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Reversing hearing loss with regenerative therapy

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Re: Reversing hearing loss with regenerative therapy

#161

Earlier quoted context omitted.

Have you played around with an equalizer (hardware or software, doesn't matter) that offers rather extreme adjustments like +15dB or more, to see if you can approximate a flat source+ear system? Or is your loss more like a brickwall filter than a 12dB/octave slope for example? I'm an audio engineer, not an audiologist, so I'm just shooting from the hip here as it's something I've been curious about in case I develop…

Please don't do this. This would work for a conductive hearing loss (ear drum or bones in your ear messed up, etc.) but not for a sensorineural hearing loss (like what you get from aging or from noise exposure). You need non-linear compression to compensate for loudness recruitment. At a basic level, when you have sensorineural hearing loss, soft sounds will sound way softer than they should (or be below the threshol…

Thanks!

Re: Reversing hearing loss with regenerative therapy

#162

What the heck is going on with tinnitus? https://trends.google.com/trends/explore?date=all&geo=US&q=%... I’ve been afflicted with tinnitus after a mild covid case in January and now that I’m looking it seems like this is a growing problem. So many comments here about tinnitus.

* Trigger warning *

Texas Roadhouse CEO developed severe tinnitus after having COVID and took his own life because of it [0]

[0] https://amp.courier-journal.com/amp/4759047001

Re: Reversing hearing loss with regenerative therapy

#163
post #87

Earlier quoted context omitted.

> Although exciting, we also need to remember that translatability rates from animal models to humans is notoriously low, usually in the single digits for most therapeutic areas. This is true of humans as well -- there are plenty of programs that get interesting and clear results in Phase 2 (the dose ranging phase: essentially "what dosage is most efficacious") that die in Phase 3 (roughly: "OK, how does that dose re…

It's also hard to figure out just how the animal's hearing is improving (you can't simply ask) This seems relatively easy, right? Play a sound at a given frequency, associate it with a food reward. Like Pavlov's dog, but vary the frequency of the bell. Oversimplification obviously, and "easy" is extreme relative to all the other hard parts involved but that part seems very doable

The brain also needs time to "rewire" once it starts accepting more and better input.

"Rotating your eyeball" as a treatment for macular degeneration is a good example. Your brain needs a week or so to "reorient" even though the physical procedure is done in a couple hours.

Re: Reversing hearing loss with regenerative therapy

#164
post #108

Earlier quoted context omitted.

It's also hard to figure out just how the animal's hearing is improving (you can't simply ask) This seems relatively easy, right? Play a sound at a given frequency, associate it with a food reward. Like Pavlov's dog, but vary the frequency of the bell. Oversimplification obviously, and "easy" is extreme relative to all the other hard parts involved but that part seems very doable

One sobering lesson from my time working in the life sciences is that everything is insanely complex and once you've isolated everything in your problem space into a small, relatively isolated set, you still end up with an insanely complex space. Essentially it's fractally complex.

life is "fractally" complex. Sometimes I feel computing is also fractally complex.

Re: Reversing hearing loss with regenerative therapy

#165
post #108

Earlier quoted context omitted.

It's also hard to figure out just how the animal's hearing is improving (you can't simply ask) This seems relatively easy, right? Play a sound at a given frequency, associate it with a food reward. Like Pavlov's dog, but vary the frequency of the bell. Oversimplification obviously, and "easy" is extreme relative to all the other hard parts involved but that part seems very doable

One sobering lesson from my time working in the life sciences is that everything is insanely complex and once you've isolated everything in your problem space into a small, relatively isolated set, you still end up with an insanely complex space. Essentially it's fractally complex.

Except it is actually quite easy to measure hearing thresholds in nonhumans as well as human babies via auditory brain responses (ABRs).

Re: Reversing hearing loss with regenerative therapy

#166

For anybody suffering with tinnitus I highly recommend the protocol William Shatner went through. You can train your brain so it’s not noticeable any more. Like wearing pants, it fades into the background.

Thanks for the pointer, I'll be looking it up shortly.

Anecdotaly, I've found myself getting a phantom tone in the 15khz range (sounds just like a flyback) when in a quiet house. This could be entitely placebo effect, but I've gotten some relief by doing a bad emulation of active noise cancelling headphones, namely playing a quiet 15khz (ish) tone through my bone conduction headphones. It's not perfect by any means, but often the very act of trying to tune my tone generator to the right frequency can be enough to stop it annoying me (it becomes less noticeable).

Im curious if anyone else has tried similar?

Re: Reversing hearing loss with regenerative therapy

#167

The article says the treatment focuses on increased speech intelligibility. Speech, depending on how you define it, can occupy a fairly narrow range of the audio spectrum that humans can perceive. My hearing loss is mostly on the high end (10-12K and above) and impedes my ability to hear speech in noisy environments. More troubling has been the inability to enjoy music/sound in those upper ranges, resulting in the mu…

I have sudden deafness in my left ear (meaning: I just woke up deaf one day and they don't know why) in exactly the frequency range used for speech. Even more than a decade later it feels weird that I can still hear certain common background noises but humans are almost completely silent on my left side

> I have sudden deafness in my left ear (meaning: I just woke up deaf one day and they don't know why)

Ah, me too, but no sound at all. A specialist told me it was caused by a virus, but I never looked into which one, or asked for more info.. There was no treatment, except cochlear implant, which didn't sound too great. Hopefully it doesn't happen in the other ear also!

Re: Reversing hearing loss with regenerative therapy

#169
post #87

Earlier quoted context omitted.

“Animal research has shown that natural cochlear hair cell regeneration and resultant hearing restoration is very real” - Although exciting, we also need to remember that translatability rates from animal models to humans is notoriously low, usually in the single digits for most therapeutic areas. This is some cool tech, but just wanted to point it out that success in animal models =/= we will eventually get to see t…

> Although exciting, we also need to remember that translatability rates from animal models to humans is notoriously low, usually in the single digits for most therapeutic areas. This is true of humans as well -- there are plenty of programs that get interesting and clear results in Phase 2 (the dose ranging phase: essentially "what dosage is most efficacious") that die in Phase 3 (roughly: "OK, how does that dose re…

Unlike your Alzheimer’s example, hair cell loss is definitely the cause of hearing loss in many cases. There are other possible causes but this is the first or second most common biological antecedent.

Basically, if we can regrow them, there’s a good chance of restoring hearing, provided the rest of the auditory system hasn’t atrophied too badly.

Re: Reversing hearing loss with regenerative therapy

#170
post #6

Does anyone know if this can finally be a treatment for tinnitus? I would love to hear silence again.

I've got pretty bad - although not constant - tinnitus in my left ear after a particularly loud NYE too late in life. What I find interesting though, is that I distinctly remember as a young kid living in the countryside that I found it impossible to hear absolute silence. I distinctly remember sitting on a bale of hay on a bright summer's day with not even a breeze and the quieter I perceived things, the louder a 'T…

I've always heard ringing at very high frequencies; 17-20kHz when it's quiet. Can't remember ever not hearing this. Sometimes the ringing has pulsating increases in loudness synchronized with my heartbeat. Also have a little bit of tinnitus on both ears, different frequencies.

Never really considered the high-frequency experience a problem; it's just always been part of my sensory experience.

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