I've been dealing with this for about 15 years now; at first it was episodes apparently brought on by medication. Now it's constant, and has gotten much worse in the last 5-6 months. I was ok with it at a low level, but this has reached crazy - I can't ignore it, I can't listen to something else without it intruding. I've tried ginko, my diet is pretty good in general, I've tried masking (which does seem to help me at least fall asleep), and I've read up on it enough to know that nobody quiet knows what to do about it. So, I look forward to reading through these forums to see what I can learn - and hope that somebody eventually figures "it" out. Do you in general recommend a consult with an audiologist? Is ear wax really a cause?? Does it wax and wane (all puns intended)? Any general tips for managing this amazingly annoying condition? Thanks!