{"id":185,"date":"2022-01-06T21:45:10","date_gmt":"2022-01-06T21:45:10","guid":{"rendered":"https:\/\/acadianhearing.fm1.dev\/audiologist\/tinnitus-management\/"},"modified":"2024-07-30T11:16:47","modified_gmt":"2024-07-30T18:16:47","slug":"tinnitus-symptoms-management","status":"publish","type":"page","link":"https:\/\/acadianhearing.com\/hearing-loss\/tinnitus-symptoms-management\/","title":{"rendered":"Specialized Tinnitus Care Starts Here"},"content":{"rendered":"\n<script type=\"application\/ld+json\"> \n\n{ \n\n  \"@context\": \"https:\/\/schema.org\", \n\n  \"@type\": \"FAQPage\", \n\n  \"mainEntity\": [{ \n\n   \"@type\": \"Question\", \n\n    \"name\": \"What Is Tinnitus?\", \n\n    \"acceptedAnswer\": { \n\n      \"@type\": \"Answer\", \n\n      \"text\": \"Tinnitus is a ringing noise in one or both ears that might be constant or come and go. It can last anywhere from a few days to years. Ringing is one of the most common sounds, but tinnitus can also manifest as buzzing, roaring, clicking, hissing or humming. In extreme cases, it might interfere with your ability to concentrate or lead to anxiety.\" \n\n } \n\n }, { \n\n    \"@type\": \"Question\", \n\n    \"name\": \"What Causes Tinnitus?\", \n\n    \"acceptedAnswer\": { \n\n      \"@type\": \"Answer\", \n\n      \"text\": \"The following can potentially lead to tinnitus:\u00a0Consistent exposure to loud noise, issues in the middle ear, like infections or vascular tumors, ear infection or ear canal blockage, medication that damages the middle ear\u2019s nerves, such as ototoxic drugs, head or neck injuries.\" \n\n } \n\n }, { \n\n    \"@type\": \"Question\", \n\n    \"name\": \"Types of Tinnitus\u00a0\", \n\n    \"acceptedAnswer\": { \n\n      \"@type\": \"Answer\", \n\n      \"text\": \"The most common form of tinnitus is subjective tinnitus or tinnitus that only you can hear. This type of tinnitus often sounds like ringing, buzzing or clicking.\u00a0Less frequently diagnosed is pulsatile or objective tinnitus, which sounds like a whooshing or pulsing sound. A practitioner may be able to hear pulsatile tinnitus during an examination.\u00a0\" \n\n } \n\n }, { \n\n    \"@type\": \"Question\", \n\n    \"name\": \"What Happens During a Tinnitus Evaluation?\u00a0\", \n\n    \"acceptedAnswer\": { \n\n      \"@type\": \"Answer\", \n\n      \"text\": \"Tinnitus is typically diagnosed based on a patient\u2019s symptoms. Our office will provide a referral to connect you with these services. To determine an underlying cause,\u00a0our provider will ask what noises are present. Does it sound like clicking, pulsing, low-pitched ringing or high-pitched ringing?\" \n\n } \n\n} \n\n ] \n\n  } \n\n<\/script>\n\n\n\n<div class=\"wp-block-columns ov-columns ov-icon-row is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column ov-vid-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-4-3 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Tinnitus\" width=\"1333\" height=\"1000\" src=\"https:\/\/www.youtube.com\/embed\/Bbe9nVpZcBo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column ov-text-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\">Tinnitus Symptoms Are Manageable \u2013 We Can Help<\/h2>\n\n\n\n<p>If you\u2019re experiencing tinnitus, you might feel like it\u2019s all in your head. While that\u2019s technically correct\u2014in most forms of tinnitus, the sound is only audible to you, but that doesn\u2019t mean you have to deal with it on your own. Our team at Acadian Hearing &amp; Balance Center can help you manage your tinnitus to reduce its impact on your daily life.<\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-top\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/acadianhearing.com\/wp-content\/uploads\/2023\/05\/tinn-ov-1.jpg\" alt=\"\" class=\"wp-image-1988 size-full\" srcset=\"https:\/\/acadianhearing.com\/wp-content\/uploads\/2023\/05\/tinn-ov-1.jpg 600w, https:\/\/acadianhearing.com\/wp-content\/uploads\/2023\/05\/tinn-ov-1-256x171.jpg 256w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<h2 class=\"wp-block-heading\">What Is Tinnitus?<\/h2>\n\n\n\n<p>Tinnitus is a ringing noise in one or both ears that might be constant or come and go. It can last anywhere from a few days to years. Ringing is one of the most common sounds, but tinnitus can also manifest as buzzing, roaring, clicking, hissing or humming. In extreme cases, it might interfere with your ability to concentrate or lead to anxiety.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What Causes Tinnitus?