PROCEEDINGS OF THE II INTERNATI ONAL TINNITUS SEMINAR, ed. Abra h am Shulma n and John Ballantyne. Ashford (Kent) and London: Invicta Press, 1984; The Journal of Supplement No. 9, Reviewed by Trudy Drucker* Because victims of tinnitus rarely can be cured and only occasionally achieve significant permanent relief, our best comfort comes from the fact that a great many highly skilled scientists are directing their most serious efforts toward these ends. Many specialists with impeccable credentials, coming from Great Bri t ain and Europe as well as America, assembled two years ago in New York City to pool their knowledge and share their hopes . The fruit of these deliberations is this excellent book. It would be hard to imagine any problem associated with tinnitus research and treatment that is not covered. Before treatment, there must be research. Studies have been made of the epidemiology of tinnitus (J. Graham and Butler; Coles; Nodar and Lezak) and patterns of disability in tinnitus patients (Meikle; Shulman and Goldstein). Promising work has been done with high-frequency audiometry (Tonndorf and Kurman), acoustic-emission study (Hazell}, impedence audiometry (Clemis}, and exploration of brainstem activity (Shulman}. Eliden and colleagues report on auditory evoked-response testing in cats, and Y oo and colleagues are working toward development of an animal model. Any, or perhaps many, of these studies could yield important c l ues that will prove very helpful eli nically. Several investigators are working on the causes of tinnitus, and attempting to achieve more reliability in differential diagnoses. The high irtcidence of noise-induced tinnitus is noted by, among others, Miller and Jakimetz. Yoo and colleagues discuss autoimmune disease; Ron is writes of tinnitus secondary to ear disease; Weiss _examines differences between "true" tinnitus and that associated with otosclerosis or alcoholic hallucination; Arenberg and Balkany discus s vascular abnormalities; tinnitus-producing tumors are reviewed by Parisier. Meniere's Disease and other rarer afflictions that can provoke tinnitus must be ruled out (Pappas; Rock; Rubin}. Allergic factors are noted by Ronis. Meikle and Whitney are working out a data bank and methods of computer- assisted analysis. Suggestions for future research include development of a truly physiological tinnitus model (Levitt}. Obviously, much more knowledge is needed about how tinnitus starts and functions (Eggermont; Tyler; Johnson and Mitchell}. The great need for standardization and objectivity is stressed by Vernon and Fenwick. Determinations of masking levels and o ther objective variables such as loudness, intensity, and frequency of the internal sound are needed (Johnson and Fenwick; Douek}. The chap ters on treatments are not as rewarding as those dealing with research. The newest treatment modality that offers some promise of success is electrical stimulation, which Aran and colleagues pioneered; it is now being studied extensively by Feldman; Shulman; Vernon; Douek; J. House a nd no doubt many others. If masking (which might involve only a hearing aid} is properly done, many patients have good results (Vernon; Shulman; Miller; Tyler and colleagues). Attempts t o relieve the suffering of tinnitus by psychological methods such as biofeedback are sometimes successful (Reich and Johnson}. A question that probably never will be answered is: when psychological problems surface , did these antedate the tinnitus or were they caused by the stress of intractable noise? According to most investigators (Hulshof and Verney; Hazell and Wood; Emmett} the promise of tocain.de has not been fulfilled, although Shea continues to report good results. Lechtenberg and Shulman sometimes use benzodiazepine tranquilizers. M. Graham and colleagues report using streptomycin for Meniere's Disease. Surgery when tinnitus is the primary and uncomplicated complaint is a last resort very rarely employed. Barrs and Brackman; Arenberg and colleagues; and Robinson summarize the situations in which