tag:blogger.com,1999:blog-89582836548805081822024-03-14T07:15:22.850+05:00Hearing Care & OpticsIf you've never had a hearing aid before, you'll appreciate our caring and compassion.
Please take a look at our section 'Before you get a hearing aid' which will answer many of the questions you might have.hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.comBlogger35125tag:blogger.com,1999:blog-8958283654880508182.post-37245031159953458202017-11-15T20:30:00.000+05:002017-11-16T11:03:09.166+05:00What is Blue light<div dir="ltr" style="text-align: left;" trbidi="on">
<u><span style="color: #444444;"><span style="background-color: white; font-family: , , sans-serif; font-size: 26.7px; text-align: center;">Blue light is actually everywhere.</span><span style="background-color: white; font-family: , , sans-serif; font-size: 26.7px; text-align: center;">When outside, light from the sun travels through</span><span style="background-color: white; font-family: , , sans-serif; font-size: 26.7px; text-align: center;"> the atmosphere.</span></span></u><br />
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<a href="http://hearingclinicpsh.blogspot.com/" target="_blank">
Sources of blue light include the sun, digital screens (TVs, computers, laptops, smart phones and tablets), electronic devices, and fluorescent and LED lighting.</a></h2>
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<a href="http://hearingclinicpsh.blogspot.com/" target="_blank">Natural blue light versus artificial blue light</a></h3>
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<span style="border: 0px none rgb(68, 68, 68);">Blue light is actually everywhere. When outside, light from the sun travels through the atmosphere. The shorter, high energy blue wavelengths collide with the air molecules causing blue light to scatter everywhere.This is what makes the sky look blue. In its natural form, your body uses blue light from the sun to regulate your natural sleep and wake cycles.This is known as your circadian rhythm.Blue light also helps boost alertness, heighten reaction times, elevate moods, and increase the feeling of well being. Artificial sources of blue light include electronic devices such as cell phones and laptop computers, as well as energy-efficient fluorescent bulbs and LED lights.</span></div>
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Why should we be concerned about blue light exposure?</h3>
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Blue light waves are the among the shortest, highest energy wavelengths in the visible light spectrum.Because they are shorter, these "Blue" or High Energy Visible (HEV) wavelengths flicker more easily than longer, weaker wavelengths. This kind of flickering creates a glare that can reduce visual contrast and affect sharpness and clarity.</div>
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This flickering and glaring may be one of the reasons for eyestrain, headaches, physical and mental fatigue caused by many hours sitting in front of a computer screen or other electronic device.</div>
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Our eyes' natural filters do not provide sufficient protection againstblue light rays from the sun, let alone the blue light emanating from these devices or from blue light emitted from fluorescent-light tubes. Prolonged exposure to blue light may cause retinal damage and contribute to age-related macular degeneration, which can lead to loss of vision.</div>
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Blue Light: It's Both Bad And <br style="margin: 0px; padding: 0px; position: relative;" />Good For You</h1>
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Visible light is much more complex than you might think.</div>
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Stepping outdoors into sunlight; flipping on a wall switch indoors; turning on your computer, phone or other digital device — all of these things result in your eyes being exposed to a variety of visible (and sometimes invisible) light rays that can have a range of effects.</div>
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Most people are aware that sunlight contains visible light rays and also invisible <a href="http://www.hearingclinicpsh.blogspot.com/" style="color: #2272b5; margin: 0px; padding: 0px; position: relative; text-decoration-line: none;">ultraviolet rays</a> that can tan or burn the skin. But what many don't know is that the visible light emitted by the sun comprises a range of different-colored light rays that contain different amounts of energy.</div>
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More infromation</div>
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<span style="font-family: Open Sans, sans-serif;"><span style="font-size: 14.3px;">http://www.allaboutvision.com/sunglasses/spf.htm</span></span></div>
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hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-57078310784407054212017-10-21T13:08:00.000+05:002017-10-21T13:08:54.798+05:00Musical Ear Syndrome—The phantom voices,<div dir="ltr" style="text-align: left;" trbidi="on">
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<header class="entry-header"><h1 class="entry-title" itemprop="headline">
Musical
Ear Syndrome—The phantom voices,ethereal music & other spooky
sounds many hard of hearing people secretly experience</h1>
</header>© 2005 (updated 2014) by Neil Bauman, Ph.D.<br />
<br />
Marilyn woke with a start, her heart pounding. It was the middle of
the night. “I thought people were calling to me,” she explained. “I
became truly frightened when I realized that I was deaf and should not
be able to hear voices.”<br />
“My wife hears music that is not there,” Harry writes. “The first song she heard was <em>Silent Night</em> sung by a very good choir of mostly men. It came in quite loud. A day later it was the <em>Vienna Waltz</em> over and over again so clear it was like being at a musical production.”<br />
“I would often lie half awake in the quietness of the early morning
and hear a phantom radio,” Dick recalls. “A guy would be talking like
they did in the 50s. Kind of a monotone voice and all the advertisements
like they did back then. It always sounded so real.”<br />
“Late at night when I don’t have my hearing aids on,” Carolyn
relates, “I am absolutely sure I hear trucks and bulldozers working
right outside our bedroom windows. We are the only ones living on our
little country lane. There’s no traffic of any kind outside my bedroom
windows. My husband swears there are no noises at all.”<br />
“Years ago,” Sherry remembers, “when my dad would take me flying in
his little two-seater wind-knocker airplane, I used to hear strange
music. The music sounded like the full Mormon Tabernacle Choir. Since I
was quite young, I thought it was angels singing.”<br />
Julie’s father-in-law mainly hears loud music when alone in his
apartment, oftentimes in the middle of the night. Julie explains, “He
has taken to knocking on the downstairs landlady’s door at 3 A.M.
telling her to turn the music down. I have been with him a few times
when he heard the music, but I couldn’t hear a thing.”<br />
“I was afraid I was going nuts when I thought I was hearing things in
my head after my CI surgery,” Heather remembers. “On the morning after
the surgery, I was hearing what sounded like music from a radio. I heard
that every day from my surgery until I was hooked up. It almost drove
me nuts. Yet, I never said one word to anyone about it because I didn’t
want them to think I was crazy.”<br />
What do these people have in common? They are all hard of hearing,
and they all hear strange phantom voices, ethereal music or other spooky
sounds that no one else hears. Nor are they alone. Thousands of other
hard of hearing people “hear” similar phantom sounds, yet they never
tell a soul because they are afraid of the dreaded “H” word. They are
terrified someone will discover their “shameful” secret—that they
experience auditory hallucinations.<br />
Janet explained, “My mother-in-law confided in me about hearing music
loud and clear at various times of the day, but frequently when she
goes to bed. Two doctors now have basically ridiculed her and said
they’d never heard of such a thing. My mother-in-law is at the end of
her rope. She is even accusing her husband of trying to drive her crazy
by playing this music. As you can imagine, this is very difficult on
their marriage.”<br />
What do these people have in common? They all hear strange phantom
sounds that no one else hears. They are also hard of hearing. Nor are
they alone. Thousands of other hard of hearing people “hear” similar
phantom sounds, yet they never tell a soul because they are afraid of
the dreaded “H” word—hallucinations. The very word conjures up visions
of phantom voices, padded cells and people in white coats talking in
hushed tones. This is because almost everyone associates “hearing
voices” with “going crazy” and mental illness such as schizophrenia.
It’s time to dispel such myths.<br />
<h2>
What Exactly Are Hallucinations?</h2>
According to <em>Stedman’s MedicalDictionary</em>, hallucinations are
“the apparent, often strong,subjective perception of an object or event
when no such stimulus or situation is present.” More simply
put,hallucinations are where your brain perceives that something is
happening even though your five senses have not received any direct
stimulus.<br />
Hallucinations may be visual (seeing), auditory (hearing), olfactory
(smelling), gustatory (tasting) or tactile (feeling). Therefore,
hallucinations are simply seeing, hearing, smelling, tasting or feeling
sights, sounds, odors, tastes, or sensations that no one else around you
perceives.<br />
Although hallucinations may occur with any of the five senses,
auditory hallucinations are by far the most common kind of
hallucination. A person is hearing auditory hallucinations when he or
she hear noises, music, sounds or voices that no one else hears because
these phantom sounds are generated in the person’s brain, not
externally.<br />
<h2>
Two Kinds of Auditory Hallucinations</h2>
Not many people know this, but there are actually two classes of
auditory hallucinations—psychiatric auditory hallucinations, and
non-psychiatric auditory hallucinations. People with mental illnesses
often experience the former,while hard of hearing people often
experience the latter.<br />
Here is an example of a psychiatric auditory hallucination. Elyssa
explained, “Lately I’ve been hearing voices. I don’t know where they
come from but they are loud and clear. Last week, for example, I was
sitting in class when this voice told me that the boy sitting behind me
was planning to attack me after school. I jumped out of my seat and
began to scream obscenities at him. He denied everything, of course, so I
punched him in the face and broke his nose.”<br />
As you can readily see, this example is vastly different from the
auditory hallucination stories mentioned at the beginning of this
article—the kind many hard of hearing people typically experience. These
non-psychiatric auditory hallucinations have nothing whatsoever to do
withmental illness, but are a symptom of something not working quite
right in the auditory circuits in our brains.<br />
If you are hearing phantom sounds, how can you tell which of
hallucinations you are experiencing—whether psychiatric or
non-psychiatric? Although I am not a psychiatrist, here are two “rules
of thumb”.<br />
1. People who experience psychiatric auditory hallucinations generally hear <strong>voices</strong>, as opposed to music or other sounds. People who experience non-psychiatric auditory hallucinations mostly hear <strong>music</strong> or singing, rather than just plain voices.<br />
2. The voices that people who experience psychiatric auditory
hallucinations hear are generally clear and distinct. These voices
almost always talk <strong>to</strong> or <strong>about</strong> the person, and may engage the person in conversation. Consequently, the content is of a <strong>meaningful personal </strong>nature.<br />
In contrast, people who experience non-psychiatric auditory
hallucinations often hear voices that sound vaguely like a radio
broadcast or TV program playing in another room. For example, Robert
explained, “I get Red Barber calling the game. I can’t distinguish the
words—but I’m sure that’s who is talking.” Catherine described her
auditory hallucinations as “what sounded like the voice of a radio
announcer on a badly tuned radio station”.<br />
These phantom sounds do not contain any information of a meaningful
personal nature. These voices neither talk to the person, or about them,
nor do they engage them in conversation.<br />
<h2>
Characteristics of Auditory Hallucinations</h2>
Non-psychiatric auditory hallucinations (hereinafter referred to
simply as “auditory hallucinations”) comprise a wide range of sounds,
ranging from simple to complex. <strong>Simple</strong> sounds are
single, unmodulated sounds such as the various tinnitus sounds (ringing,
roaring, buzzing, hissing, rumbling, etc.) millions of people hear. In
fact, tinnitus is the most common kind of auditory hallucination.<br />
In contrast, <strong>complex</strong> sounds include multiple,
modulated sounds such as tunes, singing, music and voices. These are the
kinds of sounds that people have traditionally considered auditory
hallucinations. Many people have mistakenly called these sounds “musical
tinnitus.”<br />
Depending on their clarity, phantom sounds may be either “unformed” or “formed.” <strong>Unformed</strong> auditory
hallucinations consist of hearing distorted music, sounds, or voices.
These sounds are vague, “fuzzy” and indistinct. For example, Jane
described her unformed auditory hallucinations as “like the wind
blowing, but with a musical quality, as if someone off in the distance
was singing without words.” Rachel explains, “The words are never
distinct—it’s like they are several rooms away.” Sarah relates, “I
sometimes hear phantom “radio broadcasts” that I can’t quite make out.”<br />
In contrast, <strong>formed</strong> auditory hallucinations are
where speech, music or singing is so clear and recognizable that people
hearing it can identify the various voices and musical instruments. For
example, James explains, “For the past 3 to 4 months I have had the most
calming and repetitive choruses and wind ensembles, usually led by a
bass sax and a baritone playing and singing in a low octave, the older
Christian hymns and a few oldies from the forties such as, <em>Near the Cross</em>, <em>Amazing Grace</em>, <em>His Eye Is on the Sparrow</em> and <em>The Star Spangled Banner</em>.”<br />
Claudia, who has normal hearing, describing her auditory
hallucinations, says, “I hear passages of what sound like Strauss
waltzes, Russian symphonies, Italian operas—distinctively enough to
identify various instruments, male or female choruses, and the
occasional soloist.”<br />
Incidentally, many people find their auditory hallucinations begin
with clearly-formed complete sentences or songs. Later, the repetition
of lengthy passages of music may degenerate into short snatches of
repetitive phrases or rhythmic patterns, or even into unformed auditory
hallucinations that are more like the common forms of tinnitus. Tyler’s
father’s auditory hallucinations followed this pattern. He explained,
“My dad’s musical hallucinations started out as recognizable songs (<em>Battle Hymn of the Republic</em> for 2 weeks, then started changing to a variety of other songs, <em>The Music Man</em>, <em>Ride of the Valkyries</em>, etc.) then turned into unrecognizable orchestral or vocal-like sounds”.<br />
<h2>
The Need for a New Name—The Fear Factor</h2>
Unfortunately, the general public immediately associates <b>all</b>
auditory hallucinations with mental illness. For example, if I say I
hear non-psychiatric auditory hallucinations, typically you will zero in
on the two words “psychiatric” and “hallucinations”—and immediately
think I am crazy.<br />
As a result, few people have the courage to admit they are hearing
non-psychiatric auditory hallucinations for this very reason. For
example, Cheryl explained, “I was afraid I was going nuts. I never said
one word to anyone about the strange music I was hearing because I
didn’t want them to think I was crazy”.<br />
Sharing with family members often elicits a similar response. Anna
declared, “All my family believe I am nuts because I told them I hear
music every waking moment”.<br />
Because of this fear factor, many people describe their auditory
hallucinations in terms such as “musical tinnitus” to avoid using the
word “hallucinations”. You see, we don’t typically think people with
tinnitus as hallucinating or being nuts, do we?<br />
Obviously, there is a real need for a new term to describe
non-psychiatric auditory hallucinations—a name that has no negative
connotations associated with it whatsoever, and one that does not
include either the words “psychiatric” or “hallucinations”.<br />
Since the vast majority of people who experience auditory
hallucinations hear some sort of phantom music or singing, I named this
condition <b>Musical Ear Syndrome</b>. Not only does it not have any
negative connotations, it almost sounds like it might be something good
to have—like having an ear for music or having perfect pitch.<br />
For example, when I say, “I’ve got Musical Ear Syndrome,” the first thing that comes to your mind is <b>not</b>
that I’m crazy. You see, there is no stigma attached to the term to
start with. You are left feeling neutral, or even slightly positive,
towards this term, or you query with an open mind, “Music Ear
Syndrome—what’s that?”<br />
Since I coined the term Musical Ear Syndrome or MES for short back in
2004, I have found that people are far more willing to openly talk
about the phantom sounds they “hear”. In fact, the last time I did a
search on Google for the phrase “Musical Ear Syndrome” (in quotes) I
came up with more than 11,700 websites that now use this term!<br />
<h2>
Musical Ear Syndrome is Not New</h2>
Musical Ear Syndrome has been around for a long time. Only the name
is new—not the phantom experiences themselves. For example, composer
Robert Schumann heard auditory hallucinations towards the end of his
life. At night, he heard musical notes and believed that he heard an
angelic choir singing to him. He also heard the music of Beethoven and
Schubert. He jotted down the music in February, 1854 and called it the <i>Theme (WoO, 1854)</i>. He said he was taking dictation from Schubert’s ghost.<br />
<h2>
Definition of Musical Ear Syndrome</h2>
I define Musical Ear Syndrome as hearing non-tinnitus phantom sounds
(that is, auditory hallucinations) of a non-psychiatric nature, often
musical, but also including voices and other strange sounds.<br />
<h2>
Tinnitus vs. Musical Ear Syndrome Sounds</h2>
Once we throw out psychiatric auditory hallucinations, we are still
left with two basic kinds of phantoms sounds—tinnitus and Musical Ear
Syndrome sounds. Here’s how to tell them apart.<br />
Tinnitus sounds are <b>single</b>, <b>simple</b> (unmodulated) sounds
such as ringing, buzzing, hissing, roaring, clicking, humming, rushing,
whooshing droning and kindred sounds. In contrast, Musical Ear Syndrome
sounds include <b>multiple</b>, <b>complex</b> (modulated) sounds such as singing, music and voices.<br />
<h2>
The Most Common Musical Ear Syndrome Sounds</h2>
Did you ever wonder what are the most common kinds of MES songs
people hear? The truth is that hymns, Christmas carols and patriotic
music comprise just over half of all the MES sounds people hear (52%
combined).<br />
One lady related, “My 66 year old mom lost almost all her hearing two
months ago. The last three days [this was written on December 28th] she
keeps hearing <i>Silent Night</i> and <i>Oh, Come All Ye Faithful</i>
over and over again. It gets so loud that she can’t sleep. She has tried
to make it go away but can’t. She says that it is just beautiful
singing with a full orchestra to boot, but would really like some
sleep”.<br />
As a matter of interest, quite often MES sounds have a seasonal
quality—thus people “hear” Christmas carols during the winter season and
<i>The Star Spangled Banner</i> around the 4th of July. Incidentally, while Americans often hear <i>The Star Spangled Banner</i>, Canadians typically hear <i>God Save the Queen</i> or <i>Oh Canada</i>, and Australians often hear <i>Waltzing Matilda</i>!<br />
<h2>
How Common Is Musical Ear Syndrome?</h2>
Because so few people admit to hearing phantom sounds, researchers,
up to now, have considered Musical Ear Syndrome (under whatever name
they call it) very rare. But that is just not true. Musical Ear Syndrome
is much more common than anyone seems to realize, and affects
significant numbers of hard of hearing people.<br />
Since few people are willing to admit to hearing these phantom
sounds, it is difficult to obtain accurate figures. I estimate that well
in excess of 10% of hard of hearing people experience these phantom
sounds at one time or another.<br />
For example, when I speak to groups of hard of hearing people on this
subject, I often ask how many of them have heard such phantom sounds.
Since they feel “safe” with me, invariably 10% to 30% of the people
present are brave enough to put up their hands. And that is just those
willing to publicly admit they have heard such phantom sounds. Others
won’t even admit that much.<br />
To date, I have collected the stories from more than 1,500 people
regarding their MES experiences. This alone tells you how common MES
really is.<br />
<h2>
Causes of Musical Ear Syndrome</h2>
There are a number of things that are thought to cause MES. The
primary contender is lack of adequate auditory stimulation. The theory
is that when your world becomes too quiet, your brain manufactures its
own sounds. This is why MES is so common among elderly, hard of hearing
people. First, they often have significant hearing losses. Second, they
typically live in quiet environments. Third, they generally live alone
after the death of a spouse.<br />
In addition, because of their hearing losses, hard of hearing people
tend to withdraw from social situations and thus do not have much social
interaction. This just further compounds their world of silence. At the
same time, hard of hearing people may feel depressed over their hearing
losses and anxious about what is happening to them. This just
exacerbates their phantom sounds.<br />
Another cause of auditory hallucinations is drugs and medications.
Elderly people tend to take more and more medications as they age.
Unfortunately, numerous drugs can cause auditory hallucinations.<br />
In rare cases, brain abnormalities (tumors, infections) can cause
auditory hallucinations. Have a neurologist check you out-especially if
you do not fit the common profile of being elderly, hard of hearing and
living in a quiet environment.<br />
<h2>
Some Characteristics of People with Musical Ear Syndrome</h2>
Not everyone hears phantom sounds. Following are some of the
characteristics common to many of the people who do experience Musical
Ear Syndrome.<br />
<b>1. Often the Person Is Older. </b>About two-thirds of the people
with MES are older than 50. About one-third are older than 70. Only
about one-third of the people experiencing MES are younger than 50.<br />
<b>2. Generally the Person Has Some Degree of Hearing Loss. </b>Since
MES is apparently often caused by lack of auditory stimulation, it
stands to reason that many people with MES have some degree of hearing
loss. Surprisingly, about a third of the people with MES report normal
hearing. Just over half of the people experiencing MES, report either
mild or moderate hearing losses. Interestingly enough, people with more
severe hearing losses don’t appear to have MES more frequently than
their numbers warrant.<br />
<b>3. More Commonly Reported in Women than in Men. </b>For some
reason, typically three times as many women as men report hearing MES
sounds. This does not necessarily mean that more women than men
experience Musical Ear Syndrome (although it is quite likely that they
do). It may just mean that more women than men are willing to speak up
and seek help.<br />
<b>4. Commonly the Person is Anxious/Worried, Stressed or Depressed. </b>Notice
how anxiety, worry and stress play an important role in the occurrence
of Musical Ear Syndrome. It seems that often people going through
anxious experiences and stressful situations such as the death of a
spouse or some sickness or problems in their family experience MES much
more commonly than people whose lives are moving along smoothly.The same
is true for depression. One out of five people experiencing MES admits
to being depressed when their MES started.<br />
<b>5. More Often than Not, the Person Also Has Tinnitus. </b>Before
their Musical Ear Syndrome appeared, most people had pre-existing
tinnitus. This is particularly true of those that are hard of hearing.
It is probably not true for those whose MES is caused by background
sounds. Such people typically have normal, or near-normal, hearing.<br />
<b>6. Often the MES Sounds Seem to Come from a Certain Direction. </b>When
the phantom sounds you hear appear to have directionality—that is, they
appear to come from a definite direction, thus acting like real
sounds—it is most difficult to believe that those sounds are truly
phantom. More than one third of the people experiencing MES report that
their MES sounds have directionality.<br />
<b>7. Generally Become Aware Their Sounds Are Phantom. </b>Fortunately,
most people who experience MES, as time passes, typically figure out
that these sounds are not real. For example, one elderly lady who “knew”
she was hearing a radio station realized that radio stations don’t play
the same song over and over and over again endlessly. So, if the music
she is hearing repeats endlessly, she knows it’s all in her head.<br />
A man who heard phantom sounds while in bed had a different way of
determining whether what he was hearing was real or phantom. He simply
put the pillow over his ears. If he could still hear the sound just as
loud, he knew it was in his head. However, if the pillow cut out the
sound, he knew it was real. That worked for him.<br />
Unfortunately, about one in five or one in six of the people
experiencing MES cannot tell that the sounds they are hearing are truly
phantom. These people are typically well up in their 80s. Even when
caregivers explain to them that these sounds are not real, they refuse
to believe it, and often become angry at the person who’s trying to tell
them otherwise. In my experience, it is almost impossible to help such
people. The best I can do is to explain clearly to their children or
caregivers what is happening so that they can understand what their
parent is going through.<br />
<b>8. May Appear to Act Irrationally. </b>The good news is that most
people soon come to realize the MES sounds they are hearing are phantom
and thus don’t respond to them as though they are real. However, numbers
of people, especially those up in their 80s and 90s, don’t seem to be
able to separate their phantom sounds from real sounds. As a result,
they continue to act as though what they are hearing is real. This gives
rise to some bizarre, and often what appears to be irrational behavior.
Don’t let that throw you. Although people with MES may have what
appears to be bizarre behavior, if you put yourself in their shoes,
you’ll quickly realize that they are behaving sanely and rationally
based on what their senses are telling them is true, even though the
sounds they are “hearing” are indeed phantom.<br />
Unfortunately, because of their apparently irrational behavior, too
often, doctors and caregivers (which includes family members) have
quickly written such people off as being “nuts” and treat them as such,
when in reality, they are simply being fooled by their MES. Here are
some examples.<br />
An 82 year old hard of hearing widow began hearing noises on the
second floor of her house. To her it sounded like a homeless person was
living there. She heard him come into the house, usually at night, walk
up the stairs and move things around upstairs. She never saw him, or
spoke to him.<br />
A few times she even summoned the courage to climb the stairs and see
what was going on. She never found anything out of place, and there was
never any signs of the stranger.<br />
To try to stop this, she changed the locks on her house, not just
once, but twice. Also, on two occasions, she called the police. The
police thoroughly searched the house and grounds without finding any
evidence of an intruder. You see, in this case she heard certain sounds
and made a rational decision based on their being real. These sounds had
moving directionality—walking up the stairs, moving around upstairs,
etc. Thus she acted prudently (as far as she was concerned) in changing
the locks and calling the police, but to outsiders, her actions seemed a
bit nuts.<br />
Here’s another example. A concerned neighbor explained, “We have a
neighbor in our condo who has been fairly deaf for many years. He is
about 80 now. In recent years, he is hearing music, which he attributes
to neighbors next door, who he feels are “against him” and play music
all night. No one else in the condo has ever heard such music. It is
quite quiet here at night. He has enlisted the help of paralegals and
others, demanding that the “music” stop. Our condo board is beside
itself, as his threats become more aggressive. He is making everyone’s
life miserable.”<br />
This man also hears “real” music and “knows” exactly where it is
coming from—that neighbor next door. So he does the rational thing and
tries to get the Condo board to stop it, and when they don’t, he enlists
the help of a paralegal. To everyone else, he is acting irrational,
but, because this music is so real, has directionality, and the people
won’t stop being inconsiderate, he is taking legal action.<br />
In these above stories you now can see that what appears at first
glance to be irrational thinking and behavior is rooted in the firm
belief that these phantom sounds are real. Unless, or until, a person
realizes that their brains are playing tricks on them, they will
continue on in their apparently bizarre behavior.<br />
And while we are on this subject, you’ve all heard stories of people
who supposedly hear radio stations through their dental fillings,
haven’t you? These stories have been around for a long time now. I
remember my dad telling me such stories more than 50 years ago.<br />
In spite of the many reports of radio broadcasts being received
through dental fillings, I’m not aware of a single proven case. I now
know that what people thought were their fillings picking up radio
stations is in reality Musical Ear Syndrome. Tooth fillings don’t
receive radio signals. People came up with this explanation in their
desperate search for a rational explanation for the strange phantom
radio-like sounds they were “hearing”—so they wouldn’t have to admit
they were crazy.<br />
<h2>
Three Reasons Why MES Sounds Make You Believe They Are Real</h2>
Here are three reasons why Musical Ear Syndrome can completely trick
people into believing that the phantom sounds they hear are real.<br />
<b>1. The sounds can seem absolutely real.</b> As far as you are
concerned, you are hearing them with your ears—so no way could they be
phantom sounds. Therefore, you treat them as real sounds until,
hopefully, you realize your brain is fooling you (yet again).<br />
<b>2. Often the sounds have directionality.</b> They are not just “in
your head”, but you “know” they are coming from a certain location—the
house next door, the apartment below you (or above you), etc. Therefore,
you have no reason to believe they are not real sounds.<br />
<b>3. These sounds are sometimes accompanied by tactile sensations.</b>
Some people actually feel the appropriate tactile sensation that would
accompany the real sound. For example, you might also “feel” the floor
vibrating from all the racket downstairs. Here are a couple of stories
of a person not only hearing sounds, but also feeling them too.<br />
Carolyn explained, “Late at night when I don’t have my hearing aids
on, I am absolutely sure that there are trucks and bulldozers working
just outside my bedroom window late at night when it is quiet. We are
the only ones living on our little country lane. There’s no traffic of
any kind outside my bedroom windows. I feel the vibrations too. I
thought I was going off the deep end.”<br />
Since our minds associate certain sensations with certain sounds, it
automatically adds them in—thus heightening the illusion that there is
something real going on when nothing is happening. In Carolyn’s case,
you can’t have a bulldozer working right outside your house without it
rumbling and shaking the ground as it works—so she both “hears” it and
“feels” the house shaking.<br />
Sometimes our minds make up totally illogical explanations to try to fit what we hear and feel into our reality.<br />
Angela related, “My 90 year old father-in-law has been hard of
hearing for some time, and it is getting progressively worse. The
geriatric psychiatrist tested him and found no dementia. He mainly hears
loud music when alone in his apartment, oftentimes in the middle of the
night. He thinks the landlady knows exactly when he lays down to sleep,
and that is when she turns the music all the way up.<br />
Unfortunately, he has taken to knocking on the downstairs landlady’s
door (at 3 A.M.) telling her to turn the music down. We have been with
him a few times when he heard the music—none of us heard anything. Now
get this, he also believes she has a vibrating device or machine that
makes his floor vibrate.”<br />
Feeling the floor vibrate when you hear phantom sounds coming from
below you is not as strange as you might think. Several people have told
me they experience vibrations along with their MES. When two of your
five senses begin telling you the same thing, it’s very difficult to
believe these sensations are all phantom.<br />
<h2>
Six Common Triggers of Musical Ear Syndrome</h2>
Exactly what causes MES is still a mystery, but there are a number of things that seem to trigger MES.<br />
<b>1. Anxiety/Stress/Worry.</b> People that are anxious or stressed are much more likely to experience MES than those who are calm and laid-back.<br />
<b>2. Depression.</b> As is the case with tinnitus, Musical Ear
Syndrome is more common in people with depression. Treating their
depression can cause the phantom sounds to fade away on their own.<br />
<b>3. Constant Background Noise.</b> Sometimes, constant background
noise blends in and begins to take on a musical quality. This can happen
whether you have a hearing loss or not. I think this is one of the
common triggers of MES in people with normal hearing.<br />
Bethany explained, “My mom is hard of hearing. Recently on a trip to
Arizona with my dad she commented to dad when they arrived at their
hotel that she really enjoyed the music on the plane. Dad said there was
no music on the plane. On the return trip, mom started hearing the
music again and told dad to listen. He said, nope, no music. But mom
continued to enjoy it until the plane landed.”<br />
I’ve determined that one common theme with hearing people is that
many times their MES sounds are triggered by a fan in the house. For
example, a man with normal hearing explained, “I hear music only when a
noise is going on in my environment. For example, if I’m hearing the air
conditioner outside the window or the furnace fan, I hear an orchestra,
or sometimes just a song. When the triggering noise turns off, the
music stops.”<br />
A hearing woman explained, “I only hear MES sounds when the furnace
fan is running and I am in bed and the house is quiet. They go when the
furnace or air conditioning fan quits running”.<br />
<b>4. Brain Abnormalities.</b>Auditory hallucinations can result from
seizures such as temporal lobe epilepsy. Musical hallucinations may be
triggered by unruptured intracranial aneurysms, or may be associated
with dorsal pontine lesions. They may also be triggered by pockets of
infection in your brain such as is caused by Lyme disease.<br />
<b>5. Drugs. </b>Most people know that some “recreational” drugs such
as Alcohol, Lysergic acid diethylamide (LSD), Marijuana (Pot),
Methamphetamines (Meth) and other recreational drugs can cause auditory
hallucinations, but it never crosses the minds of most people that some
of the prescription drugs they are taking can also cause such phantom
sounds. Furthermore, elderly people tend to take more and more
medications as they age. Unfortunately, numerous drugs can cause
auditory hallucinations.<br />
Gail explained, “My father has a profound hearing loss that may be
getting worse. He was recently placed on Terazosin. Since starting the
medication he hears “music” even when his hearing aids are out.”<br />
Note: Terazosin (and more than 360 other drugs and substances that
can cause hallucinations) are listed in Appendix 2 in the back of my
book <i>Phantom Voices, Ethereal Music & Other Spooky Sounds</i>.<br />
<b>6. Hearing Loss.</b>Hearing loss is a very commonly associated
with Musical Ear Syndrome. This is because with increasing hearing loss,
the brain no longer hears what it used to hear, and it sometimes
decides to make up for this lack with music of its own. Doctors call
this sensory deprivation.<br />
<h2>
Eight Steps to Work Through When Helping People with Musical Ear Syndrome</h2>
Now comes the important part—what can you do about your Musical Ear
Syndrome?Very briefly, here are a number of things you can do to help
yourself manage your auditory hallucinations so they have less of an
impact on your life.<br />
<b>1. Seek Competent Medical Attention to Rule Out Brain Disorders & Other Medical Conditions. </b>There
is a very small chance that you may have a brain tumor or other brain
abnormality that is causing your Musical Ear Syndrome. It is good to be
checked out by a neurologist to be sure there are no physical brain
problems. You may decide to have MRIs, CT scans or EEGs. Knowing there
is nothing physically wrong “upstairs” will give you a large sense of
relief.<br />
<b>2. Learn About Musical Ear Syndrome. </b>Learning all you can
about what you are dealing with takes much of the anxiety away. Thus,
you are better able to cope with your MES. Furthermore, once you know
what MES is, you often will feel an enormous sense of relief. With that
sense of relief, often a surprising thing happens. Your Musical Ear
Syndrome goes away on its own, or tends to fade more into the
background. Many times this is all it takes.<br />
<b>3. Convince Your Brain of the Falseness of Your Musical Ear Syndrome Sounds. </b>When
you know your brain is playing tricks on you, do whatever it takes to
convince your brain—and you can put an end to some of these phantom
sounds.<br />
Remember the man that heard music at night—he put the pillow over his
ears. If the sound volume dropped, he knew it was real music. If it
stayed at the same volume, he knew it was all in his head.<br />
<b>4. Reduce Your Anxiety Level. </b>Very often, just learning about
Musical Ear Syndrome is enough to reduce your anxiety over the strange
sounds you are hearing. That is why it is so important to have good
information available like this article. If you are anxious about other
things, get your anxiety under control and your MES may also fade away.
