a rise in
tinnitus. Indeed, if steps are not taken to
reduce the risks of hearing
impairment and poor health, one would
expect that tinnitus will increase among
elderly Americans. However, the prevalence
of tinnitus does not have to increase in the
future, if the problems of hearing impairment
and poor health among older Americans are
prevented. To that end, prevention of noise
exposure is critical.
L20
100 ""
__________
80 z "''I

60

"*- 40 .,..,.,
>
J: 20

Under 25 2534 35-44 45-54 55-64 65-74 75 and
Year.. Yea"' Year.. Year.. Years Years Over
Age Group an
Esnmated pre"alcncc rate (per 1,000) ,,( tOt<ll population with
reported tannttus, by age jlmup. Unttcd State>, 1987
Untt"r f.:r Hnhh UhUc;". N.Uhlll"'al H....a1ch lmtn Su";ey. 1987
New Research Projects
Funded By ATA
Three new tinnitus research projects have
recently been funded by AT A. These plus the
four research projects already underway with
AT A funding will provide useful information in
several important areas.
Dr. Frank Marlowe and his associates at the
Medical College of Pennsylvania, will be
conducting a study of Hypnosis as an aid for
tinnitus patients.
Dr. John House and his associates at the
House Ear Institute in Los Angeles,
California, will be studying the drug
Misoprostol for the treatment of tinnitus.
Dr. Robert Sweetow and his associates at the
San Francisco Hearing & Speech Center
will be studying the interaction of earmold
acoustics, real ear resonances, and tinnitus
masker responses. The projects currently
underway are:
Dr. Douglas Morgan, Temporomandibular
Joint Foundation, La Crescenta, CA, The
relationship of tinnitus and TMJ.
Dr. Jack Vernon, Oregon Hearing Research
Center, Portland, Oregon, Electrical
Stimulation for the suppression of tinnitus.
Dr. Paul Guth, Tulane University Medical
School, New Orleans, Louisiana, The use of
the drug Furosemide for the relief of tinnitus.
Dr. Gary Jacobson, Henry Ford Hospital,
Detroit, Michigan, Neuromagnetically
recorded late auditory evoked cortical fields
in tinnitus and groups.
If you are a scientist affiliated with a
sity or Medical School and wish further
tion about AT A grant applications for tinnitus
research you may contact the national AT A
office at PO Box 5, Portland, OR 97207.
5
6
Tmnitus II Eastern Regional Conference
Promotion & Publicity Chairperson Susan
Seidel of the Tinnitus II Eastern Regional
Conference reports that June 9, 1990 marked a
beautiful day for the meeting at the Quality
Hotel Capitol Hill in Washington D.C. Nearly
200 "tinnitus experiencers" registered and were
enlightened by seminars on the following
tinnitus,related subjects: Hearing Aids and
Maskers, Support Groups, Nutrition, Use of the
Drug T rental, Tinnitus Research and
Electrostimulation, Auto,Suggestion and
BioFeedback, Drug Therapy, Cognitive Therapy,
Extremacoding, T.M.J. and Tinnitus, Meniere's
Disease and Perilymphatic Fistula, Stress Man,
agement, Hearing Aid Selection, and Noise and
Tinnitus.
The opening speaker for the Conference was
Maryland State Senate President Mike Miller.
He urged us to write to our Senators and Con,
gressmen to inform them of the need for funding
and support appropriations for the new National
Institute on Deafness and Other Communica,
tion Disorders.
Marcia Dugan, National Technicallnstruc,
tor for the Deaf, Rochester, was the able mod,
erator, and Dr. Enrique Mendez, the Assistant
Secretary of Defense for Health Affairs was the
luncheon keynote speaker. Dr. Gloria Reich,
Director of AT A, led the session on Support
Group Strategies and also offered both welcom,
ing and closing remarks for the conference.
Marcia Dugan, Moderawr, Susan Seidel, Baltimore
Self; Help leader and Marlene Greenebaum, AT A
supporter.
Information presented by people from all
over the Mid, West and East Coast provided the
opportunity to share insights about tinnitus. The
attendees were comprised of professionals as well
as lay people who experience tinnitus. Continu,
ing education credit from professional organiza,
tions was given.
Planning committee members from the
surrounding area worked hard to put together
this excellent program chaired by Eduardo
Gautier from the Fort Washington Tinnitus Self
Help Group. The committee has enjoyed work,
ing together to help with the first regional
conference in Philadelphia, this second confer,
ence in Washington D.C., and hopes to con,
tinue, with welcomed additional members, to
help plan the Tinnitus III Eastern Conference
in Atlantic City, New Jersey in 1992. Please
join us!
~
Ed Gautier, ChairmamandDr. Enrique Mendez,
Asst. Sec. of Defense for Health Affairs.
Beth Ross, Shirley Rosenhaft and others at one of the
lectures.
Questions and Answers
by]ackA. Vernon, Ph.D.
Question: "My greatest problem is in church
when the piano or organ is played with amplifiers.
I cannot stand it even with my hearing aids
turned off."