<\/h3>\n\n\n\n<p>The following can potentially lead to tinnitus:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Consistent exposure to loud noise<\/li>\n\n\n\n<li>Issues in the middle ear, like infections or vascular tumors<\/li>\n\n\n\n<li>Ear infection or ear canal blockage<\/li>\n\n\n\n<li>Medication that damages the middle ear\u2019s nerves, such as ototoxic drugs<\/li>\n\n\n\n<li>Head or neck injuries<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Types of Tinnitus<\/h3>\n\n\n\n<p>The most common form of tinnitus is subjective tinnitus or tinnitus that only you can hear. This type of tinnitus often sounds like ringing, buzzing or clicking.<br>Less frequently diagnosed is pulsatile or objective tinnitus, which sounds like a whooshing or pulsing sound. A practitioner may be able to hear pulsatile tinnitus during an examination.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide has-media-on-the-right is-stacked-on-mobile is-vertically-aligned-top\"><div class=\"wp-block-media-text__content\">\n<h2 class=\"wp-block-heading\">What Happens During a Tinnitus Evaluation?<\/h2>\n\n\n\n<p>Tinnitus is typically diagnosed based on a patient\u2019s symptoms. Our office will provide a referral to connect you with these services. To determine an underlying cause, our provider will ask what noises are present. Does it sound like clicking, pulsing, low-pitched ringing or high-pitched ringing?<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What Happens During a Tinnitus Evaluation?<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/acadianhearing.com\/hearing-loss\/testing\/\">Hearing exam<\/a>: In a sound-proof room, you will wear headphones connected to a device that sends sounds to one ear at a time. You\u2019ll be asked to press a button or raise your hand whenever you hear a sound.<\/li>\n\n\n\n<li>Movement: If the tinnitus changes due to certain movements, it might identify another disorder in need of treatment.<\/li>\n\n\n\n<li>Imaging tests: These might include CT or MRI scans.<\/li>\n\n\n\n<li>Lab tests: These might include drawing blood.<\/li>\n<\/ul>\n\n\n\n<p><span data-metadata=\"<!--(figmeta)eyJmaWxlS2V5IjoiejFjMktuYVE1UFR5YVBPZEVteWw5cSIsInBhc3RlSUQiOjE2OTI2OTM4MDEsImRhdGFUeXBlIjoic2NlbmUifQo=(\/figmeta)-->&#8220;><\/span><span 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8LIJw\/JIBw\/h0BhPOHBRDOvyuAcP6IAML59wQQzh8FeJpw\/n0BhPPHBBDOfyCAcP64AML5DwUQzp8QQDj\/kQDC+ZMCCOc\/FkA4fwrgHuH8JwII508LIJz\/VADh\/BkBhPOfCSCcPyuAcP5zAYTz5wQQzn8hgHD+SwBjov5KAOH8eQGE8xcEEM5\/LYBw\/jcCCOcvCiCc\/60AwvlLAgjnvxFAOH9ZHw704FpN2a7VnUrHLpYnPmWtt78vTo72tifjPXHLpmP+9QrD8abSevPSNIxURtsIk\/IyXNjtSn4kHhn+V7837RnaRZVZH\/TDsfK8mCa6ozMZCtHqYMjJtijeZL7\/QoIKSi9NpVP4edFurz++GAF6u4OdXc7ou\/h9eJL9cNobDIGyIWOJxMnAo7zAGT4kdAS8MA33TKzRFi1eGGxy9twSeMlcAdhm3bWu8o78\/21yC49p0mNsy2p5cyI8R7RM7ojpjPKuMwtwUuktmQj1AuWNxcOcigOeuTCIBpt4W1plSdzNzXGVi\/DEI7WtF+A9irbHkz21qxYHZjVeptWSgdq7uM8j6Tqo5d4IJIeKihQJ5qTF4PLhkbJsi+oU+fQlxVXqiMXsjg+G\/aL0r9YbgaA\/103GnE6oTDdXIqkCcHTbzK2hdEv6Cq2O7ctIV00R1lodD\/fGLxwUaaFJ9Jg5XtQnLhgheblWVxHp3RmMOMFIyxuD\/pSBqavnsOVQ5hH0NVvSEg6s+mxGXSvOaY21KiF8ysudDy+pkdLbYKuDUVyJ1RVMabAT0rsMpwdy1qV9scpKZsMS5rgKIAfzgR2nl+lxod3u7dCwFrAus4Ycx5pjAs628VNbuz1x88NJBIVOcqahSkmG7EUCNy6EE+KeYbvH+qpXeDozNMFQEyzbZNW5rRnS+4itR+d2hpf2dyP2HL3QT25cInYcvbjJse\/8iw7Gophv1PqkZbNOByChx0vbDCaZnVdrvbzdGw43iYOtUhCpkT6yiyBOaOx8YfwAXF6n9Qo5oC95+ug0iaByKp24U1tOHXP4sJ\/M7\/HheEei7YakPS7GY29sb0fhFMuilvWJvUEcc0vqnSqn2ldedpP4XD9SfQ591l64E2JmN6bDAc4Rn3RTpLwltNOeYTBSF43osNxSdg4gI0DSWlZy+WiLHpBbRJnHk7CaupNCd7cHk2ia9J9JzKGC6fzCmiyI8ha2xnt7PXpbsDZvdojdVHad6SqmcJshm5Wl\/cuZ9\/oXnNVYKCWri+GccCxnHrCcCScxxG65kcsL7n6jgCIwXQZd602YRzeD6T7Yc7+RAqkpmXo4vTiG3HWemdjrDelm3\/Q1HsLloio7BRF7JkDL2kTqfq2DS3ub46FjH5kM7bKBWDhmEgkDj9O82K6AvoerzAP2j3WK2SIqZhPyPLPueh8cfhInT0zHWjgSi8sMubbGac76IApXWeA12eUYx6WRObNrdqbB9nZjNLzUwgihuIY6U+JcfkFM497BVEZnDKLl683zJeMUystHiHMr3IZGTA1qHhciqyjJlNbHB\/sVpj8WXd2L67xDCw2zWnnwYjNhlQctN5aJzjK9\/xeKIJw+OFGACMoMSWPgQmIyyKC3vD0YhmfsuCJTCAs8ADfGco\/NnNCKsGyyLm6tInxUnY3dg9xwwEY4uSQL2h4HB5sSktmETBCcCLTozf54hA7alhYPRttDuQKS0H6a5dIg6sRFISKulm23i3H9Wi9Ci+ySZbZirOWq9w82h4NoF2bSsHS3PW6Hvb3qrHvSiHe4kUwFP0lUssGoRQaCqQx7JmvCqrEdXKSnSI8jFhFlM5\/rwrwUXZnv+u3\/T5xR\/N4wSK1IXMWyto8GsIXGrbhGesIWadwKY39R58wEK3cgPkh25l\/kSBL\/YiHan4S9PhSL0e74InONZ1QImcG+6B7kS21xPIyNq4y2xb0z7a0r3T+wakllr4mTMJaCUnhhsBVfRcYBUTkxm+tSXSSGYaI6nsERI5VYGnk0Uyq2Yl8D3XeVi8WNrvGS9aFG2Dkkw\/EAwXX2i9Ew9Eqf9RhsD7C2SC61LM+P4Fw1mEN2zKYz221hoJaSey1FWDyOoWuBkxJPcnEkPUMgl3HElFmXTYhzDhHTcytc75howaLrQIH9eAerMWLNkWdMIr2hlWTUcpdEWNre\/0iE3j0+0JcxsGNIahINqZS68dOYy8nzCBp7kUiZ520maMPlE0zlDFWMBarewwc2c2ioVK6eXycYZ+KNiksC97ZHBxsmAuhJKm8FDUHG3RaY27asj2Mt5xI4s5xieqCIn0pBoILWmolEEjVqwrbbvKO7ficIz9YM8MRR7wh3PjrY3iYQjdoPxFc0XUOztnCUprIbTNV3qEx0YUdshfHgWH6ynHlEsj+LJpBrHEzFPxCHjnLMFKuBlyQbB\/lFKFbHky30Vt5AYHvOR6CX2HTym9F4eDAN3daLodpKD+rTWh1xPV5fc00qr7Larfu+C\/Dnqxv5cwGArhoXTq7FMcdTGcfd2G4cT+