Nh Tinnitus Information 2014 Produced by: New Forest Tinnitus Group 2 Contents 3. Venue and Organising Team Who are we at the New Forest Tinnitus Group? 5. What is Tinnitus and what can be done to help? 7. Joining the group and Contact Numbers Experiences from our Members 16. Group Resources 17. Book Review & product reviews 20. Hearing Therapist – Penny Stannard 21. Bowen Technique – Jan Cox 23. Tai Chi and Tinnitus – Jenny Burton 25. Tai Chi for the 21st Century – Malcolm Calvert 27. Hypnotherapy – Paul Hancocks 27. Sleep – Six Steps to Sound Sleep 29. 2014 Programme of Meetings 30. Ringing the Changes Tinnitus Therapies Event 31. News from newly formed SE Hants Group 32. Tinnitus Flowchart – how to get help 33. Glossary of some useful definitions/terms 35. Useful contacts and further reading 36. Tinnitus Relaxation Course – Jan Petty 37. Lipreading 3 We hold meetings on second Thursday of each month from 2.30 until 4.30pm at the Lyndhurst Community Centre, in main car park off the High Street in Lyndhurst, Hants SO43 7NY Our meeting room will be indicated on the notice board in the Foyer. Usually we meet in the Beech room Who are the New Forest Group? Jan Petty is a Hearing Therapist who has had a special interest in helping people with tinnitus for the past 40 years. Jan was involved in setting up the group four years ago with Debbie Hallmann. Recently Penny Stannard, Hearing Therapist at Royal South Hants Hospital, Southampton has been made an Honorary Member of the Group and is part of the organising team. Penny was instrumental in facilitating our referral scheme to RSH. Jan Cox, Bowen Technique Therapist also works closely with members to help with tinnitus management. Many of our Members are experienced in helping people with tinnitus as they have the condition themselves and have helpful advice to offer visitors to the group. The every day tasks for running the group are shared amongst the team members. Who are the Team Members? Group Co-ordinator Jan Petty I have been associated with the group since its beginnings in 2008 and we have grown from strength to strength in the ensuing years. In October of last year the group celebrated its Fifth birthday. Some of you will have already seen a few of the following pieces written by members in one of our previous Newsletters, but I feel they speak for themselves, saying a lot about the group support which we offer and deserve a permanent place. There is no doubt that there are things which can help you to deal with tinnitus and we at the New Forest Tinnitus Support have a wide selection of information and equipment which can assist, together with a very supportive group of members with varied and interesting ideas of things to try. I think you will get encouragement from reading through this 4 book and will see that there are three main strands to you to achieve a good outcome. 1. Understanding mechanisms of tinnitus which must include Audiological diagnosis, explanation and therapy plan. 2. Provision of equipment (hearing aid/s, tinnitus retrainer/s or other equipment) plus tinnitus counselling 3. Relaxation therapy. At the group we suggest Bowen Technique and/or Tai Chi as both being excellent. I hope to teach various relaxation therapies during 2014 and to close meetings with deep relaxation when time permits. More details about this later. Of course I think it goes without saying, that in addition to achieving the above, continuing to belong to a support group such as ours, is a valuable way of increasing your knowledge of what is going on in the world of tinnitus, discussing new developments and ideas as well as being part of a very supportive group. I look forward to talking to you at one of our meetings. Jan Petty Team Members Hearing Therapist Group Advisor Programme Planning Loan Scheme Organiser Meet and Greet Refreshments Other members Penny Stannard Kath McKibbin Stephanie Stokes Sue Roberts Jean Wright Sally Bradley Jeannie Flux Fiona Medway June Johnston Ann Pruce Also involved with the group Nigel Stannard – Website advice Jan Cox – Bowen Therapist 5 What is Tinnitus? Tinnitus is a sensation of a sound or sounds which can be in one or both ears, or in the head. The sounds heard take a variety of forms but the common link is that they do not come from an external source. People describe ringing, buzzing, whistling, rushing, humming, hissing and a whole range of other sounds. Even an express train or jet engine. I know someone who describes her sound as bacon sizzling. What causes Tinnitus? Exposure to loud noise * hearing loss * ear or head injury * emotional stress * ear disease * infection * side effects of medication Who is affected? People of all ages are affected and although people with hearing loss may also have tinnitus, it affects a significant number of people with normal audiograms (hearing tests) National Statistics 10% or six million people in the UK have tinnitus and up to 1% of adults or 60,000 people have tinnitus that affects their quality of life e.g. being unable to sleep, inability to concentrate, or enjoy relaxing or quiet moments and so on. What can be done to help? Despite what you may have been told in the past, there is much that can be done to help people with tinnitus and if you come along and give us a try, it may be for you. Members are a varied group of people with tinnitus, some of whom bring partners along too. Partners are made to feel very welcome and play and important supportive role in the group. We also welcome visitors from other tinnitus support groups and are pleased to be involved with the newly formed S.E. Hants group which meets at Bedhampton. Jan went along 6 to support them at their inaugural meeting in September last year and they had nearly 30 in attendance. Penny was invited as their Speaker for November. We wish them every success with their group. We welcome from time to time people with a special interest in tinnitus – Residential Home Managers, Care workers, Social workers, Occupational Therapists, Podiatrists and others with a professional interest in learning about tinnitus so as to help their particular group of patients/clients. Jan has visited some of these groups to talk about tinnitus and the help that is on offer at a support group such as ours. She has recently been booked to speak at several of the Brendoncare Clubs in the New Forest area, and will be giving information on Tinnitus to members of these clubs. To learn more go to www.brendoncare.org.uk for information about these groups - there may be one near you. So what do we do and what help is at hand in the New Forest? We are very proud of being able to facilitate access to NHS tinnitus therapists which has been set up in conjunction with Penny – see our Flowchart at the end of this booklet Improving quality of life by sharing of ideas and personal experiences Empowering people with tinnitus to seek help and further medical opinion Organising an interesting programme of meetings which are both fun and informative. Our monthly programme and Flowchart explaining how to get further help, feature at end of this booklet. 7 Would you like to join? What do I need to do to become a member of the Group? We do not make a charge for attendance at meetings and you are welcome to attend a couple of times to see if the group is going to be of benefit to you. However, we strongly urge you to become a member as we do not receive any funding and rely on membership subscriptions and donations to balance the books. The annual subscription is only £20 (unchanged for 5 years) for which you will receive :Monthly update of Tinnitus news from the group by email Membership card/programme of meetings Personal name badge NHS Referral to present to your GP if required Advice from Hearing/Tinnitus Therapists Tinnitus Information booklet For more information contact Jan 07894701665 or jan.petty@ntlworld.com Experiences from our members We begin with two articles by Kath McKibbin who has recently joined the organising team. She will be at the information desk with copies of this booklet, membership and referral forms when you sign in at one of our meetings. " MUSICAL HALLUCINATIONS " MY TINNITUS IS IN THE FORM OF MUSIC IN MY HEAD I have had tinnitus for over twenty years, various types of noise that have never bothered me to that extent. I think I have been able to ignore the noise and get on with my life. Since retirement in 1994 my hearing deteriorated in both ears I have attended lip reading classes for two years, I found that experience most helpful. 