surgery might be expected to be helpful. Many of the articles were prepared very carefully with abstracts and bibliographies; others evidently were transcribed without correction from tapes recorded at the seminar . The latter, natur ally, present some jarring infelicities of sentence structure or errors of spelling for 1h.eii:) and grammar. However, these faults do not impair the usefulness of the work. Some of the articles drawing upon sophisticated medical physics could be difficult for some nonspecializing physicians. The book is valuable chiefly to otologists, audiologists, neurologists, and other practitioners who have a real commitment to the study and treatment of tinnitus . These offer the latest word (but not, one hopes, the last word} about a very widespread and agonizing affliction. In his witty and erudite closing address, Douek notes the " ... surfeit of techniques and methods coming in from all sides." To be sure, these can be bewildering--but for the millions of people anguished by tinnitus, this "surfeit" offers hope. If .this. won't work, maybe .thai will. * Ms Drucker is a patient of the Kresge Hearing Research Laboratory in Portland, Oregon, and facilitat or of a tinnitus self-help group in Northern New Jersey. She is a Fellow o[ the American Medical Writers Assoc i ation and holds a Ph.D. in English. (Ed . note: see page 3. [or ordering information) Page 2. 1HE MIERICAN TINNI'IUS ASSOCIATICtl Statement of Assets,Liabillties Fund Balances Arising from C.sh Transactions October 31, 1984 OJRRilNT FUNDS Unrestricted $ 89 Liabilities $ C.sh Investments-Note 2 Total 83,589 Fund Balance-Note $ 83,678 1 83,678 $83,678 C.sh $ Investments-Note 2 Total $ Restricted 7' 218 7' 218 EQIIPMENI FUND $ 7' 218 $ 7,218 Equipment, at cost Less accumulated depreciation-Note Total $46,235 Liabilities $ 3 (37,787) $ 8,448 Fund balance-Note 1 8,448 Statement of Support, Revenues Collected and Expenditures Made and Changes in Fund Balances For the Year Ended October 31, 1984 $ 8,,448
Public support and revenue collected Pub 1i c Support Contributions received Combined federal campaign Total Public Support Investment Income Total support and revenue Expenses paid Program services Research Pub.health education Professional education Total program services Supporting services Management & general Fund raising Total support services Tote 1- expense Excess of public support and revenue received over expenditures made $113,295 14,579 127,874 6,281 $134,155 28,803 47,691 20,444 96,938 7,930 9,744 17,674 1-14,612 19,543 Fund balances, beginning of year 79,801 Fund balances, end of year $ 99,344 atchor6 ,ttlatr Certlrle6 Public Accoaatont
18519 - 129 Place ' Renton, hington 98058 (2061 228889 3 December 14, 1984 The Anlerlcan Tinnitus Association Port hnd, Oregon I hve e .. ained the statelllent of uuts, lhbllltles and fund balances a.rtstng frOCt CJSh transactions for TM American ltnn1tus Association u of October 31, 1984, ond tile rehted stote<11ent of support, revenues collected and expenditures made and changes 1n fund bOlances, and statement of functional upenditures for the year then tnded. Hy examination was made tn accordance with accepted auditing standards , and accord! ngly, lncl uded such tests of the accounting records and such other auditing procedures as I considered necessory in the ctrcumsuncu. As described in Note l, the Assoclotlon's policy Is to prepare Its fin4ncial sutements on the basis of cash receipts and dlsburstlltnts; consequently. certain revenue and the rt:hted assets are recognlzed "nen recefved rather than when earned. and certain expenses Are recognized omen poid rother than when the obhgotion is incurred. Accordingly, the acc"""anying financhl statements are not intended to present f inancial position and results of operations in conformity with generally accepted occountlng principles. In 11\Y opinion, the financial state!Mnts referred to above present fairly the assets and liabilities arising from cash transactions of The Alnencan Tinnitus Association as of October 31, 1984, and the revenue collected and expenses paid during the year then ended, on a basis of ccounting described in Note 1, which basis has been applied in a Nnner consistent with that of the preceeding year. RICHARD H. STEINER CERTI Fl EO PUBLIC ACCOUNT AliT Statement of Functional Expenditures For the Year Ended October 31, 1984 Pronam Services Public Audit Health Prof'l Mgmt. & Fund