Mrs. E. B. Winfield, BC
Answer: Yours is a common complaint not
only for tinnitus patients but almost anyone with
hearing loss. The problem is known as
ment," which means that the growth of loudness
has been impaired so that it is greater than
normal. I would suggest that you remove your
hearing aids an.J insert ear plugs at those times in
church when amplified music is presented.
natively, you could remove your hearing aids and
simply plug your ears with your fingers. Either
way it is going to be a conspicuous procedure so
you might want to speak with your pastor first, to
explain your problem. A show of hands might
reveal that there are others who have the same
problem. The answer may be as simple as
ing the amplification level for the organ or piano.
Question: This is from a man who has noise
induced tinnitus resulting from attendance at a
concert. After that incident he wore plugs of
cotton as earplugs whenever he expected to be
exposed to loud sounds. All readers should be
infom1cd that stuffing cotton into your ears is not
an adequate earplug. Indeed, it is almost
less. On the other hand, foam earplugs are
tive sound blocken; which reduce sound level by
about 20 dB. Whenever wearing earplugs, one
should periodically reseat the plugs since talking
and chewing can break the sound seal. Our friend
goes on to say, "I am afraid to travel for fear of
worsening my tinnitus. If l wear earplugs will they
prevent the proper equalization of pressure within
my ears?"
Mr. F. S. Montreal, PQ
Answer: The sound level of commercial jet
aircraft is only about 71 or 72 dB once at
tude. T and landings are louder and to be
on the safe side I would recommend that you ny
earplugs for and landing. The ear plugs
will not prevent pressure equalization, although
they will slow the process. We recommend
earplugs for landing for those patients who have
trouble equalizing. For those of you who suffer
the discomfort of plugged ears after flying, we
recommend that you insert earplugs before the
beginning of the descent and leave them in until
you have been on the ground for about an hour.
Mr. F.S. also comments that he had undertaken
an extensive auto trip, after which his tinnitus
was worse despite using both ear plugs and ear
muffs. The sound attenuation of the combined
ear plugs and ear muffs is on the order of 25 to 30
dB, so it is highly unlikely that the traffic and car
noise exacerbated the tinnitus. On the other
hand, driving for long periods can be stressful
and fatiguing, either one of which can
bate tinnitus. Ear protection, while the correct
procedure for reducing traffic and car noise,
nevertheless may have contributed to an
creased level of stress over concern about the
ability to hear traffic signals and the like. During
that trip Mr. F.S. was also exposed to one brief
period of a dog's bark but it is doubtful if it was
sufficient to exacerbate the tinnitus. If the
increase in tinnitus was due to stress and/or
fatigue as 1 suspect, then the tinnitus will return
to its normal level in time.
Comment: Mr. F.S. is to be complimented
for using ear protection when he knew he would
be exposed to long periods of loud sound. Even
though normal traffic and car noise is not
sufficiently loud to cause hearing loss, it is
sufficiently loud, however, to exacerbate tinnitus
in some patients and thus should be mitigated.
7
8
Q & A (continued)
Question: ( 1) "I have been told by a Swedish
friend of some new operation or medical proce,
dure done in the doctor's office which brings
immediate relief or possibly cure for tinnitus.
The information was gleaned from Swedish
T.V." (2) "I have read in the N.Y.Times that
Sony Electronics has perfected a "Walkman"
device producing negative SOLmd that eliminates
the sounds (motor etc.) heard in planes or cars
which may also be applied to tinnitus." ( ?)
Mr. M. F. New York
Answer: To your first question I am tempted
to say that Swedish T.V. appears to be as bad as
ours. I know of no surgical or medical procedure
which cures or relieves tinnitus on an out,
patient basis. Could you get more information
for us? Fluid in the middle,ear space can cause
tinnitus and the removal of the fluid usually
relieves the tinnitus. However, the situation
described is such a special case that most likely it
is not what your friend heard about on T.V. It is
often the case that well intended friends misin,
terpret such things in the hope that they can be
helpfuL In such cases, however, we must not pass
up a chance to learn of new findings for it is true
that there are more people, by far, working on
tinnitus today than in any other time in
history. Thus, Mr. M.F., may I repeat
the request to you to find out more
about this report that your friend
heard.
As to your second question it is
true that the Bose Company has
produced an active noise cancellation
system. Their system samples incom,
ing sound and then reverses the phase
so that it can be used to cancel all
similar noise. In situations such as
private airplanes where the offending noise is a
constant, this procedure works very well; they
call it fighting noise with anti, noise. In addition
to Bose & Co., there are five or six other compa,
nies which produce anti,noise devices. Note that
these units depend upon the ability to detect and
record the offending noise which is then used to
cancel incoming noise by simple phase reversal.
Such a system cannot be used to cancel tinnitus
for the reason that so far no one has been able t:o
detect the tinnitus signaL There have been many
attempts to detect the tinnitus signal (if indeed it
is a signal) but without success.
Mr. F.'s questions are good because they
stimulate thinking in all of us which can lead to
significant advances, so all of you should be
alerted to question any and all aspects of tinnitus.
Question: "The Neural Computation
Project, the work of some forty neurobiologists,
computer engineers and psychologists at the
University of California, San Diego, seeks to
bridge the gap between the brain and mental
activity. Will tinnitus research benefit from work
done with connectionist models of the human
brain?"