8 Since the middle of 2012 I started to hear music; I found it difficult to understand why it would not stop. It seemed to be a twenty four hour seven days a week constant music, I had no control. I just wanted to find the OFF switch I have read that the music or sound is often familiar. It can range from simple tones to songs or even orchestral music. It does. At times the music would be just a few continuous musical notes three or four notes UP and the same DOWN such as" DA DA DA/ DA DA DA" . I could not sleep; if I did, this is the sound I had in my head when I woke up. In exasperation one morning I said " why don't you sing Roll out the Barrel". To my amazement "IT " did and then "Long way to Tipperary", " You'll never walk alone” and so I remembered songs from the past: "Star Dust" , "Smoke gets in your eyes " and more. It became rather enjoyable. I would be singing with a group I recognised or even The Mike Samms Singers, who used to be on the radio long ago, on a Sunday evening; " Sing Something Simple " . The singing and music sometimes got mixed up after a while, and stuck on a few notes; and these few notes would go on for ever until I would sing and "IT " would sing along with me. I then realised this was not what I wanted. From the beginning, the biggest problem was, I just could not sleep at nights for very long; it was spasmodic sleep, then awake. The music was non stop; I could not go on. I needed help!!. I found details of the type of tinnitus I had, on the RNID website " Musical Hallucinations” which is mainly due to stress. I have had quite a lot of stress over the past few years. I took this information to my GP and had a referral to a tinnitus therapist at the Royal South Hants Hospital. I also attended an Audiology clinic for an update on my hearing. I am now aware that my brain needs normal noise, and because of my severe hearing loss, my brain is hearing other noise, in my case music. It was up to me to do something about it. I found details of the New Forest Tinnitus Support Group on the BTA website. I was so welcomed at my first meeting in December 2012. It was wonderful to feel I could talk to others about my problem and hopefully, to know I am not thought of as "barking mad". I am so grateful I have the support of the group. 9 There is a lot of information and help available for me to try and live with this tinnitus noise and music. Kath McKibbin Editors Note: This follow-up was received from Kath before her first article was published in our first Handbook. Following the above article I wrote about my tinnitus, I decided I need to do more to try to combat the effect the tinnitus/sleep deprivation had on my life. I have noticed my brain seems to be inactive at times, and at my age, this worries me. I am able to continue to drive my car – I have older persons driving assessments every two years which gives me the confidence to be independent and not rely on others. I do have relatives living in various parts of this country that I like to visit. However, I felt it was dangerous to drive too far, in case I fell asleep at the wheel. Just recently, I decided to contact the BTA free phone helpline and I am very pleased that I did. The advisor I spoke to “David” really listened to every word I said. I explained the problem I was having with Musical tinnitus, sleep deprivation, memory and driving. I was asked for my email address and was sent such helpful advice. 1. Taming Tinnitus – behavioural techniques. This explains that I must not let the tinnitus rule my life. Make the tinnitus less attention-grabbing. People can and do manage the impact tinnitus has on their lives 2. Goodnight, sleep tight The beliefs and worries that we have about quantity of sleep, or about the effects of not sleeping, or about tinnitus generally, have more of an impact on sleep problems than the sound of tinnitus. 3. Self help for tinnitus This is information about Relaxation 10 Since receiving this information and advice I feel so much better and I am more able to ignore the tinnitus noise. I have had some good nights sleep. Long may it continue. I now realise it is not just the tinnitus that has been the problem; it is the other things in my life as well. I feel that joining the New Forest Tinnitus support group has given me the incentive and encouragement to help myself. I can’t thank you enough. Kath McKibbin Editors Note: We have copies of the 3 articles Kath mentions in our A – Z of Tinnitus Directory. The following six articles were previously printed in the first Edition in the Spring of 2013. We are always looking for thoughts from our members to add to these pages and if you have anything to say we would love to hear from you. A Positive Side Effect of Tinnitus by Brian Matthews My search for relief from tinnitus has had unexpected consequences... Quite by chance whilst walking the sea wall from Lymington to Keyhaven (approx. 5 miles), I found that the sea breeze (rarely a zephyr and often an icy blast) masked the insistent ringing. Returning regularly, I began to take an interest in my environment, its history (the salt industry) and natural history (being the Lymington-Keyhaven Nature Reserve). I already belonged to the local history society so joined Lymington and District Naturalists' Society (LDNS) some 3 years ago, attending winter lectures and participating in their monthly (October - March) bird watching walks along the sea wall. Two years ago I joined Hampshire and IOW Wildlife Trust and, besides joining various walks, I became a volunteer for 2 of their projects. One involves the removal of Himalayan Balsam, an invasive non-native 11 plant, from local streams and waterways and the other is a quarterly beach clean and litter survey at Hurst Spit (but just a section, not all of it!). These took up 19 days last year and there are more dates scheduled for this. I have just been "persuaded" to join the LDNS Committee as they needed younger members (I was told anyone under 70!) and a treasurer. Apparently, the fact that I did not actually handle money in my banking career would be no bar to my appointment. Being outdoors and occupied suits me and helps me to cope. It is also rewarding and FUN! Living Happily with Tinnitus Imagine you have a neighbour called Mr Annoying who you don’t much like. When you see him, say ‘Good Morning’ and get on with your day. One of the many good bits of advice I was given by our local Hearing Therapist. Admit he’s there, but don’t rise to him. Mr Annoying is of course that annoying noise in your head. I am a retired teacher and when things got bad, I was lucky enough to spot an advert for The New Forest Tinnitus Support Group. It was as if the first meeting I went to was specifically aimed at me; I even acquired a referral form for the NHS Tinnitus Therapist to take to my doctor. Chris Gilbert came round with some relaxation exercises for me. Even the local GP understood. I am also very fortunate in having an understanding and determined wife and a good family. Living happily with Mr Annoying is all about support from those around you. I am a piano nerd and am known to become boring on the subject although I can’t quite see it I play most days and find it hard not to play any keyboard I happen to be passing. So I haven’t given up music. I go to concerts still (not the amplified kind). Penny Stannard advised me not to give things up. So I haven’t. I still enjoy birdsong and church bells (not too close). So thanks to all this support, I haven’t gone bonkers after all. Trevor Beach 12 My Tinnitus by Sue Walters I have had tinnitus for many years and have been able to cope with it, but unfortunately I had a fall at Christmas and it brought it all back louder and worse than ever. Obviously I went to my Doctor who arranged an appointment at the Royal South Hants Hospital for a referral and another hearing test. He also suggested that I go to a Pilates group as this may help, but whilst doing Pilates I twisted my inside and