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  1. Jan64

    Hyperbaric Oxygen Therapy

    A chamber filled entirely with 100 percent oxygen would be much more dangerous. One spark… In a professional multiplace chamber, patients typically use an oxygen mask to breathe pure oxygen. The chamber itself is ventilated, keeping the overall oxygen concentration below 23 percent for safety...
  2. Jan64

    Hyperbaric Oxygen Therapy

    Dear @LulaLula, I understand your struggle, and I hope the attached article provides some guidance. I had my first sessions of HBOT in 1996, starting 77 days after an acoustic trauma when I was 32 years old. It wasn’t a complete cure, but I’d say it helped by about 40%. My hypothesis is that...
  3. Jan64

    Hyperbaric Oxygen Therapy

    Yes, that’s possible, but I’ve seen a scientific paper (I don’t remember the authors) that concluded it’s not effective. According to Dr. Jason Sonners, you should use at least 2.0 ATA.
  4. Jan64

    Hyperbaric Oxygen Therapy

    Dear @LulaLula, As a general rule, it’s best to undergo HBOT as soon as possible after noise trauma. Research by Körpinar et al. concluded that the earlier, the better. There’s also a YouTube video by Dr. Jason Sonners where he states the same—early treatment is preferable, although he has seen...
  5. Jan64

    Lenire — Bimodal Stimulation Treatment by Neuromod

    Dear @HighlyTall and @Nick47, In Colon et al. (2022), figure 9 elaborates on the question "Overall, would you say you have benefited from using this device (i.e. Lenire)?" 70.3% says "Yes."' 29.7% says "No." This is less than the 80% I mentioned. Kind regards, Jan
  6. Jan64

    Lenire — Bimodal Stimulation Treatment by Neuromod

    I think it is better to look at relevant research about Lenire itself than to check the economic performance of Audio Noord... My experience with Dr. Kleine Punte is positive. The first appointment was in real life (audiogram, assessing tinnitus severity, general introduction to Lenire and...
  7. Jan64

    Lenire — Bimodal Stimulation Treatment by Neuromod

    Dear @HighleyTall, According to research, it works for about 80% of the people... Maybe that percentage is too high, so let's assume it works for 50%. If you have one million dollars, why not just try it? I saw you live in Belgium, you can get it in Ekeren, near Antwerp, Dr. Andrea Kleine Punte...
  8. Jan64

    Lenire — Bimodal Stimulation Treatment by Neuromod

    In Belgium it costs €2900 EUR (this was in 2023, at Audio Noord, Dr. Andrea Kleine Punte, audiologist, located in Ekeren, a village near Antwerp).
  9. Jan64

    Lenire — Bimodal Stimulation Treatment by Neuromod

    Dear @Tryn2BHopeful, thank you for your question. I started with Lenire on December 28th, so I'm about four weeks into this treatment. I experience less stress. It is like my tinnitus bothers me less.
  10. Jan64

    Lenire — Bimodal Stimulation Treatment by Neuromod

    Why? With Bluetooth you do not have to care about another wire (you already have one from the tongue tip to the device). I use Lenire and am happy with it!
  11. Jan64

    Low-Level Laser Therapy (LLLT) for Tinnitus — Long-Lasting Everyday Home-Practiced Experiences

    Congratulations! I also own a Konftec (660 nm). Just point the probe straight into the head so the light will reach the cochlea. I would start with 30 minutes twice a day. I hope it will help! Kind regards, Jan
  12. Jan64

    Hyperbaric Oxygen Therapy

    It is not that rare, but normally not after 13 HBOT sessions. In a letter sent by the hyperbaric center, they state it will reverse within 3 month. I went from -3,5 D to -5,5 D after 80 sessions. I hope your myopia will reverse... Kind regards, Jan
  13. Jan64

    Hyperbaric Oxygen Therapy

    Only for tinnitus. My overall health is very good, I actually do not know whether my overall health benefited. Kind regards, Jan
  14. Jan64

    Hyperbaric Oxygen Therapy

    I found an interesting paper stressing the importance of starting HBOT within 12 days after onset: Idiopathic Sudden Sensorineural Hearing Loss: Is Hyperbaric Oxygen Treatment the Sooner and Longer, the Better?
  15. Jan64

    Hyperbaric Oxygen Therapy

    Dear @withintention, not the "pain or ache deep inside the ear with tinnitus", but I also experience the tinnitus being louder after HBOT. In the beginning it was quite scary, but it is temporary. In my situation the spike lasts about 2 days. I have undergone more than 300 HBOT sessions, and...
  16. Jan64

    Hyperbaric Oxygen Therapy

    Dear Ryan, Lower pressures correlate with less side effects. 2.0 ATA seems to be safer than 2.4 ATA. Dr. Sonners of HBOT USA (see his YouTube channel) says pressures need to typically be 2.0 ATA, 2.2 - 2.4 ATA... not very clear. But I have read two papers where they used 2.0 ATA and reached...
  17. Jan64

