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Quiet Issue 2 2019

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> Two <strong>2019</strong><br />

Noise and the<br />

nightclub worker:<br />

looking after your<br />

hearing at work<br />

New hope?<br />

EMDR as a treatment<br />

for tinnitus<br />

Real lives<br />

How piano tuner<br />

John overcomes his<br />

tinnitus<br />

Where<br />

in the world<br />

would you like<br />

to walk?<br />

Take on our step<br />

challenge!<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 1


Corporate members<br />

AfterShokz Bone<br />

Conduction<br />

Headphones<br />

All Ears<br />

Hearing Ltd<br />

Amplifon Ltd<br />

AngliEAR Hearing and<br />

Tinnitus Solutions<br />

Audify Ltd<br />

Audiological<br />

Specialist<br />

Care Ltd<br />

Aurio Ltd<br />

Autifony<br />

Therapeutics<br />

Ltd<br />

Bloom Hearing<br />

Specialists<br />

British<br />

Academy<br />

of Audiology<br />

British Society<br />

of Audiology<br />

Cardiff<br />

Hearing Ltd<br />

CAuRES Hearing Aid<br />

Solutions<br />

Chester<br />

Hearing and<br />

Balance<br />

Services<br />

Cubex Ltd<br />

EarDial<br />

Earplug Hub<br />

Geraint Davies<br />

Hearing Ltd<br />

Guymark UK<br />

Limited<br />

Halo Hearing<br />

Solutions<br />

Harley Street<br />

Hearing<br />

Your business could appear here!<br />

Contact Patrick to find out how:<br />

0114 250 9933<br />

Hearing Aid<br />

Solutions<br />

Hearwell<br />

Ltd<br />

Help in<br />

Hearing Ltd<br />

Hidden Hearing<br />

HiKent<br />

HL Healthcare<br />

Ltd<br />

Isle of Man<br />

Hearing Solutions<br />

Leightons<br />

Opticians and<br />

Hearing Care<br />

Mary Hare<br />

Hearing Centre<br />

MC Hearing<br />

Minerva<br />

Hearing<br />

Neuromod Devices<br />

Ltd<br />

Oakwood<br />

Solicitors<br />

Oticon<br />

Peter Byrom<br />

Audiology Ltd<br />

Puretone Ltd<br />

Ridgways Hearing<br />

Centre<br />

Scrivens Hearing<br />

Care<br />

Sivantos Ltd<br />

Sonova UK<br />

Limited<br />

Sound Advice<br />

Hearing Centres<br />

Specsavers<br />

Optical Group<br />

Starkey Hearing<br />

Technologies<br />

The Hearing Care<br />

Centre<br />

The Invisible<br />

Hearing<br />

Clinic<br />

The<br />

Outside<br />

Clinic<br />

The<br />

Tinnitus<br />

Clinic<br />

Thank you<br />

for your<br />

support!<br />

Tripp Hearing<br />

Widex UK Ltd<br />

Central and North<br />

London NHS Trust<br />

Barnsley Hospital<br />

NHS Foundation<br />

Trust<br />

Chesterfield Royal<br />

Hospital NHS<br />

Foundation Trust<br />

Doncaster and<br />

Bassetlaw Hospitals<br />

NHS Foundation<br />

Trust<br />

East Kent<br />

University 2 Hospitals<br />

NHS Foundation<br />

Trust<br />

Nobles Hospital<br />

North Lincolnshire<br />

and Goole NHS<br />

Foundation Trust<br />

Royal Berkshire<br />

NHS Foundation<br />

Trust<br />

Royal Cornwall<br />

NHS Foundation<br />

Trust<br />

Sandwell and<br />

West Birmingham<br />

Hospitals NHS<br />

Trust<br />

Torbay and South<br />

Devon NHS<br />

Foundation Trust<br />

Worcestershire<br />

Acute Hospitals<br />

NHS Trust<br />

2<br />

www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


News 4-7<br />

Announcing our<br />

new Ambassador<br />

New tinnitus<br />

prevalance figures<br />

Tinnitus Week<br />

Goodbye, Krys<br />

Events 8-9<br />

European Tinnitus Course<br />

Annual Conference<br />

Fundraising 19<br />

A refreshing cup of tea<br />

Support groups 29-31<br />

Reducing isolation<br />

Developing support groups in Wales<br />

Support group listing<br />

Help 20-21<br />

Noise and the nightclub worker<br />

Flying and tinnitus<br />

RideLondon 22<br />

QUIET<br />

Volume 30 Number 2 ISSN: 0968-1264<br />

Research 12-18<br />

Understanding children's experience of<br />

tinnitus<br />

Prioritising hyperacusis<br />

EMDR as a treatment for tinnitus<br />

Meet the researcher<br />

Step Challenge 11<br />

Real lives 23-28<br />

Read how three people are living with<br />

tinnitus. Plus your letters!<br />

Contacts<br />

Our Vision:<br />

A world where no one suffers from tinnitus<br />

Our Mission:<br />

Research: We want a cure, we will drive & demand progress<br />

Help: We want everyone to know what tinnitus is, how to<br />

prevent it & how to manage it<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 makes every attempt to ensure the accuracy & reliability of information in this magazine, it is<br />

not a substitute for medical advice. You should always see your GP/ medical professional. Advertisements for organisations, products<br />

or services do not imply endorsement of them by the British Tinnitus Association.


