Tinnitus to the inner ear can cause tinnitus, other apparent causes (e.g., temporomandibular joint dysfunction) are difficult to explain. It may be caused by increased neural activity in the auditory brainstem, where the brain processes sounds, causing some auditory nerve cells to become over-excited. The basis of this theory is that many with tinnitus also have hearing loss. Three reviews of 2016 emphasized the large range and possible combinations of pathologies involved in tinnitus, which in turn result in a great variety of symptoms demanding specifically adapted therapies. Even when tinnitus is the primary complaint, audiological evaluation is usually preceded by
The Gifts of the Body the patients and the caregiver. The book contains ten short stories, the titles of each being associated with "gifts" which are various functions of the body, both physical and emotional: sweat, wholeness, tears, skin, hunger, mobility, death, speech, sight, hope, and mourning. The caregiver experiences each "gift", as he/she deals with patients who have AIDS, showing the different shared relationships in each case. Each patient is a distinct case, differing in terms of age, financial situation, attitude toward the illness etc., showing the reader that this disease affects all types of people. The book is written in the "no-frills style"