tinnitus today june 1993 vol 18, no 2

23
APF@ <994 ROJPH@ <7* FPHM@] = Uiffitus Uoely UG@ AOP]FLJ OB UG @ LH@]IDLF UIFFIUPT LTTODILU I OF -Uo dlrry of lfe support r`s`lrdg lfe `eudltioflj ldtiviti`s r` j l ti fk to tg` tr`lth`ft ob tiffitus lf e otg`r e`b`dts or eis`ls`s ob tg` ` lr& - If tgis issu`1 Hissiof =3 3 3 ( Ug` M `k iff i f k o b tg ` @fe U if f itus Luriuh U yp`s ob G `lrifk Jo ss ] `su j ts ob t g ` Auf ` < 99= T u rv`y

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Page 1: Tinnitus Today June 1993 Vol 18, No 2

7/23/2019 Tinnitus Today June 1993 Vol 18, No 2

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APF@ <994 ROJPH@ <7* FPHM@] =

Uiffitus UoelyUG@ AOP]FLJ OB UG@ LH@]IDLF UIFFIUPT LTTODILU IOF

-Uo dlrry of lfe support r`s`lrdg lfe `eudltioflj ldtiviti`s r` jltifkto tg`

tr`lth`ftob

tiffituslfe

otg`r e`b`dtsor

eis`ls`sob

tg` `lr&

-

If tgis issu`1

Hissiof =333 ( Ug` M`kiffifk ob tg` @fe

Uiffitus Luriuh

Uyp`s ob G`lrifk Joss

]`sujts ob tg` Auf` <99= Turv`y

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-DOSIFK [IUG UIFFIUPT-»

` TU]@TT HLFLK@H@FU ~ U]@LUH@FU

` UIFFIUPT HLFLK@H@FU IT ObU@F

DOHSJIDLU@E MY LFWI@UY LFE TU]@TT

` FO[ L PFI\P@ DLTT@UU@ S]OK]LH IT

LRLIJLMJ@ E@TIKF@E UO S]ORIE@ ELIJY

]@IFBO]D@H@FU LFE TPSSO]U b]OH UG@

TU]@TT Ob UIFFIUPT [IUGOPU DOHSJ@W

IFTU]PH@FULUIOF ~ RLJPLMJ@ OBBID@ UIH@

Ug`r` is l krowifk ift`r`st if psydgojokidlj h`tgoes ob tiffitusdoftroj sudg ls syst`hltid r`jlxltiof prod`eur`s wgidg g`jp tg`plti`ft dop` witg tg` t`fsiof ob tiffitus&

Tuma`dts witg tiffitus lr` m`ifk tlukgt wlys to r`jlx ls plrt ob ltotlj tiffitus prokrlh wgidg hly ifdjue` g`lrifk lies* tiffitushlsn`rs lfe prokr`ssiv` husd&` r`jlxltiof mls`e of prifdipj`s ob

dofeitiofifk& ]`jlxltiof prod`eur`s lr` usuljjy `lsijy hlst`r`e lfe dlf m` p`rborh`e elijy if tg`plti`fbs goh` fvirofh`ft It gls m``f e`hofstrlt`e tglt tg` r`jlxltiof r`spofs` dlf r`j`ls` husdj`t`fsiof* jow`r mjooe pr`ssur` lfe sjow g`lrt lfe mr`ltg rlt`s&

L r`jlxltiof h`tgoe gls m``f e`v`jop`e `ftitj`e H`trofoh` Dofeitiof`e ]`jlxltiof 'HD]) wgidggls sudd`ssbujjy tr`lt`e bor hlfy y`lrs dgrofid plif* t`fsiof g`leldg`s* ifsohfil lfe hlfy otg`rdofeitiofs&

Ug` prokrlh dofsists ob of` dlss`tt` tlp` ob H`trofoh` Dofeitiof`e ]`jlxltiof lfe two leeitiofljtlp`s ob ufiqu` hlsnifk soufes wgidg glv` e`hofstrlt`e sumstlftilj m`f`bit wg`f`v`r tg` plti`ftb``js tg` f``e ob leeitioflj r`ji`b& Ug`s` r`doreifks dlf m` us`e to ifeud` sj``pifk or ls l sootgifkmldnerop bor ldtivity lfe dlf m` pjly`e of l sihpj` portlmj` dlss`tt` pjly r&

LP& O]OI,&]T HPTU Mj,& LDDOHSFIII,&E 2Y

3<<,&3Z RITL& HLTUI,&NL]O* O] IFTUhAUIOFLJ S&O&

[LFU@E, G@L]IFK(LIET

LFE I O] HLTN@]T

IF LFY DOFEIUIOF

2;92 HL]N`U TU&* PSS@] EL]MY* PL <937=

Sgof` '=<0) 40=(3233

Ibyou glv` `v`rwofe`r`e wglt to eo witg tgos` lies tglt lr` au st sittifk if tg` erlw`r* trufn fo burtg`r&

LUL wijj m` glppy to r`d`iv` tg`h& Eofltiofs to LUL lr` tlx e`eudtimj`* lfe w`+jj provie` l r`d`ipt&

Tihpjy pldnlk` tg`h up dlr`bujjy 'l shljj plee`e hlijifk mlk is bif`) lfe s`fe to1

LUL* SO Mox 0* Sortjlfe* O] 9;=3;& Ib you lr` usifk PST or lfotg`r ljt`rflt` sgipp`r(

our str``t leer`ss is <2<7 T[ Birst Lv`fu`*$5<;* Sortjlfe* O] 9;=3<* t`j`pgof` '034)=57(9970&

[glt glpp`fs to tg` lies you turf if? If soh` dls`s tg`y dlf m` r`plir`e lfe kiv`f to p`opj` if

ufe`re`v`jop`e douftri`s& @v`f ib tg`y dlf+t m` r`(us`e ls is* tg` plrts lr` f``e`e bor r`plirifk otg`r lies&Ljso* tg` pjlstid dlf m` r`dydj`e& Your oje lie douje kiv` soh`of` tg` kibt ob g`lrifk, G`r` +s l tglfn(you

j`tt`r broh l plti`ft ob tg` Or`kof G`lrifk ]`s`lrdg D`ft`r wg`r` soh` lies lr` s`ft1

E`lr Er& ]`idg* b wisg to `xpr`ss hy lppr`diltiof bor m`ifk tg` r`dipi`ft oblf Lueiotof` g`lrifk lie witg tiffitus hlsn`r& I

glv` gle kr`lt joss ob g`lrifk if tg` plst 0 y`lrs lfe glv` gle fo r`ji`b roh dofv`ftioflj g`lrifk lie lk`fts& I lh v`ry

lppr`diltiv` obMom Aogfsof+s tgoroukgf`ss lfe `xp`rtis`& G` is v`ry nfowj`eklmj` lfe g`jpbuj to tgos` obus witgout tg` lmijity

to r`sojv` g`lrifk promj`hs if tg` rflrn tpjld`& Tifd`r`jy* HK

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tfft@eitorilj lfe lev`rtisifk obbid`s1Lh`ridlf Uiffitus Lssodiltiof& S&O& Mox 0 Sort(jlfe*O]9;=3; Ug` Aourflj ob tg` Lh`ridlf Uiffitus Lssodiltiof@x`dutiv` Eir`dtor" @eitor1Kjoril @& ]`idg* Sg&E&@ei tor il j Levisor1Uruey Erudn`r* Sg&E&Lev`rtisifk slj`s1 LUL(LE* S& 3& Mox0* Sortjlfe* O] 9;=3; '733(245(79;7)Uiffitus Uoely is pumjisg`e qulrt`rjy if Hlrdg&Auf`* T`pt`hm`rlfe E`d`hm`r& It is hlij`e to

h`hm`rs ob Lh`ridlf Uiffitus Lssodiltiof lfe l

s`j`dt`e jist ob tiffitus subb`r`rs lfe prob`ssiofljswgo ,r`lj tiffitus& Dirdujltiof is rotut`e to =33*333lffuljjy&

Ug` Sumjisg`r r`s`rv s tg` rikgt to r`a`dt or `eitlfy hlfusdript r`d`iv`e bor pumjidltiof lfe to r`

Rojuh` <7 Fuhm`r = Auf` <994

Uiffitus* rifkifk if tg` `lrs or g`le fois`s* is `xp`ri`fd`e my lshlfy ls 03 hijjiof Lh`ridlfs& H`eidlj g`jp is obt`f soukgt my tgos` wgoglv` it if l s`v`r`* str`ssbuj* or jib`(eisruptifk borh&

Doft`fts

a`dt lfy lev`rtisifk e``h`e ufsuitlmj` borUiffitus

Uoely& Ldd`ptlfd` ob lev`rtisifk my Uiffitus Uo( 5ely eo`s fot dofstitut` feors`h`ftob tg` levdr»

Broh tg` @eitormy Kjoril ]`idgis`r* its proeudts or s`rvid`s& for eo`s Uiffirus

Uoely hln` lfy djlihs or kulrlft``s ls to tg` ld( 0durldy or vljieity ob g` lev`rtis`r+s obb`r& Ug`

opifiofs xpr`ss`e my ooftrimutors to Uiffitus Uo(

ely lr` fot f`d`sslrijy tgos` ob tg` Sumjisg`r& `ei(

tors& stlbb& or lev`rtis`rs& Lh`ridlf Uiffitus 9Lssodiltiof is l fof(probit guhlf g`ljtg lfe w`i»blr` lk`fdy ufe`r =2 PTD 03< 'd)'4)Dopyrikgt <994 my Lh`ridlf Uiffitus Lssodil

tiof& Fo plrt ob gis pumjid4<ioo hly m` r`proeud`e& stor`e if l r`tri`vlj syst`h* or trlfshitt e

if lfy boff& or my lfy h`lfs* witgout tg` priorwritt`f p`htissiof ob g` Sumjisg`r&jTTF1 379;(2427

Tdi`ftibid Levisory Molre

]oflje K& Lh`e``& HE* F`w Orj`lfs* JL]om`rt @& Mruhh`tt* SgE* Sortjlfe* O]

Aldn E& Dj`his& HE& Dgidlko& <<&

Aogf ]& @hh`tt* HE& H`hpgis* UFMlrmlrl Kojest`if* Sg&E&* F`w Yorn& FY

]idglre J& Kooe`& HE& Ttlfbore* DL

Dgris M& Bost`r* HE& Tlf Ei`ko& DLAogf [& Gous`& HE& Jos Lfk`j`s* DL[& B& T& Goph i`r& Tt& Jouis& HO]om`rt H& Aogfsof& SgE* Sortjlfe*O]Klj` [& Hijj`r* HE& Difdifflti& OG

A& Klij F``jy& HE& Tt& Jouis* HO

A`rry Fofg`h& SgE& E`fv`r* DO]om`rt @&Tlfejif* SgE& Tlf Ei`ko& DL

<3

<<

<0

<;

<7

<9

=3

Ug` Hissiof Gls M`kuf

iftroeudifk Mr`ft ]& How`r

Kroup Tdoop

my Mlrmlrl Ulmldgfidn

Hissiof =333 ( Ug` M`kiffifk ob tg` @fe

my Mr`ft]& How`r

]`sujts ob tg` Auf` <99= Turv`y

my Kjoril ]`idg

Uiffitus Luriuhmy Aly HdTple`f

H``tifks Ppelt`

my Sltridil Elkk`tt " Kjoril ]`idg

Moon ]`vi`w

my Uruey Erudn`r

Soift ob Ri`w

my Sluj Kutg* ]of Lh`e``* " Aogf ]is`y

Uyp`s ob G`lrifk Joss

my ]oflje K& Lh`e`` lfe Uyf`s @& Hixofmrlmlft Tgujhlf& HE& Mroonjyf* FYHlfsbi`je Thitg* HE& Tlo Aos`& DLGlroje K& Ulmm* HE& F`w Orj`lfs* JL

Ljbr`e [`iss* HE& Mostof& HLGoforlry Molre

]`kujlr B`ltur`s

T`fltorHlrn 3& Gltbi`jeHr& Uofy ]lfelP

Molreob Eir`dtors@ehufe Krossm`rk& Dgidlko* P&&

Elf ]om`rt Godns& Sortjlfe& O]]om`rt H& Aogfsof& SgE& Sortjlfe* O]Sgijip 3& Hortof& Sortjlfe* O]Llrof j Osg`row* Tt& Jouis& HOKjoril @& ]`idg& SgE* Sortjlfe* O]

Ugohls [issmluh& DSL* Sortjlfe& O]

27==

=4

\u`stiofs " Lfsw`rs

H`eil [ltdg1 Uiffitus if tg` F`ws

Urimut`s* Tpofsor " Dorporlt` H`hm`rs* Srob ssioflj

Lssodilt s* Tp`dilj " Hltdgifk Kibts

Moons Lvlijlmj`* Eofltiof Borh

Dov`r pgotokrlpg* -Soppi`s- my Alf HdFlukgtof* l Sortjlfe jlfesdlp` lfe wije

jib` pgotokrlpg`r& '034) 209(<2<7&

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Broh tg` @eitor

my Kjoril @& ]`idg* Sg&E&* @x`dutiv` Eir`dtor*

Lh`ridlf Uiffitus Lssodiltiof

F`ws ]`j`ls`s

LUL lffoufd`s two krlfts bor stuei`s r`jltifk to tg` h`dglfishs ob tiffitus& Hlrklr`t Alstr`mobb lt tg` Pfiv`rsity ob Hlryjlfe wls lwlre`e%<0*333 bor tg` stuey -Uiffitus(r`jlt`e pjlstiddglfk`s witgif tg` lueitory pltgwlys ifeud`e myjodljiz`e elhlk` ob tg` dodgj`l my fois` lfe r`v`lj`e my d(bos `xpr`ssiof&- Llk` H,=Tjj`r lt Pfiv`rsity ob Sittsmurkg r`d`iv`e %<3*327 bor -Ug`pltgopgysiojoky ob tiffitus&- [g`f tg`s` LU Lbufe`e stuei`s glv` m``f dohpj`t`e you wijj m`lmj` to r`le lmout tg`h if Uiffitus Uoely&

Ug` E`plrth`ft ob @eudltiof r`d`ftjy lffoufd`e l krlftob f`lrjy %2*333*333 to tg` Or`kofG`lrifk ]`s`lrdg D`ft`r bor tg` stuey ob g`lrifkjoss& Ugis d`ft`r* ufe`r tg` eir`dtiof obEr& Aldn L&R`rfof* gls m``f ldtiv`jy ifvojv`e if tiffitus r`s`lrdg sifd` tg` `lrjy <9;3s&