Mr. D. Riverside, CA
Answer: Fortunately Mr. D. sent along a
report from the Neural Computation Project
(NCP), otherwise I would have been completely
in the dark since I knew not of this effort. I've
now read the report and thus may be able to
answer Mr. D's question and the simple answer
is, I think, yes. Let me explain without getting
into neurology too much: consider the proposi,
tion that in order for anything to be perceived
there must be a change of some sort somewhere
in the nervous system. We see or perceive a light
because a signal in the visual system is established
which is different from the on,going spontaneous
neural activity in that system. 0. K. so far? We
perceive tinnitus because there is a signal of some
sort in the auditory system which is different
from spontaneous auditory neural activity. The
emphasis here is upon the notion that a 'differ-
ence' of almost any sort can lead to a perception.
Still O.K? The NCP group is attempting to
discover the relationship between neural net-
works and specific identifiable behaviors. For
example, they have been working on the 14-cell
neural circuit which controls the grinding of
food by three teeth in the lobster's stomach. To
date, they have developed a computer network
capable of producing an output behavior which
is 70% identical to that of the lobster. So what,
you say? Well, I think that is pretty remarkable
when you consider how many possibilities a 14
item network system offers. Moreover, to under-
stand anything about any neural network is to
understand something about all such networks.
Granted the lobster's stomach is only a start and
it stands greatly in the shade when one remem-
bers that the human brain is not a 14-item
network but rather a trillion-item network! A
given signal passing through the brain probably
interacts wid1 a thousand or more interconnec-
tions and the possibilities are mind-boggling but
it is this which allows us to learn, to interpret, to
give shades of meaning, to invent, to imagine, to
produce, tO feel, to hear, to see, etc. But, back to
tinnitus. As I see it, tinnitus probably is a rela-
tively non-complex neural arrangement and
some day we will not only be able to measure
and identify it but we will be able to indicate to
the neuro-surgeon the precise brain location to
ablate in order to cure tinnitus. Mr. D. I thank
you for sending along the NCP report. And now
may I set a task for you? Get the NCP people
interested in tinnitus as represented by the
perception of a single tone.
"COPING WITH TINNITUS"
e STRESS MA.NI\GEMENT & TREATMENT
e TINNITUS MA.NI\GEMENT IS OfTEN
COMPLICATED HY ANXIETY AND STRESS
e NOW A UNIQUE CASSETTE 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 principles 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 musde
tension, lower blood pressure and slow heart and breath rates.
A
ASSOOATED
HEARJNG
CENTERS
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.
ALL ORDERS MUST 6t ACCOMPANitO 6Y
010CK. OR II"'STT1UTIONAL P.O.
6796 MARKeT ST., UPPI':R DARBY, PA 19082

9
IV I N T E A N A T I 0 N A L T I N N I T U S S E M I N A A
T I N N I T u s 91
ANNOUNCEMENT/CALL FOR CONTRIBUTIONS AUGUST 27-30, 1991, BORDEAUX, FRANCE
The IV INTERNATIONAL TINNITUS SEMINAR
will take place in Bordeaux, France, August 27-30, 1991.
The meeting will be the continuation of the three International Tinnitus Seminars
that were held in New York City in 1979 and 1983, and in Munster in 1987.
CONFERENCE TOPICS
I - Acoustic perception and Tinnitus. - II - Objective assessment of Tinnitus.
III-IV - Peripheral and central neurophysiological processes : The example of pain, Functional neuroanatomy and plasticity.
V - Experimental models. - VI - Pharmacological aspects. - VII - The effects of acoustic and electric stimulations.
VIII - Psychological aspects. - IX - Miscellaneous : prevention, patient management, alternative treatments.
SATELLITE SYMPOSIA
Separate symposia will be held during or after the congress.
Further information will be available at a future date.
LANGUAGES
The congress official languages will be both English and French.
CALL FOR PAPERS
There will be limited space in the programme for free paper presentations.
Scientists wishing to present a paper are invited to submit an abstract to the scientific secretariat.
Abstracts must not exceed 300 words. They must be typed with a double spacing lay-out.
The deadline for submitting abstracts is January 31, 1991.
SECOND CIRCULAR
In september 1990 a second circular package is scheduled to be sent.
It will contain :
- Registration and accomodation forms
- Information on registration fees
10
- Further detailed informatron
IV I N T E R N A T I 0 N A L T I N N I T U S S E M I N A R
HONORARY PRESIDENT PRESIDENTS GUEST OF HONOUR
Michel Portmann, Bordeaux Jean-Marie Aran, Bordeaux - Rene Dauman, Bordeaux Harald Feldmann, Munster
INTERNATIONAL TINNITUS ADVISORY BOARD
J.M. Aran, Ph,D., Bordeaux, France R.R.A. Coles, M.D., F.R.C.P., Nottingham, U.K. E. Douek, M.D., F.R.C.S., London, U.K.
H. Feldmann, M.D., Munster, F.R.G. J.W.P. Hazell, F.R.C.S . London, U.K. J.W. M.D., Los Angeles, U.S.A.
M. Kltahara, M.D .. Seta, Japan. J.L. Pulec, M.D., Los Angeles, U.S.A. M.L. Roms, M.D., Philadelphia, U.S.A.
A. Shulman, M.D. , Brooklyn, U.S.A. - J.J. Shea, M.D., Memphis, U.S.A. J. Vernon, Ph.D., Portland, U.S.A.
SCIENTIFIC PROGRAMME COMMITTEE
A. Antonelli, M.D., Brescia, Italy A. Axelsson, M.D., Goteborg, Sweden- W.P.R. Gibson, M.D., Sydney, Australia
D.T. Kemp, Ph.D., London, U.K. - J.M. Miller, Ph.D., Ann Arbor, U.S.A. A.A. Moller, Ph.D., Pittsburgh, U.S.A.
