Questions & Answers: Dear Dr. Chartrand

A Compendium of Excellent Questions & Answers

A compendium of popular questions and their answer.
We always welcome your thoughts and inquiries!

Following are a sampling of some the most popular questions asked "It's Your Hearing Health" questions and answers published throughout North America over the past year. These answers are not meant as diagnosis in any way, but for the education of consumers and professionals alike.

Question:

My ears itch all the time, and although I clean them out with Q-tips every morning, they just seem to get worse. I tried a boric acid solution from the drug store, but now I can hardly stand to touch them.---Mr. G.K..

Answer:

Dear Mr. G.K.: What you've done, to state it mildly, is removed at least the top two layers of tissue from your ear canals. Let's review some basic ear health information, and you might see yourself in this picture.

The outer keratin layer of the ear canal is made of protein, similar to human hair in composition, which protects the ear from bacteria, yeast, amoeba, psuedomonas and fungus growth. The layer underneath that is the epithelium or epidermis. This layer is living skin and maintains the pH of the ear canal, which protects the ear from infection.

Q-tips and other objects are not appropriate for the ear canal and serve as a "Brillo Pad", as they scrape off these two outer layers. The ears are self-cleaning in that the "desquamation of tissue" grows outward from the top of the eardrum, and carries with it excess earwax, dead tissue, and debris, which are easily removed at the opening of the ear with a simple tissue.

Earwax buildup is usually a result of one trying to remove wax; instead they push it ever deeper into the ear until it becomes impacted. Only your doctor can safely remove impacted earwax. And even then it will require the ear a good 10-14 days for your ears to heal from the intrusion.

The old adage to put "nothing larger than your elbow in your ear" is just as true today as it ever was. You may also wish to use Miracell Botanicals, a natural solution that gently nurtures sensitive ear tissue back to good health. Many patients report that as their keratin and epithelium tissue grow back, the itching eventually stops.

About Hydration:

Dear Readers: Simple, uncomplicated dehydration is something we see more and more these days in patients at our practice, with the detrimental health consequences it brings.

The average adult needs about four quarts of water daily to maintain blood volume, body pH, and optimal kidney function. Yet many older adults are reportedly drinking about half that much, some as little as a quart a day.

So, it is not unusual to find otherwise fit and slender people increasingly having to take medications for hypertension, high cholesterol, arthritis, diabetes mellitus II, and yet other medications to offset medicine side affects.

Such a tragedy from simply not drinking enough water. The question comes up regularly in how something so simple and mundane can affect us so much. In a nutshell, here is the process:

  1. At a half-gallon per day the blood volume (BV) begins to fall, and the kidneys respond by concentrating the body's sodium content.
  2. At one quart of water per day the body develops hypernatremia (extremely high sodium) in our body.
  3. Chronic hypernatremia results in body pH imbalance, which, not unlike hard water in one's water pipes at home, can eventually causes a host of other problems:
  • Cells become toxic & increase in size
  • Blood pressure rises (hypertension)
  • Blood lipids (cholesterol, triglycerides etc.) do not dissolve
  • Calcium doesn't absorb causing osteoarthritis (1-2% loss per annum) or osteoporosis (3-5% loss)
  • Hypoglycemia develops, and later diabetes mellitus II
  • Inner ear/vestibular problems increase

One reason the cause and effect relationship between water intake and one's health is so obscured is because of the time delay factor. Hence, it requires several weeks, sometimes months, of change in water intake to detect any measurable changes, for better or for worse.

Research further shows that the body is extremely self-adjusting to deficiencies. However, like adrenalin during crises, the body's adjustments are only meant to be temporary, not permanent. When deficiencies become a way of life, medications are needed to maintain "normality", at least at a symptomatic level.

Moreover, it's so vital to listen to one's body, giving it what it needs to maintain function and health, while avoiding substances that poison it, such as tobacco, alcohol, and caffeine.

But there is a danger in one who is already under a doctor's care and on medication in making self-adjustments without communicating with their doctor. For instance, after correcting a water intake deficiency, blood pressure may drop dramatically if medication levels are maintained. If the pH rises, because of increased kidney efficiency, and the patient remains on high levels of anti-cholesterol medication, muscle wasting or liver damage may eventually develop.

What does this all have to do with hearing health? Quite a lot, actually. Presbycusis (progressive hearing loss as we age), tinnitus (ringing in the ears), and vestibular (balance) problems may rapidly increase as a result of blood volume and pH changes. The ears are actually a quite accurate reflection of the of the body's health, and reacts itself accordingly.

