Quiet Issue 3 2020
Membership magazine of TInnitus UK (formerly the British Tinnitus Association)
Membership magazine of TInnitus UK (formerly the British Tinnitus Association)
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QUIET<br />
<strong>Issue</strong> Three <strong>2020</strong><br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 1
Corporate members<br />
AfterShokz<br />
AngliEAR Hearing &<br />
Tinnitus Solutions<br />
Audiological<br />
Specialist<br />
Care Ltd<br />
Autifony Therapeutics<br />
Limited<br />
Better<br />
Hearing<br />
Clinic<br />
Bloom Hearing<br />
Specialists<br />
British<br />
Academy<br />
of Audiology<br />
British Society<br />
of Audiology<br />
CAuRES Hearing Aid<br />
Solutions<br />
Cubex Ltd<br />
Diane<br />
Hammond<br />
Independent<br />
Audiologist<br />
EarDial<br />
Flare<br />
Audio<br />
Geraint Davies<br />
Hearing Ltd<br />
Guymark UK Limited<br />
Halo<br />
Hearing<br />
Solutions<br />
Thank you to all<br />
our supporters!<br />
Harley Street<br />
Hearing<br />
Hear Again<br />
Limited<br />
Hearbase<br />
Hearing Aid<br />
Solutions<br />
Hear Pure and<br />
Wellbeing<br />
Hearwell<br />
Ltd<br />
Help in<br />
Hearing Ltd<br />
Hidden Hearing<br />
HiKent<br />
Isabella Fisher<br />
Independent<br />
Hearing Care<br />
Island Hearing<br />
Isle of Man<br />
Hearing Solutions<br />
Leightons<br />
Opticians and<br />
Hearing Care<br />
M C Hearing<br />
Neuromod<br />
Devices Ltd<br />
North East<br />
Hearing and<br />
Balance<br />
Oticon<br />
Oto Health Ltd<br />
Peter Byrom<br />
Audiology Ltd<br />
Puretone Ltd<br />
Scrivens Hearing Care<br />
Sivantos Ltd<br />
Smiths<br />
Hearing<br />
Care Ltd<br />
Sonova UK<br />
Limited<br />
Sound Matters<br />
Specsavers<br />
Starkey Hearing<br />
Technologies<br />
The<br />
Hearing<br />
Coach<br />
The Invisible<br />
Hearing<br />
Clinic<br />
The Tinnitus<br />
and<br />
Hyperacusis<br />
Network<br />
The<br />
Tinnitus<br />
Clinic<br />
Tinnitus<br />
E-Programme<br />
Widex UK Ltd<br />
Hospital services<br />
Barnsley Hospital NHS<br />
Foundation Trust<br />
Chesterfield Royal<br />
Hospital NHS<br />
Foundation Trust<br />
Doncaster and<br />
Bassetlaw Teaching<br />
Hospitals NHS<br />
Foundation Trust<br />
East Kent University<br />
Hospitals NHS<br />
Foundation Trust<br />
Gloucestershire<br />
Hospitals NHS<br />
Foundation Trust<br />
Nobles Hospital<br />
Isle of Man<br />
Rotherham NHS<br />
Foundation Trust<br />
Royal Berkshire NHS<br />
Foundation Trust<br />
Royal Cornwall NHS<br />
Foundation Trust<br />
Royal Hallamshire<br />
Hospital<br />
(Sheffield Teaching Hospitals<br />
NHS Foundation Trust)<br />
Sandwell and West<br />
Birmingham Hospitals<br />
NHS Trust<br />
Torbay and South<br />
Devon NHS<br />
Foundation Trust<br />
Worcestershire Acute<br />
Hospitals NHS Trust
BTA News 4<br />
Improved membership offer<br />
Changes to our shop<br />
Our year in numbers<br />
Covid-19 8<br />
Tinnitus experiences in the pandemic<br />
Events 14<br />
New online events and webinars<br />
Fundraising 24<br />
How you can take steps to support us<br />
Features 26<br />
Beyond hearing aids<br />
How I manage - techniques from yoga<br />
For professionals 31<br />
A conference like no other<br />
Real lives 32<br />
Luize and Henry share their stories<br />
Tinnitus support 34<br />
Tinnitus support team achievements<br />
Support group listing<br />
QUIET<br />
Volume 31 Number 3 ISSN: 0968-1264<br />
Christmas Appeal 10<br />
Will you help children like Ewan?<br />
Tinnitus Week 12<br />
Launching our 2021 campaign<br />
Research special 15<br />
Socialising and sound<br />
All in the genes?<br />
£125k for tinnitus research<br />
Is bimodal stimulation effective for<br />
tinnitus?<br />
Survey 17<br />
Have your say about our services<br />
Don't throw away the wrapper!<br />
The wrapper for your magazine is now<br />
compostable with your garden waste.<br />
Contacts<br />
Our Vision:<br />
A world where no one suffers from tinnitus.<br />
Our Mission:<br />
We will drive progress towards a cure and deliver<br />
excellent support to help people living with tinnitus.<br />
tinnitus.org.uk<br />
Editor<br />
Nic Wray<br />
nic@tinnitus.org.uk<br />
Address<br />
British Tinnitus Association, Ground Floor, Unit 5, Acorn<br />
Business Park, Woodseats Close, Sheffield, S8 OTB<br />
Registered charity no: 1011145. Registered in England.<br />
Helpline<br />
0800 018 0527<br />
Whilst the British Tinnitus Association (BTA) makes every attempt to ensure the accuracy and reliability of information in this<br />
magazine, it is not a substitute for medical advice. You should always see your GP/ medical professional. Advertisements for<br />
organisations, products or services do not imply endorsement of them by the BTA. All views are those of the authors and not the BTA.
BTA NEWS<br />
We've improved our membership!<br />
Our members are at the heart of our work<br />
and we wanted to ensure our membership<br />
scheme reflected that. So we’ve made<br />
some changes. For existing members,<br />
these changes will apply from your next<br />
renewal.<br />
There are now a range of membership<br />
types to suit you:<br />
Standard<br />
Digital<br />
Mindful<br />
Overseas<br />
We’ve updated the benefits of being a<br />
member of the BTA and introduced a Direct<br />
Debit payment facility to make renewing<br />
your membership easy for you.<br />
Membership benefits<br />
Our exclusive membership magazine,<br />
<strong>Quiet</strong>, three times a year<br />
Our monthly e-newsletter, Focus<br />
A free gift to help focus the mind – a<br />
mindfulness colouring book (for new<br />
members)<br />
Free sound therapy noise CDs – a choice<br />
of white noise, brown noise, pink noise or<br />
purple noise<br />
Discounts on products for tinnitus<br />
A complimentary place at our annual<br />
Tinnitus Expo<br />
The chance to have your say and to vote<br />
for our trustees<br />
Helping to fund our work in the world of<br />
tinnitus support and research<br />
Join us today!<br />
Annual membership costs just<br />
£20 and you can buy or renew<br />
yours on our website at bit.ly/<br />
JoinQ3<br />
Together we can<br />
silence tinnitus.<br />
4 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
OUR SHOP IS CHANGING<br />
We are working in partnership with<br />
suppliers like Puretone to provide a shop<br />
service and preferentially priced goods to<br />
BTA supporters and members.<br />
David Solecki from Puretone commented<br />
on the new venture: “Puretone and the BTA<br />
have had a very close working relationship<br />
for many years now and we are glad to be<br />
able to partner with them again for the<br />
supply of sound therapy systems via the<br />
BTA Shop".<br />
We’ve been offering products for tinnitus<br />
for many years now and we’ve received<br />
great feedback from customers who<br />
have found them to be effective tinnitus<br />
management tools.<br />
However, we have conducted some<br />
financial analysis of our shop operation<br />
and have come to the conclusion that the<br />
current process is not financially viable.<br />
We need to balance the needs of people<br />
living with tinnitus and the best use of<br />
our resources. So we’re going to be making<br />
some changes to ensure our shop is fit<br />
for purpose for years to come.<br />
There will be a number of product lines<br />
where we direct you to an approved thirdparty<br />
suppliers’ website. The majority<br />
of these products will be available at a<br />
reduced price for customers redirected<br />
from our website shop and will also have a<br />
10% discount for BTA members.<br />
Many of these third-party suppliers will<br />
be donating 10% of the purchase price<br />
(excluding postage costs) to the BTA.<br />
We hope you are as excited as we are about<br />
the improvements we are making to our<br />
shop. Ensuring our shop is sustainable<br />
means we can make better use of our<br />
resources and continue to help people<br />
living with tinnitus.<br />
If you have any queries about shop orders<br />
please contact us on 0114 250 9933 or<br />
visit the website at tinnitus.org.uk/shop<br />
Text giving<br />
You can now use our text giving<br />
service to donate any whole amount<br />
between £1 and £20. For example:<br />
Text BTA 3 to 70085 to donate £3.<br />
Texts cost £3 plus one standard rate<br />
message and you’ll be opting in to hear<br />
more about our work and fundraising<br />
via telephone and SMS.<br />
If you’d like to give £3 but do not wish<br />
to receive marketing communications,<br />
text BTANOINFO 3 to 70085.<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 5
2019-<strong>2020</strong> Highlights<br />
Our<br />
year in<br />
year<br />
numbers<br />
in numbers<br />
1,311,667<br />
people benefitted from accessing<br />
our support services. A 29%<br />
increase on last year!<br />
103,000<br />
people signed our petition urging<br />
the Government to commit more<br />
funding to tinnitus research.<br />
224<br />
professionals attended our events,<br />
workshops and lectures to improve<br />
the quality of support offered to<br />
tinnitus patients.<br />
An online tinnitus support group meeting<br />
425<br />
pairs of earplugs were given away<br />
at two university freshers fairs.<br />
6<br />
We are extremely proud of our<br />
achievements over the last year.<br />
2019-<strong>2020</strong> was a year of expansion<br />
and setting up a platform for the<br />
delivery of new projects and work<br />
in future years.<br />
Our new vision, mission and values<br />
were further embedded into the<br />
core of our work, as we continue<br />
to pursue "a world where no one<br />
suffers from tinnitus".