G. Smoorenburg, Ph.D., Utrecht, Netherlands .H. Spoendlin, M.D., lnnsbruck. Austria P .. Tran Ba Huy, Paris, France
R.S. Tyler, Ph.D. , Iowa City, U.S.A. - A. Uziel, M.D., Ph.D., Montpellier, France E. Zwicker, Ph.D., Munchen, F.R.G.
ORGANISING COMMITTEE
Chairmen : Jean-Marie Aran, Ph.D., INSEAM U. 229, Bordeaux, France Rene Dauman, M.D., Audiology Department, Bordeaux, France
Members: Jean-Pierre Bebear, M.D., Pr., ENT Department, Bordeaux, France
Philippe Dabadie, M.D., Pr., Vice President of University of Bordeaux II, Bordeaux, France
Alain Heriaud, Director Pellegrin Hospital, Bordeaux, France Louis Traissac, M.D., Pr. , ENT Department, Bordeaux, France
SCIENTIFIC SECRETARIAT
Jean-Marie Aran. Unite I.N.S.E.R.M. 229, Audiologie Experimentale, Hopital Pellegrin, place Amelie Raba-Leon, 33076 Bordeaux Cedex, France
Tel. (33) 56 24 20 47, Fax (33) 56 96 29 84. Bitnet : AUDIEXP at FRBDX11
--------------------------------------------------
T I N N I T U S 91
0 Please send me the Second Circular =: I intend to participate in the meeting C I wish to present a paper
Last name: __________________________________ __
First name:-------------------
Address: ______________________________________________________________________________ __
Zip code:---------------- City: _____________________ Country : __________ _
Telephone : ------------ Fax : Email : --------------------
<with country code)
PLEASE, SEND BACK THIS COUPON ' .; .:; ..
T I N N I T U S 91
IV INTERNATIONAL TINNITUS SEMINAR
Unite I.N.S.E.R.M. 229 - Audiologie Experimentale
Hopital Pellegrin - Place Amelie Raba-Leon
33076 BORDEAUX CEDEX (FRANCE)
11
If You Suffer From Tinnitus,
You Need To Hear This.
Feel theocean' sspray ... go barefoot
by a swift mountain stream ... or take
awalkinthesummerrain.
Are You One Of The
Estimated 36 Million People
Su.fferin From Tinnitus.
The soothing, natural sounds of
the Marsona 1200 can substitute
for the frustrating, ringing sounds
caused by tinnitus. The frequency
and intensity of the simulated sound
of rain, surf and waterfalls match
the tones heard by many tinnitus
suffers. This masking device has
proven extremely effective in
assisting patients in adapting to
their tinnitus. Even though
it' s not possible to predict
whether or not Marsona is
appropriateforyou, the
probability of successful
masking is well worth taking
advantage of our 30 day money back
guarantee.
Because it weighs less than three
pounds, you can conveniently take
the Marsona UOO with you on trips.
Accomodating 110 volt the Marsona
consumes less power than a small
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These satisfied customers
offered their comments
on the Marsona UOO
sound conditioner:
"Purchased to mask noise of tinnitus.
It really helps!
D.S., San Anselmo, CA
Excellent for masking tinnitus
noises.
J .1., Lynn, MA
"Myhusbandhas tinnitus. Our
doctor recommended this and it has
helped him tremendously.
P. A. Van Wert, OH
Fantastic- Best sleep in years-got rid
ofheadnches from lilck of sleep."
M.B., N. Hollywood, CA
What is tinnitus? It's a subjective
experience of hearing a sound, ring,
or a noise when no such external
physical sound is present. Some call
it "head noises, "ringing", or other
similar things. The Oregon Health
Science University.
Herbal Medications , Are They Safe & Effective?
by Dr. Wolfe Segal, Honorary Fellow in
Biochemistry ac che University of Western Austmlia.
Reprinted with che kind permission of the Western
Australia Tinnitus News
Despite remarkable achievements in medical
science, improved diagnostic methods and
ment of disease by manufactured pharmaceutical
agents, there are people who have more faith in
alternative medicine based on naturopathy,
homeopathy and herbal medication.
They believe that in this way they will be
spared the side-effects of "chemicals" and they
justify their attitudes by referring to the tragic
effects of thalidomide during the 1950's.
People using herbal medicines assume that
such agents must be safe because they are "natu-
ral" and are not regarded as made up of chemical
substances. There are many problems with herbal
medicines:
they are not based on clinical trials to
establish safety and effectiveness.
their use is based on anecdotal evidence (e.g.
folk lore) of effectiveness.
they are crude preparations of roots, bark or
leaves etc. of unknown composition.
they are not subject to quality control and
may contain pathogenic organisms.
some imported herbal medications have
been found to contain dangerous variable
amounts of potent pharmaceuticals and
contaminants.
serious side-effects have been reported.
These include: contact dermatitis, tinnitus,
vomiting, delirium, miscarriage, blurred
vision, vasodilation, abdominal cramping,
asphyxia, cardiac arrhythmia, palpitations,
insomnia, urine retention, respiratory
paralysis, leukemia, alopecia, gonadal
atrophy and neurological disorders.
