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  1. Dr. Nagler

    Dr. Charlie — ENT Specialist With Tinnitus

    @amandine, we all understand your frustration and your pain; indeed, that's why we're here! But with all due respect, you are making a lot of statements and assumptions in your above post that are simply inaccurate. I am not going to list them one-by-one, but I have a suggestion for you. In...
  2. Dr. Nagler

    Dr. Charlie — ENT Specialist With Tinnitus

    Very well said. Friends, the best @Dr. Charlie, @Dr. Hubbard, I or any other clinician can do on this board is give readers some general principles. What we post should be considered more along the line of "food for thought" than some sort of directive. Indeed, even among ourselves we will...
  3. Dr. Nagler

    Dr. Charlie — ENT Specialist With Tinnitus

    I am incredibly pleased to see a Board-Certified ENT on this board. @Dr. Charlie represents a tremendous resource. And he certainly knows tons more about ENT than I do. But in this one particular limited case @Dr. Charlie is making some incorrect statements regarding a subject that I happen...
  4. Dr. Nagler

    Dr. Charlie — ENT Specialist With Tinnitus

    Improvement in TRT is seen as early as three months. Many patients are done in six months. TRT can take up to 12-18 months to be maximally effective. I have never heard of the term "new intruding sound" or "NIS." Indeed, the sound therapy in TRT is designed specifically so that it does not...
  5. Dr. Nagler

    Dr. Charlie — ENT Specialist With Tinnitus

    Would hyperacusis still be uncomfortable without fear? Absolutely. To be sure, fear can be a consequence of severe hyperacusis, but there are many hyperacusics who leave loud rooms because of discomfort, not because of fear. Regarding semantics. While I respect your opinion to the contrary...
  6. Dr. Nagler

    Dr. Charlie — ENT Specialist With Tinnitus

    I agree that hyperacusis does not make our ears more vulnerable to injury from loud sound, but I thought hyperacusis was discomfort due to loud sounds. Phonophobia is a fear of loud sounds. Perhaps Dr. Smithdeal understands it differently. I'll defer to him. stephen nagler
  7. Dr. Nagler

    Dr. Charlie — ENT Specialist With Tinnitus

    That's the point I was hoping you'd make. It seems to me that - in general - tinnitus sufferers would be far better off focusing on the achievement of meaningful lasting through habituation relief rather than purely on the mitigation of their tinnitus. stephen nagler
  8. Dr. Nagler

    Dr. Charlie — ENT Specialist With Tinnitus

    I appreciate your interesting postings, Dr. Smithdeal. It is great to have the input of a Board Certified ENT. I have a question about the passage I just quoted above. Since tinnitus is a subjective entity, the only volume that really matters is the loudness as you hear it, your tinnitus...