    Hyperbaric Oxygen Therapy

    The one with 2.4 ATA and providing 97% oxygen via a mask is the better choice. With a mask you get benefit from the "hypoxia-hyperoxia" paradox. Stem cells are stimulated by that paradox. See also Dr. Shai Efrati of the Aviv Clinic. Above that, 100% oxygen can be more dangerous. 2.4 ATA -->...
  18. Jan64

    Low-Level Laser Therapy (LLLT) for Tinnitus — Long-Lasting Everyday Home-Practiced Experiences

    I feel your pain. It is possible that Prednisolone does not work. I do not know why that is. I do not know how often you should try taking Prednisolone. There is a delay between taking it and the reduction of the tinnitus loudness, so be patient... All the best! Jan
  19. Jan64

    Hyperbaric Oxygen Therapy

    In the beginning of HBOT, clearing of the ears can be a struggle. Especially when you have a cold... You could use Xylometazoline (get it at your local drugstore, e.g., in the Netherlands: Etos, Kruidvat).
  20. Jan64

    Low-Level Laser Therapy (LLLT) for Tinnitus — Long-Lasting Everyday Home-Practiced Experiences

    Given the recent onset of your tinnitus, I think it is better to focus on getting Prednisolone/Pentoxifylline, either intravenously, e.g., at Dr. med. Wallesch in Rhauderfehn, Germany, or orally, starting with 3 days at 60 mg, and then tapering down by 10 mg each day, together with hyperbaric...
  21. Jan64

    Hyperbaric Oxygen Therapy

    Dear Michael, I have my own chamber now, it goes to 2.0 ATA. According to the attached articles, that is enough... I am used to hyperbaric oxygen therapy and can clear my ears well. Unless I have a bad cold, then it is difficult. I have no issues with the noise, I use earplugs (ACS26) and...
  22. Jan64

    Hyperbaric Oxygen Therapy

    Hi Michael, Nice to read you started HBOT! You are still within the 3 month time window and, according to Lamm (1995), partial healing is possible even after 3 months. But 3 sessions are not much and actually no healing can be expected from that. The protocol is getting 10 - 15 sessions...
  23. Jan64

    Hyperbaric Oxygen Therapy

    Is 1.4 ATA pressure for a hyperbaric oxygen chamber for home use enough? Dear all, In my life I have taken a total of more than 300 HBOT sessions, at a specialized HBOT center in the Netherlands. They work with a pressure of 2.4 ATA. HBOT works brilliantly for me! After my vaccinations...
  24. Jan64

    Hyperbaric Oxygen Therapy

    How loud was the music in combination with the cycling noises? And how many times / hours did you listen to loud music/noises? Is the damage really caused by that one time of 4 hours of loud music or is it caused over a period of more years, with the damage not being repairable anymore? You have...
  25. Jan64

    Is Paxlovid (Ritonavir/Nirmatrelvir) Ototoxic? Can It Make Tinnitus Worse?

    Dear Joe, This is a great result! Unfortunately my hearing was damaged by COVID-19. I researched that the virus affected the hair cells and unlocked the ACE2 receptors. Hair cells are similar to taste and smell cells... and a target of COVID-19. See attached scientific paper explaining how this...
  26. Jan64

    Hyperbaric Oxygen Therapy

    No, every time when there is damage in the cochlea (organ of Corti), HBOT can work. But be quick. Every hour counts!
  27. Jan64

    Hyperbaric Oxygen Therapy

    Dear VTae, I feel your pain. How sad. Is there a possibility to go to a treatment center elsewhere? Kind regards, Jan
  28. Jan64

    Hyperbaric Oxygen Therapy

    Dear VTae, Sorry to hear you suffer from tinnitus. I hope you can cope with it. Regarding your question: it depends. You mention that your tinnitus is caused by ultrasonic cleaning. That can be a trigger of tinnitus. It is helpful to examine whether there are underlying causes of your...
  29. Jan64

    Hyperbaric Oxygen Therapy

    Dear Joe, thank you for your question. I read in a scientific article that there is a significant difference between the success rate before and after 14 days (time between onset and treatment). Unfortunately, I can not find that article anymore. Körpinar et al (2011) (see attachment) stresses...
  30. Jan64

    Hyperbaric Oxygen Therapy

    Dear Eliska. It is indeed too early to expect results after the first session. I had a lot of HBOT sessions, in several series. I experienced relief from the 7th or 8th session... It is key to get HBOT quick after the onset... When equalizing keeps being a problem, take Xylometazoline...
  31. Jan64

    Hyperbaric Oxygen Therapy

    I use double protection: earmuffs (Peltor X5A) and earplugs (ACS27). No problem equalizing... HBOT 2.4 ATM.
  32. Jan64

    Day 5 of Tinnitus — Onset After COVID-19 Infection

    Hi @ndan09, Sorry to read you got tinnitus. Your tinnitus is fresh... Every day counts. Consider asking your doctor (family doctor) for Prednisone. Starting with 3 days at 60 mg, then tapered off by 10 mg/day. So: 60 mg, 60 mg, 60 mg, 50 mg, 40 mg, 30 mg, 20 mg, 10 mg, 10 mg, 10 mg. Best of...
  33. Jan64

    Which Vasodilators Can Help Tinnitus?