On the other hand, it should be recognized
that the plant kingdom has made a valuable
contribution to pharmacological science. Some
plant extracts, when fractionated, have provided
pure substances possessing valuable pharmacologi-
cal properties. These include: digitalis, quinine,
reserpine, ephedrine, opium alkaloids (morphine,
codeine), curare alkaloids, vinca alkaloids, and
many, many more. No doubt there are very many
more awaiting discovery in tropical rainfall forests
and plants in general that have not even been
classified. Unfortunately, these forests are for
various reasons, diminishing very rapidly and
have become lost to medical science.
Understanding and
Treating Tmnitus:
Seminar Series
AT A is presenting a series of professional
seminars to provide useful information about tin-
nitus to those having professional and clinical
terest in its cause and treatment. These seminars
present a basic core of knowledge permitting the
hearing health professional to construct or
mend an effective patient management program
which best meets the needs of those served.
The seminars are being held at various
locations. The next scheduled seminar will be in
Chicago, Illinois on October 13, 1990. The
seminar will be held at the Midland Hotel, 172
West Adams at LaSalle, Chicago, IL 60603. A
block of rooms is being held for AT A at a special
rate of$89.00 which includes a buffet breakfast
and complimentary cocktail hour for registered
overnight guests. Rooms must be reserved by
October 1, 1990. Reservations: (312)
or (800) 621-2360 (outside Illinois) FAX
(312) 332-5909
Continuing education credit from ASHA,
NHAS, and state examining boards is available.
Each seminar lasts a day and a half. Tuition is
$150.00 and includes an extensive syllabus.
Please return registration with check payable
toATA, P. 0. Box 5, Portland, OR 97207. (503)
248-9985. Write or call for further information. 13
14
Self ... help Group Update
As support groups for numerous causes
continue to gain popularity, ATA would like to
recognize a few of our groups by reporting on
some of their current activities. groups
are affiliated with AT A but are locally
mous. The leaders, as well as the participants, of
each of our groups are greatly appreciated, and
we would like to encourage all of you to become
involved with a group near you. For a complete
list of the groups nearest you, send a
dressed stamped envelope to the national AT A
office and indicate your request.
Groups welcome newcomers. Membership in
ATA is and people are strongly
advised to have had a complete otologic and
audio logic evaluation before participating in
help for their titmitus. We are arD<ious to
courage the fonnation of new groups, so if you
live in an area without a current group, we are
happy to provide information and suggestions on
how to starr. Support groups offer an opportunity
to share experiences and information, and are a
great way to become involved locally!
Bergen County (NJ) Tinnitus Selfhelp Group
Contact: Trudy Drucker (201) This
group has been active since 1982, with Trudy
forming one of the first tinnitus support groups.
Currently, the group meets regularly, and most
often invites guest speakers on topics of interest
to the group. In February representatives of the
law firm Gelman. and Gelman addressed issues of
legal rights concerning noise, hearing and
tinnitus. Worker's compensation,
related liability cases and the problems of passing
and enforcing legislation were
cussed. In May, about 55 people listened as Dr.
William Cantor addressed the group, exploring
the medical side of titmitus and the funcrionit1g
of the ear. An audiologist was also present to
discuss hearing loss and its relation to tinnitus.
Staten Island Tinnitus Group & Manhattan
Tinnitus Group Contact: Robert Luthmann
(718) Staten Island group meetings
are announced through the group's mailing list.
Manhattan group meets the first Wednesday of
each month. Look for a new name soon: The
New York City Tinnitus Society. Robert
Luthmann says: "The enemy is not the tinnitus,
but rather our perception of the tinnitus and our
attitude about it."
Pittsburgh Tinnitus Group Contact: Alison
Weber (412) This is a recently formed
group, and Alison reports much interest in the
area. Meetings will be the second Tuesday of
every other month: June, August, October, etc.
Topics of interest to the group will be featured at
meetings.
Delaware Valley Tinnitus Association at Elwyn
Contact: Gail Perlman, Elwyn Institute,
(215) DVTA is organized to "provide
volunteer support services to tinnitus sufferers
and their families." Their goals are to provide
support, offer referral to appropriate hearing
professionals, educate professionals and the
public, and collaborate with area health
tions on approaches to treatment and research.
President Walter Bejuki and two board members
attended the Senate Appropriations Committee
Hearing in Washington in March, and several
group members attended the Eastern Regional
Conference in ] une. Both general meetings and
monthly group meetings are offered,
and the association produces an informative
publication of their own, "Soundings."
Fort Washington (MD) Tinnitus Group
Contact: Ed Gautier (301) 248-7694. We want
to express an extra thanks to this group for all of
their work in putting together the Tinnitus II
Eastern Regional Conference in June. After a
much deserved summer break, monthly meetings
will resume in the fall. Various members of this
group have volunteered to represent AT A at
meetings around the OC area,
and many have been kind enough to extend
their hospitality when AT A staff from out of
town arrive.
Washington (DC) Metropolitan Area Tinnitus
SeLfhelp Group Contact: Shirley Rosenhaft
(301) 942-2775 or Beth Ross (301) 229- 3172.