Meet our<br />

Ambassador!<br />

Samantha is a great role model for people<br />

with tinnitus and hearing loss, not letting<br />

these conditions hold her back in her<br />

career. We are thrilled that she has agreed<br />

to become an ambassador for us. Sam is<br />

an exciting talent with a clear passion for<br />

helping us raise awareness of tinnitus and<br />

the support for those living with the<br />

condition.<br />

We can’t wait to work with her more and<br />

we’re very pleased to have her in the team!<br />

Photo: Samantha Baines (right) with BTA Events<br />

Manager Marcus Bowen.<br />

Comedian, actress, broadcaster and writer<br />

Samantha Baines can now add<br />

‘ambassador’ to her résumé of success, as<br />

she will be representing the BTA and<br />

supporting our mission of a world where<br />

no one suffers from tinnitus.<br />

As someone with tinnitus and hearing loss<br />

herself, Samantha has already used her<br />

voice to champion the BTA, supporting a<br />

number of our campaigns and speaking at<br />

our 2018 Annual Conference.<br />

Samantha told us, “I am really honoured to<br />

be asked to be the BTA Ambassador <strong>2019</strong>.<br />

Tinnitus is a condition that affects so many<br />

people and can be overwhelming and<br />

frustrating. I have two types of tinnitus, as<br />

it was ‘buy one get one free’ and I love a<br />

bargain! I look forward to helping raise<br />

awareness and making those noises in my<br />

head count."<br />

Who is Samantha<br />

Baines?<br />

Samantha Baines is an award-winning<br />

comedian and actress. Her acting credits<br />

include The Crown, Silent Witness and Call the<br />

Midwife. She is also a broadcaster and works<br />

regularly with BBC radio stations including BBC<br />

Radio 4 and BBC Radio London.<br />

Samantha is currently starring in Magic Mike<br />

Live playing at the Hippodrome Casino in<br />

London.<br />

Sam was a Pun Championships Finalist in<br />

2017 and 2018, and had sold-out shows at the<br />

Edinburgh Fringe Festival in 2016 and 2017.<br />

Sam discovered she had tinnitus when she went<br />

to the doctor because she thought she had a<br />

spider living in her ear.<br />

To find out more visit Sam's website www.<br />

samanthabaines.com and follow her on Twitter<br />

@samanthabaines<br />

4 www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


One in ten One in eight<br />

The number of people living with tinnitus<br />

in the UK is higher than previously thought.<br />

Following a full review of all the available<br />

research over the last 35 years, we've<br />

increased our estimate of how many adults<br />

are suffering from tinnitus from 10% of<br />

people (1 in 10) to 13.2% (more than 1 in 8).<br />

As previously covered in <strong>Quiet</strong>, we also think<br />

that the number of adults living with<br />

tinnitus is set to increase even further - by<br />

more than half a million over the next<br />

decade, due to an increasing and ageing<br />

population, and the new 1 in 8 figure doesn't<br />

include these people.<br />

A recent study from Statistics Canada<br />

however, shows young adults — who report<br />

higher use of headphones and earbuds<br />

— are experiencing rates of tinnitus over<br />

one third higher than for older adults. If<br />

similar trends are discovered in the UK, this<br />

could further increase the number of<br />

people living with tinnitus here.<br />

Our new figures are significant because<br />

trusts and hospitals will have been using<br />

the one in ten numbers to calculate<br />

provision for tinnitus services. This could<br />

explain why we have been regularly hearing<br />

from you about long waits and<br />

dissatisfaction with audiology and ENT<br />

services. In addition, the burden on the NHS<br />

and wider UK economy is even greater than<br />

we previously thought.<br />

We need the Government to listen to the<br />

voices of people with tinnitus and act now<br />

to provide more research into the<br />

prevalence of the conditionand towards a<br />

cure. We also need more resources to help<br />

cope with the true number of adults for<br />

whom tinnitus is a serious burden which<br />

affects their quality of life. The healthcare<br />

system has to be ready to manage the<br />

challenges that the increased tinnitus<br />

population now, and in the future, will bring.<br />

We will be pressing our case wherever and<br />

whenever we can, and we will keep you<br />

updated on our progress.<br />

Fact box<br />

Currently there are 7.1 million adults<br />

living with tinnitus in the UK.<br />

We expect this figure to rise to 7.7<br />

million by 2028.<br />

These figures don't include children -<br />

at least one child in 30 has 'clinically<br />

significant' tinnitus.<br />

There are over 1.05 million tinnitusrelated<br />

GP consultations in the UK<br />

every year.<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 5


#TINNITUS WEEK<br />

reaching out in new ways<br />

During Tinnitus Week, we tried as hard as<br />

possible to reach even more people in new<br />

ways. It seems to have worked, as more<br />

people reached out to us during Tinnitus<br />

Week via our website, email, social media<br />

and helpline.<br />

The popular social media poster<br />

@allontheboard shared facts about<br />

tinnitus with London commuters and<br />

on social media, making it one of<br />

their most liked and shared posts for<br />

February.<br />

For the first time, we opened our<br />

Helpline overnight, and we were able to<br />

offer information and support to people<br />

with tinnitus outside of usual office<br />

hours.<br />

Shakeela Rashid, Tinnitus Support Manager<br />

Channel 5's News at 5 programme<br />

approached us to work with them for<br />

a feature for Tinnitus Week. Isobel<br />

Anderson shared her experience of<br />

living with tinnitus, and <strong>Quiet</strong> editor Nic<br />

was also interviewed.<br />

6<br />

Some numbers!<br />

During Tinnitus Week:<br />

33,459 people visited our website<br />

We reached 314,482 people through<br />

Facebook<br />

Our most popular Facebook post<br />

received 200 comments<br />

Over 342,800 people saw us on Twitter<br />

We answered 33% more calls than in an<br />

average week<br />

6<br />

www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


Our first ever podcast focused on the<br />

impact of tinnitus on relationships.<br />

Steve and his partner Sarah gave a<br />

frank account of how Steve's tinnitus<br />

affected them both. Psychologist<br />

Dominic Bray and audiologist Cheryl<br />

Thompson were on hand to give advice<br />

and tips.<br />

If you would like to listen to the<br />

podcast, it can be found at https://bit.<br />

ly/2RAvziF<br />

Goodbye,<br />

Krys!<br />

February<br />

marked the<br />

retirement of<br />

one of our<br />

longestserving<br />

members of<br />

staff.<br />

Krys Klytta<br />

joined the BTA<br />

in August<br />

1994 and<br />

worked for us for nearly 25 years.<br />

What is a podcast?<br />

A podcast is a free audio file which<br />

you can download to listen to on your<br />

computer, tablet or smart phone. The<br />

name comes from a combination of the<br />

words iPod and broadcast.<br />

OUR TOP TIPS<br />

Knowledge is powerful. Find out as<br />

much as you can about tinnitus, from<br />

reputable sources.<br />

Avoid saying “can’t you just…”<br />

Try to be patient and understanding. The<br />

impact of tinnitus can be tough at times.<br />

Practice kindness towards yourself and<br />

the other person<br />

Her first role was as Membership Secretary,<br />

but given the size of the organisation at the<br />

time, she was often involved in many other<br />

areas. Krys continued to develop her key<br />

skills and took responsibility for the<br />

organisation of BTA events from 2008. For<br />

many years Krys was very much the public<br />

face of the BTA through her stewardship of<br />

the BTA annual conference and other<br />

events. Recently, Krys stepped back into an<br />

administrative role providing vital support.<br />

Krys's career very much mirrored the<br />

development of the BTA from a small<br />

organisation to one with an international<br />

reach. Much has changed during the time<br />

Krys has been with us but her enthusiasm<br />

and commitment have remained constant<br />

throughout. We will continue to be inspired<br />

by the contribution she has made.<br />

Krys is not cutting her ties completely and<br />

plans to continue supporting the BTA as a<br />

volunteer.<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 7


EUROPEAN TINNITUS COURSE<br />

8<br />

The European Tinnitus Course took place in<br />

Birmingham on March 7-9. Delegates from<br />

across the world and from as far away as San<br />

Francisco, California came together to receive<br />

comprehensive training covering the science of<br />

tinnitus, physiological processes and why and how<br />

it occurs.<br />

The course was designed for those with<br />

audiological training that wish to specialise in<br />

tinnitus; it covered the medical assessment and<br />

measuring of tinnitus<br />

as well as extensive<br />

exploration of tinnitus<br />

treatments across a<br />

variety of disciplines.<br />

The BTA is committed<br />

to the provision of<br />

sufficiently trained<br />

tinnitus professionals,<br />

and the success<br />

of courses like this<br />

one show that there<br />

is a need for more<br />

professionals with<br />

better tinnitus training<br />

not just in the UK but across the world.<br />

The <strong>2019</strong> course delegates came from<br />

across England, Scotland and Wales but also<br />

internationally, with four from across Ireland<br />

and Northern Ireland, four from Belgium, two<br />

from Slovenia, one from Denmark and the<br />

aforementioned Californian.<br />

www.tinnitus.org.uk<br />

8<br />

Thomas Tubbax, one the Belgian delegates said:<br />

[I’m] very grateful to have this<br />

experience ... I acquired a deeper<br />

understanding of tinnitus and<br />

hyperacusis and their possible<br />

treatments. [I] hope to share and apply<br />

this information with my future patients<br />

in the pursuit of becoming a better<br />

tinnitus expert.<br />

Audiologist and<br />

hearing therapist<br />

Beth-Anne Culhane,<br />

one of the teaching<br />

faculty on the<br />

course, said: “The<br />

course is a great<br />

opportunity to hear<br />

the latest evidence<br />

and how it informs<br />

clinical practice.<br />

We encourage an<br />

environment where<br />

we all learn from each<br />

other through sharing<br />

our experience and problem-solving – having<br />

such a variety of experience from international<br />

backgrounds makes this a really unique experience<br />

for those attending.”<br />

Pictured: L-R: Thomas Tubbax, Beth-Anne Culhane, Charlotte<br />

Gielis, Sofie Wuyts, Lieselot Bolle — audiologists at<br />

Aurilis in Belgium<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


The British Tinnitus Association’s Annual Conference<br />

is taking place on Friday 13th September at the<br />

magnificent Goldsmiths, University of London, situated<br />

in the borough of New Cross, South East London.<br />

With a venue internationally known for creativity and<br />

innovation we have designed a programme of content<br />

to match and look forward to sharing details with you in<br />

the near future, check the<br />

website for the latest info<br />

and updates and register<br />

early to ensure you don’t<br />

miss out.<br />

www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 9


Occupational<br />

Hearing Loss<br />

and Tinnitus<br />

Bars<br />

ilitary Nightclubs<br />

ineering<br />

If you have worked in noisy<br />

environments such as factories,<br />

workshops, garages, construction sites,<br />

nightclubs or the military, you could be<br />

eligible for compensation.<br />

LOSS<br />

OSS<br />

On average our Occupational Hearing Loss<br />

clients have been awarded over<br />

£10,000<br />

Call us now for a free<br />

no obligation chat—<br />

we represent clients nationwide<br />

0113 487 4773<br />

enquiries@oakwoodsolicitors.co.uk


Where in the world would you like to walk?<br />

Virtual Step Challenge<br />

NEW!<br />

What is the Step Challenge?<br />

It's a fun way to Increase your steps, improve<br />

your wellbeing, and raise funds to help the BTA.<br />

Simply select your virtual route, choosing start<br />

and finish points that mean something to you<br />

or a route you could imagine walking. Set your<br />

step counter to zero. Get walking and count<br />

your steps.<br />

Ask friends, family and colleagues to sponsor<br />

your challenge and raise money to support our<br />

work in the world of tinnitus.<br />

How it works<br />

1. Select your virtual route<br />

Decide where you are going to walk from and to. Be<br />

adventurous - you can pick anywhere in the world!<br />

Walk from Barcelona to Berlin or Los Angeles to<br />

Las Vegas.<br />

LObs<br />

Use our online guide to work out the distance in<br />

miles, how many steps that would mean per day,<br />

and how long it will take you.<br />

2. Set your step counter app to zero<br />

Select an app for your phone or use a wrist<br />

pedometer or activity tracker to count your steps.<br />

Count your steps — keep a track of your steps on<br />

a daily, weekly and monthly basis. Update your<br />

blog on our website and share your Step Challenge<br />

story.<br />

3. Get walking!<br />

Challenge yourself. Challenge your friends and<br />

family. Challenge your work colleagues.<br />

Try to add a few more steps onto your daily<br />

average and reach your destination quicker!<br />

You could add to your usual daily total by going for<br />

a walk at lunchtime, a stroll in the evening, and a<br />

wander over the weekend.<br />

4. How to fundraise for the Step<br />

Challenge<br />

Our Fundraising Pack has everything you need to<br />

hit your fundraising target.<br />

There's no registration fee, simply set your<br />

fundraising target and away you go! You can set<br />

your own target or ask for a £ per mile.<br />

Sheffield to London<br />

158 miles (333,696<br />

steps) = £158 target<br />

Munich to Vienna<br />

249 miles (525,888<br />

steps) = £249 target<br />

Paris to Toulouse<br />

409 miles (863,808<br />

steps) = £409 target<br />

Lands' End to John<br />

O'Groats<br />

811 miles (1,712,832<br />

steps) = £811 target<br />

You could work<br />

together with your<br />

friends, family and<br />

work colleagues to<br />

reach your destination.<br />

You can work as a<br />

team to collate your<br />

steps and walk so<br />

much further!<br />

To sign up, please visit<br />

www.tinnitus.org.uk/<br />

step-challenge or for<br />

call 0114 250 9933 or<br />

email fundraising@<br />

tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 11


Understanding children’s experience of<br />

tinnitus<br />

Harriet Smith, a BTA-funded PhD student at the NIHR Nottingham Biomedical Research<br />