Caution: Drinking too much water can also have dire consequences, hyponatremia (low sodium levels) being only one. The amount of water required daily varies according to actual body weight, physical activity, and other health factors. The above is offered as public education, and is not intended to be taken as medical advice.

Question:

Dear Dr. Chartrand: Recently, you wrote concerning hearing loss in men and why it was so important to have family support in making decisions about obtaining hearing aids. Why is this such a big issue for men, more than women?-- Mrs. A. S.

Answer:

Dear Mrs. J. D.: I'm glad you asked that. For the genesis of the problem goes back to what makes men and women different, including their neurological development at birth and throughout life itself.

You see, males develop their auditory (hearing) ability slightly later than females, and lose it much earlier. Hence, females sing in tune at an earlier age, have much larger vocabularies, and learn foreign language more easily. They also develop superior fine motor skills, and their corpus collosums (connective tissue between the two hemispheres of the brain) start out about 30% larger than males.

Males make up for this through superior visual and spatial development. Because of a smaller corpus collosum, they learn to specialize logic and language in the left (dominant) hemisphere, and develop spatial ability exclusively in the right hemisphere. So-called "women's intuition" is largely due to their bi-hemispheric ability in language development.

Males and females experience middle ear infections (OME) at about the same rate from ages 0-3. But, because of smaller corpus collosums, young males suffer the greatest developmental delays when middle ears are blocked for months and sometimes years at a time. Hence, better than 90% of learning and language disabilities are found in males, including attention deficit, dyslexia, and stuttering.

In the later teen years, males---even those developmentally delayed---play "catch up" academically with females, unless psychosocial, cultural, and behavioral problems stand in their way.

And this the crux of the problem: Males are generally less sensitive than females in self-assessing cognitive and auditory deficiencies, which is why few males come on their own to take care of such problems without female support. Less than 12% of males with hearing loss wear hearing aids in the U.S. (much lower penetration worldwide), while more than 35% of females with hearing loss wear hearing aids.

The tragic personal loss and costs to society are stunning, because of a lack of understanding about the interrelationship between hearing and mental health.

Therefore, it is imperative that we as a society recognize these influences in human behavior, and find ways to encourage males who suffer from auditory (hearing) loss to seek and accept appropriate help. Until then, it will continue to be a negative drain on the economy, human relationships, and personal progress.

Question:

Dear Dr. Chartrand: I've worn hearing aids for over 30 years and am about to get new ones. But I'm confused. What is all the hocus pocus about digital hearing aids, and why do they cost so much more than my current aids?---Mr. G.K..

Answer:

Dear Mr. G.K.: Well, there's really no hocus pocus, but instead a bit of confusion. It is best to look at advanced hearing aids as three general families of programmable technologies:

Analogue Programmables- Though much better than old tech, they share similar signal processing strategies, but with less distortion and greater flexibility. Add new compression strategies and higher fidelity range, and these become an excellent choice when the budget is important.

Hybrid Programmables- These tend to be the most popular class, because they utilize digital controller technology for some signal processing functions, but utilize advanced analogue technology to enlarge (amplify) the signal. They also fit a wider array of special hearing needs, such as loudness growth accommodation, wider spatial and dynamic bandwidths for better hearing in noise, and extremely flexible circuitry to meet changing hearing needs. Add multichannel amplification, strategic feedback control, and expansion compression technology, and this class generally gives you the most for your money.

Digital (DSP) Programmables- This class is by far the most expensive of the three levels of programmables, and where most of the hype and confusion comes from. For there are at least 4 distinct tiers of digital technology, from basic to advanced with a huge range of advantages to offer. Greater flexibility in programming, and the cleanest sound in noisy surroundings its hallmark.

For those holding off getting the new technology because of cost, I recommend either Analogue or Hybrid Programmable instruments. For those in which price is not a major consideration, and whose losses are no greater than 65dB PTA I recommend Digital DSP Programmables.

I hope this clears up some of the confusion, and that you can go out there with greater confidence that there is something that will meet both your needs and your budget. Good luck!

Question:

Q: My husband, brother, father, and two uncles have hearing losses and are stubborn as mules about doing anything about it. Last week I thought I had major victory when I finally got my husband to go in to have his hearing tested. But then he came back, muttered something about having a "little hearing loss" and that was it. In the meantime, me and the kids miss his participation with the family even when we're all sitting in the same room! What is it with men that prevents them from doing anything about something as serious as hearing loss?--- Mrs. J. D.