    Dear Baker, From my German ENT doctor I got a prescription for Pentoxifylline. 600 milligrams twice a day. Morning and evening. It helps with acute tinnitus and is prescribed together with Prednisolone (3 days of 60 mg, then taper 50 mg, 40 mg, 30 mg til 10 mg). Hope this helps. Kind...
  34. Jan64

    Will You Get Vaccinated for Coronavirus (COVID-19)? Can It Make Tinnitus or Hyperacusis Worse?

    And then my doctor will take care of this? Huh... There is much more needed, action by tinnitus sufferers... It is not for everyone of course... You might choose the full dose. But I think it is better to have a small 10 microgram shot of Pfizer (instead of 30 micrograms) than nothing... I...
  35. Jan64

    Will You Get Vaccinated for Coronavirus (COVID-19)? Can It Make Tinnitus or Hyperacusis Worse?

    Dear All, Due to side effects (aggravated tinnitus) after the second Pfizer jab (against COVID-19), I hesitate getting a booster shot... Children 5 through 11 year get a special shot: 10 micrograms of Pfizer. That is a third of the normal amount of 30 micrograms (Pfizer vaccine). In a study...
  36. Jan64

    Will You Get Vaccinated for Coronavirus (COVID-19)? Can It Make Tinnitus or Hyperacusis Worse?

    So: Pfizer and Moderna: 200/138*10^6= 0.00000145 = 0.0001% = one ten thousands per cent Janssen: 30/5*10^6 = 0.00000600 = 0.0006% = six ten thousands per cent The chance of getting tinnitus as a side effect from Janssen is 4.14 times higher than from Pfizer/Moderna. But there are other...
  37. Jan64

    Low-Level Laser Therapy (LLLT) for Tinnitus — Long-Lasting Everyday Home-Practiced Experiences

    Unfortunately a scientific answer is hard to give. The earlier the better is certainly better... An educated guess might be that changes in the first 3 month are significant. And that laser therapy is worth trying. After that period till 1 year you are lucky to get a result... (or 2 years when...
  38. Jan64

    Zie je bericht nu pas, krijg geen alert als je wat in mn profiel zet. Beter is om een PM te...

    Zie je bericht nu pas, krijg geen alert als je wat in mn profiel zet. Beter is om een PM te sturen. Ai, zaak is zo snel mogelijk te reageren, als ik je bericht eerder had gelezen had ik je een prednisonkuur aangeraden, en daarna eventueel nog HBOT. Maar prednison is het meest effectief... Maar...
  39. Jan64

    Checking in from the Netherlands: Got Tinnitus from Using a Hammer Drill

    Hi! I would advise you to get a Prednisone treatment. Contact Dr. Eize Wielinga of Kliniek Oud Zuid, Amsterdam, www.kliniekoudzuid.nl. He sees the benefits of Prednisone. When you have more money you can also have an intravenous treatment (Prednisone + Pentoxifylline) in Germany. See...
  40. Jan64

    Low-Level Laser Therapy (LLLT) for Tinnitus — Long-Lasting Everyday Home-Practiced Experiences

    Sorry to hear you did not benefit. This is very rare. According to scientific research your tinnitus might get louder in the beginning, but that is mostly temporary. General scientific opinion it that LLLT is a safe treatment. Hope you will heal.
  41. Jan64

    Low-Level Laser Therapy (LLLT) for Tinnitus — Long-Lasting Everyday Home-Practiced Experiences

    Regarding the colour: my son got the black controller and I got the white one. The black looks much better...
  42. Jan64

    Hi Findes, I think LLLT might be helpfull in the case of fresh (< 3 month) tinnitus. You could...