Centre, discusses her research.<br />

Tinnitus is often mistakenly thought to be a<br />

problem that only affects adults. In fact, it<br />

is estimated that one child in every class of<br />

30 experiences tinnitus that has a<br />

significant effect on their life and wellbeing.<br />

Despite this, tinnitus in children is a<br />

relatively unrecognised and underresearched<br />

issue.<br />

What is the problem we are trying<br />

to address?<br />

So far, there has been very little<br />

investigation into how children experience<br />

tinnitus and the day-to-day problems they<br />

face. To be able to care for a child with<br />

tinnitus, health professionals need to<br />

understand, identify and measure their<br />

problems. By doing so they can determine<br />

how severe the tinnitus is and assess<br />

whether treatment has had an effect.<br />

Clinical questionnaires are used by health<br />

professionals to measure tinnitus problems.<br />

Whilst there are several tinnitus<br />

questionnaires available for use with<br />

adults, none are suitable for use with<br />

children. This means that health<br />

professionals are missing a valuable tool<br />

that could support them in understanding<br />

the needs of children who have tinnitus.<br />

My BTA-funded research project will<br />

address this issue by developing a clinical<br />

questionnaire to measure the impact of<br />

tinnitus on children. My research will first<br />

investigate all possible ways in which<br />

tinnitus can affect children. These findings<br />

will then be used to create a new<br />

questionnaire, which will then be tested in<br />

clinics. The project is exciting, as the<br />

questionnaire will be the first of its kind to<br />

be developed!<br />

What is already known about<br />

children’s experience of tinnitus?<br />

The first stage of my research involved a<br />

review of all published records of tinnitus<br />

problems in children aged 18 or younger.<br />

The review found children to experience<br />

problems related to:<br />

• Physical health — e.g. sleep difficulties,<br />

headaches<br />

• Cognitive health — e.g. concentration<br />

difficulties at school<br />

• Hearing and listening — e.g. hearing<br />

difficulties at school<br />

• Emotional health — e.g. feeling annoyed,<br />

feeling frightened<br />

• Quality of life — e.g. disruption of leisure<br />

activities<br />

• Feeling different or isolated — e.g. feeling<br />

unable to talk to someone about tinnitus<br />

12 www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


The range of problems identified shows<br />

that tinnitus can have a significant and<br />

wide-ranging impact on children’s lives. If<br />

not addressed, these problems may<br />

increase the risk of long-term impairments<br />

in children’s learning and development.<br />

The review also found differences in the<br />

way tinnitus in children was investigated<br />

across records. For example, there were<br />

different questions and techniques used to<br />

ask children about their problems. Some<br />

articles included problems mentioned<br />

directly by children, and others included<br />

problems observed by clinicians, parents or<br />

teachers. Many of the records reported<br />

problems in limited detail without fully<br />

exploring the impact of these issues. This<br />

lack of consistency means that the findings<br />

from the review are unlikely to provide the<br />

complete picture of how children are<br />

affected by tinnitus. There is therefore a<br />

need for more in-depth and dedicated<br />

research to investigate children’s<br />

experiences.<br />

New research<br />

My current study is exploring children’s<br />

experience of tinnitus in detail by inviting<br />

them to share their experiences in<br />

individual and group discussions. The<br />

sessions explore how tinnitus can affect<br />

feelings, thoughts, activities and<br />

relationships, at home and at school. To<br />

encourage children to share their<br />

experiences, the sessions involve fun and<br />

interactive activities, such as drawing and<br />

game play.<br />

As part of the study, I am also inviting<br />

parents and clinicians to share their<br />

experiences in telephone discussions. As<br />

well as working towards the development of<br />

the new questionnaire, the findings will<br />

improve our overall understanding of the<br />

impact of tinnitus in children.<br />

If you are a parent or carer of a child<br />

with tinnitus (aged 8-16) we would love<br />

to hear from you. For more information,<br />

please visit https://bit.ly/2V6ozN4 or<br />

email harriet.smith@nottingham.ac.uk.<br />

Tinnitus and<br />

insomnia<br />

Some people with tinnitus may find<br />

they have greater difficulty getting<br />

off to sleep, or going back to sleep if<br />

they wake during the night.<br />

A research project, supported by the<br />

BTA, is looking for volunteers to take<br />

part. The research is looking into<br />

ways of managing tinnitus-related<br />

insomnia, and will use psychological<br />

approaches to managing insomnia.<br />

The approach to insomnia in this<br />

study does not involve the use of<br />

medicines. If you are already taking<br />

medicine to help you sleep you might<br />

still be suitable for the study if you<br />

are able to leave your medicines<br />

unchanged for the duration of the<br />

study.<br />

To take part in the study, you will<br />

need to attend regular appointments<br />

over a six-month period at the Royal<br />

National Throat, Nose and Ear<br />

Hospital in London.<br />

If you are interested and would like to<br />

find out more, please visit https://<br />

bit.ly/2OLFBOk or email the<br />

research team at uclh.tinnitus@nhs.<br />

netac.uk.<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk<br />

13


Prioritising<br />

hyperacusis<br />

Dr Kathryn Fackrell, NIHR Nottingham Biomedical Research Centre<br />

Some people have real difficulty coping with<br />

everyday sounds such as car noise,<br />

dishwashers or people talking. They report that<br />

these sounds are overwhelming, frightening or<br />

painful. This is a hearing problem called<br />

hyperacusis. It affects about one in ten adults<br />

and children. It can have a significant effect on<br />

life. Hyperacusis is also commonly associated<br />

with other conditions including tinnitus, head<br />

trauma, depression, post-traumatic stress<br />

syndrome and fibromyalgia.<br />

Research has shown that hyperacusis can<br />

interfere with the ability to work, go to school,<br />

or even socialise with friends and family. For<br />

children who have hyperacusis, the classroom<br />

can be a very challenging place, and strategies<br />

need to be in place to ensure that their<br />

wellbeing and educational needs are met.<br />

Despite it being a common problem, there has<br />

been little research on hyperacusis and priority<br />

research questions have yet to be identified.<br />

Research priorities have traditionally been<br />

decided by funders and researchers<br />

themselves, with the result that sometimes the<br />

research undertaken was completely irrelevant<br />

to patients and health professionals.<br />

Pictured: Attendees from the priority setting workshop<br />

The James Lind Alliance priority setting<br />

partnership (JLA PSP) is an initiative that<br />

brings together patients, carers and healthcare<br />

professionals to provide real life insights into<br />

the most important unanswered questions for<br />

research. These PSPs are hugely successful in<br />

changing and shaping research priorities and<br />

funding. For example, the tinnitus PSP<br />

conducted in 2011 led to new research projects<br />

being funded and new national guidelines on<br />

the treatment of children with tinnitus. Hoping<br />

to have the same success and impact, a PSP<br />

for hyperacusis was formed in August 2017, to<br />

identify a set of priority questions about<br />

hyperacusis that are most important to<br />

patients, and healthcare practitioners involved<br />

in the care of adults and children who have<br />

hyperacusis.<br />

The first step to this project was to establish a<br />

steering group for the project to oversee and<br />

contribute to the PSP process, which included<br />

people with lived experience of hyperacusis<br />

(patients and parents), adult and paediatric<br />

healthcare practitioners, researchers, and<br />

representatives from organisations involved in<br />

supporting people with hyperacusis, funding<br />

hearing research and communicating science.<br />

14 www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


The whole process was chaired and facilitated<br />

by expert advisers from the James Lind<br />

Alliance.<br />