This group was also quite involved with both the
Conference and the Senate Hearing, and we
appreciate their time and support. Monthly
meetings sometimes include a guest speaker. In
recognizing the impact tinnitus can have on
others, the group held a spouse/friend meeting in
May to provide an opportunity to share feelings
and frustrations with those in a similar situation.
The group has also put together a tape library for
irs members, so that people unable to attend may
listen to sessions. The library also includes tapes
of environmental sounds that group members
may borrow.
Baltimore Tinnitus GroupContact: Susan
Seidel, Greater Baltimore Med Center
(301) 828-214 2. Another of our oldest and most
active groups, the Baltimore group meets the 3rd
Thursday of the month. Susan is a "tinnitus
experiencer" as well as an audiologist and there-
fore deals with tinnitus both personally and
professionally. Inviting professionals to speak at
meetings alternates with round table discussions,
which often focus on relating the tinnitus to
something positive and positive visualization. In
addition, a telephone networking system has
been formed among members of the group to
help each other cope.
Broward County (FL) GroupContact:
Glenna Ehret (305) 792-0748. Glenna started
this group to help herself cope with tinnitus, and
in doing so has shared hints on coping with her
group. The group exists to ''help each other help
ourselves." Meetings are the third Saturday of
each month.
Tampa Bay Tinnitus Self-help Group Contact:
Vic Giovann (813) 397-4697. Group meets
regularly on the last Thursday of the month, and
hopes to find a meeting spot that will allow them
to include the city ofT ampa as well. Through a
research project, relaxation tapes have been
made available to their group that members are
able to try if they are willing to participate in the
project.
St. Louis Tinnitus GroupContact: Charles
Abegg (314) 428-8171. Group meets the third
Tuesday of month at the St. Louis Hearing and
Speech Center. Meetings are often "rap" sessions,
allowing members to discuss issues related to
tinnitus.
Phoenix Support Group Contact: Virginia
Fitzgerald (602) 861-3975. This group will
resume meetings in October with an active
schedule of speakers. In the past they have in-
vited an MD, a pharmacist, and a representative
from the Biofeedback Society of America and
also the Arizona Council of the Hearing Impaired
to speak on their roles in the community.
Tucson Area Support Group Contact: Charles
Fleming (602) 750-1457. This group, with about
15 to 20 regular participants, will resume monthly
meetings in October. Discussions of current
litemture keep the group busy when guest speak-
ers have not been scheduled.
Los Angeles Support GroupContact: Marcia
Harris (213) 828-6670 or Nelly Nigro
(213) 474-9689. Monthly meetings either
include professionals who talk on issues related to
tinnitus or are "rap" sessions among members.
Also, an active telephone network is maintained
in the LA area.
Portland Support Groups Contact: Betty
Mathis (503) 659; 1618 or Phil Morton
(503) 244-0706. Our two coordinators in this
area alternate hosting meetings. The national
office wants to thank members of these groups, as
they are close by and have donated many hours
to helping us.
15
16
Americans with Disabilities Act of 1990
This act has been called the "Emancipation
Proclamation for those with disabilities" by its
sponsors because it eventually will affect all
private employers with 15 or more workers and
all places of public accommodations and services.
The portion of the act which may affect
those of us who are hearing impaired is Title IV
-Telecommunications.
This section amends T itle II of the Commu-
nications Act of 1934 to require that within
three years after ADA's enactment, telephone
companies must provide "telecommunications
relay services" throughout their service areas.
Such services enable hearing; impaired and
speech; impaired individuals to communicate
with hearing individuals through the use of
Telecommunications Devices for the Deaf
(T OO) or other non;voice tenninal messages
between TOO users and non-users.
The Federal Communications Commission is
charged with adopting regulations to implement
this section within one year after enactment. In
addition to establishing requirements, guidelines,
and minimum standards, the regulations are to
require that relay services operate 24 hours a day,
seven days a week, that operators maintain the
American Tinnitus Association
is a participant in the
Combined Federal Campaign
#0514 in the CFC Brochure
Thank You For Helping
To Fight Tinnitus
confidentiality of messages, and that users pay
rates no greater than those paid for functionally
equivalent voice communication services.
Title IV also requires that television public
service announcements produced or funded in
whole or in pan with federal money include
closed captioning.
Ed. note: Previous legislation has mandated
that new telephones be hearing aid compatible
- that is, able to be used with people who have
a "T" switch on their hearing aids. It will be up
to us, the consumers, to be sure that these laws
are implemented and enforced. Be sure to let
your congressmen and senators know that you
expect them to see that these services are actu-
ally provided. (For example- have any of you
had experience with cellular telephones? Are
an.y of them hearing-aid compatible?)
A positive example of improved communi-
cations can be found at the Baltimore Interna-
tional Airport where there is a Paging Monitor
where you can read your messages and which
also lists the locations of TOO and amplified
phones. Further information about using the
BWI system may be obtained by calling BWI
Communication Center at (301) 859-7227.
Bibliography Service
AT A's Tinnitus Bibliography service may be
useJ in two major ways:
1) Purchase of the complete bibliography (a list
of approximately 1800 writings relating to tinnitus,
including author, where published and date of
publication) at a price of $30 to AT A members, or
$55 to non-members.
2) Specific topic list. You may request a subject
search list (if you want only one or two specific
topics) at a charge of$5.00 per topic.
Hard copies of arricles may be selected and
ordered from these I ists. Our charge for copying the
articles is $0.1 0 per page, plus postage and handling.