226%<br />
more video views on our YouTube<br />
channel during Tinnitus Week<br />
<strong>2020</strong>, compared to Tinnitus<br />
Week 2019.<br />
35,747<br />
social media followers – getting<br />
the tinnitus community talking.<br />
A 30% increase on last year.<br />
1,291,933<br />
unique visitors to our website –<br />
providing reliable information<br />
about tinnitus.<br />
£12.72<br />
for every £1 we spend - the value<br />
of our social return on investment.<br />
2<br />
tinnitus debates in parliament – as<br />
a result of the Tinnitus Roundtable<br />
event and Manifesto.<br />
6,141<br />
helpline calls answered – providing<br />
empathy and understanding to<br />
people with tinnitus.<br />
You can read an overview of our year<br />
in Our Impact, which you can find at<br />
tinnitus.org.uk/our-impact<br />
7
Tinnitus experiences<br />
in the Covid-19 pandemic<br />
8 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
Many of our members and supporters<br />
contributed to a study looking at the<br />
experiences of people with tinnitus<br />
worldwide during the Covid-19 pandemic.<br />
This study has now been published, and the<br />
results have shown the huge impact that<br />
either having Covid-19 or living through the<br />
wider pandemic has had on peoople with<br />
tinnitus. Nearly half (46%) of UK sufferers<br />
report that their tinnitus has been made<br />
worse due to the impact of lockdown and<br />
lifestyle changes.<br />
The researchers – a collaboration led<br />
by Dr Eldré Beukes from Anglia Ruskin<br />
University and including the British Tinnitus<br />
Association – also found that four out of<br />
ten people who had had Covid-19<br />
symptoms reported that their tinnitus was<br />
more bothersome.<br />
These findings back up the experience of<br />
our Tinnitus Support Team, as the people<br />
who have contacted us are often reporting<br />
tinnitus 'spikes' or increased distress<br />
caused by their tinnitus.<br />
The paper received lots of media attention,<br />
with coverage achieved not only in<br />
major UK outlets, but also internationally<br />
including the Daily Mail, Daily Telegraph,<br />
WebMD, NBC Nightly News and Fox News.<br />
This is very helpful for raising awareness<br />
of tinnitus, and also the long-term effects<br />
of Covid-19.<br />
To find out more, and watch our video<br />
interview with Dr Beukes, check out our<br />
website at bit.ly/EldreQ3<br />
Rebecca's story<br />
Rebecca Edgar, 29, from Clacton-on-Sea,<br />
has had tinnitus since childhood but feels<br />
that it is currently "the worst it has ever<br />
been" as a result of the pandemic. She said:<br />
Rebecca Edgar<br />
“For the last 20 years I’ve had a constant<br />
high-pitched buzzing in my ear but there is<br />
no doubt that this is the worst my tinnitus<br />
has ever been. I’m deaf in one ear and I’m<br />
so scared that catching Covid-19 could<br />
destroy what’s left of my hearing.<br />
“I’m also worried about my family. My<br />
husband, parents and siblings are all key<br />
workers and some of them have health<br />
conditions that put them at extra risk, so<br />
that’s a constant source of worry - it’s<br />
sent my stress levels through the roof!<br />
“My tinnitus has got so loud that I’m now<br />
struggling to hear my toddler when he talks<br />
to me from the back seat of the car, and it’s<br />
making it harder and harder for me to fall<br />
asleep. It’s a vicious cycle, too, because the<br />
more I worry about my tinnitus, the louder<br />
it gets and that increases my stress further.<br />
“People just don’t realise that tinnitus is so<br />
much more than just an annoying sound -<br />
it impacts on every aspect of your life and<br />
it stops you from doing what you want to<br />
do and being who you want to be. I am so<br />
hopeful that we can develop a vaccine for<br />
Covid-19 and I really hope that we can also<br />
find a cure for tinnitus. It would completely<br />
transform my life!”<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 9
Will you help children<br />
like Ewan?<br />
James shared:<br />
“The younger boys have had lots<br />
of teary moments, especially at<br />
quiet times when they realise<br />
that Ewan doesn’t have silence or<br />
quiet.”<br />
Ewan (L) and James (R)<br />
Anybody can experience tinnitus.<br />
At the start of <strong>2020</strong>, James’s eldest son<br />
Ewan (aged 15) sustained a concussion<br />
injury which left him with a collection of<br />
symptoms, including tinnitus.<br />
Ewan now hears a constant sharp metallic<br />
sound in his ears 24/7 and experiences<br />
slight hearing loss.<br />
Daunting and often distressing<br />
Tinnitus, at any age, is a daunting and<br />
often distressing thing to experience.<br />
And we know that for those supporting an<br />
individual with tinnitus, it can be difficult<br />
to understand what that person is<br />
going through.<br />
Ewan's brothers Finley (L) and Gethin (R)<br />
Impacted family life<br />
Tinnitus has impacted their family life<br />
in ways they didn’t realise, but they are<br />
determined to keep moving forward. Ewan’s<br />
parents, James and Beth, and his younger<br />
siblings, Gethin (11) and Finley (8), continue<br />
to support him and take the time to learn<br />
more about what Ewan is experiencing.<br />
10 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
Earlier this year, the family were able to<br />
access our online sessions and resources<br />
to help them do this.<br />
“With the help of the BTA’s<br />
positivity, commitment and expert<br />
knowledge, Ewan is working hard<br />
to get to know these new and<br />
disruptive elements in his life.”<br />
Nobody should have to suffer<br />
with tinnitus.<br />
Our dedicated team are working tirelessly<br />
to raise awareness and funds so that more<br />
people can access the support they need to<br />
manage tinnitus right now, and fund future<br />
tinnitus research to ultimately find a cure.<br />
You can be a part of this.<br />
Support us this Christmas by making a oneoff<br />
or regular donation so that people like<br />
Ewan can live well with tinnitus.<br />
Complete and return the form below, or<br />
if you wish to make a regular donation by<br />
Direct Debit, please see the insert included.<br />
Alternatively, visit tinnitus.org.uk/donate<br />
or call us on 0114 250 9933.<br />
Together we can silence tinnitus.<br />
<br />
Yes! I want to help children like Ewan<br />
You can donate by phone, post or online<br />
POST: I would like to give £10 £20 £50 My choice £<br />
I don’t need a thank you letter<br />
I enclose a cheque made payable to: British Tinnitus Association. Please send it to "FREEPOST BTA" - nothing else is<br />
needed: trust us, it will arrive!<br />
Alternatively, you can make a regular donation by Direct Debit. Please see the form on the back of your address slip.<br />
Your details:<br />
Make your gift worth more with Gift Aid<br />
Please enter your details below, and for every £1 you donate, we will receive an extra 25p from the government at no<br />
cost to you!<br />
I want to Gift Aid this donation and any donations I make in the future or have made in the past 4 years to the<br />
British Tinnitus Association<br />
Title: Full name: Date of declaration: / /<br />
I am a UK taxpayer and understand that if I pay less Income Tax/Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year,<br />
it is my responsibilty to pay any difference. Please notify us if you want to cancel this declaration, change your name or home address or no longer pay<br />
sufficient tax on your income and/or capital gains.<br />
At the British Tinnitus Association, we want to make sure we are communicating with you in the right way. So you<br />
have control over what you receive, please let us know your preferences through the following options:<br />
Yes! I am happy for you to contact me for all areas of work relating to the British Tinnitus Association by post,<br />
email, telephone and text/SMS<br />
Yes! I would like to receive FOCUS, your monthly newsletter<br />
If you prefer to hear about some areas but not others, or prefer certain methods of communication, choose the<br />
options that suit you at tinnitus.org.uk/preferences or contact info@tinnitus.org.uk or 0114 250 9933
Get ready to get behind<br />
Tinnitus Week 2021<br />
Emily Broomhead, BTA Campaigns Manager, outlines our plans so far.<br />
Tinnitus Week <strong>2020</strong> was a resounding<br />
success, kickstarting a conversation with<br />
the Government about the need to increase<br />
funding for tinnitus research. We’ll keep you<br />
updated with our progress on that front over<br />
the coming weeks and months, but, in the<br />
meantime, we’re excited to announce plans<br />
for the next Tinnitus Week campaign.<br />
Accessing treatment and support<br />
from GPs<br />
Tinnitus Week 2021 will run from 1-7<br />
February and will tackle another important<br />
issue for people with tinnitus - accessing<br />