The project followed methods established by<br />

the James Lind Alliance using online surveys<br />

and a final prioritisation workshop to identify a<br />

shortlist of questions that are considered<br />

priorities for research in the UK and which are<br />

relevant and important to people with lived<br />

experience and healthcare professionals.<br />

Our first survey successfully received 2370<br />

questions about hyperacusis from 312<br />

respondents worldwide. The majority of the<br />

respondents were people with lived experience<br />

(179), followed by healthcare professionals<br />

from a range of disciplines (86). A number of<br />

parents/carers, family and friends and<br />

educational professionals also submitted<br />

questions.<br />

We then checked that the submitted questions<br />

were truly ‘unanswered’ by thoroughly<br />

checking all available research literature on<br />

hyperacusis. The unanswered questions were<br />

then grouped according to similarity, creating a<br />

list of 85 which were used in the second<br />

survey. In our second survey, 327 respondents<br />

voted for their individual ten priority questions<br />

from the list of 85. We identified the top 28<br />

questions that received the most<br />

representative votes from both people with<br />

lived experience and professionals. From these<br />

questions, the ten priority questions were<br />

agreed during the final workshop involving 21<br />

participants including people with lived<br />

experience, parents and healthcare<br />

professionals, held in Nottingham in July 2018.<br />

We are now sharing these priorities as far as we<br />

can, across researchers, funding bodies and<br />

the health-care sector so that we can ensure<br />

that future research focuses on the questions<br />

that are important to healthcare practitioners<br />

and people with lived experience of<br />

hyperacusis.<br />

We would like to thank everyone who took part<br />

in the process. We had an amazing response<br />

from people to both online surveys and the<br />

Top 10 research<br />

priorities for hyperacusis<br />

1. What is the most effective treatment<br />

approach for hyperacusis in children?<br />

2. What is the prevalence of<br />

hyperacusis in a general population and<br />

other specific populations (e.g. people<br />

with autism, mental health issues,<br />

learning disabilities, hearing loss)?<br />

3. Are there different meaningful types<br />

of hyperacusis?<br />

4. What is the essential knowledge/<br />

training required for health professionals<br />

to appropriately refer or effectively<br />

manage hyperacusis?<br />

5. Which treatment approaches are<br />

most effective for different types or<br />

severities of hyperacusis?<br />

6. Is hyperacusis due to physical<br />

or psychological issues or is it a<br />

combination of both?<br />

7. Which psychological therapy (e.g.<br />

counselling, Cognitive Behavioural<br />

Therapy, mindfulness) is most effective<br />

for hyperacusis?<br />

8. What management approach for<br />

hyperacusis is most effective for adults/<br />

children with autism?<br />

9. What is the best way of using sound<br />

in therapy for hyperacusis?<br />

10. Which self-help interventions are<br />

effective for hyperacusis?<br />

final prioritisation workshop. We could not have<br />

successfully identified the research priorities<br />

for hyperacusis without you. Thank you again!<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 15


EMDR as a treatment<br />

for tinnitus<br />

John Phillips, Sally Erskine and a team<br />

from the Norfolk and Norwich University<br />

Hospital recently published their research<br />

study Eye movement desensitization and<br />

reprocessing as a treatment for tinnitus,<br />

which was funded by the British Tinnitus<br />

Association. This small-scale study<br />

followed encouraging work completed in<br />

Germany, Canada and the Netherlands.<br />

There were 14 participants in the study.<br />

What is EMDR?<br />

Eye movement desensitization and<br />

reprocessing (EMDR) is a psychotherapy<br />

that involves various elements and<br />

attention to the past, present and future.<br />

Part of the treatment includes bilateral<br />

stimulation, such as rapid movements of<br />

the eyes from side to side.<br />

EMDR is gaining popularity as an effective<br />

treatment for an increasing number<br />

and broad range of conditions. Since its<br />

introduction in 1989, numerous controlled<br />

studies have been conducted to evaluate<br />

the use of EMDR as a treatment for various<br />

forms of trauma-related conditions,<br />

particularly post-traumatic stress disorder<br />

(PTSD).<br />

The study<br />

The aim of the Norfolk study was to<br />

determine the effectiveness of EMDR<br />

as a treatment for tinnitus. Participants<br />

undertook a maximum of 10 sessions of<br />

EMDR. This was a bespoke EMDR protocol<br />

(tEMDR) that was developed specifically<br />

to treat individuals with tinnitus. Outcome<br />

measures, including tinnitus questionnaires<br />

and mood questionnaires, were recorded at<br />

the start of the study, discharge, and at six<br />

months post-discharge.<br />

Tinnitus Handicap Inventory and Beck<br />

Depression Inventory scores demonstrated<br />

a statistically significant improvement at<br />

discharge after the EMDR intervention. This<br />

improvement was maintained at six months<br />

post-discharge. There was also a moderate<br />

but not significant improvement in Beck<br />

Anxiety Inventory scores.<br />

However, as a small uncontrolled<br />

study, these results do not consider the<br />

16 www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


significant effects of placebo and therapist<br />

interaction. Larger high-quality studies will<br />

be essential to see if these results can be<br />

reproduced.<br />

Meet the researcher:<br />

Jorge Simões<br />

Unusually, the study protocol was designed<br />

to be inclusive of a diverse range of<br />

tinnitus patients. Despite the limitations<br />

in the study outlined above, the degree<br />

of improvement in symptoms in a group<br />

of individuals, some of whom had been<br />

suffering from tinnitus for a very long time,<br />

should not be overlooked.<br />

This current study builds on a foundation<br />

of scientific evidence that is evolving.<br />

From a pathophysiological perspective, if<br />

EMDR is eventually found to be an effective<br />

treatment for tinnitus, this will further<br />

our understanding of the pathways that<br />

initiate, propagate, and maintain tinnitus<br />

perception, stimulating further research to<br />

explore these pathways in more detail.<br />

For more information about the study, visit<br />

https://bit.ly/2T4J76E<br />

Reference<br />

Phillips J, Erskine S, Moore T, Nunney I, Wright C.<br />

Eye Movement Desensitization and Reprocessing<br />

as a Treatment for Tinnitus, The Laryngoscope, 29<br />

January <strong>2019</strong>.<br />

Thank you!<br />

Research such as this is paid for by<br />

the generosity of members and<br />

supporters like you. We want to say a<br />

big thank you to all our supporters.<br />

If you would like to make a donation<br />

for further tinnitus research, you can<br />

do so by calling 0114 250 9933 or<br />

visiting www.tinnitus.org.uk/donate<br />

Jorge (L) with BTA Research Officer Georgie Burns-O'Connell<br />

Hello Jorge! Shall we start by you<br />

telling us a bit about yourself?<br />

Sure! I am originally from Rio de Janeiro, where<br />

I lived for most of my childhood. Then, my<br />

family and I moved to Salvador da Bahia, also<br />

in Brazil, where I later obtained my Bachelors’<br />

degree in Psychology with an emphasis<br />

in Clinical Psychology. For my Master's<br />

degree, I moved to the Netherlands to study<br />

Neurosciences. I am currently a PhD student<br />

at the University Hospital Regensburg, in<br />

Bavaria, in the department of Psychology and<br />

Psychiatry. Professionally, I am interested in all<br />

neuro-related stuff and statistics. Personally, I<br />

enjoy reading books, cooking, and running next<br />

to the River Danube.<br />

What is the ESIT programme?<br />

ESIT stands for the European School of<br />

Interdisciplinary Tinnitus Research. It is a<br />

programme funded by the European Union<br />

to train the next generation of tinnitus<br />

researchers. We have 15 PhD students all<br />

across Europe working in different fields of<br />

tinnitus research. For example, we have some<br />

students studying the genetics of tinnitus,<br />

while some are trying to improve current<br />

treatments such as hearing aids, cochlear<br />

implants, neurofeedback, transcranial<br />

magnetic stimulation and acoustic<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 17


