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I originally put these memories on paper to share with my two sons when they become mature enough to comprehend more fully the events described. As long as I live, I will never forget my secretary, Kathy informing me on Tuesday, September 11, 2001, that an airplane had just struck one of the Twin Towers of the World Trade Center.
That moment had an exceptional impact on me, as my nearly seven and nearly four and a half year old sons and I had been studying skyscraper history and construction for the past several months. I ran out to the lobby of my office building, where there was a television and watched in horror as the black smoke billowed out of gaping holes in Tower 1. My heart sank as any doubts about this being a terrorist attack went up in the very smoke that I was now horrifiedly watching along with my colleagues.
I resumed seeing the shocked patients in my office, when my secretary informed me that one of the Towers (Tower 2) had just fallen.
My mind was now miles away from my office, with those innocent victims of the ultimate in hate. I called both of my hospitals, Manhattan, Eye, Ear and Throat and New York-Presbyterian to learn that their emergency rooms had a€?adequate staffing for the time beinga€?. I now knew that if I were to make a significant contribution to the relief effort, I had to get a slit lamp downtown to treat the rescuers and victims with eye problems on-site. I called the assistant administrator at the Manhattan Eye, Ear and Throat Hospital, Craig Ugoretz, who combed the building and found the one slit lamp microscope that was not bolted to a floor-mounted stand. Not knowing when my next meal would be, or when I would return home, I grabbed a quick bite in a local restaurant. When I arrived at the hospital, the slit lamp was in the lobby, waiting for me at the security desk.
On our way it was suggested that I first stop at One Police Plaza to treat the eyes of injured police officers.
The police officers that I cared for were still so debris-laden, that their uniforms appeared more khaki than blue from the concrete dust and ash. On the first day alone, I had the honor of caring for the eyes of more than one hundred heroes in every sense of the word. Fortunately, most of the eye injuries were not severe, but were nonetheless incapacitating. During the night, when the steady flow of the injured slowed to a trickle I walked into the Command and Control Center next door to try to learn what was going on outside this fortress.
Still later when the flow of injured officers stopped, I wanted to take the slit-lamp to a€?Ground Zeroa€? itself to care for injured members of the other uniformed services. I went uptown during the night for a few hours to check on my family, clean up and possibly get a nap to prepare for the next day. It wasna€™t until my second day downtown, during a break, that I first opened the blinds of my improvised emergency room at One Police Plaza to discover that the windows faced out over the devastation. After my final visit to One Police Plaza to render follow-up care on September 20th, I was escorted to a€?the sitea€? by Sergeant Giuzio from the Office of the Chief of Police. As we went through multiple checkpoints, I began to see large groups of rescue workers walking through the streets. We walked the blocks of lower Manhattan, through several more checkpoints, to an NYPD a€?staging areaa€?. The road on which we were walking (West Street), just days before, was under high piles of debris, left by the Towersa€™ collapses. We were now standing adjacent to a€?Ground Zeroa€? on West Street between Building 6 and the World Financial Center. While I was transfixed by the overwhelming spectacle of this tragedy, the sergeant asked me to stay where I was as he walked up to a tall thin man. As we walked around the corner to the Hudson River side of the World Financial Center both the lights and the clatter of the rescue work faded, somewhat.
Going down Albany Street, we passed a restaurant, where people must have been sitting until the windows were blown in by falling debris.
As we walked onward toward the site of the Tower 7 collapse, there were many tents and tables set up to provide the workers with the essentials of life during their mission.
We passed buildings that looked as if they had been spray-painted gray because of their coating of concrete dust.
After the address we said farewell, feeling a sense of comradeship, which was disproportionate to the time we spent together. As we approached Liberty Street we saw a large group of rescue workers gathered under one of many gasoline-powered floodlights. Taking Douglasa€™ design from concept stage to a scale model rendered in Plexiglas became a year-long father and son project. Victimsa€™ names are an entirely appropriate means of remembering the dead in all memorials. It must be noted that there were no recovered or identifiable remains belonging to over one thousand victims of the World Trade Center tragedy.