treatment and support from GPs.<br />
At the end of March <strong>2020</strong>, the National<br />
Institute for Health and Care Excellence<br />
(NICE) published new guidance for GPs on<br />
how to support patients who come to see<br />
them with a tinnitus issue. You can see the<br />
guidance at bit.ly/NiceTGQ3<br />
This was very unfortunate timing. With<br />
the first Covid-19 lockdown implemented<br />
a week earlier and GPs forced to address<br />
huge challenges to deliver virtual care, it<br />
would be understandable if many of them<br />
missed the new tinnitus guidance. We will<br />
be working to address this.<br />
What do we have planned?<br />
We have a whole host of activities planned<br />
to help us to understand this issue better<br />
and ensure it gets the attention it deserves.<br />
We’ll be conducting research with people<br />
with tinnitus to find out more about your<br />
GP experience and whether it has changed<br />
at all since the new NICE tinnitus guidance<br />
was introduced at the end of March <strong>2020</strong>.<br />
We’ll also be engaging with GPs, patient<br />
support groups, healthcare associations,<br />
politicians and people with tinnitus, to<br />
generate ideas for how to ensure the new<br />
NICE guidance is used by more GPs.<br />
Then we’ll be running a campaign on social<br />
media to drive awareness of the impact<br />
of tinnitus and how positive support can<br />
improve people’s experience.<br />
How can you get involved?<br />
It’s impossible to overstate how much of a<br />
difference your support makes to Tinnitus<br />
Week and we really hope you’ll get behind<br />
it again this year.<br />
Please do complete our research survey<br />
as we'd like to find out about your GP<br />
experience - you can answer it online at<br />
bit.ly/BiGBTA.<br />
To grab the attention of the media,<br />
politicians and other national organisations<br />
we really need as many of you as possible<br />
to answer our questionnaire - so please do<br />
spend a few minutes to help us if you can.<br />
To bring our campaign to life, we are<br />
looking to feature your stories of how a<br />
12 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
GP experience - good or bad - has changed<br />
your journey.<br />
Perhaps you felt that your tinnitus was<br />
dismissed by your GP and that left you<br />
feeling isolated and hopeless, causing<br />
your condition to worsen further. Or<br />
perhaps, after years of struggling, you had<br />
an appointment with a sympathetic GP who<br />
took the time to listen to your challenges<br />
and helped to signpost you to support or<br />
self-management techniques.<br />
If you have a story that fits with this theme<br />
please email emily@tinnitus.org.uk<br />
Finally, we’d love for you to support our<br />
campaign on social media. We’ll be<br />
encouraging you to take the simple but<br />
impactful step of sharing a photo of you<br />
with some powerful text that helps bring to<br />
life the challenges that tinnitus brings. Look<br />
out for posts on our social media channels.<br />
The success of Tinnitus Week is directly<br />
linked with how many of you support it!<br />
Last year a staggering 115,000 of you got<br />
behind our campaign for more funding for<br />
tinnitus research and, as a result, we’re now<br />
in active discussions with the Government<br />
on this issue. We hope you’ll get behind<br />
Tinnitus Week 2021 just as strongly.<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 13
ONLINE EVENTS<br />
BTA Events Manager Maisie Carscadden invites you to our range of online<br />
events where you can learn more about tinnitus management.<br />
We are continuing to offer online events<br />
and developing new ones so we can reach<br />
as many people as possible.<br />
Email events@tinnitus.org.uk if you'd<br />
like to be told of our upcoming events, or<br />
follow us on social media for the latest<br />
announcements.<br />
Online workshops<br />
Our online workshops are led by Dr Lucy<br />
Handscomb, who has over 25 years<br />
experience as a tinnitus therapist.<br />
“This has been one of the best tinnitus<br />
events I have attended.”<br />
The online workshops have helped<br />
to support those unable to attend<br />
appointments, and offer tips on selfhelp<br />
management techniques. They are<br />
suitable for people who have been<br />
diagnosed with tinnitus but who have<br />
had minimal professional support.<br />
Online webinars<br />
Tony Kay, President of the BTA, and<br />
Clinical Psychologist Dominic Bray have<br />
both delivered online webinars including<br />
a Q&A for those who wanted a better<br />
understanding of tinnitus, the referral<br />
process and what they can do to help<br />
themselves.<br />
"I feel that my tinnitus has never been<br />
taken seriously by anyone. It was<br />
reassuring to hear from others and<br />
how they cope."<br />
New! Getting the most out of<br />
your GP consultation<br />
Want to make the most out of your GP<br />
appointment but not sure how? Dr Emma<br />
Dickson, a GP with a specialist interest in<br />
ENT, will take you through what to do on<br />
our recent webinar, with a Q&A bonus!<br />
This webinar covers:<br />
When to see your GP<br />
Selecting your GP<br />
What to expect when you see your GP<br />
What happens after the assessment<br />
If you would like to watch a recording of one<br />
of these webinars, you can view them<br />
at tinnitus.org.uk/free-webinars<br />
14 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
Socialising and sound<br />
BTA Research Officer Dr Georgie Burns-O'Connell looks at a new paper which<br />
examines whether tinnitus makes it harder to hear in noisy settings<br />
We often hear people with tinnitus say<br />
that they find it difficult to hear in noisy<br />
environments. They frequently mention<br />
noticing this when they are out with<br />
friends or family socialising at restaurants<br />
or parties.<br />
This can lead to feelings of loneliness as<br />
it makes it difficult to have conversations<br />
in larger groups - not that many of us are<br />
currently doing that due to Covid-19! - when<br />
there is background noise, e.g. clattering of<br />
plates and cutlery, music, other groups of<br />
people talking, etc.<br />
This problem has been explored in recent<br />
research undertaken by the Department<br />
of Otorhinolaryngology, Head and<br />
Neck Surgery, and the Department of<br />
Epidemiology, Erasmus University Medical<br />
Center in Rotterdam, the Netherlands.<br />
So, does tinnitus make it harder<br />
to hear?<br />
This research found that if someone has<br />
only tinnitus, then their hearing will be<br />
unaffected in noisy situations. Therefore,<br />
the short answer is no.<br />
However, if a person has tinnitus as well<br />
as hearing loss, then they are more likely<br />
to experience difficulty hearing in noisy<br />
situations (but this was shown to be only<br />
a small effect).<br />
This might seem obvious, but it supports<br />
the primary advice often given to those<br />
who experience tinnitus: have a hearing<br />
test.<br />
“When one has tinnitus in addition to<br />
hearing loss, hearing in more difficult<br />
listening situations is worse, even<br />
though the difference is small. However,<br />
if one only has tinnitus, hearing in a<br />
more difficult listening situation is<br />
unaffected.”<br />
Reference<br />
Oosterloo BC, Homans NC & Goedegebure<br />
A. (<strong>2020</strong>). Tinnitus Affects Speech in Noise<br />
Comprehension in Individuals With Hearing<br />
Loss. Otology & Neurotology 41 (9) doi: 10.1097/<br />
MAO.0000000000002733<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 15
All in the genes?<br />
BTA Communications Manager Nic Wray discusses research that could turn out<br />
to be an important milestone in the search for a cure for tinnitus.<br />
A new research study has found eight<br />
genes and three loci (specific fixed<br />
positions on a chromosome) which<br />
can be strongly linked to tinnitus.<br />
Tinnitus as a neurological<br />
condition?<br />
These results, if repeated, could overturn<br />
the current thinking that tinnitus is a<br />
symptom and could form the basis of<br />
considering tinnitus as a neurological<br />
condition.<br />
The study also indicated that tinnitus<br />
shared similarities with conditions such<br />
as hearing loss, insomnia and depression<br />
– conditions which often occur together<br />
with tinnitus, and which also involve<br />
multiple genes.<br />
Genetic tagging of specific forms (subtypes)<br />
of tinnitus could have an important<br />
role to play in the development of better<br />
treatments, including drugs for tinnitus.<br />
Environmental factors<br />
Although it seems increasingly clear that<br />
there is a genetic element to tinnitus, other<br />
studies have highlighted the importance<br />
of environmental factors. This interaction<br />