stimulation. There are also students doing<br />

basic science, searching for the 'fingerprints'<br />

of tinnitus in the brain.<br />

What is your PhD about?<br />

My PhD aims to firstly establish the first<br />

pan-European tinnitus database, and then to<br />

perform statistical analysis of this and other<br />

large datasets with information on tinnitus<br />

patients.<br />

Establishing such a database is important<br />

because all the different centres across<br />

Europe are collecting a lot of data about<br />

patients and treatments, but sometimes<br />

such data is not comparable due to the<br />

way the information is collected or stored.<br />

Overcoming these difficulties may allow us to<br />

gain novel insights about tinnitus, such as how<br />

it is manifested across different countries,<br />

or factors associated with higher distress,<br />

for example. That is where the statistical<br />

analysis part comes in: these datasets are<br />

very complex and sometimes some important<br />

patterns in the data are invisible to the human<br />

eye. However, rigorous statistics may detect<br />

patterns invisible to us, and they may lead to a<br />

better understanding of tinnitus.<br />

What do you want to find out, and<br />

what difference will your research<br />

make to those who have tinnitus?<br />

I can give an example. Recently we sent<br />

questionnaires to previous patients from our<br />

clinic asking about their tinnitus. We wanted<br />

to find out how tinnitus develops in the long<br />

run. We observed that patients who came to<br />

us highly distressed were doing significantly<br />

better than before. Tinnitus habituation is<br />

not a new concept, but we know very little<br />

about the factors influencing habituation.<br />

Does age play a role? What about severity<br />

of hearing loss? Or perhaps the presence of<br />

hyperacusis? I could go on and on here, but<br />

the idea is straightforward: Can we identify<br />

predictors of tinnitus coping? Stretching this<br />

idea a little further: Can we use personal<br />

characteristics (age, gender, life habits, etc.)<br />

and tinnitus characteristics (presence or<br />

absence of hearing loss, type of perceived<br />

sound, severity of hyperacusis) to predict an<br />

outcome of a treatment? That is the key point<br />

of my research: whether we can predict who<br />

will benefit from a certain treatment.<br />

If so, clinicians could use these personal and<br />

tinnitus characteristics to define what would<br />

be the best treatment for each person. In a<br />

certain way, it is a little bit like going to a tailor<br />

and ordering a suit based on your dimensions.<br />

Following this analogy, the challenges of my<br />

research become clearer: The size of your<br />

fingers or your eye colour are not relevant for a<br />

tailoring a suit, but the width of your shoulders<br />

and the length of your legs are.<br />

We do not have good biological markers<br />

explaining why someone is suffering from<br />

tinnitus while others are not, nor do we have<br />

any good marker of why certain people<br />

are responding very positively to certain<br />

treatments, while others are not responding to<br />

treatments at all.<br />

How long will you be doing the<br />

research for?<br />

I started my PhD studies in October of 2017<br />

and they will last until October of 2020. My<br />

goal is to start my post-doc afterwards, also in<br />

Regensburg, so I guess I will continue with this<br />

research in the foreseeable future.<br />

What do you hope to do with the<br />

findings?<br />

Although we would all like to find a cure for<br />

tinnitus, it is very important to reach those<br />

who are suffering from it today. My PhD is not<br />

focused on developing a new treatment, but<br />

rather it is focused on trying to improve current<br />

care. I hope that the findings of my research<br />

bring us closer to a world where tinnitus is no<br />

longer a burden.<br />

Thanks for taking the time to chat<br />

with us about your interesting<br />

research!<br />

18 www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


You’ve been holding your Tea for Tinnitus<br />

tea parties for the last four years and we<br />

wanted to say a huge thank you to all those<br />

who have raised so much money along the<br />

way.<br />

In <strong>2019</strong> we're refreshing our Tea for Tinnitus<br />

fundraiser to include some new and<br />

exciting activities to help you with your<br />

fundraising both at home and at work.<br />

Tea Tally<br />

New for <strong>2019</strong> we are launching our Tea Tally<br />

fundraiser! A great way to fundraise for us<br />

at work or at home.<br />

Fancy trying<br />

a new brew?<br />

Tea Types<br />

What's your tea type?<br />

We all take our tea a certain way. We all<br />

hear our tinnitus in our own way.<br />

Let the world know how you take yours and<br />

raise awareness of tinnitus.<br />

Cream tea Beige before beauty Perma-tan Builder’s brew The Teak District Ran out of milk<br />

Tea for Tinnitus - Tea Tally<br />

Fill in your name, choose your tea type, set your donation per cup amount.<br />

Each time you have a cuppa (that includes coffee!) mark the chart and at the end of the week calculate your donation.<br />

Name Tea Type Donation per cup Monday Tuesday Wednesday Thursday Friday Total cups Amount raised<br />

e.g. Tina Pott Perma-tan 50p llll lll llll lll llll 20 £10.00<br />

e.g. Cam O’Mile Builder’s brew 25p llll l llll llll llll llll l 26 £6.00<br />

Total raised £<br />

Support our work in the world of tinnitus by making a donation for each cup you drink. Encourage your friends and colleagues to join in. For more information go to our website below.<br />