The same is true for depression.<br />
<b>5. Rule Out Drugs. </b>If your MES began soon after you began
taking a new drug or after you changed the dose on an existing drug,
that may be the cause. Changing to a different drug or reducing the dose
to its original level may let your MES fade away.<br />
<b>6. Enrich Your Environment with Real Sounds. </b>Musical Ear
Syndrome thrives when your brain doesn’t get adequate auditory
stimulation. This often happens if you have a hearing loss and
consequently don’t hear the common everyday environmental sounds that
keep your auditory neurons happy.<br />
Since hearing loss and aging often go hand in hand, this is why MES
is so common among elderly, hard of hearing people. In addition, often
elderly people live in quiet environments, and may live alone after the
death of a spouse, thus exacerbating the lack of auditory stimulation.<br />
Therefore, if you have Musical Ear Syndrome, surround yourself with
real sounds. Give your brain real sounds to listen to all the time. If
you are hard of hearing, wear your hearing aids so you can hear
something—then your brain can focus on those real sounds and quit
producing its own phantom sounds.<br />
<b>7. Become Socially Active. </b>Because of their hearing losses,
hard of hearing people tend to withdraw from social situations and thus
do not have much social interaction. This just further compounds their
world of silence.<br />
Becoming socially active does a number of things. First, it goes a
long ways towards keeping your mind from focusing on your phantom music.
Second, your brain now has scintillating conversations to focus on.
Third, increased socialization helps lift the depression and sense of
isolation you may be feeling that so often makes your Musical Ear
Syndrome worse.<br />
<b>8. Discover What Works for You.</b> Note anything you do that
makes your phantom music fade away, or at least not be so noticeable and
intrusive. One man told how, when his MES made it hard to go to sleep,
he practiced breathing deeply and rhythmically and focused his mind on
the sound of his breathing as he lay in bed. He explained that for him,
“With a bit of practice my brain seems to place less emphasis on the
music which becomes more in the background and it becomes easier for me
to fall asleep.” You may find other little tricks that work for you.<br />
________<br />
There you have it. This has been a brief overview of Musical Ear
Syndrome, several causes and a number of ways to help overcome it.
However, if you are hard of hearing and have Musical Ear Syndrome, look
on the bright side. Hearing phantom music isn’t always all bad. As
Sheila says, “I shall miss it if it ever fades away.” I mean, where else
can you hear beautiful music without wearing hearing aids, assistive
devices, iPods, headphones or other paraphernalia?<br />
________<br />
(An abbreviated version of this article titled <em>Musical Ear Syndrome</em> was published in the Winter 2004 edition of <em>Hearing Health</em> magazine, pp 16-19.)</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-77411295278672229652017-10-21T13:06:00.000+05:002017-10-21T13:06:01.225+05:00Noise-induced hearing loss<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="background-color: white; box-sizing: border-box; color: #333333; font-family: "DIN Next W02 Regular", Helvetica, Arial, sans-serif; font-size: 1.6rem; line-height: 2.2rem; margin-bottom: 20px;">
<span style="box-sizing: border-box;">Adele Sandberg, founder of </span><a href="http://www.facebook.com/babukhalilwardak" style="background-color: transparent; box-sizing: border-box; color: #00b0ca; text-decoration-line: none; word-break: break-word;" target="_blank"><span style="box-sizing: border-box;">Ear Peace</span></a><span style="box-sizing: border-box;"> — a non-profit organization dedicated to educating people about noise-induced hearing loss — noted the shocking statistic that is in today’s Hearing Fact Friday.</span></div>
<div style="background-color: white; box-sizing: border-box; color: #333333; font-family: "DIN Next W02 Regular", Helvetica, Arial, sans-serif; font-size: 1.6rem; line-height: 2.2rem; margin-bottom: 20px;">
<span style="box-sizing: border-box;">Noise-induced hearing loss — a completely preventable condition — is the second most common<a href="https://www.facebook.com/babukhalilwardak" style="background-color: transparent; box-sizing: border-box; color: #00b0ca; text-decoration-line: none; word-break: break-word;" target="_blank"> cause of hearing loss</a>, which, itself, is the third most common physical condition affecting adults (after arthritis and heart disease). But, as noted, it <em style="box-sizing: border-box;">is</em> preventable.</span></div>
<div style="background-color: white; box-sizing: border-box; color: #333333; font-family: "DIN Next W02 Regular", Helvetica, Arial, sans-serif; font-size: 1.6rem; line-height: 2.2rem; margin-bottom: 20px;">
<span style="box-sizing: border-box;">This being National Protect Your Hearing Month, now is a good time to keep good hearing loss prevention measures top of mind and implement them into your daily life. It’s a loud world, but there’s no reason to let it damage your hearing — and quality of life.</span> </div>
</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-73459393508892490882016-01-13T11:29:00.005+05:002016-01-13T11:29:56.081+05:00Musical Ear Syndrome—The phantom voices,<div dir="ltr" style="text-align: left;" trbidi="on">
<header class="entry-header"><h1 class="entry-title" itemprop="headline">
Musical
Ear Syndrome—The phantom voices,ethereal music & other spooky
sounds many hard of hearing people secretly experience</h1>
</header>© 2005 (updated 2014) by Neil Bauman, Ph.D.<br />
<br />
Marilyn woke with a start, her heart pounding. It was the middle of
the night. “I thought people were calling to me,” she explained. “I
became truly frightened when I realized that I was deaf and should not
be able to hear voices.”<br />
“My wife hears music that is not there,” Harry writes. “The first song she heard was <em>Silent Night</em> sung by a very good choir of mostly men. It came in quite loud. A day later it was the <em>Vienna Waltz</em> over and over again so clear it was like being at a musical production.”<br />
“I would often lie half awake in the quietness of the early morning
and hear a phantom radio,” Dick recalls. “A guy would be talking like
they did in the 50s. Kind of a monotone voice and all the advertisements
like they did back then. It always sounded so real.”<br />
“Late at night when I don’t have my hearing aids on,” Carolyn
relates, “I am absolutely sure I hear trucks and bulldozers working
right outside our bedroom windows. We are the only ones living on our
little country lane. There’s no traffic of any kind outside my bedroom
windows. My husband swears there are no noises at all.”<br />
“Years ago,” Sherry remembers, “when my dad would take me flying in
his little two-seater wind-knocker airplane, I used to hear strange
music. The music sounded like the full Mormon Tabernacle Choir. Since I
was quite young, I thought it was angels singing.”<br />
Julie’s father-in-law mainly hears loud music when alone in his
apartment, oftentimes in the middle of the night. Julie explains, “He
has taken to knocking on the downstairs landlady’s door at 3 A.M.
telling her to turn the music down. I have been with him a few times
when he heard the music, but I couldn’t hear a thing.”<br />
“I was afraid I was going nuts when I thought I was hearing things in
my head after my CI surgery,” Heather remembers. “On the morning after
the surgery, I was hearing what sounded like music from a radio. I heard
that every day from my surgery until I was hooked up. It almost drove
me nuts. Yet, I never said one word to anyone about it because I didn’t
want them to think I was crazy.”<br />
What do these people have in common? They are all hard of hearing,
and they all hear strange phantom voices, ethereal music or other spooky
sounds that no one else hears. Nor are they alone. Thousands of other
hard of hearing people “hear” similar phantom sounds, yet they never
tell a soul because they are afraid of the dreaded “H” word. They are
terrified someone will discover their “shameful” secret—that they
experience auditory hallucinations.<br />
Janet explained, “My mother-in-law confided in me about hearing music
loud and clear at various times of the day, but frequently when she
goes to bed. Two doctors now have basically ridiculed her and said
they’d never heard of such a thing. My mother-in-law is at the end of
her rope. She is even accusing her husband of trying to drive her crazy
by playing this music. As you can imagine, this is very difficult on
their marriage.”<br />
What do these people have in common? They all hear strange phantom
sounds that no one else hears. They are also hard of hearing. Nor are
they alone. Thousands of other hard of hearing people “hear” similar
phantom sounds, yet they never tell a soul because they are afraid of
the dreaded “H” word—hallucinations. The very word conjures up visions
of phantom voices, padded cells and people in white coats talking in
hushed tones. This is because almost everyone associates “hearing
voices” with “going crazy” and mental illness such as schizophrenia.
It’s time to dispel such myths.<br />
<h2>
What Exactly Are Hallucinations?</h2>
According to <em>Stedman’s MedicalDictionary</em>, hallucinations are
“the apparent, often strong,subjective perception of an object or event
when no such stimulus or situation is present.” More simply
put,hallucinations are where your brain perceives that something is
happening even though your five senses have not received any direct
stimulus.<br />
Hallucinations may be visual (seeing), auditory (hearing), olfactory
(smelling), gustatory (tasting) or tactile (feeling). Therefore,
hallucinations are simply seeing, hearing, smelling, tasting or feeling
sights, sounds, odors, tastes, or sensations that no one else around you
perceives.<br />
Although hallucinations may occur with any of the five senses,
auditory hallucinations are by far the most common kind of
hallucination. A person is hearing auditory hallucinations when he or
she hear noises, music, sounds or voices that no one else hears because
these phantom sounds are generated in the person’s brain, not
externally.<br />
<h2>
Two Kinds of Auditory Hallucinations</h2>
Not many people know this, but there are actually two classes of
auditory hallucinations—psychiatric auditory hallucinations, and
non-psychiatric auditory hallucinations. People with mental illnesses
often experience the former,while hard of hearing people often
experience the latter.<br />
Here is an example of a psychiatric auditory hallucination. Elyssa
explained, “Lately I’ve been hearing voices. I don’t know where they
come from but they are loud and clear. Last week, for example, I was
sitting in class when this voice told me that the boy sitting behind me
was planning to attack me after school. I jumped out of my seat and
began to scream obscenities at him. He denied everything, of course, so I
punched him in the face and broke his nose.”<br />
As you can readily see, this example is vastly different from the
auditory hallucination stories mentioned at the beginning of this
article—the kind many hard of hearing people typically experience. These
non-psychiatric auditory hallucinations have nothing whatsoever to do
withmental illness, but are a symptom of something not working quite
right in the auditory circuits in our brains.<br />
If you are hearing phantom sounds, how can you tell which of
hallucinations you are experiencing—whether psychiatric or
non-psychiatric? Although I am not a psychiatrist, here are two “rules
of thumb”.<br />
1. People who experience psychiatric auditory hallucinations generally hear <strong>voices</strong>, as opposed to music or other sounds. People who experience non-psychiatric auditory hallucinations mostly hear <strong>music</strong> or singing, rather than just plain voices.<br />
2. The voices that people who experience psychiatric auditory
hallucinations hear are generally clear and distinct. These voices
almost always talk <strong>to</strong> or <strong>about</strong> the person, and may engage the person in conversation. Consequently, the content is of a <strong>meaningful personal </strong>nature.<br />
In contrast, people who experience non-psychiatric auditory
hallucinations often hear voices that sound vaguely like a radio
broadcast or TV program playing in another room. For example, Robert
explained, “I get Red Barber calling the game. I can’t distinguish the
words—but I’m sure that’s who is talking.” Catherine described her
auditory hallucinations as “what sounded like the voice of a radio
announcer on a badly tuned radio station”.<br />
These phantom sounds do not contain any information of a meaningful
personal nature. These voices neither talk to the person, or about them,
nor do they engage them in conversation.<br />
<h2>
Characteristics of Auditory Hallucinations</h2>
Non-psychiatric auditory hallucinations (hereinafter referred to
simply as “auditory hallucinations”) comprise a wide range of sounds,
ranging from simple to complex. <strong>Simple</strong> sounds are
single, unmodulated sounds such as the various tinnitus sounds (ringing,
roaring, buzzing, hissing, rumbling, etc.) millions of people hear. In
fact, tinnitus is the most common kind of auditory hallucination.<br />
In contrast, <strong>complex</strong> sounds include multiple,
modulated sounds such as tunes, singing, music and voices. These are the
kinds of sounds that people have traditionally considered auditory
hallucinations. Many people have mistakenly called these sounds “musical
tinnitus.”<br />
Depending on their clarity, phantom sounds may be either “unformed” or “formed.” <strong>Unformed</strong> auditory
hallucinations consist of hearing distorted music, sounds, or voices.
These sounds are vague, “fuzzy” and indistinct. For example, Jane
described her unformed auditory hallucinations as “like the wind
blowing, but with a musical quality, as if someone off in the distance
was singing without words.” Rachel explains, “The words are never
distinct—it’s like they are several rooms away.” Sarah relates, “I
sometimes hear phantom “radio broadcasts” that I can’t quite make out.”<br />
In contrast, <strong>formed</strong> auditory hallucinations are
where speech, music or singing is so clear and recognizable that people
hearing it can identify the various voices and musical instruments. For
example, James explains, “For the past 3 to 4 months I have had the most
calming and repetitive choruses and wind ensembles, usually led by a
bass sax and a baritone playing and singing in a low octave, the older
Christian hymns and a few oldies from the forties such as, <em>Near the Cross</em>, <em>Amazing Grace</em>, <em>His Eye Is on the Sparrow</em> and <em>The Star Spangled Banner</em>.”<br />
Claudia, who has normal hearing, describing her auditory
hallucinations, says, “I hear passages of what sound like Strauss
waltzes, Russian symphonies, Italian operas—distinctively enough to
identify various instruments, male or female choruses, and the
occasional soloist.”<br />
Incidentally, many people find their auditory hallucinations begin
with clearly-formed complete sentences or songs. Later, the repetition
of lengthy passages of music may degenerate into short snatches of
repetitive phrases or rhythmic patterns, or even into unformed auditory
hallucinations that are more like the common forms of tinnitus. Tyler’s
father’s auditory hallucinations followed this pattern. He explained,
“My dad’s musical hallucinations started out as recognizable songs (<em>Battle Hymn of the Republic</em> for 2 weeks, then started changing to a variety of other songs, <em>The Music Man</em>, <em>Ride of the Valkyries</em>, etc.) then turned into unrecognizable orchestral or vocal-like sounds”.<br />
<h2>
The Need for a New Name—The Fear Factor</h2>
Unfortunately, the general public immediately associates <b>all</b>
auditory hallucinations with mental illness. For example, if I say I
hear non-psychiatric auditory hallucinations, typically you will zero in
on the two words “psychiatric” and “hallucinations”—and immediately
think I am crazy.<br />
As a result, few people have the courage to admit they are hearing
non-psychiatric auditory hallucinations for this very reason. For
example, Cheryl explained, “I was afraid I was going nuts. I never said
one word to anyone about the strange music I was hearing because I
didn’t want them to think I was crazy”.<br />
Sharing with family members often elicits a similar response. Anna
declared, “All my family believe I am nuts because I told them I hear
music every waking moment”.<br />
Because of this fear factor, many people describe their auditory
hallucinations in terms such as “musical tinnitus” to avoid using the
word “hallucinations”. You see, we don’t typically think people with
tinnitus as hallucinating or being nuts, do we?<br />
Obviously, there is a real need for a new term to describe
non-psychiatric auditory hallucinations—a name that has no negative
connotations associated with it whatsoever, and one that does not
include either the words “psychiatric” or “hallucinations”.<br />
Since the vast majority of people who experience auditory
hallucinations hear some sort of phantom music or singing, I named this
condition <b>Musical Ear Syndrome</b>. Not only does it not have any
negative connotations, it almost sounds like it might be something good
to have—like having an ear for music or having perfect pitch.<br />
For example, when I say, “I’ve got Musical Ear Syndrome,” the first thing that comes to your mind is <b>not</b>
that I’m crazy. You see, there is no stigma attached to the term to
start with. You are left feeling neutral, or even slightly positive,
towards this term, or you query with an open mind, “Music Ear
Syndrome—what’s that?”<br />
Since I coined the term Musical Ear Syndrome or MES for short back in
2004, I have found that people are far more willing to openly talk
about the phantom sounds they “hear”. In fact, the last time I did a
search on Google for the phrase “Musical Ear Syndrome” (in quotes) I
came up with more than 11,700 websites that now use this term!<br />
<h2>
Musical Ear Syndrome is Not New</h2>
Musical Ear Syndrome has been around for a long time. Only the name
is new—not the phantom experiences themselves. For example, composer
Robert Schumann heard auditory hallucinations towards the end of his
life. At night, he heard musical notes and believed that he heard an
angelic choir singing to him. He also heard the music of Beethoven and
Schubert. He jotted down the music in February, 1854 and called it the <i>Theme (WoO, 1854)</i>. He said he was taking dictation from Schubert’s ghost.<br />
<h2>
Definition of Musical Ear Syndrome</h2>
I define Musical Ear Syndrome as hearing non-tinnitus phantom sounds
(that is, auditory hallucinations) of a non-psychiatric nature, often
musical, but also including voices and other strange sounds.<br />
<h2>
Tinnitus vs. Musical Ear Syndrome Sounds</h2>
Once we throw out psychiatric auditory hallucinations, we are still
left with two basic kinds of phantoms sounds—tinnitus and Musical Ear
Syndrome sounds. Here’s how to tell them apart.<br />
Tinnitus sounds are <b>single</b>, <b>simple</b> (unmodulated) sounds
such as ringing, buzzing, hissing, roaring, clicking, humming, rushing,
whooshing droning and kindred sounds. In contrast, Musical Ear Syndrome
sounds include <b>multiple</b>, <b>complex</b> (modulated) sounds such as singing, music and voices.<br />
<h2>
The Most Common Musical Ear Syndrome Sounds</h2>
Did you ever wonder what are the most common kinds of MES songs
people hear? The truth is that hymns, Christmas carols and patriotic
music comprise just over half of all the MES sounds people hear (52%
combined).<br />
One lady related, “My 66 year old mom lost almost all her hearing two
months ago. The last three days [this was written on December 28th] she
keeps hearing <i>Silent Night</i> and <i>Oh, Come All Ye Faithful</i>
over and over again. It gets so loud that she can’t sleep. She has tried
to make it go away but can’t. She says that it is just beautiful
singing with a full orchestra to boot, but would really like some
sleep”.<br />
As a matter of interest, quite often MES sounds have a seasonal
quality—thus people “hear” Christmas carols during the winter season and
<i>The Star Spangled Banner</i> around the 4th of July. Incidentally, while Americans often hear <i>The Star Spangled Banner</i>, Canadians typically hear <i>God Save the Queen</i> or <i>Oh Canada</i>, and Australians often hear <i>Waltzing Matilda</i>!<br />
<h2>
How Common Is Musical Ear Syndrome?</h2>
Because so few people admit to hearing phantom sounds, researchers,
up to now, have considered Musical Ear Syndrome (under whatever name
they call it) very rare. But that is just not true. Musical Ear Syndrome
is much more common than anyone seems to realize, and affects
significant numbers of hard of hearing people.<br />
Since few people are willing to admit to hearing these phantom
sounds, it is difficult to obtain accurate figures. I estimate that well
in excess of 10% of hard of hearing people experience these phantom
sounds at one time or another.<br />
For example, when I speak to groups of hard of hearing people on this
subject, I often ask how many of them have heard such phantom sounds.
Since they feel “safe” with me, invariably 10% to 30% of the people
present are brave enough to put up their hands. And that is just those
willing to publicly admit they have heard such phantom sounds. Others
won’t even admit that much.<br />
To date, I have collected the stories from more than 1,500 people
regarding their MES experiences. This alone tells you how common MES
really is.<br />
<h2>
Causes of Musical Ear Syndrome</h2>
There are a number of things that are thought to cause MES. The
primary contender is lack of adequate auditory stimulation. The theory
is that when your world becomes too quiet, your brain manufactures its
own sounds. This is why MES is so common among elderly, hard of hearing
people. First, they often have significant hearing losses. Second, they
typically live in quiet environments. Third, they generally live alone
after the death of a spouse.<br />
In addition, because of their hearing losses, hard of hearing people
tend to withdraw from social situations and thus do not have much social
interaction. This just further compounds their world of silence. At the
same time, hard of hearing people may feel depressed over their hearing
losses and anxious about what is happening to them. This just
exacerbates their phantom sounds.<br />
Another cause of auditory hallucinations is drugs and medications.
Elderly people tend to take more and more medications as they age.
Unfortunately, numerous drugs can cause auditory hallucinations.<br />
In rare cases, brain abnormalities (tumors, infections) can cause
auditory hallucinations. Have a neurologist check you out-especially if
you do not fit the common profile of being elderly, hard of hearing and
living in a quiet environment.<br />
<h2>
Some Characteristics of People with Musical Ear Syndrome</h2>
Not everyone hears phantom sounds. Following are some of the
characteristics common to many of the people who do experience Musical
Ear Syndrome.<br />
<b>1. Often the Person Is Older. </b>About two-thirds of the people
with MES are older than 50. About one-third are older than 70. Only
about one-third of the people experiencing MES are younger than 50.<br />
<b>2. Generally the Person Has Some Degree of Hearing Loss. </b>Since
MES is apparently often caused by lack of auditory stimulation, it
stands to reason that many people with MES have some degree of hearing
loss. Surprisingly, about a third of the people with MES report normal
hearing. Just over half of the people experiencing MES, report either
mild or moderate hearing losses. Interestingly enough, people with more
severe hearing losses don’t appear to have MES more frequently than
their numbers warrant.<br />
<b>3. More Commonly Reported in Women than in Men. </b>For some
reason, typically three times as many women as men report hearing MES
sounds. This does not necessarily mean that more women than men
experience Musical Ear Syndrome (although it is quite likely that they
do). It may just mean that more women than men are willing to speak up
and seek help.<br />
<b>4. Commonly the Person is Anxious/Worried, Stressed or Depressed. </b>Notice
how anxiety, worry and stress play an important role in the occurrence
of Musical Ear Syndrome. It seems that often people going through
anxious experiences and stressful situations such as the death of a
spouse or some sickness or problems in their family experience MES much
more commonly than people whose lives are moving along smoothly.The same
is true for depression. One out of five people experiencing MES admits
to being depressed when their MES started.<br />
<b>5. More Often than Not, the Person Also Has Tinnitus. </b>Before
their Musical Ear Syndrome appeared, most people had pre-existing
tinnitus. This is particularly true of those that are hard of hearing.
It is probably not true for those whose MES is caused by background
sounds. Such people typically have normal, or near-normal, hearing.<br />
<b>6. Often the MES Sounds Seem to Come from a Certain Direction. </b>When
the phantom sounds you hear appear to have directionality—that is, they
appear to come from a definite direction, thus acting like real
sounds—it is most difficult to believe that those sounds are truly
phantom. More than one third of the people experiencing MES report that
their MES sounds have directionality.<br />
<b>7. Generally Become Aware Their Sounds Are Phantom. </b>Fortunately,
most people who experience MES, as time passes, typically figure out
that these sounds are not real. For example, one elderly lady who “knew”
she was hearing a radio station realized that radio stations don’t play
the same song over and over and over again endlessly. So, if the music
she is hearing repeats endlessly, she knows it’s all in her head.<br />
A man who heard phantom sounds while in bed had a different way of
determining whether what he was hearing was real or phantom. He simply
put the pillow over his ears. If he could still hear the sound just as
loud, he knew it was in his head. However, if the pillow cut out the
sound, he knew it was real. That worked for him.<br />
Unfortunately, about one in five or one in six of the people
experiencing MES cannot tell that the sounds they are hearing are truly
phantom. These people are typically well up in their 80s. Even when
caregivers explain to them that these sounds are not real, they refuse
to believe it, and often become angry at the person who’s trying to tell
them otherwise. In my experience, it is almost impossible to help such
people. The best I can do is to explain clearly to their children or
caregivers what is happening so that they can understand what their
parent is going through.<br />
<b>8. May Appear to Act Irrationally. </b>The good news is that most
people soon come to realize the MES sounds they are hearing are phantom
and thus don’t respond to them as though they are real. However, numbers
of people, especially those up in their 80s and 90s, don’t seem to be
able to separate their phantom sounds from real sounds. As a result,
they continue to act as though what they are hearing is real. This gives
rise to some bizarre, and often what appears to be irrational behavior.