between many genes and various<br />
environmental factors marks tinnitus as<br />
a complex condition.<br />
The study has already been talked of as<br />
an important milestone, but more work<br />
is needed to unravel the complexities of<br />
tinnitus.<br />
Need for a biobank<br />
Studies such as this point towards the need<br />
for an in-depth tinnitus-specific biobank,<br />
which would allow us to understand<br />
the genetic and environmental factors<br />
associated with tinnitus, and take forward<br />
our understanding of tinnitus and facilitate<br />
our search for a cure.<br />
We are driving progress in this field, as the<br />
rewards could be ground-breaking.<br />
Reference<br />
Clifford RE, Maihofer AX, Stein MB, Ryan AF,<br />
Nievergelt CM. (<strong>2020</strong>) Novel Risk Loci in Tinnitus<br />
and Causal Inference With Neuropsychiatric<br />
Disorders Among Adults of European Ancestry.<br />
JAMA Otolaryngology Head and Neck Surgery.<br />
doi:10.1001/jamaoto.<strong>2020</strong>.2920<br />
16 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
MEMBERSHIP<br />
SURVEY<br />
For people living with tinnitus<br />
We’d like to find out what you think about BTA Membership<br />
but, most importantly, what we can do to help you in the future<br />
and provide an even better service to the tinnitus community.<br />
Your feedback really does help to guide our work.<br />
To be entered into a prize draw to win AfterShokz wireless bone<br />
conduction headphones worth £99.95, enter your contact details below:<br />
Name:<br />
Email:<br />
Phone:<br />
Please complete the survey and return it to us no later than 18 January 2021 to FREEPOST BTA.<br />
Alternatively, you can complete the survey online at surveymonkey.co.uk/r/BTA<strong>2020</strong><br />
A. ABOUT BTA MEMBERSHIP<br />
Your membership includes:<br />
The opportunity to support the work of the BTA, a community to be a part of, free copies of<br />
<strong>Quiet</strong> magazine, discounted products for tinnitus, information leaflets and advice and a free sound CD.<br />
1<br />
2<br />
What do you value most about the<br />
BTA, and why is it important?<br />
How would you rate your level of trust in the BTA? 1 = Extremely low / 10 = Extremely high<br />
1 2 3 4 5 6 7 8 9 10<br />
3<br />
4<br />
Why did you join as a BTA member?<br />
Improve my emotional wellbeing<br />
Improve my understanding<br />
of tinnitus<br />
Better understand my<br />
treatment options<br />
Reduce my feelings of isolation<br />
Find out about the latest<br />
tinnitus research<br />
Help me access the services<br />
I need<br />
Has BTA membership helped you to achieve any of these?<br />
Improve my emotional wellbeing<br />
Improve my understanding<br />
of tinnitus<br />
Better understand my<br />
treatment options<br />
Reduce my feelings of isolation<br />
Find out about the latest<br />
tinnitus research<br />
Help me access the services<br />
I need<br />
Improve my relationships<br />
Support the BTA<br />
Other (please specify):<br />
Improve my relationships<br />
Support the BTA<br />
Other (please specify):
5<br />
Which of these elements of the membership package have you accessed/used? Tick all that apply<br />
Free copies of <strong>Quiet</strong><br />
magazine<br />
Discounted products<br />
for tinnitus<br />
Information leaflets<br />
and advice<br />
Free sound CD<br />
6<br />
What do you value the most from the BTA membership package?<br />
Please rank your top three elements of the package from 1 (least valued) to 3 (most valued)<br />
The opportunity to support the<br />
work of the BTA<br />
Being part of a community<br />
Free copies of <strong>Quiet</strong> magazine<br />
Discounted products for<br />
tinnitus<br />
Information leaflets and<br />
advice<br />
Free sound CD<br />
7<br />
How influential were the benefits in your decision to become a member of the BTA?<br />
1 = Not influential / 10 = Highly influential<br />
1 2 3 4 5 6 7 8 9 10<br />
8<br />
9<br />
What actions have you taken (if any)<br />
since you received the benefits of being<br />
a BTA member? e.g. read through the info leaflets<br />
Would you have taken this action without receiving support from BTA?<br />
Very unlikely Unlikely Somewhat<br />
unlikely<br />
Neither likely<br />
nor unlikely<br />
Somewhat<br />
likely<br />
Likely<br />
Very likely<br />
10<br />
Have you experienced any changes as a result of receiving the benefits of being a BTA member?<br />
e.g. felt more confident in my knowledge of tinnitus so I’m worrying less about it<br />
No<br />
Yes (please specify):<br />
11<br />
Are you doing anything differently as a result of this change?<br />
e.g. going out to see friends more without worrying that my tinnitus will stop me from enjoying it<br />
No<br />
Yes (please specify):<br />
12<br />
Has anyone else been influenced by you being a member of the BTA?<br />
No Yes (please specify who and how):<br />
13<br />
How would you rate your awareness of tinnitus before and after you became a member<br />
of the BTA? 1 = Extremely low / 10 = Extremely high<br />
Before:<br />
1 2 3 4 5 6 7 8 9 10<br />
After:<br />
1 2 3 4 5 6 7 8 9 10
14<br />
How would you rate your knowledge of tinnitus before and after you became a member<br />
of the BTA? 1 = Extremely low / 10 = Extremely high<br />
Before:<br />
1 2 3 4 5 6 7 8 9 10<br />
After:<br />
1 2 3 4 5 6 7 8 9 10<br />
15<br />
How would you rate your ability to manage the negative effects of tinnitus,<br />
before and after you became a member of the BTA? 1 = Extremely low / 10 = Extremely high<br />
Before:<br />
1 2 3 4 5 6 7 8 9 10<br />
After:<br />
1 2 3 4 5 6 7 8 9 10<br />
If the BTA membership package was not available, what would you have done?<br />
16<br />
Nothing<br />
Used general information<br />
gained through research<br />
on the internet<br />
Become a member of another<br />
organisation<br />
Given a regular donation to<br />
the BTA<br />
Other (please specify):<br />
Used information found<br />
through the BTA website<br />
Given a one-off donation to<br />
the BTA<br />
17<br />
18<br />
How influential have the benefits of being a BTA member been in you making<br />
positive life choices? 1 = Not influential / 10 = Highly influential<br />
1 2 3 4 5 6 7 8 9 10<br />
Have you used any other BTA services?<br />
e.g. Freephone helpline, webinars, takeontinnitus.co.uk, our forum, etc.<br />
No Yes (please specify):<br />
19<br />
Do you have any suggestions<br />
about how we can improve<br />
our membership package?<br />
20<br />
B. ABOUT QUIET MAGAZINE<br />
Do you read all of <strong>Quiet</strong> magazine?<br />
Yes, I read it cover to cover No, I flick through it and read the articles that are of interest<br />
21<br />
Which content in <strong>Quiet</strong> do you most and least value?<br />
Most Least<br />
Most Least<br />
News from the BTA<br />
Tinnitus management tips<br />
Research updates<br />
Support groups news<br />
Real-life stories<br />
Fundraising stories<br />
Other (please specify):
22<br />
What would your preference be for the future format of <strong>Quiet</strong>?<br />
Leave it as it is<br />
Only produce it digitally<br />
Reduce the number of pages<br />
and include shorter articles<br />
Reduce the number of issues<br />
to one or two per year<br />
Stop producing <strong>Quiet</strong><br />
Other (please specify):<br />
23<br />
Do you have any<br />
additional comments<br />
about <strong>Quiet</strong> magazine?<br />
24<br />
C . ABOUT YOU<br />
These questions are optional, but it helps us to check that we are reaching<br />
as wide a cross-section of people as possible. All responses are anonymous.<br />
What is your gender?<br />
Female Male Prefer not to say Prefer to self-describe:<br />
25<br />
What is your sexual orientation?<br />
Bi<br />
Gay man<br />
Gay woman/<br />
lesbian<br />
Heterosexual/<br />
straight<br />
Prefer not<br />
to say<br />
Prefer to self-describe:<br />
26<br />
What is your age group?<br />
Under 18<br />
25–34<br />
45–54<br />
65–74<br />
Prefer not to say<br />
18–24<br />
35–44<br />
55–64<br />
75+<br />
27<br />
What is your ethnic group?<br />
Asian/Asian British:<br />
Bangladeshi<br />
Chinese<br />
Indian<br />
Pakistani<br />
Other<br />
Black/African/<br />
Caribbean/<br />
Black British:<br />
African<br />
Caribbean<br />
Other<br />
Mixed/Multiple<br />
ethnic groups:<br />
Asian and White<br />
Black African<br />
and White<br />
Black Caribbean<br />
and White<br />
White:<br />
English/Welsh/<br />
Scottish/Northern<br />
Irish/British<br />
Gypsy or Irish<br />
Traveller<br />
Irish<br />
Arab<br />
Prefer not to say<br />
Other (please specify):<br />
Other<br />
Other<br />
28<br />
In what region of the UK do you live?<br />
Scotland<br />
Northern Ireland<br />
Wales<br />
Yorkshire<br />
and the Humber<br />
North East<br />
North West<br />
West Midlands<br />
East Midlands<br />
South West<br />
South East<br />
East of England<br />
Greater London<br />
Outside the UK<br />
Prefer not to say<br />
THANK YOU!