pelvis. I did a lot of damage which made me feel worse, so much so, that I went to a Chiropractor who told me that my pelvis and back was out of sync. In an effort to overcome my tinnitus we looked on the BTA website to find out where our nearest group would be. We live at Hedge End, Southampton. Finding out that there was a group in Lyndhurst, although some distance away, I telephoned and spoke to Jean Wright who was very helpful and advised that we visit the group. My husband, who is the driver, as I don’t drive, and I, attended the next meeting - they were so friendly, helpful and welcoming that I decided to join there and then. At that Thursday’s meeting there was a presentation by Jan Cox a Bowen Technique practitioner, who actually performed some procedures on two of the members. Shortly afterwards the Group announced that there would be a 3 session course for anyone interested, at which I duly enrolled. After just the first session, in the evening, I went up and down the stairs without any pain or realising that I’d done it successfully. I hadn’t been able to do that for quite some time. I’ve since noticed that I find I sleep better without pills and am a lot suppler. I feel the treatment has definitely benefited me and I will continue again when possible. Living with a Tinnitus Sufferer by Alan Flux I'm fortunate; I do not suffer from Tinnitus. However I have lived with Tinnitus for as long as I can remember because Jeannie, my wife, suffers from it. It is difficult for someone like me to understand the effects of 13 Tinnitus on a sufferer such as Jeannie. I can only guess at how distressing it must be to be constantly bombarded with “sounds in the head” that won't go away. When I'm able to sit quietly and read a book I see the discomfort on Jeannie’s face because she is unable to share the luxury of “silence”. As I write this it's early in the morning and is very quiet and I can just hear in the far distance the low throbbing hum of a generator somewhere in Southampton Docks. I can only imaging what it must be like to hear something like this all the time somewhere in my head. On several occasions Jeannie has accompanied me to see, and hear, tribute groups and afterwards I know that it takes several days for her Tinnitus to subside to a manageable level. It makes me fear for those of the “younger” generation who drive around with massive sound systems blasting out in their cars. Is there a Tinnitus time bomb waiting around the corner? One “benefit” of Jeannie's Tinnitus is the support that she gets from the New Forest Support Group. I have tried to accompany Jeannie on her monthly visits whenever possible and it's remarkable to see the change in her over the past couple of years. Her Tinnitus is now an irritating friend whom she won't let control her. I've also learnt a lot from attending, and can now relax and fall asleep during most meetings, except when the tea and biscuits are served! A final benefit is that we now fall asleep to the sounds of Gheorghe Zamfir's Pan Pipes every night, and sometimes I also wake up to them in the morning! My tinnitus journey by Fiona Medway I am 53 young and until 2 years ago I was a fit(ish) woman who worked full time with a large extended family. Well the family side of life is still good but my health turned upside down 2 years ago. I should say, as this story is tinnitus related, I did not have any signs of tinnitus before. 14 One day all was OK – a week later I was in hospital for a long stay and a major operation. The recovery period was long and drawn out, during which period I noticed a buzzing in my ears. I also had a balance issue and dizziness, but with everything else that was going on I assumed this would improve as my health improved. Six months later I was still suffering with my balance plus dizziness and the buzzing was now loud and constant. I said to myself “Welcome to the strange and alien world of tinnitus”, and sought medical help. Both the Doctors and Consultant didn’t seem to know what was going on and after MRI, Hearing test, etc. I was told that the balance should improve and I would get used to the tinnitus! So I was left to deal with the constant noise which, if I am honest, was dragging me down. Because I had been so ill over the previous year I didn’t mention it to my loved ones as they had been through enough already with me nearly “popping my clogs” I tried my best to smile and pretend all was OK and that I was just a bit wobbly due to “old age” but some days I did wonder if I was strong enough to cope with this for the rest of my life. I felt guilty for having these thoughts, after all I had family to live for, etc. but the thoughts were always there – you can’t make them go away. That buzzing would not give me a break. Does this ring bells with anyone? I am very lucky to have a dear friend called Jean. Jean has changed from a woman who came across as short tempered and abrupt to someone who is now jolly, chatty and bubbly - why? Because she had severe tinnitus, couldn’t hear people properly and was very fed up with it all. Then her husband found the tinnitus group where she was helped, can now hear properly, and knows how to control the buzzing, making her life good again. As I had known Jean through this transformation I talked to her about the tinnitus. I had bottled it all up and then suddenly it all poured out to Jean who hugged me and said “Stop, this can be sorted out” and these words gave me desperately needed hope. She introduced me to the group and my life is changing. Firstly, it was great to know that I was not alone – there are so many others, young, old, fit, unfit, just normal everyday people all with the one thing in common. Secondly, at my first meeting I found out about all the information which was on offer. Books, Tapes, leaflets, Equipment, as well helpful techniques to try, together with the chance to talk to others who understand and can offer advice. We also had a talk and demo of 15 relaxation methods which can help. The group helped in so many ways and you get a cuppa and a biscuit! Then Thirdly, came the big step in my journey. I was given a referral form by the group to see Penny Stannard (you simply ask your Dr. to sign it and you post it to the Hospital) Penny is a Hearing Therapist, not just an expert in her field but also has tinnitus, so she knows how we all feel. The appointment came quickly and Penny took the time to obtain background information, explained the results of my hearing test, what tinnitus is, how it affects your life and health and how it can be controlled so that life will be good again. I can say I walked out of her consulting room feeling like a million dollars! I still have a way to go but she has given me hope, supported by information and another appointment to fit a tiny discreet hearing aid. This will not only help me to hear better, but also the tinnitus will be more easy to control. I think my struggle with life this past two years, or at least the tinnitus, balance and dizziness will be something of the past very, very soon. So I would like to thank Jean for the guidance to the group, the group for their support and help, and thank Penny for her expertise and professionalism. The moral of this story is you don’t have to suffer, you don’t have to suffer alone, you don’t have to suffer full stop! The help starts here, with this friendly group over a cup of tea – I just wish I had found them a year ago, but am pleased that I have now. TINNITUS - MY FIRST THOUGHTS by Sue Roberts A year and a half ago we moved house. Sitting in our new home a few days later I started to hear a humming/droning noise. “What’s that noise, can you hear it?” I asked my family. “What noise!” they replied. “That humming/droning sound” I said. Of course they could not hear it, as I was to find out later that I was suffering from tinnitus. Days went by and the noise remained, it was now starting to affect me, so I went to the doctor and said “I think I may have an ear infection”, I explained about the noise. She checked my ears, nothing wrong. You have tinnitus, said the doctor. She went on to explain to me what it was and that it would probably remain with me for the rest of my life. I was 16 somewhat desperate, as to how and why