Answer:

Dear Mrs. J. D.: Believe it or not, you've hit the nail on the head, as to one of the main reasons why, out of more than 30 million Americans with hearing loss, only 4 million have done anything about it. Statistically, serious hearing loss occurs almost 2 to 1 in men over women, yet more women wear hearing aids than men.

This is a most tragic state of affairs, as hearing loss is our #1 untreated physical handicap, albeit an "invisible" one. For the young, it is often mistaken for mental retardation, ADD, learning disabilities, and myriad developmental delays (overwhelmingly for boys). For the elderly, it is mistaken for Alzheimer's, inattentiveness, depression, and anti-social behavior. For everyone between, it costs the U.S. economy an estimated $60 billion each year in lost work, accidents, and reduced productivity.

The key to why your particular attempt failed was because YOU were not with your husband throughout the evaluation process. I tell all wives, daughters, and nieces: "Go with the men in your family for the hearing test." Often men ask me why I want their wives with them for the hearing test, and I jokingly say, "To make an honest man of you."

But, in truth, the psychosocial effects of hearing loss are such that, with few exceptions in males, the worse the loss the more ambivalent and indecisive one is about 1) admitting there is indeed a problem and, 2) accepting the needed solutions.

One thing to keep in mind: The real loss of communication is greatest at the intimate level, where nuances of speech, tones of voice say it all----in such cases, bonds break, relationships suffer, depression and frustration sets in, and quality of life deteriorates. And that's just the mild to moderate losses. Severe losses, left uncorrected, devastate one's ability to function and perform at their potential, and reduce overall health condition.

So, please back up, do a retake on the scene you've painted above. And this time YOU come with your husband, and give him all the support he needs to get past his "John Wayne Complex". Then, he'll learn that a real "he-man" can wear a hearing aid as well as the next guy. My, what better hearing can do for a fellow!

Question:

Dear Dr. Chartrand: During a consultation with you for my hearing loss you motioned that it is entirely possible that my osteoporosis condition can be contributing to my advancing hearing loss. Please, explain that again. --- Mrs. J.W.

Answer:

Dear Mrs. J.W.: Many patients are not aware that the body is a whole organism, not a collection of unrelated mechanisms. Health factors that cause deterioration of one part of the body can and will do the same elsewhere.

In my experience I've found that the ear is reflection of the body's overall health. There are very few underlying conditions in the body that we cannot observe or identify through assessment of the ear.

For example, if you suffer from osteoarthritis (1-2% bone loss per annum) or osteoporosis (3-5% bone loss) you will also develop tympanosclerosis (thickening and calcification of the eardrum) and/or otosclerosis (spongy deterioration of the middle ear bones and cochlear labyrinth).

Most sufferers of these conditions appear to have either a calcium absorption problem (with too much free calcium in the blood system) or a calcium deficiency. The first is usually affected by a pH (acid-alkaline) imbalance in the body, as found in gout, diabetes, chronic hypoglycemia, etc. The second condition is generally a simple matter of your body not receiving enough (of an absorbable form) of calcium.

Drinking all the milk in the world will not overcome an absorption problem, but will result in calcium deposits where you don't want them (i.e., eardrums, joints of long bones, lining of the inner ear, and kidney stones). There are some forms of calcium, however, that can overcome most absorption problems, such as chelated calcium citrate (with vitamin D).

A simple deficiency can be helped by adding more calcium (with proportionate vitamin D) to the diet. But beware, popular sources such as Tums, Rolaids, and many of the cheap forms of calcium the. In the case of the antacids processed with aluminum chlorohydroxide, absorption is simply not going to happen, but deposits and stones will.

Also, there may be a connection between too much thyroid medication and production of calcitonin, which takes excess calcium out of the blood system and deposits it elsewhere. If the bones already have plenty of calcium to meet normal depletion, then excess calcitonin will only cause more deposits. The balance can be delicate, so that taking calcium without this knowledge can be adverse to your health.

For that reason, we need to be aware that there are important balances in the body when taking medications, vitamins, and minerals, etc. As a result it always best to consult with a health professional trained in the interaction between medications and nutritional supplements.

There is more to the answer than be shared here, but I hope this is a good start. Yes, your need for calcium can dramatically affect your hearing health.