Albeit not universally praised for their architecture, the Twin Towers were an integral part of New York City, which no longer grace our skyline. Both the names of the victims and a reincarnation of the World Trade Center icons could be represented simultaneously by the memorial, as there is no fundamental incompatibility between memorializing both human and material loss. Relics and rubble from the disaster site represent significant and tangible ties to the actual tragic event and location.A  Relics of the disaster should not solely be housed in a museum or off-site (as they are now) in an airplane hangar. The design evolved into a pair of transparent towers with rectangular areas missing where the airplane impacts occurred, containing standing faA§ade relics inside one Tower and the recovered American flag inside the other. After studying the photo for pensively for several minutes, he said, a€?You have to do something with thisa€?.
Within a few weeks, I received not just one, but two letters from the General Counsel of the Lower Manhattan Development Corporation (the organization empowered with the rebuilding of the Ground Zero area). Not knowing where to start, I casually asked an architect, Mark Mascheroni, who has a son at my sonsa€™ school, how much a set of architectural renderings might cost. We met face to face for only the second and final time at a very busy architectural printing shop, Esteban & Co at 139 West 31 Street. As I handed Mansion a check for his work, I asked him to sign the official LMDC release, required for all submission team members.
One appropriately placed 3-dimensional rectangular space, devoid of its glass faA§ade, representing the a€?impact voida€? in each Tower (floors 93-98 of the North Tower and floors 78-84 of the South Tower) symbolize the loss from, and location of, the damage from each initial airplane impact.
The difference between life and death for thousands of people inside the Twin Towers was the ability or inability to find an intact stairway by which to escape. Each of the two Memorial towers has a footprint of 40 x 40 ft., and is situated in the space in between the two 200 x 200 ft.
The glass panels making up the curtain-walls are inscribed with each victima€™s name, date of birth, occupation, nationality and, when from a uniformed service, the appropriate shield (FDNY, EMS, NYPD, PAPD) (Image 1, Section E). The glass curtain wall is supported by an internal, open stainless steel frame, reminiscent of the Twin Towersa€™ metal infrastructure whose melting under the intense heat of the jet fuel fires resulted in the Towersa€™ ultimate collapse. 1)The inspiring American flag recovered from the World Trade Center rubble that was solemnly raised by rescuers. A patient of mine, who saw the submission to the contest, was so impressed with Dougiea€™s concept that she arranged a meeting with the world-renowned architect, A. William Stratas, a website developer from Toronto created a wonderful website for contestants to share news of the competition and to discuss their personal experiences. Stratas and I began to communicate on a regular basis and became long-distance comrades in architecture. After office hours, I took Dougie to the party followed by a trip to the exhibition of the eight finalists at the Winter Garden of the World Financial Center. After talking to Dougie for a while, she informed me that the man standing directly behind me was Kevin Rampe, the President of the Lower Manhattan Development Corporation.
At the Forum, Dougie was interviewed by Georgett Roberts of the New York Post and by Alan Feuer of the New York Times.
After the photo session and the presentation of the Certificate of Merit to Doug, we were escorted to a locked room called a€?The Family Rooma€?.


Doug was introduced to the winner, Michael Arad, and his associate, Peter Walker, in a conference room. Aptly stated about the competitors by New York Times reporter Julie Iovine was, a€?Working on their own initiative and against lousy odds, determined to express themselves and to keep memory alive, they spent countless thousands of hours conceiving, drafting, revising and explaining their visionsa€?. As an ophthalmic surgeon, I expressed my personal need to do something constructive in the aftermath of the WTC tragedy by obtaining a portable slit lamp microscope and using it to treat the eye injuries of rescue workers at Ground Zero.
I reflected on how many renowned architects begin their creative processes with Lego blocks (or equivalents), or perhaps with rough sketches on cocktail napkins.
I discussed my feelings about these comments with a patient, who is an editor of the New York Times. Our teama€™s memorial design now proudly resides on the LMDC website along with the other 5200 entries. One final note is that, several years later, a patient came into my office and informed me that he had just been hired as the General Counsel of an insurance company in Philadelphia, by, of all people, Kevin Rampe.
As I wrote in the beginning, I originally put these memories on paper to share with my two sons when they become mature enough to comprehend more fully the events that I have just described. One of the most difficult things that I have ever been called upon to do, was to address the Connecticut Society of Eye Physicians on my experiences and on emergency preparedness, only a few months after the disaster, on December 7, 2001. I think about the tragedy every day, and particularly my personal memories of experiences that have changed the course of history. A total of 5,193 World Trade Center memorial proposals have been given the heave-ho, but the people who created them aren't slinking quietly back to their day jobs.