£125k grant for<br />
tinnitus biomarker research<br />
We're delighted to announce the first<br />
recipient of £125,000 through our <strong>2020</strong>/21<br />
large research grant funding programme.<br />
The grant is going to King’s College London<br />
and the University of Nottingham for<br />
their study which aims to identify tinnitus<br />
biomarkers, using the health and genetics<br />
data of twins.<br />
Looking for biomarkers<br />
The two-year research project is led by<br />
Professor Frances Williams, Professor of<br />
Genomic Epidemiology at King’s College<br />
London, and Dr Christopher Cedderoth,<br />
Associate Professor in Hearing Sciences<br />
at the University of Nottingham. Using<br />
data from TwinsUK and the Karolinska<br />
Institutet’s Swedish Tinnitus Outreach<br />
Project, they will be looking for biomarkers<br />
– or special molecules – in the blood that<br />
can help to objectively diagnose and/or<br />
predict who will develop tinnitus.<br />
Blood test for tinnitus?<br />
Professor Williams said: “We’re really<br />
pleased to have been awarded a grant from<br />
the BTA, to allow us to take this significant<br />
project forward. We hope that using the<br />
large sample from TwinsUK will help us<br />
to identify a blood molecule which will<br />
provide an objective, reliable indicator of<br />
tinnitus. This would allow the development<br />
of a blood test for tinnitus, leading to it<br />
being defined as a 'disorder' rather than<br />
symptom, and providing an objective<br />
measure of a subjective condition.”<br />
This project is an important study and<br />
could provide essential information that<br />
will propel new research towards a cure.<br />
BTA's large research grants<br />
This is the first of two projects to be<br />
funded from our £250,000 large research<br />
grant funding programme in <strong>2020</strong>/21,<br />
which is the highest amount we've ever<br />
awarded, and cements our position as one<br />
of the largest tinnitus research funders<br />
in the UK. We'll be announcing the second<br />
successful recipient in early 2021.<br />
Tinnitus research is dramatically<br />
underfunded and we’re committed to<br />
funding, supporting and lobbying for what’s<br />
needed to silence tinnitus once and for all.<br />
Please help us to continue to fund projects<br />
like this. You can donate via our appeal on<br />
pages 10-11.<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 21
Is bimodal stimulation<br />
effective for tinnitus?<br />
Kerry Chase, BTA Head of Communications, casts an analytical eye over a<br />
study looking at a novel treatment for tinnitus<br />
Results from a study into Neuromod<br />
Devices’ Lenire®, a bimodal<br />
neuromodulation device, have just been<br />
published, looking at whether it delivers<br />
a reduction in tinnitus symptoms.<br />
Why?<br />
The objective of the study was to<br />
investigate bimodal neuromodulation,<br />
combining sound and tongue stimulation,<br />
to determine whether it is safe and effective<br />
for treating individuals with chronic<br />
subjective tinnitus.<br />
The trial consisted of three study groups,<br />
with the aim of evaluating the effects that<br />
three different stimulation settings have<br />
on tinnitus symptoms.<br />
Who?<br />
The study recruited 326 adults with chronic<br />
subjective tinnitus who:<br />
were aged between 18 and 70<br />
had had tinnitus for three months to five<br />
years<br />
had a Tinnitus Handicap Index (THI) score<br />
of 28 to 76 points<br />
How?<br />
The participants were provided with and<br />
instructed to use a bimodal<br />
neuromodulation device (Lenire®) – that<br />
delivers sound to the ears and electrical<br />
stimulation to the tongue – for 60 minutes<br />
daily for 12 weeks.<br />
They were clinically evaluated during the<br />
treatment period – at week 6 and at week<br />
12. When treatment was completed,<br />
participants were assessed at three followup<br />
visits up to 12 months after returning<br />
their device.<br />
The results<br />
81% of participants experienced an<br />
improvement in tinnitus symptoms after 12<br />
weeks of treatment and 77% at 12 months<br />
post-treatment, irrespective of the study<br />
arm they were on (based on THI and TFI<br />
scores). 16% of participants reported that<br />
their tinnitus got worse. At the end of<br />
22 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
treatment, 66.5% of participants said that<br />
they had benefitted from using the device.<br />
The study also found that there wasn’t<br />
as large of an improvement in tinnitus<br />
symptoms during the second six weeks of<br />
stimulation, as there was during the first six<br />
weeks. This suggests that the brain may<br />
become less sensitive in response to<br />
repetitive stimuli over time.<br />
Things to consider<br />
This paper is the first high-quality paper<br />
evaluating the effectiveness of a bimodal<br />
neuromodulation device (Lenire®) to reduce<br />
the perception of tinnitus. However, it is<br />
sponsored by Neuromod Devices, so is not<br />
fully independent.<br />
Further clinical trials are required before<br />
bimodal neuromodulation could be<br />
established as a clinically recommended<br />
treatment for tinnitus. The study excluded a<br />
number of potential candidates, including<br />
those with:<br />
tinnitus for longer than 5 years<br />
objective tinnitus or somatic tinnitus<br />
caused by a head or neck injury, or if<br />
their tinnitus was occurring alongside<br />
a neurological condition<br />
conductive or substantial sensorineural<br />
hearing loss<br />
a hearing aid used within 90 days prior<br />
to eligibility<br />
Ménière’s disease<br />
Reference<br />
Conlon B, Langguth B, Hamilton H et al. (<strong>2020</strong>)<br />
Bimodal neuromodulation combining sound and<br />
tongue stimulation reduces tinnitus symptoms in a<br />
large randomized clinical study. Science<br />
Translational Medicine 12 (564). doi: 10.1126/<br />
scitranslmed.abb2830<br />
Do you want to avoid<br />
reinventing the<br />
wheel?<br />
Sound Practice is an online library of peer<br />
shared resources that aims to support<br />
provision of adult hearing rehabilitation.<br />
Are you looking to see<br />
what other professionals<br />
have produced?<br />
Register today at<br />
www.soundpractice.org.uk/<br />
to start viewing and sharing resources today<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 23
Going that<br />
Ella Parris, a 16-year-old school girl from<br />
Kent, was first diagnosed with tinnitus<br />
when she was just six-years-old.<br />
“Some days it's difficult to sleep due to<br />
constant vibrations, buzzing, ringing, etc.<br />
It occurs when I'm really stressed, when it's<br />
too quiet or when I'm trying to concentrate<br />
hard in exams. Tinnitus has run through my<br />
family, massively impacting our lives. My<br />
mum and I recently came to the conclusion<br />
that this needs to change!”<br />
Despite living with complex health issues,<br />
Ella set herself the challenge of walking 50<br />
miles to raise awareness of tinnitus, and to<br />
raise vital funds for the BTA.<br />
Ella created her own awareness page on<br />
social media to get people talking about<br />
tinnitus and other conditions. She was<br />
interviewed by her local radio station,<br />
Kent FM, and her local paper shared<br />
her experience of tinnitus.<br />
By sharing her story, Ella managed to raise<br />
awareness of tinnitus and raise over £700<br />
to help us to help others and push for future<br />
research.<br />
Ella Parris<br />
Christina Kennedy, 41, from Daventry in<br />
Northamptonshire has also challenged<br />
herself to walk 50 miles in a month.<br />
Christina got in touch with the BTA Tinnitus<br />
Support Team back in August 2019 after<br />
having an ear infection and experiencing<br />
tinnitus for the first time.<br />
She told us, “I became severely distressed,<br />
anxious and constantly panicked. During<br />
what I call my crisis stage, I never thought<br />
I’d be able to live normally again. I<br />
remember my boyfriend taking me to the<br />
doctor's in the car and I had a complete<br />
panic attack, we had to stop and I called<br />
the BTA helpline, I was so desperate. That<br />
phone call was the start of my healing<br />
process.”<br />
24 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
extra mile<br />
Christina Kennedy<br />
“I hear a high-pitch ringing 24/7 with no<br />
breaks, it’s the annoying sound that no one<br />
else can hear - it can be a lonely place."<br />
"With some help and a lot of determination<br />
to not let tinnitus control or define my life,<br />
I am now in a much, much better place,<br />
however it breaks my heart when I speak<br />
to people new to tinnitus who are deeply<br />
suffering and receive little or no support<br />
from their GP.”<br />
Step forward<br />
Can you follow in Ella and Christina’s<br />
footsteps?<br />
Walking is great for our physical and mental<br />
health. Whatever distance, you can make it<br />
count by raising awareness and funds for a<br />
cause close to your heart.<br />
Set yourself a goal of how far you’d<br />
like to walk, and your start and end<br />