E`lbf`ss ]`s`lrdg Boufeltiof lffoufd`s lfgofor`e krlft lwlre ob %<0*333 to Hlrn @& [lrdgoj* Sg&E&* E`plrth`ft ob Otojlryfkojoky* Pfiv`rsity ob Rirkifil* bor stuei`s r`jltifk to tg`r`k`f`rltiof ob s`fsory glir d`jjs& Bor tgos` ob uswitg s`fsori(f`urlj g`lrifk joss* tgis r`s`lrdg provie`s gop` lfe l sikfibidlft -birst st`p- bor tg``v`ftulj r`storltiof ob g`lrifk&

Ifborhltiof broh tg` Fltioflj Ifstitut` ofE`lbf`ss lfe Dohhufidltiv` Eisore`rs ifeidlt`stglt if Bisdlj <99=* bour krlfts w`r` hle` glvifkto eo witg tiffitus& H`rrijyff S`ff`r lt tg` Pfiv`rsity ob Hlryjlfe r`d`iv`e %70*0;7 bor tg` stuey-Uiffitus if plti`fts witg s`fsorif`urlj g`lrifkjoss&-> Slw`j Alstr`mobb lt tg` Pfiv`rsity obHlryjlfe r`d`iv`e %0<7*==0 bor two stuei`s* -H`dglfish ob tiffitus-* lfe -Sglftoh S`rd`ptiof&-FIEDE ljso jist`e if tgis dlt`kory l krlft ob

%<=0*<9= to N& G& Iwlsl lt FIG bor tg` stuey-Miopgysidlj stuey ob s`fsory trlfseudtiof h`dglfishs&-

[gij` w` lr` `xtr`h`jy pj`ls`e to s`` tg`lmov` stuei`s m`ifk dofeudt`e* w` lr` lppljj`e tor`ljiz` tglt tg` FIEDE is sp`feifk j`ss tglf &330ob tg`ir muek`t bor tg` stuey ob tiffitus& 'Uiffitus

5 Uiffitus Uoely/Auf` <994

r`pr`s`fts lmout =3 ob tg` promj`hs dov`r`etg`FIEDE,)

Dohh`fts1

Of Lprij =2tg I klv` t`stihofy m`bor`T`flt` sum(dohhitt`` of lppropriltiofs if wgI lsn`e tg` dohhitt`` to support bujj bufeifk tg` FIEDE& Ug` FIEDE is tg` prifdiplj sourd`bufeifk bor g`lrifk lfe tiffitus r`s`lrdg& I lr`hife`e tg` dohhitt`` ob tg` jldn ob ltt`ftm`ifk plie to tiffitus my tg` FIEDE& Ug` slh` eI lsn`e two j`kisjltors broh Or`kof wg`tg`r tg`v`r r`d`iv`e hlij broh dofstitu`fts lmout g`lrpromj`hs or r`s`lrdg bufeifk& Motg slie -fo-& Oob tg`h r`hlrn`e tglt ib tg`y r`d`iv`e <03 j`ttlmout l topid tg`y toon it v`ry s`riousjy& Otj`kisjltors promlmjy wouje glv` sihijlr dohh`f

I dlf+t r`ldg tg`h my hys`jb, Sj`ls` writ` to ys`fltors lfe dofkr`ssh`f& U`jj tg`h you whor` kov`rfh`ft spofsor`e r`s`lrdg to bife l dbor tiffitus> t`jj tg`h you wlft tiffitus tr`lth`dov`r`e my your g`ljtg ifsurlfd`> t`jj tg`h yowf story && lfe EO IU FO[,

TgortFot`s1

I+e jin` to `xpr`ss hy p`rsoflj tglfns toGyltt Got`js bor tg`ir `lrjy dohpjilfd` witg Lh`ridlfs witg Eislmijiti`s Ldt& Of two r`dstlys 'Jos Lfk`j`s lfe [lsgifktof* ED)* hy rowls `quipp`e witg l t`j`pgof` glfes`t lhpjibvisimj` bir` ljlrh* lfe m`st ob ljj* dlptiof`e UR&sur` to lsn bor tg`s` lh`fiti`s wg`f`v`r you dg`ifto l got`j&

FIEDE Levisory molre gls l f`w dglir*Tt`pg`f @pst`if& Er& @pst`if is l sp`diljist if p`ltrid otojoky& G` r`pjld`s K`rljeif` Ei`tz Box wgls s`rv`e bour t`rhs ls dglir ob tgis Molre&

Lj`xlfe`r Krlglh M`jj Lssodiltiof borE`lb gls l f`w mrodgur` lmout Dodgj`lr Ihpjlf

Doftldt1 '=3=) 44;(0==3Fltioflj Lssodiltiof ob tg` E`lb1 Mi`ff

Dofv`ftiof if Nfoxvijj`*UF Aujy 5(<3*<995& Dtldt1 '2<0) 0;;(=<09'v)

FIEDE Dj`lrifkgous` bor ifborhltiof1733(=5<(<355 'R)* or <(733(=5<(<300 'UEE(U

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, &g` Hissiof Gls M`ku_f( ( 8 8 8 8 8 8 8 8 8 8

Iftroeudifk Mr`ft ]& How`r* E`v`joph`ft Eir`d(

tor* Lh`ridlf Uiffitus Lssodiltiof

Ug` brlh`worn bor of` ob tg` host `xditifkv`ftur s `v`r tln`f my LUL gls m``f `stlmjisg`e&

Hissiof =333 wijj j`le us ifto tg` f`xt d`ftury

glvifk r`ljiz`e hlaor mr`lntgroukgs bor tiffitussubb`r`rs ( witg kr`lt gop` tglt tiffitus subb`rifkwijj `fe& Ug` koljs ob Hissiof =333 hly s``h`jusiv`* mut witg your support* eijik`fd` lfe p`rsoflj bbort* w` dlf lddohpjisg ldg ob tg`h& [itgdofvidtiof& [itg prie`& [itg `forhous sltisbldtiof&

Ug` worn hust fow m`kif&

Uo ldgi`v` host ob tg` koljs s`t bhtg ifHissiof =333 wijj r`quir` hof`y (sumstlftilj suhsob hof`y& Uo tglt `fe* LUL r`d`ftjy dr`lt`e tg`

positiof ob E`v`joph`ft Eir`dtor to aoif its fltioflj stlbb&

Kjoril ]`idg w`jdoh`s Mr`ft How`r toLUL stlbb&

Mr`ft ]& How`r wls s`j`dt`e to bijj tg` positiof& Gis prihlry r`spofsimijiti`s ifdjue` buferlisifk* h`eil lfe pumjid r`jltiofs* lfe `eudltifk tg`pumjid lmout tiffitus& Mr`ft doh`s to LUL brohdorporlt` Lh`ridl* glvifk host r`d`ftjy g`je tg`positiof ob Eir`dtor ob Oddupltioflj lfe @fvirofh`ftlj ]isn Hlflk`h`ft witg Pfiof Sldibid ]lijrole Dohplfy& Gis worn witg LUL wijj m` sglr`e

witg you ls l r`kujlr b`ltur` dojuhf if Uiffitus

Uoel&1k*

HITTIOF =333

LUL wijj hlxihiz` its `bborts to `feor sumstlftiljjy ljj`vilt` tiffitus

subb`rifk my tg` y`lr =333 tgroukg1

!Ifdr`ls`e hlaor r`s`lrdg

!Sumjid `eudltiof

!Leeitioflj s`jb(g`jp lfe support

kroups

Uiffitus subb`r`rs* tg`ir blhiji`s lfe tg` prob`ssiofljs wgo worn witg tg`h elijy glv` m``f l

tr`h`feous support to tg` worn ob LUL& LUL`xists toely jlrk`jy m`dlus` ob your doftrimutiofs&Mut to sudd``e if `feifk tiffitus or sumstlftiljjyljj`viltifk tg` promj`hs lssodilt`e witg it wijjr`quir` hijjiofs ob eojjlrs hor`& [`+r` koifk tojoon to ifeustry* kov`rfh`ft* lfe supportiv` boufeltiofs bor biflfdilj lssistlfd`& [`+r` koifk to

r`ldg tg` hijjiofs ob otg`r tiffitus subb`r`rs wgoeof+t y`t nfow lmout LUL* to sojidit tg`ir support

bor tg` dlus`& Lfe w`+jj lsn youto

eik e``p`r* mutw`+jj sgow you wglt you dlf `xp`dt if r`turf&

Ugos` eojjlrs wof+t m` `lsy to doh` my& Ug`dohp`titiof bor eofltiofs is bi rd & Mut witg yourg`jp if hlnifk p`rsoflj doftldts* k`ttifk tg` h`sslk` out* lsnifk otg`rs to g`jp support LUL* lfeputtifk LUL if toudg witg p`opj` wgo dlf g`jp us

r`ldg ifeustry* kov`rfh`ft* pgijlftgropid orklfizltiofs lfe tg` k`f`rlj pumjid* w` dlf k`t our blirsglr` ob doftrimutiofs& If tg` dohifk hoftgs*w`+jj sgow you gow to hln` tg`s` vljulmj` dof

tldts&

Uok`tg`r* witg your e`eidltiof* p`rs`v`rlfd`lfe tih`* w` dlf m`lt tiffitus ls w` r`ldg lfe

d`j`mrlt` Hissiof =333&

Uiffitus Uoely/Auf` <994 T

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\u`stiofs lfe Lfsw`rs

AldnL& R`rfof* Sg&E&* Eir`dtor* Or`kofG`lrifk

]`s`lrdg D`ft`r

I lh v`ry pj`ls`e lfe soh`wglt surpris`e to bifetglt so hlfy ob you r`le tg` aourflj Tdi`fd`& Jlst

hoftg Tdi`fd` doftlif`e two lrtidj`s eisdussifktg` r`k`f`rltiof ob iff`r `lr glir d`jjs& Pfbortuflt`jy* tg`s` r`ports w`r` plss`e ljofk my soh` ob

tg` jly pr`ss if tg`ir typidlj erlhltid lfe hisift`rpr`t`e hlff`r& Hlfy ob you wrot` if* ditifk tg`Tdi`fd` lrtidj`s* to lsn ib tgis h`lft tglt tiffituswouje m` `jihiflt`e wg`f glir d`jjs w`r` r`k`f`rlt`e& Ug`r` is l s`rious hisufe`rstlfeifk g`r`& Bortg` host plrt* tg` lvilf 'mire) worje dlf doftifuousjy r`k`f`rlt` jost iff`r `lr glir d`jjs tgroukgout

tg`ir jib`& [g`f tg` iff`r `lr glir d`jjs ob tg`

dgidn`f lr` e`stroy`e my `itg`r ototoxid eruks orjoue fois` `xposur` tg`y lutohltidljjy r`k`f`rlt`

lfe tg` g`lrifk e`bidit lpp`lrs to m` r`dov`r`e&Uglt is to sly* tg` r`k`f`rlt`e glir d`jjs s``h tobufdtiof forhljjy& Pfbortuflt`jy* tg` slh` tgifk

eo`s fot glpp`f if tg` hlhhljilf lr& Ug` guhlfdlffot lutohltidljjy r`k`f`rlt` elhlk`e or e`leiff`r lr glir d`jjs& Gow`v`r* Er& Bork` lt Pfiv r

sity Dojj`k` if Jofeof lfe Er& Dorwif lt tg`Pfiv`rsity ob Rirkifil glv` boufe r`k`f`rltiof ob

v`stimujlr 'mljlfd`) glir d`jjs broh if vivo pr`pl

rltiofs if tg` hlhhljilf `lr& Ljso* lt tg` Pfiv`rsity ob Rirkifil* lf ifv`stikltor flh`e Hlrn[lrdgoj is wornifk of tgis promj`h& To blr g` glsm``f lmj` to r`k`f`rlt` glir d`jjs broh tg` v`stimujlr 'mljlfd`) portiof ob tg` kuif`l pik+s `lr lfe tg`leujt guhlf `lr '`lrs e`stroy`e if vitro* tglt is* ifl t`st tum` lfe guhlf projib`rlt`)& Lt tgis poift ifgis ifv`stikltiofs* g` eo`s fot nfow ib tg`s` r`k`f`rlt`e d`jjs lr` bufdtioflj or fot& It is ufnfowf ib

tg` f`d`sslry f`rv` bim`rs wijj m`doh` lttldg`e to

tg` r`k`f`rlt`e glir d`jjs& [ijj tg`s` glir d`jjs m`lm j` to trikk`r birifk ob tg` f`rv` d`jjs? Ug`r` lr`*ls you dlf s``* hlfy dohpjidltiofs m`yofe tg`

sihpj` ldt ob glir d`jj r`k`f`rltiof& Mut j`t+s tln`tg` optihistid vi`w lfe lssuh` tglt if tg` butur` it

wijj m` possimj` to dlus` elhlk`e or e`le iff`r lr

glir d`jjs to m` r`pjld`e my r`k`f`rlt`e glir d`jjs&[ouje tglt h`lf l dur` bor tiffitus? I b g` tiffituswls proeud`e my soh` sort ob ldtiof ob tg` elrf(

2 Uiffitus Uoely/Auf` <994

lk`e glir d`jj tg`f r`k`f`rltiof wouje promlh`lf lt j`lst l r`eudtiof lfe p`rglps `jihiflob tg` tiffitus& Gow`v`r dofsie`r tgis1 I b tg`d`jjs lr` e`le* tg` possimijity ob tg`h dlusifk

ldtiv` prod`ss wgidg proeud`s l doftifuifk tiffs``h ufjin`jy& Ugus* r`k`f`rltiof 'r`pjld`h`ftgos` e`le d`jjs hly fot glv` lfy `bb`dt u

tiffitus m`yofe tg` poift tglt ihprov`e g`leo`s s``h to r`eud` tg` ift`fsity ob host tiffpromlmjy eu` to tg` ihprov`e hlsnifk provie`m`tt`r g`lrifk ob `fvirofh`ftlj soufes&

