IYIiKe
Member
- Jan 18, 2024
- 220
- Tinnitus Since
- 2023
- Cause of Tinnitus
- Possible Ototoxic Reaction to Sertraline and Hydroxyzine
You seem more concerned about a test being used to discredit the severity of symptoms, which may be subjective. While subjective symptoms are important in their own right, that is not the primary point of having an objective measure for tinnitus.Let me rephrase: if a brain scan shows tinnitus activity, that's one thing, but I don't think it can accurately reflect the impact it has on an individual.
We hear many stories about habituation, where people learn to tune out their tinnitus. Their brains might still "light up" on a scan, but for them, tinnitus is a non-issue. Conversely, someone else's scan might show relatively low activity related to tinnitus, yet they could be suffering from catastrophic tinnitus.
I'm not sure that objectively showing the presence of tinnitus through a scan can reliably correlate to the quality of life or the perceived severity experienced by the individual.
I understand the need for tests and measurable results, but I firmly believe that the impact on quality of life is subjective. Each person is best suited to describe the changes they're experiencing. Maybe I'm wrong, and this test is incredibly accurate, but everyone's experience with tinnitus is unique. Their ability to cope with it varies, and the severity of their tinnitus is different from person to person.
For example, you and I could have the exact same tinnitus—we'd never know—but our perceptions of its impact on our quality of life would differ. Our brains might also respond differently during a scan, simply because no two brains are the same.
On a personal note, my tinnitus feels catastrophic, and I'm in a dark place right now. I spoke with a doctor yesterday who mentioned that he also has tinnitus, but for him, it's a non-issue—something he forgets about entirely. I have no idea if my tinnitus is worse or better than his, but my quality of life is much more impacted.
It's possible his tinnitus is actually worse than mine, but he's less affected by it. At the same time, my perception of my tinnitus has a much greater effect on my daily life. Ultimately, this doesn't change the fact that the quality of life impact is deeply personal and varies for each individual.
This is concerning because, if brain scan results are used as a benchmark for compensation, treatments, or disability assessments, there's a risk of unfair outcomes.
For instance, if someone shows low tinnitus activity in their brain but is suffering greatly, they might be ignored or pushed to the back of the queue. Meanwhile, another person with highly active brain scans but less impact on their quality of life might receive preferred treatment or other benefits.
This disparity highlights the potential danger of relying solely on objective measures without considering the individual's subjective experience.
Consider a car accident that causes tinnitus. Most courts do not award damages for this lifelong condition because they dismiss tinnitus as unprovable. If an objective measure could demonstrate its existence, you could conclusively prove the condition.
What about accusations of malingering when claiming disability for tinnitus? An objective scan could prove its presence, eliminating doubts about the legitimacy of the claim.
When it comes to severity, it is possible that scans could reveal markers indicating the intensity of neural firing or hypersynchrony in severe cases. Right now, we do not know because there is no objective way to measure it. Making assumptions about what such a measure might predict is premature. But what if an objective test leads to treatments that specifically target the underlying cause of tinnitus?
For instance, what if we discover that bushy cells, which are normally inhibited, could be treated using viral vector gene therapy to become hyperactive and thus counteract tinnitus? An objective measure could show whether such a treatment is working.
Ultimately, I am less concerned about how such measures might be used to categorize severity and more interested in the transformative potential they hold. Even in their simplest form, objective measures are far better than the current reliance on subjective and often meaningless surveys.