    Hi Findes, I think LLLT might be helpfull in the case of fresh (< 3 month) tinnitus. You could consider the Konftec once, they are quite good and not that expensive. Kind regards, Jan
  43. Jan64

    Transcranial Stimulation Treatments (rTMS & tDCS & tACS)

    I was treated at Brai3n in Gent. Brai3n is situated in a large building a walking distance from the Gent Central Station. Treatments: tDCS (transcranial Direct Current Stimulation, 20 minutes) and tACS (transcranial Alternating Current Stimulation, 20 minutes). To be clear: tDCS and tACS are...
  44. Jan64

    Lenire — Bimodal Stimulation Treatment by Neuromod

    When did you apply?
  45. Jan64

    I Invented a Sound That Knocked Out My Tinnitus

    This is a good strategy! Worked also for me. When you get more of less get used to it you can increase the volume...
  46. Jan64

    I Invented a Sound That Knocked Out My Tinnitus

    After getting the Koss headset I think it is best to start with a really low volume. After getting used to the sounds... gradually increase the volume.
  47. Jan64

    I Invented a Sound That Knocked Out My Tinnitus

    It also helped me! I am sorry for the people who tried it but did not help. Just move on, try something else... I tried LLLT, hyperbaric oxygen therapy, acupuncture, hypnotherapy etc... costed me thousands... This is how it works with tinnitus, for some it might work, for some not... The...
  48. Jan64

    I Invented a Sound That Knocked Out My Tinnitus

    Yes! My values (VAS 10: very loud; 0: absent) 23/11 (23 Nov): 3.8 (using a Sennheiser head phone) 25/11: 3.8 26/11: 3.8 28/11: 3.7 29/11: 3.7 30/11: 3.7 1/12: 3.6 2/12: 3.8 4/12: 3.6 5/12: 3.5 6/12: 3.5 9/12: 3.4 Starting with Koss 75KCS 11/12: 3.3 12/12: 3.2 16/12: 3.2 17/12: 3.1 18/12: 3.0...
  49. Jan64

    I Invented a Sound That Knocked Out My Tinnitus

    Dear Mr. Case, thank you for your reply! It is hard to believe and I monitor 'my' loudness precisely... but the loudness of my tinnitus is slowly going down! Is more gentle, and that is very special... But... what is the reason why a head phone is much more effective compared to speakers? And...
  50. Jan64

    I Invented a Sound That Knocked Out My Tinnitus

    How loud did you set Tinnitus Mix?
  51. Jan64

    I Invented a Sound That Knocked Out My Tinnitus

    I got the Koss 75KCS (without headband). It is hard to keep those in place the whole night... I would prefer just a loud speaker / sound boxes. Those sound boxes go till 20 kHz... Is that enough? It would make everything a lot simpeler...
  52. Jan64

    I Invented a Sound That Knocked Out My Tinnitus

    I am 6 days in, bought the Koss headphones without headband, and already had some benefits. I am monitoring my loudness carefully and I experience the loudness about 20% less... I am grateful for the good work of David Case! Thank you!!
  53. Jan64

    I Invented a Sound That Knocked Out My Tinnitus

    But: All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident. ‒ Arthur Schopenhauer We are at the end of stage 1...
  54. Jan64

    Steroids: Prednisone / Dexamethasone / Others (Oral and Intratympanic Injections)

    Your GP should reconsider his job... 15 mg is a far to low dose... especially when is is + 2 weeks ago...
  55. Jan64

    Steroids: Prednisone / Dexamethasone / Others (Oral and Intratympanic Injections)

    The dose of 15 mg after two weeks is far to low... Recommended by my top notch German ENT (dr.med. Wallesch https://www.dres-wallesch.de/ohrensausen.html: 3 days of 60 mg and then taper down with 10 mg. S0: 60, 60, 60, 50, 40, 30, 20, 10, 10, 10, 10.
  56. Jan64

    Tinnitus from a Bike Tire Explosion

    Unfortunately the dose is too small... I also tried low doses (40 mg) with acoustic traumas but my experience is not good... does not work for me...
  57. Jan64

    Tinnitus from a Bike Tire Explosion

    Yes!! Beg for these pills! Take them in the morning. Start with 3 days of 60 mg, then taper it down with 10 mg daily. (so 60,60,60,50,40,30,20,10,10,10). If it is not working, and you have the money: try hyperbaric oxygen therapy / HBOT...
  58. Jan64

    Lenire — Bimodal Stimulation Treatment by Neuromod

    Why will Neuromod charge more in Germany? What is the motivation for that? Both (Ireland and Germany) are 'euro-countries'...
  59. Jan64

    Low-Level Laser Therapy (LLLT) for Tinnitus — Long-Lasting Everyday Home-Practiced Experiences

    It would be good to monitor your tinnitus loudness once a day, preferably in the morning. In a small notebook or piece of paper... I do this also, alongside monitoring my weight... When you look at it on a long term then you can see a certain hopefully downward trend... Like this: Date...
  60. Jan64

    Low-Level Laser Therapy (LLLT) for Tinnitus — Long-Lasting Everyday Home-Practiced Experiences

    It would be good to monitor your tinnitus loudness once a day, preferably in the morning. In a small notebook or piece of paper... I do this also, alongside monitoring my weight... When you look at it on a long term then you can see a certain hopefully downward trend... Like this: Date...