$ $ $ $ 362 $ 363 Board exp. Contract svc. Federal giving campaign Grants 26,854 211 4,434 773 322 91 1,881 1,901 300 331 163 163 Mailings & svc. Membership & dues Office supp.& exp Payroll & P.taxes Postage 19,051 8,165 6,024 4,500 Printing Pub.Svc . Announcmts Rent RepaIrs Research suppl . 200 Telephone Travel & COnvent. 7,784 3,816 4,776 437 793 642 2,117 3,338 1,637 2,047 187 34 275 907 117 468 119 157 28 32 245 61 2,131 Total 27,054 44,834 19,219 7,718 9,718 expenses before depreciation Depreciation 1,749 2,857 1,225 212 26 Total expenses $ 28,803 $47,691 $20,444 $7,930$9,744 (see accompanying notes to financial statements) Notes to Financial Statements October 31, 1984 Note I policies The American Tinnitus Association complies with the Uniform Standards of Accounting and Financial for Health and Welfare Org- anizations and ut1l1zes the cash basis of ac- counting. The Association follows the practice of capitalizating all expenditures for equipment in excess of $100; the fair value of donated fix- ed assets Is similarly capitalized. Deprecia- tion Is provided over the estimated useful lives of_ the aaaeh uti 1 iolng In- vestments are stated at cost. All contributions are considered to be for unrestricted use unless specifically restricted by the donor. Note 2 - Investments Investments are summarized as follows: 50,807 shares of Merrill Lynch CMA money fund, which is a money market fund with a market value of one dollar per share $50,807 Certificate of deposit, 11.5% interest due February 6, 1985 Certificate of deposit, interest due December 14, 1984 Total investments Less investments included in res t-l'itted- fund Investments included in unrestricted fund Note 3 - Restricted funds Contributions received during the year with the stipulation that they be used for research by the contributor Funds restricted for the use of specific research projects at October 31, 1984 Note 4- Leased facilities 15,000 20,000 90,807 (7,218) $83,589 $ 5,845 7,218 The American Tinnitus Association leases its facilities on an annual basis. The annual rental for the twelve month period ending June 30, 1985 was $781. The annual rental rate is renegotiated each year. Note 5 - Income taxes The American Tinnitus Association has obtained its status as a Section 501(c)(3) organization from the Internal Revenue Service and is therefore exempt from income taxes
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Page 3. TRIBUTES The ATA tribute fund is designated 100% for research. Thank you to all those listed below for sharing your memorable occasions in this helpful way. Contributions to the tr ibute fund are tax deductible and will be promptly acknowledged with an appropriate card for the occasion. The amount of the gift is never disclosed. IN MEMORY OF Peter Alex Dr.Paul b. Meyer Julia Verakis Froimy Heiligman Fanny Bi rnberg Jack Andrews Turner R. Harley Richard Wikoff Bob Ashford Gurli Johnson Elsa Eriksson Florence R. French James Lieberman James Me Carthy Gertrude Werner Horace Heath Harry B. Walton Mr. George J . Jay Charles N. Trotter,Jr. Carmen V. Caggiano, Sr. Jack Schantz Chris Andrews Alfred W. Shaw Mrs. Eleanor Forbes Mary Jane Waldron Ronald Towle Beatrice Goldstein Margaret Christopher Rosi Rizzi Hattie Day Neily IN HONOR OF Sandy Schleter Dr . Robe rt W. Woods Ms. Carol Ricci Dr. Bernard Brucker Mrs. Jean Krulik Janet R. Erb Milton Ingerman, M.D. Jennifer Harold Alexander John Carman Birth Jerry Gittleman Get Well Betsy Roth & Howard Moss Marriage Mr.