There is a considerable amount of information lacking in this cut and paste thread. Linking to the original threads is helpful — if every reader takes the time to fully read the 32 linked threads — but there is still a significant amount of absent personal background information.
Without that information, readers are left to fill in the blanks and often it is human nature to assume those quoted members are just like us. This is especially true for members suffering from anxiety.
For example, I have noticed you have quoted
@Lex on multiple threads about tinnitus worsening. The quotes leave one very key piece of information: Lex suffers from severe hyperacusis. Her quotes are in reference to her hyperacusis, not her tinnitus. A member who does not know her background might assume the quote you linked is referencing tinnitus.
Because not all of the quoted members are on this thread,
@Bill Bauer please provide the following information for each quoted member. This information should better help readers understand the individual circumstances around each spike experience. If we are expected to learn from the mistakes of others, then we need to fully understand the circumstances.
1. Onset of tinnitus date
2. Age at onset
3. When spike occurred in relation to onset
4. Is tinnitus in one ear or both
5. Is there measurable hearing loss
6. Amount of hearing loss
7. Is hearing loss in one or both ears
8. Was a hearing aid recommended
9. Does member use a hearing aid
10. Is there a history of hyperacusis
11. Any hyperacusis at time of spike
12. Is there a history of reactive tinnitus
13. Any reactive tinnitus at time of spike
14. Assumed tinnitus/hearing loss cause
15. Any history of loud noise exposure
16. Any exposure to ototoxic medications
17. Any other unique medical conditions
18. Any history of anxiety
19. Anxiety level prior and after spike
20. Any spikes prior to quoted spike
20. How long did past spikes last
21. How long did quoted spike last
22. Were any spikes permanent
23. Did member use WNGs
24. Did member use sound enrichment
25. Did member use ear plugs and earmuffs
26. How frequently prior to spike
27. What dB reduction did they offer
28. How many dB was spike causing noise
29. Did they typically avoid that dB level
30. Current tinnitus level as of today
These are just some of the questions asked when members post a concern regarding a possible spike. It's likely there will be follow up questions. Since the quoted members are not all on this thread, you can research the answers to those questions too.