Ug` pr`s`fd`or lms`fd` ob iff`r `lr glir dhly m` r`jlt`e to tiffitus mut tg` pjlif trutg obhltt`r is* w` eo fot nfow gow glir d`jjs lrr`jlt e& Of` tgifk is omvious> tg` h`r` pr s`fdiff`r `lr glir d`jjs eo`s fot ifsur` tglt tiff

dlffot m` pr`s`ft&

[gij` hlfy* ib fot host* tiffitus pltiwouje kjlejy vojuft``r to s`rv` ls kuif`l pikstiffitus r`s`lrdg it is f`v`rtg`j`ss tg` dls`

worn of tg` r`k`f`rltiof ob iff`r `lr glir df``es lf lfihlj hoe`j ob tiffitus witg wgiddofeudt `xp`rih`fts& Slw`j Alst`rmobb lt tg` P

v`rsity ob Hlryjlfe gls sudg lf lfihlj husifk tg` rlt lfe* ls I s`` it* g` lfe Hlrn [lrd

f``e to dohmif` tg`ir `bborts lt soh` poift ifbutur`&

Ls lf ov`rljj `vljultiof ob tg` possimijitr`k`f`rltiof ob iff`r `lr lueitory glir d`jjs borguhlf* I wouje sly tglt it is xd`jj`ft& ]`spofsifv`stikltors lr` wornifk of tgis promj`h mut Ifot v`ry slfkuif` lmout tg` outdoh`s& ]`h`htg` guhlf iff`r `lr is promlmjy of` ob tg` hdohpj`x lfe hifilturiz`e mio`j`dtrofid orknfowf to hlf& ]`pjldifk soh` hissifk plrtof` nife ofjy hly m`* lt m`st* tg` birst st`p if l v

dohpj`x r`plir aom&

E`lr r`le r* borkiv` tg` jofk glrlfku`& Fow

us prod``e to hor` dustohlry \+s " L+s&

\& I w`lr l DSLS 'Doftifuous Sositiv` Sr`ssur`) lt fikgt bor sj``p lpf`l lfe m`dlus`DSLS hln`s l fois` I eo fot f``e leeitihlsnifk if ore`r to sj``p& Lr` tg`r` otg`r tiffplti`fts wgo us` DSLS* lfe douje tg` dofspr`ssur` ljj fikgt jofk glv` lf ifbju`fd` upof

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\u`stiofs lfe Lfsw`rs

tiffitus? If leeitiof* I r`d`ftjy wls levis`e to try

M"M UIFDUP]@& I glv` fow tri`e it bor t`f elyslfe tg` gissifk is e`bifit`jy r`eud`e& I e`bifit`jyr`dohh`fe it& Hrs& M& if Dljiborfil&

L &Eof+t sdobb& Ls you nfow I t`fe to eisdr`eitr`ports lmout flturlj h`eidltiofs sudg ls M"MUifdtur` lfe sihijlr it`hs& Gls lfyof` `js` glelfy `xp`ri`fd` witg tgis proeudt? Lr` tg`r` otg`rDSLS us`rs wgo hly glv` soh` ifsikgt bor Hrs&

M?

\Hlfy ob you glv` writt`f if to lsn lmout tg`Jls`r Ug`rlpy bor tiffitus& Ugroukg tg` kooe obbid`s ob LUL w` omtlif`e l dopy ob tg` jls`rtr`lth`ft bor tiffitus `ftitj`e -Tdi`ftibid @xpjlfltiof obJls`r Ug`rlpy Dohmif`e witg Kifnko Sjlft@xtrldt if tg` Ur`lth`ft obUiffitus- (ljj writt`f if

K`rhlf wgidg LUL gle trlfsjlt`e&

L & glv` r`le tg` trlfsjltiof lt j`lst tgr`` tih`s*lfe I stijj eo fot nfow wglt tg`y eo& I eo fot nfowgow tg` jls`r is us`e& Ug`y djlih to sikfibidlftjy

ihprov` or dur` e`bidi`ft g`lrifk if 22&5% ob tg`plti`fts& Ug`y ljso djlih to sikfibidlftjy ihprov`or dur` tiffitus if 24&;% ob tg` plti`fts tg`y s``& Iglv` l jot ob troumj` ufe`rstlfeifk gow tg`y lr`usifk tg` jls`r or wglt tg`y lr` eoifk m`yofe tg`

bldt tglt tg` plti`ft is r`tlif`e if tg`ir gospitlj bortwo to tgr`` w``ns if ore`r to r`d`iv` tg`rlpy& I blfy ob you glv` m`tt`r ifborhltiof* wouje you

pj`ls` sglr` it witg us?

\&Hs& E& broh Dljiborfil lsns1 [glt lr` tg``bb`dts ob hlriaulfl of tiffitus? Eo`s it dlus`tiffitus or ljj`vilt` tg` syhptohs or motg?

L &[` ofd` gle `j`v`f plti`fts wgo lehitt`e totg` us` ob hlriaulfl& Ppof l trilj d`ssltiof ob

hlriaulfl* bour plti`fts fot`e l sikfibidlft erop if

tg` j`v`j ob tg`ir tiffitus 'I wisg I gle h`lsur`e tg`jouef`ss if motg dls`s)* two plti`fts gle tg` tiffitus ko dohpj`t`jy lwly& Ugr`` plti`fts boufe tg`ydouje fot witgerlw broh hlriaulfl* lfe two plti`fts blij`e to r`port& Ofjy of` plti`ft tgoukgt tglthlriaulfl gle stlrt`e tg`ir tiffitus& Ug` r`hlififkplti`fts ifeidlt`e tglt tg`y gle tiffitus prior tousifk hlriaulfl lfe boufe tglt usifk hlriaulfl

`xld`rmlt`e tg` tiffitus& Ug`r` is y`t of` hor`plti`ft* l prisof`r* wgo r`bus`e to kiv` up hlriaulfl to s`` ib tglt r`eud`e gis tiffitus& 'Gow if tg`g`dn eo`s l prisof`r k`t hlriaulfl?)

\&Hs& N& if [isdofsif writ`s* -Hy tiffitus

stlrt`e lbt`r nf`` surk`ry& Douje tg` surk`ry glv`dlus`e it? Ug`r` wls l jot ob str`ss lt tglt tih` sodouje it glv` dlus`e it? Or douje it glv` m``f lvirus?

L & eof+t s`` gow nf`` surk`ry douje glv`dlus`e your tiffitus& Gow`v`r* ib k`f`rlj lf`stg`sil wls utijiz`e* tglt hly glv` eisrupt`e soh`gikg`r mrlif prod`ss`s wgidg ifitilt`e tg` tiffitusmut tglt is fot v`ry jin`jy& Ttr`ss dlf `xld`rmlt`tiffitus mut I eoumt tglt it dlf dlus` it& Lt j`lst Ieof+t nfow ob l h`dglfish tglt wouje ljjow str`ssto dlus` tiffitus& L virus is ljwlys l possimijity mut

tglt soufes too hudg jin` tg` `lsy lfsw`r eo`sf+ tit? If our Uiffitus Eltl ]`kistry w` bife tglt 5;%ob tg` plti`fts eo fot nfow ob lfytgifk wgidg wlslssodilt`e witg tg` stlrt ob tg`ir tiffitus& I r`ljiz`tglt hlfy plti`fts ifquir` ls to wglt hly glv`stlrt`e tg`ir tiffitus* lfe tglt is l r`lsoflmj` tgifkto lsn ib tg` hotivltiof is to lvoie tglt it`h if tg`

butur`& Mut tg` hlif tgifk if hy hife is tgltr`klrej`ss ob tg` dlus`* j`t+s s`` wglt dlf m` eof`

to r`ji`v` tg` tiffitus&

\& fe sp`lnifk ob r`ji`vifk tiffitus* Hr& T& ifOgio writ`s tglt pr`ssur` lt tg` broft ob gis alw or

tg` top ob gis g`le stops gis tiffitus& Lfe g` lsnseo`s tgis sukk`st l p`rhlf`ft tr`lth`ft?

L &Ug` bldt tglt pr`ssur` of tg` alw stops tg`tiffitus sukk`sts tglt soh` sort ob UHA promj`hhly m` ifvojv`e* lfe you sgouje s`` l e`ftist wgosp`diljiz`s if UHA promj`hs& Ljso* you hikgt wlftto dofsujt witg Eoukjls Horklf* E&E&T&* 435=Bootgijj Mjve&* Fo&7* Jl Dr`sd`ftl* DL 9<=<5& Er&Horklf fot ofjy sp`diljiz`s if UHA promj`hs mutg` is `sp`diljjy ift`r`st`e if tiffitus proeud`e myUHA eysbufdtiof&

Uiffitus Uoely/Auf` <994 ;

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H`eil [ltdg

my DjibbDojjifs* Or`kof br``jlfd` writ`r&

Sj`ls` s`fe djips* ifdjueifk sourd` lfe elt`* to

H`eil [ltdg* SO Mox 0* Sortjlfe* O] 9;=3;&

Tij`fd`* bor p`opj` witg tiffitus* r`pr`s`fts lh`hory ob l e`sirlmj` stlt` tglt fow s``hs eistlft((p`rglps jin` youtg&

It is s ij`fd` (( lfe hor` obt`f tg` jldn ob it (tglt eohiflt`e tg` `lr f`ws stori`s sifd` our jlstissu`& Fois` is k`ttifk hor` lfe hor` ltt`ftiof* lfelt tg` slh` tih` lf lppr`diltiof krows bor qui`t* lvljulmj` mut rlpiejy eihifisgifk flturlj r`sourd`&

Koreof G`hptof ob T`lttj` is hlnifk l drusle` ob -op`fifk Lh`ridl+s `lrs to tg` jldn ob

qui`t*- lddoreifk to PTL [``n`fe 'Odt& =(5)& Lprob`ssioflj r`dore`r ob fltur` soufes* m` is trlv`jifk tg` douftry tryifk to eisdov`r tg` jlst qui`t

pjld`s& G` ljso wlfts to g`jp dohhufiti`s tglt stiAIglv` sudg spots pr`s`rv` tg`h& Lf oje -riv`r rlt*-

r`dljjifk gis moygooe sp`ft of tg` tg`f(qui`t Hississippi* toje G`hptof1 -I g`lre tglt sij`fd`& It+s lm`lutibuj soufe& I wlft to g`lr it lklif&-

F`ws ob fois`1 Sr`v`ftiof hlklzif` 'Alf&)rlf l jofk pi`d` of tg` ov`rljj g`ljtg `bb`dts ob

fois`& Hofn`ys mohmlre`e witg mujjeoz`r(typ`soufes e`v`jop`e gikg mjooe pr`ssur`* wgij`woh`f wornifk lt dohput`rs `hittifk tg` typidlj

gikg(br`qu`fdy tof` p`rborh`e hor` poorjy tglftgos` wornifk witg qui`t hldgif`s&

Ug` E`troit F`ws 'Alf&j <) r`port`e tglt ]yomiDorp& ob Lfe`rsof* TD* gls muijt l mltt`ry(pow`r`e* fof(pojjutifk how`r dljj`e tg` Hujdgifltortglt rufs sij`ft& Kr`lt* ib tru`& If tg` slh` f`wsplp`r 'Lprij 4)* ifeustrilj fois`(doftroj `xp`rts sliehlfy worn lr`ls glv` tln`f st`ps to qui`t`f tg`ir`fvirofh`fts* mut dofsuh`r proeudts glv` kott`f

blr joue`r& Ug` jlst two ]`pumjidlf lehifistrltiofspurpos`jy e``p(six`e fois` stlfelres bor tg`s`proeudts* tg`y slie* mut tg`y pr`eidt st`pp`e(upr`kujltiof lfe `fbord`h`ft ufe`r Sr`sie`ft Djiftof* wgidg tg`y m`ji`v` is f``e`e&

K`ttifk it mldn1 Fuh`rous lrtidj`s toje ob tg`eisdov`ry tglt glir d`jjs* tg` soufe r`d`ptors if tg`

7 Uiffirus Uoely/Auf` <994

iff`r `lr* hly m` r`storlmj` lbt`r ljj& It glsm``f tgoukgt tglt elhlk` to tg`s` d`jjs wlsv`rsimj if hlhhljs* mut sdi`ftists lr` bifeifkr`k`f`rltiof is possimj`* lt j`lst if tg` t`st t

Tdi`ftists gop` d`rtlif moey(krowtg dg`hidljstihujlt` r`krowtg& It+s prohisifk* mut my fo h

d`rtlif* tglt if tg` butur` tgis douje g`jp r`vg`lrifk joss lfe `jihiflt` tiffitus& [` dlf gtgoukg& 'T`` Er& R`rfof+s " Er& ]`idg+s dh`fts `js`wg`r` if tgis issu`&)

Gyp`rldusis ko`s pumjid1 Kooe f`ws ib

glv` gyp`rldusis* lf lmforhlj s`fsitivity or i`rlfd` to forhlj soufes& T`v`f y`lrs lbt`r tg``bborts to pumjidiz` tg` rlr` g`lrifk promj`h dotgis1 tg` birst lrtidj` if tg` popujlr pr`ss 'so b

I+h lwlr`) dirdujlt`e fltiofljjy tglt e`ljspr`ssjy witg tg` promj`h lfe us`s tg` t`rh -gyldusis&-

Ug` story* p`ff`e my l J`xifktof 'Ny&)lje(J`le`r r`port`r* probij`s l N`ftudny h

pjikgt witg soh`tgifk b`w eodtors glv` `v`r gob* j`t ljof` nfowf gow to tr`lt& Nfikgt(]i

F`ws T`rvid` pidn`e up tg` pi`d`* wgidg rlf`wsplp`rs ldross tg` douftry* lfe soh` ifdjul pgoto ob tg` plti`ft* w`lrifk ifeustrilj `lrh

Ug` birst Lh`ridlf h`eidlj(aourflj lrtidj`vot`e `ftir`jy to gyp`rldusis 'lt j`lst if r`

e`dle`s) wls p`ff`e my Er& Aldn L& R`rfof 'jisg`e <97;)& Tums`qu`ftjy* tg`r` bojjow`e ldgur` of gyp`rldusis pumjisg`e my tg` LULsurv`y ob gyp`rldusid p`opj`> lfe lf LUL hljist ob plti`fts ift`rfltiofljjy&

Broh tglt jist* lfotg`r hij`stof` e`v`jojlst y`lr1 tg` Gyp`rldusis F`tworn* l f`wsj`stlmjisg`e lfe pumjisg`e my Elf Hljdor` '[iHljdor` `xp`fes lf iforeiflt` lhouft ob gis

tih`* `f`rky lfe hof`y writifk tgis qulrt`rjyp`r& Gis `bborts glv` m``f lppr`dilt`e my tg` ds`f b`w witg tgis rlr` hljley* lfe lr` plyeivie`fes if k`ttifk tg` wore out& Sjuk iftof`tworn my writifk gih lt <=3 Urle`rs Soift JKr``f Mly* [I 0543=&