& Mrs. George Levin Marriage Dr .VJendy S. Wolfson Graduation * * * CONTRIBUTOR Lawrence Alex Bob Hocks Eva Kotyk Cadez M/M Ef rom Abramson M/M Efrom Abramson Trudy Drucker & J. G. Alam Eva Harley Mrs. Richard Wikoff Mrs. C. M. Ashford Mrs. Nell Munson Mrs. Nell Munson Harland w. French Denver Self-Help Group Dot Lane Bill and Anne Story M/M Elvin King Mrs. Helen K. Walton Mrs . Francis Janiga Mrs. Charles N.Tr otter,Jr. Mrs. Chester DiAngelo Jerry Schantz Joe Alam & Trudy Drucker Ida Shaw J .G. Alam & Trudy Drucker John & Faye Schleter John & Faye Schlet er Lewis B. Manges Miss Lisa Franklin Miss Dena Rizzi Meredith J. Myserian .QONTRIBUTOR John & Faye Schleter Bergen County Tinnitus Grp M/M Joseph Wolfson M/M Joseph Wolfson Alan Sorenstein, M. D. Joanne L. Erb Richard Weinberg Marjorie M. Vernon Joe Alam & Trudy Drucker M/M Efrom Abramson Joe Alam & Trudy Drucker Jean and Joe Wolfson Jean and Joe Wolfson * * * * * * IN MEMORY OF ROBERT W. HOCKS CONTRIBUTORS Stan Wilner M/M James Delk Bernice Shuster Donald M. Bowman Bergen Co. Tinnitus Grp. Charles Harris, Jr . Joe Alam & Trudy Drucker Abraham Shulman, M. D. P. W. Minton Edwin L. Brill M/M E. John Rumpakis M/M Gilbert LeClai.r Esther & John McFarland Walter & Harriet Krieger Mildred & Lester Dow Ed Bancroft Betty Mathis Bill & Margaret Bitar Mable C. Jeremiah Joanne Jeremiah Virginia Rite Gloria Reich & Pat Daggett Westone Laboratories,Inc Nancy K. Wentworth Amby & Ma ry Tobkin Hocks Laboratory finployees Ge rtrude W. Lewis Mary Meikle & Jack Vernon Metro Women Inc . Joseph Price Portland Emblem Club #133 Marge Skafte , Harcourt Brace Jovanovich Pub. Hearing Industry Association V. Jerry Blue, All American Mold Laboratories Duracell Activair Division Employees of Emtech Laboratories Hal Fishbein, National Hearing Aids Note from Ruth c. Hocks and Family " ... I and his family wish to express our appreciation to the overwhelming numbers of fl'iends and associates of Bob's for their gestures of sympathy and support at this time of sorrow. We have been comforted by these expressions of love and respect. Thank you for your thoughtfulness. We and all who knew him will miss him He was spec al " IN MEMORY OF VIOLA L. ANDERSON CONTRIBUTORS M/M Harry Schmitz Mrs . Donald Chapman M/M Dav id Bradrud The staff of_ the Bethel Wilburn M. Bloomquist M/M John J . Herrman BIRWPAY Jean Novich Mary Cassel Julie Alam Ro Traver Jim Traver Danny Sealfon * * * * Mrs. Lois C. Krebs Mrs. J. M. Iverson Mrs. Judy Gittus Lutheran Church Mrs . Norma Peterson M/M John Schleter mN1R I BU'IQR Joseph Alam & Trudy Drucker Joseph Alam & Trudy Drucker Joseph Alam & Trudy Drucker J. Alam & T. Drucker J. Alam & T. Drucker Irwin T. Sealfon * * * * Tinnitus; of the 2nd International Tinnitus Seminar is now available for immediate delivery from the ATA national office. Please send prepa id orders only, in U.S. funds, to; ATA, PO Box 5, Portland, OR 97207. Checks for $25 .00, which includes shipping, may be sent to the American Tinnitus Association . Name _____________________________________________ _ Address ___________________________ _ City State Zip Page 4. RO!iER1 WALTER HOO<S 1922-1985 oy Jack Vernon It is our sad duty to inform the membership of ATA that our national chairman, Bob Hocks passed away. Bob had had a long history of heart problems. He had by-pass surgery a score of years ago with repeat surgery last fall and it finally caught up with him. Bob was stricken while attending the Dorchester Conference of the Oregon State Republican Party. The Republican Party was one of his many interests to which he gave of his time and efforts and in a very real sense Bob died with his boots on and in the thick of the fray--the way we all would prefer to go. Bob was involved in ATA from its early days and gave generously of his abilities. His list of achievements establishes the fact that Bob was a most capable and civic-minded individual. That list includes the chairmanship of many organizations involving the Church, The Republican Party, and involvement in civic organizations such as Golden Hours, Hospice of Oregon, Metro Mental Health, The Rotary Club, the Board of Directors for the Portland Center for Hearing and Speech, the Tucker-Maxon Oral School, and many