Sorry, flair for the dramatic. Short story long, back at the end of August I either started hearing or just started noticing a very high-itched (hissing?? ringing??) that was perfectly timed to my pulse in mainly my left ear. Being a psychologist-treated health anxious person, I immediately panicked before deciding to do what my counselor trained me to do...wait a few months to see if my symptoms changed before I ran off to the doctor. This is advice strictly for something that doesn't appear life-threatening, of course. And STAY OFF THE INTERNET, of course! Well, my paranoia got the best of me and I started looking up what was going on and found the term "pulsatile tinnitus." I started with "tinnitus" but quickly found this sub-diagnosis. My PT tends to be screaming when I wake up in the morning, sort of comes and goes during the day (but if I try hard I can always seem to go find it if it has gone to the background). It tends to slack at night. I can go to sleep just fine. So in my internet searches, I have discovered that I'm either totally screwed by things such as fistulas, carotid stenosis, various types of tumors...OR, PT is "most often harmless," "usually nothing serious". I think I read that some cases of PT can resolve on their own if given time as well, so maybe 2 months (1.5 months really) isn't enough time for any improvement. After getting panicked, I did make an appt. with my family's ENT for Monday. I'm to go for a hearing test then directly to see him. I'm dreading starting all these tests. I've had 7 MRIs already due to a spinal tumor 6 years ago and the 5-year annual follow-ups. But, I guess I'll just do what I need to. A bit of background...I'm 50, in good shape, work out pretty vigorously 6-7 days/week. I am hypothyroid controlled by medicine, and I take an anti-anxiety med daily due to the health anxiety. I've always had a cricky neck, seems like, with some shoulder pain over the last several years. So which is it...am I screwed or are the really bad causes really that rare? I'm pretty sure I can adjust to it if I just know I don't have some tumor or something growing in my head.