this started. As the weeks went on it became more annoying and depressing. I was referred to the ENT Unit at Royal South Hants, where I met a hearing therapist who turned my world around. She was absolutely brilliant and explained what tinnitus actually was and gave me options and pointers on how to cope with it, she also gave me a white noise generator, which incidentally I find great at times when my tinnitus is really, really, bad. At this time, I started to research the internet (wonderful tool), and I came across the New Forest Tinnitus Group, so I thought I would give it a try. My first meeting went really well, everyone was so friendly and welcoming. I also found it very useful to swap notes with other tinnitus sufferers. I now attend regularly on a monthly basis and find it really useful, there is always an interesting talk and you can borrow resources to try at home, i.e. relaxation tapes, books, sound machines etc. If you are in any doubt about coming to one of our meetings please don’t hesitate as you know everyone is in the “same boat” as it were, and understand when you have a little moan. A year and a half on, I am managing to cope with tinnitus and generally have a very good quality of life, but occasionally I do get days when it is unbearable. On those days I will take myself out for walks, swimming, gardening anything that gets me out of the house. It takes time to come to terms with tinnitus, and try to ignore it best you can. You also get to know the things that may trigger the tinnitus, so it is also helpful to know so you can prepare yourself for the loud noise. I still think to myself it is early days for me, eventually I will ignore my tinnitus, but also knowing that it will be there in the background come what may. Sue Roberts Group Resources Loan Scheme “Try before you Buy” We are always adding to this equipment and encourage you to have a look to see if there is anything of particular interest to you. Items are displayed at monthly meetings and thanks to a generous donation from Anna Chalk raised at a tea party in her garden with a band and stalls this has recently been expanded. Members may borrow any of the above for £1 per month (Sue Roberts whose article appears above will be taking over running the Loan Scheme) Also available for reference is an A– Z of Tinnitus directory which is regularly being updated and this is on ongoing task. 17 Articles are available to read at meetings, but also if you want to take a copy away please ask Jan before removing from the file – it may be the last copy. Jan is currently working on a separate Research directory with articles from the BTA, TRI, and other professional sources. Book Review “Living with Tinnitus and Hyperacusis” By Dr. Lawrence McKenna, Dr. David Baguley and Dr. Don McFerran. Published in 2010, this book was written by three doctors from different disciplines who have a particular interest in tinnitus and hyperacusis and have had many years of experience of working with patients in this field. The book is divided into two parts: 1. Defining the problem 2. A programme for recovery The chapters are short and succinct with excellent summaries and both parts address the physical and psychological effects of tinnitus with positive suggestions as to how to cope. Part 2 covers thought processes, relaxation, behaviour, sound therapy and sleep using case histories to illustrate significant points. Cognitive Behaviour Therapy is known to be a valuable practice as also are relaxation and meditation. The contemporary message is optimistic in that there is now a much more informed understanding of the problems and there is overall a greater awareness of how to cope with tinnitus and hyperacusis. I would recommend this book as being very clear and reassuring because the choice is not to let tinnitus or hyperacusis have adverse effects and the strategy and tactics outlined provide a positive and helpful approach. Review by Karen Ball The following is a brief account of the information contained in a few chapters of 18 the above book. By Kath McKibbin This is just my understanding of my hearing loss and tinnitus. How a person like me can cause tinnitus to happen by not wearing my hearings continually. When I was first diagnosed with severe hearing loss, I did not listen to the good advice I was given. I have kept the information from each chapter as short as possible to help me understand how my brain and body work in relation to my tinnitus – a copy is available from Kath on the Help desk at meetings. I now have some understanding about my nervous system, habituation and cognitive behaviour. Most of all I understand about stress arousal and its effect onb the brain and central nervous system. How relaxation exercises and meditation will help me. I need to read and understand more and to do this I must read the rest of the book, until I can get a full understanding about my tinnitus and how I can manage to live with it with much less stress. That will be nice. I feel much more positive now than I was in December 2012 when I attended my first New Forest Tinnitus Support meeting. Tinnitus Product Review by Jan Petty 1. The Sound Oasis Travel S-850 Cost £46.38 I have been experimenting with this piece of kit which we have in our Resources Box, and I must say it performs very well. It is probably one of the best providers of sound enrichment on the market. It scores on many points. It is very light at 273g incl. 4 “AA” batteries. The controls are easy to use and the visual display is bright and clear to follow. There is a clock with multiple choice of alarm modes, two time zones and a calendar. Somehow the instructions have gone missing when someone has borrowed it, or when it was being packed away, which is why I was motivated to find out how exactly it works, and from now on there will be instructions in the box, and I will keep a spare copy. There 19 sounds in all, some of which are well known to me as a therapist, the differing sounds of moving water are generally accepted as being relaxing, but some are quite new and a bit different. With a little practice I think the controls are easy to understand. 19 It has almost as much to offer as the Deluxe which is bulky, weighs in at 1.32Kg and costs almost twice as much at £89.75. Only advantage is that Deluxe has a Radio & treble/bass adjustment together with Nap timer. I like this relaxer and suggest you give it a whirl. equipment available for a one month loan period. 2. Pillow Speakers We have this In conclusion, let’s look at various types of Pillow Speakers. They fall into four categories and I think it is worth discussing the merits of each one separately. The 4 types are:1.Mono speaker 2. Dual speakers. 3.Stereo Pillow insert. 4. Sound Pillows (small or standard). Q What exactly is a pillow speaker? A Pillow speakers deliver sound to your ear/ears without disturbing anyone else. You can listen in privacy and comfort (especially at night) and they can help with providing distracting sounds from any sound source. All have a 3.5mm headphone socket. Q So they don’t produce a sound themselves? A. No – You select the kind of sound (perhaps with the guidance of a Hearing Therapist or Audiologist) which helps you. Everyone is different. Q Why are they such a good idea? A 1. They are portable. 2. You are in control.. 3. You can listen to an audiobook, relaxation tape, radio or record your own preferred sounds. 4. You select the volume, on/off switch and whether you use a timer etc. 5. They are inexpensive and easy to operate. Q Which do the two Hearing Therapists associated with our group recommend? A Penny and I like item 3 -stereo pillow inserts for several good reasons – mainly sound quality, durability, hygiene and comfort. 