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,_g` T ` j b ( G ` j ~ Kroup Tdoop

my Mlrmlrl Ulmldgfidn*

Dji`ft T`rvid`s Dooreifltor*

Lh`ridlf Uiffitus Lssodiltiof

@v`ryely* ls I joon

lroufe lt tg` e`eidlt`e* prob`ssioflj* lfe dlrifk p`opj`

witg wgoh I sglr` hy worn

ely* I s`fs` tg` kr`ltf`ss ob

our hissiof lt LUL& Hy aom ls

LUL+s Dji`ft T`rvid`s Door

eifltor is to ifdr`ls` tg` sdop` lfe fuhm`r ob

tiffitus s`jb(g`jp kroups 'TGK+s) if tgis douftry&

Uo h`* tg` possimijiti`s s``h `fej`ss& I tgifn to

hys`jb* -[gy* tg` Kroup Bldijitltors douje orklf

iz` [ljn(L(Ugofs ljj ov`r tg` douftry* dljj tg`ir

jodlj UR stltiofs* lfe k`t h`eil dov`rlk`, Ug`ydouje hln` pr`s`ftltiofs to tg`ir jodlj sdgooj

molres to lee Uiffitus Sr`v`ftiof to tg` g`ljtg

syjjlmus if gikg sdgoojs, Ug`y douje ifvit` luei

ojokists* ldupufdturists* lfe miob``emldn sp`dilj

ists if tg`ir towfs to sp`ln lt tg`ir h``tifks lfe to

hln` eofltiofs to tg`ir kroups lfe to LUL, Ug`y

douje orklfiz` l dljj to lrhs* put of bufe rlis`rs*

lfe trlv`j to tg`ir jodlj stlt` dlpitljs to eisduss

fois` doftroj lfe tiffitus r`s`lrdg issu`s witg tg`ir

`j`dt`e obbidiljs, Ug`y douje &&- Toh`tih`s it

s``hs tglt I f`v`r ruf out ob ie`ls or `ftgusilshor `f`rky&

Mut I eo fo t glv` tiffitus& I eo fot nfow bor

hys`jb tg` pgysidlj lfe hotioflj tojj tiffitus dlf

tln`& I glv` r`le lmout tiffitus* tljn`e witg hlfy

ob you lmout your sp`dibid tiffitus* lfe j`lrf elijy

lmout tiffitus tr`lth`fts lfe r`s`lrdg& Mut you lr`

tg` `xp`rts of tg` suma`dt lfe I wijj bojjow your

j`le&

Hy ie`ls bor kroup e`v`joph`ft lfe `f

glfd`h`ft wijj m` s`ft out soof to ljj durr`ft

bldijitltors ljofk witg tg` f`wjy r`surr`dt`e TGKf`wsj`tt`r* Kooe F`ws& Ug` sukk`stiofs you+jj

bife if tgis hlt`rilj lr` aust tglt(( sukk`stiofs& Lfe

wgij` tg`y lr` prov`f to worn* ofjy you nfow gow

hudg `bbort you dlf `xp`fe toely to ihpj`h`ft

tg`h& Aust dofsie`r tg` ie`ls& I b g`y eof+t worn bor

you toely* it+s dohpj`t`jy ljrikgt& M`sie`s* tohor

row hikgt surpris` you&

[` lr` if hlfy wlys ife`mt`e to you bor tg`

str`fktg lfe krowtg ob tgis orklfizltiof& Ls kroup

bldijitltors* you glv` g`jp`e us r`ldg ldross tgis

douftry if wlys w` ljof` dlffot eo& You obb`r lf

outj`t lfe e`sp`rlt`jy f``e`e support to tgos` wgo

strukkj` witg tg`ir tiffitus wgij` l dur` is soukgt&You `fdourlk` h`hm`rsgips wgidg if tuh bufes

r`s`lrdg lfe `flmj`s subb`r`rs to r`kujlrjy r`d`iv`

tg` host durr`ft tiffitus ifborhltiof lvlijlmj`& [`

lr` ljji`s* wornifk tok`tg`r to hln` tiffitus hlf

lk`lmj` (( lfe ujtihlt`jy l h`hory&

I lh kjle to m` of tgis aourf`y witg you&

'Ib you lr` ift`r`st`e if borhifk

l support kroup if your lr`l*pj`ls` doftldt h` bor tg` f`w

T`jb(G`jp Kroup pldn`t&)

LUL stlbb ( M]* <(r* Mr`ft How`r* Slt Elkk`tt* Kjoril

]`idg* Jisl Dofnjifk* B]& <(r* Dltgi` Kj`ffof& Mlrmlrl

Ulmldmfidn* lfe Hlrifl Dzlpszys&

Uiffitus Uoely/Auf` <994 9

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E`v`joph`ft Dojuhf» ( ( ( ( ( ~ ~ 8 8 - ~ 8 8 ~ 8 8 ~ 8 8 ~

HITTIOF =333 ( UG@ M@

KIFFIFK OB UG@ @FE

My Mr`ft ]idglre How`r* E`(

v`joph`ft Eir`dtor* Lh`ri(

dlf Uiffitus LssodiltiofIt is witg l kr`lt e`lj ob

prie` lfe `xdit`h`ft tglt I aoif

tg` e`eidlt`e t`lh lt LUL& I

v`ry hudg lehir` tg` e`eidl

tiof ob Kjoril ]`idg* Slt Elk

k`tt lfe tg` hlfy otg`rs wgo

glv` kuie`e lfe support`e LUL eurifk tg` plst

two e`dle`s& [itgout tg`ir `bborts* LUL wouje

f`v`r glv` r`ldg`e tgis piffldj`&

It is tg`ir visiof tglt I host lehir`& Risiof ob

l sojutiof& Risiof ob wglt tiffitus subb`r`rs hostwlft& Hissiof =333 is tg` typ` ob visiof host

orklfizltiofs er`lh ob e`v`jopifk* mut obt`f f`

kj`dt& Lt LUL* w` glv` tg` visiof lfe tg` hlp& Hy

purpos` is to tln` tglt lfe hln` it r`ljity& I+jj m`

e`v`jopifk tg` pjlfs so tglt you lfe I* ls l t`lh*

dlf `x`dut` l e`bifitiv` pjlf ob ldtiof wgidg wijj

j`le us to h``t tg` dgljj`fk`s ob Hissiof =333&

I+jj m` joonifk bor `v`ry possimj` sourd` ob

bufeifk w` dlf bhe& I+jj m` dljjifk of t`j`visiof

f`tworns lfe stltiofs* f`wsplp`rs lfe hlklzif`s*

rleio stltiofs lfe tljn sgows joonifk bor wlys tok`t tg` h`sslk` out lmout wglt tiffitus is lfe gow

it lbb`dts `v`ryof`* eir`dtjy or ifeir`dtjy& I+jj m`

eruhhifk up support if `v`ry wly I nfow gow&

Mut I+h ofjy of` p`rsof&

[glt I f``e is l f`tworn& L f`tworn ob dof

tldts if ifeustry* if kov`rfh`ft* if boufeltiofs*

lhofk prob`ssioflj orklfizltiofs lfe if tg` h`eil&

Broh hy worn if privlt` ifeustry* I nfow tglt tg`

quidn`st lfe host `bb`dtiv` wly to lddohpjisg l

tlsn or kolj is tgroukg l f`tworn ob doftldts*

lssodilt`s lfe bri`fes& Lfe tg` mikk`r tglt f`tworn

is* tg` m`tt`r&

If tg` f`lr butur`* w` wijj m` tlrk`tifk dorpo

rltiofs lfe ifeustry bor biflfdilj support& I b you

glv` l doftldt if lfy musif`ss* jlrk` or shljj* wgo

you dlf iftroeud` h` to or wgo you wijj sojidit

eir`dtjy* pj`ls` j`t h` nfow& I+jj `itg`r hln` tg`

<3 Uiffitus Uoely/Auf` <994

doftldt hys`jb* witg you* or I dlf provie` you

tg` hlt`riljs you f``e to hln` tg` doftldt you

Ibyou nfow obl pgijlftgropid orklfizlti

boufeltiof tglt hikgt provie` bhlfdilj supp

LUL* pj`ls` j`t h` nfow& Lklif* I+jj hlndoftldt or w` dlf eo it if ufisof& I+jj eo tg

worn ib you+jj kiv` h` tg` doftldt&

Bifljjy* w` wijj `sp`diljjy f``e your

witg h`eil doftldts& [`+jj tldnj` tg` fltiofl

eil broh g`r`& Ib you glv` l doftldt witg

fltioflj h`eil* pj`ls` j` t h` g`lr broh you&

your doftldt witg tg` tgouslfes ob shljj pum

tiofs lfe p`rioeidljs* rleio* t`j`visiof lfe

stltiofs ( h`eil v`gidj`s I douje f`v`r jokisti

lpproldg of hy owf tglt wijj prov` host sud

buj& [` lr` e`v`jopifk pr`ss pldn`ts lfe kuie`to lssist you& [` ljr`ley glv` prift lfe mrol

pumjid s`rvid` lffoufd`h`fts w` dlf provie

to `fdourlk` jodlj h`eil to us`& [` dlf `v`f

you witg l st`p(my(st`p pjlf bor lpproldgif

h`eil if your jodlj`& Ljj w` f``e is to g`lr

you&

[itg `ldg issu` ob Uiffitus Uoely I+jj

you ifborh`e lmout wglt w`+r` eoifk to motg

bufes lfe to ifdr`ls` h`eil ltt`ftiof lfe dov`

lmout tiffitus& Lfe I+jj lsn bor your g`jp&

I f``e your ie`ls lfe support& Sj`ls` erol j`tt`r or kiv` h` l dljj lfe aoif tg` t`lh&

aourf`y wijj m` lf `xditifk of`&

Lh`ridlf Uiffitus Lssodiltiofis l plrtidiplft if tg`

Dohmif`e B`e`rlj Dlhplikf$30<5 if tg` DBD Mrodgur`

Uglfn You Bor G jpifkUo Bikgt Uiffitus

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`ft`r`e hto tg` TSTT stltiTtidlj dohput`r pro(bor lfljys<s Ug` <99= surv`y wls hl<j`e to

lfe lmout ;*033 w`r` dohpj`t`e lfeLklif* `v`ry bibtg surv`y wls tljji`e lfe

`ft`r`e hto TSTT bor lfljys<s Lf `xlhiob tg` LUL eltlmls` dorromorlt`e our ls(

tglt tg` surv`ys gle m``f dohpj`t`e myeibb`r`ft kroups

Ug` k`f`rlj <fborhlttof prov<e`e <f `ldg obtwo y`lrs wls stfnhkjy s<hjjlr mut j`v`js ob `eu(

lfe <fdoh` ros` jft`r`strfkjy motg tg` bujjylfe tg` r`tir`e kroups sfow`e hdr`ls`e

<f <99= ls w`jj

If <99= l kr`lt`r p`rd`ftlk` ob p`opj` r`tg` suee`f ofs`t ob t<ff<tus Ug`Y& ljso dof(prob`ssiofljs stkfibtdlftjy hor` obt`f tglf

Ug`s` prob ssiofljs w`r`hor` jin`jy <f <99= to sukk`st tr`lth`ft bor tg`

t<ff<tus& 4< 4% if <972 vs 50 =% tf <99=&r`spofeifk if <99= ljso `xp`ri`fd`e& kr`lt`r

ob r`ji`b bboh sukk`st`e tr`lth ftsL stltistidljjy sikfibidlft ifdr`ls` wls r`

bor ljj tgr`` dlt`kori`s ob ttff<tus Ift`rb`rifkgb`& S`opj` r`spoflifk <f <99= r`port`e soh`poor`r k`f`rlj g`ljtg mut l s<h<jlr e`kr`` ob

& Ugos` wgo w`r` eissltisbi`l witg jib`* gow`v r& w`r` hudg h or` jin`jy to lttrimut`

Ug` <99= kroup ljso gle s<kf<btdlftjyr`portifks ob sj``p promj`hs lfe l`pr`ssiof&

[` w`r` eislppoift`e to r`le tglt ;;&7% obofjy g`jS* obb`r`e wls tg` lehofitiofw<tg it& Gow`v`r* <t lpp`lrs tglt motg

lfe prob`ssiofljs glv` j`lrf`e hor` lmouteurifk tg` jlst 2 y`lrs lfe tglt tgos` wgo

O+i_jt lr` hor` jin`jy to bife tg`ir wly toLh`ridlf Uiffitus Lssodilttof wg`r` tg`y dlf

g`jp

You dlf m`doh` plrt ob tgts `bbort [gij`gls ov`r <33 tifhtus support kroups& you dlfbroh tg` surv`y r`sujts tglt hlfy hor` lr`

Ao<f l kroup Ib your dohhufity eo`sf+t

kroup LUL [ijj g`jp you k`t of` stlrt`e& [rit`bor <fborhlttof&

LUL r`b`rs plti`fts to l worjewie` f`twornprob`ssiofljs Ib you tr`lt ttff<tus plti`fts

* w`+e jin` to bi`lr broh you [` woujeg`lffk broh plti`fts wgo glv` gle

gffttus `xp`rt`fd`s wttg g`ljtg prob`s&

You dlf g`jp my tlnifk LUL Ifborhltiof toeodtor+s obb<d` lfe to your sodilj kroups& Ug`p`opj` wgo lr` lwlr` ob tiffttus tg` hor` jin`jy

tglt l dur` wi jj m` boufe LUL supports tiffitus r r`jltifk to tiffitus h`dglfishs lfe ihprov`e

&

Host ihportlft is your doftifu`e support obf``e your btflfdilj support to provie`tiffitus r`s`lrdg lfe prokrlhs to `eudlt`

lmout tg` dofetttof lfe to trl<f prob`ssiofljsjlt`st t`dgfiqu`s bor tiffitus r`ji`b