Question:

Q: I am 69 years old and have a loud ringing in my ears. I've had so many medical tests, including CAT scans and the doctors can find nothing wrong. Why is it that something so disturbing and disruptive to one's life remains a mystery to the medical profession?--- Mr. R. A.

Answer:

Dear Mr. R.A.: The short answer to your question is that tinnitus (noises in the ear) is not a singular condition, but varies significantly from individual to individual.

However, your doctor should have referred you for a complete hearing test to determine if there could be a correlation between the tinnitus and an uncorrected hearing loss. In most cases, the proper fitting and programming of a hearing aid is the most effective remedy of all.

Our practice is currently in the midst of the Tinnitus & Amplification 2002 Study, from which we are developing "best practice models" for both the medical and audiology professions. Since our study design may be of benefit in "mystery cases" such as yours, I will outline the program here:

  1. General medical and health history, including available clinical tests, are profiled. In cases where ototoxic medications or pharmacological contraindications appear, we will refer you to your primary care physician for a follow-up review.
  2. Video otoscopy and hearing health history are administered. In this, certain physiological landmarks are observed in light of FDA Red Flag conditions. Again, referral may be warranted.
  3. Nutrition, stress and hydration issues are reviewed as well. Certain foods and substances have been identified in past research as contributive to tinnitus, balance, and deafness.
  4. A complete analysis of your tinnitus (frequency band, intensity, and correlative factors) is made, along with a battery of tests to determine effects of masking, residual inhibition, and auditory reattention.
  5. A complete battery of audiometric tests are then given to determine degree and nature of any existing hearing loss, along with an assessment for amplification.
  6. Follow-up of each of the above is conducted over a 6-8 month period, including hearing aid programming, auditory rehabilitation counseling, and reassessment of tinnitus.

There is a great deal of detail in the study not covered here. But early reports of the effort look very promising with some dramatic results being reported from most participants.

But the overriding benefit that has appeared so far is the increasing awareness among health professionals and patients alike that tinnitus does not have to remain a mystery, that there are indeed viable solutions, if applied individually and thoughtfully that can make a difference.

The study is open, of course, to all who desire to be a part of it. So you may consider this an invitation to participate.

Question:

Q: I have had ringing in my ears for the past 5 years. It keeps getting louder and louder. In a recent checkup with my doctor I asked what could be done, and he said for me to learn to live with it, that nothing could be done. Is there a cure for tinnitus anywhere?--- Mr. G.R.

Answer:

Dear Mr. G.R.: With all due respect towards your doctor, you need to understand that there are many causes of tinnitus. It is a very complex symptom, which, like pain in general, is trying to tell us that something is wrong in our ears.

During the 1980s we conducted a 3,000 patient study on tinnitus and amplification, and found even at that time that much can be done to help those who suffer from tinnitus.

We are now in the midst of a new study (Tinnitus & Amplification Study 2002), and have immensely more tools and treatment approaches with which to help our patients than we did in the ‘80s.

For most sufferers of tinnitus, for instance, we find that the newer digital and hybrid technology hearing aid circuits can be adjusted to help minimize or better manage tinnitus. For, in most cases, tinnitus is a byproduct of advancing hearing loss that has been long neglected.

So, the place to start your quest for relief is with a comprehensive and thorough test of your hearing. You may find that you actually need a hearing aid. Please, don't hesitate to take that recommendation.

Other aspects to be investigated are nutritional. A diet rich in fruits and vegetables is far superior to one laden with animal fats and simple carbohydrates.

You may also need to stop the use of tobacco, caffeine and alcohol. Avoid high salt and high sugar in your diet, as well as artificial sweeteners (Aspertame/Nutrasweet are pure poison), as well as avoidance of mono-sodium glutamate (MSG) and many artificial flavorings.

So, the question is not simply one of seeking a "cure" for tinnitus. Covering pain with an aspirin does not rid one of the underlying cause.

In recent months, I've received so many requests for information on this subject that I plan to dedicate several columns toward it in coming months.

In the meantime, the place to start on your quest for relief is to get your hearing tested, and look for ways to improve your diet and overall health. You can't go wrong by starting there.

Question:

Q: Our mother has been recently diagnosed with Alzheimer's disease. We were going to get hearing aids for her nerve deafness, but everyone tells us that it's a waste of money. Can hearing aids be cost effective for someone like her? --- Mrs. B.D.

