Hello, I have only posted once in these types of forums before, and that was when I first got T back in 2009. Well, a speaker went off pretty loud near my head just recently and has increased my T. It has been increased for the past 5 weeks. I am despairing that my T, which I worked so hard to maintain (avoided many social events), is now so much worse; whereas my previous T could be easily masked (did I habituate??) this one is more difficult. I think there is just one new sound ... Anyways, I'm sure I will get over the T ... keeping my fingers crossed that it will die down or I will habituate soon. The bigger problem is something I am hesitant to call T. When I listen to white noise, I hear a clinking sound. When I turn off the white noise, the clinking goes away, immediately. This also happens in my car when the AC is going, or when I'm running the fan or driving the car. It is just barely there; I initially wasn't sure if the sound was coming from the AC or from my ear/head. Thankfully, I had learned to deal with my previous T to the point I could sleep without sound; most days recently I have been able to sleep in silence without the clinking sound with my new louder T. I have been reading some of the posts here, and I saw someone mention otoacoustic emissions. Not sure if this is what you would call an "evoked" otoacoustic emission, since it only makes itself know in the presence of white noise. And it doesn't matter how loud the white noise is, I can hear it. When the white noise goes away, the clinking also goes away. Someone named Karl posted about this yesterday, I believe. Also, I still feel pain in my right ear from the loud speaker sound. A day's worth of sounds seems to bring some pain (barely, and just for a second or two at a time, usually). Also, I tried listening to a fan last night for the entire night and my ear ended up hurting. Any advice on this front would also be appreciated. I have one prescription on my side, Pentoxifylline. Any suggested modifications? I saw one guy write about Pentox + piracetam + other stuff. Anyways, I am going to the ENT on Friday. Any advice on what I should say to him/ask him? Encouraging words are also welcome. I am most set on taking care of the clinking noise, since it does not seem like T .... Thanks in advance for any help you can offer.