VhhxPNzYwO9gJ0nnWIFP6Q03OOKJHFBqIFOBU7B1i2icstmn6xjEv7YvC4c79HLa9hzVl\/4+jSiE5YxVtHpoldguAiloD5Nm8wlxQ2Zs79sf4C1gl3IxCwLZ2X2LWVRXlEQkKgu9U4IxjPvWbM+Kur9jVIlrBgoyVQzl3\/L2CFsPiGX2qfsm1ZKxtvwG5zirc2IWCNGKSsOb2PBOOqRKxFrPbkPVkmW+SuYzB7yDlTBcKIrKwNQ+AWu7tR9lHFcqVa6jZWu7aYyDr3e\/ZBKSNETc+5Eqno5SdbSS\/wo5nE\/GiHWeQAiv1NZb0B982TVmyqM9bkV3F7qXswGdBD3R9E+8PeJSPGK+LbmKyRWvrfHB5wZnKt7ZsMM0k1\/B4OLFQ4bwfaNGWtcNjDl9+1FbL7Bmkr7HFkRZcA0SOz1ICZQVQKhyGuP0KYrR0MpwNpPZysDsJhf90uBQu0hSow9wiDTt9TcTnFAMXnq\/XkJJ2SD3cHL5aWxHPmNGOtJ1A2NqC5xLQuJNz8UX9fjpWMOXSg7Fm0ieezH6\/0JldTttl\/QIOSygCo9LApteh6itwqHtUgsbQyzQGQlHP\/VSmVuFrkvhQLZwSXUHSMspfg8RMCW7U2sJ2jmQikcPkn7OxM5RJq1hxLg8jSjF8tNDasoUB78m4etPNkauMLoduOx8P+GbO6uM2I\/moi1l6KtjwgkDC5VCF+QZVofIBNM5PVl8my+eIhT2Zj0N8JURm6zqJ6nBZier8\/4FworWenA0Rm2tvbr0Tje+4m3Es\/sI4TCGExpEdCHPbzcorPbOFsxJmsFDBDxmJ4JV+ezTNCtVHmIqvQyLdk7Bp1Pm9JMvlqsywBcblTRvl8IG0efrrn0+a0wDlrhPx6X4gNmTmw2LP8Xfu7vShUC8ozgEXevY\/piC8nX6gyqawleNpUmj+ijLNhUfeMekYPc5Ja1NMHUdM6n+KHoyfv0jhqeMH7ZsFX1Ae94Ww5zOT9i1YvSSPdGql\/1frHncL+tjV6iPSius2Btr1wEAXj7anTy0CKaPTdmmDFeNTZ7zPNriO\/DA6hGMY0P0nebmcx5qd1JFCb8RFvJAptsqW57v92bHKBf0EzyivY2y9pAs6popnx\/qImAn3IAH\/IG78QzzI44IwfhEiG0V5jUoTTX6AsF2rj8Wg4IKozvBS38HnM5S6nOAkz2TExO\/cTZ3fo1NBMwVviAlHFGfrnYrTbpJOCtycFxr+eFfx8XCD79Az9jhid6g8ug+0G5b+uI4PsgxQSBEN9wi2r4CxhXPJHqRLpsOA+mcLZTgn2j1NY6ZHgPpXy55o99DbihkT\/jr5iDwsJKb38sBEKhGYNzL7SBJejJItPwxpNL63LbtKY9BEE9dee\/lq81ma\/mi32+7R6MdwMdl4nvhUoqZA+9X1bumAd\/lZEvsOiE8OUkrX3a4JjkaGfF9TX6IP4aAf3dCNvJUKImes8SPGX49Mj0yTK\/dk4b5b5z8X1sb04Y1Tzc8xY8XYG9RcxXZhshSuE9m0cszhf6V9mXGRSS+F2hB7oV7J1ptBMZaR+w9Pf77kByoDfotWLZllrBGQpJJwRJHg5GX47tkTOiRyCbIEZwA\/ON51nf94Z7ZGLME36VZycCDTnJ2HhYJPFkp3+l5MDZyCnVq5z9Nf1HIqD7Ae0\/mdjYo2\/+GatxnHGdnE\/rlANL4RDlVO\/Y6Kyzje9NoYtcQXj29uZ9PZ3xf6yYy6r6w6hLOHpBBs\/0lhW1x\/GWdIzU9QoT4w\/\/bT48erhV0DbCu2kZB2hl2ibeqJ6xGVIS9wRfJHNRF2nHhnDtmhdsqnw3g3qUfMYS7YxZNN3wUo6NsvZ4ufLDNXZZohwPyGGbdG3GHay6K\/V6olxxpbdL6QmKjTisLW3Nx5V5QR3wPFYafWdc6Vs7w9MD3p4nDOKl6ArCUlpgIKF0mV2qjTVd6Wp7PYlU5MmeWmaBNshoX3Q351GB7gJaM994WRM0cvSRXX3ksa+4tnnvvjyQrfcasKtwuWlRPiszzXlajlVXJRXNhe4tUjhkt3pAS6d2VgxNjHzIVexhjJR8Y9D0WM8Noh8k\/ow914jVH7nXonKMpA\/iRFVZob8n3oy0R2co6o578WsFrmPnI53OAz0G6NG272oidS36T9K8IQy0wWf1EloXP2Lx92gKLLw+ldPfcYomBmRoCIson6Zabow6A9mjf6owbVtVF9Qz1I\/Ro+jcq\/falfblNHnt6aOnwsOtBL2DMJT542dWLSQRT9zdqe15EBb8CxqJmGn5SRjC58dYQPwuVcktajncoZPLry4lHAZW\/i8PhKDkWGBRlwyHEtlLUF+D7+Rvp2U1KJKAlaihj3wU3bVHMISrQrOOEIv99RvpbbThh0Lw7r6MqStuoZep89xXFnN8pakHJnN3t07Laub0nlLUrcoY2rUw9VDUllLcK\/FIL7qkeqhScYWtmze\/Fbj0ephs5wtDrbxAGaOwWNnWVt+n61gUULxuDTC0nxzaFwQdg2tn+RgW9KdTUzRhRxuP4SyhNvS7lo43gunuLuf1\/qONMLS7NiWY6RQ3TmPsnS7cmeCmiGW4\/1quI09m806U\/xDOk3Qkok+RPHaGUVhPJ2O967A5YcP01yJ0etmRLOSgWxb+wg7CorM\/chhmvaY\/ZnSGcnrtWzF+KToZIR1ZtRMv9G0H5WjVX7zUODppd7mWDwBxlc2uz64n3I429sE\/WaHliEmyJ92SDOmBPsWh2VxcacRdFGZtzkkTVmhZdg\/53C2qQT9doeWphLkzzukaSrBvsNhA7O+Fh3NT8oveLvsLXabTuZkqh6qbrkS3opGM5LH\/2JkVEFhgl3GFr7Q5GVcGGj6cD6dtyRDg2r2+mLkIdlL5y0JDYIqshKYHqOkalU9YJCnD+xvJ8rqksnb0pL6lDbZctJtx5AG\/sQWYaKNhzEr+LQt4ECOj3Va\/anNWjeB\/Gdsvsk+xAYdDF4stU6rv51Dm\/YrnP8juvQVW5TuuC0qqX\/ninYHw76rujYZy\/vgv7MlrltmCcH++zmsFQLQf2\/Rho3hH4TDbSbnqxYf77RUUVX1A5xlQLZwESdReJ8s\/QMs+g9atPl1R139rs25PruVoqWPeFwxM2jOrhn1ewR7HogzH52rYXqBjOD5T1VT\/TmXQMEI2V7r7aFLvYko2Oc8BMjddshp1HjO3y8KaS8eAonkJQWvmhUUaGdnZucwfT+gZ6zMcf9DWv14CtemFrcob0ihSrMLlZ\/QYS95UX+We\/4ZVRMXIJxcCAMTtFRa\/SqevQkgUWjoWxzBZij5kcqK+rVZX93tyUc1hyiUJb58aFOk2uo3U021Ce6MD2SVP5CmrPXI8J+xSb+lycQlqRF8UOIfRD1Nnl2WpR32JKb+oVQDgXlvEiBk07x5oyJG5o9nXa3MWEfqq57+0qzILAUzZOJT6p889T+0DWSKE4z46U+4\/Fy086ta\/1U8N3L2hof6R83\/E5zPeRjMf5lhqozUHJvVP2v1X2d4U5utl334v82w1Le4f5rhikgdi2W6GsFC\/69ZmThaSYTw61r9b82h99Cv6I+q\/2yxHVbeqf2y+u\/MsDn+XeE2++2aMNKDFq+jZkyp+ppWn\/ZGiPOhO\/a3aYKlW+AJ82+dr7JdHUhQ+HOe+m5viM+JCF4YhBcN7csy6vWe6ZxzJXFQtXoD0RuzbEWGjsJFyb7yE3iU\/XDcRBg2URr1Sk+9U\/R0b9+we2lG\/aJ30UQe5S6fs62EIdRrPfVDKXTR\/nhzEbxFluxQuXmeTsL4t52v8dQPu\/Jib4sTRh6GEXNO3E29zpVURvsH0yT0\/0lP\/aQrkJ2ZQDe68yaHKY8vYHiMJLzaUz+DAdkw+ABzfV4mmOH9rKOthdNeXwb0KQ9X0uL8CzITRH\/09zpMk50ea3+pFo4OrAH+rKe\/zzOr1RpfjK1kxMat3mvR2JeDvdFcya\/aEipY2SCc4an3WaQl35Cdw6B\/jfAZOsUpzB8d7K2K\/HE4+UtP\/U+rxxSU6HZc8HlPfRfBCQwok33EAHbne07P\/D5zhEQx6uOznC0uyNpag+iPpB9iKk5chrTExdDE4GJRadi7t1OXYy25H6F4FdRnYp6ToAk3zGMsWXVvwHiqAxJIbiRxOVtcm4p2YVzOY0QguDmdtySNTURg7hfNj1WPPoyzpGeRDKQg7YTgnDzmcqwlP8fJsE\/s1PwEmPbUU9WTD6Es4QvsJAScRcFFbPX6KfMoS4eOEJ8wixDJ7vcM9dR5jCXbROsw6BIvjIhg6W9K5S3Fln0oJDJATFXdOsva8v62GJEapySiAmYNWaroMqQlRhdN2+NV1kArObzGWUtwwY6lwKxbuYjrQ31RAkkYk7\/U+pWamTOyKVJA2at1ZHa\/2a+v7lM\/hcUSjzrYG4+nu0wNi\/pmR8f5OeKuZRPLZltsy+REXM0KAMNfcoQsFOu0ZULqzKl6vnoPbBMcvYfJr2junQlLim8zCUelgVg0eWrwXsclMSdf1kTNeu4i8Cta\/W5sk21gTtBVswLrziLn1Ef0iLoEUMga4\/8prX7PhN2Gh54tfEyzh7sC2eSmMI4J6OXvx2Wz2a3ILDISIfi4hsFlFPnZ44BPavUHhgDhMDdK96s\/M3PRYz+cELaXeXQ3C+K359n4zAKI\/f+8dfOK8KRJ5k3W47T6woyBBP6Fw4Mw+Gt9PrxEZGVnh5n9Z48bhAtjvBZfTGhzd0KUjfn+Gy09FYvO4X+3EG6PJ3g3BG5kgPfr\/+ACxFW2rAj3Vf9HPWW5JRwjM6++6Kn\/xILQ0d0G4WP0lI6yS46xi0SlgOnI97DjRdOZu\/kKL9zbDPuGwUsybATEmHZrYX9g31t+NMO2g1CwzrLKdM9JEjvYj3jRYG9\/yKkgfufT7I3CoQz3jd7udM\/EFL+aUe\/yJHjTws6oL2bUL3m9LQZpQi\/V3iZB1BX1bu+CkIAxjX42o96TYIrYmoM9xiOO2j6bs\/qVpEzOP4VLAdsTJW\/01AeSEsFRiFXI6PensXi679Xq1xNUK+T4iQQbEfx4hjh1XCJdMVcE6GxG\/aaHyzDq92KJlBbf7qnfd+h4fxT0uzz1MZx4YrdCGDBdnKe\/lFF\/wA6buuRimj7uMdFs2bjTL\/XUH7Iz4WyziW5LyP7vMurPPLucTLpZ+UqfKzH21C1R1ZYN181sxtcybHwTi7VnjhX1V15\/vEXkkABhmvffZ9QXvHUUYea4eJke1nWfLB3Te3SsVx3Lzya5cOZ4Lt3N1ASbt62pZXnPwj2lauY7gVxYcu29Jl96EHw3Rno1+8v2TKfuoKwjk2w3webMt8NWG60Ne1O6YPKFfPGMQywahLlfX2L\/x9tI+S\/eAsPihDlgZ+Uco1FXUcEZIv02vTcx91O2EJFgZFlwQaqKxeYGUcNWs\/kF227J2bw554xbaBFqzgZyuYldMJYC0Es9MBDp8DSLMRkgVa\/ztJ4v9Cm5BCtsBWs3e+6wnhJJyFI8fgweh0p9imCSEUfYXj\/SnwspGtGvRMotxRs8lVmfw6hbapUgqJhfW6pioyUf8WnlS5WOPAbR8mWqtZZ8hk0+N2CpvBmyUi\/55vlThrv+xhm\/uxF\/1CIbtFnSVK2cRTTzJfmeRfwCTb5YlsLa9xSL88j4LcXSPDp5bLG8XgkqhaoI1xF5pmM+mkVmZYNLZ\/kF5NHkUxvHkq9xSVOmE93DYz4+T2Nav4zoxIzI9uPKvE5eRnZldqcKjVYJhDSYTOFVDulqJvirHd60mGCvcVjbQIK+1nzPod7uyi+A\/Va74kt719mpLDY68joltUrX1yr1bjxvN9TyZ5PMjVKSTORNUpTkbo5FSkxxYqdnwvumlPCmSXzKkeBERsGiVZjtRIyFGtT9ymtLlqMC5o2DQdo6z9p5C+08KJ0PkTQ26MNu9s4GrZuvIvsn5Cm2b7uMraPxIZixjEBidry82SiargHIUqzeAavLyn0KZ2z2XYH0zJJWOGGZbUt57gseKv6EnmOW3pVmjb07aSxV7lM4a0yQ7MFxSzEddlbORHRBT6Xhd0LBUQWbWI8XJDMlyMLhhS3tvZ7KXuDuyGTe56nc3kE02DK593tqwbJuJ+SengpcDUc7hAWxWZZgPebg4TJNcQcwrLPSWsISAzxm3ytJ5yI6NW3DrRZB6nFjOLsp5jZaebkR\/bWGDlb9cJt6CNOLx3ubg3DV\/b6kboea2UpXrycVP8Dw0i\/JcsUr06nszBCptCHS8tS0VSlhK7uB+YBil26wmpV62W9V2l15btgN5Bf9tiAz18Lsypuxx0NAQ2TP+DALM0dcklEv2cUd2XFxckagesP1uEaGfWx2Z7iistxAz6pXpG7OLPtHWL30yBf3J\/JaAg\/R8IqIVKqlueYNnj1JTpsWRpnFebWZ12r7UNPmEKK5ym1pUx4lm99Fmykk0fGTYKYLs1Uv+l15pwtivnbzUN+QE9RgtOOyK1oPnPcqj9Yd9mOe9iop9DwTeEylTx\/3lLj1TNU3IG4LJavRqDUbdbsrKvqL7yPfuJP+autWmLMAG6L9qI37Vo0y76VJtQy765cQC\/soz8u3MdZlv4SEQCLf5gm69hOuUszO28GUS0udND5rG5sPE6mM+8CQarc69WK+7QNq8wlF9zLNvZ6bGYK5d5kWXueog+QYlAsI1a2oZTZMTpaDCEISHrJTs5gvukfzKvDFh7DfBJ2tr3y2zE1HxiC7gV9lAzWlzpsEytFVmSnnpaUbI1iPjzyeyLEI0fbwBg1A16dIJB4YoBtiup50ErXZdyg3mnSdARRmGJ9GfwZbhmfWcie64elcZJrmytvgKEVz2vYWHB1Y5L5vGyTawvY3F51UJ9vnmn5QbFXMZwZUsSkLpN2v771iIBt25nR+PZ\/QZMvtmqhI7nRg5nPBeGP3Cmqxea5dNsilNXGhlwODPhJsVIzDtXKmIY8QgY62OoFgjhXy5jsSx3Hn5UtRRulOVMSrJXDhp6JtGDLz1VAdF5aQkLgQq05iLGGecIB8wepBn2GxMPsOyZxYUyYa6rWxFFWOrcJYedkhIFIGt82DIUbILMCXMXkDTj2cx2Wm4\/c55sdz9QPOuBNyWctpZP1gb2kIaGp\/BVW+Qm2vH5+uekOOAervWOV5lIwZtf17NoP++OKIQ588JuJMgr3MqRwSEdHbcLR1aYZdkAEwEZOpC+Tk1KI8apxEpm+N7SrlSMdSYTY8lTV+nNFh1anPMjpxtvECulX7cYqM8LH1cmb9wClXJ6bRCZcY4xn34d5Ow+h\/puznKQbKluaGDGHVfLpBtcwXUPR8sZsRbGLNfgMNEuWfTeDZ716EMo7feLmBbDCaiafy11hMW8D9gqfnX2xHrBFulvyedw9iZ3aYxFzC2TdcvMXBrIU2aO6DWOUENXfxg\/AkBal7nwwGvj2L2+DQXBa2yRFOY5WlgvgchL+ot7AnZ+UykUFQ5BeTvq07H7ZtHCcUhIG\/h+2wOB4RDIBJb5g3vZC9qucgJoEzpSMwB7iEX96QKO+mWTfE+UBBmM4Zrg0pF3TeDJMe5dz1XHZGI723A0qN8orXXPJbE7kCotywackvNWKMvbRbkgM7Z90rRPeWL48SHpk1yI7KTVHqjnDF9neVGxopV8v6KIo96VkCp1Wb6tjUzHE842ZKjs\/j1sXIqE9k1AmzYG4yX+Wpk7BzzbdofWqjJXGPiedjqEadybAyqocXOQaAumqetfoHT109jzJmh9W7xjQWnB\/st8cyxczvtQmqcCm\/Z7zcZXUdU2jXnKuUjL4+yc5k5B89fcOhrtpZSPX1xkMElVjUL4SJryRhu5sSoQrot8Tjm+Yej2CC2\/oIqaUep85+Z8Ae77SkxF3aVojdOeOfi5+9Y7DO1NnBOVnWCQhUq8as6LOFxtkuThGw1wzuJMmwH7WLZTmVksuememeCYrILhmpnEasDda19XWsRZlO2wdknndgfnZtnnGy4F6N0UkfvazJ6z2bD\/ty\/VjpQ+olqMKlBJnZJlJ2xrh3WZ\/9w8ZIvaOOezTZ6hjImw6mLDYVpvF3C2xB9qJcU7GKuV1zjwW0EAqjNn2lfDGhr+xhy8q9SH78s7SNJrDOadzy\/mR8AfmToPwRrlN2BgiAbGXkV5iS1JIcZeXc3aOXOYjHIkcnVjNwISpB4QZDOD\/iKvOHriWXod7SgRmJjoco+3Pckcx8w9krjiZ3hdEszFNuuFk6PB3xnC2t0x0JrbOAW73RhV4k0evQvRfCdO9zezF03UaIPZMvhSLwJt5nK61ZacjW5Gu5wsrG7Z6stC03TKvjrZ4Zz6byUuiAzQdtGY\/kB\/79wxyLQ+5LlZajM4fJfaMx1A8OaaG5mYbeXaokRsprs6AIMz6iNY9Km1\/TArkW9O54Gu2Ppy7rRRwyHBxrXVLZrltubHOO6hsxYEWtyldiozAeubKsq1bARO5zZppW+urNWrZZjAjU\/UB2YhRuk40w2CIYKs4\/zbnWI\/WaDM5bYnsSPwF9n0V6VcvnHGyCxbotj95wvZrU3uQIHv\/8ZXHMfmMae21G6VF4Mcl4l\/WxJH3MAMWjAcNYBlHZUlZG9fDioSEwqH7SuddlcNLj89xUzLZcxwjXxcoMTSjCdS4XSc60og83G3cvmOND76KYTwqdNb\/jUW\/KqJwod9FKqJeJ5sXPCaxbJPPstY5ouXymTT6IaxyqjfXs40h8w\/rzc980XVIZ+TpZhYOhWbE8QUULckqr1Sptm\/Hmq2I7zUUqfdg3XBiYPHjZYe7lgSGG0\/3YikwmkEkkECU\/YEA9o7mZ0cNeNI2Fw3JXr2fxL0cHsOG65c0ZzHGKfRbxROkS\/pnNeXmJRbbCGeAB1NiLDH2ipMms2N8iIZGXNy09ukJHg6RHjqnrRKTemtHznTS2gxDYzApxBRFzW5W5tCwV7haVkvkixJnRi5RxQLc\/eCRCwbJibJlwDCM2r23z3ro4sLNzvHiV4qRx\/0vYqyLbgC5zZzrdDHtTlhQ99SVQYWIOqkB4OMnpDhsHjUqHvFsiWqbPTCdGMGFKTz3nOxBH4wZKvQBVFPtuXcKcGG1j3F+O1u3Rz1C9IqMWE6Hl3nNpvElDFxinWtTL\/ZANJaxbnkfQWdTYWOBIvTKjV+wUx1aXu5+MfAJm3kZG6tUZfYymJvR2RR03axbTlK3Cogkn5vDNK9hJqt8vjqIjidmXZGYxfaf2yc2EhohxRl+1lVqlt2fU1Rfm1uMd+Iao58aEwAJzd6180GkVNy1gtREira5LmY7YBHENhG84ZYGdyXhDRt0g2SCZxTdm1I3JouTNoSRgoW7a5nYwaozaELu6Wt28m6z\/OzPqloAZ5sTe29+99yA0MeLIOYdiNZgAnMJ91BSlEYTrUjIiT28OWUATAXDqhIDYxlqhnUeIrExYb0N652LCS4Oo2WOlRJD0FHwr3OsRuBzt2NAuS4InBN5kM1MgWdRFlaWhgvhuORcWXuTYzXq2EBjmsx+AbUPNWPb2TeXFCFRHPqmBE1abxZVRwVkXqCArBxGNSwUgRPsbc2bvCabjfZwtWCS7pxuhnlMcJJmywmTc62\/Bk4D7XPHW\/LS9F5sypamJeh\/2bj9mrH4jgy2J5bWZRtsYvHo\/ylaDMUNR3sOESvQ53ZSH2BrA3CO6RVWv8HSWqXBaH6l3ZXTOLK96qdYLAhV6ERpijehDJUDdGzpdXextbdGAyqqlSEIhQRIeXI7zbenIc9SROF8c0++RRT9PrZgfBNOpnDpqQCdOnPNMdjXx14\/bhpu9S0MmEsSJaE6IzS1IRp9MDS2R1\/dk1KltOK27sMKiuspwryAFSD1G8lLjYBoN+qE\/2hpiZziGimVmaa82hE0mFTt6v7pmEBU5OqPFQwz6sDPqjwNu88+rD2b0dQbVClOo6zfjVY\/UBzL6hkm4ZRU2CF90EKLxLoq1qG407RTwq7Z2A\/Nb51U6bId+kynzOSUSgJN5e5mnbt4fE2+6NNrKG7EhpKZuSX7kxzVCaBxD+QrSQ\/CCppfkyUjFXg5U6RIjeFhpsL1d3D2Q49VKatYwyNru7QsSKzO\/4q9TjKBg742bYaYia2G33jmbq0TGlLJQtLCwJdyjvPkFBnPa3mX2BEUTi5uc9mX6kYXyAOM72dq9RBN6af9y3PKViOPxHdm\/Mn5FxheLC5dcDCEeISytBRMRZ4xuHiL1IXZvyRakPSHLbgrUNC3U5znk9q+EXWjFb23MSinPfYG81CUxf2FBxX+GRyekJRFSjxMrcNkeqPQkLjR8PoJVSAccDJJgIvcnfr4OM7VabeTbpJrreXvB6+WrFfPHxWyEHUA+ZNHyA\/cHi3I1cz+wkL6nWowbaYX2Dc2ssYVv3FjShuWaS3NdiLnmRzY0zCbwINdGK8rbZsVcDh+S+GMvkmBa1vgaFv8ClQsf2J9gepB9i\/oU5m\/PXfaoz4i74Z7XWMy7Cb36SZUkyKROyROD5K7C\/dUXm5W\/ASHf\/7d\/J8GGY839ifsTVKWKrCRQ1r+3k6\/KTOfqDe5yJEdmgdsb+ZtWZsoWk0yXy46YZGmtJX9VrmUKyC+n82nCI\/bDzStmio\/SCskxO\/mVVenNcWrV7Z\/9OEF\/uzVuj7vVRuOMuY46ORs6chYmmWQePombO0PnJzsHEj4xAapE7mrx7Jq4DStlo\/nQzGQTGrY\/g4\/UpzOztwAiR7jopkRCc7oPwgjWx6hOu\/PS9nH2vrhqwB0VSkbtgdgdPbIWh6167mozoRcm69IOwdbkgvzzh\/piCXxKxfvZgz+SCvMLKRozMnvJw5UqNgxXyg2ODUqLVLTkBZx6gftIiCp02m0rO1y8yMVVNt\/iJq\/qAz6sbsNid8p9mLnFIXN3Wy75AJ7jvldkRa8cG4uWBOxZZPN3lII4czuZdpy5g0wnztxJZj3OyKdYN+KMfI71rGRMnO7caoMbAYHuk482Fcxnsb9Z\/vqR7cDza1wwSGTPXkN8i+lm1\/1Rvfs34j\/mxyWkXzxDyA\/Yk2\/jOIpMza93Km1f3uzkYjhFuxDj5FmMzNxio+laXiJOiBYEge3TckxxhCsxoowWuxL4+VaxbJkdTV8xyt8vtEM8HjQr9WRBTtgoJNBJxkJyiqSZr5s\/EHWVXIVZZle3W74vPQO+hoNwoWHx18roSK+TexWLul4GQXqDpLZfN5reymlKtO4mmhBywJuFLektkjpWD8k35QIlXvOHzt3UPLyYj2fkEW5SH4mJ7dTqyRo+qiTfJ4+N16NLXKA6+DGlirxGahhz8NjS7NNVj\/NrzXI+qATAj1\/1zQn\/CauVtU5L2nziml\/3W+bL90+Kx\/BkaQ75AXxKpSbJU7mb95Fq09I3ufHdKqmbttvY72Sib6\/5VsTuwF4J\/7tk86Ej8Yif1jJ\/L+4ekri5pwNLi6beMwICy6bpZ2KZWX97Jfos8xcAkuyzaUSafa783RnS57XZp+xyIBMNsdeAhUJe\/mgdUJFVbVZ9mRFrL0tOziv1VRE0n+Ox8FsVFSBFGNdsfytW6oBO5wl3S+Nnqg3pX7WWb93bMStcs9fzQHCsmRYbhrpUyVviZgLdWzv0otTT\/ahflMf75gsX5s+HmlOWtash5kqM2VcwZukiHzxmzHwAUYzYtuBxKk0spTbGoxlwhjnscmaKsqE23fNRgpv2s2Zq9lkzMrrEaVL2gnniTNVfy5u\/OHWFr6GR8+TaWt4Kq2psG2eWUM\/sjIfZI8kgk3YrLYuhy5Vv59+FsnBaLN\/Jv0vlu\/h3uXw3\/x4px9KykojK0cSeHWNDR8wCwONCc6Is2JOIHsmpOR27yjw+uboj\/16DPHRIr63Kh\/avKwnu+lKbf28oiZbcmGjJTUAz5bzZSckteAMkD5FHQA81avCwRHofHtTyRoMfIb16JFemwudR9\/LPo0urUvsx+UJBuvlY9xTgcUa4Ht+SATzBPS16oogT6ZPkD6uSPpltnuQpgf1zqk89Y\/\/EAppCcis6QnKbDOZ2Qdwhg7sTMZVd6a6C+XMCdxdKsjJPC7CDpPeYLjx9wyTPaFaKbTvgZwaNTst8vuhZ1gI822nIc6r5grGfz43\/WOjzEnubt+85gArSfzEPwEXMfLx4JWA7h5iJs+iiL6NcbXTaltdavBEAl2NTUlmVP2dqv9R4Ghm072bOFK\/4eFpl3JarzPvJ9uzPDGkDCEZKQHj\/By8aAADVWQl0VUW2rXsreSQMYQrz4GMUJIwCMrxbF0TFAZSpVQaVCCGAIYEQRiGAzNDQNKgIDQIiKDYiKCISCIiI7YSItOAsDogDggIqyvD3Pvfmpfqv\/9df3euvP7AWnMPdVadOnTpT1XMcV2lV+tDhtQdKl5mrOnWa66i0lIktB7W6JTu9Z5sefSak97ht8PUjJmS1H6UqqtTnk54qV0nVULVUQoKjlKsSnMTrcgaNGZGRnaciTtIUpVSyKqd2uUo5SoSrOirBTeyRnpkRbVk8pDQJ\/giR8RXJlnXGYeK2pMWpnOpgapnEPkMzoiNzc8YOG5yRGx2RPiGanjU6Jzo0fWxGdELOmGhe+n0Z0VFjMkbnDcvJzk4flpsxOpqXEx2ckZeRO2JYdkY0D\/OHjRiZPigvmjMkmjcsO3tY3pjR0ZxsTs+NDk4fljUhmjVsSEazaJ+hGaMxOHtQ1pjBGR1UpelKdYpiA41mQDencfec7LzRGbm56XmqV0bmmKz0XFX8qWnRp6sciPlf0tidAEX\/p\/64\/\/BHOy1d20LdMwYPGzPCNlD45XVHzYR7JMxRqvFMpdolakdN77U9150z9bPyOjN1U9cEmrsEjN8iUUXawpFmNBrwIuAptfT0S5cvW3DbyCjAM1M3DXBnqh6dNOQpCx4VmaAiExz4KRfQKgFfO0Fmfp8vGijHcR9QU3NsxInk71nVD37rTlenF9mIG8nP99soR7szVFJjG9GRyTtvKq2cBCAnetlIQiT\/UN3+ykkEcuduG0mMTN6zarlyIkDmXLSRSCS\/YaSzckpgP3ua20iJSH7StErKSQJSs7+NJEUmF+ZVVE4ykEdG2khyqIEL5OB6GykZ7icRSNUjNlIq1E0Daf2LjZQOd1rSnaUqRGykTGTK1pVllVMKSH4LG0mJ5E9Kbaac0kCe7WojZcP9aCAD77KRcuE6lHY000bKh9LKABk5xUYqhDZIAdJsno1UjEzO2nmWtp6l9qy0kdTQ1tTg8DYbqRRq4ADp9pKNVA49hLrd\/ZGNVAl1KwFk8RkbqRru1HVnqz8k2Ei18BQ0kMxyNlI91KA0kLWVbKRGKC0CpHnURmqG+ykL5MU0G6kVyR+75M5gnWYdbKR2uE45IMN9G7kiMnl84SrudLaa19VGouFOywO5vbeN1Ink37Dt6mCn391tI3WtnV4cbiP1Qg0qAGk\/0kbqh97L\/bw62UYahPvhOrH5NtIwXCcFyK1LbeTK0A+40yprbKRRuNMkINdssJHGoVfR1g9vspGrQltXBBItsJEmoYcQ2fA3G0kLEVq01Xs20jS0KDW4dMxGmoUaJAK562sbaR7GKW1Q75SNtLBs0OZ3G2kZ2kC7c9QU10ZahadQDkitRBu5OrROBAn4YpKNtA5tAGlTry1rI21CacmupO6iz23DA3WRePdssZFrQpXLIfGq5TbSLlzeRapMKmUj7cM5TK+P3GcjHULTlASy6Ckb6RgmKibR6FU2EgsNXRHICt9GvPDYmERPjLERE2rAVNlivY34oQHKAYkW2EincD8OkNUf2kjn+Dqz1M9JNnJtfJ1ZqnodG+kSrpMEZHETG7ku3A+TdY+2NnJ9aIMEIDsH2sgN4fkwue2430a6hg6aCmTIEhu5MZI\/r3OUO52l0p6ykZvCnVLrrB02cnOoNVPyl\/ts5JbQpSoB+fVjG+kWmSy6Udqs72ykeyiNGlw6ZyO3hhowrK7QNnJbaB0Gaf4\/2LpHeApESlS2kZ4hQmmL6tlIr1AaU8