Showing posts with label Where. Show all posts
Showing posts with label Where. Show all posts
Tinnitus is perception of sound where there is none
Just a few days ago, British newspapers reported that a rock fan committed suicide to relieve tinnitus that he had for 3 months after a supergroup's gig. Tinnitus is characterized as perception of sound where there is none. Read more about tinnitus in this blog post. The Cleveland Clinic Journal of Medicine recently published a review on Tinnitus: Patients do not have to ‘just live with it’ and Tinnitus relief: Suggestions for patients.
From NHS Choices YouTube channel: Tinnitus causes people to hear constant sounds in one ear, both ears or in their head. An audiologist explains the possible causes and effects it often has, such as stress and anxiety, plus how to deal with them. Ashleigh, who was diagnosed with tinnitus in 2005, describes how she copes with it.
Lars Ulrich, the drummer for the heavy metal band Metallica, also struggles with tinnitus and warns his fans that "once your hearing is gone, it's gone. I've been playing loud rock music for the better part of 35 years," said Ulrich, 46. "I never used to play with any kind of protection."
References:
Metallica drummer struggles with tinnitus: "Once your hearing is gone, it's gone"
Metallica drummer struggles with ringing in ears. CNN.
From NHS Choices YouTube channel: Tinnitus causes people to hear constant sounds in one ear, both ears or in their head. An audiologist explains the possible causes and effects it often has, such as stress and anxiety, plus how to deal with them. Ashleigh, who was diagnosed with tinnitus in 2005, describes how she copes with it.
Lars Ulrich, the drummer for the heavy metal band Metallica, also struggles with tinnitus and warns his fans that "once your hearing is gone, it's gone. I've been playing loud rock music for the better part of 35 years," said Ulrich, 46. "I never used to play with any kind of protection."
Early in his career, without protection for his ears, the loud noise began to follow Ulrich off-stage. "It's this constant ringing in the ears," Ulrich said. "It never sort of goes away. It never just stops." This is a classic description of tinnitus, a perception of sound where there is none (phantom ear sounds).
The military is generating a tremendous number of tinnitus patients, according to a recent CNN report on the problem.
Tinnitus differential diagnosis: Q SALAMI mnemonic
Quinidine
Salicylates (aspirin)
Aminoglycoside antibiotics (ABx)
Tinnitus differential diagnosis: Q SALAMI mnemonic
Quinidine
Salicylates (aspirin)
Aminoglycoside antibiotics (ABx)
Labyrinthitis
Acoustic neuroma, CN VIII
Meniere’s disease
Increased blood pressure (BP) (HTN)
Acoustic neuroma, CN VIII
Meniere’s disease
Increased blood pressure (BP) (HTN)
References:
Metallica drummer struggles with tinnitus: "Once your hearing is gone, it's gone"
Metallica drummer struggles with ringing in ears. CNN.
Tinnitus relief: Suggestions for patients. CCJM, 2011.
Rock Fan Commits Suicide to Relieve Tinnitus From Supergroup's Gig: Daily Mail and Fox News.
Noise Chart as It Relates to Hearing Damage and Hearing Loss http://goo.gl/tjZh1
Rock Fan Commits Suicide to Relieve Tinnitus From Supergroup's Gig: Daily Mail and Fox News.
Noise Chart as It Relates to Hearing Damage and Hearing Loss http://goo.gl/tjZh1
Why Mayo Clinic is a power user of social media: "Our patients are doing it, so this is where we need to be"
Mayo Clinic's first-ever Social Media Residency took place October 20-21, 2011. At the end of the first day, the attendees went out on a video interview assignment. Check out some of the videos they returned with.
The best interest of the patient is the only interest to be considered
The Mayo Clinic CEO, John Noseworthy, M.D., pointed out recently that Mayo intends to be the leader in social media in healthcare but this is not about competitive advantage, it is about the patient. The best interest of the patient is the only interest to be considered. Social media makes the union of forces more broadly practical than at any time in human history.
Social Media and Medicine is a Good Marriage, says Mayo Clinic director for social media: We're judged more by how well we listen, than by what we say (http://goo.gl/0ECin).
If you work for Mayo Clinic, social media is not an option, it's a job requirement http://bit.ly/IHf3lM - Others will follow.
References:
Social media in medicine: How to be a Twitter superstar and help your patients and your practice
"Wonder drug" dogs are the only animals that look at right side of human face where emotions are expressed
Dogs are the most diverse mammal species on the planet (http://buff.ly/1pxxt0k). People who have dogs as pets are much less likely to have a heart attack. If they do have a heart attack, they are 2-3 times more likely to survive it.Mitochondrial genetics studies have shown conclusively that dogs have descended from wolves. Dogs' genes are 99.8% the same as the wolf genes, yet dogs behave in a fundamentally different way.
Over more than 100,000 years dogs have evolved to recognize human emotions. It has been a collaborative process all along. Humans are able to recognize 6 types of dog barks expressing emotions and "intentions" such as fear, excitement, aggression and so on. Dogs are the only animals that specifically look at the right side of the human face where emotions are expressed (see the NOVA video and website below).
Dogs follow directions while chimpanzees, the apes evolutionary closest to humans, do not. The smartest dog can learn 300 different words which is the vocabulary size of a 2-year-old child.