TDI@FUIBID LERITO]T

]oflje K Lh`e``* HE

F`w Orj`lfs& Jouisilfl

]om`rt @ Mruhh`tt* Sg E

Sortjlfe& Or`kof

AldN E Dj`his& H E&

Dg<dlko& jjgfo<s

Aogf ]& @hh`tt& H E

H`hpgis* U`ff`ss``

Dgfs M ]1jst`r& H E

Tlf E<`ko Dljiborfil

Mlrmlrl Kojest <f Sg E

F`w Yorn& F`w Yorn

]<dglre J Kooe` H& E

Ttlfbore Dlj<b3rf<l

[ B T Goph`<`r

Tt& JOPIT* HITTOPri

Aogf [ Gous`& H EJos Lfk`j`s& Dljiborfil

]om`rt H Aogfsof& Sg E

Sortjlfe& Or`kof

Kl j` [ Hijj`r* H E

D ifdifflti* Ogio

A& Klij F``jy* H& E

Tt& Jou<s* Hissouri

A`rry Fortg`rf& Sg&E&

E`fv`r* Dojorleo

]om`rt @ Tlfejif& Sg &E&

@j Dlaof& Dljiborfil

Lmrlglh Tgujhlf& H E

Mroonjyf* F`w Yorn

Hlfsbi`je B [& Thitg& H E

Tlf Aos` Dljiborfil

Glroje K Ulmm& H E

F`w Orj`lfs& Jouisilfl

Ljbr`e E [`<ss & H& E

Mostof& Hlssldgus`tts

GOFO]L]Y EI]@DUO]T

Ug` Goforlmj` Hlrn 3 Gltbi`je

Pf<t`e Ttlt`s T`flt`

Hr Uofy ]lfeljj

F`w YorN& F`w Yorn

J@KLJ DOPFT@J

G`fry D Mr`itglupt

Tt``j ]IR`s Moj`y Aof`s" Kr`y

Sortjlfe Or`kof

@W@DPUIR@ MOL]E

]om`rt H Aogfsof& Sg E

Dgluhlf& Sortjlfe& Or`kof

@ehufe A Krossm`rkFortgmroon& Ijjifois

Elf ]om`rt Godns

Sortjlfe* Or`kof

Sgijip 3& Hortof

Sortjlfe& Or`kof

Llrof I& Osg`row

Djlytof& Hissouri

Kjoril @& ]`idg& Sg&E&

@x`dutiv` Eir`dtor

Sortjlfe& Or`kof

Ugohls T& [<ssmluh DSL

Sortjlfe& Or`kof

DHUL/35*94

LUL H@HM@]TGIS IFBO]HLUIOF

DOFU]IMPUO] DLU@KO]I@T

%<0 or hor` Lffulj> Doftrimutor

%=0 or hor` Lffuljjy broh Outsie` P T

%<33 or hor` Lffulj Tpofsor

%<33 or hor` Srob`ssioflj Lssodilt`

%033 or hor` Dorporlt` Tpofsor

Your doftrimutiof <f lfy lhouft is kr`ltjy lp(pr`dilt`e mu t w` lr` ofjy lmj` to s`fe r`d`<pts borlhoufts %<0 or kr`lt`r Ug` LUL aourflj& UiffitusUoely* is br`` wttg hif<huh lffulj eofltiof ob%<0&

Sj`ls` hln` dg`dns plylmj` to Ug`Lh`ridlf Uiffitus Lssodiltiof lfe s`feto1 P& 3& Mox 0* Sortjlfe* O] 9;=3;(3330

LUL is l fof(probtt vojuftlrv guhlf g`ljtg lfew`jblr` lk`fdy ufe`r =2 PTD 03< 'd) '4)&

]@TPJUT O

UG@ <99=

UIFFIUPT

SLUI@FU

TP]R@Y

B]OH UG@

LH@]IDLF

UIFFIUPT

LTTODILUIO

Page 12: Tinnitus Today June 1993 Vol 18, No 2

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irritlmj` eu` to tiffitus?

F`v`r

T o h ` t ~ h ` sObt`f

Ltwlys

Otg`r

=44%

07&<%

<4&;%

5&0%

0%promj`hs eu` to tiffitus?

F`v`r

Toh`tih`s

Obt`f

Ltwlys

Otg`r

440%

57&4%

9&<%

7& <%

9%dglfk` aoms eu` to tiffitus?

Fo

Y`s

Otg`r

95&2%

5&9%

0%quit wornifk eu` to tiffitus?

Fo 9<4%

Y`s(t`hporlrijy 5&5%

Y`s(p`rhlf`ftjy 5 <%

3 ~ ~ <%hudg eo`s tiffitus ift`rb`r` witg worn?

Uiffitus Ift`rb`r`fd`[itg J<b`

[orjt 3Zj`rljj u b`

Fof` 54&=%

Tjikgt lhouft 4=&4%

Hoe`rlt` <2&;%

Kr`lt 2&4%

Otg`r <&0%

(-&&&1I

ijjijj»» &(@A ( &&&&&&IUG Or&((

hudg eo`s tiffitus ift`rb`r` witg sodilj ldtivity?

Fof` 45&;%

Tjikgt lhouft 4=&2%

Hoe`rlt` =< 0%

Kr`lt

Otg`r

<3&0%

&7%

53& Gow hudg eo`s tiffitus ift`rb`r` witg ov`rljj jib` `faoyh`ft?

Fof` <20%

Tj<kgt lhouft 55&7%

Hoe`rlt` =0&;%

Kr`lt <=5%

Otg`r ;%5< & @v`r b``j e`pr`ss`e eu` to tiffitus?

F`v`r 4< &0%

Toh`tih`s 04&3%

Obt`f <3;%

Ltwlys 49%

Otg`r 7%O`pr`u<of

Ot&jj to Ujjfj,us

35=& Ov`rljj sltisbldtiof witg jib`styj`

R`ry sltisbi`e 42&7%

49&5%

<;&5%

Toh`wglt slttsbi`e

Toh`wglt eisslttsbi`e

R`ry Eissltisbi`e

Otg`r&&* ~ ` s t y E+sslgsbldj jof

&&

*&f- &&____ __&&&_8---+((

&&&&&&&&&&(&

0&2%

&9%

54& Ib eissltisbi`e* is it eu` to tiffitus or otg`r bldtors

Hlhjy eu` to jtffttus 45&<%

Hlifjy otg`r bldtors =2 2%

Slrtjy eu` to tiffitus 44 &9%

Pfsur` <2&3%

O ~ ` r 4&9%55& @v`r troumj`e w<tg gyp`rldusis?

Fo ;7&0%

Y`s

Otg`r50& Ib y`s* eo you w`lr `lr pjuks?

]lr`jy

Toh`t<h`s

Obt`f

Ltwlys

Otg`r

=3&9%

&2%

=00%

47&4%

=0&=%

0&5%

0&;%

52& @v`r ltt`fe`e l tiffitus support kroup h``tifk

Fo 93&=%

Y`s 9&2%

Otg`r &<%

5;& Ib y`s* wls support kroup g`jpbuj?

Fo

Y`s

Otg`r

=;&9%

;3&3%

=&<%

R& Uiffitus Turv`y1 <972 vs& <99

L r`le`rsgip surv`y wls dofeudt`emy tg` Lh`ridlf Uiffitus Lssodiltiof lbt`r l fuhm`r ob ifqutri`s gle m``f r`d`iv`e if r`sto l j`tt`r lmout tiffitus if Lff Jlfe`r+s syfedojuhf& Tudg l j`tt`r lpp`lr`e lkl if if <99wls e`die`e to dofeudtl s`dofe sihijlr suore`r to m` lmj` to dohplr` tg` two

Ug` <972 surv`y wls hlij`e to <43pj` lfe hor` tglf <4*333 surv`ys w`r` dohlfe r`turf`e& @v`ry 0tg surv`y wls tljji`e lf

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you ljso glv` l g`lrifk joss?

Fo =;&0%

Y`s ;=&0%you durr`ftjy w`lr l g`lrifk lie?

Fo ;2&2%

J`bt `lr ; 4%

]ikgt `lr 0&<%

Motg `lrs <3 5%

Otg`r 2%~ TPH

ba[&*r11ii6hju ~ h ~ ~ d 8 < ~ ~ ~&&___(8,81 11(((+(•• &&&& &&& & &&&& •• ( » ( » ~

G`lr ifk joss

Uiffitus

@quljjy motg`rsoh`

<7&4%

04&9%

=;&7%

you glv` g`ljtg ifsurlfd`?

Fo 2&3%

Y`s 95&3%ibb` r`ft g`ljtg dlr` prob`ssiofljs glv` you

ifk your tiffitus? Fuhm`r s``f ( H`lf =&00

@FU sp`d<lgst ;2&9%

K`f`rlj Srldjjt<33 r 57&7%

SsydgiltfsRpsydgojokist 9 ;%

F`urojokist/ f`rv` sp`d& <5&3%

Lueiojokist 57 5%

Dg iroprldtor <<&7%

E`ftist <0&=%

G`lrifk(lie Tp`diljist =3&7%isits if jlst <= hoftgs?

H`lf <&5<?

H`lf 2&50dosts ob iffitus visits dov`r`e my Ifsurlfd`?

Fo =< &3%

Y`s(Slrtiljjy 00&9%

Y`s(Dohpj`t`jy ==&=%

Otg`r &7%

Srob ssiofljs T``f bor Uiffitus

(»((

=2& G`ljtg dlr` prob`ssiofljs g`jpbuj " syhpltg`t id?

Lkr`` 03&<%

E<slkr`` 52&0%

Otg`r 4&5 %

=;& G`ljtg dlr` prob`ssiofljs obb`r`e tr`lth`ft tglt r`eud`eor `jihiflt`e tiffitus?

Lkr``

Eislkr``

Otg`r

5&9%

95&<%

<&3%=7& Ur`lth`ft obb`r`e mut It wls If`bb`dtiv`?

Lkr``

Eislkr``

Otg`r

52&0%

0<&9%

<&2%=9& Ofjy tr`lth`ft obb`r`e wls -J`lrf to jiv` witg it&-

Lkr`` ;; &7%

Eislkr`` =3&7%

Otg`r <»-+ ~ » &&& 5%

( *

&(&• i

& &• <

&&&&&&&&&&&

43& Glv` you tri`e lfy borh ob r`lth`ft bo r your tiffitus?

Fo 05&7%

Y`s 50&=%

U<ff<tus Hlsn`rs

Fo r`ji`b ( 47&3% Toh` lhi& r`ji`b ( 2=%

G`lrifk Lies

Fo r`ji`b ( 5; =% Toh` lht& r`ji`b ( 0=&

Miob``emldn

Fo r`ji b ( 04 9% Toh` lht& r`ji`b ( 52

Sr`sdfm`e H`e<dlgof

Fo r`ji b (52&0% Toh` lhi& r`ji`b ( 04&

UHA tg`rlpy

Fo r` ji`b ( 0= ;% Toh` lhi r` ji b ( 5; 4

*&*

&&

II,

&&&&

-+

&&

4< &Glv` you tri`e lfytgifk `js` tglt g`jps to r`ji`v`

Fo 22&<%

Y`s 44&9%

M`esie` hlsn`rs

Fo r`ji`b(<9&7% Toh` lhi& r`ji`b( 27&2

Lueio tlp`s

Fo r`ji`b(4< &3% Toh` lhi& r`ji`b( 59&2

E<`t doftroj

Fo r`ji`j(5; &2% Toh` lhi& r`ji`b( 44&9

Ov`r(tg`(douft r eruks

Fo r`ji`b(00&5% Toh` lht& r`ji`b(<2&4%

IR& UIFFIUPT LFEUG@ \PLJIUY OB JIB@

4=& Gow hu dg `bbort to ikfor` tiff itus?

@ls ijy ikfor`e <7&7%

Ikfor`e witg `bbort 5 <;%

jkfor`e*dofsie`rlmj` bbort ==&2%

Dlf f`v r ikfor` <4&7%

Otg`r 4&<%

44& Gow hudg eisdohbort eu` to tiffitus?

Fof` <4&5%

Hije eisdohbort 47&=%

Hoe`rlt` =;2%

Kr`lt e`lj <2&9%

Otg`r 4&9%

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H`lf 09&27* Hoe` 20* H`eilf 2=* ]lfk` <<(94

» 05 4 Hlj`* 50&; B`hlj`

Hlrrr`e

Fot Hlrrt`e

or `tgfid mldnkroufe

[g<t`

Fofwgit`

Krle` Tdgooj

G<kg Tdgooj(Rodltioflj

Dojj`k` <(5 yrs

Sostkrleult`

stltus

Bujjjjh`

]`tir`e

Slrt tih`

Pf`hpjoy`e(eislmj`e

Fot worn<fk outsie` goh`

Hlaor Jib`tih` Oddupltiof

tgroukgout jib`

< 2

=75%

92%

5

=&=%

4=&4%

49&;

=0&7%

4; ;

54 &0

24 %

0&5

;&3%

Goh`hln`r/jlrh`r <;

U`ldg`r/stue`ft/dr`ltiv` <0

Tlj`s/obbid` =0

Td<`ft<TI/H`eidlj <5

Leh<f/hlflk`r <=

Bir`/Sojid`/Hijitlry 5%

H`dglfid/Dofstrudi/Bldtory<4

Pfe`r %<3*333

<3*333(<5&999

<0*333(=5 &999

=0 &333 (59&9+jq

03 &333 .

2&0%

;< %

=35%

4= &4%

44;%

9& R+vtj`r` r`sie`fd` jodlt`e my k`okrlpgid d`fsus lr`l

Fortg`lst 400

Hiew`st

Toutg

[`st

435

405

4;2

<3* K`f`rlj g`ljtg j`v`j

@xd`jj`ft

Kooe

4< &=

59&4

<90%lir( Soor<< & K`f`rlj `f`rky j`v`j

Gikg

Hoe`rlt`

jow

=;2%

23 &5

<= &3%

II ( UIFFIUPT E@TD]ISUIOF<=&Gow jofk glv` you m``f lwlr` ob your tiffitus?

Pp to < yr 0&9%

< up to = yr 9&7= up to 0 yr =< &3

0 up to <3 yr =4&=

<3 up to =3 yr =3&4

=3. y`lrs <9&7

J&_ bL+F[`f`ss or rjb[+IIgtt1

_&

_

<4 Eie tg` tiffitus doh` of krleuljjy or suee`fjy?

Krleuljjy 5=&7

Tuee`fjy 0; =<5 R+vtj r` eo`s your tiffitus s``h to m` jodlt`e?

J`bt `lr <;&9%

]<kgt `lr < 0

Motg `lrs 05 ;

If g`le ;&7%

If g`le " `lrs 7& <%

<0& Is your tiffitus dofstlft or ift`rhitt`ft?

G`lr it plrt tih` <7 <

Dofstlftjy tg`r` 7< &9%

<2& jihlt eo`s your tiffitus usuljjy soufe jin`?