Don’t let that throw you. Although people with MES may have what
appears to be bizarre behavior, if you put yourself in their shoes,
you’ll quickly realize that they are behaving sanely and rationally
based on what their senses are telling them is true, even though the
sounds they are “hearing” are indeed phantom.<br />
Unfortunately, because of their apparently irrational behavior, too
often, doctors and caregivers (which includes family members) have
quickly written such people off as being “nuts” and treat them as such,
when in reality, they are simply being fooled by their MES. Here are
some examples.<br />
An 82 year old hard of hearing widow began hearing noises on the
second floor of her house. To her it sounded like a homeless person was
living there. She heard him come into the house, usually at night, walk
up the stairs and move things around upstairs. She never saw him, or
spoke to him.<br />
A few times she even summoned the courage to climb the stairs and see
what was going on. She never found anything out of place, and there was
never any signs of the stranger.<br />
To try to stop this, she changed the locks on her house, not just
once, but twice. Also, on two occasions, she called the police. The
police thoroughly searched the house and grounds without finding any
evidence of an intruder. You see, in this case she heard certain sounds
and made a rational decision based on their being real. These sounds had
moving directionality—walking up the stairs, moving around upstairs,
etc. Thus she acted prudently (as far as she was concerned) in changing
the locks and calling the police, but to outsiders, her actions seemed a
bit nuts.<br />
Here’s another example. A concerned neighbor explained, “We have a
neighbor in our condo who has been fairly deaf for many years. He is
about 80 now. In recent years, he is hearing music, which he attributes
to neighbors next door, who he feels are “against him” and play music
all night. No one else in the condo has ever heard such music. It is
quite quiet here at night. He has enlisted the help of paralegals and
others, demanding that the “music” stop. Our condo board is beside
itself, as his threats become more aggressive. He is making everyone’s
life miserable.”<br />
This man also hears “real” music and “knows” exactly where it is
coming from—that neighbor next door. So he does the rational thing and
tries to get the Condo board to stop it, and when they don’t, he enlists
the help of a paralegal. To everyone else, he is acting irrational,
but, because this music is so real, has directionality, and the people
won’t stop being inconsiderate, he is taking legal action.<br />
In these above stories you now can see that what appears at first
glance to be irrational thinking and behavior is rooted in the firm
belief that these phantom sounds are real. Unless, or until, a person
realizes that their brains are playing tricks on them, they will
continue on in their apparently bizarre behavior.<br />
And while we are on this subject, you’ve all heard stories of people
who supposedly hear radio stations through their dental fillings,
haven’t you? These stories have been around for a long time now. I
remember my dad telling me such stories more than 50 years ago.<br />
In spite of the many reports of radio broadcasts being received
through dental fillings, I’m not aware of a single proven case. I now
know that what people thought were their fillings picking up radio
stations is in reality Musical Ear Syndrome. Tooth fillings don’t
receive radio signals. People came up with this explanation in their
desperate search for a rational explanation for the strange phantom
radio-like sounds they were “hearing”—so they wouldn’t have to admit
they were crazy.<br />
<h2>
Three Reasons Why MES Sounds Make You Believe They Are Real</h2>
Here are three reasons why Musical Ear Syndrome can completely trick
people into believing that the phantom sounds they hear are real.<br />
<b>1. The sounds can seem absolutely real.</b> As far as you are
concerned, you are hearing them with your ears—so no way could they be
phantom sounds. Therefore, you treat them as real sounds until,
hopefully, you realize your brain is fooling you (yet again).<br />
<b>2. Often the sounds have directionality.</b> They are not just “in
your head”, but you “know” they are coming from a certain location—the
house next door, the apartment below you (or above you), etc. Therefore,
you have no reason to believe they are not real sounds.<br />
<b>3. These sounds are sometimes accompanied by tactile sensations.</b>
Some people actually feel the appropriate tactile sensation that would
accompany the real sound. For example, you might also “feel” the floor
vibrating from all the racket downstairs. Here are a couple of stories
of a person not only hearing sounds, but also feeling them too.<br />
Carolyn explained, “Late at night when I don’t have my hearing aids
on, I am absolutely sure that there are trucks and bulldozers working
just outside my bedroom window late at night when it is quiet. We are
the only ones living on our little country lane. There’s no traffic of
any kind outside my bedroom windows. I feel the vibrations too. I
thought I was going off the deep end.”<br />
Since our minds associate certain sensations with certain sounds, it
automatically adds them in—thus heightening the illusion that there is
something real going on when nothing is happening. In Carolyn’s case,
you can’t have a bulldozer working right outside your house without it
rumbling and shaking the ground as it works—so she both “hears” it and
“feels” the house shaking.<br />
Sometimes our minds make up totally illogical explanations to try to fit what we hear and feel into our reality.<br />
Angela related, “My 90 year old father-in-law has been hard of
hearing for some time, and it is getting progressively worse. The
geriatric psychiatrist tested him and found no dementia. He mainly hears
loud music when alone in his apartment, oftentimes in the middle of the
night. He thinks the landlady knows exactly when he lays down to sleep,
and that is when she turns the music all the way up.<br />
Unfortunately, he has taken to knocking on the downstairs landlady’s
door (at 3 A.M.) telling her to turn the music down. We have been with
him a few times when he heard the music—none of us heard anything. Now
get this, he also believes she has a vibrating device or machine that
makes his floor vibrate.”<br />
Feeling the floor vibrate when you hear phantom sounds coming from
below you is not as strange as you might think. Several people have told
me they experience vibrations along with their MES. When two of your
five senses begin telling you the same thing, it’s very difficult to
believe these sensations are all phantom.<br />
<h2>
Six Common Triggers of Musical Ear Syndrome</h2>
Exactly what causes MES is still a mystery, but there are a number of things that seem to trigger MES.<br />
<b>1. Anxiety/Stress/Worry.</b> People that are anxious or stressed are much more likely to experience MES than those who are calm and laid-back.<br />
<b>2. Depression.</b> As is the case with tinnitus, Musical Ear
Syndrome is more common in people with depression. Treating their
depression can cause the phantom sounds to fade away on their own.<br />
<b>3. Constant Background Noise.</b> Sometimes, constant background
noise blends in and begins to take on a musical quality. This can happen
whether you have a hearing loss or not. I think this is one of the
common triggers of MES in people with normal hearing.<br />
Bethany explained, “My mom is hard of hearing. Recently on a trip to
Arizona with my dad she commented to dad when they arrived at their
hotel that she really enjoyed the music on the plane. Dad said there was
no music on the plane. On the return trip, mom started hearing the
music again and told dad to listen. He said, nope, no music. But mom
continued to enjoy it until the plane landed.”<br />
I’ve determined that one common theme with hearing people is that
many times their MES sounds are triggered by a fan in the house. For
example, a man with normal hearing explained, “I hear music only when a
noise is going on in my environment. For example, if I’m hearing the air
conditioner outside the window or the furnace fan, I hear an orchestra,
or sometimes just a song. When the triggering noise turns off, the
music stops.”<br />
A hearing woman explained, “I only hear MES sounds when the furnace
fan is running and I am in bed and the house is quiet. They go when the
furnace or air conditioning fan quits running”.<br />
<b>4. Brain Abnormalities.</b>Auditory hallucinations can result from
seizures such as temporal lobe epilepsy. Musical hallucinations may be
triggered by unruptured intracranial aneurysms, or may be associated
with dorsal pontine lesions. They may also be triggered by pockets of
infection in your brain such as is caused by Lyme disease.<br />
<b>5. Drugs. </b>Most people know that some “recreational” drugs such
as Alcohol, Lysergic acid diethylamide (LSD), Marijuana (Pot),
Methamphetamines (Meth) and other recreational drugs can cause auditory
hallucinations, but it never crosses the minds of most people that some
of the prescription drugs they are taking can also cause such phantom
sounds. Furthermore, elderly people tend to take more and more
medications as they age. Unfortunately, numerous drugs can cause
auditory hallucinations.<br />
Gail explained, “My father has a profound hearing loss that may be
getting worse. He was recently placed on Terazosin. Since starting the
medication he hears “music” even when his hearing aids are out.”<br />
Note: Terazosin (and more than 360 other drugs and substances that
can cause hallucinations) are listed in Appendix 2 in the back of my
book <i>Phantom Voices, Ethereal Music & Other Spooky Sounds</i>.<br />
<b>6. Hearing Loss.</b>Hearing loss is a very commonly associated
with Musical Ear Syndrome. This is because with increasing hearing loss,
the brain no longer hears what it used to hear, and it sometimes
decides to make up for this lack with music of its own. Doctors call
this sensory deprivation.<br />
<h2>
Eight Steps to Work Through When Helping People with Musical Ear Syndrome</h2>
Now comes the important part—what can you do about your Musical Ear
Syndrome?Very briefly, here are a number of things you can do to help
yourself manage your auditory hallucinations so they have less of an
impact on your life.<br />
<b>1. Seek Competent Medical Attention to Rule Out Brain Disorders & Other Medical Conditions. </b>There
is a very small chance that you may have a brain tumor or other brain
abnormality that is causing your Musical Ear Syndrome. It is good to be
checked out by a neurologist to be sure there are no physical brain
problems. You may decide to have MRIs, CT scans or EEGs. Knowing there
is nothing physically wrong “upstairs” will give you a large sense of
relief.<br />
<b>2. Learn About Musical Ear Syndrome. </b>Learning all you can
about what you are dealing with takes much of the anxiety away. Thus,
you are better able to cope with your MES. Furthermore, once you know
what MES is, you often will feel an enormous sense of relief. With that
sense of relief, often a surprising thing happens. Your Musical Ear
Syndrome goes away on its own, or tends to fade more into the
background. Many times this is all it takes.<br />
<b>3. Convince Your Brain of the Falseness of Your Musical Ear Syndrome Sounds. </b>When
you know your brain is playing tricks on you, do whatever it takes to
convince your brain—and you can put an end to some of these phantom
sounds.<br />
Remember the man that heard music at night—he put the pillow over his
ears. If the sound volume dropped, he knew it was real music. If it
stayed at the same volume, he knew it was all in his head.<br />
<b>4. Reduce Your Anxiety Level. </b>Very often, just learning about
Musical Ear Syndrome is enough to reduce your anxiety over the strange
sounds you are hearing. That is why it is so important to have good
information available like this article. If you are anxious about other
things, get your anxiety under control and your MES may also fade away.
The same is true for depression.<br />
<b>5. Rule Out Drugs. </b>If your MES began soon after you began
taking a new drug or after you changed the dose on an existing drug,
that may be the cause. Changing to a different drug or reducing the dose
to its original level may let your MES fade away.<br />
<b>6. Enrich Your Environment with Real Sounds. </b>Musical Ear
Syndrome thrives when your brain doesn’t get adequate auditory
stimulation. This often happens if you have a hearing loss and
consequently don’t hear the common everyday environmental sounds that
keep your auditory neurons happy.<br />
Since hearing loss and aging often go hand in hand, this is why MES
is so common among elderly, hard of hearing people. In addition, often
elderly people live in quiet environments, and may live alone after the
death of a spouse, thus exacerbating the lack of auditory stimulation.<br />
Therefore, if you have Musical Ear Syndrome, surround yourself with
real sounds. Give your brain real sounds to listen to all the time. If
you are hard of hearing, wear your hearing aids so you can hear
something—then your brain can focus on those real sounds and quit
producing its own phantom sounds.<br />
<b>7. Become Socially Active. </b>Because of their hearing losses,
hard of hearing people tend to withdraw from social situations and thus
do not have much social interaction. This just further compounds their
world of silence.<br />
Becoming socially active does a number of things. First, it goes a
long ways towards keeping your mind from focusing on your phantom music.
Second, your brain now has scintillating conversations to focus on.
Third, increased socialization helps lift the depression and sense of
isolation you may be feeling that so often makes your Musical Ear
Syndrome worse.<br />
<b>8. Discover What Works for You.</b> Note anything you do that
makes your phantom music fade away, or at least not be so noticeable and
intrusive. One man told how, when his MES made it hard to go to sleep,
he practiced breathing deeply and rhythmically and focused his mind on
the sound of his breathing as he lay in bed. He explained that for him,
“With a bit of practice my brain seems to place less emphasis on the
music which becomes more in the background and it becomes easier for me
to fall asleep.” You may find other little tricks that work for you.<br />
________<br />
There you have it. This has been a brief overview of Musical Ear
Syndrome, several causes and a number of ways to help overcome it.
However, if you are hard of hearing and have Musical Ear Syndrome, look
on the bright side. Hearing phantom music isn’t always all bad. As
Sheila says, “I shall miss it if it ever fades away.” I mean, where else
can you hear beautiful music without wearing hearing aids, assistive
devices, iPods, headphones or other paraphernalia?<br />
________<br />
(An abbreviated version of this article titled <em>Musical Ear Syndrome</em> was published in the Winter 2004 edition of <em>Hearing Health</em> magazine, pp 16-19.)</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-25113451079707278272016-01-13T11:23:00.001+05:002016-01-13T11:23:14.183+05:00Help! I’m Losing My Hearing. What Should I Do Now?<div dir="ltr" style="text-align: left;" trbidi="on">
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by Neil Bauman, Ph.D. and Steve Barber<br />
January 12, 2016<br />
<br />
A person asked,<br />
<blockquote>
I have recently been diagnosed with significant bilateral
hearing loss. I will be seeing an audiologist to be fitted with hearing
aids for the first time. What do I need to know about hearing loss and
hearing aids? As a hard of hearing person, what do you wish people had
told you when you were in the same boat?</blockquote>
Excellent questions. You are wise to ask these questions before you
go to the audiologist so you are prepared and also have a realistic
grasp of what successfully living with a hearing loss is all about.<br />
My friend, Steve Barber, compiled the following and I’m reproducing it here with his permission.<br />
He writes, “Here is my list of things to help someone new to hearing loss:<br />
1. Vanity and denial are self-inflicted wounds–don’t fall victim.
Accept that you have a hearing loss and vow to be the best hard of
hearing person you can be.<br />
2. No one else cares whether you have a hearing loss or wear
hearing aids, but they do notice if you answer incorrectly, misinterpret
what’s said, or say “What?” whenever anything is said.<br />
3. It’s up to you to hear your best. This means not only using
hearing aids, and perhaps assistive listening devices, but it also means
you need to learn all about the features of those devices so you can
hear your best.<br />
4. While many audiologists and hearing aid dispensers are
excellent, they won’t always tell you everything you need to know about
hearing aid features, assistive listening technology and strategies that
can help you cope the best with your hearing loss.<br />
5. Hearing aids are terrific now compared to even a few years ago.
They can make a huge improvement in your ability to understand speech,
but you’ll still have difficulty in noise, when at a distance from the
sound source, or in large rooms where reverberation is a problem.<br />
6. Choose hearing aids that have the right features for your needs.
So learn what features you need, and when and how to use those
features.<br />
7. Never buy a hearing aid that’s advertised as “so small no one
will know you are wearing one”. Those hearing aids probably don’t have
the features you need. Furthermore, no one cares about your hearing aids
any more than they care about your glasses. Also, ask yourself, “Why
would anyone advertise their product in a way that implies you don’t
really want one?” Hint: I think the answer is “Stupidity”.<br />
8. It usually takes a while for your brain adjust to all the new
sounds you haven’t heard well for a long time. Expect a period of
adjustment of up to 90 days.<br />
9. Before you buy hearing aids, as a minimum, learn what you can
about telecoils, directional microphones, and assistive listening
systems.<br />
10. Hearing aids are not like glasses. The prescription for glasses
usually is spot on and doesn’t need any tweaking. That’s not usually
true for hearing aids. You may need to go back several times to have
them tweaked to more exactly fit your hearing needs.<br />
11. Take advantage of the trial period (usually 30 days). Be
prepared when you work with your dispenser to explain what things sound
like if they don’t sound normal, and what sounds are irritating.
Typically, your dispenser can tweak the settings to improve things.<br />
12. If your loss is more than mild, be sure your hearing aids have
telecoils. About 70% of hearing aids do have them, but you have to ask
for them or you won’t necessarily get them. Also, make sure your
dispenser activates the telecoils, adjusts them to your needs, and
explains what you need to know about how to use them.<br />
13. If your hearing loss is more than moderate, consider other assistive listening device options such as PockeTalkers (or Audables), neckloops, <a href="http://www.facebook.con/babukhalilwardak">FM devices</a>,
Bluetooth and the new 2.4 Ghz assistive options. They are similar to
Bluetooth but without the pendant and with less annoying delay.<br />
14. Join the <a href="http://www.facebook.con/babukhalilwardak" target="_blank">Hearing Loss Association of America </a>(HLAA). Not only will you be helping everyone else with hearing loss, you’ll be helping yourself.<br />
15. If you’re near a local HLAA chapter, go to their meetings and events and meet others members and volunteers who know a <strong>lot </strong>about
hearing loss and have more time than your dispenser does to fill you in
on all you’ll need to know about being better at successfully living
with your hearing loss.<br />
16. Learn coping strategies you’ll need to know–where to sit in
restaurants, what to say when job hunting, how to ask for a repeat.
(Hint: Don’t just say “What?” or “Huh?”)<br />
17. Keep your sense of humor.<br />
18. Don’t withdraw. You can still be part of society. You can still
hear at plays, movies, museums, etc. if you know about the various
resources to help you hear better.”</div>
</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-40138228600843254672015-09-02T09:44:00.001+05:002015-09-02T09:44:12.309+05:00Analog vs Digital Hearing Aids Pakistan Oticon, siemens phonac<div dir="ltr" style="text-align: left;" trbidi="on">
Analog vs. Digital Hearing Aids Pakistan Oticon, siemens phonac, belton hansaton <br />Analog vs. Digital Hearing Aids<br />- Analog:<br />Analog and digital signals are quite different, and this translates into different hearing aid configurations. Fundamentally, hearing aids can process acoustic signals that they receive at the microphone either digitally or analog.<br />An analog circuit is composed of a fixed electronic circuit that can be adjusted or programmed. An audiologist (the medical professional responsible for diagnosing hearing problems) determines the level of hearing loss experienced by an individual. Then, he or she determines the frequencies at which the incoming acoustic signals must be boosted. Next, the audiologist adjusts the gain of the aid, which in the case of the analog device involves modifying the physical circuitry and hardware of the aid. Thus, each analog hearing aid is custom made by a laboratory to meet the individual needs of a given patient.<br />- Digital Hearing Aids:<br />A digital hearing aid involves both an audio circuit and control circuits that are fully digital. Thus, instead of relying on gradations in electronic intensity, these devices transmit as ones and zeros—digitally—much in the way that any other electronic device might. As one might suspect, these hearing devices are more recent innovations than the analog variety. One can input programs and additional features into digital hearing aids that were not possible in the prior generations of hearing aids. Both hearing aids, one on either ear, can, for example, communicate wirelessly to ensure that balance is maintained and that the differences associated with spatial perception are maintained in hearing—a common issue with the hearing impaired.<br />Should You Buy Analog or Digital?<br />In general, consult your medical professional as to which hearing aid to purchase. Naturally, digital aids are more expensive, so there are many cases where the hearing aid configuration is simple enough to be implemented in an analog device. On the other hand, it is often affordable to buy a single digital device that is, itself, rather versatile and that can be programmed over time as hearing continues to deteriorate or improve (using The Hearing Fix).<br />Digital devices often contain special features to enhance the overall effectiveness of the hearing aid. Special programs are used to reduce feedback, which produces a rather unsavory “whistling” noise. With many analog devices, background noise is an issue, since analog devices lack sophisticated gating mechanisms to attenuate such unwanted noise. Digital devices are often more sensitive to the overall environment, adjusting the hearing aid’s settings so that it performs better in noisy settings versus quiet ones, or better in music settings versus normal speech/vocal settings.<br />Digital hearing aids can actually integrate with other digital devices very effectively. Personal MP3 players, mobile cell phones, and other devices can easily integrate wirelessly, granting an ease of use unavailable to earlier models. Speech recognition and caller ID are fully compatible with some of the newest models. There is a large market of amplified phones specially developed for the hearing impaired.<br />Despite this, there are plenty of options for those shopping for cheap and discount hearing aids, but there are a few options for those who wish to settle for the analog models. Analog models come in two major varieties: adjustable and programmable. (All digital hearing aids are programmable.) Adjustable devices contain circuits that are carefully configured for the individual wearer. The lab constructing the aid sets gain and balance of the device. Specifications for this type of hearing device are set completely before the wearer receives the aid. Thus, there is comparatively little that the end-user can alter besides the overall volume. This has its upsides and its downsides. As an upside, this makes the user interface very constant and simple—the only changes to be made are whether one would like the volume louder or not. This is perfect for the less savvy of wearers. The downside is that any alteration in the instrument either requires a new aid or trip to the lab.<br />The programmable hearing aid eliminates the need to purchase many separate devices. With this sort of aid, a stand-alone computer can be used to program simple changes into the hearing aid over time. The aid can also be programmed during the manufacturing process, allowing for a greater degree of latitude with these hearing aids.<br />Types of Hearing Aids- Invisible in canal hearing aids IIC<br />Theseare excellent options for those requiring a hearing aid but wish to maintain a level of discreetness in the area surrounding the ear. These aids are not visible—even when one peers directly into the ear canal.<br />- In the ear aids – ITE<br />ITE aids are a less invasive but more noticeable option. These aids are visible when someone is standing relatively close to one’s ear. It is perhaps a good idea to purchase an in the ear aid if one values a level discreetness while maintaining the freedom to remove the device.<br />- Behind The Ear – BTE<br />Perhaps the most popular version of aids is the behind-the-ear aid. This device is noticeable when the ear is viewed, though these devices tend to be cheaper and more functional—you are not paying for the added aesthetic convenience but, rather, for added functionality.<br />Deferent<br />- Phonak Hearing Aids<br />Phonak hearing aids offer a full offering of in-ear and behind-the-ear devices for a variety of applications. The Phonak Ambra, to start, is one of the finest devices on the market, and Phonak considers it their flagship, state-of-the-art device. The Phonak Ambra comes in three different styles, including behing-the-ear, micro behind-the-ear, and custom in-ear. This device is ideal for someone with high levels of hearing loss.<br />The Phonak Cassia is an excellent option for someone seeking the best in affordability and performance. These devices are a slight step down from the superior performance of the Ambra, but they nevertheless deliver reliable sound quality to those with high levels of hearing loss. Additionally, like the Ambra, this 2012 model is available in three different styles. For those seeking a basic hearing aid, the Phonak Dalia is an excellent inexpensive hearing aid.<br />The Naida S line from Phonak presents an excellent spread of higher-end and middle-of-the-road models for those with moderate hearing loss. This model does not come an in-ear option, so it is not recommended for those seeking an option that is absolutely discreet. This model does an excellent job, with its Stereo Zoom feature, of focusing on who is speaking to you at any given time and giving them special focus as you listen. In all Phonak devices offer versatility with water resistant options and ensure, with their digital fleet of hearing aids, that you receive superior sound fidelity.<br />- Oticon Hearing Aids<br />Oticon, like Phonak, is a well-regarded name in the modern hearing aid industry. Oticon offers devices which it claims can help you “hear more while doing less.” A perfect example is the Agil unit by Oticon. Even in difficult audio/vocal situations, this unit is meant to create crystal-clear sound with less cognitive effort on the part of the wearer. It can indeed be quite exhausting to decipher the incoming signals from a hearing aid. The Agil reduces this burden, incorporating its Spatial Sound 2.0 feature, which supports the brain’s natural way of recognizing speech by managing noise and background sounds—a feature enabled by the wireless cross-talk between both digital hearing aids. The Speech Guard feature automatically adjusts volume levels in different environments, so that the volume levels are not held constant between, say, a noisy restaurant and a quiet home. Finally, this unit has a Connect Plus feature, which allows the user additional access to quality sound when using the Streamer function.<br />The 2012 Intiga hearing aid boasts a rather small body that is perfect for more discreet and fashionable wear. This device contains a high-speed processor that works in cooperation with your brain to help you recognize and understand softer sounds with greater acuity and with less effort. The Oticon Acto is another option for discreet wearing. This device combines superb acuity with comfort and aesthetic appeal. Wireless connection allows this hearing aid to connect to your favorite music device, phone, or handheld electronic equipment. This hearing aid is small enough to nearly vanish behind your ear.<br />For a hearing aid that offers the essentials of good hearing, the Oticon Ino is an excellent choice. This discount hearing aid allows you to hear with all the state-of-the-art acoustic research that Oticon has to offer at a lower price. If your hearing deficit is not too severe, and if your audiologist believes you simply need hearing enhancement, then look no further than the Ino. It is a small aid that packs automatic directionality recognition, feedback cancellation, and noise management to minimize the types of sounds you do not want to hear and to maximize the clarity of the sounds you do.<br />- Beltone Hearing Aids<br />Belton hearing aids combine high-end research with high levels of customization. The Beltone True line of hearing aids is the flagship line of hearing aids from Beltone. The special technology in these hearing aids is patterned after the ear’s natural ability to smoothly adapt to alterations in the ambient environment. Micro-processors, specially designed for these hearing aids, intelligently adapt to your surroundings as you go about your day so that you can enjoy your conversations and listening ventures without constantly adjusting your hearing aid. The downside will beltone is that they spend large amounts of money on overhead and advertising, which will end up passing that extra cost on to the consumer.<br />The Beltone True aids include behind-the-ear, micro-behind-the-ear, and in-ear varieties. The receiver-in-ear style is one of the most popular of the Beltone styles. A very small component of the aid sits behind the ear and remains barely visible. There are four general models—the Belton True 17, 9, 6, and 3. Each of these provides anywhere from 6 to 17 sound processing channels (the more channels, the more “life-like” the sound). Additionally, the higher-end models (17 and 9) have 4 environment programs, whereas the lower models only have 2. All of the models have some form of Speech Spotter programming, allowing the device to hone in on the person that is speaking at any given moment. The upper-level models have a Speech Spotter Pro.<br />Directionality is also completely variable with different models, granting the wearer anywhere from basic coverage to complete, 15-point directionality. Other Beltone hearing aids, like the Beltone Access, are very affordably priced and allow people with less correction need for major functionality to have an easier time in everyday listening situations.<br />www.hearingclinicpsh.blogspot.com www.facebookcom/babukhalilwardak<br />+923009009675<br />
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hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-35404706020180654862015-05-05T19:48:00.000+05:002015-05-05T19:48:52.970+05:00What is Tinnitus<div dir="ltr" style="text-align: left;" trbidi="on">
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Original posted on http://www.tinnitus.org.uk/what-is-tinnitus</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-66571512329136929012015-04-30T11:16:00.002+05:002015-04-30T11:16:32.713+05:00I know I have a Hearing Loss … But I Don’t Want Hearing Aids!<div dir="ltr" style="text-align: left;" trbidi="on">
<h1 class="single-title">
I know I have a Hearing Loss … But I Don’t Want Hearing Aids!</h1>
<div class="date">
<small><span class="meta-prep meta-prep-author">Posted on</span> <a href="http://hearingclinicpsh.blogspot.com/" rel="bookmark" target="_blank" title="9:00 am"><span class="entry-date">December 21, 2014</span></a> <span class="byline"><span class="meta-sep">by</span> <span class="author vcard"><a class="url fn n" href="http://hearingclinicpsh.blogspot.com/" target="_blank" title="View all posts by Adam Bernstein">Adam Bernstein</a></span></span></small>
</div>
Imagine you were having trouble seeing and frequently had to ask
family members questions like, “Who is that?” or “What’s happening on
the TV?”<br />
Then, imagine you went to the eye doctor and were told you had a
vision problem. What would you do? Would you try to improve your vision
with either glasses or contact lenses? The chances are you would.<br />
But what if, instead of your vision, we were talking about your hearing? If you had a problem, would you do something about it?<br />
Unfortunately, many people wouldn’t.<br />
In a survey conducted by Sergei Kochkin, of the Better Hearing
Institute, it was found that people generally wait seven years after
diagnosis of hearing loss to pursue hearing aids.<br />
Why the delay?<br />
The progress of hearing loss is often so gradual that many people
don’t realize the impact until the situation becomes quite severe.
They’ve been compensating for years, but those techniques are just not
working anymore. I’ve had many patients tell me that they think they’re
doing fine, but they’ve come to see me because their family members
think otherwise. “They just need to stop mumbling,” is a common
complaint. But are they mumbling, or has the hearing loss finally
reached a critical point?<br />
Some patients are concerned that everyone will know that they’re
wearing hearing aids. While this may be true, even though they’re
smaller and more discreet than ever, I’ve always thought that a hearing
loss is much more noticeable and negative than hearing aids. But over
the past 20 years my practice has successfully fit thousands patients
with hearing aids. So maybe I’m a bit biased!<br />
Many people are concerned that hearing aids will make them look old.
I’ll refer again to the above and add that saying, “What?” all the time
also makes you look old, and it frustrates the people who are trying to
communicate with you.<br />
I have had hearing aid patients of all ages, from a few years old to
over 100 years old. Hearing aids are for anyone who needs them,
regardless of age.<br />
Cost is certainly a concern for many patients.<br />
Will insurance cover hearing aids?<br />
This is a complicated question, as there are many types of insurance,
each with different benefits. The best thing to do is to call your
insurance company and ask what your hearing aid benefit is, if any. If
you don’t have a benefit, it’s helpful to know that there are a range of
instruments available, and they typically fall into three broad
categories: entry level, mid-level and advanced. What will work best for
you depends largely on your lifestyle. The more active you are and the
more often you are in complex listening environments (background noise,
multiple talkers, etc.), the more you will appreciate the higher level
technology and the brain support it provides. Also, keep in mind that it
isn’t a good idea to save money by only getting a single high level
hearing aid if you are prescribed two. Get the left and the right, and
if you need to save money, get a lower-level hearing aid. The benefits
of wearing two hearing aids outweigh the increase in technology level.<br />
(originally posted by <small><span class="byline"><span class="author vcard"><a class="url fn n" href="http://hearingclinicpsh.blogspot.com/" target="_blank" title="View all posts by Adam Bernstein">Adam Bernstein</a>.)</span></span></small></div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-20201087006603056642015-04-30T11:03:00.000+05:002015-04-30T11:03:04.485+05:00Do Hearing Aids Ever Make Hearing Worse?<div dir="ltr" style="text-align: left;" trbidi="on">
The simple answer is no, hearing aids<em> should not</em> harm your
hearing. For decades hearing aids have had loudness limits where the
sound cannot exceed a certain level. So a properly fit hearing aid and a
properly set hearing aid will not get loud enough to do any damage.<br />
<b>Why then,</b> do some hearing aid users feel their natural hearing gets
worse after just a few weeks of wearing their new hearing aids? This can
occur once their brain has adapted to their improved hearing. And
without their hearing aids, they feel like they hear worse than before.
They’re addicted to hearing better.<br />
There are, however, products that can harm your hearing. For instance
amplifiers that you purchase over the counter without hearing measurement(Hearing loss is measured by a professional) at places such as internet (online shop) sites. do have
the ability to harm your hearing. These products are simple amplifiers
and the loudness level is not based on your specific hearing. So turning
up these amplifiers too loud may indeed do damage to your hearing.<br />
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<div class="western" style="margin-bottom: 0in;">
Hearing loss is measured by a professional during a comprehensive hearing evaluation.
During a comprehensive hearing evaluation, the ability to hear speech
and frequency-specific tones as a function of the loudness required to
hear them is assessed. In other words, hearing is essentially measured
as "loudness versus pitch." Results are plotted on an audiogram.
Loudness is plotted on the y-axis with softest sounds closest to the top
and loudest sounds at the bottom. Frequency is plotted on the x-axis
with low pitch sounds farthest to the left, increasing in frequency as
you move along the axis to the right. <a href="http://hearingclinicpsh.blogspot.com/2011/04/what-is-hearing-loss-common-problem.html" target="_blank">Hearing loss</a> (HL) is measured in decibels (dB) and is described in general categories:</div>
<strong>Degree of Hearing loss Audiometric Thresholds</strong><br />
<ul>
<li>
Normal hearing (0 to 25 dB HL)</li>
<li>
Mild hearing loss (26 to 40 dB HL)</li>
<li>
Moderate hearing loss (41 to 70 dB HL)</li>
<li>
Severe hearing loss (71 to 90 dB HL)</li>
<li>
Profound hearing loss (greater than 91 dB HL)</li>
</ul>
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hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-39309593286936113622015-04-30T09:45:00.002+05:002015-04-30T09:45:21.738+05:00What a Hearing Aid Can and Can't Do<div dir="ltr" style="text-align: left;" trbidi="on">
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What a Hearing Aid Can and Can't Do
All hearing aids increase the level of a sound so you can
hear the sound better and use this information to understand the
world around you.<br />
Not all hearing aids will do well in noisy places however. Hearing aids pick up all sounds. Some hearing aids, such as digital ones,
are designed to separate the important sounds from the
background noise to help you "focus" your
attention on what you need to hear.<br />
<strong>Hearing aids will help you hear conversations at a reasonable distance</strong>.