upRjbSO9SAKaxsSxvpE6YwBukMYyN\/iAfpbNX9Rhu5Pdwp09Hc7jZyR2g3al2xn43cGWpNaSsybaRvKI0l5miWjfSzSszgcTbSP1yH+\/lhuo0MCPfDRDXozzZyVxiN1GD4Mhu5O9QgGcj6R23knrgnzlatN9rIwNATeQpqu42kh6dQBsg9u2zk3hDhTgv32sigcKfU7aG3bGRwqBulvXPIRjJCadSgxVEbGRIilYD86WMbyQy9l8m68Zc2MjSM7cpAOp62kWGRSeWaPhvoNv6sjQwPdasCZOt5QdwAuS+Sf938NOVURUre7tpIViS\/5MYByqkGZGGyjYyI5Fe4s71yqiP1byprI9mR\/FQwMmdzqo3khHOQ+tXB6jYyMrRBDVfa8qLPoyKTmz1bSzk13WlqaoaN5IaK1ULqj7a2kdGR\/Nr96iunNpA9J2wkL5R2BRJ8uTo2MiZ09yiQOxfYyNhIfs3md3EzM9TQ32xkXLiZOkjJLZrZyPjIpHu\/OqiSkpNdp\/giE7\/8KXfKveXa6dRD\/dvUb\/pdzZxf52yvnPbYU2+2GdFuWYJKXB1R9qzw+lM0KWPDnFYlVnRPyzyzcd\/ZA02Pt7iUtRmTTpRQpR3eWHDYqoRKUqqMkzIFd+2yE5RcV3AxQSVszMsGtribFwheFXgpYPvPRp8tPZt3tulsyNl6z0KTzXaajTNb5Flohtn2ssFlK4v6cYbtKRtRtpxsLtlGsmFE3PpsAtnusbFjC8dmjW0ZGzC2Wmyq2D6xUWJLxOaHbQ4bGrYubFLYjrDxYIvBZoJtAza1ZwuMvRybKiWFHCUbRfMqlmEWXJwJNhQtYLlkYWQJhLJNWNZYwFiqWJRYflhoWFJYPFgmWBCY+pnkmc6ZuJmimYyZdplgmUqZNJkemQiZ8pjcmMaw8WVMTUxCTDdMLEwhTBZMC0wADHUGNcOXgcqQZPAxzBhQDB0GiaLj08XpzHRbnN4CcUU4XXm8hDhTHWeaox7AbRg3XtxqHTXLUbMdNcdReJZZ5ygHV+c3HP2Wow5ghKuWuk7EgY\/w5SRZlZqjggt18LaC15xl8rwyT62OlAneWKrz\/7Xc2uoK1dChk2FZ\/NX8By85jrpSLXVUTZXiVJuGTw1UmlzVnRe+3Jfs0iVVXT7m3JSNl4rs9Kzobdl4iOiSnj02fbSKFOkRLB9IDpaNP+0sxKKRur1xZVdTzfGDdX03p8L0jnGm9dVX++6s78r7cUagPl+sCwaTgSTqPbWYIaQ+hHVGfF1gKm0q4euFS38Q5pP6Ef\/ihh+NnuxX8j+feNiQ\/txohXHJYL7CsrqYGbPkEaPJ3PWnvebbhj+aMUuOGv1zo48MJU72nxeq79kxV5h5nQcaStX3pzYzNx7bYUg\/u22BcclAqHJn7HndAw2YF854vkBxplObT4zesP8Ws2jvOUyYajZ1dXz9dM3lon7RftQFVzkLl6b4z\/9trHGfW3nKI6NHfP27h72b73u2MzWaf+zpuptzzbA\/j\/BoJlL90flCYQ7+8q5ZvmyZp18+d8K8NrbQ+77nr+bm0q5xM4dEfAz39I3HfjPjCq\/wxhV+ah7uMj+mX6z9iil1ZG1Bi48fF6q5JpnHrm8LoSdjGv94ODUuxz0aPXV4zHttrDGkp5+YFXy4P3WTeen1Nd5nt71l9B+zvvaum\/+9WV29OYxw0egrZt4nW3yn7l+E6orT9whDy8gI7NJwCjUVGVXeT\/EXLt1kSLmKW2QZ5VDKK9HTRm\/JHSoM\/MiYkkeMhiioVmhovCazHzYu90tGv3rLLzSJSd74UTCUZ8+5RcLgrNvxFPn4yF2imD7f+wthGkQcH2KNvvXecv4dKSfNnMrV\/J8OQcOXXq8jGpJSQ\/kAW8gI7MeTKS+cmexRxrUDv4rpUke+EONyFVKdvHGFMDeXfsC0StoY07FPbzPr\/3Id7NnM0JnEf04\/cUOhuJbFRHy3jNsEUMgMKgcfpo\/V3fyTqTh9Kv4qX3+5LjA4FyRVDh2YzqJpBTKTUn8wJ37f4MEirp\/R8VPv5XNJPnzE6OdWlvWpD6lskMy1A9cZjlh8cieN6PpnLx42lHG4++dGhML4EiakulObR4Vxm8wORjzTNd1wCrZiRMYdKU0NhZLKKmS4LEeIHpxCxShDNKVQqs5VSJFw2ME1CQIZ5jM3bDtj6Cwr9sEIZy8+KJtve\/cOoS6ZVknfG\/fChi3idZqiyXRqc7d5JPtQEOvf99wusd7tmrn\/WazHzR9nqIJ6Gp60Yt9qOVp9w7bRwkz220DbfyqiOEKigVOoH2WIN1Io98JVSHWlTa8KM\/Gb48EIJjhOeXJ\/qSCi7tuZ6lMoqaxChstyhOjBKVSMMrBiTIRSda5CGuyKJtf0KDJMOnIoZdzv5JQ+OPBLcGzvdnfFfUhlPTI8aY7gdJlSYtrfDWWIc\/ArvYWrkOoHq84Q5uma\/YIRdA5OeSS7QiADid+jUFJZhQyX5QjRg1OoGGWIphRK1bkKqbpZOb\/ll4SSOMMazVcG5\/zcypyAgUU6CMTcKgwyJ0Sv8lwWD\/lSNF29BE+MOwZ9Js5AVOAzoAFDSDmjvJLmwar1fcmaZDps\/Zv36KkrfU1ln9zfxCf9tmHL4APysox4umaHYAqrDGWQ6hX7osK8Em0Bm2HED5N8kza7rU86eihkkKFQjpBVOIXLUgappMG+7VORuVC+yEBf5R4\/6BYzCGBP5\/vnTPpXPaDJB\/DcnTGI3i1e0uzZlUKRL3KEKdu0FQwNf3pv\/DdIhtM8fITeFz1x9MdHephveT6TKkdIluUUpl3KwBQmoRxxdK5CqpnWyTDyJN5bX33G9G1\/lqXPp3IumfhuyFh+zBxEZlde6Me\/538r7sKKIf5Dt6VDkYqOZOhyHCE+yCl0SsoQL6VQui1XIRWXI0MflBF0Sk6hl4oMui2FksoqZLgsR4genELFKEM0pVCqzlVI1SU0EM907ezTGnr3qn7CvHxuqF+26U9G91wwjgdnSKU7IoMTVe61AzOKGemOyLBC4jaLD0eN\/rZhTxS7H0zv7UYouqPGwuCCJj2XvrChvM+ETCrdERkIVe5H5y8F3k9GxJOheBpOxKfNfk96rW8bbhGKzDNbGCZkEc8QonhSEU8GQoNQAg0YxpTk4TjDvg7iuiLvnYWEiYbVGIVqqTgNczwpurEPhAnKJ7yozxeJ8p9WSaV9qqd35VX0GfDPdK3Dffn6qgHNxcJFJlerETnpXy0SOfqNNa8I89Lrx2RpNidm96oPxIsnfLPeuGQgSLmH6n5YzDx66gkP3c8BMFeiA9wGr1oS0xkdVzEmChafnCRUsyUkgylejwVVPFZJjx0YKT5I2fR+bjTA\/PXHQyw3Bs1ADbQJjyDKZwhFQnu\/mNmS+6TRZB7u8ob5pP5+NptG19n8rDguTU6KlJMpDNtR1gnd7ZpkeMUnaNQOwF\/fNi6Geszs0PlTb+rwC2gXGqF7d319uPu9YpIiGymHqjCHYDuPCXP58HZ4+6rAAnMqv+9RIzRWgY71P5xg3BdrzxQG1xQlDOnyZdWCD\/BwpJd68MuVnhw7pRYtwx8li1N94u0L4QzTdqH5vN8U3FS6EENw3GmFOPsGBr1UIU1HijZ5pjCokB4yaCFK5fQdaDsL33rzzZ27V1UvRJXQMeTlXWw\/ULPLFFIRUt14QFmYr0whzYCg3qUfeKiL4VAG8ltvdtvlXtwwykBgBwj596Xmyf3zsf01\/1GpaR5UGuYzCYY4AzMEwQAaMITUCXjnor1jxGt03\/athcFRemcv9okh3YyCl2j853AMozyXGQVJ29PolnCT2O6hm0XKesgT\/d8bPwzt10ShSIiPCXPDtudEWfH99K8OeqTMX\/KBFYd3nYrTOxldtumzZtZ3Pc2vvddKUtSfT3zQnO89CM3BOMPrgkahk\/8k3p6CTP6A0TC112HrHMaDR6\/VcEHvj1lP0BU9ZhP5UKvflzDqm179D88b3Wt7bXG0dnOnCUUIBP3wor3PIwwSfPTbbyNLK\/RRn5m11\/9sXKhNv2OdeQYqnzacS6ofR50iQ1djIy9NWc8F7KJPeg889HLwoW\/7rYaltIz712B9GITlDeG00iDL9IP0ZdIOc8cIpyeww4VITDvMlS3nGJ14+wHZLtNW5pAhBkX\/G3jLjUj532BKavAB+\/AKbnrTwLc8vbr6M1BobQGOTajckutsriBu4pKBHyiXl07QgFn\/l30enOCsXDaQQ+D3uH3cXHqvSKDOpKIvmeSNNQ3cxOPFDRnmmEfKcHbJyDp07zgDbzC4hjYSjf\/6Yy\/xBpTFSYiAUWGdG+WJ9clsyT0hpQ3ilc\/oJeVFGeJV8TbIqMvYHBZFwGgPTrINl4eMGPMpgqejpmNQYdYPUnFWMgjSwFq42CGpLPNImSddMiw1bOticYZrCRRn2Bzh6tABjhMyAtH6cUamE4ozTLoIoQ68dXr0eCjjoWMYTr3R3s0XKvWIzDNd1zAneRrnAX3\/JDHFag9LBHtW45TDKy1dSMKd\/igMzjYId9CAYdwLFGfu25lnXDbgojJiU4yKWr0FB7CKUBUYHtPbzQ29pWiteF8oEwIGt1H2VnGGa0r7Ra9iYccuYtKgYdfFfeHCpdnCoKnFpnEvZpPHizI+enJzRsCgdMQYODiAWf9SX8h2lAwrO91IGlZWdNYiXpellbV2A+f6b+sLOV2mIJ8iY\/1TfSGn4GQCGagYYbz8630h8wEzL60B4\/+ffDWj+aVfizNfrvvQaGY+pimmDuZpzexJ9Yv2o35E08sCBM8owJU2Txjek5GNg7s244k3abhJ4Fm89JKKPcnwWswRck\/mFF6cKQNTeE\/Ok6W4Cim6gaC1m9f5s0Ap+KxoyZ6R7uYeXXsaI141zDayEbYzcHWmguBlhMJIIWymMGi1i13gv74aVHn\/VhnBEiNT6AKUIS5AoTx6rkIqy5KhHogQSYOI0n0eNWW9wqtrYhC\/3Azjl7uT+MUwMSqFkaof4E\/MXLFPm\/vyCEeGPvne+MY+qzASVT2ftMnsyr5LRk6VGTLO0EkkQ8YZuIKSTAsaMAIxG8cZmU4ozrx6SxV5rfN4I2G2\/Xxia18jJcEiPm6184Sis10mDNprOFPMl9Jx47EOvqP24Kmore8y03a7BhvAHmVHRVtUS7Bf9ARMTwVMzMJAGxT71jF4ZF8PvXKMFO2cJx\/YKAUjtkouZ1\/lUQYpw4hRjuRSEX6z1cOS9XDmD0FwPXQvkEGGQoMRWIVTuCxlkCo8r7P5XXyyZvCqHmfQlvoSw3FGIPYzcQYGVi6ngwYMIUkUTJt84JM8TqbD1iSf72morVX9agnv4cpQNUgUZDA\/uNiBBgwLhtzwXjizCw70Pfq8dwyM8r75wxdf4Qn8eaH6p0MLhIFXogM6YJCvfaTOFwwpTe+SgVAF59gR+AQZKWWE4gyfu\/EmeDdi+gKibraZ9pDmu8ZqIEl+0X7UGSQK\/tjwSX2EEBm+ko4eWh7X2GzeWsrAE7ONhsvietaQ\/T+UPedppA8k2lV4F31SKFzpfWGY5zHfuLgCoWtBWYeOdEFpQnEUMVyOXkMs7Stgm0eqLx8eLwy7W+SDGBrAryVBMSgx3cBZ0njFgOXSPG5GPjBg2PMxfMXZGRB8XscUHxlrhGwRMoRKxJI5fvDzYASzFKdQU5HB\/VMoKQ2iHE5mHybpjgxyAFq3Q0aXmFZJEhFNtHvVcuPyOktGM3mwSrEUyLNpg8hLMrdImDqCpqFozwi5tsIwf4lTQ3HeMWL4GGP3Q\/\/FM28Jo5mJ0JaiiaiKY93pydM2pMJGU4WiVdwjDClHyQd2FB8cCHxI+uKfDnWXDvzgL72NPAQzRdLfedeQVAUd4H8pyAUTg2VZPtl5vf3LEqN5CcfRGlIuIB9wcEzoXv\/Bvxvd4uP6YmtakRT37jXCQG3zxppEHw8vR5DuXbzEnDDl7zxvXL53irl4u3701NcYNlMo7jjdhMGZY3MfG\/1wl1LSPpCy8MoHFlu8u0D1p43mtQq1C78W3IxVHjOat4Ze2x+VGOJvTPq6+RuRFB9EE7QH9lhAOxyWOIEjmaNrR0pBgSf0ZIXBwVYPPsBsaFjfwfIVPdEUp1RQdJby0MlwZB2UKIwzcLggUkEDhpByaGTc5INkTQYG8jKHNPR1jwVL8WLQxCe9sAGPlGRwNjJCknUwpbMfyOjs4+m4iTC8lNVojpdP3t0vH26Ht4Ue7AmDDw93aSIjZJVgSp1QRp3\/H9mOpnP7D+4YmJdM5pDjlN\/X0PvoOL\/2RrZj8071i\/YjbRF\/1ONhyY96ZNjSMN6ke2asMY1hqSDJUANSuoZ8YKXgCPh60HAzhVAGpvgilEtxFVK0fq8JQw15fcAPYo7PtuieHclBw83fiVhvESPH4FfviilQ5ozuP7hAnpNq9XtcKITNFYbtBRKBwS3CmKsGvA1fb4AoepE35RRWRMhIgXWgMplqCbfLiBO\/Nw6moIPD9XKoxKsI5Ya4CqksS4Z6nH5iP1\/RjtFC8qsYQ8yl7tDQk83A7PDY48xIMQgLcjv3T8oHGR5ZvC7FGZgrOE3QgCEk\/rdobyV5O3TJAFXu4pMXgglksD9PUxd0+ugp\/h5UFSZjrsgSR4qA7iMMaxd4D0lhs1xwSZkPXDKyDhutOIO7NzvSDrgS1ZWOHZ7P7mS6LJw5ZL1QzbaYDF898HrKKb\/hKaSFIeVoCPstkMptkFG8LbI1405dMtiSgjUuB5sjw7YISfoUZNfzGGpomGJyR+JemMJIcWHJFoYLIvPGJBnwtsiCiGaV\/VWa\/IpAKp5A5ujazVIyY3hjkClciTLmdYbzUih9lauQoustEIZ3FokoXi4h3awbeVFiziUT3w0Z5fDVku6DS8ROYUYPfSfwNM7APpGKfsJTUJPg9deUvAMSLsJS0JEMjCojxJ85hQ5OGeLxFMoQ4CqkuAzNEYZvsDKCDs4p9HiRwRCgUFJZhQyX5QjRg1OoGGWIphRK1bkKqVqHzMFg37D\/DVaXzcLgBUD8D0rFkDU+RQjExKLygXvhiFJHYDhOoSUpg1SzRyLDSimPbkjt+DH+Eh\/u0MRABhkKhSOgDcYqfGvkspRBGmhELxDxZLgefD0mCqBn4HuBdFLyAbbDx9kSBDIF112RRioakaFGcClPFMAzBYsOPBwyyFAoNZJVqBGXpQxSpf4N(\/figma)-->&#8220;><\/span>The provider may also have you take questionnaires to determine the impact of tinnitus on your daily life. These include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tinnitus functional index<\/li>\n\n\n\n<li>Tinnitus handicap inventory<\/li>\n\n\n\n<li>Tinnitus and hearing survey<\/li>\n<\/ul>\n<\/div><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"622\" height=\"408\" src=\"https:\/\/acadianhearing.com\/wp-content\/uploads\/2024\/07\/image-2.png\" alt=\"\" class=\"wp-image-2467 size-full\"\/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-top ov-icon-left-row\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/acadianhearing.com\/wp-content\/uploads\/2023\/05\/tinn-ov-3.jpg\" alt=\"\" class=\"wp-image-1986 size-full\" srcset=\"https:\/\/acadianhearing.com\/wp-content\/uploads\/2023\/05\/tinn-ov-3.jpg 600w, https:\/\/acadianhearing.com\/wp-content\/uploads\/2023\/05\/tinn-ov-3-256x171.jpg 256w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<h2 class=\"wp-block-heading\">Ways of Managing Tinnitus<\/h2>\n\n\n\n<p>If testing suggests the need for medical intervention to manage an underlying disorder, our team will connect you with the provider that can help. <strong>Options for management might include:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hearing aids:<\/strong> A majority of tinnitus patients also experience hearing loss. Hearing aids are used to amplify background sounds, which can mask tinnitus.<\/li>\n\n\n\n<li><strong>Acoustic therapy:<\/strong> This involves using sound to cover up or mask the perception of tinnitus.<\/li>\n\n\n\n<li><strong>Counseling:<\/strong> Techniques like cognitive behavioral therapy, or CBT, can help reduce the stress, anxiety and sleeplessness that often arise as a side effect of tinnitus.<\/li>\n\n\n\n<li><strong>Tinnitus retraining therapy:<\/strong> This option includes both counseling and acoustic therapy.