VOLUME 10, NUMBER 2, JUNE 1985

THE AMERICAN TINNITUS ASSOCIATION

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

10.9
95.4
4.6
100.0
21.5
35.6
15.2
72.3
5.9
7.3
13.2


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

*

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