Honestly, hearing aids will not be as effective beyond 15 feet.
This is why they are so much more effective in your living
room than they are at church or in a conference room. There are
other technologies which help in these areas.<br />
<strong>Hearing aids will often make your voice sound funny or differen</strong>t.
Right away, your hearing aid will make you hear well for the
first time in a long time. Also (depending on the model),
they take up space in the ear which changes the way sound
resonates in your head. Part of this effect can be duplicated if
you stick your finger in your ear. Ultimately, the wearer gets
used to this sound fairly soon if they use their hearing aid(s)
consistently. Your Audiologist can also make physical and
programming adjustments to the aids to reduce this.<br />
<strong>Hearing aids are not normal hearing</strong>. They
are an artificial device providing electronically altered sound
to a damaged ear. There are many adjustments your
Audiologist can make to these aids to change the way they sound
and work. You, the wearer, will change too as you continue wearing the
aids. You will adapt to the new sound. Remember, while they are
not the same as normal hearing, they are better than not being
able to hear and function in the world.<br />
<strong>Hearing aids take time to adapt to</strong>. Some
people become accustomed to them in a few days while others might
need to work with them for a few weeks. Still others might need a
few months of consistent use to be fully comfortable and
confident. <br />
<strong>Hearing aids are supposed to feel snug and maybe even a little "full" at first</strong>.
Hearing aids are not supposed to hurt. If you experience pain or
soreness from wearing them, stop using them until you can get back to
the audiologist for adjustments.<br />
<strong>No two ears are exactly alike, including the two on our own head.</strong>
Don't be surprised if the sound quality is a little different in
the left ear than in the right. The right aid may feel different
in your ear than the left as well.<br />
<strong>Hearing and vision are interrelated</strong>. We
"hear" with our eyes, too. Reading someone's gestures and facial
expressions help us to stay focused on what they are talking
about. Try to make eye contact with the person you are speaking
with. This will keep them focused on you and how they are
communicating with you as well. It also helps to get as close as
possible to the person speaking and as far as is practical from any
extra sounds which might distract you or overshadow the
speaker's voice.<br />
<h2>
Binaural hearing</h2>
You will hear better with two aids than with one. You have
two ears because you need two ears. For anyone, listening with
just one ear is more dull and artificial than with two. Two ears
help us to locate a sound and direct our attention to it. If
there is more than one sound, two ears help you find the source of the
one you are listening to thus better enabling you to focus in on
it. <br />
No one can hear as well with one ear as they can with two.
It is impossible to tell the direction of a sound with one ear.
It is also much harder for even normal hearing listeners to focus
on one sound in the presence of background noise using one ear. <br />
<h2>
Lazy Ear</h2>
I have known some people to tell a potential hearing aid
user, "If you don't start wearing a hearing aid right away,
you'll lose all of your hearing!" For the most part, this is a
scare tactic but there is some truth in this as well.<br />
An ear is just like any other part of your body: if
you don't use it, it gets "lazy" or less able to function. This
is called atrophy. If someone has useable hearing in both ears
and chooses to help only one, in time the unassisted ear can
become less able to function for communication even if the
hearing levels stay the same. <br />
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hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-15808053925733799392015-04-30T09:05:00.000+05:002015-04-30T09:13:15.070+05:00Which Hearing Aids You Need!<div dir="ltr" style="text-align: left;" trbidi="on">
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" width="640" /><br />
. Hearing Aids<br />
Hearing aids have helped thousands and thousands of people hear
better. Today’s technically advanced, sleekly designed hearing aids are
helping people with hearing loss regain their quality of life and remain
socially involved. In fact, eight out of ten hearing aid users say they
are satisfied with the changes that have occurred in their lives
specifically due to their hearing aids. And 82 percent of hearing aid
users would recommend hearing aids to their friends.<br />
Advantages of hearing aids:<br />
1. Helps you hear better – This is obviously the main benefit for
anyone that uses a hearing aid. Being able to hear easily what is going
on around you definitely makes life easier, no matter what age you are.
That is why so many people believe that the advantages of hearing
devices outweigh the disadvantages, given a little time.<br />
2. Different styles – There are so many different styles of hearing
aids available these days that anyone can easily find the right style
for you. Not everyone is the same in the type of hearing device you need
and not everyone is the same in the style that you prefer, so having
options is definitely an advantage.<br />
3. Cost effective – No matter what your budget is, you can easily
find a hearing aid that will be cost effective for you. With so many
different brands and styles available, if you shop around, you can
easily find ones that you can afford and even save money on them.<br />
For more information about hearing aids, contact our hearing specialists today!<br />
<br />
. Cost of Hearing Aids <br />
The cost of hearing aids has actually decreased relatively over time,
when compared to the rate of inflation. Today, hearing aids range from
approximately $90.00 to $4,000 each, depending on the technology
selected. Several factors contribute to the cost of hearing aids,
including: research and development costs; customization of each hearing
aid to fit the needs of the wearer; manufacturing costs; and time spent
with the professional who selects, fits, programs, adjusts and services
the instruments.<br />
Averaged over the lifetime of the instruments (3 – 5 years or more),
the cost per day of a pair of highly featured, advanced digital hearing
aids is about $3 – less than a large latte at your favorite java joint.
And hearing aids are proven to not only help you hear better, but to
actually improve the quality of life for people with hearing loss and
their families. I’d say that is one worthy investment to make.<br />
Many people are not financially prepared to pay up-front for hearing
aids, particularly in today’s economy. For some, it is helpful to have
payment options available. By breaking the hearing aid purchase down
into monthly payments, people with hearing loss can more easily afford
to obtain the latest hearing technology and services.<br />
Your hearing professional may offer payment plans. There are also
funding options available from a variety of sources for people who
qualify.<br />
For more information about the cost of hearing aids, contact us
today!<br />
<br />
. Hearing Aids Accessories,<br />
<br />
Hearing aids can now be paired with Bluetooth cell phones, GPS
systems, TV systems and other microphone units which allow for direct
input of the signal into the hearing aids without the background noise.
Enjoy listening to a cell phone conversation or music through both ears
with a richer sound quality than in the past. Remote controls are also
available with some hearing aids.<br />
The latest information on hearing aid accessories and supplies for
individuals who are experiencing hearing loss, looking for hearing
health information for their loved ones, or just desire to learn more
about hearing aid accessories and supplies to make the right hearing
health decisions.<br />
<em>Hearing Aid Batteries</em><br />
The most basic hearing aid accessories required to use your hearing
aids are hearing aid batteries. Although rechargeable hearing aids are
available on the market, most hearing aids are powered by disposable
hearing aid batteries.<br />
<em>Hearing Aid Dryers</em><br />
Some individuals benefit from storing their hearing aids in a dryer
at night. It works as a dehumidifier. This product is useful for
individuals who live in warm moist environments.<br />
There are several wireless devices that can help individuals
understand television better. There are devices that work without
hearing aids as well as devices that work with hearing aids.<br />
<br />
. Hearing Aids Repair<br />
Even though modern digital hearing aids are significantly more robust
and reliable than their analog predecessors, occasional problems caused
primarily by excess moisture and/or cerumen build-up can still occur.
If you experience a problem with your hearing aid, contact us
immediately and we will guide you in the right direction to getting your
hearing aid fixed.<br />
Why should you choose us?<br />
Great Savings – Repairing a hearing aid may cost so much money that
you might as well just buy a new one. Within our network, we have
professional hearing aid repair service providers that offer excellent
services at affordable rates.<br />
A Professional Staff – We’ll help you find technicians who are
experts in repairing hearing aids. Rest assured that our hearing aid
providers can get the job done the first time and that recurring
problems can be prevented with proper education and service.<br />
Topnotch Services – With the Hearing Aids Direct network, you can
expect to find service providers that offer topnotch, reliable services
at a flat rate.<br />
Fast Repair – We know how important your hearing aid is to you,
that’s why you can count on us to help you find a service provider that
does a great job fast so you can stop worrying and get back to your
everyday life in no time.<br />
Contact us today and we’ll help you get your hearing aid fixed fast, properly and for a fraction of the price.</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-25374550756867930222015-04-29T12:37:00.004+05:002015-04-29T12:37:31.211+05:00Can’t Hear in a Restaurant? Time to Get Your Hearing Checked<div dir="ltr" style="text-align: left;" trbidi="on">
If you’re finding it hard to hear what your companions are saying in a
restaurant or at a party, it’s time to get your hearing checked.
<br />
The inability to hear speech in a noisy environment is one of the first signs of hearing loss,
and although it may bother you only in certain situations, it’s not
something to ignore. Hearing loss should not be dismissed as a natural sign of aging any more than high blood pressure or cholesterol would be.</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-39356898640999760912015-04-29T12:22:00.000+05:002015-04-29T12:22:54.282+05:00Expand your hearing care with Oticon’s complete Tinnitus Treatment package<div dir="ltr" style="text-align: left;" trbidi="on">
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<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.blogger.com/video.g?token=AD6v5dyXcRjnrVQr-ojSa6uFEAe3O8Il59NhZxG1QeNWi6gGSuWffGvyPSsokJXQnku3oxrCMSrvDNbZmL-KtKUphA' class='b-hbp-video b-uploaded' frameborder='0'></iframe></div>
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<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.blogger.com/video.g?token=AD6v5dwNIVykcQAEy6Mu2p8NcRX8VFvVuoIgAQHZ9LdVFHUj7sC-0A6dwDI0_rVuSdctx0wI2ITGrEXwY2Qv4n_Buw' class='b-hbp-video b-uploaded' frameborder='0'></iframe></div>
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hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-41528113159403279432015-04-23T15:58:00.000+05:002015-04-29T11:21:16.068+05:0012 habits that age you<div dir="ltr" style="text-align: left;" trbidi="on">
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<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">01.Turn
back the clock</span></b></div>
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<b><a href="http://3.bp.blogspot.com/-0WF6kbPcslQ/VTip6Abz2uI/AAAAAAAABdE/zkCN2teAQGM/s1600/AAd0ar.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-0WF6kbPcslQ/VTip6Abz2uI/AAAAAAAABdE/zkCN2teAQGM/s1600/AAd0ar.jpg" height="179" width="320" /></a></b></div>
<b><span id="goog_60298967"></span><span id="goog_60298968"></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Aging is inevitable, but you can
still feel and look younger than your years if you know a few facts. If you’re
fatigued in the middle of the day or notice new lines on your face in the
morning, your everyday habits may be adding more years to you than you know.
Experts give advice on ways to turn back the clock. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Bypass these bad habits to avoid
looking old beyond your years. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">02.You’re
a night owl </span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://3.bp.blogspot.com/-zdN-_cKm8bo/VTiptGFn6OI/AAAAAAAABc8/NtetfJTROow/s1600/AA2hFOh.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-zdN-_cKm8bo/VTiptGFn6OI/AAAAAAAABc8/NtetfJTROow/s1600/AA2hFOh.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Staying up late is fun in your
teens, but burning the midnight oil can make you look older as you age. Beauty
sleep is not just an old wives' tale. “Sleep deprivation causes bags under the
eyes and droopy, tired eyelids and pallor,” says Dr. Allen Towfigh, a
board-certified sleep medicine doctor and neurologist affiliated with Weill
Cornell Medical Center/New York Presbyterian Hospital. “This makes us look less
healthy, and, hence, we appear less attractive to others.” To determine how
much sleep you need to look your best, add up the number of hours of sleep you
get over a period of two weeks (including naps) and divide by 14</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">03.You
hold grudges </span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://1.bp.blogspot.com/-88FXip3nYK4/VTi6ZIfo8FI/AAAAAAAABeA/6IAChZXIlEI/s1600/AAcPVC.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-88FXip3nYK4/VTi6ZIfo8FI/AAAAAAAABeA/6IAChZXIlEI/s1600/AAcPVC.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">If you’re unable to let bygones be
bygones, you may add years to your body. Several studies show a link between
forgiveness and physical health. A study published in the Journal of Behavioral
Medicine from 2005 showed that a lack of forgiveness increased nervous symptom
activity, contributing to a greater number of medications taken and decreased
sleep quality. “Holding a grudge increases stress, which boosts levels of the
hormone cortisol,” says Dr. Jennifer Landa, chief medical officer of
BodyLogicMD, an anti-aging network. “Cortisol contributes to weight gain,
raises blood pressure, elevates blood sugar and increases the risk of
diabetes.” Learn how to let go, and you may live longer.</span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">04.You
exercise only when you want to lose weight </span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://2.bp.blogspot.com/-dcK0yj4OFUo/VTi6WAqJgzI/AAAAAAAABdg/LmYd0twGN2o/s1600/AA2hDkr.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-dcK0yj4OFUo/VTi6WAqJgzI/AAAAAAAABdg/LmYd0twGN2o/s1600/AA2hDkr.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">If your exercise plan starts every
Jan. 1 and lasts only until you’re able to fit back into your jeans, you may be
cheating yourself out of longevity. Many studies show that regular exercise
helps prevent age-related diseases and prolongs life span. “Daily exercise
helps lower cortisol levels and increases beneficial hormones like
testosterone,” says Landa. “It also helps control high blood pressure, improve
mood and keeps us strong and flexible as we age.” The American College of Sports
Medicine recommends 30 minutes of activity most days of the week.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">05.You
have a sweet tooth </span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://4.bp.blogspot.com/-JmcafTfxQ4w/VTi6VJi8xJI/AAAAAAAABdU/WraWUl_1sC4/s1600/AA2gESi.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-JmcafTfxQ4w/VTi6VJi8xJI/AAAAAAAABdU/WraWUl_1sC4/s1600/AA2gESi.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">If you never say no to dessert, you
may be saying yes to more wrinkles. “Sugar increases aging of every part of our
body,” says Landa. “Eating a diet high in sugar will not only damage your
waistline but it will increase your risk of diabetes and can even cause skin
problems, especially acne and wrinkles.” When you eat sugar a process called
glycation occurs, where the sugar in your bloodstream attaches to proteins,
forming new molecules called advanced glycation end products, or AGEs for
short. These AGEs damage nearby protein fibers that keep skin elastic. “A
better choice would be dark chocolate with low sugar, or if you need to use
sweeteners, consider monk fruit, a natural sweetener that doesn’t raise blood
sugar,” suggests Landa. </span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">06.You
smoke </span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://2.bp.blogspot.com/-BP6vtU8ggMc/VTi6auXBB-I/AAAAAAAABec/_Ff2rU2epUo/s1600/AAd5i8.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-BP6vtU8ggMc/VTi6auXBB-I/AAAAAAAABec/_Ff2rU2epUo/s1600/AAd5i8.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">It’s time to kick those butts to the
curb if you want to live a long, healthy life. A clear link between smoking and
longevity exists, and the earlier you quit the more years you add to your life.
A study published in the American Journal of Public Health in 2002 showed that
smokers who quit at age 35 add approximately eight years to their life,
compared with people who continue to smoke. Smokers who quit at age 65 add
between two to four years of longevity. “Smoking causes the release of free
radicals . . . which is like rust for your body,” says Landa. “Smokers have
higher risks of almost any disease under the sun, including cancer, heart
disease, dementia and generally premature death.” </span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">07.You
rub your eyes</span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://3.bp.blogspot.com/-MiXDaT4yfMY/VTi6ZfmpAGI/AAAAAAAABeE/8prbwjLmLhY/s1600/AAcXFO.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-MiXDaT4yfMY/VTi6ZfmpAGI/AAAAAAAABeE/8prbwjLmLhY/s1600/AAcXFO.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"> </span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Tired eyes? Avoid rubbing them if
you want to stay younger-looking. Rubbing your eyes breaks down the collagen
and elasticity around the area, which produces wrinkles and broken capillaries.
“The skin in this area is incredibly thin and extremely sensitive and
vulnerable to sun damage and wrinkling,” says Dr. Dennis Gross, a dermatologist
and founder of 900 5th Dermatology in New York City. “This is why rubbing your
eyes may result in broken capillaries.” For relief from tired or irritated
eyes, instead of rubbing them, try brewing two green tea bags, allow them to
cool and place them over your eyes for 10 minutes. If you are concerned about
broken capillaries, look for ingredients that build collagen. Applying creams
that contain vitamins K and D, as well as including them as part of a balanced
diet, can also help.</span></div>
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<br /></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">08.You
drink alcohol to excess </span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://1.bp.blogspot.com/-e3WYCgtCGpo/VTjN9VE4o1I/AAAAAAAABeo/7htoKgzIDx8/s1600/AA2ho6h.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-e3WYCgtCGpo/VTjN9VE4o1I/AAAAAAAABeo/7htoKgzIDx8/s1600/AA2ho6h.jpg" height="221" width="400" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">A moderate amount of alcohol has
heart healthy-benefits, but an excess shortens your life, according to a study
published in the January 2013 issue of Alcoholism: Clinical & Experimental
Research. Alcohol-dependent women showed a 4.6-fold higher death rate compared
with the general population; alcoholic-dependent men have a nearly twofold
higher risk of dying earlier than the average male. Excess alcohol can lead to
heart failure and high blood pressure as well as cirrhosis of the liver and
weight gain. The American Heart Association recommends that men limit
themselves to one to two drinks a day, and one drink a day for women (one drink
is a 12-ounce beer or four ounces of wine). </span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">09.You
lose and gain the same 10 to 20 pounds</span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://4.bp.blogspot.com/-6G79mxrJKGk/VTi6aICwceI/AAAAAAAABeY/J9PeoDHuAJ8/s1600/AAczKY.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-6G79mxrJKGk/VTi6aICwceI/AAAAAAAABeY/J9PeoDHuAJ8/s1600/AAczKY.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"> </span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Stay young by attaining a healthy
body weight and sticking to it. Losing and regaining weight ages you by
increasing your risk of heart disease and diabetes, according to a 2012 study
published in The Journals of Gerontology, Series A, Biological Sciences and
Medical Sciences. In the study, 80 overweight and obese women followed a
five-month diet, losing an average of 25 pounds. They regained an average of 32
percent of the lost weight within the following year. The women who regained
weight had increased levels of LDL (“bad”) cholesterol, total cholesterol,
insulin levels and measurements of insulin resistance, a precursor to diabetes
The levels after weight regain were worse than before the women dieted. Dietary
counseling and a maintenance program can help. </span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">10.You
sleep with your face in the pillow </span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://4.bp.blogspot.com/-mNpLQNqKIe0/VTi6aDqACKI/AAAAAAAABeQ/IXuDapvUcEE/s1600/AA2hvKz.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-mNpLQNqKIe0/VTi6aDqACKI/AAAAAAAABeQ/IXuDapvUcEE/s1600/AA2hvKz.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Sleeping with your face smashed into
the pillow can make you look years older in a couple of ways. “Persistently
pressing your face into a pillow causes trauma to the skin,” says dermatologist
Gross. Over time, this trauma, aggravated by the friction of a cotton
pillowcase, can create permanent creases as collagen breaks down. The skin’s
ability to regenerate itself is also compromised by the impaired circulation to
the part of the face pressed into the pillow, says Gross. Sleep on your back to
stay younger-looking, or use a satin pillowcase to minimize the friction.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">11.You
don’t have a way to de-stress </span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://1.bp.blogspot.com/-oEDV2zzgB9g/VTi6WsUzC5I/AAAAAAAABdk/8IzDk2tkuBM/s1600/AA2gETv.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-oEDV2zzgB9g/VTi6WsUzC5I/AAAAAAAABdk/8IzDk2tkuBM/s1600/AA2gETv.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">When did you last take a vacation or
simply relax? Men living moderate- to high-stress lifestyles for a number of
years have a 50 percent higher mortality rate, according to a 2011 study from
the Journal of Aging Research. The study involved approximately 1,000 healthy
men and studied them for an 18-year period. Experiencing more than two major
life events a year was enough to increase mortality risk. Chronic stress is
linked to many diseases, including cardiovascular, asthma and autoimmune disorders,
so taking steps to de-stress can help reduce your risk. The Mayo Clinic
recommends using the “four A’s” to relax: avoid the source of stress, alter
your reaction to it, accept things as they are or adapt by changing your
expectations. </span></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">12.You
eat most of your food on the run or out of a box </span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://3.bp.blogspot.com/-sM8_wFb05eI/VTi6XW4TeYI/AAAAAAAABd0/VVn9uGbBMnE/s1600/AA2hDly.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-sM8_wFb05eI/VTi6XW4TeYI/AAAAAAAABd0/VVn9uGbBMnE/s1600/AA2hDly.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Living on junk food and fast food
dumps unhealthy levels of sodium, fat and cholesterol into your system, which
boosts the aging process and increases the likelihood of obesity. “With weight
gain comes a higher risk for cardiovascular disease and diabetes,” says Amy
Goodson, a board-certified specialist in sport dietetics and the Dallas Cowboys
sports dietitian. Avoiding processed foods and eating more whole foods reduces
the amount of added sugar and fat in your diet and decreases these risks.
“Whole, unprocessed foods are also high in fiber, which promotes low
cholesterol,” says Goodson. Omega-3 fatty acids found in fatty fish (salmon,
trout, tuna), walnuts and flaxseed also help decrease inflammation in the body and
promote healthy skin and reduce the development of wrinkles. </span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";">13.You
rarely drink water</span></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b><a href="http://4.bp.blogspot.com/-3QNBGKMPMPA/VTjOXC_5J7I/AAAAAAAABew/5Gcp4S5ZyQ4/s1600/AA2hAMC.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-3QNBGKMPMPA/VTjOXC_5J7I/AAAAAAAABew/5Gcp4S5ZyQ4/s1600/AA2hAMC.jpg" height="179" width="320" /></a></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-no-proof: yes;">
</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman";"></span></b><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Increasing the amount of water you
drink each day may be the key to younger-looking skin. Water is essential to
maintaining skin moisture and helps deliver essential nutrients to the skin,
says nutritionist Goodson. “Water helps your skin cells rejuvenate faster. On
the reverse, loss of hydration in the skin can cause dryness, tightness,
flakiness and tends to make you look older,” she says. Dry skin has less resilience
and is more prone to wrinkling, which can make you look older. In addition to
drinking water, Goodson recommends eating foods high in water content, such as
cucumbers, tomatoes, zucchini and eggplant, which are more than 90 percent
water. </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>(</span><span style="color: red; font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">This article was orignaly posted on msn.com</span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; mso-fareast-font-family: "Times New Roman";">)<span style="color: red;"></span></span></div>
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hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-4644520108187722512015-04-08T21:03:00.000+05:002015-04-22T11:30:56.185+05:00Get the Hearing Loss Help You Need Here! <div dir="ltr" style="text-align: left;" trbidi="on">
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<h1>
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hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-39788957218929754702015-04-08T20:08:00.000+05:002015-04-08T20:15:04.694+05:00Ototoxicity-the Hidden Menace. Lives in Upheaval Neil G. Bauman, Ph.D.<div dir="ltr" style="text-align: left;" trbidi="on">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 10.5pt; letter-spacing: -.4pt; line-height: 172%; mso-bidi-font-size: 11.0pt; mso-font-width: 105%;">Ototoxicity-the Hidden Menace. Part
I: Lives in Upheaval </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 172%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Neil G. Bauman, Ph.D.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 10.5pt; letter-spacing: -.4pt; line-height: 172%; mso-bidi-font-size: 11.0pt; mso-font-width: 105%;"></span></b>
<br />
<div class="MsoNormal" style="margin-top: 9.0pt;">
<i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">EDITOR'S NOTE - Although
most audiologists are familiar with ototoxicity, this article is </span></i><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">an in-depth, patient-friendly review of the possible signs, symptoms,
outcomes and issues. </span></i><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">This article is written
with the patient as the intended audience.</span></i><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></i></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .3in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">"Lynn's" passion was flying. She loved her
job as a flight attendant. One day she noticed </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">an ingrown toenail.
Within a few days it became infected. The <b style="mso-bidi-font-weight: normal;">Gentamicin</b></span><b style="mso-bidi-font-weight: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 125%;">l</span></sup></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> her doctor </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">prescribed killed the infection. It also killed the
balance system in her ears. Ever since </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">that fateful day in 1994, Lynn has not been able to
work or fly. Without warning, an </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxic drug turned her world upside down.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .2in; margin-top: .2in; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">An ototoxic drug flipped
"Ruby's" life upside down too. She explains: "I cannot drive </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">any more. I had to quit
my job as it was an hour's drive away. My mental status is now </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">"foggy" at
best. I cannot walk in the dark. My life has changed drastically."</span></div>
<div class="MsoNormal" style="margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">"Bert" lost much of his hearing after
taking <b style="mso-bidi-font-weight: normal;">Doxycycline </b>for a urinary
tract infection. "Eunice" told me that just taking the <b style="mso-bidi-font-weight: normal;">Amitriptyline </b>her doctor prescribed for
her resulted in "screaming tinnitus."</span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">"Jonathan" described how he lost hearing
in one ear after he took a course of </span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Erythromycin.
</span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">In addition,
he experienced hyperacusis, balance problems and "horrific </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">bilateral tinnitus."
"Jonathan's" condition appears to be permanent—as this happened five </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">years ago.<span style="letter-spacing: -.15pt;"></span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Peggy told me, "I was given <b style="mso-bidi-font-weight: normal;">Atenolol </b>for some little irregular
heart beats. Within a few </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">days my perfectly normal ears started to give me all kinds of noise,
roaring and muffledness. Within a week, I woke up one morning stone cold deaf
in one ear."</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">In an email to me, "Sam" told how his
doctor had prescribed an ointment containing </span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Tobramycin </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">for a sty on his left
eyelid. He wrote, "I started using the cream on my left </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">eyelid on Tuesday. At
8:30 the next morning, I lost the hearing in my left ear." In </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">"Sam's" case,
the <b style="mso-bidi-font-weight: normal;">Tobramycin </b>apparently caused
sudden hearing loss just 19 hours later—and this was only from using an
ointment on his eyelid!</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">I wish I could say these are only a few isolated
incidents, but I'd be lying if I did so. The </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">truth is—side effects of
ototoxic drugs are more common than people (doctor's included) </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">imagine. Each year, the
side effects of ototoxic drugs disrupt millions of people's lives </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">and leave a trail of
upheaval in their wake.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" /></span>
<br />
<div class="WordSection2">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">It is not just drugs
taken for chemotherapy and life-threatening infections that cause ototoxic
reactions, but the little unexpected everyday things too—an ingrown toenail, a </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">sty on your eye, an irregular heartbeat, high
blood pressure, and on and on it goes. <span style="letter-spacing: -.4pt;">Whether
the ototoxic side effects result from taking an ototoxic drug for a
life-threatening </span><span style="letter-spacing: -.15pt;">malady or for a
relatively minor disorder, the results are the same—lives turned upside </span>down.<span style="letter-spacing: -.1pt;"></span></span>
<br />
<div class="MsoNormal" style="margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Scary? You bet it is. Obviously, it's about time we
became aware of what drugs are doing to our ears and learn to make wise
decisions regarding them.</span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">What Is Ototoxicity?</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">To many doctors, ototoxicity just means hearing loss
or tinnitus. Others consider only </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">drug side effects that affect the inner ear as being
ototoxic. However, <i style="mso-bidi-font-style: normal;">Stedman's Medical </i></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Dictionag</span></i><i style="mso-bidi-font-style: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 125%;">il</span></sup></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> defines ototoxicity as
the "property of being injurious to the ear." Therefore, any side
effect of a drug that damages our ears in any way is ototoxic whether it
damages </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">the outer, middle or inner ear.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="line-height: 85%; margin-top: 16.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 85%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">How Common Are Ototoxic Side Effects?</span></b></div>
<div class="MsoNormal" style="margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">How common are ototoxic side effects? The short
answer is, "No one really knows." We </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">apparently only see (and
record) the tip of the iceberg. For extremely ototoxic drugs such as <b style="mso-bidi-font-weight: normal;">Cisplatin </b>(used in the treatment of
cancer), virtually everyone that takes this drug ends </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">up with hearing loss.