more . Bob was truly a generous man. Not only was he generous but he was also f i lied with a keen sense of humor. He could always bring forth a joke and a jest no matter how somber the occasion. He could even formalize a sense of humor. For example in 1958 he was one of the founding members and first president of the Portland Rainmakers, a group given to promoting Portland in a light hearted manner. The list of pranks and high-jinks perpetuated by the Rainmakers is now legion and a firm part of Portland history. Out their activities always had a serious purpose. In 1964 the Rainmakers became alarmed over the number of pedestrian fatalities in Oregon. Bob organized a demonstration calling attention to this problem which involved 300 people lying side by side across one of the many freeway bridges over the Willamette River in the heart of downtown Portland. They made their point even attacting national TV CUYel'"Sge . Published by the AMERICAN TINNITUS ASSOCIATION A private non-profit corporation under the laws of Oregon SCIENTIFIC ADVISORy BOARD Jack D. Clemis, M.D. Chicago, Illinois David D. DeWeese, H.D. Oregon John R. Emmett, M.D. Memphis, Tennessee Chris B. Foster, M.D. San Diego, California Howard P. House, M.D. Los Angeles, California Robert M. Johnson, Ph.D. Portland, Oregon Merle Lawrence, Ph. D. Ann Arbor, Hichigan Jerry Northern, Ph.D. Denver, Colorado George F. Reed, M.D. Syracuse, New York Robert E. Sandlin, Ph.D. El Cajon, California Abraham Shulman, M.D. New York, New York Francis Sooy, M.D. San Francisco, California llarold G. Tabb, M.D. New Orleans, Louisiana BOARD OF DIRECTORS Robert M. Johnson, Ph.D. Portland, Oregon (Pro- tem) Thomas Wissbaum, C.P.A. Portland, Oregon Gloria E. Reich, M.S. Portland, Oregon Executive Director HONORARy DIRECTORS Del Clawson, House of Rep . Ret. Downey, California The Honorable Mark Hatfield United States Senate LEGAL COUNSEL Henry C. Breithaupt Stoel, Rives, Boley, Fraser & Wyse Bob is best described as a jovial Irish leprechaun and occasionally some of his pranks would back-fire. For example he once bought-up several hundred pounds of peanuts . The ide a was to distribute the peanuts to local voters as a gentle reminder of the Republican Party. Before the peanuts could be distributed however, a national election was won by Democrat Jimmy Carter who was a peanut farmer and Bob Hocks found himself stuck with a very large supply of peanuts. Bob's family has asked that remembrances be in the form of contributions to ATA. Many if not most of you, the ATA members , did not personally know Bob. He was, however, a long-time member of our tinnitus family; he did not have tinnitus, but he fully understood the torment of the problem. His passing could be turned into a positive memorial by contributions to the organization to which he gave so much of his energy. Notes from the editor: Two of our sharp-eyed members have been kind enough to point out an error in our "pie-graph" on the dues notice . The percentages reported, 84 . 6% spent for research and program services, and 15.4% for support_ services, were correct, but the graph was incorrectly drawn thus making it appear as though our administrative costs were even lower. I apologise for the error. It was not my intention to mislead anyone. Our sincere thanks to all of the members who responded so promptly to the dues notices last month. We have tried to acknowledge your gifts promptly and make all of the many address corrections that were indicated. we hope that more of you are reading this issue of the Newsletter as a result of these efforts. Please note that the Post Office will prov i de us with a change of add ress that you have given them, but each one costs ATA 30 cents, and, you do not receive that Newsletter. If you will notify us directly when you move it will help to ensure that you receive every Newsletter. The American Tinnitus As-sociation Post Office Box 5 Portland. Oregon 97207 (503) 2489985 ADDRESS CORRECTION REQUESTED Non Profit Organ. U.S. Postage PAID Permit No. 1792 Portland, Oregon