On December 6, hundreds of teachers, architects, and engineers that didn't make it will gather at New York University to display their work and discuss their discarded ideas.
Another participant, Barry Belgorod, plans to bring his 6-year-old son, Doug, to the all-day event. William Stratas, the Canadian Web developer organizing the forum, said the event wouldn't be a rally or a session dedicated to critiquing the eight designs that made it past the 13-member jury.
Only one session is dedicated to discussing the finalist designs, and he said he's anticipating some thoughtful but harsh critique. December 7, 2003 -- Some 60 people, including a 6-year-old boy, who were among the 5,000 entrants who submitted Ground Zero memorial designs, and lost, met in lower Manhattan yesterday to protest the closed-door judging process that produced the eight finalist proposals. Contestant Douglas Belgorod, 6, of Manhattan said he used his Lego building set to construct the two towers and had pulled out the blocks to leave a space where the hijacked planes hit. Brian McConnell, 33, an engineer from San Francisco, said he was glad he made the effort to see other people's work. New York heart surgeon Robert Jarvik, 57, said the finalists lacked passion and imagination. The losers -- no, not the losers, the ones who did not win -- stood around doing what they had done for many months online, which is to say they thought, talked, argued, vented, ranted, complained and basically obsessed to the point of meltdown over how to build the best possible World Trade Center memorial. Naturally, there was a bit of surprise when Adrienne Austermann, who goes by the name of Trinity online, turned out to be a woman since many people thought she was a man, and there was more than pleasant applause when Eric Gibbons, also known as Lovsart, took his own turn at the lectern since people really liked the absence of public benches in his plan, benches that might encourage loiterers to hang out eating hot dogs -- not exactly what Mr.
All in all, it was a remarkably diverse group, which had among its ranks a financial analyst, an engineer, a graphic designer, a schoolteacher, a sculptor, a union electrician, an ophthalmologist and his 6-year-old boy, and Robert Jarvick, the inventor of the artificial heart. There was also a very simple replica of the towers done in glass that was conceived by Dougie Belgorod, the 6-year-old, who constructed the initial model out of Legoes.
At any rate, the idea did not attract the interest of the competition's jury, which -- whenever it was mentioned -- seemed to produce in the crowd of nonwinners the kind of forced affability and small uncontrollable tics one often finds in people trying to suppress great rage.
They spent the morning sharing their designs with one another, and in the afternoon set out to draft a Declaration (''Capital D,'' Mr.
Later in the afternoon, the nonwinners went down to ground zero, where they stopped off at the World Financial Center to look at the eight designs that had defeated theirs.
It smarted having lost, no doubt about it, but all the nonwinners said they would not give up. As long as I live, I will never forget my secretary, Kathy informing me on Tuesday, September 11, 2001, that an airplane had just struck one of the Twin Towers of the World Trade Center.A  Prior to this, it seemed like a normal Tuesday morning, seeing patients in my ophthalmology office on the Upper East Side of Manhattan. Fortunately, most of the eye injuries were not severe, but were nonetheless incapacitating.A  When the Towers collapsed, there was a cascade of enormous quantities of pulverized concrete and sheetrock, wisps of fiberglass, asbestos dust (the buildings were not asbestos free) and splinters of glass. Still later when the flow of injured officers stopped, I wanted to take the slit-lamp to a€?Ground Zeroa€? itself to care for injured members of the other uniformed services.A  I was emphatically discouraged from doing this by the staff of the office of the Chief of Police, until buildings stopped collapsing and the ground beneath was more stable. Natural Tinnitus cures often have a much higher rate of success when compared to traditional medical intervention.
In short, while it is important to visit with a qualified doctor to ensure the underlying cause of your particular case of Tinnitus is not caused by a serious and correctable problem like blocked Eustachian tubes, true sufferers from Tinnitus may want to consider trying one of the many natural remedies available today.
Tinnitus is the medical term for the perception of sound in one or both ears or in the head when no external sound is present.