According to some researchers, not a single person escapes its </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ravages-100% of the
people taking <b style="mso-bidi-font-weight: normal;">Cisplatin </b>damage their
ears.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">5</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> The resulting hearing </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">loss "is usually irreversible (permanent). "</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">8</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Another very ototoxic class of drugs are the
Aminoglycoside antibiotics. Researchers </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">estimate that between one and four million Americans receive
Aminoglycoside <span style="letter-spacing: -.4pt;">antibiotics (such as <b style="mso-bidi-font-weight: normal;">Gentamicin, Neomycin, Tobramycin) </b>each
year.</span></span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> According to one </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">study, a person has a 25-30% chance of incurring hearing loss from taking
any of the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Aminoglycosides.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">9</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Another study pegs the figure at 63%.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">5</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">This means that between 250,000 and 1,200,000 people
(and maybe as high as 2,520,000 </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">people) in the USA incur hearing losses each year
from taking just this one class of </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">drugs. Add to these figures the untold numbers of
people who experience other side </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">effects from taking these same drugs—such as
tinnitus, dizziness, vertigo and numerous </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">other cochlear and vestibular (balance)
problems—and you have a figure of alarming </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">proportions. It is even more alarming when you realize we are just
talking about a <span style="letter-spacing: -.2pt;">handful of ototoxic drugs in
2 of the more than 150 classes of ototoxic drugs!</span><span style="letter-spacing: -.4pt;"></span></span></div>
<div class="MsoNormal" style="margin-top: 16.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ototoxic Drugs
are Everywhere!</span></b></div>
<div class="MsoNormal" style="line-height: 120%; margin-top: .15in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">There are at
least 743 drugs that are known to be ototoxic.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Here are
just 84 of them. This</span></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"></span><br />
<div class="WordSection3">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">gives an inkling of just
how all-pervading ototoxic substances are in the medications we </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">take without having a
clue that these drugs may be harming our ears.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span>
<br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .25in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ACE inhibitors such as <b style="mso-bidi-font-weight: normal;">Enalapril </b><i style="mso-bidi-font-style: normal;">(Vasotec),</i></span><i style="mso-bidi-font-style: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">2</span></sup></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Moexipril </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Univasc), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ramipril </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Altace)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .2in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Acetic acids such as <b style="mso-bidi-font-weight: normal;">Diclofenac </b></span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 11.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">(Voltaren), </span></i></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Etodolac </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Lodine), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Indomethacin </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Indocin), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ketorolac </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Toradol)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Alpha blockers such as <b style="mso-bidi-font-weight: normal;">Doxazosin </b><i style="mso-bidi-font-style: normal;">(Cardura)</i></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .5in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-align: justify; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Aminoglycosides such as <b style="mso-bidi-font-weight: normal;">Amikacin </b><i style="mso-bidi-font-style: normal;">(Amikin), </i><b style="mso-bidi-font-weight: normal;">Gentamicin </b><i style="mso-bidi-font-style: normal;">(Garamycin), </i></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Kanamycin </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Kantrex), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Neomycin </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Neosporin), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Netilmicin </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Netromycin), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Streptomycin, Tobramycin </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Tobradex)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .2in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Angiotensin-2-receptor antagonists such as <b style="mso-bidi-font-weight: normal;">Eprosartan </b><i style="mso-bidi-font-style: normal;">(Teveten), </i><b style="mso-bidi-font-weight: normal;">Irbesartan </b></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Avapro)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .1in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Anti-arrhythmic drugs such as <b style="mso-bidi-font-weight: normal;">Flecainide
</b><i style="mso-bidi-font-style: normal;">(Tambocor), </i><b style="mso-bidi-font-weight: normal;">Propafenone </b><i style="mso-bidi-font-style: normal;">(Rythmol), </i></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Quinidine </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Cardioquin), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Tocainide </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Tonocard)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .35in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Anti-cancer drugs such as <b style="mso-bidi-font-weight: normal;">Buserelin
</b><i style="mso-bidi-font-style: normal;">(Suprefact), </i><b style="mso-bidi-font-weight: normal;">Carboplatin </b><i style="mso-bidi-font-style: normal;">(Paraplatin), </i></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Cisplatin </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Platinol), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Vinblastine </span></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 11.5pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">(Velban), </span></i></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Vincristine </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Oncovin)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .45in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Anti-convulsant drugs such as <b style="mso-bidi-font-weight: normal;">Carbamazepine
</b><i style="mso-bidi-font-style: normal;">(Tegretol), </i><b style="mso-bidi-font-weight: normal;">Divalproex </b></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Depakote), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Gabapentin </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Neurontin), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Tiagabine </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Gabitril), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Valproic acid </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Depakene)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .5in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Anti-malarial drugs such as <b style="mso-bidi-font-weight: normal;">Chloroquine
</b><i style="mso-bidi-font-style: normal;">(Aralen), </i><b style="mso-bidi-font-weight: normal;">Mefloquine </b><i style="mso-bidi-font-style: normal;">(Lariam), </i></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Quinine </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Legatrin)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .4in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Anti-retroviral protease inhibitors such as <b style="mso-bidi-font-weight: normal;">Cidofovir </b></span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 11.5pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">(Vistide), </span></i></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ganciclovir </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Cytovene), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ritonavir </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Norvir)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Benzodiazepines such as <b style="mso-bidi-font-weight: normal;">Diazepam </b><i style="mso-bidi-font-style: normal;">(Valium), </i><b style="mso-bidi-font-weight: normal;">Estazolam </b><i style="mso-bidi-font-style: normal;">(ProSom), </i><b style="mso-bidi-font-weight: normal;">Midazolam </b></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Versed)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .2in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Beta-blockers such as <b style="mso-bidi-font-weight: normal;">Atenolol </b><i style="mso-bidi-font-style: normal;">(Tenormin), </i><b style="mso-bidi-font-weight: normal;">Betaxolol </b><i style="mso-bidi-font-style: normal;">(Betoptic), </i><b style="mso-bidi-font-weight: normal;">Metoprolol </b></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Lopressor)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Bicyclic anti-depressants such as <b style="mso-bidi-font-weight: normal;">Venlafaxine
</b><i style="mso-bidi-font-style: normal;">(Effexor)</i></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .2in; margin-top: 9.0pt; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Calcium-channel-blockers such as <b style="mso-bidi-font-weight: normal;">Diltiazem
</b><i style="mso-bidi-font-style: normal;">(Cardizem), </i><b style="mso-bidi-font-weight: normal;">Nifedipine </b><i style="mso-bidi-font-style: normal;">(Adalat), </i></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Nisoldipine </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Sular)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="line-height: 88%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: 12.6pt; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; line-height: 88%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .05pt; line-height: 88%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Cox-2 inhibitors such as <b style="mso-bidi-font-weight: normal;">Celecoxib </b><i style="mso-bidi-font-style: normal;">(Celebrex), </i><b style="mso-bidi-font-weight: normal;">Rofecoxib </b></span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 11.5pt; letter-spacing: .05pt; line-height: 88%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">(Vioxx)</span></i></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .05pt; line-height: 88%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: 9.0pt; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Hl-blockers such as <b style="mso-bidi-font-weight: normal;">Cetirizine </b><i style="mso-bidi-font-style: normal;">(Zyrtec), </i><b style="mso-bidi-font-weight: normal;">Fexofenadine </b><i style="mso-bidi-font-style: normal;">(Allegra)</i></span></div>
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<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Immunosuppressant drugs
such as <b style="mso-bidi-font-weight: normal;">Cyclosporine </b><i style="mso-bidi-font-style: normal;">(Neoral), </i><b style="mso-bidi-font-weight: normal;">Muromonab-CD3 </b></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Orthoclone OKT3), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Tacrolimus </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Prograf)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Loop diuretics such as <b style="mso-bidi-font-weight: normal;">Ethacrynic
acid </b><i style="mso-bidi-font-style: normal;">(Edecrin), </i><b style="mso-bidi-font-weight: normal;">Furosemide </b><i style="mso-bidi-font-style: normal;">(Lasix), </i></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Torsemide </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Demadex)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="line-height: 90%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; line-height: 90%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; line-height: 90%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Macrolide antibiotics such as <b style="mso-bidi-font-weight: normal;">Clarithromycin </b><i style="mso-bidi-font-style: normal;">(Biaxin), </i><b style="mso-bidi-font-weight: normal;">Erythromycin </b><i style="mso-bidi-font-style: normal;">(Eryc)</i></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: 12.6pt; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Opiate agonist drugs such as <b style="mso-bidi-font-weight: normal;">Codeine
</b><i style="mso-bidi-font-style: normal;">(Codeine Contin), </i><b style="mso-bidi-font-weight: normal;">Hydrocodone </b><i style="mso-bidi-font-style: normal;">(Vicodin), </i></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Tramadol </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Ultram)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .15in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Propionic acids such as <b style="mso-bidi-font-weight: normal;">Flurbiprofen
</b><i style="mso-bidi-font-style: normal;">(Ansaid), </i><b style="mso-bidi-font-weight: normal;">Ibuprofen </b><i style="mso-bidi-font-style: normal;">(Motrin), </i><b style="mso-bidi-font-weight: normal;">Naproxen </b></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Anaprox)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .65in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Proton pump inhibitors such as <b style="mso-bidi-font-weight: normal;">Esomeprazole
</b><i style="mso-bidi-font-style: normal;">(Nexium), </i><b style="mso-bidi-font-weight: normal;">Lansoprazole </b></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Prevacid), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Rabeprazole </span></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 11.5pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">(Aciphex)</span></i></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .15in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Quinolones such as <b style="mso-bidi-font-weight: normal;">Ciprofloxacin </b></span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 11.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">(Cipro), </span></i></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ofloxacin </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Floxin), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Trovafloxacin </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Trovan)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="line-height: 90%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; line-height: 90%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 90%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Salicylates such as <b style="mso-bidi-font-weight: normal;">Aspirin,
Mesalamine </b><i style="mso-bidi-font-style: normal;">(Asacol), </i><b style="mso-bidi-font-weight: normal;">Olanzapine </b><i style="mso-bidi-font-style: normal;">(Zyprexa)</i></span></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Selective serotonin reuptake inhibitors (SSRIs) such as <b style="mso-bidi-font-weight: normal;">Fluoxetine </b><i style="mso-bidi-font-style: normal;">(Prozac), </i></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Fluvoxamine </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Luvox), </span></i><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Sertraline </span></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 11.5pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">(Zo/oft)</span></i></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Serotonin-receptor agonists such as <b style="mso-bidi-font-weight: normal;">Almotriptan
</b><i style="mso-bidi-font-style: normal;">(Axert), </i><b style="mso-bidi-font-weight: normal;">Naratriptan </b><i style="mso-bidi-font-style: normal;">(Amerge), </i></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Sumatriptan </span></b><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Imitrex)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; line-height: 90%; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 90%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Thiazides such as <b style="mso-bidi-font-weight: normal;">Bendroflumethiazide
</b><i style="mso-bidi-font-style: normal;">(Corzide), </i><b style="mso-bidi-font-weight: normal;">Indapamide </b><i style="mso-bidi-font-style: normal;">(Lozol)</i></span></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Tricyclic anti-depressants such as <b style="mso-bidi-font-weight: normal;">Amitriptyline
</b><i style="mso-bidi-font-style: normal;">(Elavil), </i><b style="mso-bidi-font-weight: normal;">Clomipramine </b></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(Anafranil)</span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="line-height: 85%; margin-top: 16.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 85%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ototoxic Side Effects</span></b></div>
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<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ototoxic side effects can damage our ears in many
different ways. You may experience </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">one, several or no side effects from taking any
given drug. The average ototoxic drug </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">exhibits about 3.5 ototoxic symptoms.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Here are a number of
the ototoxic side effects you </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">could experience.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
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<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">When you know which ototoxic side effects can
occur, you can watch for them. If they </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">do occur, immediately contact your physician, stop
taking the offending drug (with your </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">doctor's consent—of course) to try to limit the
damage to your ears.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="line-height: 83%; margin-top: .2in;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 83%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">1. Cochlear side effects</span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Tinnitus: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Tinnitus, commonly
called "ringing in the ears," is the number one </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">indicator that you may be
damaging your ears from an ototoxic drug. At least 447</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">
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<div align="right" class="MsoNormal" style="line-height: 118%; margin-right: .15in; text-align: right;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 118%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">drugs are
known to cause tinnitus.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 118%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 118%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Tinnitus can manifest
itself as a wide variety</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: .05in; margin-top: 0in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">of sounds. It may be a ringing, roaring, beating,
clicking, banging, buzzing, </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">hissing, humming, blowing, chirping, clanging, sizzling, whooshing,
rumbling, </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">whistling or dreadful shrieking noise in your head. It may also sound
like rushing</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .5in; margin-right: .5in; margin-top: 0in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">water, radio static, breaking glass, bells ringing,
owls hooting or chainsaws </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">running.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">3</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Hearing loss: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">More than 230 drugs are
known to cause hearing loss.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Hearing </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">loss can range from mild to profound and may be
temporary or permanent. One of </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">the insidious things about ototoxic drugs is they generally first destroy
hearing in the very high frequencies which are not normally tested (those above
8,000 Hz). </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Thus, you're not even aware you are losing your hearing until it is too
late to do </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">anything about it.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Distorted hearing: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Some drugs, instead of
causing hearing loss (or in addition to </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">causing hearing loss), cause hearing to be
distorted so we do not understand some </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(or much) of what we are hearing.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Hyperacusis: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Hyperacusis is a
condition where normal sounds are perceived as </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">being much too loud. It
is as though the body's internal volume control is stuck on </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">"high." At
least 38 drugs can cause this condition.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Feelings of fullness in
your ears: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You can experience this feeling for a few </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">reasons. One, because
your ears really are blocked by a middle ear infection or by </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">earwax. Two, because
your ears <b style="mso-bidi-font-weight: normal;">feel </b>"blocked"
because of sudden hearing loss. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Three, exposure to loud sounds can result in a
feeling of "fullness" too.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Auditory hallucinations: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">At least 8 drugs can
cause you to hear phantom </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">sounds—voices and music that are not there. Another 165 drugs can cause
hallucinations, some of which may be of the auditory variety.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Most of these </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">hallucinations seem to
be the result of a damaged auditory system rather than the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">effects of a mental
illness.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
<div class="MsoNormal" style="line-height: 85%; margin-top: 16.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 85%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">2. Vestibular Side Effects</span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Dizziness: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Dizziness is the most
common ototoxic symptom. At least 588 drugs </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">have this ototoxic side effect.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Vertigo: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Vertigo is the perception
of movement (normally a spinning sensation) </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">when the body is really not moving. At least 432
drugs are known to cause </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">vertigo.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ataxia: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ataxia is the loss of
your ability to coordinate your muscles properly and </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">can be a result of a
damaged vestibular system. As a result you may walk with a </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">staggering gait, just as
though you were drunk. At least 288 drugs can cause this </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">side effect.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
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<div class="WordSection6">
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Nystagmus: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Nystagmus is abnormal rapid rhythmic back-and-forth involuntary </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">eye movement, usually
from side to side. Although technically an eye problem, it </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">fundamentally is the
result of a damaged vestibular system. At least 102 drugs can </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">cause this side effect.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Labyrinthitis: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Labyrinthitis is a
catch-all term that simply means something is </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">wrong in your inner ear
(cochlear and vestibular systems).</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Loss of
balance/equilibrium disorder: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Some drugs cause a person to lose their </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">balance. These terms too,
are mostly catch-alls for various kinds of balance </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">conditions.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Oscillopsia: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Oscillopsia is
"bouncing vision." This is the result of damage to the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">vestibular system such
that it no longer works together as the vestibulo-ocular </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">reflex. Oscillopsia can
result when your vestibular system in both ears is severely </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">damaged.<b style="mso-bidi-font-weight: normal;"><span style="letter-spacing: -.35pt;"></span></b></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .4in; margin-right: .25in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .4in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Emotional problems: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">When you lose much of
your sense of balance, emotional </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">problems such as anxiety, frustration, anger and
depression can surface.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Your </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">feelings of self-confidence and self-esteem may plummet.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Fatigue: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Damage to the vestibular
system can result in exhaustion, because you </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">now have to consciously
work at maintaining your balance.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .4in; margin-right: .1in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .4in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Memory problems: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Memory problems can
result because areas of your brain that </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">were previously used for thought and memory, must
constantly work on keeping </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">you balanced. As a result, you may grope for words, forget what was just
said, be </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">easily distracted or have trouble concentrating.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Muscular aches and pains:
</span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Another
seemingly-unlikely result of vestibular </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxicity are muscle pains due to failure of the
vestibulo-spinal reflex (the reflex </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">dictating automatic muscle changes in response to
changing movement). If the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">reflex fails, you have to consciously control it. You may make your
muscles rigid </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">as you strain to keep your balance.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Nausea: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Nausea is a relatively
common side effect of vestibular damage that </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">results from your
brain's confusion over vestibular sensory inputs.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Visual problems: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">A host of visual problems
can result if the vestibulo-ocular </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">reflex (the reflex that stabilizes your eyes in
space) is damaged. As a result, you </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">may have trouble reading since everything seems
blurry or fuzzy. You may have </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">trouble focusing your eyes—particularly on moving or distant objects.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">6</span></sup><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Vomiting: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Vomiting is a common
result of a damaged vestibular system. Often </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">vomiting and vertigo go
together.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
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<div class="WordSection7">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .1in; margin-top: 0in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Vague feelings of unease: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Sometimes you can't put your finger on exactly what
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">is wrong, but
you feel vaguely uneasy. You may feel that things seem wrong or </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">unrea1.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> This too, can be a
result of a damaged vestibular system.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
<div class="MsoNormal" style="margin-top: .15in;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">3. Central
Nervous System (CNS) Side Effects</span></b></div>
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<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Central auditory processing disorder: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Sounds may enter our ears and be <span style="letter-spacing: -.15pt;">processed correctly, but these sound signals may
be delayed or scrambled after </span><span style="letter-spacing: -.2pt;">they
leave our inner ears. This scrambling can occur as the sound signals are </span><span style="letter-spacing: -.05pt;">processed by the neuronal networks that make up
our auditory nerves, or in </span><span style="letter-spacing: -.1pt;">various
parts of our brains. When this processed sound reaches the conscious </span><span style="letter-spacing: -.25pt;">levels in our brains where we "hear,"
we may hear a bunch of gibberish. This is </span><span style="letter-spacing: -.35pt;">known as a central auditory processing disorder. Several ototoxic
drugs/chemicals </span><span style="letter-spacing: -.2pt;">have this effect.</span></span></div>
<div class="MsoNormal" style="line-height: 85%; margin-top: 16.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 85%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">4. Outer/Middle Ear Side Effects</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .1in; margin-top: 12.6pt; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ceruminosis: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Some drugs cause
excessive ear wax production. This excess wax </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">can block our ear canals
and cause temporary hearing loss.</span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .2in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Ear pain: </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Medically called otalgia,
ear pain is typically the result of middle ear </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">infections. 154 drugs
have ear pain associated with their use.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: .15in; mso-list: l1 level1 lfo1; tab-stops: decimal .55in; text-indent: -.3in;">
<span style="color: black; font-family: Symbol; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: Symbol; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Symbol; mso-font-width: 105%;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Otitis externa; 0.
media: Otitis </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">is typically an opportunistic infection of the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">outer (0. externa) or
middle (0. media) ear. Many of the drugs listed as having </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">otitis as an ototoxic
side effect do not directly cause these conditions. Rather, these infections
come in and take over when an opportunity presents itself—i.e. an ototoxic
antibiotic killing off the "good bacteria" in the ear canal, leaving
it </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">wide open to
an opportunistic invasion of "bad bacteria." 138 drugs are associated
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">with otitis.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">4</span></sup><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></b></div>
<div class="MsoNormal" style="line-height: 83%; margin-top: 16.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 83%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Risk Factors</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Some people take ototoxic drugs with seeming
impunity. Others take one little dose, and </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">wham—there goes their ears. Why?</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">The short answer is that we are all different. Each
person (patients and professionals) is a </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">unique biological case study! No two are exactly the
same. Therefore, it should be no surprise that we vary in our sensitivity to
ototoxic drugs.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .25in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Researchers have identified a number of factors that
increase the risk of our having an </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxic reaction when taking certain drugs. Here
are 20 of the risk factors (in no particular order of importance).</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .3in; margin-right: 0in; margin-top: .2in; mso-list: l4 level1 lfo2; tab-stops: decimal .55in; text-indent: 0in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You are very young—including unborn children.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .3in; margin-right: 0in; margin-top: 9.0pt; mso-list: l4 level1 lfo2; tab-stops: decimal .55in; text-indent: 0in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You are a senior (over 60 years).</span></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="WordSection8">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .15in; margin-top: 0in; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have certain
hereditary (genetic) factors that make you more susceptible than </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">the general population.
This is particularly true if you take Aminoglycoside antibiotics.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .35in; margin-top: .15in; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You already have a sensorineural hearing loss, balance problems or some
other </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">form of pre-existing ear damage.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">12</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .45in; margin-top: .15in; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have had previous ear damage (hearing loss) from exposure to
excessive </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">noise.<span style="letter-spacing: -.45pt;"></span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .4in; margin-top: 12.6pt; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have problems with your kidneys. For some reason, people with kidney </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">problems have an
unusually high incidence of hearing loss, even without drug </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">use.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">10</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: 0in; margin-top: 12.6pt; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You are
extremely sensitive to drugs or have a low tolerance for drugs.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .2in; margin-top: 12.6pt; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have had ototoxic reactions to drugs in the past. Not only does the
risk </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">increase, but
the resulting ototoxic damage has a tendency to be more severe and is more
likely to be permanent.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .25in; margin-top: 12.6pt; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have previously used ototoxic drugs, or you have taken repeated
courses of </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">the same ototoxic drug.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .15in; margin-top: .15in; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have taken certain
drugs for a long time—especially if you have taken a drug </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">for longer than the
manufacturer recommended.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .2in; margin-top: 12.6pt; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You can be at higher
risk if an ototoxic drug is not administered properly—i.e. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">larger than recommended
dose, higher that recommended cumulative dose, faster </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">dose than recommended
(injection or intravenous).</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .15in; margin-top: 12.6pt; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have been given an
inappropriate dose—i.e. a child given an adult dose, or </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">an overweight person
given a dose based on total weight rather than on lean body </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">weight (especially true
if taking an Aminoglycoside antibiotic).</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: 0in; margin-top: 12.6pt; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You are dehydrated.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .25in; margin-top: .15in; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-align: justify; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">14.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have taken ototoxic Diuretics at the same time as other ototoxic
drugs or if </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">you have used or are using two or more ototoxic and/or nephrotoxic (toxic
to the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">kidneys) drugs at the same time.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: 0in; margin-top: 12.6pt; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">15.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have had previous ear
infections.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: 0in; margin-top: 12.6pt; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">16.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You are generally in poor
health.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .45in; margin-right: .15in; margin-top: 9.0pt; mso-list: l0 level1 lfo3; tab-stops: decimal .45in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">17.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have abnormal
laboratory values such as reductions in serum albumin, serum </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">red blood cells,
hematocrit, hemoglobin or you have rising serum creatinine </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">levels.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="MsoNormal" style="line-height: 120%; margin-left: .55in; mso-list: l2 level1 lfo4; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; line-height: 120%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">18.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">18. You have
had radiation treatments on your head or ear.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">6</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="line-height: 121%; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .3in; margin-right: 0in; margin-top: .15in; mso-list: l2 level1 lfo4; tab-stops: decimal .55in; text-indent: 0in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; line-height: 121%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">19.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .15pt; line-height: 121%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">19. You have
bacteremia (bacteria in the bloodstream).</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .15pt; line-height: 121%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .15pt; line-height: 121%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .05in; margin-top: .1in; mso-list: l2 level1 lfo4; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .1pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">20.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">20. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You have either eye or
proprioceptive (balance) problems. This increases the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">chances that you will
have a more serious result on your life-style if vestibular ototoxicity does
occur.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></div>
<div class="MsoNormal" style="line-height: 83%; margin-top: 16.2pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 83%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Reduce The Risk—Here's How</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .3in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You cannot do anything about certain ototoxic risk
factors such as your age or your </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">genetic makeup. However, there are still some
things you (and your doctor) can do to </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">lessen your risk of having an ototoxic reaction from
taking certain drugs.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Here are some things you and your doctor can do.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .1in; margin-top: .2in; mso-list: l3 level1 lfo5; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Be aware of the early warning signs of
ototoxicity. The are (in order of <span style="letter-spacing: -.1pt;">frequency):
you feel dizzy; your ears begin ringing (tinnitus); your existing </span><span style="letter-spacing: -.35pt;">tinnitus gets worse or you hear a new kind of
tinnitus sound; you feel pressure in </span><span style="letter-spacing: -.2pt;">your
ears (unless you have a head cold); your hearing gets worse or begins
fluctuating; or you develop vertigo (spinning sensation).</span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .05in; margin-top: 12.6pt; mso-list: l3 level1 lfo5; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Tell your doctor you are
hard of hearing, especially if you have a sensorineural </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">hearing loss and/or
suffer from balance problems. Also, let him know if you have </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">tinnitus.<span style="letter-spacing: -.3pt;"></span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .3in; margin-top: 12.6pt; mso-list: l3 level1 lfo5; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Always discuss possible
side effects with your doctor before you begin a new </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">medication.<span style="letter-spacing: -.45pt;"></span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .05in; margin-top: 12.6pt; mso-list: l3 level1 lfo5; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Follow your doctor's
dosage instructions exactly. At the same time, make sure </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">your doctor does not
exceed the drug manufacturer's dosage instructions when he </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">prescribes drugs for you.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .1in; margin-top: .15in; mso-list: l3 level1 lfo5; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Use the same pharmacy for
all your prescriptions so they will know all the drugs </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">you are taking. That way
they can advise you of any known dangerous drug </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">combinations.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: 12.6pt; mso-list: l3 level1 lfo5; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Always read the labels on
over-the-counter medications and particularly watch for </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxic side effects.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .05in; margin-top: 12.6pt; mso-list: l3 level1 lfo5; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Drink plenty of fluids so
you don't get dehydrated. This is especially important if </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">you have a </span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .05in; margin-top: 12.6pt; mso-list: l3 level1 lfo5; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> fever or are
taking loop diuretics.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">If you have kidney
problems, have your health care professionals carefully </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">monitor your kidney
function and report abnormalities immediately. Your doctor needs to know how
well your kidneys are working before he prescribes various </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">medications.</span><br />
<br />
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">9. Avoid taking multiple
ototoxic drugs at the same time.</span>
</span><br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: 9.0pt; mso-list: l5 level1 lfo6; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .05pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Avoid noisy environments
for at least 6 months after you have completed a course </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">of an Aminoglycoside
antibiotic or platinum compound such as <b style="mso-bidi-font-weight: normal;">Cisplatin.</b></span><b style="mso-bidi-font-weight: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">8</span></sup></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: 0in; margin-top: 12.6pt; mso-list: l5 level1 lfo6; tab-stops: decimal .55in; text-indent: -.25in;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .05pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">If </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">you are beginning treatment with an ototoxic
drug such as any of the <span style="letter-spacing: -.2pt;">Aminoglycoside
antibiotics, Loop diuretics or platinum compounds such as </span><b style="mso-bidi-font-weight: normal;"><span style="letter-spacing: -.45pt;">Cisplatin,
</span></b><span style="letter-spacing: -.45pt;">it is important that you have a
baseline high-frequency audiogram done </span><span style="letter-spacing: -.15pt;">before
you begin treatment and then serial high-frequency audiograms (testing </span><span style="letter-spacing: -.2pt;">those frequencies above 8,000 Hz) during and after
drug therapy.</span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .55in; margin-right: .25in; margin-top: 12.6pt; mso-list: l5 level1 lfo6; tab-stops: decimal .55in; text-indent: -.25in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .05pt; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-font-width: 105%;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">If you have had
vestibular (balance) problems from taking any drugs, be very </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">careful not to damage
your vestibular system further by taking drugs known to </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">damage your vestibular
system.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">When you are aware of the many drugs that can
damage your ears and the many risk </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">factors that can make you even more susceptible to
ototoxic side effects than the general </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">population, you can take steps to protect your
precious ears.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">You will then be in the
position to take control and make informed decisions about your </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">health care. For
example, "Joan" takes <b style="mso-bidi-font-weight: normal;">Celecoxib
</b>for her arthritis. When she takes it, her tinnitus gets louder, but her
arthritis problems improve. She chooses the tinnitus over the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">arthritis pain. That is
her choice and she is content to live with it.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">"Harold," on the other hand, began taking <b style="mso-bidi-font-weight: normal;">Amitriptyline </b>and soon noticed he had
severe </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">tinnitus. He didn't like this one bit and wrote to me for help. I
suggested the </span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Amitriptyline </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">may be causing his
tinnitus. With his doctor's permission, he stopped </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">taking the drug. Twelve
days later, he joyfully reported that his tinnitus went away. That was his
choice. He is happy he made it.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: 12.6pt; margin-left: 0in; margin-right: 0in; margin-top: .15in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">When it comes to the health of your ears, you, too, have a choice. Use it
wisely.</span></div>
<div class="MsoNormal" style="line-height: 80%; margin-top: 16.2pt;">
<span style="height: 2px; margin-left: -1px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 163px; z-index: 25;"></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 80%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Notes</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .4in; margin-top: 1.8pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">1</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> In this paper, drug classes are in small capitals
(ACE INHIBITORS), generic drug </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">names are in bold (Enalapril) and brand names are in italics (Vasotec).</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: 12.6pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">2</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> The brand names listed here are neither more or
less ototoxic than any brands of this </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">same generic drug that are not listed. I have
simply chosen, more or less at random, one </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">brand as a representative of all the brands
available for that generic drug.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="line-height: 83%; margin-top: .2in;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 83%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">References</span></b></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="WordSection11">
<div class="MsoNormal" style="margin-right: .3in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">3 </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Bauman, Neil. 2002. When
Your Ears Ring. Cope With Your Tinnitus. Here's How. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Center for Hearing Loss Help. 49 Piston Court,
Stewartstown, PA 17363.</span><a href="http://www.hearinglosshelp.com/"><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></a><u><span style="color: #0064cc; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">4 </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Bauman, Neil. 2003. Ototoxic Drugs Exposed, Second Edition. Center for
Hearing Loss </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Help. 49 Piston Court, Stewartstown, PA 17363.</span><u><span style="color: #0064cc; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></u><a href="http://www.hearinglosshelp.com/"><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></a><u><span style="color: #0064cc; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">5</span></sup><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Guidelines for the
audiologic management of individuals receiving cochleotoxic drug therapy. </span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">1994. American
Speech-Language-Hearing Association. 36(3), Supplement No. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">12.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: 2.75in; margin-top: .2in;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">6</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Haybach, Patty J. 1998. Ototoxicity for nurses.</span><a href="http://www.geocities.com/otolithic/ototox.htm."><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></a><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="line-height: 111%; margin-top: 12.6pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.2pt; line-height: 111%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 111%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Haybach,
Patty J. 1999. Balance and hearing: <i style="mso-bidi-font-style: normal;">At
risk from drugs . </i>Course #170.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.2pt; line-height: 111%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="line-height: 111%; margin-top: 12.6pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.2pt; line-height: 111%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">8</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 111%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Kalkanis,
James. 2001. Inner ear-Ototoxicity. <i style="mso-bidi-font-style: normal;">eMedicine
. </i>2(7).</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.2pt; line-height: 111%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .45in; margin-top: 12.6pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">9</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Shlafer, Marshal. 2000. <i style="mso-bidi-font-style: normal;">Ototoxic drugs . </i>University of Michigan Medical School. </span><u><span style="color: #0064cc; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></u><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .2in; margin-top: 12.6pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 13.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">1°</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Staab, Dr. Wayne J. 1991. <i style="mso-bidi-font-style: normal;">The
Rexton guide to better hearing . </i>512 East Canterbury </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Lane, Phoenix, Arizona
85022.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 13.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .25in; margin-top: .2in;">
<i style="mso-bidi-font-style: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 85%;">11</span></sup></i><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Stedman's Medical Dictionary . </span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">2000. 27th Edition. Lippincott Williams &
Wilkins. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Baltimore, Maryland.</span><i style="mso-bidi-font-style: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 85%;"></span></sup></i></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .5in; margin-top: .15in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">12 </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Troost, B. Todd, and Melissa A. Walker. 1998. Drug induced
vestibulocochlear </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">toxicity. In: <i style="mso-bidi-font-style: normal;">Iatrogenic Neurology . </i>Butterworth-Heinman.