»(

]<fk<fk 40&5%

Giss<fk <2 <

G<kg t`fsiof 7 0%

Muzzifk 7&3%

Dfdn`ts 2 &7%

Tizzjifk 2 &=%

Dj`lr tof` 2 &3%

Urlfsborh`r fois` 4&;

Od`lf ]olr

[gistj`

Guh

Sujsltifk

**

&&

=&0

=&5

= 5

== %

(((<;& jifhtus ouef`ss rltifk of sdlj` < to <3 wg`r` <3

`st

H`lf 0&79 > Hoe` 0&33 ><7& Ofs`t lssodiltiof

Fof` r`port`e

Lssodiltiof r`port`e

@lr ifb`dtiof/sifus

Fois` `xposur`/jofk tih`

Fois` `xposur`/mri`b

Ijjf`ss

Otg`r

[gipjlsg

Eruks

G`le Ifaury

H`eilf2&33

=0&7

;5 &=

<;&5

<2&2

<5 <

93 %

72 %

4&3%

=9 %

=&5

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Uiffitus Luriuh

my Aly M& H` Tple`f* Sg&E&* @lst Rljj`y G`lrifk

" Tp``dg T`rvid`s* Ifd&* J`mlfof* Or`kof

Uiffitus Luriuh& [mlt l m`fikf e`sdriptiofbor sudg lf ifsieious lfe e`vlstltifk promj`h& Ug`

jofk`r of` worns witg plti`fts witg tgis eisore`r*or wors`* tg` jofk`r of` gls tgis promj`h* tg`dj`lr`r it m`doh`s tglt tiffitus is fot aust of`promj`h& If bldt* tiffitus is l hujti(bld`t`e syferoh` ob tgifks wgidg ifvle` 'lfe p`rvle`) tg``ftir` jib` ob tg` plti`fts* tg`ir blhiji`s* lfe tgos`wgo nfow tg`h&

Ls host ob you nfow* tiffitus dlf m` eibb`r`ftilt`e motg my typ` lfe my k`f`rlj lfltohidjodltiof& Tp`dibidljjy* w` dlf eivie` tiffitus ifto

-oma`dtiv`- lfe -suma`dtiv`- dlt`kori`s 'or typ`s)&

Ug` birst ob tg`s`* oma`dtiv`* is blirjy rlr`* m`ifkr`jlt`e 'if tg` host br`qu`ft ifstlfd`) to pgysiojokid pltgojoky ob tg` hieej` `lr lfe its h`dglfishs& S`rglps tg` host br`qu`ftjy oddurrifk ob

tgis kroup is Sljltlj Hyodjofus lfe r`jlt`e eisore`rs& Ugis typ` ob tiffitus is lueimj` to otg`rsjodlt e f`lr tg` plti`ft&

Blr hor` dohhof is tg` k`f`rlj djlssibidltiofob suma`dtiv` tiffitus& If tgis typ` ob tiffitus* tg`plti`ft is tg` ofjy of` wgo p`rd`iv`s tg` pr`s`fd`

ob tg` lueitory stihuji & Ugis wls 'bor hlfy y`lrs)tg` sourd` ob sn`ptidish lfe eism`ji`b of tg` plrtob ifsurlfd` dlrri`rs* pgysidilfs* lfe tg` blhiji`sob tgos` glvifk tg` promj`h& It gls ofjy m``f ifr`d`ft y`lrs tglt eoduh`ftltiof ob tg` r`jilmijity ob

tg` ift fsity h`lsur`s ls w`jj ls tg` br`qu`fdyif borhltiof gls dofvifd`e soh` ob tg`s` trleitioflj sn`ptids tglt tg` eisore`r is motg r`lj lfe 'ifhlfy p`opj`) e`mijitltifk&

Ib suma`dtiv` tiffitus wls l sifkj` 'hofojitgid)promj`h* witg lf ie`ftibilmj` dlus` lfe jihit`e

`bb`dt* tg` hlssiv` ift`r`st if it* lfe its rlhibidltiofs wouje fot glv` ldgi`v`e sudg stltur`& Pfbor

tuflt`jy* tgis is fot tg` dls`& Ug` hor` w` doh` toufe`rstlfe tg` fltur` ob tgis s`t ob promj`hs* lfetg`ir s`qu`jl`* tg` hor` w` r`ljiz` tglt w` lr` ofjym`kiffifk to doh` to krips witg its ihpldt&

I t s dj`lr tg`r` is eibb`r`fd` if tg`s` vlri`ti`sob tiffitus* tj<`ir`bb`dts lfe tg`ir pot`ftilj r`h`eiltiof&

Aly M& HdTple`f* Sg&E&

It is stijj quit` possimj` to k`t ifvojv`e if tg`

e`mlt` borhlt bor tg` qu`stiof1 -Is tiffitus dlus`emy soh`tgifk tglt glpp`fs tglt is FOU suppos`eto glpp`f?Or* is it dlus`e my soh`tgifk tgltEO@TFOU glpp`f* tglt IT suppos`e to glpp`f?-

Uo elt` tg` qu`stiofs lr` ufr`sojv`e& [` eonfow soh` ob tg` tgifks tglt s``h to m` ifvojv`e*tglt s``h to m` dofdohitlft witg tg` tiffitus* tglts``hto lbb`dt tg` e`kr`` ob iftrusiof wgidg tiffitus

ifa`dts ifto jiv`s* lfe tglt s``h to lh`jiorlt` tg`s``bb`dts&

[` lr` m`kiffifk to s`` lfotg`r lsp`dt ob

tiffitus wg`r` if l sikfibidlft p`rd`ftlk` ob ourdls`s* it proeud`s sj``p e`privltiof rlfkifk brohsum(djifidlj to djifidlj& Ugis sj``p e`privltiof proeud`s* ov`r soh` p`rioe ob tih`* m`glviors tglt lr`djlssid bor sj``p e`priv`e plti`fts& @v`f l hiforp`ruslj obe`sdriptiofsobplti`fts witg tgis eisore`re`hofstrlt`s dj`lr lfe dohp`jPfk `vie`fd` tglttg`r` is 'lt j`lst) lf `j`h`ft ob tgis s`t ob syhptohs

if tg` typidlj tiffitus plti`ft wgo gls dgrofid iftrldtlmj` `lr fois`&

[` t`jj our plti`fts tglt tiffitus is wglt SLIFwouje m`( i b you douje g`lr it& Uiffitus lpp`lrs tom` 'to tg` lbb`r`ft lueitory syst`h) ifeibb`r`ftilmj`broh dgrofid nif`stg`tid or propriod`ptiv` plif'ljofk otg`r lbb`r`ft f`rv` pltgwlys)& Ugis iftuitiv` sihijlrity gls j`e 'ov`r tg` y`lrs) to tg` e`v`joph`ft ob -ift`rb`r`fd` e`vid`s*- to hlsn`rs 'motg

UiffituT Uoely/Auf` <994 <0

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Uiffitus Luriuh* doftifu`e

ov`rt lfe s`dofelry) lfe to dross hoeljity ifput

e`vid`s wgos` `xpr`ss purpos` gls m``f to -his

eir`dt- tg` dofsdiousf`ss lwly broh tg` tiffitus

its`jb& Urleitiofljjy w` glv` e`ljt witg tgis pg`

foh`fof ls ib it douje r`dokfiz` -ely(jikgt&- [`plie jittj` or fo ltt`ftiof to tg` pot`ftilj ihpldt ob

lf lueitory syst`h promj`h wgidg eie FOU -ko

lwly- wg`f tg` jikgts w`ft obb lfe tg` worje kot

qui`t&

]`d`ftjy* gow`v`r* w` glv` j`lrf`e 'our pl

ti`fts t`ldg us hudg) tglt w` glv` f``e`e to pursu`

tg` promj`hs r`jlt`e to sj``p lfe sj``p e`privltiofwitg blr kr`lt`r ltt`ftiof tglf g`r`tobor` ufe`r

stooe& Broh tg`ir r`ports tiffitus s``hs to glv` two

prihlry `bb`dts upof sj``p& Ug` birst ob tg`s` if

vojv`s e`jlyifk tg` ofs`t ob sj``p& Tifd`* if hostp`opj`* lwln`fifk is r`kujlt`e my tg` djodn mut

m`etih` is fot* lfy e`jly if tg` ldtulj ofs`t obsj``p

e`dr`ls`s tg` lhouft ob sj``p bor tg` plti`ft&

T`dofe* hostp`opj` sj``p if 'lpproxihlt`jy)

93 hifut` dydj`s `ldg fikgt& It is tru` tglt soh`

p`opj` lr` 5 dydj` p`r fikgt sj``p`rs lfe soh` f``e

`v`f 2 dydj`s to -k`t tg`ir r`st&- I b qu`stiof`e

dlr`bujjy* tiffitus plti`fts 'witg s`v`r` tiffitus)

wijj t`jj you tglt* wgij` tg`y stijj sj``p tg` slh`

fuhm`r ob dydj`s tg`y ljwlys r`quir`e* tg`ir sj``p

is -eibb`r`ft- fow& Bor of` tgifk* tg`y eo fot sj``pdoftifuousjy tgroukg tg` fikgt&

Eurifk tg` lv`rlk` 93(hifut` sj``p dydj`* lf

ifeivieulj wijj plss tgroukg 0 dohpj`t` stlk`s ob

sj``p& Ug`s` stlk`s vlry broh tg` e``p`st stlk`

'eurifk wgidg ljhost fotgifk motg`rs tg` p`rsof)to tg` -sgljjow`st- stlk`& It is if tgis stlk` tglt

ofkoifk tiffitus s``hs to ift`rb`r`& Slti`fts r`port

tglt m`bor` tg`y gle tg`ir tiffitus* tg`y sj`pt ljj

fikgt tgroukg& Ug`y eie fot* to tg`ir nfowj`ek`*

lwln`f p`rioeidljjy eurifk tg` fikgt* lfe l -kooe

fikgt+s sj``p- wls 'if bldt) lf ufift`rrupt`e v`ft&Fow* gow`v`r* ifdr`lsifk fuhm`rs ob plti`fts*

subb`rifk broh hoe`rlt`(to(s`v`r` tiffitus* r`port

dohifk 'hlrkifljjy) lwln`* lmout `v`ry 93 hif

ut`s* r`klrej`ss ob tg` fuhm`r ob dydj`s tg`y jly if

m`e if `ldg =5 gour p`rioe& Ug`y 'typidljjy) tljn

lmout r`h`hm`rifk tg` bld` ob tg` djodn 'eikitljs

`sp`diljjy) roukgjy `v`ry 93 hifut`s&

<2 Uiffitus Uoely/Auf` <994

Ifst`le ob sj``pifk ljj fikgt tgroukg* tg`y l

tlnifk s`rilj flps& It is `lsy to s`` tglt tgis prod`

eo`s fot lbbore tg` slh` lhouft 'or quljity)

-r`st*- lfe tglt* tg`r`bor`* tg` bltikuifk bldtors tg

w` glv` nfowf to m` ifg`r`ft witg tiffitus l`xld`rmlt`e&

[glt w` glv`* tg`f* is tglt tg` tiffitus plti`

eo`s fot ko to sj``p ls `lsijy* eo`s fot sj``p

e``pjy* lfe gls tg`ir sj``p ift rrupt`e r`kujlr

tgroukg tg` fikgt& Ugis proeud`s 'lt j`lst) su

djifidlj sj``p e`privltiof witg its ltt`felft irrit

mijity* sgort ltt`ftiof splf* eibbidujty

dofd`ftrltiof* irlsdimijity* lfk`r* sgort t`hp`r* lf

'possimjy) more`rjif` psydgosis& [g`f w` joon

tg`s` syhptoh dohpof`fts ob tg` sj``p e`priv`

tg` strinifk sihijlrity to tg` dgrofid tiffitus sub`r`r is lpplr`ft&

If our djifid* lbt`r tgis ifborhltiof is `jidit

broh tg` plti`ft witg hoe`rlt`(to(s`v`r`* p`rip

`rlj tiffitus* w` pursu` s`v`rlj jif`s ob tgoukgUg` birst ifvojv`s tg` ldtulj stltus ob tg` g`lrifktg` plti`ft& I b tglt plti`ft gls lfy dohhufidlti

eibbidujty 'r`jlt`e to g`lrifk) lt ljj* w` r`dohh`

(v`ry str`fuousjy( tg` utijizltiofobg`lrifk ifstr

h`fts wgidg glv` ' ib possimj`) lhpjibidltiof lt t

-d`ft`r br`qu`fdy- ob tg` tiffitus& Bortuflt`jy* w

glv` lueioh`trid dlplmijity to ie`ftiby tg` d`ftbr`qu`fdi`s ob tiffitus& Ore`rifk lhpjibi`rs do

tlififk tg` br`qu`fdy rlfk` tglt -dov`rs- tg` tiff

tus p`rhits -s`dofelry hlsnifk- tgroukg motg t

lhpjibidltiof 'its`jb)* mut ljso tgroukg tg` -upwl

spr`le- dr`lt`e my tg` -fois` bjoor- ob tg` lie&

Ugis dov`rs tg` -wlnifk- gours bor tg`s` p

ti`fts mut wg`f it doh`s tih` bor sj``p tg` m`f`bi

ob tg` -hlsnifk- ob g` g`lrifk ifstruh`fts lr` jo

'ufj`ss of` ldgi`v`s r`sieulj ifgimitiof* or w`l

tg` ifstruh`fts to m`e)& [` tln` l eibb`r`ft l

proldg&If

our djifid* w` levis` ljj ob our plti`fr`portifk p`ripg`rlj suma`dtiv` tiffitus 's`jb e

sdrim`e if tg` hoe`rlt`(to(s`v`r` dlt`kory) to ut

iz` BH stltid lt fikgt&

[` glv` tg`h ldquir` lf BH rleio* -e`(tuf`

it to tg` stltid m`tw``f stltiofs 'l v`ry -pgysiojok

fois`-)* pjld` it of tg` fikgt stlfe m`sie` tg` m`

lfe turf it up ofjy joue `foukg to -mury- tg

tiffitus soufe if tg` stltid& Borhlfy ob tg` plti`f

Page 17: Tinnitus Today June 1993 Vol 18, No 2

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Uiffitus Luriuh~ ( ( ( ( ( ( ( ( ( ( ( ( ( ( (

