I have asked you 2 questions already without introducing myself. I'm sorry for that. Hi Dr. Nagler my name is Jason. I live in northern Indiana and am 32 years old. I am confined to a wheelchair due to a birth defect so I found fun and leisure playing video games with friends. Today everyone uses headphones and thats how I developed T. Cranking loud music directly into my ears created a continuous loud siren in my left ear. It has really done alot to my happiness and joy as the sound now interferes with my games and movies. I had no idea loud sound could change your brain. That and I learned later that Vicodin ruins your hearing as well which ive been taking for years due to shoulder pain. I have 2 questions for you. The first is just out of curiosity. How did u develop your t? The primary question is I was watching a video with you on youtube from 1997. You said that 2 million are disabled by this condition. Does that mean that they re not handling it well or can the sound become that severe? Thanks again for your time.