TI1e bibliography update for 1990 is underway
and will be available in the fall. Those people
requiring updates may write for infonnation. (Atten-
tion: Patricia Daggett)
Friends of the National Institute on Deafness and
Other Communication Disorders
by Geraldine Dietz Fox, Executive Director
Friends of the National Institute on Deafness
and Other Communication Disorders (Friends of
NIOCD) was established in 1989 to support
expanded development of research and training
for the newly created NIDCD which became the
13th Institute under the National Institute of
Health on October 28, 1988.
The "Friends" group provides public
tion about deafness and communication disor-
ders issues before Congress and promotes ex-
change of information among communication
disorders groups. Contact groups include: com-
munication disorders professionals, physicians,
parents, schools for the
educators, the elderly, communication disorders
organizations, volunteers, communicatively
impaired individuals, and the hearing industry.
By involving all segments of the communication
disorders field, the Friends ofNIOCD hopes to
focus national attention on disorders of hearing,
balance, speech, language, voice, taste, smell and
touch. These combined disorders afflict 33
million Americans and cost our government an
estimated $30 billion a year when measured in
tenns ofloss in productivity, health care, and
added costs of special education.
In 1989 the Friends ofNIDCD successfully
lobbied Congress for a 24.2% increase in funding
for the FY'90 allocations over the FY'89 appro-
priations (FY'89 funding level, $94.7 million;
FY'90 funding level $117.6 million-after
Gramm Rudman cuts). This amount represented
the largest AIDS percentage of increase of
all the Institutes of Health (average percentage
of increase for NIH was 5.3%)
Each year, Geraldine Dietz Fox, Executive
Director of Friends ofNIDCD,coordinates
efforts among communication disorder
sionals and groups to secure increased allocations
for the institute.
Members of the American Tinnitus
tion can help hy writing letters to their Senators
and Congressmen and voicing their support for
increased funding for the NIOCD. Many of you
in key states or Congressional Districts will
receive letters and information about writing or
visiting your legislators. We cannot emphasize
enough the importance of your involvement-
Congressional leaders really DO listen to their
constituents and vote in accordance with their
states' and districts' wishes.
For a free Newsletter or more information on
how you can help increase national focus on
hearing and communication disorders, write or
call: Friends ofNIDCD, 225 Haverford Avenue,
Suite #l, Narberth, PA 19072 (215) 664-3135
(Voice or TOO)
Classified
Free Book
"Psychology of the Hearing Impaired" by
Max S. Chartrand, M.A., is a must reading for
those who have a hearing loss or who live with
someone who does. This dynamic,
ward book sheds a bright light on our nation's
most misunderstood health problem. To re-
quest, write:
UnimaxTM Hearing Instruments, Inc.,
P. 0. Box 1499, Gainesville, TX 76240.
New Tmnitus Sufferers Catalog
Featuring select, high-quality products to
help you better cope and live with your tinnitus.
Send your name, address and $1 (refundable on
your first order) to the address below, you '11
receive a sample pair of quality soft foam
plugs along with your catalog. AU products in
our catalog are backed by a
Back Guarantee and a portion of all profits are
donated to the AT A! Send today!:
Products
Roosevelt
Post Office Box 58
Allen Park, MI 48101
17
18
Tributes
The AT A tribute fund is designated 100% for
research. Thank you to all those people listed
below for sharing memorable occasions in this
ln Memory of
Brillstein-Beloved Dad
jean & joe Wolfson
Mabel Brown
Mome & Walter Tamagni
Jeannette Chaikin
joseph S. Gould
Viella G. Crites
Ruth Crites
Joseph Leon Cymek
Howard C. Posner
Benjamin Davis
M(M joseph Wolfson
James Doremus
Nina Doremus
Fred A. Frank
M,.. Fred A. Fr.mk
Jack Gilford-Beloved Friend
The Wolfson Kids
Jack Gilford-Dear Friend
jean & Joe Wolfson
Anna Glassner
Mr. Sanford S. Glassner
William H. Hahn, Sr.
John C. Hahn
Raymond Higdon
A. F. Percival
Herbert Jenkins
Elsie Jenkins
Richard P. Kuney
Esther M. Kuney
Martie Lamkin
William H. Lamkin
Sr. Rosaline Lenart
Dolores E. Kreuzwieser
Leonard Levitt
Karen Levitt
Theresa Massaro
joseph Massaro
Steve Muth
Mrs. Irene Ochmanek
Dotty, AI, Fred Nash
Kay Zweig
Betsy Orne
Jeannine T. Reid
Jack Reich
Mrs. Florence Reich
Grover C. Richards
joseph D. Richards
Robert Schambeck
Laura Wells
Alfred M. Selsky
Ro:;alind Selsky
Alma Sennewald
Edward V. Cerulli
Nestor Specht
Gertrude Sattler
Agnes V. Steffen
William C. Steffen
Kenneth D. Strand
John & Faye Schleter
Edgar Tunsch
Augusta T unsch
Harvey Wilson
Lisa Wilson
Enie Wolin
Lola Kohn
Eleanor Wolquin
j ean & joe
In Honor of
Bea Atkins, Recovery
Jean & Joe Wolfson
M/M S. Ballmer,
Eric & Evelyn Langer
Martin & Miriam Berliner
David C. Berliner
Frances Blanquer, Retirement
joseph Alam(frudy Drucker
Mrs. M. Blumenfeld, Birthday
jean & Joe Wolfson
William L. Cantor, M.D.