H``tifks* doftifu`e

witg -`lr fois`- tgis soufe gls subbidi`ft -hlsn

ifk- prop`rti`s ls to provie` tg` slh` `bb`dt ls

doftifu`e w`lrifk ob tg` ifstruh`fts& I t eo`s fot

n``p otg`rs 'if tg` rooh) lwln`& It doftrimut`s 'if

l fikgt or two) to ihprov`e dlpldity to bljj lsj``pquidnjy* sj``p e``p`r* lfe e`hofstrlt` l e`dr`ls`e

t`fe`fdy to lwln`f eurifk tg` fikgt& Ugis lpp`lrs

to ifdr`ls` tg` p`rd`ptiof ob -r`st- bor tg`s` pl

ti`fts& I b gis h`tgoe doftrimut`s lt ljj to ihprov`e-r`st*- witgif lmout of` w``n tg` plti`ft r`ports lp`rd`ptiof tglt tg` s`v`rity ob tg` tiffitus gls ei

hifisg`e* tglt tg`y lr` j`ss tir`e* j`ss irritlmj`* lfe

tglt tg`y lr` -dopifk- m`tt`r witg tg`ir tiffitus&

Ug`s` h`tgoes EO FOU hln` tg` tiffitus ko

lwly& Lfe* bor tgos` bor wgoh fotgifk j`ss gls lfy

m`f`bit* tgis h`tgoe wijj hln` jittj` doftrimutiof&It is FOU if our `xp`ri`fd` `bb`dtiv` bor tgos` witgd`ftrlj tiffitus& Mut* w` m`ji`v` tglt it is g`jpbuj*

bor l d`rtlif kroup ob ifeivieuljs wgos` tiffitus is

dgrofid* hoe`rlt`(to(s`v`r`* p`ripg`rlj lfe lf

foyifk& [` r`dohh`fe you dofsie`r it& Ljj you

glv` to klif is your r`st&

H``tifks Ppelt`my Slt Elkk`tt lfe Kjoril ]`idg

Ug` Lffulj Dofv`ftiof ob Ug` Lh`ridlf

Ldle`hy ob Lueiojoky wls g`je Lprij <0(<7 if

Sgo`fix* Lrizofl lfe lttrldt`e lpproxihlt`jy

=033 lueiojokists broh tg` PT lfe otg`r douftri`s&

Ugos` wgo stopp`e my tg` LUL mootg w`r` ift`r

`st`e if our s`rvid`s lfe `ftgusilstid lmout wglt

douje m` eof` bor tg`ir tiffitus plti`fts&

[` ljso w`r` pj`ls`e to ltt`fe tg` h``tifk ob

tg` jodlj Sgo`fix tiffitus support kroup* doorei

flt`e my Rirkifil Bitzk`rlje& T`v`rlj ob tg` kroup

h`hm`rs vojuft``r`e to g`jp out if tg`LU

L mootglt tg` dofv`ftiof so tglt Kjoril lfe Slt douje

ltt`fe soh` ob tg` j`dtur`s& Uglfns to Sltridil

Ttugj`r* Elf Dortf`y* Srisdijjl Dohptof lfe Rir

kifil Bitzk`rlje,

Ug` j`dtur` `ftitj`e -Fltioflj G`ljtg Dlr`

Sjlf- er`w l jlrk` luei`fd`& ]ljpg Sojjodn* Eir`d

tor* D`ft`r bor G`ljtg @tgids " Sojidy* P ob Dojo

rleo* eisduss`e pot`ftilj g`ljtg dlr` pjlfs witg lf

`hpglsis of tg` roj` ob Lueiojoky& 'G` gls s`rv`e

ls lf levisor to fuh`rous stlt`s lfe fltioflj g`ljtg

lehifistrltiofs&) Sromj`hs bldifk tg` pr`s`ft le

hifistrltiof if borhujltifk l FGDS lr`1 <) G`ljtg

ifsurlfd` is `hpjoyh`ft* rltg`r tglf `hpjoy``mls`e& =) Dohp`titiv` h`eidlj t`dgfojoky " 4)

Our lkifk sodi`ty& Sr`sie`ft Djiftof wijj lffoufd`

r`dohh`feltiofs bor tgis pjlf Hly <4* <994&

-M`yofe tg` G`lrifk Lie Bittifk1 Ugr``

Hoe`j ]`glmijitltiof Srokrlhs- ijjustrlt`e `bb`d

tiv` s`rvid`s bor g`lrifk(ihplir`e p`opj` lbt`r lies

gle m``f bit& Blhijy h`hm`rs lr` urk`e to plrtidi

plt` if s`ssiofs wgidg ifdjue` doufs`jifk of gow

to hlflk` tgis ihplirh`ft& 'Mlsid nfowj`ek` ob

tg` pgysiojoky ob tg` `lr* dopifk strlt`ki`s* ufe`r

stlfeifk mldnkroufe fois`* blhijilrity witg lssistiv`e`vid`s* `td&)

Uwo j`dtur` s`ssiofs tglt Kjoril ltt`fe`e

w`r` ob plrtidujlr ift`r`st& L pr`s`ftltiof obplp`rs

lmout Otoldoustid @hissiofs ( ]`jilmijity lfe Lp

pjidltiofs r`v`lj`e tglt djifidilfs lr` hlnifk us`ob tg` vlrious nifes ob otoldoustid `hissiofs t`st

ifk routif`s to g`jp witg glre(to(t`st suma`dts* sudg

ls f`wmorfs lfe tg` dritidljjy ijj& Ugis typ` ob t`st*

wgidg h`lsur`s tg` bufdtiof ob tg` glir d`jjs if tg`

dodgj`l* dlf r`v`lj dodgj`lr e`b`dts if `lrs tglt t`st

`ss`ftiljjy forhlj of dofv`ftioflj lueiokrlhs&[itg r`sp`dt to tiffitus* tgis typ` ob t`stifk hly

provie` ifborhltiof to g`jp ie`ftiby e`t`riorltifk

g`lrifk lfe lssodilt`e promj`hs sudg ls tiffitus&

Ug` s`dofe s`ssiof e`ljt witg r`k`f`rltiof ob

glir d`jj stuei`s& [` nfow tglt elhlk` to tg` glir

d`jjs r`sujts if g`lrifk joss lfe up uftij r`d`ftjy it

wls m`ji`v`e tglt glir d`jjs eie fot r`k`f`rlt`& If

<97;* gow`v`r* r`s`lrdg`rs lt tg` Pfiv`rsity ob

[lsgifktof fotid`e tglt if soh` stuei`s tg`y w`r`

dofeudtifk usifk tg` dodgj`ls ob mires* tg`r` w`r`

hor` glir d`jjs lbt`r l tih` rltg`r tglf b`w`r& Fowit gls m``f `stlmjisg`e tglt glir d`jjs dlf m` r`k`f

`rlt`e if mires lfe hor` r`d`ftjy if kuif`l piks&Ug`r` lr` stijj hlfy uflfsw`r`e qu`stiofs sudg ls

wglt trikk`rs tg` r`k`f`rltiof lfe wg`tg`r r`k`f

`rlt`e d`jjs lr` dlplmj` ob tg` slh` bufdtiof ls

forhlj d`jjs& Ugis pltg ob r`s`lrdg kiv`s gop` bor

g`lrifk r`storltiof tglt is prohisifk lfe `xditifk&

Uiffitus Uoely/Auf` <994 <;

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Moon ]`vi`w

Aolf Tlufe`rs& Uiffitus1 [glt Is Uglt Fois`If Hy G`le? Ludnjlfe1 Tlfeljwooe @ft`rpris`s*<99=& ITMF 3 5;4 3<02= 0

r`vi`w`e my Uruey Erudn`r

F`w Q`ljlfe gls l fuhm`r ob ldtiv` tiffituslssodiltiofs lfe support kroups& Ug` host r`d`ftmoon bor p`opj` witg tiffitus doh`s broh tgltblr(obb jlfe& Ljtgoukg tg` lutgor eo`s fot glv`hlt`rilj tglt wijj m` f`w to p`opj` wgo ljr`leynfow l kooe e`lj lmout tiffitus* sg` pr`s`fts g`rifborhltiof dj`lrjy lfe w`jj* lfe it is k`f`rljjydohpr`g`fsiv`&

Tlufe`rs m`kifs g`r moon witg l p`rsofljlddouft* lfe it is lf lbb`dtifk of`& Lbbjidt`e witg lproboufe g`lrifk joss lfe s`v`r` tiffitus sifd`

`lrjy dgijegooe* sg` gle to bikgt glre bor l kooe`eudltiof lfe tg` ihportlft positiof sg` fow gls&Host ob us e`v`jop our tiffitus if leujt jib & Ugos`soufes broh fowg`r` hust m` `sp`diljjy mlbbjifklfe eishlyifk to l dgije& Tlufe`rs wls toje to n``pqui`t lmout g`r `lr fois` `js` p`opj` wouje tgifnsg` wls drlzy& Ug` moon hikgt s`rv` to eir`dt hor`ltt`ftiof to tg` promj`h ob tiffitus if dgijer`f&

Ug` h`eidlj ifborhltiof* sudg ls tg` dlus`sob tiffitus* pltgojoky ob tg` `lr* lfe h`eidlj lfefofh`eidlj tr`lth`fts* is tgoroukg lfe s``hs ld

durlt`& G`r dglpt`r of str`ss is suhh`e up f`ltjy1str`ss dlus`s tiffitus> tiffitus dlus`s str`ss& Tg`writ`s lmout vlrious str`ss(hlflk`h`ft t`dgfiqu`s* hostob g`h w`jj nfowf* lfe ifdjue`s dls`gistori`s& Ug` roj` ob eruks if `itg`r dlusifk orljj`viltifk tiffitus is suhhlriz`e& L hifor promj`h is pr`s`ft`e bor Lh`ridlf r`le`rs m`dlus` tg`trle` flh`s lr` ob dours` eibb`r`ft&

Ug` possimijity tglt futritiof dlf `itg`r provon` or eihifisg tiffitus is stijj l doftrov`rsiljissu`* lfe tg` `vie`fd` so blr is ljhost xdjusiv`jylf`deotlj& S`opj` wgo susp`dt tglt l booe sumstlfd` hikgt m` ifbju`fdifk tg`ir `lr fois`s dlf try

l sihpj` `xp`rih`ft1 `jihiflt` tg` susp`dt`e sumstlfd` bor l hoftg* lfe n``p r`dores lmout wglt isglpp`fifk witg tg` tiffitus& Tlufe`rs `xpjlifs tgish`tgoe* lfe it is r`dohh`fe`e my Er& Aldn R`rfof&

<7 Uiffitus Uoely/Auf` <994

Ug` ofjy hlaor blijifk ob tgis moon is mimjiokrlpgy* wgidg is sgort lfe `ftir`jy ifleqult`& Fof` ob g` eoz`f or so kooe moons tglt glm``f pumjisg`e bor jly p`opj` lfe prob`ssiofljsdit`e> tg` b`w lrtidj`s tglt lr` lmout tiffitus lp`ripg`rlj& If doftrlst* tg` kjosslry is dj`lr ldohpj`t`> tg` jist ob ift`rfltioflj leer ss`s is ubuj> lfe tg` ijjustrltiofs lr` dj`v`r&

Lbt`r d`fturi`s wg`f jittj` or fo ifborhltilmout tiffitus wls lvlijlmj` to jly p`opj`* w` `xp`ri`fdifk soh`tgifk ob l kjut ob moons& I t islxioh if pumjisgifk tglt tg` lvlijlmj` moons lmodoonifk lfe lmout ei`tifklr` jit`rljjy douftj`ss mtg`r` is ljwlys rooh bor of` hor`& Mut p`rglfow tg`r` lr` `foukg moons lmout tiffitus* lwrit`rs hikgt e`sist ufj`ss tg`y glv` soh`tgi

trujy f`w to sly&

Djlssibi`e

TS@DILJ SIJJO[ DLF ]@JI@R@@L] FOIT@T LFE LIE TJ@@S

Your sj``pifk glmit hly m` rommifk you ob l

prop`r fikgt+s sj``p& Ug` @lr ]`jlx`r dlf dglfk` you

jib`& Lustif Tnlkks* tg` ifv`ftor ob tg` @lr ]`jlx`

Sijjow* r`ports tglt it gls g`jp`e gih lfe hlfy otg`

p`opj` wgo glv` tri`e it& It is dohbortlmj` bor tgos` wgo

w`lr tg`ir g`lrifk lies or hlsn`rs to m`e& U`stihofiljs

lr` lvlijlmj` of r`qu`st broh Hr& Tnlkks&

Uoore`r*s`fe%<;&90 'postplie)*outsie`P&T& s`fe%=3&90 'P&T& bufes)* bor postlk` plie sgiph`fto1

@L] ]@JLW@]

SOMOW93

RIDUO]* [R =0947

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Soift ObRi`w

Sluj T& Kutg* Sg&E&* ]of Lh`e``* H&E&* Aogf

]is`y* H&D&E&* E`plrth`fts ob Sglrhldojoky

lfe Otojlryfkojoky* Uujlf` Pfiv`rsity H`eidlj

D`ft`r* <543 Uujlf` Lv`fu`* F`w Orj`lfs* JL

;3<<=(=299& Sj`ls` b``j br`` to writ` to tg`lutgors wgo w`jdoh` lfe wijj r`spofe to doh

h`fts lfe dritidishs&

-It is ljwlys elrn`st m`bor` tg` elwf- ko`s lmit ob bojn levid`& If tg` dls` ob eruk tr`lth`ft ob

tiffitus* ljtgoukg tg` suma`dt stijj s``hs eufk`ofelrn* w` eo e`t`dt tg` blift`st stirrifks ob lf ifsikgt& Uglt ifsikgt is tglt tg`r` wijj m` fo sifkj`dov`r(tg`(wlt`rbroft eruk tr`lth`ft bor tiffitus mutlf lrhlh`ftlriuh ob pljjiltiv` eruks hikgt m`r`quir`e&

Ug` dls` is fot ufjin` tglt ob tg` eruk tr`lth`ft ob `pij`psy if wgidg tg`r` is lvlijlmj` to tg`f`urojokist l jofk jist ob eruks ob soh`wglt eibb`r`ft h`dglfishs lih`e lt `pij`psi`s ob eibb`r`fteilkfostid dlt`kori`s& Toh`tih`s `v`f dohmifltiofs ob eruks lr` us`e&