Answer:

Dear Mrs. B.D.: Just returning from the American Academy of Audiology annual meeting where I just lectured on this very topic, it takes the wind out of my sails to hear such ignorant advice as given you about your mother.

First of all, the only way to truly diagnose and confirm Alzheimer's is in post-mortem investigation (after death). Since that is not practical, of course, the next best thing is to stake out professional observation points and watch to see what the patient does.

Does he or she seem to be cognitively impaired, forgetful, anxious and depressed. Do they tend to offer socially inappropriate responses in conversation, or to distrust the motives of others? Do they seem "spaced out" at family get-togethers?

For the life of me I cannot see how any professional can differentiate these classical symptoms of Alzheimer's from those of uncorrected hearing loss in the elderly. In other words, without a hearing test and subsequent rehabilitative measures I consider all such diagnoses/prognoses faulty and misguided.

By all mean, take care of your mother's hearing impairment. And do it soon. You just may add another 10 years to her cognitive health and happiness. With appropriate auditory rehabilitation I think you'll actually find that behind that outward facade hides the mother you've always known and admired.

Question:

Q: In a recent visit to a local clinic where you were guest consulting, you sent me to see a local ear, nose, throat specialist to explore the possibility of pseudomonas in my ear canals. He saw me briefly, said there was no pseudomonas and that my voice problem was from acid reflux. What is wrong with this picture?---Mrs. M. A.

Answer:

Dear Mrs. M. A.: I know that getting different opinions can be very discouraging. But keep in mind that pseudomonas cannot be found in a quick visit to a doctor. It requires biopsy or deep tissue culture, for even a topical assessment can miss this deep tissue anaerobic amoeba that plagues so many ears.

The problem with pseudomonas is that it creates a (low) pH environment in which almost anything can grow, including bacteria, fungi, yeast, amoeba, protozoa and carcinogens. In latent form, it usually exposes itself when air circulation is cutoff (such as during earplug or hearing aid use). Then, it can grow wild, along with the other pathogens listed above!

At that point, it is easy to mistaken the underlying cause (pseudomonas) for the more evident problems (bacterial, et al), and consequently, the wrong thing gets treated. In most cases, we find pseudomonas treated with antibiotics, which, though it helps control secondary infections, only feeds the pseudomonas to come roaring back stronger than ever later.

As I recall, that is what happened in your case, and today the pressure of whatever is causing your chronic problem is putting so much pressure on your vagus nerve (in the ear canal) that it is tightening your larynx and pharynx of your throat when you speak.

In truth, Cipro, both systemically and topically, is the only pharmaceutical answer that even phases pseudomonas, in a course of 7-10 days.

The acid reflux diagnosis, of course, can also be a correct one, as low pH that encourages pseudomonas growth also causes digestive/renal problems, as well. As a side note, treating acid reflux with medication does not change the underlying pH problem, and can make matters worse, especially in cases of diabetes, parasite infection growth, etc.

As mentioned earlier, pseudomonas usually cannot be seen, but requires biopsy. Studies that actually perform such biopsies in complaints like yours overwhelmingly find pseudomonas. But, of course, that does not mean your problem is that:just something I felt you should have investigated, which has not really happened as yet.

I wish you success in exploring your difficulty, and finding a happy solution. Like I always to my classes, "There are no mysteries, when it comes to health problems; just cases that have been explored enough."

Questions may be directed to www.digicare.org or faxed to (719) 676-6882. Due to space limitations, questions may be edited. Replies are for education pusposes only and must not be construed as medical opinion or advice.

Question:

Q: Why do I need a volume control on my new hearing aids? I thought these new digitals automatically adjust to the environment. ---Mrs. L.A.

Answer:

Dear Mrs. L. A.: You're right, they do adjust automatically:the problem is that they can't adjust you (smile).

One's hearing is not constant throughout the day. In fact, not much else about is, either. You're about ½-1" shorter by night than you were in the morning, can't see as far, nor taste, smell, or feel vibration as well.

There are many reasons why one who wears hearing aids needs the ability to change the gain (and sometimes output) of their hearing aids from day to day, although that does not mean you have to be turning it up and down all day long. But minute adjustments a couple of times a day could make the difference between success and aggravation.