#MyT tinnitus.org.uk/MyT Registered charity no: 1011145<br />

Support our work in the world of tinnitus by<br />

making a donation for each cup you drink,<br />

and encourage your friends and colleagues<br />

to join in too!<br />

Each time your have a cuppa (that includes<br />

coffee!) mark the tally chart and at the end<br />

of the week calculate your donation total.<br />

To make life easier for the person making<br />

your tea we've created six tea types! Your<br />

tea = #MyT<br />

So, simply fill in your name, choose your tea<br />

type and set your donation per cup.<br />

Did you know... that the tea bag was<br />

invented in 1908?<br />

Use our tea types to create a post on social<br />

media and tag it with #MyT<br />

Download your tea type at www.tinnitus.<br />

org.uk/tea-types<br />

Tea Party<br />

Alternatively you could hold a Tea for<br />

Tinnitus tea party. The idea behind it is<br />

simple. Put the kettle on and hold a tea<br />

party for your friends, family and/or work<br />

colleagues. Offer tea and cakes in return<br />

for a donation, and help us raise much<br />

needed funds.<br />

For more information or to sign up, visit<br />

www.tinnitus.org.uk/myt or call 0114 250<br />

9933.<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 19


Noise and the<br />

nightclub worker<br />

Tim Fieldhouse, Head of Industrial Disease, Oakwoods Solicitors<br />

Loud music and noise are seen an essential part<br />

of the events industry. This inevitably will lead<br />

to staff working within that sector being at a<br />

significant risk of being left with permanent<br />

hearing problems. How are the employers within<br />

the entertainment sector working to protect the<br />

health and safety of their employees?<br />

In a study published in the International Journal<br />

of Noise & Health, a Dublin researcher analysed<br />

noise experienced by nightclub employees at<br />

nine different nightclubs in Ireland. A sound level<br />

meter was placed at the bar closest to the dance<br />

floor and a dosimeter was attached to the shirt of<br />

each participant. It was found that the average<br />

daily noise exposure of the participants working<br />

20 hours per week was 92 decibels.<br />

Over time, noise exposure greater than 85<br />

decibels for eight hours can lead to permanent<br />

hearing loss. Work safety laws in the European<br />

Union require hearing protection to be provided to<br />

workers exposed to more than 85 decibels. Only<br />

two clubs in the study provided this protection<br />

and only one required employees to wear the<br />

protection.<br />

A number of studies have developed methods<br />

which can be adopted to protect bar workers from<br />

noise. Further, a number of research papers have<br />

also suggested methods which, if adopted, may<br />

help in the control of exposure levels :<br />

A number of loudspeakers should be used to<br />

ensure that the level is uniformly distributed<br />

over the dance floor and to prevent ‘hot spots’<br />

where excessively high levels may occur close to<br />

speakers. Loudspeakers should be directional<br />

and located so that they concentrate their<br />

radiation onto the dance floor and away from the<br />

staff working locations. Staff's work areas should<br />

also be positioned away from the dance floor.<br />

Staff/job rotation could also be used to limit the<br />

time employees are working in the excessively<br />

noisy areas.<br />

The venue could be zoned into a number of areas<br />

depending on the sound pressure level. The daily<br />

noise exposure of employees is influenced by the<br />

amount of time spent in the noisy areas and it<br />

is therefore imperative that this is countered by<br />

employees spending time in the quieter zones of<br />

the venue.<br />

Hearing conservation programmes can also be<br />

developed for employees within clubs. These<br />

could include routine audiometry, to conduct a<br />

noise assessment, notify employees of the risk<br />

to their hearing, supply hearing protection and<br />

training on their use and conduct regular sound<br />

level measurements.<br />

In another survey commissioned to look into the<br />

noise around workers at live concerts it was<br />

found that, in general, personnel employed in the<br />

live entertainment industry are exposed to noise<br />

levels above the upper exposure action level and<br />

as such should be provided and enforced to wear<br />

hearing protection.<br />

If you have been working in a nightclub, bar or<br />

live entertainment industry, you could find that<br />

your hearing is much worse than others your age<br />

or that you are experiencing tinnitus. As well as<br />

managing your hearing loss and tinnitus, you<br />

may also want to investigate making a claim<br />

against your employer. There are strict time limits<br />

in making claims and you should look to make a<br />

claim as soon as you are aware of the potential<br />

link with your work.<br />

20 www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


Flying & tinnitus<br />

It's coming up to the holiday season, and you're<br />

probably making plans to get away. If you are<br />

thinking of jetting off abroad, you might be<br />

worried that the noise on a flight will make your<br />

tinnitus worse. Actually, most people find that the<br />

background noise in the plane means their tinnitus<br />

is hardly noticeable. Occasionally you might find<br />

your tinnitus getting louder during the journey. But<br />

this won’t last long, and there are things you can<br />

do to minimise this.<br />

Engine noise<br />

People with tinnitus aren’t usually disturbed by the<br />

engine’s noise. But if you are worried that it might<br />

make your tinnitus worse, reserve a seat near the<br />

front of the plane, where the engines aren’t as<br />

loud. Don’t use earplugs unless the background<br />

noise is unbearable, because blocking outside<br />

sounds might actually make you notice your<br />

tinnitus more. If you normally wear hearing aids,<br />

keep them in during the flight so that you won’t<br />

have to strain to hear. Straining can make tinnitus<br />

louder.<br />

The plane’s descent<br />

When the plane is descending, your ears might<br />

feel painful and your tinnitus may be louder. This is<br />

caused by the air pressure in the cabin becoming<br />

higher than the pressure within your ear. To help<br />

solve this, swallow, yawn, and move your jaw<br />

around by chewing gum or sucking on a sweet.<br />

Doing this will open the Eustachian tube in the<br />

middle part of your ear, allowing the air pressure in<br />

the ear to equalise with the pressure outside. You<br />

will know this has happened when you feel a 'pop'<br />

in your ears.<br />

The air pressure can’t equalise when your<br />

Eustachian tube is blocked. So if you have a cold or<br />

sinusitis, use a nasal decongestant to help open up<br />

your airways and tubes.<br />

Coping with stress<br />

Stress and anxiety can make tinnitus worse. If<br />

you find flying stressful, think about ways to calm<br />

yourself down. Listen to music, read a magazine,<br />

or watch a film during the flight. These will take<br />

your focus away from whatever is making you<br />

anxious. Relaxation and breathing exercises can<br />

also be very helpful, especially if you practise them<br />

before your flight. If you know you have a fear of<br />

flying, talk to your GP, who might suggest a small<br />

dose of tranquiliser. Some airlines offer courses to<br />

help people overcome their fears.<br />

Flying & middle ear surgery<br />

If you’ve recently had surgery on your middle ear,<br />

check with your ear specialist before booking a<br />

flight. You might need to avoid flying while your ear<br />

is still healing.<br />

For more information and our top tips, visit www.<br />

tinnitus.org.uk/flying-and-the-ear<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 21


Ride for tinnitus<br />

The Prudential RideLondon is an annual<br />

festival of cycling. It's the biggest annual<br />

charity bike ride in the world and an<br />

extremely important fundraising event for<br />

us.<br />

Celebrating the legacy for cycling<br />

created by the London 2012 Olympic and<br />

Paralympic Games, Prudential RideLondon-<br />

Surrey 100 starts in the Queen Elizabeth<br />

Olympic Park, then follows a 100-mile route<br />

on closed roads through the capital and<br />

into Surrey’s stunning countryside before<br />

finishing on The Mall.<br />

The details<br />

Date: 4 August <strong>2019</strong><br />

Distance: 100 miles<br />

Location: London<br />

Entry fee: Free<br />

Suggested minimum sponsorship:<br />

£300<br />

2018 Prudential Rid<br />

The Riders’ Stories<br />

Jon Wylson<br />

Lena Stranks<br />

Supporting you<br />

Simon Connellan<br />

We’re here to help make fundraising as<br />

easy as possible for you. We'll send you<br />

our Fundraising Pack , which contains<br />

lots of fun ideas for Steve how to Metcalfe<br />

raise money,<br />

plus useful practical support like<br />

information on how Maria to publicise Keen your<br />

event and set up an online fundraising<br />

page.<br />

Jonathan Clarke<br />

Laura Griffin<br />

Sara Abbott<br />

All our fundraisers receive a FREE sports<br />

vest or t-shirt — just let us know your<br />

preferred size and Steve colour! Walford<br />

To apply:<br />

To apply for one of our guaranteed places for the Prudential RideLondon 100 in <strong>2019</strong>,<br />

please complete our application form by visiting www.tinnitus.org.uk/prudentialridelondon-surrey-100.<br />

Good luck!<br />

Scroll down for full biog<br />

22 www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


REAL<br />

LIVES<br />

Readers share their experiences of living with tinnitus.<br />

Focus and the<br />

vicious cycle: Steve's<br />

story — part four<br />

<strong>Quiet</strong> reader Steve has written a book<br />

about his experience with tinnitus which<br />

he has kindly allowed us to share. We will<br />

be following Steve's story through future<br />

issues of <strong>Quiet</strong>.<br />

There is a video I’ve seen on the internet<br />

where you are asked to count the number of<br />

times a group of people catch a ball. It’s an<br />

old psychological experiment. At the end of<br />

the video you are asked whether you saw a<br />

man dressed as a gorilla walk past the back<br />

of the group of people. Most people don’t<br />

spot the gorilla walk past as their brains are<br />

too preoccupied counting the number of<br />

catches.<br />

Years ago when I was a kid, I loved playing<br />

football. After a particularly tough game I<br />

remember looking down at my knee to see<br />

blood pouring out. It was only at that point<br />

I noticed the pain. Why didn’t I feel the pain<br />

earlier? The answer is focus. When we are<br />

engaged in something we enjoy doing we<br />

tend not to notice other things going on.<br />

Sometimes our brain's inability to multitask<br />

very well can be an advantage to us<br />

when we have an ailment.<br />

Steve Haynes<br />

Our hearing is also very selective. We can<br />

pick out a particular conversation in a room<br />

where a number of conversations are taking<br />

place. I don’t know if you are old enough to<br />

remember old-fashioned tube televisions.<br />

They made quite a loud very high pitched<br />

whistle. However after getting absorbed in<br />

the programme I soon stopped noticing it.<br />

So if we are able to move our focus<br />

away from the tinnitus, the brain is quite<br />

capable of letting the tinnitus leave our<br />

conciousness. The hard bit is training<br />

our brain to do that. I remember in the<br />

early stages I would listen to sounds like<br />

waterfalls and babbling brooks though my<br />

smart phone just to train my brain to listen<br />

to nice sounds. One of the tools used in<br />

tinnitus therapy is a tinnitus masker. It’s<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 23