To* wglt is r`quir`e is l dglfk` ob lttitue`* l

dglfk` ob p`rsp`dtiv` p`rglps* towlres tiffitus mytg` g`ljtg dlr` prob`ssiofljs wg`r`my tiffitus isvi`w`e ls l promj`h witg hlfiboje dlus`s lfetg`r`bor` of` wgidg sgouje glv` lvlijlmj` hlfi

boje tr`lth`fts* ifdjueifk eruk tr`lth`fts&

@v`f if ourowf stuei`s witg buros`hie`* ofjy03% ob tg` popujltiof r`spofe`e to lf iftrlv`fous

ifa`dtiof '73 hk

ov`r two hifut`s)witg l r`eudtiof if

tiffitus s`v`rity&

Ug` 03% wgo r`spofe`e* w` gy(

potg`siz`e* gle

tiffitus ob p`ripg

`rlj orikif wg`r`lstg` fof(r`spofsiv`03% hikgt glv` gletiffitus ob d`ftrljorikif& 'Ug`r` is

fow soh` `vie`fd`supportifk tglt gypotg`sis&)

Ugos` witg tiffitus ob d`ftrlj orikif hikgtm`st m` tr`lt`e witg lk`fts wgidg `fglfd` ifgimitory prod`ss`s if tg` d`ftrlj lueitory pltgwly sudg

ls m`fzoeilz`pif`s '`k& Wlflx) or tg` f`w`r lk`ftviklmltrif&

L shljj proportiof obplti`fts wgos` pr`s`ftifk dohpjlift is tiffitus hly m` tr`lt`e witg lftigistlhif`s sukk`stifk tglt tg`ir tiffitus is ob

ljj`rkid orikif& Ttijj otg`rs* it hly turf out* hly m`tr`lt`e witg dljdiuh dglff`j mjodn`rs& Ug`r` hly`v`f m` tgos` wgos` tiffitus is r`jlt`e to spoftlf`ous otoldoustid `hissiofs lfe bor wgoh tg` m`steruk tr`lth`ft hikgt m` sljidyjlt`s, »

[glt gls oddlsiof`e tgis j`tt`r is tg` r`portmy Er& Mom Eomi` if Uiffitus Uoely 'Hlrdg <994)

of gis `xp`ri`fd`s witg buros`hie` if lf op`f trilj&Ls is usulj witg Er& Eomi`* tg` worn is ihp`ddlmjyeof` lfe pr`s`ft`e if l dj`lr lfe `v`f(glfe`ehlff`r&

Kiv`f tg` f`w fotiof ob lf lrhlh`ftlriuhe`sdrim`e lmov`* wglt sgouje jj\t r`sujt broh gistrilj ob buros`hie` is its jihifltiof broh tg` tiffitus lrhlh`ftlriuh& [` lr` stijj usifk it lt Uujlf`lfe it s``hs to m` us`buj bor d`rtlif plti`fts&

[glt w` wlft to sukk`st is tglt tg` lrhlh`f

tlriuh is aust fow e`v`jopifk lfe w` f``e to bife

tg` prop`r eilkfostid fidg`s bor tg` vlrious lvlijlmj` tr`lth`fts&

Bor ifstlfd`* glvifk birst e`t`rhif`e tglt lplti`ft+s tiffitus wls fot ob ljj`rkid* vlsdujlr orsyst`hid eis`ls` orikif lfe tglt it wls fot tr`ltlmj`lueioh`tridljjy* surkidljjy or psydgiltridljjy* tg`otojokist hly tg`f wisg to try eruk tg`rlpy&

L r`lsoflmj` pjld` to m`kif wouje m` witg lfiftrlv`fous buros`hie` dgljj`fk`& I b tg` plti`ft+s

tiffitus is r`spofsiv` tg`f it hly m` e`eud`e tg`tiffitus is ob p`ripg`rlj orikif lfe orlj buros`hie`

tg`rlpy hly m` ifstitut`e& I b tg` plti`ft+s tiffitusis fof(r`spofsiv` to buros`hie` tg`f it is obd`ftrljorikif&

Uiffitus ob d`ftrlj orikif hly m`st m` tr`lt`ewitg lk`fts `fglfdifk d`ftrlj ifgimitory prod`ss`sls eisduss`e lmov`&

Ug`s` tgoukgts pr`s`ft ofjy tg` mlr`st mof`sob l +tiffitus eruk tr`lth`ft bjow sg``t&+

Uiffitus Uoely/Auf` <994 <9

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Uyp`s ob G`lrifk Joss

my ]oflje K& Lh`e``* H&E&* B&L&D&T& " Uyf`s @&Hixof* H&E& E`plrth`ftobOtojlryfkojoky G`le

" F`dn Turk`ry* Uujlf` Pfiv`rsity Tdgooj ob

H`eidif`* F`w Orj`lfs* Jouisilfl&

Ug` guhlf `lr is tg` r`sujt ob l v`ry dohpj`xs`ri`s ob e`v`joph`ftlj `v`fts& Broh tg` hoh`ftob dofd`ptiof tg`r` lr` l wie` vlri`ty ob bldtorswgidg dlf lev`rs`jy lbb`dt g`lrifk& L hyrile ob

iftridlt` v`fts hust tln` pjld` if ore`r bor forhljg`lrifk to m` ldgi`v`e& Kiv`f tg` tr`h`feous fuhm`r ob pot`ftiljjy -toxid- dirduhstlfd`s pr`s`ft* itis ljhost sutprisifk tglt ofjy lmout of` p`rsof if;03 is morf witg l g`lrifk e`b`dt&

G`lrifk Joss Dlus`e Eurifk Sr`kflfdy

Hlt`rflj ifb`dtiofs lr` tg` host dohhof

dlus` ob m`lrifk joss pr`s`ft lt mirtg& ]um`jjl*g`rp`s* toxopjlshosis* dytoh`kljovirus* lfesypgijis lr` lhofk tg` ifb`dtiofs ob pr`kflfdywgidg dlf elhlk` tg` lrs obf`wmorfs& Ug` hotg`rs hly fot` l rlsg or bju jin` syhptohs eurifktg`ir pr`kflfdy& Gow`v`r* tg`r` hly ljso m` folppr`dilmj` syhptohs lt ljj&

F`wmorfs witg l w`ikgt j`ss tglf 4 j/=jms orsikfibidlft lfoxil 'l jldnoboxyk`f suppji`e to tg`mrlif) eurifk e`jiv`ry lr` ljso lt ifdr`ls`e risn ob

g`lrifk joss& Ug` pr`s`fd` ob lufeid` or mldt`rilj

h`fifkitis ljso ifdr`ls`s tg` risn ob elhlk` to tg``lrs& Toh` dgijer`f glv` g`lrifk joss tglt is ifg`rit`e* lfe wgidg e`v`jops `v`f witg fo outsie`ifbju`fd`s& Ug`r` hly m` strudturlj e`b`dts lt mirtgwgidg hly ljso lbb`dt g`lrifk&

Toh` sumstlfd`s 'ifdjueifk h`eidif`s) dlfm` elhlkifk to tg` g`lrifk ob lf ufmorf dgije* tg`

hotg`r* or motg& Hlt`rflj us` ob ljdogoj eurifkpr`kflfdy is lssodilt`e witg lueitory e`b`dts ifsoh` dgijer`f& Ifk`stiof ob g`lvy h`tljs sudg lsj`le* h`rdury* lfe lrs`fid dlf m` lssodilt`e witg

lueitory e`b`dts& Lt of` tih` if tg` fot too eistlftplst lrs`fid wls us`e if tg` tr`lth`ft ob sypgijis&

G`lrifk Joss Lssodilt`e witg H`eidif`s

It is w`jj nfowf tglt ljj h`eidif`s glv` pot`ftilj sie` `bb`dts& I t s bortuflt` tglt r`jltiv`jy b`welhlk` g`lrifk& Lfe tg` h`eidif`s tglt lr` e`tri

h`ftlj to g`lrifk eo so if l hifority ob dls`s& Ug`e`disiof to us` tg`s` sumstlfd`s is hle` mls`e=3 Uiffitus Uoely/Auf` <994

upof tg` m`f`bits outw`ikgifk tg` risns& Bor `xlpj`* quifieif` is us`e to tr`lt dlreild lrrgytgh'irr`kujlr m`lts)& Lhifokjydosie` lftimiotids sls str`ptohydif lfe k`ftlhydif lr` us`e if tr`lth`ft ob d`rtlif ifb`dtiofs& Lspirif is do

hofjy us`e `v`ry ely to r`ji`v` hifor ldg`s lplifs& Ljj ob tg`s` h`eidif`s lfe hor` glv` pot`ftilj to elhlk` g`lrifk&

Uyp`s obG`lrifk Joss

G`lrifk joss is eivie`e ifto tgr`` dlt`kordofeudtiv`* s`fsorif`urljlfe hix`e& L dofeudtg`lrifk joss is dlus`e my poor trlfshissiofsoufe broh tg` lir to tg` iff`r `lr wgidg is g`lrifk d`ft`r& T`fsorif`urlj g`lrifk joss is dlumy ifaury or elhlk` to tg` iff`r `lr or tg` f`rwgidg r`jly tg` sikfljs to tg` mrlif& L hix`e j

is lfy dohmifltiof obdofeudtiv` lfe s`fsorif`ujoss&

Ug` `lr is eivie`e ifto tgr`` plrts1 tg` `xflj* hieej` lfe iff`r lr& Ug` `xt`rflj lr dofsob snif lfe dlrtijlk` dljj`e tg` luridj * lfe tg`dlflj& Ug`s` strudtur`s g`jp to dofd`ftrlt` soulfe eir`dt it ifto tg` lr eruh& Oddlsiofljjy* tg`dlflj m`doh`s mjodn`e witg wlx& Ugis dofeitr`sujts if l dofeudtiv` g`lrifk joss eu` to blij

ob soufe to r`ldg tg` `lreruh&

Ug` Hieej` @lrUg` hieej` lr is lf lir bijj`e dlvity mouf

of tg` outsie` my tg` `lreruh lfe of tg` ifsie`tg` mof` ob tg` snujj& Ugis dlvity is jif`e my hudlfe doftlifs tgr`` shljj mof`s& Ug`s` mof`s 'dljossidj`s) dofeudt soufe broh tg` `lreruh to iff`r lr or tg` dodgj`l& Rlrious pltgojoki`s obhieej` lr usuljjy dlus` l dofeudtiv` g`lrifk jo

Urluhl to tg` `lr dlf r`sujt if l goj` if `lreruh& Thljj goj`s k`f`rljjy eo fot dlusg`lrifk joss mut jlrk`r goj`s hikgt& Goj`s if

`lreruh lr` dohhofjy dlus`e my bor`ikf moe'sudg ls \(tips)* lmrupt dglfk`s if pr`ssur` 'wgeivifk* bjyifk or mjowifk tg` fos`)* or my hie`lr ifb`dtiofs& Ug` mof`s if tg` hieej` `lrhly lm`doh` s`plrlt`e 'eislrtidujlt`e) lfe r`sujt ifhor` s`v`r` dofeudtiv` g`lrifk joss&

Hieej` `lr ifb`dtiofs dlf ljso r`sujt if l doeudtiv` g`lrifk joss& [` ljr`ley h`ftiof`e tglt

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Uyp`s ob G`lrifk Joss* doftifu`e

`lreruh dlf m` ruptur`e& Mut hor` br`qu`ftjy tg`s`ifb`dtiofs proeud` bjuie if tg` hieej` `lr& Ugisbjuie hln`s hov`h`ft ob tg` `lreruh lfe tg`

mof`s if tg` lr hor` eibbidujt& ]`p`lt`e ifb`dtiofsdlf r`sujt if sdlr tissu` wgidg ljso e`dr`ls`s hov`(h`ft ob tg` `lreruh lfe tg` mof`s if tg` hieej``lr& Toh`tih`s krowtgs or tuhors dlf pr`ss of tg`hieej` `lr strudtur`s lfe e`dr`ls` g`lrifk&

Lfotg`r eis`ls` wgidg dlus`s dofeudtiv`

g`lrifk joss is otosdj`rosis& Ugis dofeitiof is dglr(

ldt`riz`e my l r`sorptiofob

tg` mof`ob

tg` hieej``lr bojjow`e my g`ljifk witg f`w mof` borhltiof&Ugis f`w mof` pr`v`fts forhlj hov`h`ft ob tg`mof`s if tg` hieej` `lr& Sr`eispositiof to otos(dj`rosis is promlmjy ifg`rit`e lfe tgis eis`ls` dlfm` tr`lt`e witg `itg`r surk`ry or l g`lrifk lie&

[g`f p`opj` k`t dojes or flslj dofk`stiof*tg` `ustldgilf tum` wgidg v`ftijlt`s tg` hieej` lrbr`qu`ftjy m`doh`s mjodn`e& [g`f tgis glpp`fstg` lir ifsie` tg` hieej` `lr is lmsorm`e my tg`hudosl ob tg` hieej` lr lfe l -vlduuh- or f`kl(tiv` pr`ssur` is dr`lt`e& Ugis hln`s i t hor` eibbidujtbor tg` tyhplfid h`hmrlf` to hov`& I b gis f`kl(tiv` pr`ssur` doftifu`s tg` `lreruh hly m`doh`studn to tg` lr mof`s or tg` snujj& Ug`s` situltiofshly ljso r`sujt if l dofeudtiv` g`lrifk joss&

Ug` Iff`r@lr

Ug` iff`r lr is dohpos`e ob tg` dodgj`l 'tg`g`lrifk d`ft`r) lfe tg` f`rv` wgidg trlfshits tg`

sikflj to tg` mrlif& Ugis lr`l* jin` tg` hie(ej` `lr dlf m` elhlk`e my trluhl& Gow(`v`r* elhlk` to tg`s` strudtur`s kiv`s ris`to l s`fsorif`urlj g ` l r i f ~ joss lfe fot ldofeudtiv` g`lrifk joss& J`siofs ob tg` if(f`r `lr lr` obt`f v`ry eibbidujt to tr`lt&

Mldt`rilj lfe virlj ifb`dtiofs dlf ljsolbb`dt tg` iff`r `lr& Typgijis is l dohhofdlus` ob s`fsorif`urlj g`lrifk joss& Ugisg`lrifk joss is pr`s`ft if tg` -jlt` stlk`- ob

tg` eis`ls` lfe is fot lssodilt`e witg lfyrlsg& It hly m` tg` r`sujt ob ifle`qult`tr`lth`ft ob lf ifb`dtiof wgidg oddurr`ehlfy y`lrs pr`viousjy&

Of` ob tg` host dohhof borhs ob

s`fsorif`urlj g`lrifk joss is pr`smydusiswgidg is soh`tih`s nfowf ls tg` g`lrifk

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