Boston. </span><a href="http://ivertigo.net/ototoxicity/otvestibular.html."><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></a><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="WordSection12">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 10.5pt; letter-spacing: -.25pt; mso-bidi-font-size: 11.0pt; mso-font-width: 105%;">Part Two: Ototoxicity and the Practice of Audiology</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: .15in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Part One of this series presented an overview of
the hundreds of ototoxic drugs currently </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">available and how their potential side effects
relating to hearing and balance turn </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">countless lives upside down. Part One also detailed
risk factors that predispose people to </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxic effects and concluded with what individuals
can do to reduce their risk.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .3in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">In Part Two, we'll examine things you, as an
audiologist, can do to help your patients </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">when their ears "butt heads" with ototoxic
substances.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: 12.6pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Think
"Drugs" When Assessing Hearing Loss</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">As you know, when
patients present for hearing evaluations, it is important to ask what </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">medications they're
taking. However, the importance of this questioning is not limited to </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">a thorough and complete
history. Rather, this knowledge may indeed impact their current </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">status and future-based
medical decision making.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">If you look up their medications in <i style="mso-bidi-font-style: normal;">Ototoxic Drugs Exposed,</i></span><i style="mso-bidi-font-style: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 85%;">1</span></sup></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> you'll quickly get an idea </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">as to what may be
happening to their ears. If ototoxic side effects started (or increased) </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">around the time they
began taking certain drugs, the ototoxic "index of suspicion" is </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">elevated, and indeed,
their current medications may be damaging their ears.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .2in; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Given an elevated index
of suspicion, and armed with objective data, you might contact </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">the physician and suggest
that perhaps alternative, non-ototoxic alternative medications </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">might be an option.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">For example, suppose a patient comes to you with
severe hyperacusis which is disrupting </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">her life. What do you do? Do you immediately think
of something like Hyperacusis Retraining Therapy, or do you think
"drugs?"</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">I suggest as a first step—think "drugs."</span></div>
<div class="MsoNormal" style="margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">When patients ask me what they can do about their
hyperacusis, among the first questions </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">I ask is, "What happened in your life just
before the hyperacusis began? Did you start </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">taking new medications or was there a change in the
dose of existing medications?" I ask for a complete list of their
medications and I look them up in <i style="mso-bidi-font-style: normal;">Ototoxic
Drugs Exposed </i>to </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">see if any of them are known to cause hyperacusis. If any of them are
known to cause </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">hyperacusis, I suggest to the patient that he/she contact the doctor to
investigate </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">alternative drugs with the same benefits, but without hyperacusis as a
known side effect. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">In certain situations, I may communicate directly with the physician on
these issues.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">A psychiatrist explained that a patient of hers had
several psychiatric problems, but the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">one thing bothering the patient above all else was
severe hyperacusis. The patient had </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">tried hyperacusis remedies without improvement. The
psychiatrist asked me if there was </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">anything that might help her patient.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">My first reaction was to "think drugs." I
asked what medications the patient was on and</span></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"></span><br />
<div class="WordSection13">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">what medications she had
been on at the time the hyperacusis began. When I received the list of
medications, I discovered that this patient was taking not just one, but three
drugs </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">known to cause hyperacusis! Of all the thousands of drugs on the market,
only 38 are known to cause hyperacusis, yet this poor patient was taking three
of them at the same </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">time!<span style="letter-spacing: -.25pt;"></span></span>
<br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .2in; margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">I suggested the psychiatrist consider taking the
patient off those three particular </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">medications (if medically possible) and then see
whether the patient's hyperacusis was </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">reduced or eliminated.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">A man contacted me telling me had severe tinnitus
and he wanted to know if there was </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">anything he could do about it. Instead of
suggesting a tinnitus masker or Tinnitus </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Retraining Therapy (TRT) or other treatments, I
immediately thought "drugs." I asked if </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">he had started any new
medications about the time his tinnitus began.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">He told me his doctor had recently put him on <b style="mso-bidi-font-weight: normal;">Amitriptyline. </b>I suggested he ask his </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">doctor to change his
medication, if possible, as <b style="mso-bidi-font-weight: normal;">Amitriptyline
</b>is known to cause tinnitus. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">A couple of weeks later, he wrote me again, saying
that 12 days after he stopped taking </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">the <b style="mso-bidi-font-weight: normal;">Amitriptyline,
</b>his tinnitus went away. Again, the solution was simple and effective. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Think "drugs."</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">A woman contacted me as she was experiencing
annoying tinnitus and increasing hearing </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">loss. As is my custom, I thought "drugs."
I discovered she had been self-medicating</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">taking large doses of <b style="mso-bidi-font-weight: normal;">aspirin </b>each
day for the nearly-constant headaches she often suffered.<span style="letter-spacing: -.3pt;"></span></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">I suggested to her that her hearing problems and her
tinnitus were very likely a direct </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">result of taking all that <b style="mso-bidi-font-weight: normal;">aspirin. </b>She stopped taking <b style="mso-bidi-font-weight: normal;">aspirin.
</b>Six days later she wrote, "I </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">have noticed that I am hearing better now. I have
the TV volume set at level 18 instead of </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">the usual 24. The ringing in my ears is still there
but it is not as bad." Three days later she </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">added, "Today when
someone was talking behind me, I heard every word he said. My </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">hearing still isn't
perfect, but it is better than it was."</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">The people in the above examples didn't need
expensive or extensive therapy or hearing </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">aids. What they really needed was someone to help
them see that they were damaging </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">their ears due to medications they were taking. In
many cases, you'll be able to help your </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">patients more when you first think
"drugs."</span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">While You Are Thinking
"Drugs," Think "Chemicals" Too</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .65in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">It is not only ototoxic drugs that damage our ears,
there are at least 148 ototoxic </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">chemicals that also give us grief</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 135%;">l</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .3in; margin-top: .15in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Two of the more ototoxic classes of chemicals are
the organic solvents and the heavy </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">metals.<span style="letter-spacing: -.4pt;"></span></span></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="WordSection14">
<div class="MsoNormal" style="margin-right: .15in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">There are a number of
organic solvents. Some of them are <b style="mso-bidi-font-weight: normal;">benzene,
benzyl alcohol, </b></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">butyl alcohol, carbon
disulfide, carbon tetrachloride, heptane, hexane, styrene, </span></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">toluene, trichloroethylene </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">and <b style="mso-bidi-font-weight: normal;">xylene. </b>Ototoxic
heavy metals include <b style="mso-bidi-font-weight: normal;">arsenic, cobalt, </b></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">lead, manganese, mercury </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">and <b style="mso-bidi-font-weight: normal;">trimethyltin.</b></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Most people likely have a number of ototoxic
chemicals in or around their homes. Some of these ototoxic chemicals include
adhesives, auto emissions, fungicides, glues, grease </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">and spot removers,
insecticides, insulation, lacquers, liquid correction fluid, organic </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">solvents, paint, paint
thinners, resins, room deodorizers, rug cleaners, spray paint, </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">varnishes and wood
preservatives to name a few.13, </span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">14</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">In addition, people may be exposed to ototoxic
chemicals if they work in one of the many </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">manufacturing plants and factories that use organic
solvents or heavy metals. Such </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">processes as electroplating, shoe manufacturing, dry cleaning, cold
vulcanization, </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">electronic battery manufacture and polyvinyl chloride manufacturing all
use various </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxic chemicals.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">14</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Further, the pollutants in the air can also hurt
peoples' ears. Depending on the type and </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">severity of the air pollution, people can end up
with hearing loss, balance problems or </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">other damage to their ears.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">2</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Most people probably think of air pollution as occurring
outside. However, dangerous air </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">pollution also resides within homes, offices and
factories. Many of the indoor pollutants </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">are organic solvents. When people inhale fumes from
these solvents, they slowly but </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">surely damage their ears.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">One study of workers in a rubber factory revealed
47% had subclinical abnormalities in </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">the auditory pathways and in their brainstems, due
to solvents used in manufacturing </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">rubber.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">16</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> One patient lost her hearing resulting from several
years of using spray varnish </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">in her garage without adequate ventilation. <b style="mso-bidi-font-weight: normal;">Toluene </b>in the varnish was the culprit.</span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Sometimes, ototoxic damage from organic solvents is
obvious—such as when it results in </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">massive hearing loss or roaring tinnitus. However,
in other cases (see above study) results </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">can be insidious and subtle, presenting as impaired
central auditory processing. Even though the chemical hasn't caused reduced
"hearing" as might be expected on an </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">audiogram, the person
affected can't understand everything they hear.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">A bit of probing may reveal that hearing loss is the
result of exposure to an ototoxic </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">chemical where you least expect to find it.
Therefore, in addition to thinking "drugs," also </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">think
"chemicals."</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Drug Interactions and
Ears</span></b></div>
<div class="MsoNormal" style="margin-top: .15in; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Little is known about
how ototoxic drugs adversely affect our ears. Dramatically less is known about
ototoxic side effects when two or more ototoxic drugs are consumed at the same
time. However, some interesting (and important) things have come to light in
recent </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 83%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">years.</span></div>
</div>
<div class="WordSection15">
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">When a person takes two or more ototoxic drugs at
the same time, or one immediately following the other, there are two likely
outcomes. The ototoxic effects of each drug can </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">either be additive, or
the ototoxic effects can be synergistic.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">In the first case, the total effect on the ears
will be the sum of the effects of each drug as </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">if they were taken
separately. For example, if one ototoxic drug causes 2 "units" of </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">damage and the second
drug causes 3 "units" of damage, the resulting damage on the ear </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">would be 5
"units" (2 + 3 = 5). This is the additive effect.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">However, with some drug combinations, using the
same example above, the result is not </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">5 "units" of damage as you might expect,
but a larger number—say 10 "units" of damage. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">This represents a synergistic
effect. With synergistic effects, the resulting damage is </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">always greater than the
sum of the damage of each individual drug.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">To protect ears as much as possible, people should
not take multiple ototoxic drugs at the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">same time, especially if they are known to have
synergistic ototoxic effects.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Researchers have discovered that the order a person
takes certain ototoxic drugs can </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">make an enormous difference as to whether they have
much of a resulting hearing loss or </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">not. With some drug combinations, if you take the
drugs sequentially, and not simultaneously, you can avoid the synergistic
effect.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">For example, in one medical treatment, doctors put
their patients on two drugs, a Loop </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">diuretic (e.g., <b style="mso-bidi-font-weight: normal;">Furosemide) </b>and an Aminoglycoside antibiotic (e.g., <b style="mso-bidi-font-weight: normal;">Tobramycin). </b>If the patient completes
the course of the Loop diuretic <b style="mso-bidi-font-weight: normal;">before </b>he
begins the Aminoglycoside </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">antibiotic, the resulting hearing loss from these two drugs is additive.
However, if the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">patient takes both drugs simultaneously or if the Aminoglycoside
antibiotic is </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">administered first, followed by the Loop diuretic—the two drugs act
synergistically to significantly damage the patient's ears.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">25</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Not only do certain ototoxic drugs react
synergistically with each other, but they have </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">another nefarious characteristic.
Their ototoxic side effects can react synergistically with </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">noise.<span style="letter-spacing: -.2pt;"></span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .25in; margin-top: .2in; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Certain ototoxic drugs
when taken "normally" can result in a certain degree of hearing </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">loss. However, if they
are being taken while the patient is exposed to loud noise, the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">noise combines
synergistically with the ototoxic side effects of the drug to cause even </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">greater hearing loss than
might otherwise be expected.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Some of the drugs that have this vicious effect
include <b style="mso-bidi-font-weight: normal;">aspirin,</b></span><b style="mso-bidi-font-weight: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">20</span></sup></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> the anti-cancer drug </span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Cisplatin,</span></b><b style="mso-bidi-font-weight: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">22</span></sup></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> the microbial antibiotic <b style="mso-bidi-font-weight: normal;">Chloramphenicol</b></span><b style="mso-bidi-font-weight: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">3</span></sup></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> and Aminoglycoside antibiotics </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">such as <b style="mso-bidi-font-weight: normal;">Gentamicin</b></span><b style="mso-bidi-font-weight: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">12</span></sup></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> and <b style="mso-bidi-font-weight: normal;">Kanamycin.</b></span><b style="mso-bidi-font-weight: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">23</span></sup></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">This same synergistic effect on hearing loss between
the ototoxic side effects of certain</span></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="WordSection16">
<div class="MsoNormal" style="margin-right: .15in; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">drugs and noise also
occurs between certain chemicals and noise. Chemicals that make </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">our ears more prone to
hearing loss as a result of noise include organic solvents such as </span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">carbon disulfide, dinitrobenzene, styrene, trichloroethylene, toluene </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">and <b style="mso-bidi-font-weight: normal;">xylene </b>as </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">well as the asphyxiant <b style="mso-bidi-font-weight: normal;">carbon
monoxide </b>and the heavy metal <b style="mso-bidi-font-weight: normal;">lead.</b></span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">4' 10, 17, 26</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Other chemicals with this same nefarious
characteristic include <b style="mso-bidi-font-weight: normal;">arsenic, butyl
alcohol, </b></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">butyl nitrite, heptane,
hexane, manganese, mercury </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">and <b style="mso-bidi-font-weight: normal;">trimethyltin.</b></span><b style="mso-bidi-font-weight: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">19</span></sup></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> This </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">apparently is just the tip of the iceberg. Suspicion is already cast on <b style="mso-bidi-font-weight: normal;">carbon </b></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">tetrachloride,
</span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">various other
metals and asphyxiants.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">17</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">'</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">2°</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Just how pronounced is this synergistic effect?
Sometimes the results can be dramatic! In </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">a study of Brazilian workers, those exposed to both noise and <b style="mso-bidi-font-weight: normal;">toluene </b>had a 53% <span style="letter-spacing: -.2pt;">incidence of hearing loss. In contrast, those
exposed to noise alone had a 26% incidence </span><span style="letter-spacing: -.25pt;">rate while the control group had an incidence rate of only 8%. When
these results were </span><span style="letter-spacing: -.35pt;">adjusted for age,
they showed that noise exposure increases the risk of hearing loss by 4.6 </span><span style="letter-spacing: -.05pt;">times. When the noise was combined with exposure
to <b style="mso-bidi-font-weight: normal;">toluene, </b>the risk jumped a </span><span style="letter-spacing: -.4pt;">whopping 27.5 times!</span></span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">21</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">In another study, workers were grouped into one of
four groups—those exposed to both </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">noise and <b style="mso-bidi-font-weight: normal;">toluene,
</b>those exposed to <b style="mso-bidi-font-weight: normal;">toluene </b>alone,
those exposed to noise alone, and </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">those not exposed to either <b style="mso-bidi-font-weight: normal;">toluene </b>or noise (the control group). The hearing loss of those </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">exposed to noise alone
was 4 times greater than the control group; the hearing loss of </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">those exposed to <b style="mso-bidi-font-weight: normal;">toluene </b>alone was 5 times greater; and
the hearing loss of those exposed </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">to both noise and <b style="mso-bidi-font-weight: normal;">toluene </b>was 11 times greater! </span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">17</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">One treacherous result of certain ototoxic drugs
combined with noise is something you'd </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">probably never suspect—the length of time a
person's ears are still susceptible to the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">synergistic effects of ototoxic drugs and
noise—after the drug has been discontinued.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: 12.6pt; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">If you tell a person not
to take certain drugs while he is exposed to noise, he might think </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">you are referring to the
days he is actually taking the drug therapy. Surprise! Not true! A </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">person has to avoid
noise for much, much longer.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">When a person takes Aminoglycoside antibiotics or
platinum anti-cancer drugs, such as </span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Cisplatin, </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">they are quickly
transported to his inner ears. The problem is that, once there, </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">these drugs persist in
the inner-ear fluids long after they have disappeared from the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">bloodstream,</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">11</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> not just for a few days, but for several weeks to
several months,</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">15</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> and up </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">to a year later!</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: 12.6pt; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">During the time these
drugs are present in peoples' inner ear fluids, they can be damaging </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">their ears. More
importantly, during this time, their ears are especially susceptible to the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">synergistic effects of
loud noise.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">15</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> This means that if
people have taken Aminoglycoside </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">antibiotics or <b style="mso-bidi-font-weight: normal;">Cisplatin
</b>and are now finished with this drug therapy, their ears are still in </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">danger of even more
hearing loss if they expose them to loud noise any time in the next </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">few months or more,
depending on their specific body chemistry.</span></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="WordSection17">
<div class="MsoNormal" style="margin-right: .05in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">This has important
implications for the audiologist treating hearing aid patients with </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">hearing aids and other
amplification systems. Dr. James Kalkanis, M.D., recommends </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">setting the gain and
maximum power output (MPO) as low as possible in order to protect </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">your patients' ears
while their ears are very sensitive to the effects of noise, secondary to </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxic medications. If
a patient already wears hearing aids, you should instruct him to </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">keep the volume down
during this time also.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">15</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> The same is true for people exposed to ototoxic chemicals in the
workplace. Workers exposed to ototoxic chemicals should be </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">advised that it is in
their best health interest to keep the volume down on their hearing </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">aids, and to keep the
work environment as quiet as is possible.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .25in; margin-top: 12.6pt; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">What is a safe level in
such situations? The only thing known for sure is that current </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">standards are not
stringent enough. Researchers were surprised to discover that when </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">noise and ototoxic
agents team up to damage ears, this damage can occur even though </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">exposure to both noise <b style="mso-bidi-font-weight: normal;">and </b>chemicals are <b style="mso-bidi-font-weight: normal;">within currently acceptable limits! 10</b></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">High Frequency Hearing
Testing is Important</span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Many ototoxic drugs and chemicals begin destroying
hearing at the highest frequencies first, and as exposure continues, lower
frequencies become involved. Since hearing is </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">traditionally only
tested up to 8 kHz, most <b style="mso-bidi-font-weight: normal;">initial </b>cases
of hearing loss from ototoxic </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">drugs and chemicals are <b style="mso-bidi-font-weight: normal;">never </b>revealed
by standard audiometric testing.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: 12.6pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">However, high-frequency audiometry is important if
hearing loss from ototoxic drugs is </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">to be minimized or prevented. High-frequency
audiometry can reveal the early effects of </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxic drugs before tinnitus appears or hearing
damage is visible on a conventional </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">audiogram (250 and 8,000 Hz).</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">In studies involving <b style="mso-bidi-font-weight: normal;">Cisplatin, </b>the <b style="mso-bidi-font-weight: normal;">first </b>indications
of hearing loss <b style="mso-bidi-font-weight: normal;">always </b>appeared </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">between 10,000 and
16,000 Hz.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">24</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Of course, standard audiometric testing would not have </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">revealed this hearing
loss, as it impacts higher than typically tested frequencies.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Several ototoxic chemicals cause <b style="mso-bidi-font-weight: normal;">initial </b>hearing loss in the high
frequencies. For </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">example, high-frequency hearing testing revealed that workers exposed to
low </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">concentrations
of <b style="mso-bidi-font-weight: normal;">styrene </b>fumes for 5 years had
hearing losses in the high frequencies </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">even though their hearing tests in the conventional
frequencies were normal. If high-</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">frequency hearing testing hadn't been done, <b style="mso-bidi-font-weight: normal;">styrene </b>could have been given a clean
bill of </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">health -- even though it is ototoxic.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Inhaling <b style="mso-bidi-font-weight: normal;">styrene
</b>fumes is known to cause a reduction in the upper limit of hearing. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Researchers concluded
that the upper limit of hearing is a sensitive indicator for early </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">detection of ototoxicity
in workers exposed to <b style="mso-bidi-font-weight: normal;">styrene</b></span><b style="mso-bidi-font-weight: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">18</span></sup></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> and indeed, probably for many or most ototoxic drugs and chemicals.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .15in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">One study demonstrated that audiometric testing across the conventional
hearing range is </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">the <b style="mso-bidi-font-weight: normal;">least effective </b>method to
determine initial hearing loss.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 110%;">5</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Therefore, if you want to know whether drugs or
chemicals are insidiously stealing your patients' hearing, you</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> need to test their
hearing up to the highest frequency possible.</span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .15in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Since ototoxic hearing loss typically begins at the
highest frequencies and progresses </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">through lower ones, audiologists should monitor the
highest measurable frequencies in people with pre-existing hearing loss, to
provide the earliest possible warning of further </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">drug-related hearing
loss.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Early detection does not, by itself, prevent
further damage to a person's ears. However, it </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">does give doctors time to
adjust the dose or stop the medication altogether before hearing </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">loss spreads to the
conventional frequencies.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">6</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> If monitoring is restricted to frequencies </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">below 8000 Hz, by the
time audiologists detect new/additional hearing loss, hearing loss </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">will have already
affected those frequencies necessary for speech.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">How good is high-frequency testing? When
researchers compared testing high </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">frequencies versus testing conventional
frequencies, one study revealed that 52% of </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">hearing losses were <b style="mso-bidi-font-weight: normal;">first </b>detected in the high-frequency range only. That study
revealed </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">that more than half the people with drug-induced hearing loss have
hearing loss that was </span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">not </span></b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">detected by conventional
means. If only high-frequency hearing testing had been </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">done, 67% of all the ears
demonstrating initial hearing loss due to ototoxicity would have </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">been found.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Another study revealed that only 13.5% of the
people (ears) studied had initial drug-</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">related hearing loss in the conventional
frequencies. An additional 24% had initial </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">detectable hearing loss in the conventional
frequencies as well as the high frequencies. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Thus, a whopping 62.5% of
drug-induced hearing loss likely goes undetected because it </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">initially <b style="mso-bidi-font-weight: normal;">only </b>occurs in the traditionally
not-tested high frequencies! </span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">8</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> If only the high </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">frequencies had been
tested, 86% of all cases of drug-induced hearing loss would have been detected.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Testing all frequencies between 125 Hz and 20,000
Hz is time consuming and of course, </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">adds additional expense to the evaluation.
Fortunately, researchers have recently </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">discovered a five-frequency slope that is very
sensitive to the ravages of ototoxic drugs. </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">The beauty of this five-frequency slope testing is
that it is highly sensitive to <b style="mso-bidi-font-weight: normal;">initial </b></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxic hearing loss.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">This five-frequency range varies depending on each person's
pre-existing hearing loss </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">and thus is unique to each person. These five frequencies are generally
separated by 1/6 </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">octave.<span style="letter-spacing: -.2pt;"></span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">For example, a person with pre-existing hearing
loss might have a five-frequency slope consisting of 8, 9, 10, 11.2 and 12.5 kHz.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">9</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Since each person's
hearing loss is unique, the </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">testing process is tailored for each person and this can be easily and
accurately </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">accomplished.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-right: .05in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Using an audiometer calibrated to accurately test up to 20,000 Hz,
determine the highest </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">frequency your patient can hear. (Note: the hearing loss at this
frequency must be 100 dBor less.) Second, test
this frequency and the next four lower consecutive audiometric test </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">frequencies. This becomes
the individual patient's five-frequency slope range.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">6</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .2in; margin-top: .15in; text-align: justify;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Depending on the
patient's particular hearing loss, this five-frequency slope may all lie </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">within the extended
high-frequency range, it may straddle the 8,000 Hz boundary, or it </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">may reside completely
within the conventional frequencies.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .3in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Just how effective is this five-frequency slope in
detecting hearing loss from ototoxic </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">drugs? The results may surprise you!</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">In one study of the ototoxic effects of <b style="mso-bidi-font-weight: normal;">Cisplatin, </b>if only the five frequencies
in the five-</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">frequency slope had been tested, 93% of the people with ototoxic
drug-induced hearing </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">loss would have been detected.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">6</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> This is in sharp contrast to the 39% detected in
this same </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">study using only the conventional frequencies.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Other studies have yielded similar results. For
example, another study reported that if </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">only the five-frequency slope values were tested,
hearing loss due to Aminoglycoside </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">antibiotics would be detected 84% of the time, and
for <b style="mso-bidi-font-weight: normal;">Cisplatin, </b>the results would
been </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">94%.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">9</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Another study revealed
that initial hearing loss would have been detected in 89% of the people with
hearing loss if only the five-frequency slope had been tested. Testing only
conventional frequencies caught just 37%.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">8</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .2in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Based on results such as these, the routine use of
high-frequency audiometry is not just "nice," it is essential.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">15</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">For hospital in-patients who must undergo drug
therapy with ototoxic drugs, having </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">complete audiometric testing can be a problem,
especially if they are unconscious, semi</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">conscious or very sick. In such cases, using a
conventional audiometer and test protocols </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">is difficult, if not impossible. In these
situations, auditory brainstem response (ABR) </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">techniques modified to
work in the higher frequencies can be effective tools. In one such </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">study, high-frequency
tone-burst-evoked ABRs identified 93% of the initial changes in </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">hearing loss.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .2in; margin-top: .2in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">The five-frequency slope protocol is fast and
efficient and has been proven effective in </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">providing early warning of hearing loss.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .35in; margin-left: 0in; margin-right: 0in; margin-top: .15in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">I recommend
that the five-frequency slope protocol become the accepted standard <span style="letter-spacing: -.2pt;">practice in audiometric testing to help patients
save precious hearing that otherwise might be lost to the ravages of ototoxic
drugs.</span></span></div>
<div class="MsoNormal" style="line-height: 83%; margin-top: 16.2pt;">
<span style="height: 2px; margin-left: -1px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 163px; z-index: 27;"></span><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 83%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">References</span></b></div>
<div class="MsoNormal" style="margin-top: 9.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">1</span></div>
<div align="right" class="MsoNormal" style="line-height: 80%; margin-right: 1.8pt; text-align: right;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; line-height: 80%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Bauman, Neil. 2003. Ototoxic Drugs Exposed, Second
Edition. Center for Hearing Loss</span></div>
<div class="MsoNormal">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Help. 49 Piston Court, Stewartstown, PA 17363.</span><u><span style="color: #0064cc; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> </span></u><u><span style="color: #0064cc; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></u><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .1in; margin-top: 9.0pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">2</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Bisesi, Michael, and Allan Rubin. 1994. Chemical
air pollutants and otorhinolaryngeal </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">toxicity. <i style="mso-bidi-font-style: normal;">Journal
of Environmental Health. </i>56(7):24.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="margin-top: 12.6pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">3</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Carmen, Richard. 1999. Chemicals &
hearing-Danger ahead. <i style="mso-bidi-font-style: normal;">Hearing Health
Magazine </i></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">(March/April).</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="line-height: 4.65pt; margin-top: .15in; mso-line-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">4</span></div>
<div class="MsoNormal" style="text-indent: .1in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Cary, R., S. Clarke, and J. Delic. 1997. Effects of
combined exposure to noise and toxic </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">substances-Critical review of the literature. <i style="mso-bidi-font-style: normal;">Ann. Occup. Hyg. </i>41(4):455-465.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: 12.6pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">5</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Fausti, S. A., et al. 1992. High-frequency
audiometric monitoring for early detection of </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">aminoglycoside
ototoxicity. <i style="mso-bidi-font-style: normal;">Journal of Infectious
Diseases. </i>165(6):1026-32.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="line-height: 4.7pt; margin-top: .15in; mso-line-height-rule: exactly; tab-stops: right 34.8pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">6<span style="mso-tab-count: 1;"> </span>•</span></div>
<div class="MsoNormal" style="margin-right: .3in; text-indent: .05in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Faust, S. A., et al.
1993. High-frequency monitoring for early detection of cisplatin </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxicity. <i style="mso-bidi-font-style: normal;">Arch Otolaryngol Head Neck Surg. </i>119
(6):661-6.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .3in; margin-top: 12.6pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">7</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Fausti, S. A., et al. 1993. High-frequency testing
techniques and instrumentation for </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.15pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">early detection of ototoxicity. <i style="mso-bidi-font-style: normal;">I Rehabil. Res. Dev. </i>30(3):333-41.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .25in; margin-top: .2in;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">8</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Fausti, S. A., et al. 1994. High-frequency
audiometric monitoring strategies for early </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">detection of ototoxicity. <i style="mso-bidi-font-style: normal;">Ear Hear. 15(3):232-9.</i></span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="margin-top: .2in;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">9</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Fausti, S. A., et al. 1999. An individualized
sensitive frequency range for early detection of ototoxicity. <i style="mso-bidi-font-style: normal;">Ear Hear. </i>20(6):497-505.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .75in; margin-top: 12.6pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 13.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">1°</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Forge, Andrew. 1999. Industrial chemicals are hazardous to hearing. <i style="mso-bidi-font-style: normal;">Lancet. </i></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">353(9160):1250.</span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 13.0pt; letter-spacing: -.5pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: .2in; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 85%;">11</span></sup></i><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Guidelines
for the audiologic management of individuals receiving cochleotoxic drug </span></i><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">therapy. </span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">1994. American Speech-Language-Hearing Association. 36(3), Supplement No.