designed to do exactly that, help our brain<br />

focus away from the tinnitus sound. These<br />

devices should be used carefully though<br />

and should be set to a level which doesn’t<br />

totally mask out the tinnitus sound.<br />

John's story<br />

I however realised later that dependancy<br />

on such masking just reminded me I had<br />

tinnitus. I believed the whole aim in the end<br />

was to forget I had it in the first place. They<br />

are a very useful aid in the early panic stage<br />

of tinnitus though.<br />

The biggest hurdle for me was trying<br />

to break away from my obsession with<br />

the tinnitus. I noticed, even in the early<br />

days, that minutes would go by without<br />

any thought of my tinnitus. Maybe over<br />

time minutes would become hours,<br />

hours would become days, days would<br />

become weeks. Who knows, I might stop<br />

noticing it for good eventually? It was the<br />

confidence gained each time the ‘silence’<br />

period got longer which was another major<br />

breakthough in my journey. Have you<br />

noticed your tinnitus whilst reading this<br />

article?<br />

Another hurdle was succumbing to the<br />

temptation of ‘listening’ for the tinnitus<br />

when I realised I hadn’t noticed it. Sure<br />

enough, seconds later it would be there like<br />

a bad friend. My advice is not to listen for it,<br />

not ever. What is the point of listening for it<br />

anyway when you're trying to train the brain<br />

to ignore it?<br />

In my next— and final — article, I will try<br />

to break down the stages which I believe I<br />

went through to reach the point I’d finally<br />

let go of that bad friend, tinnitus. Obviously<br />

they aren’t actually stages in a straight line<br />

like a graph, more like a succession of hills<br />

which go up and down but gradually got me<br />

home. There were setbacks, but by sticking<br />

to the plan, I got there in the end.<br />

John Bishop at work<br />

I lie on the bed looking up at an air con vent.<br />

It makes a constant noise uncannily similar<br />

to one of the components of my tinnitus.<br />

It’s about the same volume, too. The only<br />

difference is how close they sound: one<br />

is five feet away, the other right there<br />

inside my ear. In the bathroom there is<br />

an extractor which is constantly on. Even<br />

with the door shut it is audible. There are<br />

creaking and grinding noises and some<br />

of the time swishing sea noises. There is<br />

constant movement. People pass the cabin<br />

door at all hours chatting. Despite this<br />

ambient cacophony I sleep the sleep of the<br />

innocent. For nine hours or more if I have<br />

had no need to set an alarm.<br />

I have the perfect solution for the tinnitus<br />

problem, it is not a cure but very good<br />

mitigation: a sea cruise! Regular or even<br />

permanent cruises for all tinnitus sufferers!<br />

Somehow I suspect that the NHS will<br />

not wear it. This reflection does illustrate<br />

how important to the sufferer the context<br />

24 www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


and circumstances are. At home, I have<br />

wonderful silence. I’ve tried white noise<br />

and other distraction sounds but they don’t<br />

work. They are fake noise. If I have to get<br />

up for work in seven or eight hours and all<br />

I can think about is this noise in my head,<br />

sleep is impossible. Worse still is if it wakes<br />

me around 4am, as there's not much hope<br />

of getting back to sleep. My GP suggested<br />

a tiny dose of amitriptyline. It's the only<br />

treatment other than the cruise that has<br />

helped.<br />

It all dates back, I think, to my early teens.<br />

I had had piano lessons from the age of<br />

seven. After the earthquake of The Beatles,<br />

all youngsters had to play in a group. All<br />

my pals bought cheap nasty guitars but<br />

oh dear, they couldn’t tune them. I found<br />

it easy. I couldn’t see why they couldn’t<br />

do them. After The Animals’ House of the<br />

Rising Sun I bought a Vox Continental just<br />

like Alan Price’s. Everyone wanted me in<br />

their band.<br />

Printing technology as it was meant that<br />

it was not easy to get sheet music for hit<br />

tunes. They would not print until it was<br />

a definite hit and by the time the music<br />

reached the shops, the number had left the<br />

charts. The solution was to stick my left ear<br />

on the speaker of a tape recorder and write<br />

down the chords, then the bass line, then<br />

the words. Voila! Next rehearsal and it was<br />

in the repertoire.<br />

I played for years in bands of one sort or<br />

another. In those days, the PA system was<br />

for vocal and acoustic instruments only. For<br />

guitars and keyboards the performers had<br />

a huge amplifier behind them.<br />

able to hear the harmonic components of<br />

sound. It takes some doing. I relied mostly<br />

on my left ear. Somehow I think I turned the<br />

amplifier in my left ear up.<br />

I knew that I would have to write this some<br />

day having read so many contributions<br />

from others in <strong>Quiet</strong> magazine. Trouble is,<br />

even thinking about it makes it get louder!<br />

A dear friend and fellow sufferer and I had<br />

to make an agreement never to mention it.<br />

The more we talked about it, the louder it<br />

became.<br />

So here I am sitting at my computer and<br />

facing the noise. I’m afraid I don’t have<br />

much good news, another inhibiting factor<br />

in my writing this. But let me try. I have<br />

had this for over 20 years and it has been<br />

progressively worsening. I have had a<br />

normal and enjoyable life. It has affected<br />

mainly me. (I suppose my partner has<br />

suffered too, much of the time, and my<br />

deafness must make it hard work. Bless<br />

her.) But to everyone else around me,<br />

friends, customers, musicians I work with,<br />

my problem is nothing to them. Only I am<br />

fully aware of it and only I can deal with it.<br />

It doesn’t surprise me that some sufferers<br />

consider suicide, but that thought has<br />

never crossed my mind. It isn’t as bad as<br />

pain, and some people live with very painful<br />

conditions. So, my advice is, just get on<br />

with it. Stop thinking about it and live a<br />

normal life. Oh, and if you can, take that<br />

cruise.<br />

I wasn’t aware of any damage that all this<br />

did until around 20 years ago. I moved on<br />

from playing and became a piano tuner<br />

about 40 years ago. I think this did the<br />

most harm. To tune a piano one has to be<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 25


Alex's story<br />

It started in 2008. I was 22 years old and, to<br />

be honest, I had never really thought about<br />

tinnitus before.<br />

I’d heard of people having it and that it<br />

could be pretty horrible, but I figured it was<br />

an ‘old person’s disease’ and so I didn’t<br />

expect it to ever happen to me. I wasn’t<br />

really aware that it could be caused by<br />

noise damage.<br />

It all began one night at<br />

a gig, which was — to be<br />

frank — ludicrously loud.<br />

The music was hurting my ears and I<br />

wanted to leave, but at the time I was<br />

having therapy for anxiety and I assumed<br />

what I was experiencing at the gig was part<br />

of a panic attack rather than because my<br />

ears were becoming damaged. So I decided<br />

to stay in order to ‘beat’ my anxiety. When I<br />

left the club I was almost completely deaf.<br />

Fortunately my hearing returned, but the<br />

ringing didn’t go away. About a month later<br />

I experienced an extreme feeling of fullness<br />

in my ears, followed by hyperacusis<br />

(heightened sensitivity to normal sounds)<br />

in my right ear. This lasted for about two<br />

weeks before both symptoms dropped back<br />

down to manageable levels, but they never<br />

truly went away.<br />

Then, the ringing got even louder. I now<br />

know what the ‘acute’ phase of tinnitus is<br />

all about — for the first four to six months<br />

you have massive fluctuations in hearing<br />

sensitivity and in the different sounds you<br />

hear.<br />

My GP told me that tinnitus is a chronic<br />

condition with no cure. I was stuck with this<br />

forever and I had to learn to live with it.<br />

But I was<br />

struggling to<br />

sleep and I<br />

couldn’t stop<br />

focusing on<br />

the ringing.<br />

It was<br />

constant and<br />

I had to wear<br />

earplugs<br />

too, which<br />

affected<br />

my job in a<br />

call centre<br />

at the time.<br />

Eventually<br />

I ended up<br />

losing the job<br />

Alex Rose<br />

due to the drop<br />

in my performance. I also stopped going<br />

out with my friends. I become isolated,<br />

depressed, sleep-deprived and more<br />

anxious than ever.<br />

My tinnitus was relatively stable for about<br />

five years, other than alarmingly going deaf<br />

for three days in one ear with seemingly no<br />

explanation when I was about 24 years old.<br />

By the time I hit 27 I was barely noticing my<br />

tinnitus, even when it was quiet. I had to<br />

‘tune in’ by concentrating on it.<br />

Then, in 2013 my tinnitus got worse. On top<br />

of everything, I also developed a condition<br />

where the muscles in your ears that control<br />

your eardrum spasm for no reason. When<br />

it happens there’s a loud whooshing sound<br />

and I can physically feel the muscles<br />

inside my head throbbing. It’s thoroughly<br />

unpleasant, but thankfully I don’t get it as<br />

often as my other symptoms. Some people<br />

have it all the time.<br />

After another six-month acute period, my<br />

tinnitus returned to more monotonous<br />

tones and I was able to adapt again over<br />

a period of several years, with some<br />

26 www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


adjustments.<br />

For example, I would wear earplugs to loud<br />

functions such as weddings, the occasional<br />

club and I even attended a festival or two<br />

by making sure to wear my earplugs and<br />

staying far, far away from any speakers. I<br />

would spend a lot of time outside with the<br />

smokers to avoid the noise — even though I<br />

don’t smoke!<br />

But then, in December 2017 my ears got<br />

inexplicably worse again. Everything was<br />

louder, more sensitive and more frequent.<br />

I’m only now finally coming out of the other<br />

side.<br />

Sadly, my ears are so sensitive now that<br />

I don’t think I’ll ever be able to enjoy live<br />

music or nightclubs again. I used to do<br />

swing and salsa dancing, but I’ve not done<br />

either for over a year now. I have to wear<br />

earplugs when I’m working and I still often<br />

find it difficult to sleep.<br />

Isolation comes hand in<br />

hand with tinnitus.<br />

I am very positive that there will be a cure,<br />

or at least an effective treatment, in the<br />

near future and this gives me hope. In the<br />

last ten years alone, various devices, drug<br />

trials and other potential treatments have<br />

been explored by researchers, with very<br />

promising results.<br />

With adequate funding and the vital work of<br />

the BTA we may see effective treatments<br />

and maybe even a cure for tinnitus one day.<br />

Until then, we need to open up and talk to<br />

others about the condition, reaching out<br />

for help so that those around us, from GPs<br />

to our nearest and dearest, understand<br />

what we go through and just how isolating<br />

tinnitus can be.<br />

Do you have a<br />

story to tell?<br />

Would you like to help raise the<br />

profile of the British Tinnitus<br />

Association and the vital work we<br />

do?<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 are<br />

managing it well and have tips to pass<br />

on or if you are still struggling with it,<br />

your story could help us reach more<br />

people, and potentially make a<br />

difference to their lives.<br />

Your story could be shared in <strong>Quiet</strong>,<br />

local or national newspapers,<br />

magazines, local or national radio as<br />

well as across BTA social media<br />

networks.<br />

Don't worry — we'd never ask you to do<br />

anything you feel uncomfortable 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 Wray<br />

on nic@tinnitus.org.uk or 0114 250<br />

9933.<br />

You can also send your story to me at<br />

Nic Wray,FREEPOST BTA (no stamp<br />

needed)<br />

I look forward to hearing from you.<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 27