The "400 mnemonic":
400 million dogs worldwide
400 breeds of dogs have been developed by humans
According to a Cleveland Clinic psychologist, "dogs could be called wonder drugs":
"Dogs can provide people with many things. Protection, friendship, and unconditional love top the list, but they may also provide health benefits, too." How smart are dogs, and what makes them such ideal companions? Dogs Decoded: Nova. Netflix. Comments from Twitter: Heidi Allen @dreamingspires: I want one! References: Dogs Decoded transcript and more. NOVA. Image source: Yellow Labrador Retriever, Wikipedia, GNU Free Documentation License.
Tinnitus is perception of sound where there is none: what to do?
Tinnitus is perception of sound where there is none
Tinnitus, a common symptom, is defined as the perception of noise in the absence of an acoustic stimulus outside of the body.
In 2011, British newspapers reported that a rock fan committed suicide to relieve tinnitus that he had for 3 months after a supergroup's gig. Tinnitus is characterized as perception of sound where there is none.
The Cleveland Clinic Journal of Medicine published a review on Tinnitus: Patients do not have to ‘just live with it’ and Tinnitus relief: Suggestions for patients.
From NHS YouTube channel:
Causes of tinnitus
- idiopathic
- sensorineural hearing loss is the most common identified cause
- otologic, vascular, neoplastic, neurologic, pharmacologic, dental, and psychological factors
More serious causes, such as Meniere disease or vestibular schwannoma, can be excluded during the evaluation.
Tinnitus is a common medical symptom that can be debilitating.
Risk factors include:
- hearing loss
- ototoxic medication
- head injury
- depression
At presentation, the possibilities of otological disease, anxiety, and depression should be considered.
Diagnosis
Almost all patients with tinnitus should undergo audiometry with tympanometry, and some patients require neuroimaging or assessment of vestibular function with electronystagmography.
No effective drug treatments are available. Surgical intervention for any otological pathology associated with tinnitus might be effective for that condition, but the tinnitus can persist.
Available treatments include:
- hearing aids when hearing loss is identified (even mild or unilateral)
- wide-band sound therapy
- counselling
Cognitive behavioural therapy (CBT) is indicated for some patients. The evidence base is strongest for a combination of sound therapy and CBT-based counselling.
Metallica drummer struggles with tinnitus: "Once your hearing is gone, it's gone"
From CNN: "I've been playing loud rock music for the better part of 35 years," said Ulrich, 46, drummer for the heavy metal band Metallica. "I never used to play with any kind of protection." Early in his career, without protection for his ears, the loud noise began to follow Ulrich off-stage. "It's this constant ringing in the ears," Ulrich said. "It never sort of goes away. It never just stops." It is a condition called tinnitus, a perception of sound where there is none. "I try to point out to younger kids ... once your hearing is gone, it's gone, and there's no real remedy." The military is generating a tremendous number of tinnitus patients." References: Tinnitus : The Lancet http://bit.ly/1aAsa9E Diagnostic approach to patients with tinnitus. [Am Fam Physician. 2014] http://buff.ly/1ggzRox
Tinnitus, a common symptom, is defined as the perception of noise in the absence of an acoustic stimulus outside of the body.
In 2011, British newspapers reported that a rock fan committed suicide to relieve tinnitus that he had for 3 months after a supergroup's gig. Tinnitus is characterized as perception of sound where there is none.
The Cleveland Clinic Journal of Medicine published a review on Tinnitus: Patients do not have to ‘just live with it’ and Tinnitus relief: Suggestions for patients.
From NHS YouTube channel:
Causes of tinnitus
- idiopathic
- sensorineural hearing loss is the most common identified cause
- otologic, vascular, neoplastic, neurologic, pharmacologic, dental, and psychological factors
More serious causes, such as Meniere disease or vestibular schwannoma, can be excluded during the evaluation.
Tinnitus is a common medical symptom that can be debilitating.
Risk factors include:
- hearing loss
- ototoxic medication
- head injury
- depression
At presentation, the possibilities of otological disease, anxiety, and depression should be considered.
Diagnosis
Almost all patients with tinnitus should undergo audiometry with tympanometry, and some patients require neuroimaging or assessment of vestibular function with electronystagmography.
No effective drug treatments are available. Surgical intervention for any otological pathology associated with tinnitus might be effective for that condition, but the tinnitus can persist.
Available treatments include:
- hearing aids when hearing loss is identified (even mild or unilateral)
- wide-band sound therapy
- counselling
Cognitive behavioural therapy (CBT) is indicated for some patients. The evidence base is strongest for a combination of sound therapy and CBT-based counselling.
Metallica drummer struggles with tinnitus: "Once your hearing is gone, it's gone"
From CNN: "I've been playing loud rock music for the better part of 35 years," said Ulrich, 46, drummer for the heavy metal band Metallica. "I never used to play with any kind of protection." Early in his career, without protection for his ears, the loud noise began to follow Ulrich off-stage. "It's this constant ringing in the ears," Ulrich said. "It never sort of goes away. It never just stops." It is a condition called tinnitus, a perception of sound where there is none. "I try to point out to younger kids ... once your hearing is gone, it's gone, and there's no real remedy." The military is generating a tremendous number of tinnitus patients." References: Tinnitus : The Lancet http://bit.ly/1aAsa9E Diagnostic approach to patients with tinnitus. [Am Fam Physician. 2014] http://buff.ly/1ggzRox
Geo-medicine: Your health may depends on where you live
Where you live: It impacts your health as much as diet and genes do, but it's not part of your medical records. At TEDMED, Bill Davenhall shows how overlooked government geo-data (from local heart-attack rates to toxic dumpsite info) can mesh with mobile GPS apps to keep doctors in the loop. Call it "geo-medicine."
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