dates (new year, new you?).<br />
Ask your family and friends to<br />
sponsor you – online or offline.<br />
Get walking!<br />
Our team will be with you every step of the<br />
way to offer personalised support if and<br />
when you need it.<br />
Simply head to our website at bit.ly/StePQ3<br />
to sign up or contact us to receive your BTA<br />
t-shirt and fundraising pack.<br />
Questions? Get in touch with our team via<br />
fundraising@tinnitus.org.uk or call 0114<br />
250 9933. Money raised will help to support<br />
people with tinnitus and help fund research.<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 25
Beyond hearing aids<br />
How a cochlear implant can help those with hearing loss and tinnitus.<br />
What is a cochlear<br />
implant (CI)?<br />
3<br />
4<br />
A cochlear implant is an electronic device<br />
which consists of two parts - one which is<br />
surgically implanted (the implant) and one<br />
which is worn externally (the sound<br />
processor). It directly stimulates the<br />
hearing nerve, bypassing the inner ear<br />
structures which are not functioning due<br />
to a hearing loss.<br />
A<br />
2<br />
1<br />
1<br />
5<br />
B<br />
D<br />
C<br />
6<br />
E<br />
F<br />
Outer ear Middle ear Inner ear<br />
Figure 2: The ear with a CI in place.<br />
Figure 1: The internal implant is on the left, and the<br />
external sound processor on the right.<br />
How does a CI work?<br />
To understand how a CI works, it’s<br />
important to know how normal hearing<br />
works. Sound is transmitted as sound<br />
waves from the environment. The sound<br />
waves are gathered by the outer ear (A in<br />
figure 2) and sent down the ear canal (B)<br />
to the eardrum (C).<br />
The sound waves cause the eardrum to<br />
vibrate, which sets the three tiny bones (the<br />
ossicles) (D) in the middle ear into motion.<br />
The motion of the bones causes the fluid<br />
in the inner ear (or cochlea (E)) to move.<br />
The movement of the inner ear fluid causes<br />
the hair cells in the cochlea to bend. The<br />
hair cells change the movement into<br />
electrical impulses which are transmitted<br />
to the hearing nerve (F) and up to the brain,<br />
where they are interpreted as sound.<br />
Conventional hearing aids work by making<br />
sounds louder, but a cochlear implant is<br />
different. With a CI, sound is picked up by<br />
the microphone (1 in Figure 2) worn on or<br />
near the ear on the external processor (2).<br />
The sounds are then processed, changed<br />
into electrical signals and passed to a<br />
transmitter coil worn on the head and<br />
kept in place via a magnet (3).<br />
The signals are sent by radio waves,<br />
through the skin to the implanted receiver<br />
(4) and down the wire (5) to the electrode<br />
in the cochlea (6). When the electrode<br />
receives the signal, it makes tiny currents<br />
that travel along the hearing nerve to<br />
provide a sensation of hearing.<br />
26 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
Who is a CI for?<br />
Children and adults with severe to profound<br />
hearing loss and who receive little or no<br />
benefit from conventional hearing aids may<br />
be suitable for a cochlear implant.<br />
Anyone who has a severe to profound<br />
hearing loss and reports the following<br />
difficulties, even when wearing hearing<br />
aids …<br />
Difficulty following conversations without<br />
lip reading<br />
Difficulty hearing in background noise or<br />
groups<br />
Difficulty following telephone<br />
conversations<br />
Feeling isolated or limited socially or at<br />
work<br />
... may benefit from a cochlear implant.<br />
How can CIs help?<br />
Compared to using a hearing aid only, or not<br />
using any device, adults using CIs show<br />
improvement in terms of:<br />
Understanding speech in quiet and<br />
background noise<br />
Educational and employment<br />
opportunities<br />
Quality of life<br />
Those with Advanced Bionics CIs tell us<br />
that with their implant they have improved:<br />
Communication<br />
Relationships with family and friends<br />
Music appreciation<br />
Wellbeing<br />
Feeling of safety<br />
Work life<br />
CIs and Tinnitus<br />
Many people with hearing loss also suffer<br />
with tinnitus. There have been reports of<br />
rare cases where tinnitus is worse after a<br />
CI, and sometimes it remains unchanged.<br />
But research has shown that in most cases<br />
CIs can reduce or totally eliminate tinnitus,<br />
with a greater improvement seen when the<br />
severity of the tinnitus is greatest.<br />
How to find out more<br />
Despite the potential benefits of this lifechanging<br />
technology, it’s estimated that<br />
use of CIs in adults who are eligible is as<br />
low as 5%. If you believe you may benefit<br />
from a cochlear implant, please speak to<br />
your Audiologist or GP who can refer you to<br />
your nearest CI centre for an assessment.<br />
About the author<br />
Shahad Howe is a Consumer<br />
Engagement Specialist at Advanced<br />
Bionics, raising awareness about<br />
cochlear implants and supporting<br />
people who are thinking about<br />
cochlear implants as a treatment for<br />
their hearing loss.<br />
www.advancedbionics.com<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 27
How I manage my<br />
BUZZING EARS<br />
When Carolin-Marie Roth first noticed tinnitus, she used her experience as a<br />
yoga teacher to explore techniques to help her to manage the condition.<br />
first peak of the Covid–19 pandemic, and,<br />
understandably, tinnitus was not top of the<br />
priority list for my GP.<br />
I started to do some research myself and<br />
decided to experiment with a few exercises.<br />
Eventually, after a couple of months, my<br />
perception of the noise inside my ear<br />
started to change and the whooshing and<br />
buzzing slowly faded and finally stopped.<br />
Carolin-Marie Roth<br />
“I have often lamented that we cannot<br />
shut our ears with as much ease as we<br />
can our eyes.” Sir Richard Steele<br />
One evening I went to bed as normal, only<br />
to wake up in the middle of the night with a<br />
buzzing noise in my right ear. First, I tried to<br />
ignore it but that didn’t work; the noise was<br />
annoyingly persistent. The weird buzzing<br />
inside my head was driving me up the wall<br />
so the next morning I called my GP. He told<br />
me to relax, as with a bit of luck, it would go<br />
away by itself.<br />
Well, that didn’t happen and I became more<br />
agitated. I really didn’t know what to do<br />
and was scared that the noise would stay<br />
with me forever. All this was happening<br />
during the summer of <strong>2020</strong>, during the<br />
I cannot guarantee you that these exercises<br />
will help you as well as they helped me but<br />
they are easy to do, so why not try them?<br />
Ear pressing and tapping<br />
Tapping is a technique that has helped me<br />
during times of stress and anxiety. Tapping<br />
is said to restore and unblock the flow of<br />
energy within your body and it is yogic belief<br />
that when the energy, the prana, flows<br />
freely, the body and the mind will be able<br />
to heal themselves.<br />
Tapping special points around your ears and<br />
neck can mask the symptoms of tinnitus.<br />
Tapping these acupressure points with your<br />
fingertips may reduce the stimulation of<br />
the limbic system in your brain that deals<br />
with emotion, memories and behaviour. The<br />
limbic system can act as a gatekeeper to<br />
keep the tinnitus signal from reaching the<br />
auditory cortex.<br />
28 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
Now, move your fingers down your face<br />
onto your chin and continue tapping your<br />
chin for one minute before you repeat the<br />
ritual again, starting behind your ears.<br />
Practise two sets of the pressing and<br />
tapping three times per day.<br />
The Humming Bee Breath<br />
Why not try producing a sound in order to<br />
reduce the sound in your ear? This is what<br />
the Humming Bee Breath does.<br />
The tragus is the small flap of cartilage at the ear<br />
opening<br />
Exercise<br />
Sit comfortably on a chair with your spine<br />
straight. Press your right thumb against<br />
your tragus, the small piece of cartilage on<br />
the inner corner of your right ear. Push your<br />
thumb against it, approximately 50 times in<br />
a quick succession.<br />
Then stop and keep pressing the thumb<br />
firmly against the tragus. Hold it in this<br />
position, slowly counting to 12. Then release<br />
and repeat everything with your left thumb<br />
on your left ear.<br />
Finally, repeat the whole process against<br />
both your ears.<br />
Now rub your hands, creating both energy<br />
and heat. Tuck in your chin and use your<br />
fingertips, not your fingernails, to tap firmly<br />
against your skull behind your ears, relaxing<br />
your jaw muscles and lips while tapping<br />
forcefully for at least two minutes.<br />
Then slowly move your fingertips to the<br />
crown of your head, tapping the top of your<br />
head for one minute.<br />
If right now you are thinking something<br />
along the lines of, “Why is this woman<br />
recommending that I should produce more<br />
