Lenire — Bimodal Stimulation Treatment by Neuromod

I just became a Super Patreon of the Tinnitus Talk Podcast. I hope Tinnitus Talk is going to achieve even more in the future!

 

It has to be personalized and targeted to each individual... One size cannot fit all. That’s why trained smart audiologists are crucial... Self-evident, to me at least.

 

It will also be interesting to know whether the audiologist does matter. On the flip side there is also the possibility that the framework provided for the programming of the device by third party audiologists is very strict to ensure consistency.

I am genuinely interested as well as to how much of this is just trial and error and how much is targeted for specific sub types.

 

We should know how many stimulation programs there are available for Lenire, in order to understand after how many failed attempts is someone deemed a non-responder.

 

As I previously said this is really good news. German reputation when it comes to medicine and therapies is a solid one. That is also going to help Neuromod to dispatch appointments more fluently. Anyway, I think there's a consensus on whether in a worst case scenario of Lenire working for just, let's say, 30% of the patients, it's still worth the shot to see if one belongs to that lucky club. Just my opinion.

 

I know people are in a more conciliatory mode but I take all this as another sign they should have done TENT-A3 and that early adopters are de-facto TENT-A3.

 

Thank you! I'll become a Patreon Benefactor before the weekend is out, today if I have the time.

 

Found the time, done.

 

The document posted to their website for TENT-A2 shows the different stimulation settings they used for that trial.

https://www.neuromoddevices.com/content/1-company/2-clinical-advancement/phase-ii-protocol.pdf

I find it interesting that none of their settings appear to follow the Dr. Shore's published data on effective timings. (Not saying their settings are ineffective but seems interesting.)

 

@Hazel, thank you for reminding everyone to become a Patreon if they can.

A small $2-5 per month times so many of us can make a big difference and help you guys in the incredible job you do on a daily basis.

I've only been here 6 months and I find tremendous value in what you do.

If I can respectfully ask everyone to make a small $2 donation/month, we can together advance this cause quicker... THANK YOU! MERCI!

 

Don't a lot of Germans believe homeopathy is effective?

 

@Redknight, @Liz Windsor, @Cojackb, @jacob21, @TinMan2019, @ruud1boy

I appreciate you are probably rather sick of the useless belly button gazing of this thread, but as I am waiting for my appointment to get scheduled in early 2020 and all the early Neuromod users have gone quiet, I am really interested in how it is going for the first wave of users now that we are getting 3 months-ish in.

If you don't mind me asking, at this point do you think that the treatment made a real difference for you?

I know everyone is different so the details in a lot of ways matter less to me than getting some confirmation one way or the other that this is indeed a viable treatment for at least some people.

Thanks.

 

@AliceW thanks for posting your experience; did Neuromod measure your Minimum Masking Level?

 

@Mentos

Yes, Caroline also measured my minimum masking level.

She also told me that many people have reported their hyperacusis improving after using Lenire.
But it hasn’t been officially tested during clinical trials.

She told me that she has worked for Neuromod since the beginning and she really trusts this device (she would have left to do something else if this device was not effective).

Attached is my audiogram.

 

That belief is well spread all over the western world. An absolute shame. Boiron, the main homeopathic products producer, is a French company whose main target are European countries, Germany and Spain being at the top in the rank of main buyers. Bayer has been knees deep in shit with some of their releases along the history of pharmaceutical products and that has made the German market a particularly picky one. Besides that I am sure lots of Germans require the services of African witch doctors but we are talking different things here.

 

They did for me.

 

I really hope that they are going to be opening their Dublin clinic for more than 2 days a week in 2020 and that they get this long wait to collect the device sorted out...

 

@AliceW what was your Minimum Masking Level?

 

@Rafalek73

She didn’t tell me the exact value.
She just said my tinnitus was « easily » maskable.

In my mind it was around 30-35 dB.

 

Once it comes to tinnitus, clinics in Germany have no clue.
The only thing they do is TRT and earn a fortune with it.

 

Does it mean one's tinnitus has to be easily maskable for Lenire to work better?

 

I don't think I've ever seen such a good audiogram, your hearing is that of a newborn baby. My MML was around 10 dB above hearing threshold, with my 20-25 dB hearing loss it means I need 30-35 dB ambient noise to mask mine.

 

@Mentos

Lol! I think A New Born Baby can also hear high frequencies

Attached is my previous audiogram dated from April... Low frequencies were not so good.

Caroline told me that audiograms can fluctuate a bit according to middle ear at the moment of the test (ear plugged, pressure, cerumen plug...).
When I had my acoustic shock, I had a little hearing loss at 6000 Hz in the right ear. I haven’t got it anymore.

How is your audiogram?

Did Caroline tell you that your profile is good for having positive results with Lenire?

 

I just ask myself this question.

We all know people who have hearing loss, even important and do NOT have tinnitus.

So, this theory about damaged nerve fibers creating dysfunctions in the auditory system does not apply to everyone?

 

What are the red and blue at the bottom (at the 100 dB)?

 

@Hazel & @Markku,

Just contributed on Patreon, and I see you're only 2 supporters away from your goal! Hopefully others can contribute as well as these podcasts have been very good and it gives some peace of mind that there are really other people out there doing something for this condition. Thank you for all your work!

(I don't have the same username there as I do here, which I hope isn't confusing)

@AliceW

I believe strongly my tinnitus is from nerve damage. Minimal hearing loss (I was told I have "the hearing of an 18 year old," and this is after years of warehouse work and going to concerts). I had pain in my ear associated with the tinnitus, and the pain returns whenever the tinnitus spikes, which I think is the nerve spasming or something of the like. Which is why I am hoping Lenire or Susan Shore's device do relax the nerve or "reduce the excitability."

 

They are my thresholds of tolerance to sounds (in France they measure it to diagnose hyperacusis).