Although there have been tremendous advances through research, the exact physiological cause or causes of tinnitus are not known. Noise exposure – Exposure to loud noises can damage and even destroy hair cells, called cilia, in the inner ear. Certain disorders, such as hypo- or hyperthyroidism, Meniere’s disease, Lyme disease, fibromyalgia, and thoracic outlet syndrome, can have tinnitus as a symptom. Ototoxicity – Some medications are ototoxic, that is, the medications are harmful or damaging to the ear. Although there presently is no cure, in some cases, tinnitus can be managed by treating the underlying cause or by altering reactions to it. The phrase “prevention is the best medicine” could have been coined specifically for tinnitus. When poor physical health is to blame for tinnitus, correct the underlying medical issue(s) are sometimes all it takes to get rid of the ringing in the ears. While it is not clear exactly why they work, certain antidepressant medications can correct or reduce tinnitus. Benzodiazepines (most famously, Valium and Ativan) have been tried in tinnitus with mixed results. When tinnitus is a symptom on Meniere’s disease, surgical therapy might be able to correct the dizziness and ear fullness while at the same time eradicating tinnitus. While they have not yet been perfected, there are various types of electrical and mechanical devices that have been used to treat tinnitus. A tinnitus masking device is quite similar to a hearing aid in form but not necessarily in function. My foundation in faith and family has allowed me to face challenges and grow into an expert in hearing health care.
Charles Mango, from New York-Presbyterian Hospital, had managed to get downtown near the disaster site. Lester, a detention-center designer, is flying in from Kansas City, Mo., to show his design, which involves a kinetic polycarbonate sphere etched with the names of the victims. McConnell used mathematical equations to design his plan for a spire that creates the illusion of infinite height. Stratas posted registration forms online Wednesday morning, as the Lower Manhattan Development Corporation was announcing the finalists. Stratas insists the forum isn't about political action, some people say they'd like to find power in numbers. Stratas was standing at the lectern, on the fourth floor of the student center at New York University, talking to a group of peers whom he knew intimately but had never met before. Mango said: ''You see, when I came up with my idea, I really thought that I was going to win.
Stratas said), which will lay out their displeasure with the competition's eight finalists and which could be released to the public as early as today.
Heys's comment, Zane Kinney, who had flown all the way from Ellensburg, Wash., felt compelled to correct the record.
Vincenta€™s (which is not one of my hospital affiliations), which was closer to the scene, but they too had a€?enough medical personnela€? for the task.A  I was referred to a triage center at Chelsea Piers where medical volunteers could go to see a€?if they were neededa€?. Described by sufferers as a ringing, buzzing or hissing in the ears, Tinnitus can become so difficult to live with that it can effect every aspect of life.


The first is ‘subjective’ in which only the sufferer can hear the knocking, ringing or clicking. These methods tend to address the underlying cause of the problem instead of simply treating the symptom.
As an added bonus, because of the very nature of the remedies, the people that use the more natural cures receive the added benefits of a healthier life style. Instead of suffering in ‘silence’ take the step towards clearer hearing and thinking today by researching all of the available treatment options. There are, however, several likely sources, all of which are known to trigger or worsen tinnitus. When tinnitus is a symptom of another disorder, treating the disorder can help alleviate the tinnitus. This kind of tinnitus can be caused by abnormal blood flow in arteries or veins close to the inner ear, brain tumors or irregularities in brain structure.
However it is important to note that these options do not work for everyone and do not work to the same degree for each individual patient. Balancing thyroid hormone, correcting anemia, and controlling cholesterol might be all that is required to reverse tinnitus.
While some have argued that tinnitus and depression are linked, it is not so simple to think that depression alone leads to tinnitus. These medicines quiet electrical activity in the brain and can be helpful in quieting some of the signals that cause tinnitus. If there is a physical problem that is causing tinnitus and it can be reached and corrected surgically, surgery becomes the treatment of choice. In Meniere’s disease there is an excess of endolymph (fluid) in the vestibular system (the inner ear organ that helps us walk upright and maintain balance).
Since once of the root causes (or pathways, really) of tinnitus is abnormal electrical activity in the nerves going from the cochlea to the auditory cortex, scientists and doctors have tried to use electrical stimulation to override those signals. Instead of stimulating the cochlea, a device is applied to the outside of the skull and stimulates brain tissue using strong magnetic oscillations.
