Well, the majority of my patients are successful in their efforts to get reimbursed for TRT by their carriers. So I cannot speak to that. Maybe it's because I am a physician. I don't know.
Well exact what percentage of funds that are now devoted to research towards a cure would you suggest devoting to TRT studies?
I hear you. So again, what percent of funds for research towards a cure would to shift to TRT research? I mean didn't you just tell me that we are devoting too much space here on Tinnitus Talk to TRT and habituation? And that space doesn't cost a single research dollar.
Right. And I have discussed it with Dr. Jastreboff many times. But he's just not interested.
That doesn't mean you can't devote yourself to helping mankind. It just means you can't do it with dollars.
Right. I agree. None. I would not shift a single dollar of research towards a cure to TRT research. So why in the world is @marqualler talking about the need for more TRT research (see quote below) if nobody's going to pay for it!!??
But it is an "either/or" - the Cochrane Collaboration is simply not going to hang its hat on a single study, no matter how meticulously it is carried out. It's going to take a number of independently conducted controlled studies yielding the same result. One will not do it. Not by a long shot.
I believe it's a matter of time constraints, but you'll really need to check with him on that. I do not want to speak for the man.
Right, but carriers have always been able to get away with this sort of thing. So getting them to cover TRT outright (i.e., without appeal) will take a number of reliable and independently verifiable double-blind randomized prospective studies, which given the nature of TRT (i.e., you sort of know when you are getting it, yes?) is a nearly impossible task that will take a lot of research dollars, research dollars that would better be directed towards finding a cure. Contrast that with, for instance, LLLT, where it would be incredibly easy to set up a series of such studies and where LLLT manufacturers would gladly foot the bill if they were confident enough regarding the efficacy of their product.
No reason I can think of. I do it all the time. There's even a piece about CBT on my website. And if you go back to my post #30 in this thread, you will read:
Hi back atcha.
Understandable. I'm booked into July as well. Think about it this way. The very last thing you need at this stage of the game is a TRT clinician who can see you in a week or two. Because if she has that much available time in her schedule, likely there's a reason.
Excellent. That will give you both a chance to see if there's a fit!
Glad to do it. If you were in my shoes, you'd do the same.
Good idea. I'm a huge believer in CBT. As a matter of fact, a few years ago on another board a guy accused me of being a CBT shill. Really. Me, a CBT shill! I kid you not. It would be funny if it weren't so sad. Seems that some folks are more fixed on making baseless accusations than on making a real difference. Perhaps its the same guys who didn't want to shower with the rest of the boys in high school after gym. I dunno. But it sure is weird.
Yea. I mentioned that problem in the last paragraph of my Post #71 above.
And what will happen if it does not cover your TRT with Dr. Brenner?
Well, the best CBT book out there is Tinnitus: A Self-Management Guide for the Ringing in Your Ears. Unfortunately it is out-of-print, and whatever copies are available (new or used) are quite expensive (You can currently get a used one for around $120.)
You are most welcome.
I must say that I find it hard to believe that the very Dr. Jack Vernon could/would have made such a promise. I am not saying he didn't make it; I am saying that I find it hard to believe, and implicitly therefore, I find it 'unfortunate' if he indeed did do so. To my knowledge, back in the late 1990s, there was not a single treatment in the pipeline aimed specifically at treating tinnitus. Auris Medical was - to my knowledge - the very first pharma established with the aim of developing a drug specifically against tinnitus (and that company was established in 2003).
Danny Boy, back in the late 1990s the research community and the tinnitus sufferers of the day were just as excited about what they had going on at that time as the research community and the sufferers of today are about what we have going on with potassium channel openers and the like right now. Today in 2015 it is so very easy to say that tinnitus research was in its infancy back then, and it was! We have come so far. But I wonder what we will be thinking fifteen years from now in 2030 if there still is not a cure, which unfortunately is a real possibility. What we will be thinking in 2030 is that tinnitus research was still in its infancy back in 2015. We will be thinking in 2030 that we have come so far since all the excitement in 2015 about potassium channel openers. We will be thinking in 2030 about how naive we were back in 2015. We may still not have that cure in 2030, but we will be confident that we will have one within five years. Just like Dr. Vernon was confident we would have one within five years way back in the late 1990s.
You are absolutely entitled to your opinions about TRT. Fortunately that does not make those opinions accurate.
Shatner had T, and now he has t. Same for me. But our tinnitus has not changed in the least. Shatner and I have changed, but not our tinnitus.
You can keep on disagreeing with people all you like, but there's nothing factual about anything you're saying here. Meaning, it's an opinion, and others are going to continue disagreeing, because they have a totally different existence and experience.
You are right. The principles I have been discussing do not apply to pain and temperature. Those phenomena have unique neurological pathways. But they most definitely apply to those sensations that do not involve pain and temperature.
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