Bergen County Tinnttus Group
Birth of Gilbert Bonilla-Casel
j oseph A lam/Trudy Drucker
Evelyn P. Downs, 80th Birthday
Marshall & Priscilla Payne
Jules H. Drucker, Birthday
joseph A lam/Trudy Drucker
Dr. Meyer Eggnatz, "Hall of Fame"
jean &Joe Wolfson
Emin-Birth of Joelle Gr.mt
Joseph A lam/Trudy Drucker
John R. Emmett, M.D.
Bill Srrayhom
Eleanor L. Evey
Eldred Evey
Robert Finzel
Frank Proctor
Mrs. Fred Fredericks, Sister
Jean & Joe Wolfson
Ms. Terry Galloway
Bruce D. Wein.<tein
Dr. and Mrs. Richard A. Gardner
joseph Alam(f nody Drucker
Mara Gomez & Bjorn Kaufmann
Dr. Bjorn Kaufmann Jenzen
M/M Granoff, Son Jeff's Engagement
Jean & Joe Wolfson
Miriam Green, "Helping Suelten"
Jean &joe Wolfson
Jack R. Harary, Father's Day
Dan Harary
Jack R. Harary, Father's Day
Michael & Cindy Harary
helpful way. Contributions are tax deductible
and are promptly acknowledged with an appro-
priate card. The gift amount is never disclosed.
Mrs. Ethel Harchick
judy Charney
Elias Herschmann, Daughter's
Marriage
Jean & )e>e Wolf.<on
Jack Hillman, New Job
Jean & Joe w,,lfson
Robert M. Johnson, Ph.D.
Neol D. Johnson
Edward Khouri, Good Luck
)can & joe Wolfson
David & Danny Kipperman
Janoce Ko ppennan
Edward Kom, Success in New Job
Aunt Jean & Uncle Joe Wolfson
Dorothy Leibowitz, Speedy Recovery
Jeatt & )<X" Wolfsott
Lindley, Marriage of Elaine & David
Joseph A lam/Trudy Drucker
Rira Londoner, Sao's Marriage
Jean & )lw Wolf>On
Helen M. Longfellow
Mrs. A. D. Windsor
Luthmann, Marriage of Anne and
Bob
Jo:-cph Al:un!frudy Drucker
M,.,. E. J. McCracken, Birthday
Florence & Jim Kavanagh
Adrian C. Oleson
Krisnn Skogroo
Mrs. Lily Owens, New Grandchild
jean & joe Wolf soil
Mrs. David Rosenzweig, Good Health
jean & Joe Wolfson
Dr. Nathan Schecter
Munel L<>utse Gohi<.>n
Te.sie Sheingorn, 75th Birthday
Sandy Rochard
Norma Sherer, Good Health
Anne Grodsky
Marlene Smith, Son's Tennis
Winnings
jean & Joe Wolf,.-,n
Robert Wctherall, Father's Day
Ruth W. Wethcrall
Marjorie Youngen, B-day/
Anniversary
Rochard Ynungcn
AT A Sponsor Members May
to August 1990
Roger Andcron
Alan]. Arnold
Sam & Ruth Banks
Bellcro Construction lnc.
Henry W. Bloch
Mario Bonello
Marvin R. Bowlby
Jack & Irene Brier
L>rraine Broder
Donald Bruce
Kenneth P. Brundage
Mary Lou & joe Carey
Guy & Flo Carr
Katharine Crampton
Joseph Czebiniak
Stephen Dantzig
Dwight Deshong
Irwin G. Freydberg
Francine Foster
Ken P. Gelinas
Larry L. Gentry
Dr. Robert F. Gome:
{)(>nald Haake
Paul R. Haas
William R. Hale
Richard R. Harlow
James R. Hartel
Max Horn
June lvios
Harry G. Keiper
Norman C. Kinsey
David J. Kovacic
Robert Lando
Mrs. Allan M. Loeb
Virginia Lobsinger
E. D. & Irene Marchant
Joy R. Marcusen
Ed Needham
Aaron I. Osherow
Benjamin Ossman
DowV. PetTy
Sue Query
Florence S. Reich
Ludic G. Richard
Jan Richter
Daniel Ross
Gary Singer
Orloff W. Sryve
Scott Turner
Delmer Weisz
Frank A. West
Muriel Wheeler
Phillip A. Wienczewski DDS
Martha Wolfgang
Larry W. York
Adrienne Young
Thomas W. Winstead
Fred ]. Visscher
AT A Professional
Associates May to August
1990
Emmett 1l. Campbell, M.D.
Bruce M.A.
Linwood W. Custalow, M.D.
Gregory Frazer, Pb.O.
Valerie Pinto Kriney, M.A.
Robert J. Luthmann, R.H./Ph.D.
reputation
Two names you know you can trust.
ACTIVAIR. 0 DURACEII.
AMERICAN TINNITUS ASSOCIATION
P.O. BOX 5, PORTLAND, OR 97207
ADDRESS CORRECTION REQUESTED
Sound Leadership 1M
NON-PROFIT ORG.
U.S. POSTAGE
PA l D
American Tinnitus
Association