These tinnitus treatments include hearing aids, masking devices, and tinnitus feedback retraining. While a hearing aid amplifies sounds that enter the ear, a tinnitus masking device creates noise of its own. Their design was a glass replica of the twin towers with rectangular holes where the airplanes struck.
His design includes uniformed honor guards, firefighters and cops watching over a tomb in defense of the nation. That’s right, all of us suffering from the confounding ringing in our ears are actually suffering from another disease. The second is ‘objective.’ Under this form, qualified doctors, utilizing specialized tools, can also hear the noises.
In some cases audio maskers or hearing aids will be used in an attempt to cover up or mask the noises.
Many of these remedies are simple, common sense measures that attempt to address things like stress levels and poor diet choices. Tinnitus can be intermittent or constant-with single or multiple tones-and its perceived volume can range from subtle to shattering.
Your Elkhart Audiologist, Sharon Hirstein, understands that tinnitus can negatively impact your life, family and work. Sure having tinnitus can be depressing, but only certain types of antidepressants work on tinnitus, specifically tricyclic antidepressants.
Sometimes these arteriovenous malformations, as they are called, are present at birth but more often they develop later in life.
In fact, the earliest reports of electrical stimulation of the ears for the treatment of tinnitus date back over a hundred years. The technology has been used to improve drug delivery and reduce auditory hallucinations, but may also be effective in treating tinnitus. Since hearing and tinnitus are intimately related, it makes sense that treating deafness also helps treat tinnitus. There was a 70-foot glass sculpture of a pair of hands cupped together reaching for the heavens, and a sort of paddle-wheel thing that people pushed, and when they pushed it, it generated energy, and the energy was used to power spotlights, and the spotlights shone up into the sky, and the intensity of the shine, well, it depended on how many people were pushing the wheel. In order to be successful, it is first important to understand just what Tinnitus is, and how some of the remedies can help them. Before taking any medication, make sure that your prescribing physician is aware of your tinnitus, and discuss alternative medications that may be available. The best way to prevent tinnitus are to avoid those things that assault the ears namely prolonged exposure to loud noise, short exposures to extremely loud noise, and drugs that can hurt the ears.
A full medical checkup is a good place to start because a great number of potential causes will be checked and addressed if needed. If depression was the sole cause, one would expect that better depression medicines like selective serotonin reuptake inhibitors (SSRIs) would also be the better tinnitus medicines. Also, this class of drugs can be habit-forming, which is why they are used with caution and weighed against their usefulness.
An acoustic neuroma is a benign growth around the nerve that carries electrical signals from the inner ear to the brain. While directly stimulating the auditory system has been reported to help 4 out of 5 patients, the tinnitus returns soon after the stimulation has stopped. Early research indicates that transcranial magnetic stimulation may reduce the symptom of tinnitus for up to six months at a time. Improving hearing with a hearing aid does not always correct tinnitus, but it can be quite helpful to a number of patients with both hearing loss and tinnitus (about half). The worldwide impact of the tragedy is emphasized by recognizing the international scope of the loss. Still, they wanted to remain involved and to contribute something -- anything, please -- because their energies and passions, the collective vat of their creative juices, really, could you throw it all away? Unfortunately, because Tinnitus is a symptom, not a syndrome, these attempts at medical intervention usually only provide short-term relief.
The area is certainly murky, scientifically, but antidepressant medications may be a tool to treat tinnitus in certain patients.
Newer strategies for treating abnormal blood vessels include burning them or injecting them with sclerosing agents which causes the vessel to shrink and to die.
Meniere’s surgery is not 100% effective at treating the primary disease or tinnitus, but it may be an option for some people. It is not practical to use current methods of stimulation constantly—there would be no time for living life. Regular checkups can catch hormonal and metabolic problems in the early stages before they result in tinnitus. If the blood vessel that is causing the problem is an important one (like the jugular vein) destroying it is not a viable option.
Similar tissue growths at various places in and around the ear can cause tinnitus and can be cured surgically. While these devices are primarily used to give the sense of hearing to the deaf, they do so by directly stimulating the cochlea.
While it would be considered a rather bold clinical move, cochlear implants may be used to treat tinnitus in the future. Seven World Trade Center was not actually on the same plot of land as the rest of the World, Trace Center complex.



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Comments to «Tinnitus treatment forum»

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