noise, when all I want to do is get rid of<br />
the noise in my ears?” then contemplate<br />
the following: the sound you hear in your<br />
ear is an internal noise. Have you ever<br />
just observed it without discrimination,<br />
emotional judgement or thought? It is<br />
because we can become so disturbed<br />
by the voice inside us that we can<br />
become too caught up in this.<br />
Take a moment and try to neutrally observe<br />
the noise, not identifying with it, simply just<br />
noting it. Then bring your awareness to your<br />
audible breath. The breath is always there;<br />
the noise is only there when it is observed.<br />
The more space you make between yourself<br />
and the noise, the less attached to the<br />
noise you will be, and the more you will<br />
be able to focus your awareness on other<br />
sensations.<br />
Exercise<br />
Prepare to imitate the buzzing sound of<br />
a bumble bee. The sound is very soothing<br />
and relieves tension and anxiety and can<br />
help you to perceive the tinnitus symptoms<br />
differently.<br />
Start by sitting comfortably, keeping the<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 29
moments breathing normally, sit quietly<br />
and notice whether there are any changes<br />
in your ears.<br />
Remember that you might not be able to<br />
cure your tinnitus once and for all, but what<br />
you can change is how you perceive the<br />
sound.<br />
About the author<br />
spine as straight as possible. Do not do<br />
this exercise lying down. Your lips remain<br />
gently closed with your teeth slightly apart<br />
throughout the practice. Make sure that<br />
your jaw is relaxed.<br />
If it feels comfortable, close your eyes. Then<br />
use the middle or index finger to plug your<br />
ears. Push your finger against the tragus,<br />
the small piece of cartilage at the inner<br />
corner of your ear. Keep your ears and lips<br />
closed, and produce a humming sound as<br />
you breathe out. Produce the sound of the<br />
letter ‘m’ and sustain the sound until you<br />
need to inhale.<br />
Then repeat: inhale through the nose, and<br />
hum like a buzzing bee as you exhale:<br />
mmmmmmm … Do not clench your teeth<br />
and do not press your tongue against your<br />
teeth as you are humming. Make the outbreath<br />
longer than the in-breath to prolong<br />
your experience.<br />
Listen to the sound and notice the tingling<br />
in your lips, face, and skull. The longer<br />
you sustain the humming exhalation, the<br />
more relaxing the breath is likely to be - but<br />
forcing the breath beyond your capacity<br />
can have the reverse effect.<br />
Finally, release your hands and spend a few<br />
Carolin-Marie Roth is a British Wheel of<br />
Yoga teacher who has been practising<br />
yoga for over 40 years. The exercises<br />
in this article have been adapted from<br />
her forthcoming book.<br />
www.enjoyoga.co.uk<br />
Do you have a<br />
story to tell?<br />
If you are living with tinnitus and would<br />
like to support our awareness-raising<br />
activity by sharing your story, we'd love<br />
to hear from you.<br />
Whether you're new to tinnitus or have<br />
had it for many years; whether you're<br />
managing it well or finding it all a bit of<br />
a struggle, your story could help us to<br />
reach more people, and potentially<br />
make a difference to their lives.<br />
Don't worry, we'd never ask you to share<br />
or do more than you're comfortable with,<br />
and no details or photos are ever used<br />
without your consent.<br />
If you would like to tell us your tinnitus<br />
story, please get in touch with Nic<br />
Wray on nic@tinnitus.org.uk or 0114<br />
250 9933 or write to her at Nic Wray,<br />
FREEPOST BTA (no stamp needed).<br />
30 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
Learning together online<br />
Like many other organisations this year,<br />
we moved online to deliver our Annual<br />
Conference. Aimed at audiologists,<br />
ENTs, GPs, hearing care professionals,<br />
psychologists, tinnitus support groups<br />
and researchers, more than 300<br />
people from 28 countries enjoyed a full<br />
programme of over 20 online lectures,<br />
workshops, seminars and networking<br />
opportunities across five days.<br />
It was a BTA conference like no other, but<br />
our speakers, facilitators and attendees<br />
were all very enthusiastic about the new<br />
format. Going online also offered us the<br />
opportunity to invite international speakers,<br />
and these came from New Zealand and<br />
across the USA and Europe.<br />
The virtual event also attracted attendees<br />
from across the globe, with people logging<br />
in from far and wide, including Australia,<br />
Canada, Denmark, Brazil, Israel, Peru and<br />
South Africa. The more accessible format<br />
has allowed us to reach more people<br />
than ever before, with a record number of<br />
attendees registered.<br />
Each day was themed – including the<br />
psychology of tinnitus, practical skills and<br />
the latest in tinnitus research – with topics<br />
ranging from sleep to brain imaging, and<br />
internet-based CBT to the effects<br />
of Covid-19.<br />
The most popular session of the week<br />
was Dr Laurence McKenna’s report on his<br />
research into managing tinnitus-related<br />
insomnia – with over 100 people logging<br />
in live, and 300 views ‘on-demand’ during<br />
the week. Other highlights included the key<br />
note presentation from Professor David<br />
Baguley on ‘Biobanks – what can they tell<br />
us about tinnitus?’ and a panel discussion<br />
on ‘Tinnitus and Covid-19’. The pandemic<br />
of course has influenced lived experience,<br />
research and clinical practice in the tinnitus<br />
community, and all of these were covered<br />
in the sessions.<br />
What was particularly encouraging was<br />
the engagement of our attendees with the<br />
live Q&A sessions after the presentations.<br />
The online format gave the chance for<br />
more questions – no delay in waiting for<br />
the roving mic – and people really took<br />
advantage of the opportunity to interact.<br />
The sessions will be available online until 5<br />
October 2021 for attendees. For those who<br />
have missed out, post-event access for all<br />
the sessions can be purchased from<br />
www.btaconference<strong>2020</strong>.co.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 31
It can get<br />
better<br />
Luize Lazdane tells us how she learned<br />
to live with her tinnitus.<br />
I’ve been suffering with tinnitus since<br />
December 2018 – it has been a tough road,<br />
but I know that it can get better. For me<br />
there’s no question that the tinnitus was<br />
caused by a short but severe episode of<br />
depression.<br />
There was a lot of change happening in my<br />
life at the time and my body (and brain)<br />
couldn’t cope and keep up. I will never<br />
forget the first time I noticed it was there<br />
and wasn’t going away. It was Christmas<br />
and everyone was cheery, you could feel<br />
the festivities in the air. In contrast, there<br />
I was – constantly checking whether the<br />
noise was there, what did it sound like,<br />
whilst getting panic attack after panic<br />
attack because of it.<br />
I was convinced that I was going to lose my<br />
hearing, which didn’t help the depression,<br />
either. With this conviction, I booked<br />
myself to an ENT for them to check my<br />
hearing – this was another highly stressful<br />
appointment. I recall at first telling the<br />
doctor that I had been hearing sounds for<br />
about seven consecutive days, the sounds<br />
were high-pitched, long beeps, similar to<br />
when you pick up the handset of a landline.<br />
After checking my hearing, everything<br />
turned out fine but the fact that there was<br />
no cure unsettled me greatly. What do you<br />
mean this is something I have to live with<br />
for the rest of my life? I will never ‘hear’<br />
silence again? The idea of persistent noise<br />
drove me into even greater anxiety and the<br />
Luize Lazdane<br />
thought that I was inevitably going to go<br />
crazy was bringing more anxiety. I could tell<br />
I became withdrawn from my friends and<br />
family.<br />
I was lucky that I was put on medication<br />
and did CBT that helped my depression<br />
ease. With time, the sounds started calming<br />
down, but they still haven’t disappeared.<br />
However, I have learnt to live with them.<br />
They come back when I’m doing something<br />
that relaxes me, mainly when reading a<br />
book. But all I do is think to myself, "Ah<br />
here is my tinnitus again – hello!" and let<br />
the thought go.<br />
I am confident that everyone can find<br />
their own coping mechanisms that will<br />
help them. I really never thought the<br />
day would come where I see it as part of<br />
myself, rather than a debilitating illness. I<br />
wish I had known about the symptoms of<br />
excessive stress – tinnitus being one of<br />
them. The little knowledge I had about it<br />
certainly didn’t help trying to work out how<br />
to live with it. As corny as it sounds, I do<br />
want people to know that there is a light at<br />
the end of the tunnel.<br />
