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We have had a death in our family. I will be unavailable to answer questions on the Doctors’ Corner for a few days. I appreciate your patience and kind understanding. Stephen M. Nagler, M.D.

Hi Everyone - I've decided to take a break from the board. Actually. I think it's something we all should do every once in a while. Anyway, I've set up an e-mail account for questions or issues that you feel you'd like addressed urgently - since I'm not exactly sure when I'll be back on the...

Hi All - Earlier today I answered the following question on the Doctors' Corner: "Just got what I believe to be tinnitus... What should I do immediately to help?" I started out by stating that there are any number of good answers. I then proceeded to respond to the question posed, freely...

Hi All - In another thread I posted a story about a patient of mine: The third patient is a female in her mid-30s who lived in the Midwest. She presented with a six-month history of increasingly loud ringing in her left ear. She had been to three ENTs, all of whom told her that she had...

The year was 1964. In commenting on the landmark First Amendment case Jacobellis v. Ohio, US Supreme Court Justice Potter Stewart said that he was unable to precisely define hard-core pornography, but “I know it when I see it.” The year is now 2015. And in reading through the many threads on...

Hi All - Pulitzer Prize winning author David McCullough has just written a book on the Wright Brothers, two bicycle repairmen who are credited with the invention of the airplane. I saw an interview with McCullough on TV yesterday, in which he mentioned something Wilbur Wright (the older of...

Hi All - I would like to point you to an interesting exchange within another thread. Well, at least I think it is interesting! @Valentina posted: My personal experience with TRT therapy didn't help me neither with my T nor with my H. I have done the TRT for four months, expecially at night...

Hi All - I wanted you to know that I'm OK and should be back answering questions on the Doctors' Corner by the end of next week; I'm about 15 behind. Sorry, just needed a break. stephen nagler

An interesting story about Miles O'Brien popped up on cnn.com this morning. You can read it HERE. The last paragraph struck home because it very much applies to tinnitus. Think about it. Miles O'Brien lost his arm. We have lost our silence. Here is what he writes: "I don't think you need...

Hi All - As many of you know I have had tinnitus for more than twenty years now. To spare you the details, I'll simply attach my story to the bottom of this post. Anyway, I did TRT in 1994-1995 and since completing TRT I have been doing really well. My tinnitus has remained as loud as ever -...

Do any of you directly attribute an increase in your tinnitus volume to starting Prozac or any other SSRI anti-depressants? If so, did your tinnitus return to baseline upon cessation of the drug? Thank you. stephen nagler

@Steve recently asked me to write a piece about TRT for the Hub. I am still tweaking it, but I thought I'd post it below in draft form because it contains information that some here might find helpful. Dr. Stephen Nagler ............... TRT (Tinnitus Retraining Therapy) is a treatment...

Hi All - As some of you may know, I'm a bit of a photography buff. Anyway, in a couple of weeks I'll be headed to Fairbanks, Alaska and its 30 below temperature with my camera, a few lenses, a tripod, and my long underwear (brrr) for a few days to shoot the Northern Lights. If any of you live...

Hi All - After goodness knows how many Doctors' Corner posts in response to all sorts of issues raised here by you good people, I would like to take a moment to raise one of my own. In response to something I wrote on the Support forum, one individual rudely posted "YOU HAVE NO CLUE!!!" The...

In another thread @valeri wrote: "As I said before: There is tinnitus and there is TINNITUS!" ............ I used to feel exactly the same way. In fact back in 1997 I gave a series of presentations in California discussing tinnitus and what I called "damn tinnitus." Turns out I was wrong...

A little about my professional qualifications ... I am a medical doctor fully and continually licensed to practice medicine and surgery since 1976. After finishing medical school I successfully completed six years of intensive post graduate training in surgery and the surgical subspecialties...

Hi All - There have been a disturbing number of ad hominem attacks, personal digs, personal insults, outright lies, and such on this board of late. Some target me; some target others. The administrators have removed many; some have escaped their attention. I personally think it's a sad state...

Hi All – In response to a question @Lisa88 posed on the Doctors' Corner, I gave the four factors Dr. Jastreboff listed that might account for a decreased probability of success in TRT: medical-legal issues, Category 4, high doses of benzodiazepines, and flag-waving. In thinking about that post...

