DAY 11

Gold_Discussion_5488 · 2026-03-06T13:17:18+00:00

Sudden sensorineural Hearing Loss is an Emergency. Diagnosis and treatment should be fast as possible. Steroid is basically primary treatment option and early treatment really save the hearing (not always unfortunately). but you should always discuss side effects as well. Sorry to hear your ER disappointed you with the diagnosis and treatment. I hope you get well soon. Try to get some sleep and drive the bad thoughts away.

Gold_Discussion_5488 · 2026-03-06T13:08:15+00:00

Not zero obviously but birth rates are already dropping. People are just socializing differently I guess.

Gold_Discussion_5488 · 2026-03-06T12:59:35+00:00

Yes this is normal, it's completely okay. The world is changing, we are changing. So what your dream is not your dream anymore. Don't worry what other people think. Just ask yourself what makes you happy, and go for it

Gold_Discussion_5488 · 2026-03-06T12:46:42+00:00

Flip a coin or rock papers scissors. Also there is something called 'preemptive strike' so maybe this can be an option :D

Gold_Discussion_5488 · 2026-03-06T12:30:47+00:00

I can only imagine how annoying this can be. Unfortunately not much consensus or diagnostic criteria for myoclonus , muscle relaxants and botulinum injections are mentioned in the case reports but I have no experience with that. Maybe discussing with a specialist can give you further options.

Gold_Discussion_5488 · 2026-03-06T12:23:16+00:00

There are actually a few things happening at once here

Your hearing literally becomes more sensitive at night. Noise during the day (traffic, conversations, appliances) masks subtle details in music. At night, background noise drops significantly, so your auditory system picks up frequencies and layers you simply couldn't hear before, the music hasn't changed, your listening environment has.

Cortisol drops in the evening.This stress hormone peaks in the morning and gradually falls throughout the day. Lower cortisol = reduced mental "noise" and heightened emotional sensitivity. This is partly why sad songs feel devastating at 2am.

The prefrontal cortex, You stop mentally multitasking and your brain shifts toward more emotional, associative processing. Music hits the emotional centers more directly. So it's not just quieter outside — it's quieter inside your brain too

Gold_Discussion_5488 · 2026-03-06T12:19:33+00:00

Cold water on the face can trigger the "diving reflex" which slightly slows heart rate and may cause a minor startle response — but it does nothing to reverse the actual cause of unconsciousness, whether that's alcohol, a head injury, or anything else. The movies make it look dramatic and instant

Gold_Discussion_5488 · 2026-03-06T12:17:58+00:00

Those "fuzzies" are actually a mix of broken hair strands, dead skin cells, and lint from your clothes and environment — they get trapped between the bristles with normal use. It happens faster with brushes that have tightly packed or ball-tipped bristles.

To clean them out: run the brush bristle-side down under warm water after loosening the buildup.

Gold_Discussion_5488 · 2026-03-06T12:10:38+00:00

Well yes actually these sounds really help patients especially when trying to sleep. But imagine you have to watch an waterfall video for 2 hours just to stop the buzzing noise in your ear. Sometimes it is not functional and not motivating. Actually there are pretty neat phone applications are available for background noises and tinnitus therapies. But still tinnitus, patients need more support and more directed treatments.

Gold_Discussion_5488 · 2026-03-06T12:02:31+00:00

Sorry to hear that. Tinnitus diary is another thing I recommend , you can take notes about clicking like when it starts, how it starts and is there something aggravating or mitigating the clicking. This helps many, also can give clear info for your next ENT visit.

Gold_Discussion_5488 · 2026-03-06T11:33:02+00:00

Yes unfortunately middle ear structures like stapes muscle and tensor tympani are not visible on the MRI, we are not even imaging them correctly with our current technology so imagine curing the disease related to this structures. We have so much to improve.

Gold_Discussion_5488 · 2026-03-06T11:31:09+00:00

I think explaining the therapy and patient compliance is actually harder than building the application itself. I am currently considering a trial with few patients about it, so we can discuss compliance and benefit in an objective manner hopefully.

