Comprehensive Stroke Certification Fees and Benefits. The Joint Commission and American Heart Association / American Stroke Associationâs Comprehensive Stroke Center Certification includes a new and exclusive suite of benefits. The annual fee for the first year is prorated depending on the date of application for certification.
1 When the bones of the middle ear do not vibrate and become stiff, it can give rise to a hissing and vibrating sound in the ears. 2  Rupture of ear drum either due to trauma or due to loud sound can cause vibration in the ear during the initial stage. 3  Infection in the ear, cold and sinusitis can also cause vibration.
I told him that if all he heard was his heart, he wasnât crazy. On the other hand, if he heard the voice of Abraham Lincoln whispering in his ear, he might have something to worry about. A condition called tinnitus causes unusual sounds in the ears: high-pitched hisses, lower-pitched buzzing sounds, clicking.