32 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
The music of my mind<br />
Student Henry Bolden shares his story<br />
Tinnitus is unseen yet certainly not<br />
unheard. It does not discriminate. This<br />
is what makes it so fascinating, so<br />
challenging, and so difficult to understand,<br />
for both us sufferers and for people who<br />
cannot come close to experiencing its<br />
effects.<br />
I was previously completely unaware of<br />
the effects and wider world of tinnitus,<br />
until a year ago, when I was suddenly<br />
accompanied by a high-pitched<br />
whistling. This sound was<br />
at first a mild irritation,<br />
but its presence and<br />
prominence grew<br />
over time, and my<br />
increasing awareness<br />
and anxiety alongside<br />
this led me to explore<br />
the world of tinnitus and in<br />
turn discover the BTA.<br />
I had no idea about the number of young<br />
people who were similarly privately<br />
affected by tinnitus, and was amazed<br />
at the amount of content available in an<br />
attempt to grasp tinnitus' varying effects.<br />
However, this content never provided<br />
a personal and intimate experience for<br />
people to understand and feel tinnitus, be<br />
it my friends, family or myself. What was<br />
needed was more than an explanation.<br />
Studying drama at university, I had<br />
previously been introduced to the world<br />
of audio features (radio plays, audio<br />
documentaries and experimental audio<br />
pieces of theatre), and their deeply<br />
intimate manner of projecting a story and<br />
experience right into your ears. After being<br />
set the task to create a feature of our own,<br />
and doing some research with my fellow<br />
creators, Jake and Patience, I found it<br />
ironic that there was very little to do with<br />
tinnitus in an audio-only medium.<br />
We decided to create a 15-minute feature<br />
which allowed the general public a chance<br />
to feel tinnitus, directly in their heads.<br />
Using Facebook (not our initial plan thanks<br />
to the Covid-19 pandemic), we found six<br />
people of different ages and backgrounds<br />
who were willing to tell us about their own<br />
unique experiences with tinnitus, along<br />
with sharing their individual sounds,<br />
which we in turn attempted<br />
to replicate.<br />
Throughout the<br />
interview and<br />
creative process<br />
we discovered that<br />
despite each sound<br />
being different, and<br />
each interviewee's<br />
tinnitus forming<br />
at varying ages with<br />
varying degrees of<br />
severity, there was a shared<br />
experience in the coping mechanisms<br />
used and the way we adapted to life<br />
with this unwanted sound. Hearing and<br />
understanding another’s sound, trials and<br />
tribulations was a touching experience,<br />
but most touching was the fact that<br />
despite being sufferers, adapting to this<br />
new way of life has been an experience<br />
of self-improvement, particularly in terms<br />
of confidence in others and coming to<br />
terms with personal anxieties surrounding<br />
our hearing.<br />
You can hear the documentary on the BTA<br />
website at tinnitus.org.uk/henrys-story<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 33
Four-fold increase<br />
in people accessing support<br />
Colette Bunker, the BTA’s Acting Head of Services, updates us on the BTA's<br />
Tinnitus Support Team project.<br />
We are delighted to be celebrating helping<br />
15,829 people in the past two years through<br />
our dedicated Tinnitus Support Team<br />
project.<br />
The BTA has been running for over<br />
40 years and has offered a freephone<br />
helpline support service for most of those,<br />
but a new project aimed at increasing<br />
information, advice and guidance to people<br />
with tinnitus launched in September 2018,<br />
enabling us to take 448% more enquiries<br />
than in the previous two-year period.<br />
It can be very hard<br />
Claire (pictured), who has been receiving<br />
support from us since 2019, said: “I’ve had<br />
tinnitus for a year and it can be very hard.<br />
When I was in contact with the BTA in the<br />
early stages, they were a real source of<br />
support, they always checked to see how I<br />
was, and my messages were always replied<br />
to quickly.<br />
A real comfort<br />
"People who don't suffer with tinnitus don't<br />
care, they think it's nothing and made up,<br />
but it really is the worst thing that has ever<br />
happened to me. Knowing the BTA is there<br />
to provide support is a real comfort, and I<br />
know if I need them, I can get in touch and<br />
they will help me.”<br />
Claire Eveleigh<br />
Reach a wider audience<br />
Through specific project funding, we’ve<br />
been able to expand our Tinnitus Support<br />
Team: recruiting new staff and volunteers,<br />
and launching a popular new web chat<br />
facility and subsequent text/SMS service in<br />
order to reach a wider audience and those<br />
with hearing impairments.<br />
34 www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three
Feel less alone<br />
Tinnitus can have a really negative impact<br />
on people’s lives, and talking to someone<br />
when you are feeling distressed can make<br />
you feel less alone. We are really pleased<br />
that with our larger team and new support<br />
methods we have been able to be there for<br />
so many more people who need our help.<br />
Dedicated, professional<br />
and confidential<br />
The coronavirus pandemic has meant<br />
that as an organisation we’ve had to<br />
completely change how we work. But<br />
our amazing team have continued, from<br />
home workspaces, to support people with<br />
tinnitus. This continuation in the dedicated,<br />
professional and confidential support which<br />
we pride ourselves on has been vital to<br />
those who are new to tinnitus or those who<br />
are struggling during these unprecedented<br />
times.<br />
If you need to talk to someone about<br />
tinnitus, or know someone who would<br />
benefit from our help and support, our<br />
contact details are below.<br />
Thank you to our<br />
funders<br />
The Tinnitus Support Team project has been<br />
wholly funded by grants and donations, and<br />
we would like to say a big thank you to all<br />
those who have supported us so far.<br />
We can help!<br />
Our Tinnitus Support Team are<br />
available as usual, Monday to<br />
Friday, 9am to 5pm<br />
0800 018 0527<br />
Text: 07537 416841<br />
helpline@tinnitus.org.uk<br />
www.tinnitus.org.uk<br />
QUIET <strong>2020</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 35
SUPPORT GROUPS<br />
Scotland<br />
Edinburgh and SE Scotland<br />
Glasgow GOLD<br />
Northern Ireland<br />
Armagh and Dungannon<br />
Belfast<br />
Craigavon<br />
Derry/Londonderry<br />
Enniskillen<br />
Newry and Mourne<br />
Omagh<br />
North-West England<br />
& Isle of Man<br />
Aintree GOLD<br />
Blackpool<br />
Bolton GOLD<br />
Garstang<br />
Isle of Man<br />
Kendal<br />
Manchester<br />
Prestwich<br />
St Helens<br />
Stockport<br />
Whitehaven<br />
Widnes<br />
Wales<br />
Barry<br />
Brecon<br />
Cardigan<br />
Newport<br />
North Wales (on hold)<br />
Pontyclun<br />
Pontypridd<br />
Rhondda<br />
Swansea<br />
Ystradgynlais<br />
South-West England<br />
Bournemouth and District<br />
Bristol<br />
Gloucester<br />
Kingsbridge and District<br />
Mid-Somerset<br />
Taunton<br />
Torbay<br />
Truro<br />
South-East England<br />
Aldershot and District<br />
Amersham<br />
Ashford, Kent<br />
Aylesbury<br />
Brighton<br />
Canterbury<br />
Crowborough<br />
Dover<br />
Faversham<br />
Harpenden, Luton, St Albans<br />
Haywards Heath<br />
Hitchin and Stevenage<br />
Isle of Wight<br />
Lyndhurst/New Forest<br />
Maidstone<br />
Marlow/Farnham Cmn GOLD<br />
Milton Keynes<br />
Oxford<br />
Pembury (West Kent)<br />
Rochester<br />
Salisbury<br />
Southampton<br />
Thanet<br />
Watford<br />
Worthing<br />
West Midlands<br />
Birmingham & District GOLD<br />
Newcastle under Lyme<br />
Shrewsbury GOLD<br />
Stoke on Trent<br />
Sutton Coldfield (on hold)<br />
Telford GOLD<br />
Warwick GOLD<br />
Whitchurch<br />
As we go to press, some groups may<br />
be planning to hold physical<br />
meetings. Find out when and where<br />
these groups are meeting by<br />
checking the Support Groups<br />
Directory online at bit.ly/TSGTT or<br />
contact us on 0800 018 0527 or<br />
helpline@tinnitus.org.uk. We will<br />
ensure these groups have the tools<br />
to do so safely.<br />
North-East England<br />
Chester-le-Street<br />
Darlington<br />
Durham<br />
Newcastle<br />
North Tyneside<br />
Yorkshire & Humber<br />
Bradford<br />
Keighley GOLD<br />
Rotherham<br />
Rotherham Central<br />
Sheffield GOLD<br />
York<br />
East Midlands<br />
Chesterfield GOLD<br />
Derby<br />
Leicester<br />
Lincoln<br />
Northampton<br />
Nottingham<br />
East of England<br />
Bury St Edmunds<br />
Cambridgeshire<br />
Chelmsford<br />
Colchester<br />
Ipswich<br />
King's Lynn GOLD<br />
Lowestoft<br />
Norwich/Norfolk<br />
Southend-on-Sea<br />
London (within M25)<br />
Bexley<br />
Boreham Wood<br />
Bromley<br />
Chiswick<br />
Greenwich GOLD<br />
Hornchurch<br />
Isleworth (West Middlesex)<br />
Kingston<br />
North London<br />
Orpington<br />
Redbridge