20 Q How much do they cost? A A mono speaker price will vary greatly. You many be able to pick one up for as little as £1.99 but a good one will be between £10 and £12. Dual speakers are around £12-£14. Stereo Pillow inserts are £24 and Sound Pillows will cost £23 for a standard pillow size and £21 for a small travel version. Q Can I try all four types of pillow speaker through the group A No! We stock the first three, but if you want a Sound Pillow we are sorry but they simply are not practical for us to hold in stock. Hearing and Tinnitus Therapy My name is Penny Stannard. I am a Hearing Therapist and Audiologist working at the Royal South Hants and Lymington Hospitals for the NHS. In 1994 I volunteer with a communication group at the audiology department in Bournemouth run by Jan Petty and was inspired to pursue a career in Hearing Therapy. I started work at the audiology department in 1995, and qualified in 1998 at Bristol University in Hearing Therapy and at Charing Cross hospital in audiology. My main interest is in tinnitus, which is a subject close to my heart, being a sufferer myself, and my learned knowledge and personal experience has taught me how to manage my own tinnitus and help others to manage theirs. With this in mind, I feel there is a need in the New Forest and surrounding area for a private Hearing Therapy service, which I started in the autumn of 2012 based at the Lyndhurst Community Centre. Go to my website www.thetinnituslady.co.uk 21 My qualification also enables me to help those with Ménière’s disease, otosclerosis, hearing loss, communication and coping strategies. I was first involved with the New Forest Tinnitus Group when asked to be a speaker, which I have done on a few occasions, and always find the group to be very supportive and encouraging to tinnitus sufferers, and I am very proud to be associated with the group. She really listens Bowen Technique - an explanation by Jan Cox Jan works regularly with members of the New Forest Tinnitus group and often comes to meetings. Bowen Technique is named after Tom Bowen, an Australian therapist, who in the 1950’s, developed and practiced a series of defined procedures applied gently on the body with fingers and thumbs. His methods seemed to set in motion the body’s own ability to self-repair. Little known in the UK up to now, its reputation is growing as more and more people recognise the effectiveness of this very relaxing and therapeutic technique. Having received my first treatment in Australia, where Bowen originates, I was truly impressed by how much better I felt. Further sessions proved just as successful. I was amazed at how such small moves had such a profound effect and on different levels, with notable results. My own experiences inspired me to train in the Bowen Technique myself - I wanted to make similar benefits available to others. My background and qualifications in Sport, Dance and Gymnastics served as an excellent platform for working with this gentle and effective complementary therapy. 22 A gentle, soft tissue form of body work, Bowen has provided relief for many types of injuries and other health problems, both acute and chronic. It is suitable for people of all ages - there is no manipulation. By working over muscles, ligaments, tendons and fascia the technique focuses on realignment and rebalancing on all levels. Non invasive and precise activations deliver corrective signals to problem areas via the autonomic nervous system. Sessions usually take 45 to 60 minutes on a therapy couch or sitting) following a short consultation. At certain points, you practitioner leaves the room for a couple of minutes to allow your body to respond to the moves. Procedures are ‘set’ initially when you place both feet on the ground and by walking around a little. The process continues during sleep. It may take several days to feel any beneficial changes although for some people this starts immediately. It is not uncommon for other reactions to surface such as old aches and past symptoms. These are temporary and are part of the body’s way of clearing stresses and restoring optimal bodily functions and structures. One of the most important factors is to keep your body properly hydrated. Drinking enough water helps to ‘lubricate’ your system ensuring more efficient functioning throughout. Depending on the type of problem and how long it has existed, you may need further Bowen sessions. These are best carried out within the following 5 to 10 days. If appropriate, we may show you specific exercises to continue the therapeutic process. After that you may benefit from a regular maintenance programme or just need ‘topping up’ from time to time. It is best to avoid other forms of treatment while receiving Bowen, as this could affect how effectively your body responds to the therapy. I have been working with members of the New Forest Tinnitus Group with encouraging results. If your group or organisation would like to have a talk and demo on Bowen Technique, please feel free to contact me. Janet E. Cox BTAA, ITEC, B.Ed. (Lond) janet.cox@bowentechnique.co.uk Reg. Bowen Practitioner Tel: 01202 424698 Mob: 07966 514 508 23 Tai Chi The following articles are by Jenny Burton who has given very successful presentations to the group. Jenny trained in 1986/7 as a Hearing Therapist and has worked at Hospitals throughout Bucks. She has since trained as a Tai Chi Instructor and now she spends most of her time working with patients with tinnitus and vertigo. She also works successfully with groups who have, in addition, cardio-vascular and arthritic conditions. Tinnitus: How can Tai Chi help? Tai Chi is a superb tool to help with focusing away from tinnitus. Sometimes just for a relatively short time and sometimes as one becomes more proficient at the Tai Chi forms, individuals can experience longer periods of relief. Initially I used Tai Chi to help people with balance problems. However my colleagues and I have found that the particular style that we do is helping people with arthritis, high blood pressure, osteoporosis, general cardiovascular fitness as well as tinnitus. As always there are no guarantees certainly no instant alleviation. Presently there has been no research that Tai Chi or the deep breathing exercises associated with Tai Chi can give relief to individuals with tinnitus, however, there is plenty of documented research for the relief of other long term difficulties such as arthritis. The ‘Sun Style’, which has slow fluid and graceful movements with a higher stance, can be so relaxing and rejuvenating. As the forms becomes less mechanical and more depth is achieved an increasing emphasis is placed on “Qigong” which is a breathing exercise that requires practice. Also this form can be undertaken in a seated position. I certainly have been amazed at the difference Tai Chi can make to individuals quality of life. Tai Chi places the emphasis on breathing and the mental component of the training. It consists of fluid, gentle, graceful and circular movements slow in tempo. The philosophy is that the body relaxes allowing the life force “Qi” (energy inside the body) to flow more freely. 24 Tai Chi improves joint mobility, strengthens muscles (including the diaphragm) improves balance and co-ordination and general cardiovascular fitness. There are many different styles of Tai Chi: Chen, which has spiral powerful and low stance movements. Yang, which has gentle, graceful, slow movements. Wu is characterised by softness and emphasis on redirecting incoming force. The style of Tai Chi that we are trained in is the Sun Style, which has been adapted for people with Arthritis, but is suitable for all. The sun style is characterised by A high stance Agile steps with a follow up step forwards or backwards, making it easier to balance and with less strain on joints As the forms becomes less mechanical and more depth is achieved an increasing emphasis is placed on “Qigong” which is a breathing exercise that requires practice. It has increasing numbers of sequences, known as “forms”. which is good for concentration. Tai Chi encourages you to listen to your body, developing individual’s ability to understand more about their mental and physical wellbeing. Whilst Tai Chi itself can and does encourage relaxation and can be used as a tool for defocusing from everyday concerns and difficulties, such as tinnitus, ‘Qigong’ can potentially have also have a powerful effect on individuals capabilities for relaxation. Just thinking and concentrating on the form can provide up to 65 –75% of the benefit of doing the movement itself. Reference. Tai Chi for Arthritis Instructor’s Workshop notes 21/12/06.Dr Paul Lam TaiChi productions.com Teaching Tai Chi Effectively. Dr Paul Lam.