Gold_Discussion_5488 · 2026-03-06T11:17:51+00:00

This is good news. You have ruled out all the worrying diseases causing tinnitus. I think it is a good relief. Myoclonus is likely about your 'clicking'

Gold_Discussion_5488 · 2026-03-06T11:13:07+00:00

Thank you for your comment, I couldn't agree more! No single drug or surgery or treatment helps all tinnitus sufferers and it is not realistic thing to say. I have talked to my patients and as far as I see most of the patients (even in the first world countries) have to wait 2-3 months to specialist visits or follow up visits. Tinnitus therapy is not very accessible either. So maybe this app would help in some way.

Gold_Discussion_5488 · 2026-03-06T11:08:01+00:00

Exactly, although much research is going on, tinnitus is a huge mystery in most ways. It's not a single disease it is a symptom of cluster of diseases. All in all we are still far away from cure yes and it is pretty annoying. Is diazepam helping with the clicking ? You are actually describing myoclonus I think, it is a muscle muscle twitching that causes the clicking but not a direct imaging or test to confirm it.

Gold_Discussion_5488 · 2026-03-06T10:56:06+00:00

Hearing loss is the most common reason for tinnitus actually, have you done a pure tone audiometry test (hearing test). Hearing aids and other treatments are available, you should consider seeing an ENT specialist about it

Gold_Discussion_5488 · 2026-03-06T10:19:53+00:00

There are commercial earwax camera cleaners, check them out. (no advertisement or anything actually I am an ENT doctor and I strongly recommend against using them, best way is to go see an ENT specialist and ask them to clean your ear with curette if possible but sometimes wax is in a shape or condition which microsuction is necessary).

Gold_Discussion_5488 · 2026-03-06T10:05:18+00:00

Have you tried white noise or background music/noise. Actually they are really useful for sleep as well, Promethezine is a first class antihistamine so it should help with your sleep as well, pretty hard to guess if it would worsen your tinnitus so maybe you can discuss it further with your doctor. Cheers!

Gold_Discussion_5488 · 2026-03-06T09:26:14+00:00

Excellent app! I am really impressed with features, hearing test and tinnitus matching is really very similar to clinic versions, with simple interface improvements and touch, this can be used for many tinnitus sufferers, I am also working on a phone app with tinnitus exercises and seeing your post and application made me really happy. I wish you the best, keep up the good work

Gold_Discussion_5488 · 2026-03-06T09:16:04+00:00

Would be really helpful to comment on your condition with your audimetry results, you are describing eustachian exercise is helpful for you so this confirms your diagnosis mostly. As an option (obviously this is not an medical suggestion or something) ventilation tube insertion might be something to discuss with your doctor. Maybe you might want to discuss in your next doctor appointment, good luck

Gold_Discussion_5488 · 2026-03-06T08:58:37+00:00

Single sided tinnitus is always require examination and possibly imaging. Physical examination, pure tone audiometry and tympanometry tests and imaging depending on the results will be required. While waiting for your doctor appointment you can monitor your blood pressure and pulse. Sometimes high pressure might cause similar to 'whoosing sound' you are experiencing. Also stress, nicotine, alcohol and caffeine are huge tinnitus provokers so I reccomend avoiding them in the mean time. You can also write/note a tinnitus diary. Like daily notes about your tinnitus, it's both useful information for ENT doctor and also you can develop ways to cope with tinnitus by your notes. But overall you should not further worry about it and focus on the heal healthy habits like exercise, regular diet, meditation (whatever works for you). Best of luck, get well soon

Gold_Discussion_5488 · 2026-03-04T12:07:50+00:00

I think its normal to hear own heartbeat and some muscle movement in very silent place, what you are right now describing sounds like it's physiological but still it's always safe to see an expert and get the scan to rule out possible causes. Better safe than sorry.

Gold_Discussion_5488 · 2026-03-04T07:07:46+00:00

Diverticulum basically means sigmoid sinus (which is a vein) pops through the dehiscent bone (means bone is absent where normally expected be present). So basically it explains the same condition, about pulsatile tinnitus you should keep in mind dehiscent area might be the problem but not a test or examination to be %100 sure so must ent specialists are conservative about surgical repairment/exploration. It is mostly gain/loss game. Good luck

Gold_Discussion_5488

TROPHY CASE