Here are just a few reasons you need to have and learn to use the volume controls on your hearing aids:

  1. Auditory Fatigue. This is where your hearing loses some of its sensitivity after a long day. Normal hearing persons experience this also, but to a much lesser degree.
  2. Variations in Eustachian Tube (ET) Function- It is the rare hearing aid user that does not experience at least some seasonal allergy, colds, barometric and temperature changes which may impact their perception of hearing, secondary to changes in their ET.
  3. Auditory adaptation, acclimatization, suppression, fatigue, and overload are common among hearing aid users, especially elderly users.
  4. Fluctuating hearing thresholds secondary to Meniere's, ototoxicity or other allergic and autoimmune reactions.
  5. Limbic influences in the auditory experience (i.e., aversive conditioned reflexes), where emotional perceptions affect hearing sensitivity.
  6. Variations in telephones. Without user-controlled VCs, most hearing aid users must remove their hearing aids or put up with resonant distortion, acoustic feedback, or suffer reduced gain (in cases of telecoils) during telephone use.
  7. Abnormal loudness growth and loudness intolerance that exceed WDRC or AGC limits.

I know this answer seems extremely technical, but it is really just the tip of the iceberg. Research references are available on our website for the detail-oriented reader.

So, now you know: advanced technology as wonderful as it is will never replace natural function. But, put together, they allow those with physical handicaps to live life more fully and at or near normal in most cases.

Question:

Q: I've been reading a lot lately about the side effects of cholesterol medication. Since my doctor just started me on Lipitor I was wondering if there is anything that I should be aware of before taking it for too long. --- Mrs. J.H.

Answer:

Dear Mrs. J.H.: When the statin drugs first came out those of us in the research side of the field were a little nervous about the long-term effects of these "fast track" medications: "What happens when one's cholesterol levels drop below ‘normal', and they continue to take the drug?"

Well, the answer has recently come out in the form of two manufacturer recalls and subsequent addendums by others to their FDA notifications. For if there is no excessive serum cholesterol to breakdown, the medication heads for other territory, such as muscle tissue.

What is surprising is the large number of slender, low-fat diet patients who lately are being put on statin drugs. My question is: if the patient already has a low-fat diet, and is within normal weight range, doesn't that signal that something else is wrong?

There are a number of conditions that can cause cholesterol and trigycerides levels to rise, especially in otherwise "lean" bodies:

  • Simple, long-term semi-dehydration can cause overproduction of anti-diuretic hormone (ADH), causing sodium and triglyceride levels to rise
  • There could be undetected liver and/or problems needing attention
  • Certain drugs, caffeine, and tobacco reduce filtration in the kidneys, causing the same reaction over time as the above
  • Yeasts, fungi, bacteria, and other parasites in the kidneys
  • Diabetes II cause pH changes in the body, reducing the body's ability to breakdown lipids

Simply prescribing cholesterol in the above cases only masks the real problem, leading to more serious ones later. A much better approach would be first to:

  • Make appropriate changes in diet
  • Increase water intake to proper levels
  • Add a quality Vitamin E supplement
  • Run tests for possible liver disease
  • Change problematic medications
  • And/or rid the kidneys of parasites

Having said this, however, it needs to be pointed out that this is not medical advice for your situation, but merely talking points with your doctor.

Question:

Q: As a parent of an 8-year-old boy who has been diagnosed with ADHD, what should I do to help him have a better school experience than he suffered through last year?--- Mrs. A. R.

Answers:

Dear Mrs. A. R.: The answer to your question would be much longer than the space we have here. So, I will have to give you the "short answer":

  • Have your son's hearing tested, and a thorough hearing health history added to his school records
  • Make sure that his home classroom has FM Classroom Soundfield (this will benefit all children & the teacher, too!)
  • Enroll him in weekly music lessons (piano is best, practicing at least 25 minutes per day)
  • Make sure he gets at least 9 hours of restful sleep (night lights reduce REM sleep)
  • Make sure he gets a good high-protein breakfast each morning, not the candied cereals most kids eat
  • Keep him off all stimulants, especially caffeinated drinks and chocolate
  • Use closed caption on all TV/video programs at home to improve his reading skills—this item can be a lifesaver!

You'll notice that I did not address the medication issue. I am firmly anti-psychotropic drug in most cases. But that's one for you and your doctor.

Statistically we find that tests for food allergies and dietary changes, added to the above suggestions, negate the need for medication in most cases.

Research shows that most boys diagnosed with ADHD simply had a history of childhood ear infections, and will outgrow the developmental delays.

The body is an amazing organism, and can overcome most obstacles, if given half a chance.