- Tai Chi productions 2006Lam Paul & Kaye Nancy Tai Chi for Beginners + 24 FormsLimelight Pub Sydney 2006 A L Turner 16/1/08 & additions J Burton 30/04/08 25 Sun Style Tai Chi which is part of the Tai Chi for health program, is a safe form of exercise that's enjoyable and allows individuals to work at their own pace and level. The goal for some may be to maintain current levels of mobility whilst working towards improvement, some wish to improve co-ordination, others find the peaceful session mentally therapeutic but the majority enjoy the combination of all aspects if Tai Chi. Comments that people have made about improvements they have experienced since attending Tai Chi classes include: A gentle method of exercise that they can comfortably do Improved balance Improved mobility and flexibility Increased strength Better concentration Controlled co-ordination More confidence Enhanced sleeping patterns Improved periods of relaxation Getting out and enjoying a social activity If you get the opportunity do give Tai Chi a try Jenny Burton Tai Chi Instructor in Buckinghamshire These are the notes from Malcolm Calvert’s talk to the group in 2013 (Malcolm runs classes around the New Forest area) Tai Chi for Health and Wellbeing Tai Chi is a very ancient form of Chinese exercise system originally based on martial arts. It relies on internal energy (Chi) and not physical strength. The Chi is collected at a point just below the navel called the Lower Tan Tien. This area is like your Chi energy petrol tank and from this point the energy is directed around your body through meridians. Tai Chi is used because of its healing qualities and its slow graceful 26 movements combined with calm deep natural regular breathing. It has become very popular as a means of maintaining good health and feelings of relaxation and calm. Tai Chi is enjoyable, very interesting to learn and with many practitioners around the world benefitting from the many health enhancement programmes. Chi Kung exercises have been used by the Chinese people for thousands of years to maintain their energy levels and keep them in good health.. Commonly translated as energy cultivation, Chi Kung exercises are used in association with a warm up session of light stretching, and a series of balanced breathing and relaxation exercises. Exercise for the 21st Century Health and wellbeing in today’s world is becoming ever more important as the population lives longer and wishes to remain active.. Tai Chi is an excellent exercise system for the mind, body and spirit, improving overall wellbeing, acting as an ideal aid in the prevention of illness and disease, as well as assisting recovery. Longevity could also be improved. Tai Chi and Chi Kung in their many forms are used in many hospitals in China to aid recovery from major surgery and to assist with cancer treatments. It is recognized as a suitable complementary therapy by numerous health related bodies, notably, the British Heart Foundation, and charities Age Concern. Acknowledged by the National Health Service and the National Institute for Clinical Excellence as being appropriate exercises for many conditions. Tai Chi and Chi Kung are very popular with all age groups as a regular form of light but beneficial exercise and it can be enjoyed by all regardless of their abilities. Malcolm Calvert www.taichi4healthandwellbeing.com 27 Hypnotherapy Some thoughts from Paul Hancocks who gave a talk at our meeting in November 2013 It isn’t what happens to us in life, its how we deal with it that is the important thing. This is an easy statement to make, but it is not always that easy to apply in practice, especially if you have experienced something like tinnitus. It is a lesson I have learned the hard way, having encountered the condition on a personal and professional level. I have run through a gamut of emotions since it started, ranging from anger and anxiety especially at the beginning - to a more accepting attitude and a determination that it was not going to define my entire existence. Hypnotherapy can be very helpful in helping to initiate and accelerate the habituation process so that the person experiencing it (I don't like to use the word' sufferer') can get on and lead a full life once again. As well as helping to remove the anxiety and fear surrounding the condition, the use of hypnosis in a clinical setting can help someone deal with many of the knock-on effects such as sleeplessness, depression and lack of focus. Essentially it works on a subconscious level, helping the brain to reprogramme itself so that the noise is no longer seen as something threatening or annoying and defusing the subconscious triggers that can make the condition difficult to deal with. I am confident that one day there will be a cure for this, but in the meantime, take heart, you can get your life back together and there are many people who are there to help you - not least yourself. Paul Hancocks Hypnotherapist website: www.hancockshypnotherapy.co.uk If you want to discuss any aspects of Hypnotherapy i.e. Sleep difficulties, with Paul he will be available at our “Ringing the Changes” Tinnitus Event on Sat.12th April (see page 29 for more details) 28 Six Steps to Sound Sleep One: Go to bed when you feel tired and avoid sleeping during the day. Two: Get up at the same time every morning. Three: Make time for some gentle exercise during the day, preferably in the afternoon or early evening, but not just before going to bed. Four: Sleep in a dark well ventilated room on a comfortable bed. Maybe invest in a good quality pillow. If you can’t sleep, it’s much better not to lie in bed tossing and turning but to get up and do something such as reading. Five: Every night, before bedtime, do something to help you relax and take your mind off the stresses of the day. For example, have a bath, read, play soft music, relaxing sounds tapes or audio books – through headphones or a pillow speaker/insert perhaps so as not to disturb others. Six: A small warm, milky drink may help you to sleep but avoid alcohol, tea, coffee and cocoa since these may keep you awake, as can late night eating. 29 2014 Program 9th Jan. The Tinnitus Lady – Penny Stannard & Jan Petty on Tinnitus Management 13th Feb. Vitametik - What is it? - Sabine Wuensche 13th Mar. Hands – Karen Moss Occupational Therapist 10th Apr. Musical Movements– Jan Cox, Dance teacher 12th Apr. “Ringing the Changes” Tinnitus Event 8th May Equipment– Hants Social Services Hearing & Vision Team 12th Jun. Group Resources Demonstration “Try before you Buy” Penny & Jan 10th Jul. Relax! How difficult is that? Jan Petty August Recess 11th Sep. Stephanie Stokes, BSc., M.A., M.Phil., The MRI and Tinnitus 9th Oct. Annual review - Group Forum 13th Nov Relaxation Therapy with Jan Petty 11th Dec Christmas Celebration If you have a professional interest in Tinnitus you are invited to come along to one of our meetings where you will receive a friendly welcome, together with information for your clients/patients. For more details contact Jan on 07894 701665 or go to www.jan.petty@ntlworld.com 30 A date for your Diary Saturday, 12th April, 2014 10.0 am – 4.30 pm We plan to have a one day Tinnitus Therapy Event which will feature tried and tested ways of managing tinnitus and will include demonstrations, workshops and group discussions. Penny has named it “Ringing the Changes” which we think is very apt. Participants will be encouraged to sign up for the whole day as we need to know numbers for catering. It is hoped everyone will be able to take part in at least three of the activities on offer. There will be a lounge/quiet area where you can sit and enjoy a chat or just rest. The event will be free of charge of members of the NFTSG (membership £20 pa) which will include lunch, ongoing refreshments throughout the day, a welcome pack and items to try and take away. We have booked the entire Lyndhurst Community Centre and will be running exciting Workshops and demonstrations of things we have found to help our members over the past 5 years. To include: Relaxation Tai Chi Bowen Technique Make a Tinnitus Film Sound Ideas Pottery Therapy Hearing & Tinnitus Surgery Reflexology Hand Therapy Hypnotherapy The event will be sponsored by: BTA, Key to Hearing, Starkey and the