FEEDBACK<br />

Triggering tinnitus<br />

I have had loud high-frequency tinnitus<br />

for most of my life; I'm now 90 years<br />

old. The tinnitus has become so much<br />

a 'part of me' that for long stretches<br />

of time I'm not conscious of it, by<br />

which I mean I'm not hearing it. But<br />

it immediately 'switches on' at its<br />

full volume if it is 'triggered' into my<br />

consciousness.<br />

This happens quite frequently in a<br />

variety of ways, for example if the word<br />

tinnitus enters into a conversation or<br />

if I read about it. It is triggered by <strong>Quiet</strong><br />

magazine arriving in the mail (even<br />

before I open it). Right now, as I write<br />

to you, it is, of course, shrieking away<br />

in my head, a disturbing distressing<br />

damaging experience.<br />

I suppose that if I were to resign from<br />

the BTA, the number of triggers would<br />

go down, but that I will not do; my<br />

membership is too important to me, as<br />

is my hope for a cure. But I would very<br />

much like to know if others are similarly<br />

effected, and what their views/<br />

approach to this phenomenon are.<br />

Tom Jacobs<br />

Get in touch!<br />

Send your comments, feedback and<br />

questions to me at nic@tinnitus.org.<br />

uk or send your letter to Nic Wray,<br />

FREEPOST BTA (no stamp needed)<br />

28<br />

A fishy tale<br />

Can I share some helpful advice? I've<br />

had tinnitus for over 30 years and I<br />

have found the perfect way to cover it<br />

indoors. Fishtanks! If you get a quiet<br />

pump and a good ceramic airstone with<br />

a variable airvalve, you can get great<br />

white noise cover and can turn it up or<br />

down to suit you. It's always on so no<br />

worries about quiet intervals, unlike with<br />

TV or music. You can even get some fish!<br />

Jim Walker<br />

Full steam ahead!<br />

Chronic tinnitus is something I have had<br />

to endure. After five minutes in a hot<br />

steam room at my local health club, I<br />

was aware that it had gone completely.<br />

What a relief ! Unfortunately this was<br />

short-lived as it returned afterwards.<br />

I was wondering if the conditions could<br />

be simulated with the aid of medication?<br />

T Williams<br />

28<br />

www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


Support groups<br />

Reducing isolation<br />

GP and radio presenter Dr Sarah Jarvis<br />

encourages people with tinnitus to check<br />

out their local support group.<br />

Tinnitus and isolation. The two so often go<br />

hand-in-hand and so it was unfortunately<br />

no surprise to me that the BTA’s recent<br />

survey revealed more than 60% of people<br />

with tinnitus feel isolated. It’s a condition<br />

you can’t see and which all too often, those<br />

around us don’t understand the true impact<br />

of.<br />

If you’re living with tinnitus, reaching out<br />

and talking about how you’re feeling is vital,<br />

and support groups play a crucial role in<br />

allowing those with tinnitus to do just that.<br />

Meeting others who are going through the<br />

same experiences as you can be incredibly<br />

rewarding and can reassure you that you<br />

really are not alone.<br />

Equally, speaking to<br />

your GP is important.<br />

The BTA is working hard to ensure GPs are<br />

better equipped with the knowledge they<br />

need to help tinnitus patients — it’s so<br />

important that people feel empowered to<br />

share with their GP the impact their tinnitus<br />

is having on their lives.<br />

Additionally, it’s important to recognise that<br />

if your GP says your tinnitus isn’t ‘severe<br />

enough’ to warrant referral, you still have<br />

every right to feel isolated and to reach<br />

Dr Sarah Jarvis<br />

out for support from those around you and<br />

organisations such as the BTA.<br />

If you’re living with tinnitus and feeling<br />

isolated, remember you are not alone.<br />

Support is available, in a variety of places.<br />

You can find your local tinnitus support<br />

group by visiting www.tinnitus.org.uk/<br />

find-a-support-group or you can speak to<br />

someone about your tinnitus in complete<br />

confidence, by calling the BTA’s confidential<br />

helpline on 0800 018 0527. In September<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 29


Wales Support Group Project<br />

Last year BigLotteryWales awarded us a grant<br />

of nearly £9,000 to run tinnitus support group<br />

facilitation training for 27 people in order to set up<br />

nine new tinnitus support groups across Wales.<br />

With the help of Wales Council for Deaf People<br />

Colette Bunker, Groups Manager, has so far<br />

delivered four training sessions in Wrexham,<br />

Colwyn Bay, Swansea and Aberystwyth for 25<br />

people (and one gate-crashing cat … don’t ask!).<br />

Human attendees have included local audiologists,<br />

people from local and national hearing/sensory<br />

impairment charities, hard of hearing groups,<br />

hosts of large Facebook support groups, lipreading<br />

tutors, local volunteers, community agents<br />

and people working with deaf students.<br />

Two of these four sessions took place during our<br />

isolation-themed Tinnitus Week: a rather fitting<br />

time to do it since support groups are a great way<br />

to meet and learn from others who experience the<br />

condition.<br />

Attendees were asked how confident they were to<br />

speak with people about their tinnitus before and<br />

after the training and on average their confidence<br />

raised from a 5 to a 9 out of 10. 20% of them have<br />

said they would like the BTA’s help to set up a<br />

tinnitus group in their area.<br />

Attendees also shared other ways that they would<br />

use the training going forward:<br />

“I feel we are now part of a bigger network — our<br />

own sense of belonging.”<br />

“I will use the knowledge within the school<br />

classroom. It will help children to manage and I can<br />

help to provide support.”<br />

“I will use the training as part of my job with blind<br />

veterans. I will be able to offer helpful advice<br />

regarding signposting. Also relaxation sessions.”<br />

“Information I've learnt from today’s training will<br />

help me when clients visit out resource centre e.g.<br />

equipment, signposting”<br />

“[I] will read up more and look into alternative<br />

therapies”<br />

So far two new tinnitus groups have formed as<br />

a result of the training, in Barry and Swansea,<br />

with two more on the horizon in Aberystwyth and<br />

Cardigan.<br />

Do you live in Wales? We would love to speak<br />

with you if you might be interested in setting up a<br />

support group where you live! Please get in touch<br />

at colette@tinnitus.org.uk or 0114 250 9933<br />

30<br />

30<br />

www.tinnitus.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two


SUPPORT GROUPS<br />

Scotland<br />

Edinburgh and SE Scotland<br />

Glasgow<br />

Northern Ireland<br />

Armagh and Dungannon<br />

Belfast<br />

Craigavon<br />

Derry<br />

Enniskillen<br />

Newry and Mourne<br />

Omagh<br />

North-West England &<br />

Isle of Man<br />

Blackpool<br />

Bolton<br />

Bury<br />

Garstang<br />

Isle of Man<br />

Liverpool/Aintree<br />

Manchester<br />

Prestwich<br />

Runcorn<br />

Sandbach<br />

St Helens<br />

Warrington<br />

Widnes<br />

Wales<br />

Barry<br />

North Wales<br />

Pontypridd<br />

Pontyclun<br />

Rhondda<br />

Swansea<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 NEW!<br />

South-East England<br />

Aldershot and District<br />

Amersham<br />

Ashford, Kent<br />

Brighton<br />

Canterbury<br />

Crowborough<br />

Dover<br />

Faversham<br />

Harpenden, Luton, St Albans<br />

Haywards Heath<br />

Hitchin and Stevenage<br />

Lyndhurst/New Forest<br />

Maidstone<br />

Margate<br />

Marlow/Farnham Cmn<br />

Oxford<br />

Ramsgate<br />

Rochester<br />

Rye NEW!<br />

Salisbury<br />

Southampton<br />

Watford<br />

West Kent<br />

Worthing<br />

West Midlands<br />

Birmingham and District<br />

Newcastle under Lyme<br />

Shropshire<br />

Stoke on Trent<br />

Telford<br />

Warwick<br />

Whitchurch<br />

Meeting dates & venues<br />

Find out when and where these groups<br />

meet by checking the Support Groups<br />

Directory online at www.tinnitus.org.uk/<br />

find-a-support-group or contact us on<br />

0800 018 0527 or helpline@tinnitus.org.<br />

uk. For support in the Republic of Ireland,<br />

the Irish Tinnitus Association will be happy<br />

to help on (0)1 817 5700.<br />

North-East England<br />

Chester-le-Street<br />

Darlington<br />

Durham<br />

Newcastle<br />

Peterlee<br />

Yorkshire & Humber<br />

Bradford<br />

Keighley<br />

Rotherham<br />

Rotherham Central<br />

Sheffield<br />

Wakefield NEW!<br />

York<br />

East Midlands<br />

Chesterfield & N Derbyshire<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<br />

Lowestoft<br />

Norwich/Norfolk<br />

Southend-on-Sea<br />

London (within M25)<br />

Bexley<br />

Borehamwood<br />

Bromley<br />

Chiswick<br />

Greenwich<br />

Hornchurch<br />

Isleworth (West Middlesex)<br />

Kingston<br />

North London<br />

Orpington<br />

Redbridge<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two www.tinnitus.org.uk 31


<strong>2019</strong><br />

ANNUAL CONFERENCE<br />

Wednesday 5th June <strong>2019</strong><br />

Molineux Stadium, Wolverhampton<br />

TRANSLATING RESEARCH<br />

INTO PRACTICE<br />

www.tinnitus.org.uk<br />

REGISTER NOW<br />

www.thebsa.org.uk<br />

QUIET <strong>2019</strong> <strong>Issue</strong> Two

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