Hi All - I thought I'd point you to an interesting question from @Lisa88 (and response from Dr. Jastreboff) that I just posted on the Doctors' Forum ... https://www.tinnitustalk.com/threads/quick-trt-question.6368/ Dr. Stephen Nagler

Question from @cullenbohannon originally posted on the Support Forum ... I guess this issue had to come up sooner or later. I sincerely appreciate the respectful way in which you worded your inquiry. I am going to try to answer your question thoroughly to address all concerns while at the...

Hi All - TRT is a treatment protocol that takes 8-16 months on average before the desired result is achieved, if it is to be achieved at all. And for many who ultimately succeed, there is no discernible improvement 6 months or more. (Indeed, in my own case there was no improvement at all for...

Hi All - This past weekend my wife and I were in Northern Minnesota spending some time with a couple of friends of ours on the quiet shores of a beautiful lake. We talked about a wide range of things, most having absolutely nothing to do with tinnitus - but since one of them was a tinnitus...

I have received a number of requests similar to the one above - so I guess some sort of comment is indicated. Over the past several decades the search for the holy grail of tinnitus pharmacology has taken a lot of twists and turns. Every so often a new "golden bullet" appears on the horizon...

Elsewhere @R. David posted [in part]: And i cannot stress this enough. My tinnitus was never the problem. My problem was my reaction to the tinnitus. ............ I happen to agree with R. David wholeheartedly, but the concept can be confusing to newbies (and to some not-so-newbies!) so I...

"Tinnitus: Make peace with it in order to have peace from it." - Anne-Mette Mohr

In another thread @Dr. Hubbard wrote that stress does not cause tinnitus. I agree with him, but a significant number of people first become aware of their tinnitus during a time of significant stress in their lives (studying for the bar exam, going through a divorce, during the illness of a...

Hi Dr. Hubbard. Great to see you here on the Doctors' Corner. I have two questions about terminology. First, what is the difference between Cognitive Restructuring Therapy and CBT? And second, I have noticed that you refer to CBT as Cognitive Behavior Therapy, while a number of others refer...

Hi All - I will be giving a presentation "Living WithOUT Tinnitus" at the April 26 meeting of the Ewing, NJ Tinnitus Self-Help Group. The meeting will be from 10AM to 11:30AM at the First Presbyterian Church, 100 Scotch Road in Ewing. No need to pre-register, and admission is free. So if you...

@cullenbohannon asked in another thread: "Dr.Nagler, I was thinking about what you said about masking. Do you think some people get by with T with masking and don't necessarily habituate and if this is the case, if these people have a spike or some situation where they focus more on T, would...

Hi All - Markku and Steve have set up a "Doctors' Corner," where hopefully some of your important general questions about tinnitus and hyperacusis can be answered. The health care professionals participating there will not be able to answer specific questions about individual cases, but the...

Hi All - In another thread @Mpt wrote about his mom, a teacher who had tinnitus but was unaware of it until another teacher missed a few days of school because of her own tinnitus. You can read the details here: https://www.tinnitustalk.com/threads/interesting-conversation-with-my-mom.4135/...

Hello All - As I have been going through the various threads on Tinnitus Talk, I see that one particular theme arises fairly frequently: If you are suffering from tinnitus, you need to give it some time. And that advice makes good sense - since over time tinnitus seems to settle down for some...

Hi All - Let's say your ears are absolutely screaming, and you are having a real "bad ear day." In fact, your tinnitus has been like this for days, and it's more like you are having a bad ear week! Is there anything that you can do to pretty much guarantee that next week will not be as bad as...

Hi All - The following statement appeared on the board in another thread: "Still, most people with tinnitus habituate it, no matter how loud it is and no matter the number of sounds." My initial inclination was to agree with the statement, but since that time I have given it considerable...

I have a question for you to ponder. Chickenpox is, of course, a disease. And whether or not you are consciously aware of the fact that you have chickenpox - if you have chickenpox, then you have chickenpox. Chickenpox causes a rash. A rash is a physical finding. And whether or not you are...

Hi - I've had tinnitus for some twenty years. Been on and off various tinnitus sites for nineteen, but new to this one. Seems like a very nice place. I used to post under my real name, then for a while with just my initials, but I've been stringplayer (or sp) for the last ten years or so...