other Therapists in attendance. There will be stands where you can view products and try things out. Please register if you wish to book for specific workshops where numbers may be limited (i.e Pottery,& Making a Film) Come along and help us make this a great day out! 31 SOUTH EAST HANTS TINNITUS SUPPORT GROUP Our Tinnitus Support Group was set up in 2013 to cover south-east Hampshire and the western end of West Sussex and is registered with the British Tinnitus Association. We are currently meeting in Bedhampton, just west of Havant, but draw in people from a large area, from Hayling Island to Petersfield and from Fareham to Chichester. The group is run by a group of ordinary people who have tinnitus themselves. Our aim is to give people with tinnitus an opportunity to meet others with similar experiences and to get advice and encouragement in a friendly atmosphere. This year we plan to meet roughly every six weeks, alternately on weekday evenings and Saturday mornings. We have a guest speaker at most of our meetings. This might be a medical professional with tinnitus expertise, or a practitioner of a technique such as relaxation or mindfulness which may help people to cope with tinnitus symptoms. We hold a supply of British Tinnitus Association leaflets and also run an Equipment and Resource Library. We are very grateful to the New Forest Group for advice in our early stages; we have learned a great deal from you about how to run a support group. Members of the New Forest Group would be very welcome at any of our meetings. For more information and details of our current programme, please see our website at www.sehants-tinnitus.org, or contact Ann Hudson at annhudson84@gmail.com or 01243 786135. 32 Tinnitus Flowchart – How to get help Visit your Doctor The Hearing Therapist at the hospital will reply swiftly. Audiological assessment and further investigations if indicated No luck? Your Doctor will check your ears, but you do not need a hearing test to go with the referral. Obtain Hearing Therapist Referral form from New Forest Tinnitus Support Visit Doctor again. Mention New Forest Tinnitus Support Group and ask if referral could be made to Therapist at Royal South Hants Hospital using the form. Treatment options will be discussed Hearing Loss & Tinnitus Tinnitus and/or Hyperacusis with slight or no hearing loss Hearing Aids fitted Advice on communication Tactics Sound generators fitted Explanation of sound therapy Come to see us New Forest Tinnitus Group We can offer Continuing advice Relaxation and coping strategies Glossary 33 Useful terms/definitions you may come across when reading about Audiology/Tinnitus Acoustic Neuroma – a slow-growing (non-cancerous) benign tumour on the acoustic nerve that connects the ear to the brain. Also called vestibular schwannoma Acoustic Reflex Testing – measures the function of the muscles in the middle ear in response to sound Aetiology – the cause or causes of a disease or abnormal condition Audiogram – a graphic representation of a hearing test Audiologist – a health care professional trained to evaluate hearing loss and related disorders, including balance disorders and tinnitus. Audiometer – the equipment used to test hearing/tinnitus Auditory Cortex – the highest level of the brain that receives inputs from the lower auditory regions of the brain Bilateral Hearing Loss – loss to hearing ability in both ears Bilateral Tinnitus – tinnitus in both ears Cerumen – medical term for ear wax which is a secretion which keeps the ear dry and protected from infection Cochlea – the spiral-shaped organ that contains hair cells Cochlea implant – medical device that bypasses damaged structures in the inner ear & stimulates the auditory nerve Cognitive Behavioural Therapy – attempts to solve emotional, behavioural or thought disorders through a psychotherapeutic approach Decibels noted as dB on the audiogram – measures the intensity or loudness of sound Ear Nose & Throat Department – known as ENT –Outpatient dept. with a large team of Clinicians specialising in testing, diagnosing, prescribing and treating symptoms in the areas of the ear, nose and throat. Eustachian Tube – balances pressure from back of the nose to the ear. Frequency –a common word for frequency is Pitch. Can be expressed in cycles per second or Hertz (Hz) Ginkgo Biloba – a supplement derived from the Maidenhair tree that improves blood flow to the brain, cognition, and acts as an antioxidant Habituation – process by which repeated and harmless stimulation leads to less and less perception and reaction Hair Cells – tiny sensory cells that convert sound vibrations into neural activity. The hair cells are arranged in orderly rows lining the organ of Corti within the cochlea. Hyperacusis – Abnormally reduced tolerance to sound. A symptom where sound which is not especially loud, and not bothersome to others, seems overwhelming, intense or even painful. 34 Labyrinth – a complex system of chambers and pathways of the inner ear. It includes both hearing and balance portions of the inner ear. Limbic System – A system of nerves and networks in the brain which controls emotions and drives Masking (not to be confused with Maskers) – used in hearing testing to isolate the non-test ear. The level of masking required being calculated by the Audiologist for each individual test. Meniere’s disease – Inner ear disorder that can affect both hearing and balance systems. It can cause episodes of vertigo, hearing loss, tinnitus and sensation of fullness in the ear. MRI – (Magnetic Resonance Imaging) – uses magnetic fields and radio waves to produce detailed images of the structure of the brain Neural – of or relating to a nerve or the nervous system Neurones – cells of the nervous system that can rapidly transmit information from one cell to the next. This is known as neural activity Noise Induced Hearing Loss – hearing damage due to exposure to harmful sounds, or repeated long exposure to sounds in excess of 85dBA Otic – relating to or near the ear Otolaryngologist – Physician/Surgeon who specialises in diseases of the ear, nose, throat, and head and neck Otosclerosis – inherited genetic condition that causes a spongy bone growth in the middle ear and surrounding bone Presbyacusis – Hearing loss caused by changes in the middle and inner ear due to the aging process Pulsatile Tinnitus – perception of pulsing sound in the head or ears (resembling the heart beat) usually caused by blood flow disturbance or a blood vessel abnormality Pure Tone – a sound wave having only one frequency of vibration Somatosound – tinnitus produced by muscular activity or blood flow is sometimes know as a somatosound or “body sound” and other body functions such as yawning or swallowing as well as pulsatile tinnitus come within this category. Also sometimes referred to as “Snaps and Pops” See explanation in “Living with Tinnitus and Hyperacusis” Sound Therapy – introduces sound into the auditory cortex of the brain to refocus the brain’s attention away from the tinnitus. Sound therapy equipment includes hearing aids, sound relaxing devices and a variety of other sound producing equipment, including what used to be called Tinnitus Maskers – also known as Tinnitus Retrainers, White Noise Generators or Sound Generator Sound Enrichment – an expression first coined in the 1980s to mean use of good quality sound to help achieve habituation. Vertigo –the illusion of movement, often with feelings of imbalance and nausea Vestibular System – the portion of the inner and central nervous system 35 Some Useful Tinnitus Contacts British Tinnitus Association Ground Floor, Unit 5, Acorn Business Park, Woodseats Close, Sheffield, S8 0TB. Email: info@tinnitus.org.uk Website: www.tinnitus.org.uk Action Against Hearing Loss (RNID) 19-23 Featherstone St. London EC1Y 8SL tinnitushelpline@hearingloss.org.uk RNID advice solutions@hearingloss.org.uk Products for hearing and tinnitus Tinnitus Research Initiative info<at>tinnitusresearch.org Deafness Research UK 330-3321 Grays Inn Road, London WC1X 8EE. www.deafnessresearch.uk Suggested Reading Living with Tinnitus and Hyperacusis. Authors: Dr. Laurence McKenna, Dr. David Baguley and Dr. Don McFerran Tinnitus: A multi-disciplinary approach. Authors: G. Andersson, D. Baguley, L. McKenna, D. McFerran. All the current approaches are described and the tinnitus literature reviewed. Tinnitus Treatments: Clinical Protocols Editor Richard Tyler Breaking the Sound Barrier: The Journey Beyond Tinnitus Author: Elspeth Fahey Textbook of Tinnitus: Editors: Aage R. Moller, Berthold Langguth, Dirk DeRidder, Tobias Kleinjung 36 Tinnitus Relaxation – 4 week course Tutor: Jan Petty Venue: Library at Lyndhurst Community Centre, Lyndhurst SO 43 7NY. A four week relaxation course will be held in 2014 looking at several relaxation techniques –sessions will be for an hour and a half. To include • • • • • • • • • • Understanding the Stress response Learning muscle relaxation techniques Using two-minute routines Exploring different Breathing techniques Sound Enrichment Ideas to try Explaining relaxation circle Using Visual Imagery effectively Perception and Habituation Deep relaxation to end each session Practical tips/ideas for practising at home, and after end of Course The 4 week course will also provide: Relaxation and breathing handouts to take home Exercises to practise between sessions Equipment on loan. There will be a short break for refreshments & discussion/questions. If you are unable to attend a session notes will be provided at your next visit. The Sessions will be weekly and it will be helpful if you can practise what is taught in between attendances. Contact Jan on 07894701335 or at jan.petty@ntlworld.com for full details and to reserve a place. 37 Lipreading – Why and what is it? Lipreading is the art of interpreting movements of lips, tongue and jaw. Facial expression also helps to convey meaning – but not all speech elements can be seen. Almost unseen elements like ‘k’ ‘g’ or ‘ng’ can often be guessed at by the context of what is being said. Nearly all words have one ‘clue’ or recognisable shape that will help. Spelling in English does not necessarily correspond to pronunciation and in lipreading – or speech reading as it is sometimes referred to, spelling is irrelevant. It is the shape what is being said which is important. So look at these shapes. For example ‘f’ ‘v’ and ‘ph’ look the same. Try without your voice, and looking in a mirror to say few, view, phew! Also ‘p’ ‘b’ and ‘m’ look very similar – try batch, match, patch. Now ‘ch’ ‘j’ and ‘sh’ so try Cheap, Jeep, Sheep. Likewise ‘d’ ‘n’ and ‘t’. Look at dine, nine and tyne. Feeling these movements yourself is helpful in understanding how they look on the person you are trying to understand and lipread effectively. It is, of course, helpful if you know the topic of the conversation, so don’t be afraid to ask what the subject of the conversation is. Not all people do speak clearly and you will have difficulty lipreading these people. Some well-meaning people will over exaggerate mouth movements and others will split up sentences. It will be much easier to understand if natural phrasing and rhythm is used. Words in isolation are difficult too and nothing can be seen for an ‘h’. Positioning yourself is important. Sit with your back to the light and have the light shining on the face of the person speaking. Don’t be shy is asking someone to change places with you if their face is in shadow. Lipreading is tiring on the eyes so try to strengthen your eyes eg. blinking eases strain and rolling your eyes can be beneficial too - but perhaps not whilst in conversation! Lipreading classes are fun! There may be one near you. If not, perhaps we should start one! 38 Tai Chi & Chi Kung exercise for all ages and abilities GET FITTER AS YOU GET OLDER! Daytime & evening classes Enquiries to Malcolm or Glenda Tel. 02380651223 / 07941702267 Email taichienquiries@gmail.com www.taichi4healthandwellbeing.com Karen Moss Dip.COT, SROT Independent Occupational Therapist Assessment of access and personal independence equipment for the home Hand Therapy Splinting Also specialising in workplace ergonomics, personal immediate needs following illness/injury, and rehabilitation programmes Please contact me for costs and to discuss your needs moss.karenr@gmail.com Tel: 07712 943690 39 Let’s go Potty! WHY NOT TRY YOUR HAND AT HAND-BUILT POTTERY? There is no need to be artistic or able to draw, to work with clay! I have enjoyed many happy years teaching pottery - to students - adults people with disabilities - and at Headway House. You will learn and have fun too! Pottery is great as a therapy - it helps concentration – and is good for relaxation. Plus, it maybe ideal to help with your tinnitus. I will explain how a ball of clay is transformed through various stages to the finished article and by the end of the session you will have made your own piece. I recommend that for a 2 hour session, people make an animal or a piece of fruit for their first attempt - using the ‘hollowing-out’ method. I will bring the tools and various models and pictures to inspire you - or you may wish to bring something from home to work from. I will take your completed work home, to be fired in the kiln. During the workshop, we can discuss how you would like to decorate your piece – whether to glaze it or to paint it with acrylics etc. I will be holding two workshops at the Tinnitus Event in April, each lasting two hours – so I hope to meet you there! You may also be interested in doing a regular half-day pottery session at the centre; or I can run an all-day workshop at my home for just 3 or 4 people. Please contact me for details. lyn.perry6@sky.com 01202 951813 40 Jan has been booked by Brendoncare to give talks about lipreading and tinnitus at several of their clubs. There are 19 in this area. She spoke at Havilland Springers (Boscombe) in early February and will be at West Moors and Ferndown clubs in March and April. It’s another way of spreading the word about what we do, and the help we offer people with tinnitus. Tony Hanson who runs Brendoncare writes:About Brendoncare Brendoncare is dedicated to improving the quality of life for older people in our regions across the South and making a difference to their lives in every way possible. Care is at the heart of all that we do and our aim is always to provide happiness, fulfillment and independence. Brendoncare is a registered charity which provides high standards of care through its 10 care centres and numerous friendship clubs in Hampshire and Dorset. The social clubs offer friendship, wellbeing, fun and stimulation for older people. There is a choice of weekly, fortnightly and some monthly clubs meeting in the afternoons and in the mornings. Each club has their own programme of activities including entertainers, interesting speakers, quizzes, fun games, outings, exercise, member’s experiences etc. We provide an access fund for those who simply cannot afford to get to our clubs meaning nobody is excluded, whatever their financial situation. We also provide financial support in the Care Centres to those who cannot afford the full cost of that care with our 'Care for Life' promise, offering security and peace of mind to our residents and their families. If you would like to know more about joining or volunteering at our Clubs or Care Centres, please call us on 01962 852133 or visit our website – www.brendoncare.org.uk. 41 Notes (for your own use) 42 Notes (for your own use) 43 Private Hearing Therapy Service I am a fully qualified hearing therapist and audiologist, and I specialise in helping people who suffer from Tinnitus, Otosclerosis and Ménière’s Disease. The service is provided as a 1 hour home visit appointment. Services Hearing test, using a fully diagnostic audiometer Counselling for hearing related disorders Tinnitus management Advice on hearing aid use Advice on coming to terms with hearing loss Contact me by telephone: 07514417556 Visit my website: www.thetinnituslady.co.uk E-mail me: thetinnituslady@btinternet.com 44 Tinnitus? Help is at hand You do not need to be alone We can help you to deal with tinnitus Expert advice Help with NHS referral Access to sound therapy equipment Regular meetings with specialist talks Friendly and welcoming. Chat to others in the same situation over a cup of tea If you like what we do you can join for an annual subscription of £20. This will go towards room hire and payment of guest speakers. 45 46