</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">12.</span><i style="mso-bidi-font-style: normal;"><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 85%;"></span></sup></i></div>
<div class="MsoNormal" style="line-height: 120%; margin-top: .15in; tab-stops: right 214.8pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">12<span style="mso-tab-count: 1;"> </span><span style="letter-spacing: -.05pt;">•</span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">, T</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; letter-spacing: -.05pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">i</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.05pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">mothy. 2001. <i style="mso-bidi-font-style: normal;">Gentamicin toxicity.</i></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; line-height: 120%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: 2.55in; margin-top: .2in;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">13</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Haybach, Patty J. 2003. <i style="mso-bidi-font-style: normal;">Recognizing Ototoxicity.. </i></span><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="line-height: 4.65pt; margin-top: .1in; mso-line-height-rule: exactly;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 8.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">14</span></div>
<div class="MsoNormal" style="line-height: 85%; margin-left: .15in;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; line-height: 85%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Haybach, Patty
J. 1999. <i style="mso-bidi-font-style: normal;">Balance and hearing: At risk
from drugs. </i>Course #170.</span></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"></span><a href="http://www.nurseslearning.com/syllabus.cfm?CourseKey=1116."><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></a><u><span style="color: #0064cc; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></u>
<br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: 1.65in; margin-top: .15in;">
<sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">15</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Kalkanis, James. 2001. Inner ear-Ototoxicity. <i style="mso-bidi-font-style: normal;">eMedicine. </i>2(7). </span><sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;"></span></sup></div>
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<sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">16</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Kumar, V. and 0. Tandon. 1997. Neurotoxic effects of rubber factory
environment. An </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.1pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">auditory evoked potential study. Department of Physiology, University of
Medical </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Sciences, Delhi, India. <i style="mso-bidi-font-style: normal;">Electromyogr.
Gin. Neurophysiol. </i>37(8):469-73.</span><sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .45in; margin-top: .2in;">
<sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">17</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Morata, Thais C., and Derek E. Dunn. 1994. Occupational exposure to
noise and </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">ototoxic organic solvents. <i style="mso-bidi-font-style: normal;">Archives
of Environmental Health. </i>49(5):359.</span><sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .2in;">
<sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">18</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Morioka, Ikuharu and Mototsugu Kuroda. 1999. Evaluation of organic
solvent ototoxicity by the upper limit of hearing. <i style="mso-bidi-font-style: normal;">Archives of Environmental Health. </i>54(5):341.</span><sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .5in; margin-top: .2in;">
<sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">19</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Niall, Paul. 1998. <i style="mso-bidi-font-style: normal;">The effects of
industrial ototoxic agents and noise on hearing. </i></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">University College,
London, England.</span><a href="http://www.racp.edu.au/afom/nlii9907.htm."><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></a><sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .3in; margin-top: 12.6pt;">
<sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;">20</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Rosen, Elizabeth. 2001. Noise Inducted Hearing
Loss. Grand Rounds Presentation, </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">UTMB, Dept. of Otolaryngology. January 10, 2001.</span><a href="http://www2.utmb.edu/otoref/Grnds/Hear-Loss-Noise-000110/Hear-Loss-Noise.htm."><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></a><sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.5pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 115%;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .15in; margin-top: .2in;">
<sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">21</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Rybak, Leonard. 1992. Hearing: The effects of chemicals. <i style="mso-bidi-font-style: normal;">Otolaryngology-Head and </i></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Neck Surgery. </span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">106(6):677-686.</span><sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .3in; margin-top: .2in;">
<sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">22</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Soh, K. 1999. Noise is a public health and social problem in Singapore. <i style="mso-bidi-font-style: normal;">Singapore </i></span><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Med. </span></i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">J. 40(9).</span><u><span style="color: #0064cc; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> </span></u><sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.3pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .35in; margin-top: .2in;">
<sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">23</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> Suter, Alice. 1991. Noise and its effects. Administrative Conference of
the United </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">States. November.</span><u><span style="color: #0064cc; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> </span></u><sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.35pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;"></span></sup></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .05in; margin-top: 12.6pt;">
<span style="color: black; font-family: "Verdana","sans-serif"; font-size: 7.0pt; letter-spacing: -.25pt; mso-bidi-font-size: 11.0pt;">24 </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.25pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Tange, R. A., W. A. Dreschler, and R. J. van der Hulst. 1985. The
Importance of high-</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">tone audiometry in monitoring for ototoxicity. <i style="mso-bidi-font-style: normal;">Arch. Otorhinolaryngol. </i>242(1).</span><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 7.0pt; letter-spacing: -.25pt; mso-bidi-font-size: 11.0pt;"></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in; margin-left: 0in; margin-right: .5in; margin-top: .2in;">
<span style="color: black; font-family: "Verdana","sans-serif"; font-size: 7.0pt; letter-spacing: -.4pt; mso-bidi-font-size: 11.0pt;">25 </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.4pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">Troost, B. Todd, and
Melissa A. Walker. 1998. Drug induced vestibulocochlear </span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;">toxicity. In: <i style="mso-bidi-font-style: normal;">Iatrogenic Neurology. </i>Butterworth-Heinman. Boston. </span><a href="http://ivertigo.net/ototoxicity/otcochlear.html."><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.2pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"></span></a><span style="color: black; font-family: "Verdana","sans-serif"; font-size: 7.0pt; letter-spacing: -.4pt; mso-bidi-font-size: 11.0pt;"></span></div>
<sup><span style="color: black; font-family: "Arial","sans-serif"; font-size: 7.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi;">26</span></sup><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.45pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-bidi-theme-font: minor-bidi; mso-font-width: 105%;"> WorkPro. 1999. Southeastern Ohio Regional Medical Center. </span></div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-49450245312308182752015-04-08T19:41:00.003+05:002015-04-08T19:41:48.006+05:00Aspirin<div dir="ltr" style="text-align: left;" trbidi="on">
<h3>
GENERIC NAME: aspirin </h3>
<h4>
BRAND NAMES: Aspirin, Arthritis Foundation Safety Coated Aspirin, Bayer
Aspirin, Bayer Children's Aspirin, Ecotrin, and many others </h4>
<b>DRUG CLASS AND MECHANISM:</b> Aspirin is a
nonsteroidal anti inflammatory drug
(NSAID) effective in treating fever, pain, and inflammation in the body. It also
prevents blood clots (i.e., is antithrombotic). As a group, NSAIDs are
non-narcotic relievers of mild to moderate pain of many causes, including
headaches, injury, menstrual cramps,
arthritis, and other musculoskeletal
conditions. Other members of this class include ibuprofen (Motrin), indomethacin
(Indocin), nabumetone (Relafen) and several others. They all work by reducing
the levels of prostaglandins, chemicals that are released when there is
inflammation and that cause pain and fever. NSAIDs block the enzyme that makes
prostaglandins (cyclooxygenase), resulting in lower concentrations of
prostaglandins. As a consequence, inflammation, pain, and fever are reduced.
Inhibition of prostaglandins also reduces the function of platelets and the
ability of blood to clot. Aspirin, inhibits the function of platelets in a
manner that is different from other NSAIDs, and its antithrombotic effects last
longer than other NSAIDs. This is why aspirin is used for preventing
heart
attacks and strokes. The FDA approved Bayer aspirin in June 1965. </div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-41564038004892920682015-04-08T19:38:00.000+05:002015-04-08T19:42:08.740+05:00Dizziness<div dir="ltr" style="text-align: left;" trbidi="on">
<div itemscope="" itemtype="http://schema.org/CreativeWork">
<h3>
<span itemprop="alternativeHeadline">Dizziness overview</span></h3>
</div>
Dizziness is a common description for many different feelings. The
feeling of dizziness, or a "dizzy spell," may be familiar to an
individual, yet difficult to describe.
The person may have a feeling of lightheadedness, spinning, whirling, or
motion, either of
themselves or of the surroundings. The person may also feel as if they
are going to faint.
Dizziness may be just mildly annoying or caused by something possibly
life-threatening. Some of the reasons a person might feel the sensation
of dizziness include:
<br />
Fainting or near fainting, which may result from:
<br />
<ul>
<li>Emotional upset</li>
<li>Standing up too quickly (orthostatic hypotension) or standing still too long</li>
<li>Having the flu,
a cold, or other illness</li>
<li>Seasickness or
motion sickness</li>
<li>Fatigue or tiredness</li>
</ul>
Vertigo<a href="https://www.blogger.com/null">, which is similar to, but not the
</a>same condition as dizziness, is a medical term to describe a
spinning sensation of
a person's surroundings, usually caused by head movement or positioning.
This is the same feeling
an individual might have after getting off a merry-go-round or spinning
in place. Several diseases of the balance organs of the inner ear can
cause vertigo, or it may be a symptom of a tumor or stroke.<br />
<br />
<div itemscope="" itemtype="http://schema.org/CreativeWork">
<h3>
<span itemprop="alternativeHeadline">What are the <b>causes</b> of dizziness?</span></h3>
</div>
Dizziness may be attributed to a wide variety of causes. Sometimes
doctors find no specific diagnosis for the affected individual, but some
causes of dizziness are dangerous. Some causes of dizziness include: <br />
<div itemscope="" itemtype="http://schema.org/CreativeWork">
<h4>
<span itemprop="alternativeHeadline">Dizziness caused by heart diseases or blood pressure problems</span></h4>
</div>
<ul>
<li>
Heart attack,
arrhythmia (irregular heart rhythms), heart rate too fast or slow</li>
<li>Weakened, aged, or diseased heart muscle (cardiomyopathy), toxins or drugs that affect the rate or force of the contractions of the heart</li>
<li>Extremely
high blood pressure</li>
<li>
Low blood pressure, which can have multiple causes including diseases of the heart, bleeding disorders that cause
anemia, and
adverse reactions to medications</li>
</ul>
<div itemscope="" itemtype="http://schema.org/CreativeWork">
<h4>
<span itemprop="alternativeHeadline">Dizziness caused by brain diseases or conditions</span></h4>
</div>
<ul>
<li>Stroke, tumor, headaches,
migraines,</li>
<li>Loss or decrease of blood supply to the brain, such as fainting (syncope or vasovagal syncope)</li>
<li>
Dementia or
confusion</li>
</ul>
<div itemscope="" itemtype="http://schema.org/CreativeWork">
<h4>
<span itemprop="alternativeHeadline">Dizziness caused by medications</span></h4>
</div>
Almost all medications list dizziness as a
possible side effect, but it is more common with some types of medicines<br />
<ul>
<li>Blood pressure medications, diuretics, sedatives, tranquilizers, antidepressants, pain relievers, and some antibiotics.</li>
</ul>
<div itemscope="" itemtype="http://schema.org/CreativeWork">
<h4>
<span itemprop="alternativeHeadline">Dizziness caused by metabolic disorders</span></h4>
</div>
<ul>
<li>Hypoxia (low blood oxygen)</li>
<li>Low blood sugar (hypoglycemia
including an insulin reaction</li>
<li>
Dehydration</li>
</ul>
<div itemscope="" itemtype="http://schema.org/CreativeWork">
<h4>
<span itemprop="alternativeHeadline">Dizziness caused by aging</span></h4>
</div>
<ul>
<li>Reduced capacity for
exercise or activity,
weakness, and deconditioning</li>
<li>Reduced ability for the blood circulation to compensate for quickly assuming an upright position (orthostatic hypotension)</li>
<li>Hardening of the arteries (arteriosclerosis)</li>
<li>Neuropathy (a progressive dysfunction of the nerves that is caused by different illnesses, especially
diabetes)</li>
<li>
Menopause</li>
<li>Poor eyesight and coordination</li>
<li>Dementia</li>
</ul>
<div itemscope="" itemtype="http://schema.org/CreativeWork">
<h4>
<span itemprop="alternativeHeadline">Dizziness caused by psychiatric conditions</span></h4>
</div>
<ul>
<li>
Depression,
anxiety, or panic disorder</li>
<li>
Hyperventilation is from breathing too fast or too deeply, usually from anxiety or metabolic disorders</li>
<li>Somatization is the conversion of a
mental illness, such as anxiety or depression, into physical symptoms.
Often, the patient may be unaware of the underlying mental illness and
insist they have only physical complaints.</li>
</ul>
<div itemscope="" itemtype="http://schema.org/CreativeWork">
<h4>
<span itemprop="alternativeHeadline">Dizziness caused by other illness</span></h4>
</div>
<ul>
<li>
Internal bleeding or hemorrhage</li>
<li>Anemia (low red blood cell count)</li>
<li>Prolonged bed rest, causing weakness and loss of ability to compensate for assuming an upright position infections</li>
<li>Endocrine diseases in which hormone-producing organs such as the
thyroid, adrenal glands, and pituitary gland affect hydration, salt balance, and function of other organs</li>
<li>Allergies may cause
wheezing or low blood pressure, or can trigger
sinusitis, which can result in dizziness<span id="cntid">.</span></li>
</ul>
</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-37748275503485515062015-04-08T10:16:00.002+05:002015-04-08T20:13:31.330+05:00Ototoxicity <div dir="ltr" style="text-align: left;" trbidi="on">
<h2>
Ototoxicity</h2>
<br />
<h3>
Definition</h3>
<div class="runseg">
<span class="hvr">Ototoxicity</span> is <span class="hvr">damage</span> to <span class="hvr">the</span> <span class="hvr">hearing</span> or <span class="hvr">balance</span> <span class="hvr">functions</span> of <span class="hvr">the</span> <span class="hvr">ear</span> by <span class="hvr">drugs</span> or <span class="hvr">chemicals.</span></div>
<h3>
Description</h3>
<div class="runseg">
<span class="hvr">Ototoxicity</span> is <span class="hvr">drug</span> or <span class="hvr">chemical</span> <span class="hvr">damage</span> to <span class="hvr">the</span> <span class="hvr">inner</span> <span class="hvr">ear.</span> <span class="hvr">This</span> <span class="hvr">section</span> of <span class="hvr">the</span> <span class="hvr">ear</span> <span class="hvr">contains</span> <span class="hvr">both</span> <span class="hvr">the</span> <span class="hvr">hearing</span> <span class="hvr">mechanism</span> <span class="hvr">and</span> <span class="hvr">the</span> <span class="hvr">vestibulocochlear</span> <span class="hvr">nerve,</span> <span class="hvr">the</span> <span class="hvr">nerve</span> <span class="hvr">that</span> <span class="hvr">sends</span> <span class="hvr">hearing</span> <span class="hvr">and</span> <span class="hvr">balance</span> <span class="hvr">information</span> to <span class="hvr">the</span> <span class="hvr">brain.</span> <span class="hvr">Because</span> of <span class="hvr">this,</span> <span class="hvr">ototoxic</span> <span class="hvr">drugs</span> <span class="hvr">may</span> <span class="hvr">cause</span> <span class="hvr">lack</span> of <span class="hvr">hearing,</span> <span class="hvr">and</span> <span class="hvr">loss</span> of <span class="hvr">sense</span> of <span class="hvr">balance.</span></div>
<div class="runseg">
<span class="hvr">The</span> <span class="hvr">extent</span> of <span class="hvr">ototoxicity</span> <span class="hvr">varies</span> <span class="hvr">with</span> <span class="hvr">the</span> <span class="hvr">drug,</span> <span class="hvr">the</span> <span class="hvr">dose,</span> <span class="hvr">and</span> <span class="hvr">other</span> <span class="hvr">conditions.</span> In <span class="hvr">some</span> <span class="hvr">cases,</span> <span class="hvr">there</span> is <span class="hvr">full</span> <span class="hvr">recovery</span> <span class="hvr">after</span> <span class="hvr">the</span> <span class="hvr">drug</span> <span class="hvr">has</span> <span class="hvr">been</span> <span class="hvr">discontinued.</span> In <span class="hvr">other</span> <span class="hvr">cases,</span> <span class="hvr">the</span> <span class="hvr">extent</span> of <span class="hvr">damage</span> is <span class="hvr">limited,</span> <span class="hvr">and</span> <span class="hvr">may</span> <span class="hvr">even</span> be <span class="hvr">too</span> <span class="hvr">small</span> to be <span class="hvr">noticed.</span> <span class="hvr">This</span> <span class="hvr">may</span> <span class="hvr">occur</span> in <span class="hvr">highfrequency</span> hearing loss, <span class="hvr">where</span> <span class="hvr">the</span> <span class="hvr">damage</span> to <span class="hvr">the</span> <span class="hvr">ear</span> <span class="hvr">makes</span> it <span class="hvr">difficult</span> to <span class="hvr">hear</span> <span class="hvr">high</span> <span class="hvr">pitched</span> <span class="hvr">musical</span> <span class="hvr">notes,</span> <span class="hvr">but</span> <span class="hvr">does</span> <span class="hvr">not</span> <span class="hvr">affect</span> <span class="hvr">the</span> <span class="hvr">ability</span> to <span class="hvr">hear</span> <span class="hvr">the</span> <span class="hvr">spoken</span> <span class="hvr">word,</span> or <span class="hvr">carry</span> on a <span class="hvr">conversation.</span> In <span class="hvr">extreme</span> <span class="hvr">cases,</span> <span class="hvr">there</span> <span class="hvr">may</span> be <span class="hvr">permanent</span> <span class="hvr">and</span> <span class="hvr">complete</span> <span class="hvr">deafness.</span></div>
<div class="runseg">
<span class="hvr">Although</span> <span class="hvr">ototoxicity</span> is <span class="hvr">undesirable,</span> <span class="hvr">the</span> <span class="hvr">ear</span> <span class="hvr">damage</span> <span class="hvr">can</span> <span class="hvr">actually</span> be <span class="hvr">used</span> to <span class="hvr">help</span> <span class="hvr">people</span> <span class="hvr">with</span> <span class="hvr">Ménière's</span> <span class="hvr">disease.</span> <span class="hvr">This</span> is a <span class="hvr">disease</span> of no <span class="hvr">known</span> <span class="hvr">cause</span> <span class="hvr">that</span> is <span class="hvr">marked</span> by <span class="hvr">sudden</span> <span class="hvr">episodes</span> of <a href="https://www.blogger.com/blogger.g?blogID=8958283654880508182#editor/target=post;postID=4156403800489292068;onPublishedMenu=allposts;onClosedMenu=allposts;postNum=0;src=postname" target="_blank">dizziness</a> <span class="hvr">and</span> <span class="hvr">vertigo.</span> <span class="hvr">Other</span> <span class="hvr">symptoms</span> <span class="hvr">include</span> a <span class="hvr">feeling</span> of <span class="hvr">"fullness"</span> in <span class="hvr">the</span> <span class="hvr">ears,</span> <span class="hvr">roaring</span> in <span class="hvr">the</span> <span class="hvr">ears,</span> <span class="hvr">and</span> <span class="hvr">ringing</span> in <span class="hvr">the</span> <span class="hvr">ears.</span> <span class="hvr">While</span> <span class="hvr">most</span> <span class="hvr">people</span> <span class="hvr">with</span> <span class="hvr">this</span> <span class="hvr">condition</span> <span class="hvr">can</span> be <span class="hvr">controlled</span> <span class="hvr">with</span> <span class="hvr">medication,</span> <span class="hvr">about</span> <span class="hvr">10%</span> <span class="hvr">require</span> <span class="hvr">surgery.</span> <span class="hvr">However,</span> <span class="hvr">use</span> of <span class="hvr">some</span> <span class="hvr">ototoxic</span> <span class="hvr">drugs</span> <span class="hvr">can</span> <span class="hvr">actually</span> <span class="hvr">improve</span> <span class="hvr">this</span> <span class="hvr">condition,</span> <span class="hvr">while</span> <span class="hvr">causing</span> <span class="hvr">less</span> <span class="hvr">damage</span> to <span class="hvr">the</span> <span class="hvr">hearing</span> <span class="hvr">mechanism</span> <span class="hvr">than</span> <span class="hvr">traditional</span> <span class="hvr">treatments.</span></div>
<h3>
Causes and symptoms</h3>
<div class="runseg">
<span class="hvr">Many</span> <span class="hvr">drugs</span> <span class="hvr">can</span> <span class="hvr">cause</span> <span class="hvr">ototoxicity.</span></div>
<h4>
Antibiotics</h4>
<div class="runseg">
<ul>
<li><span class="hvr">amikacin</span> <span class="hvr">(Amikin)</span></li>
<li><span class="hvr">streptomycin</span></li>
<li><span class="hvr">neomycin</span></li>
<li><span class="hvr">gentamicin</span> <span class="hvr">(Garamycin)</span></li>
<li><span class="hvr">erythromycin</span> <span class="hvr">(E-Mycin,</span> <span class="hvr">Eryc)</span></li>
<li><span class="hvr">kanamycin</span> <span class="hvr">(Kantrex)</span></li>
<li><span class="hvr">tobramycin</span> <span class="hvr">(Nebcin)</span></li>
<li><span class="hvr">netilmycin</span> <span class="hvr">(Netromycin)</span></li>
<li><span class="hvr">vancomycin</span> <span class="hvr">(Vancocin)</span></li>
</ul>
</div>
<h4>
Anti-cancer drugs</h4>
<div class="runseg">
<ul>
<li><span class="hvr">cisplatin</span> <span class="hvr">(Platinol</span> <span class="hvr">AQ)</span></li>
<li><span class="hvr">bleomycin</span> <span class="hvr">(Blenoxane)</span></li>
<li><span class="hvr">vincristine</span> <span class="hvr">(Oncovin)</span></li>
</ul>
</div>
<h4>
Diuretics</h4>
<div class="runseg">
<ul>
<li><span class="hvr">acetazolamide</span> <span class="hvr">(Diamox)</span></li>
<li><span class="hvr">furosemide</span> <span class="hvr">(Lasix)</span></li>
<li><span class="hvr">bumetanide</span> <span class="hvr">(Bumex)</span></li>
<li><span class="hvr">ethacrynic</span> <span class="hvr">acid</span> <span class="hvr">(Edecrine)</span></li>
</ul>
</div>
<div class="runseg">
A <span class="hvr">number</span> of <span class="hvr">other</span> <span class="hvr">drugs</span> <span class="hvr">and</span> <span class="hvr">chemicals</span> <span class="hvr">may</span> <span class="hvr">also</span> <span class="hvr">cause</span> <span class="hvr">ototoxicity.</span> Aspirin <span class="hvr">overdose</span> <span class="hvr">causes</span> <span class="hvr">ringing</span> in <span class="hvr">the</span> <span class="hvr">ears.</span> <span class="hvr">The</span> antimalarial drugs <span class="hvr">quinine</span> <span class="hvr">and</span> <span class="hvr">chloroquine</span> <span class="hvr">may</span> <span class="hvr">also</span> <span class="hvr">cause</span> <span class="hvr">ear</span> <span class="hvr">damage.</span> <span class="hvr">Among</span> <span class="hvr">the</span> <span class="hvr">environmental</span> <span class="hvr">chemicals</span> <span class="hvr">that</span> <span class="hvr">can</span> <span class="hvr">cause</span> <span class="hvr">ear</span> <span class="hvr">damage</span> <span class="hvr">are</span> <span class="hvr">tin,</span> <span class="hvr">lead,</span> <span class="hvr">mercury,</span> <span class="hvr">carbon</span> <span class="hvr">monoxide,</span> <span class="hvr">and</span> <span class="hvr">carbon</span> <span class="hvr">disulfide.</span> <span class="hvr">This</span> <span class="hvr">list</span> is <span class="hvr">not</span> <span class="hvr">complete,</span> <span class="hvr">and</span> <span class="hvr">many</span> <span class="hvr">other</span> <span class="hvr">drugs</span> <span class="hvr">and</span> <span class="hvr">chemicals,</span> <span class="hvr">such</span> as <span class="hvr">industrial</span> <span class="hvr">solvents,</span> <span class="hvr">may</span> <span class="hvr">cause</span> <span class="hvr">ear</span> <span class="hvr">problems.</span></div>
<h3>
Diagnosis</h3>
<div class="runseg">
<span class="hvr">Ototoxicity</span> <span class="hvr">often</span> <span class="hvr">goes</span> <span class="hvr">undiagnosed.</span> <span class="hvr">This</span> <span class="hvr">occurs</span> <span class="hvr">when</span> <span class="hvr">the</span> <span class="hvr">hearing</span> <span class="hvr">loss</span> is <span class="hvr">slight,</span> or <span class="hvr">when</span> it is <span class="hvr">restricted</span> to <span class="hvr">the</span> <span class="hvr">higher</span> <span class="hvr">frequencies.</span> <span class="hvr">Patients</span> <span class="hvr">may</span> <span class="hvr">notice</span> a <span class="hvr">change</span> in <span class="hvr">their</span> <span class="hvr">hearing,</span> <span class="hvr">but</span> it <span class="hvr">may</span> <span class="hvr">not</span> be <span class="hvr">significant</span> <span class="hvr">enough</span> to <span class="hvr">report.</span></div>
<div class="runseg">
In <span class="hvr">other</span> <span class="hvr">cases,</span> <span class="hvr">the</span> <span class="hvr">loss</span> of <span class="hvr">hearing</span> <span class="hvr">may</span> be <span class="hvr">very</span> <span class="hvr">significant,</span> or <span class="hvr">the</span> <span class="hvr">ototoxicity</span> <span class="hvr">may</span> <span class="hvr">take</span> <span class="hvr">the</span> <span class="hvr">form</span> of <span class="hvr">ringing</span> in <span class="hvr">the</span> <span class="hvr">ears,</span> or <span class="hvr">other</span> <span class="hvr">sensations.</span></div>
<div class="runseg">
<span class="hvr">When</span> <span class="hvr">physicians</span> <span class="hvr">are</span> <span class="hvr">administering</span> <span class="hvr">medications</span> <span class="hvr">that</span> <span class="hvr">are</span> <span class="hvr">known</span> to <span class="hvr">cause</span> <span class="hvr">hearing</span> <span class="hvr">loss,</span> it is <span class="hvr">often</span> <span class="hvr">recommended</span> <span class="hvr">that</span> <span class="hvr">the</span> <span class="hvr">patient</span> <span class="hvr">receive</span> <span class="hvr">regular</span> <span class="hvr">hearing</span> <span class="hvr">tests.</span> By <span class="hvr">monitoring</span> <span class="hvr">hearing</span> on a <span class="hvr">regular</span> <span class="hvr">basis,</span> it <span class="hvr">may</span> be <span class="hvr">possible</span> to <span class="hvr">discontinue</span> <span class="hvr">the</span> <span class="hvr">medication,</span> or <span class="hvr">reduce</span> <span class="hvr">the</span> <span class="hvr">dose</span> so <span class="hvr">that</span> no <span class="hvr">further</span> <span class="hvr">damage</span> is <span class="hvr">done.</span></div>
<div class="runseg">
<span class="hvr">Ototoxicity</span> <span class="hvr">that</span> <span class="hvr">causes</span> <span class="hvr">loss</span> of <span class="hvr">balance</span> <span class="hvr">may</span> be <span class="hvr">even</span> <span class="hvr">more</span> <span class="hvr">difficult</span> to <span class="hvr">diagnose.</span> <span class="hvr">These</span> <span class="hvr">changes</span> <span class="hvr">may</span> <span class="hvr">take</span> <span class="hvr">place</span> <span class="hvr">gradually,</span> <span class="hvr">over</span> <span class="hvr">time,</span> <span class="hvr">and</span> <span class="hvr">may</span> be <span class="hvr">confused</span> <span class="hvr">with</span> <span class="hvr">the</span> <span class="hvr">effects</span> of <span class="hvr">the</span> <span class="hvr">condition</span> <span class="hvr">the</span> <span class="hvr">drugs</span> <span class="hvr">are</span> <span class="hvr">meant</span> to <span class="hvr">treat.</span> If <span class="hvr">ototoxicity</span> is <span class="hvr">suspected,</span> <span class="hvr">balance</span> <span class="hvr">tests</span> <span class="hvr">are</span> <span class="hvr">available,</span> <span class="hvr">including</span> a <span class="hvr">platform</span> <span class="hvr">balance</span> <span class="hvr">test,</span> <span class="hvr">and</span> a <span class="hvr">rotary</span> <span class="hvr">chair.</span> <span class="hvr">These,</span> <span class="hvr">and</span> <span class="hvr">other</span> <span class="hvr">tests,</span> <span class="hvr">determine</span> <span class="hvr">how</span> a <span class="hvr">patient</span> <span class="hvr">responds</span> to <span class="hvr">motion</span> <span class="hvr">and</span> <span class="hvr">changes</span> in <span class="hvr">body</span> <span class="hvr">position.</span></div>
<h3>
Treatment</h3>
<div class="runseg">
<span class="hvr">There</span> <span class="hvr">are</span> no <span class="hvr">current</span> <span class="hvr">treatments</span> to <span class="hvr">reverse</span> <span class="hvr">the</span> <span class="hvr">effects</span> of <span class="hvr">ototoxicity.</span></div>
<div class="runseg">