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Acoustic Therapy Can Sound However You\u2019d Like It To<\/h3>\n\n\n\n<p>A significant element of tinnitus treatment is <a href=\"https:\/\/www.ata.org\/about-tinnitus\/sound-therapy\/\" data-type=\"URL\" data-id=\"https:\/\/www.ata.org\/about-tinnitus\/sound-therapy\/\" target=\"_blank\" rel=\"noreferrer noopener\">acoustic therapy<\/a>. The goal is to choose sounds that mask the tinnitus but aren\u2019t intrusive or annoying. Though behind-the-ear wearable devices are one option, you might also consider mp3 files, smartphone apps or sound generators to help avoid silence.<\/p>\n\n\n\n<p>Potential options include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>White noise<\/li>\n\n\n\n<li>Gentle music<\/li>\n\n\n\n<li>Nature sound<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide has-media-on-the-right is-stacked-on-mobile is-vertically-aligned-top ov-icon-row-2 ov-icon-right-row ov-icon-bottom\"><div class=\"wp-block-media-text__content\">\n<h2 class=\"wp-block-heading\">Counseling Can Provide Additional Support<\/h2>\n\n\n\n<p>Counseling can connect you with emotional coping techniques and strategies that will, in turn, help reduce potential side effects of tinnitus, including depression, fatigue and insomnia. By eliminating your anxiety around tinnitus, the noises no longer seem like a danger, and you\u2019ll be able to focus on other things.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Does Tinnitus Retraining Therapy Work?<\/h2>\n\n\n\n<p>Three big elements of tinnitus retraining therapy are:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An evaluation of your daily habits and history<\/li>\n\n\n\n<li>Fitting of a noise-generating device that helps cancel or muffle tinnitus auditory frequencies<\/li>\n\n\n\n<li>Counseling to help you learn to manage and ignore tinnitus symptoms<\/li>\n<\/ul>\n\n\n\n<p>The goal of tinnitus retraining therapy is to teach patients about their condition and ways to change how they react to and perceive the sound of tinnitus, ultimately removing the emotional reaction to it. Acoustic therapy will help mask the sound, and counseling will reduce the bothersome elements of the noise.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">You Aren\u2019t In this Alone<\/h2>\n\n\n\n<p>Tinnitus might seem daunting, but you don\u2019t have to face it yourself. At Acadian Hearing &amp; Balance Center, we can help you manage your symptoms. Whether it\u2019s providing you with more information about tinnitus or helping you find acoustic therapy, we\u2019re here to help.<\/p>\n\n\n\n<p><strong><p>Call Acadian Hearing &#038; Balance Center of Lafayette, L.L.C. at <a href=\"tel:+13372370716\" class=\"phone \"><span class=\"phone-number\">(337) 237-0716<\/span><\/a> for more information or to schedule an appointment.<\/p><\/strong><\/p>\n<\/div><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/acadianhearing.com\/wp-content\/uploads\/2023\/05\/tinn-ov-4.jpg\" alt=\"\" class=\"wp-image-1985 size-full\" srcset=\"https:\/\/acadianhearing.com\/wp-content\/uploads\/2023\/05\/tinn-ov-4.jpg 600w, https:\/\/acadianhearing.com\/wp-content\/uploads\/2023\/05\/tinn-ov-4-256x171.jpg 256w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Tinnitus Symptoms Are Manageable \u2013 We Can Help If you\u2019re experiencing tinnitus, you might feel like it\u2019s all in your head. While that\u2019s technically correct\u2014in most forms of tinnitus, the sound is only audible to you, but that doesn\u2019t mean you have to deal with it on your own. Our team at Acadian Hearing &amp;&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1193,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"page_fullwidth.php","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"[phone format=\"\"] | There is no universal cure for tinnitus, but there are treatments that make it less of a distraction. Call us to learn more.","_seopress_robots_index":"","footnotes":""},"service_tags":[],"class_list":["post-185","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/acadianhearing.com\/wp-json\/wp\/v2\/pages\/185","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/acadianhearing.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/acadianhearing.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/acadianhearing.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/acadianhearing.com\/wp-json\/wp\/v2\/comments?post=185"}],"version-history":[{"count":0,"href":"https:\/\/acadianhearing.com\/wp-json\/wp\/v2\/pages\/185\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/acadianhearing.com\/wp-json\/wp\/v2\/pages\/1193"}],"wp:attachment":[{"href":"https:\/\/acadianhearing.com\/wp-json\/wp\/v2\/media?parent=185"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/acadianhearing.com\/wp-json\/wp\/v2\/service_tags?post=185"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}