<span class="hvr">People</span> <span class="hvr">who</span> <span class="hvr">suffer</span> <span class="hvr">permanent</span> <span class="hvr">hearing</span> <span class="hvr">loss</span> <span class="hvr">may</span> <span class="hvr">elect</span> to <span class="hvr">use</span> <span class="hvr">hearing</span> <span class="hvr">aids,</span> <span class="hvr">or,</span> <span class="hvr">when</span> <span class="hvr">appropriate,</span> <span class="hvr">receive</span> a <span class="hvr">cochlear</span> <span class="hvr">implant.</span> <span class="hvr">For</span> <span class="hvr">those</span> <span class="hvr">who</span> <span class="hvr">have</span> <span class="hvr">balance</span> <span class="hvr">problems,</span> <span class="hvr">physical</span> <span class="hvr">therapy</span> <span class="hvr">may</span> <span class="hvr">often</span> be <span class="hvr">helpful.</span> <span class="hvr">Physical</span> <span class="hvr">therapists</span> <span class="hvr">can</span> <span class="hvr">help</span> <span class="hvr">people</span> <span class="hvr">with</span> <span class="hvr">balance</span> <span class="hvr">problems</span> <span class="hvr">learn</span> to <span class="hvr">rely</span> <span class="hvr">more</span> on <span class="hvr">vision</span> <span class="hvr">and</span> <span class="hvr">the</span> <span class="hvr">sensations</span> <span class="hvr">from</span> <span class="hvr">muscles</span> to <span class="hvr">achieve</span> <span class="hvr">balance.</span></div>
<h3>
Prognosis</h3>
<div class="runseg">
<span class="hvr">The</span> <span class="hvr">prognosis</span> <span class="hvr">depends</span> on <span class="hvr">the</span> <span class="hvr">drugs</span> <span class="hvr">that</span> <span class="hvr">caused</span> <span class="hvr">the</span> <span class="hvr">ototoxicity,</span> <span class="hvr">and</span> <span class="hvr">their</span> <span class="hvr">dose.</span></div>
<div class="runseg">
<span class="hvr">The</span> <span class="hvr">aminoglycoside</span> antibiotics, <span class="hvr">gentamicin,</span> <span class="hvr">kanamycin,</span> <span class="hvr">netilmycin</span> <span class="hvr">and</span> <span class="hvr">tobramycin</span> <span class="hvr">all</span> <span class="hvr">cause</span> <span class="hvr">hearing</span> <span class="hvr">loss</span> to <span class="hvr">varying</span> <span class="hvr">degrees.</span> <span class="hvr">These</span> <span class="hvr">drugs</span> <span class="hvr">may</span> be <span class="hvr">used</span> to <span class="hvr">treat</span> <span class="hvr">life-threatening</span> <span class="hvr">infections</span> <span class="hvr">that</span> <span class="hvr">are</span> <span class="hvr">resistant</span> to <span class="hvr">other</span> <span class="hvr">classes</span> of <span class="hvr">drugs,</span> <span class="hvr">and</span> so <span class="hvr">there</span> <span class="hvr">may</span> be no <span class="hvr">choice</span> <span class="hvr">but</span> to <span class="hvr">use</span> <span class="hvr">them.</span> <span class="hvr">Careful</span> <span class="hvr">dosing</span> <span class="hvr">can</span> <span class="hvr">minimize,</span> <span class="hvr">but</span> <span class="hvr">not</span> <span class="hvr">eliminate</span> <span class="hvr">the</span> <span class="hvr">risk.</span> It is <span class="hvr">estimated</span> <span class="hvr">that</span> <span class="hvr">the</span> <span class="hvr">chances</span> of <span class="hvr">recovery</span> <span class="hvr">are</span> <span class="hvr">10-15%.</span> <span class="hvr">The</span> <span class="hvr">hearing</span> <span class="hvr">loss</span> <span class="hvr">usually</span> <span class="hvr">begins</span> at <span class="hvr">the</span> <span class="hvr">higher</span> <span class="hvr">frequencies,</span> <span class="hvr">and</span> is <span class="hvr">usually</span> <span class="hvr">not</span> <span class="hvr">recognized</span> <span class="hvr">immediately.</span></div>
<div class="runseg">
<span class="hvr">Erythromycin</span> <span class="hvr">may</span> <span class="hvr">cause</span> <span class="hvr">hearing</span> <span class="hvr">loss</span> <span class="hvr">that</span> <span class="hvr">affects</span> <span class="hvr">all</span> <span class="hvr">frequencies.</span> <span class="hvr">This</span> <span class="hvr">hearing</span> <span class="hvr">loss</span> <span class="hvr">usually</span> <span class="hvr">reverses</span> <span class="hvr">itself</span> <span class="hvr">over</span> <span class="hvr">time.</span></div>
<div class="runseg">
<span class="hvr">Aspirin</span> <span class="hvr">and</span> <span class="hvr">the</span> <span class="hvr">non-steroidal</span> <span class="hvr">anti-inflammatory</span> <span class="hvr">drugs</span> <span class="hvr">(NSAIDS)</span> <span class="hvr">may</span> <span class="hvr">cause</span> <span class="hvr">ringing</span> in <span class="hvr">the</span> <span class="hvr">ears</span> (<a href="https://hearingclinicpsh.blogspot.com/b/post-preview?token=514zm0wBAAA._3eBoDE5IYCgVrSdeW4W1g.qPs23wOlme-brBZkgn0IUg&postId=6914303856588341396&type=POST">tinnitus</a>). <span class="hvr">This</span> <span class="hvr">stops</span> <span class="hvr">when</span> <span class="hvr">the</span> <span class="hvr">drug</span> is <span class="hvr">discontinued.</span></div>
<div class="runseg">
<span class="hvr">The</span> diuretics <span class="hvr">may</span> <span class="hvr">cause</span> a <span class="hvr">hearing</span> <span class="hvr">loss</span> <span class="hvr">with</span> a <span class="hvr">rapid</span> <span class="hvr">onset.</span> <span class="hvr">This</span> <span class="hvr">will</span> <span class="hvr">usually,</span> <span class="hvr">but</span> <span class="hvr">not</span> <span class="hvr">always,</span> <span class="hvr">reverse</span> <span class="hvr">itself</span> <span class="hvr">when</span> <span class="hvr">the</span> <span class="hvr">drugs</span> <span class="hvr">are</span> <span class="hvr">stopped.</span></div>
<div class="runseg">
In <span class="hvr">some</span> <span class="hvr">cases,</span> <span class="hvr">the</span> <span class="hvr">prognosis</span> is <span class="hvr">not</span> <span class="hvr">really</span> <span class="hvr">clear.</span> <span class="hvr">Vancomycin</span> <span class="hvr">appears</span> to <span class="hvr">cause</span> <span class="hvr">hearing</span> <span class="hvr">loss,</span> <span class="hvr">but</span> <span class="hvr">this</span> <span class="hvr">may</span> <span class="hvr">only</span> <span class="hvr">occur</span> <span class="hvr">when</span> <span class="hvr">vancomycin</span> is <span class="hvr">used</span> at <span class="hvr">the</span> <span class="hvr">same</span> <span class="hvr">time</span> as <span class="hvr">other</span> <span class="hvr">ototoxic</span> <span class="hvr">drugs,</span> <span class="hvr">such</span> as <span class="hvr">gentamicin</span> or <span class="hvr">erythromycin.</span></div>
<h3>
Prevention</h3>
<div class="runseg">
<span class="hvr">Since</span> <span class="hvr">most</span> <span class="hvr">ototoxicity</span> <span class="hvr">occurs</span> <span class="hvr">when</span> <span class="hvr">the</span> <span class="hvr">harmful</span> <span class="hvr">drugs</span> <span class="hvr">are</span> <span class="hvr">used</span> in <span class="hvr">high</span> <span class="hvr">doses,</span> <span class="hvr">careful</span> <span class="hvr">dose</span> <span class="hvr">calculations</span> <span class="hvr">are</span> <span class="hvr">the</span> <span class="hvr">best</span> <span class="hvr">method</span> of <span class="hvr">prevention.</span> <span class="hvr">Sometimes</span> it is <span class="hvr">possible</span> to <span class="hvr">replace</span> <span class="hvr">the</span> <span class="hvr">ototoxic</span> <span class="hvr">drugs</span> <span class="hvr">with</span> <span class="hvr">drugs</span> <span class="hvr">that</span> <span class="hvr">have</span> <span class="hvr">less</span> <span class="hvr">severe</span> <span class="hvr">adverse</span> <span class="hvr">effects.</span></div>
<h3>
Resources</h3>
<h4>
Books</h4>
<div class="runseg">
<i><span class="hvr">Ototoxicity:</span> <span class="hvr">Basic</span> <span class="hvr">Science</span> <span class="hvr">and</span> <span class="hvr">Clinical</span> <span class="hvr">Application</span></i>. <span class="hvr">New</span> <span class="hvr">York:</span> <span class="hvr">New</span> <span class="hvr">York</span> <span class="hvr">Academy</span> of <span class="hvr">Sciences,</span> <span class="hvr">June</span> <span class="hvr">1999.</span></div>
<h4>
Organizations</h4>
<div class="runseg">
<span class="hvr">Deafness</span> <span class="hvr">Research</span> <span class="hvr">Foundation.</span> <span class="hvr">1225</span> I <span class="hvr">St.</span> <span class="hvr">NW,</span> <span class="hvr">No.</span> <span class="hvr">500,</span> <span class="hvr">Washington,</span> DC <span class="hvr">20005.</span></div>
<div class="runseg">
<span class="hvr">Ear</span> <span class="hvr">Research</span> <span class="hvr">Foundation.</span> <span class="hvr">1901</span> <span class="hvr">Floyd</span> <span class="hvr">St.,</span> <span class="hvr">Sarasota,</span> FL <span class="hvr">34239-2909.</span></div>
<div class="runseg">
<span class="hvr">National</span> <span class="hvr">Institute</span> on <span class="hvr">Deafness</span> <span class="hvr">and</span> <span class="hvr">Other</span> <span class="hvr">Communication</span> <span class="hvr">Disorders.</span> <span class="hvr">NIH</span> <span class="hvr">Bldg.</span> <span class="hvr">10,</span> <span class="hvr">Rm.</span> <span class="hvr">5C-306</span> <span class="hvr">9000,</span> <span class="hvr">Rockville</span> <span class="hvr">Park,</span> <span class="hvr">Bethesda,</span> MD <span class="hvr">20892.</span></div>
<h3>
Key terms</h3>
<div class="runseg">
<b>Antibiotic</b> — <span class="hvr">Drugs</span> <span class="hvr">that</span> <span class="hvr">kill</span> or <span class="hvr">inhibit</span> <span class="hvr">the</span> <span class="hvr">growth</span> of <span class="hvr">bacteria.</span></div>
<div class="runseg">
<b>Cochlea</b> — A <span class="hvr">division</span> of <span class="hvr">the</span> <span class="hvr">inner</span> <span class="hvr">ear.</span></div>
<div class="runseg">
<b>Diuretic</b> — A <span class="hvr">drug</span> <span class="hvr">that</span> <span class="hvr">increases</span> <span class="hvr">water</span> <span class="hvr">loss</span> <span class="hvr">through</span> <span class="hvr">increased</span> <span class="hvr">urination.</span></div>
<div class="runseg">
<b>Ménière's disease</b> — A <span class="hvr">disorder</span> of <span class="hvr">the</span> <span class="hvr">membranous</span> <span class="hvr">labyrinth</span> of <span class="hvr">the</span> <span class="hvr">inner</span> <span class="hvr">ear</span> <span class="hvr">that</span> is <span class="hvr">marked</span> by <span class="hvr">recurrent</span> <span class="hvr">attacks</span> of <span class="hvr">dizziness,</span> <span class="hvr">tinnitus,</span> <span class="hvr">and</span> <span class="hvr">deafness—also</span> <span class="hvr">called</span> <span class="hvr">Ménière's</span> <span class="hvr">syndrome.</span> It is <span class="hvr">named</span> <span class="hvr">after</span> <span class="hvr">Prosper</span> <span class="hvr">Ménière</span> <span class="hvr">(1799–1862),</span> a <span class="hvr">French</span> <span class="hvr">physician</span> <span class="hvr">who</span> <span class="hvr">was</span> <span class="hvr">among</span> <span class="hvr">the</span> <span class="hvr">first</span> <span class="hvr">people</span> to <span class="hvr">study</span> <span class="hvr">diseases</span> of <span class="hvr">the</span> <span class="hvr">ear,</span> <span class="hvr">nose,</span> <span class="hvr">and</span> <span class="hvr">throat.</span></div>
<div class="runseg">
<a href="https://hearingclinicpsh.blogspot.com/b/post-preview?token=514zm0wBAAA._3eBoDE5IYCgVrSdeW4W1g.qPs23wOlme-brBZkgn0IUg&postId=6914303856588341396&type=POST"><b>Tinnitus</b></a> — <span class="hvr">Ringing</span> <span class="hvr">sounds</span> in <span class="hvr">the</span> <span class="hvr">ears.</span><br />
<span class="hvr">(For more detail..)</span><br />
<span class="hvr">http://hearingclinicpsh.blogspot.com/2015/04/ototoxicity-hidden-menace-lives-in.html </span><br />
<span class="hvr"><br /></span></div>
</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-65289358510880906842015-03-02T11:04:00.002+05:002015-03-02T11:04:52.753+05:00Eyeglasses Inventors - Who Invented Glasses?<div dir="ltr" style="text-align: left;" trbidi="on">
<h1>
</h1>
<div class="left" style="margin-left: 0px; margin-right: 10px; padding-left: 0px;">
<table><tbody>
<tr><td>
</td></tr>
</tbody></table>
</div>
<img alt=" Glasses Invented" class="right" src="http://www.glasseshistory.com/images/16/glasses-12.jpg" />
There are many dilemmas about invention of glasses. According to some
sources the invention of the first wearable pair of eyeglasses occurred
in the
13th century in Italy.
<br />
Salvino D'Armate probably invented eyeglasses in around 1285, though
various sources suggest an earlier origin. He shared the invention of
his new
device with Allesandro della Spina, an Italian monk, who made it
public and is often credited with inventing eyeglasses. The first
eyeglasses had
frames made of metal or bone and had lenses made out of quartz because
the ''opticians'' of that time didn't have the capabilities of
producing
flawless lenses in glass.
<br />
In the 14th century, Venetian craftsmen were making "disks for the
eyes"'. Italians gave these glass disks that were finely ground the name
lenses
because they were similar in shape to lentil beans. The earliest
lenses were convex, the bulged outward in the middle, and they were used
to correct
far-sightedness.
<br />
By the fifteenth century, spectacles had found their way to China.
<br />
In 1451 Nicholas of Cusa in Germany produced eyeglasses to aid people
who were near-sighted using concave lenses that were thinner at the
center and
thicker at the ends.
<br />
Early eyeglasses had glass lenses set into heavy frames of wood, lead
or copper. Natural materials of leather, bone and horn were later used
for
production of frames. In the early seventeenth century, lighter frames
of steel were invented. The modern style of eyeglasses frame, which
could be
placed over the ears and nose, was invented in 1727 by British
optician Edward Scarlett.
<br />
American scientist and philosopher Benjamin Franklin is credited with
the invention of bifocals, dividing his lenses for distant and near
vision. These
two lenses were held together in a metal frame.
<br />
Sir George Biddle Airy, an English astronomer and mathematician,
invented glasses to correct astigmatism in 1827 which were meant to be
held by hand.
Later glasses were designed to be held in place by ribbon or by
exerting pressure on the bridge of the nose, such as with pince-nez.
<br />
Construction of frames also improved over the centuries, and today
they are made in wide array of styles and designs. Frames are generally
produced of
metal or plastic, and lenses are produced of glass or plastic.
<br />
In 1955 the unbreakable lenses were invented and in 1971 a new lens
were developed which combined the properties of plastic with glass.
</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-59365577287820988402014-12-09T11:39:00.001+05:002014-12-09T15:42:49.223+05:00Hearing Loss Symptoms . Do I have any hearing loss symptoms?<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="grid_11 alpha omega">
<div class="" id="page">
<h1 class="contentheading">
Hearing Loss Symptoms </h1>
<img alt=" " src="http://puretonecenter.com/images/stories/hearing-loss-symptoms/ear-diagram-better-hearing-institute.jpg" height="157" style="float: right; margin: 0px 0px 20px 40px;" width="300" />Hearing
loss is gradual; therefore you may not be aware of the extent of its
loss until someone else brings it to your attention. It may be difficult
to accept this news, but it is important to realize that recognizing
the symptoms of hearing loss is the first step toward improving the
quality of your life.<br />
<h2>
Checklist</h2>
<img alt=" " src="http://puretonecenter.com/images/stories/mother-daughter.jpg" height="169" style="float: left; margin: 0px 20px 20px 0px;" width="250" />The
following questions will help you determine if you, or a loved one,
should have a hearing test performed by a PureTone Hearing Health Care
Professional. There are two questionnaires to choose from. One is for
you to answer about your own possible hearing loss. The other is about
the hearing of a loved one. Just answer YES or NO to each question and
when you're finished review the information that follows. Remember,
detection of a hearing problem is the first step to improving your
hearing health.<br />
<h4 style="clear: both;">
Do I have any hearing loss symptoms?</h4>
<img alt=" " src="http://puretonecenter.com/images/stories/hearing-loss-symptoms/audiogram-hearing-loss.jpg" height="345" style="float: right; margin: 0px 0px 30px 40px;" width="300" />
<br />
<ul>
<li>Do people always comment that the volume on your TV or radio is too loud?</li>
<li>Have you missed visits and calls from people because you didn't hear the doorbell or telephone ringing?</li>
<li>Do you have trouble following conversation in crowded or noisy settings?</li>
<li>Do you have difficulty hearing in public gatherings such as concert
halls, theaters, or houses of worship where sound sources are far away?</li>
<li>Do people seem to mumble and not speak clearly during conversation?</li>
<li>Do you have to turn your head sometimes to hear people speak more clearly?</li>
<li>Do people tell you that you speak too loudly in conversation?</li>
<li>Do you frequently ask people to repeat themselves?</li>
<li>Do your friends and family suggest that you have a hearing problem?</li>
<li>Do you have a difficult time understanding the words of popular songs when listening to the radio?</li>
</ul>
<h4>
Does someone I know have any symptoms of hearing loss?</h4>
<img alt="ear-diagram" src="http://puretonecenter.com/images/stories/hearing-loss-symptoms/ear-diagram.jpg" height="297" style="float: right; margin: 0px 0px 30px 40px;" width="300" />
<br />
<ul>
<li>Does the person you know complain about having a difficult time hearing on the telephone?</li>
<li>Do they always ask you and others to repeat yourselves?</li>
<li>In crowded settings, does the person you know complain about not understanding what people are saying?</li>
<li>Do they always turn the volume on the TV or radio up to an uncomfortable level just to hear a program or music?</li>
<li>Does the person you know often complain of ringing in the ears?</li>
<li>If you answered "YES" to any of these questions, you or your loved
one may want to have a hearing test to determine if there's some degree
of hearing loss.</li>
</ul>
If you suspect a hearing loss, you should schedule an appointment for a <b>FREE hearing examination and test</b> from a Hearing Professional. <a href="http://www.facebook.com/babukhalilwardak" target="_blank">Contact us</a> today for an appointment.</div>
</div>
</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-78888613058484253212014-09-08T11:34:00.001+05:002014-09-08T11:34:17.172+05:00Online Hearing Test<div dir="ltr" style="text-align: left;" trbidi="on">
http://www.hear-the-world.com/en/hearing-and-hearing-loss/online-hearing-test.html</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-8234795760234232242014-09-08T11:28:00.000+05:002014-09-08T11:28:10.515+05:00<div dir="ltr" style="text-align: left;" trbidi="on">
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<figure class="embedded-image">
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There is one thing that might be worse than being diagnosed with Alzheimer's: that would be being diagnosed with it incorrectly.<br />
Yet
that can happen to someone with a hearing impairment because the
symptoms, byproducts, of cognitive and hearing loss are similar. In both
cases, the afflicted person may experience anxiety, depression,
isolation, denial, distrust, impatience, and memory problems.<br />
But
the cognitive loss of the dementia patient is not the same as someone
who simply does not hear well. After all, you are not going to remember
something if you didn't hear it in the first place. And you are not
going to do well on cognitive tests if you can't hear the questions. So,
if you have not admitted to a hearing problem, if it has not been
diagnosed and treated, there is a chance that you may be misdiagnosed,
told incorrectly that you have early Alzheimer's, with all the resulting
medical and social implications.<br />
The opposite can also take
place. Through all the years of our marriage, my husband had a severe
hearing impairment, partly the result of genetics -- many in his family
suffered from various degrees of hearing loss -- and partly the result
of shooting, as so many men did in his day, without wearing ear
protection. In retrospect, I suspect that there were early signs of
Alzheimer's that we dismissed as hearing issues. Had we realized that,
the outcome would not have been any different, but I do wonder what it
felt like for him. Did he know that there was more than hearing at stake
and, if he did, and did not tell any of us, it must have been a very
lonely and frightening period for him.<br />
Now, studies have shown
that there is a link between hearing and cognitive loss, that the
hearing impaired are at greater risk for developing Alzheimer's. Without
getting into the possible scientific explanations for this, some things
are obvious.<br />
1. Hearing loss can lead to isolation with the
depression and sedentary lifestyle that can be its companions, all of
which are factors in dementia.<br />
2. Like the rest of the body, the
brain needs exercise to remain healthy. Untreated hearing loss can get
in the way of that by restricting conversation, making going to the
theatre, movies, lectures, playing games, very difficult, if not
impossible.<br />
Clearly, if you are going to do everything you can to
prevent Alzheimer's, then making sure wax is removed from the ears,
having regular hearing tests, getting aids, and wearing them, is an
important step. Again, there are no guarantees but, at the very least,
your present life -- and those with whom you interact -- will be
improved.<br />
While living with my husband, I learned a lot about this
handicap. Like many men, he didn't want to admit the problem at first.
There were other things he could blame -- hearing aids were expensive;
people didn't speak up; they didn't speak clearly; it was the unusual
accent. When he finally did accept a hearing aid, he didn't want to wear
it. It was uncomfortable; he thought it made him look old. Etc, etc.
Everyone who lives with someone who has a hearing impairment will be
familiar with all the excuses.<br />
I learned to find the quiet corner
in the restaurant and seat him where there would be no one talking
behind him. To avoid places with a lot of mirrors and bare floors, where
sound is exaggerated. To place him in the middle of the table, where
his chances of participating in conversation were better than if he sat
at the traditional head of the table.<br />
Now I, too, have lost some of my hearing.<br />
I wear a state of the art hearing aid in one ear. It works very well -- when I wear it.<br />
But it doesn't work when I leave it on the dresser which is where a lot of hearing aids seem to end up.<br />
Why?
Because I forget. Or the battery goes out -- with a beep, beep, beep in
the middle of the conversation or the concert or play, and I either
have to fake it or do the embarrassing thing: take the aid out of the
ear and replace the battery in front of others. If I am in a dark place,
forget it. But even when I wear it, there are some situations where I
still have difficulty hearing. Like many people who find themselves with
this condition, I no longer hear the high notes clearly. I hear alto
voices very well, but the soprano notes are lost. My husband experienced
the same thing which is why, when I seated a woman beside him, I would
tell her, "Speak <strong>low</strong>, not loud, but <strong>low</strong>."<br />
This
very common condition -- hearing some notes and not others -- can
create misunderstanding. Family members will say, "He hears when he
wants to hear," or "She has very selective hearing." The first statement
is not true. What you hear is not always a matter of choice. The second
statement is: the ear is a very selective instrument. Talk to me in a
high voice, from another room, or talk to my back and, if I hear you at
all, it will likely be garbled. Recently someone spoke of needing a
wedge in order to sleep -- I thought he said a wife. The result was
comic, but in some situations that kind of speech discrimination could
be disastrous.<br />
In a poor hearing environment, I will "get" some
words and not others. This will frustrate the speaker who might well
lose patience with me and decide that I am only hearing what I want to
hear when, in fact, I do want very much to hear everything but I don't
-- I can't.<br />
Set me in a noisy restaurant, or a cocktail party
where there is a lot of background noise, and it will take tremendous
concentration of my part to understand what you are saying. Put your
hand over your mouth when you speak and you make it impossible for me to
do the lipreading that the hearing impaired automatically rely on to
augment sound.<br />
The healthy ear is a wonderful instrument -- it can
discriminate -- it does not hear all the sounds directed at it at the
same time equally. Some hearing aids promise to delete background noise
but few actually easily deliver. So being in a crowded place wearing a
hearing aid is to be subjected to a cacophony of noise. Given the
choice, I entertain at home, where I can control the environment, or
find the increasingly rare quiet restaurant.<br />
Society does not have
much patience with the hearing impaired. Those of us who suffer from it
experience hardship, from being shut out of public conversation, to not
being able to have a private conversation in a public place because the
other person has to speak too loudly, to sometimes speaking too loudly
ourselves, to not hearing the intimate words of love whispered in the
ear.<br />
There is a difference, of course, between hard of hearing and
the tuning out that can take place in a long term partnership. When a
couple live together for a long time, the relationship takes on the
aspects of a comfortable old slipper, very familiar. The routines are
established and we tend to assume we just know that the other one is
saying or going to say. This can lead to the husband declaring, "You
certainly did not tell me that your in-laws were coming to stay with
us," or the wife, "I asked you if you wanted to go on a cruise and you
said yes, you definitely did."<br />
I call that husband's (or wife's) hearing. It is the stuff of jokes and they can be very funny.<br />
But
there is nothing funny about the real thing -- hearing impairment is
definitely not a joke. Especially not when it may be a factor in getting
Alzheimer's Disease.</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-14958576726616855022014-04-30T15:54:00.003+05:002014-04-30T17:23:29.468+05:00<div dir="ltr" style="text-align: left;" trbidi="on">
<h1 class="text_headline">
<span class="notranslate">Symptoms of hearing loss</span> </h1>
<span class="notranslate"> You may have trouble Recognizing your hearing loss Because it happens gradually over time.</span> <span class="notranslate"> Consult a professional hearing if:</span> <br />
<ul>
<li> <span class="notranslate"> You have difficulty understanding people</span> </li>
<li> <span class="notranslate"> Often you need instructions repeated</span> </li>
<li> <span class="notranslate"> You Often Increase the volume When watching television</span> </li>
<li> <span class="notranslate"> You have difficulty hearing conversations in crowded areas like restaurants</span> </li>
<li> <span class="notranslate"> You have trouble hearing telephone conversations</span> </li>
<li> <span class="notranslate"> You can not hear When people are speaking to you from another room</span> </li>
<li> <span class="notranslate"> You have difficulty Following a conversation with a group</span> </li>
<li> <span class="notranslate"> You can not understand children When They speak to you</span> </li>
<li> <span class="notranslate"> You do not like socializing Because you can not hear what people are saying.</span></li>
<li><span class="notranslate"><a href="http://www.facebook.com/babukhalil" target="_blank">www.facebook.com/babukhalil</a> <div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-VObKJC2g0AE/U2DWTjIxqVI/AAAAAAAAAMM/090XK19gycA/s1600/how_lg.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-VObKJC2g0AE/U2DWTjIxqVI/AAAAAAAAAMM/090XK19gycA/s1600/how_lg.jpg" height="307" width="400" /></a></div>
</span> </li>
</ul>
</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0tag:blogger.com,1999:blog-8958283654880508182.post-84507986259954335662013-07-05T11:23:00.001+05:002013-07-05T11:23:41.750+05:00Symptoms of hearing impairment<div dir="ltr" style="text-align: left;" trbidi="on">
Symptoms of hearing impairment.<br />
<br />
The symptoms of hearing impairment will vary depending on what is
causing it. Hearing loss can gradually develop over time, especially
hearing loss related to noise exposure and age.<br />
It can develop more rapidly when related to earwax, ear infection or disease in the middle ear.<br />
People who wake up with a sudden loss of hearing in one ear or lose
the hearing in one ear within a couple of days should see their GP as a
matter of urgency, as early treatment may help.<br />
Some hearing-related conditions can have symptoms other than hearing
loss. For example, the condition tinnitus has symptoms such as
continuous or intermittent ringing, hissing, whistling or buzzing
noises.<br />
Hearing impairment in children<br />
Babies are routinely screened within the first few weeks of their
birth as part of the Newborn Hearing Screening Programme (NHSP). Read
more about how hearing impairment is diagnosed.<br />
However, there are signs you can watch out for in your child which
may suggest that you should see your GP to arrange another hearing test.<br />
Signs in babies<br />
You should consider seeing your GP if you notice that your baby or toddler:<br />
<ul>
<li>is not startled by loud noises</li>
<li>does not turn to the source of a sound while under four months old</li>
<li>does not say single words by the time they are one year old</li>
<li>notices you when they see you but not when you call their name</li>
<li>hears some sounds but not others</li>
</ul>
Signs in children<br />
You should consider seeing your GP if you notice your child:<br />
<ul>
<li>is delayed in learning to talk, or they are not clear when they speak</li>
<li>often asks you to repeat yourself</li>
<li>often talks very loudly</li>
<li>often turns up the volume of the TV so that it is very loud</li>
</ul>
Read more about your child's development from their birth to five years old.<br />
Levels of hearing impairment<br />
There are four different levels of hearing impairment, which are
defined by the quietest sound that you are able to hear, measured in
decibels (dB). These are described below.<br />
Mild deafness<br />
If you are mildly deaf, the quietest sound that you can hear is
between 25 to 39dB. Mild deafness can sometimes make following speech
difficult, particularly in noisy situations.<br />
Moderate deafness<br />
If you are moderately deaf, the quietest sound that you can hear is
between 40 to 69dB. You may have difficulty following speech without
using a hearing aid.<br />
Severe deafness<br />
If you are severely deaf, the quietest sound that you are able to
hear is between 70 to 89dB. People who are severely deaf usually need to
lip-read or use sign language even with the use of a hearing aid.<br />
Profound deafness<br />
If you are profoundly deaf, the quietest sound that you can hear is
90dB or more. People who are profoundly deaf can often benefit from a
cochlear implant. Other forms of communication include lip reading and
sign language<br />
</div>
hearingclinicpshhttp://www.blogger.com/profile/11344272061433635312noreply@blogger.com0