Over 13% of adults were taking antidepressants within the last month. Children; Teens; Young Adults;. TMS is designated for the treatment of Major Depressive Disorder in adult patients who have failed to receive adequate improvement from prior antidepressant medication. It is a non-invasive, painless, and drug-free option for the treatment of a wide range of neurological conditions. Is TMS therapy covered by insurance?. *Most consultations. Optimal brain health is vital to everyone’s mental wellness journey. We serve: Puyallup, WA 98374. (855) 999-0274. On a sheer treatment basis, TMS is clearly less expensive than ECT. Pro: Minimal Side Effects. It is a technique that. It is a technique. TMS Washington, Treatment Center, Seattle, WA, 98133, (206) 538-2735, Transcranial magnetic stimulation (TMS) provides safe and effective treatment for. Northway Square East at Northgate 2150 N. be able to offer Transcranial Magnetic Stimulation Therapy to our. ** ,12 Research shows response rates for medication decrease with every subsequent treatment. " (206) 535-1436. Of course, you should show up to your appointment 15 minutes earlier and expect to wait for a bit, so be sure to factor in those variables. Bellevue, Washington 98004. Overview; TMS; Ketamine. We offer a wide range of treatments and services, including classes for families. 9: 3808 South Angeline Street Seattle, WA 98118 Main Tel: 206-461-4880 #10: Sea Mar Turning Point Substance Use Disorder Treatment Center: 4. 7414. orgWE HAVE THE EXPERTISE, PERSISTENCE AND COMPASSION. Treatment involves sitting comfortably in a chair in your healthcare provider’s office and wearing a helmet containing a patented H-Coil for approximately 20 minutes. With more than 800 providers, BrainsWay can provide the care you need. 374. org to schedule an appointment and learn more. However, MST operates at a. NeuroStim TMS Everett. TMS Techs provide direct patient care by administering TMS treatment and esktamine treatments while monitoring patient’s medical symptoms. 206-467. Food and Drug Administration (FDA), TMS usually is used only when. Email support@hopeforyourbrain. Transformational Psychiatry NW & TMS Clinic, Psychiatric Nurse Practitioner, Seattle, WA, 98116, (253) 242-2975, We are a very experienced mental health practice and have an extensive background. Esketamine. Union Avenue, Suite 14 Tacoma, WA 98405 —KITSAP— 17791 Fjord Dr NE, Suite 110 Poulsbo, WA 98370. Find a provider near you or contact us today. Suite 110. Their independent, state-of-the-art TMS Centers are dedicated to offering mental health professionals and referring medical doctors as well as their patients the most advanced options for treating Major Depressive Disorder, Postpartum Depression,. Washington. Your information is kept strictly confidential, and our screening process complies with HIPAA regulations. Treatment centers generally offer 30-day recovery programs. Parent or Guardian Name: Date of Birth: Required. A typical treatment plan involves sessions that take under 20 minutes, five days a week for four to six weeks, totaling to about 30 sessions. Find Regence Treatment Centers in Seattle,. Treatment centers generally offer 30-day recovery programs, or. Contact us at 206. Founded in 1990, Hazelden Betty Ford is. It utilizes pulses of magnetic energy similar in strength to those produced by magnetic. Deep TMS is a neurostimulation technology that uses a magnetic coil to activate neural networks in target areas of the brain implicated in mental health and addiction disorders. TMS is a highly effective, FDA-approved, proven & non-sedating treatment for patients. WE CAN HELP. Although repetitive TMS (rTMS) has been used to treat a variety of serious pathological conditions including stroke, depression, Parkinson’s disease, epilepsy, pain, and migraines, the pathophysiological mechanisms. Northway Square East at Northgate 2150 N. Call Us: (206) 402-3375. Fortunately, there are other options. Please fill out this short form today for a free phone consultation with NeuroStim TMS. 206-467. 2741 DeBarr Road. The information contained in this network provider directory is submitted by providers. —SEATTLE— 805 Madison Street, Suite 401 Seattle, WA 98104 —BELLEVUE— 1450 114th Avenue SE, Suite 110 Bellevue, WA 98004 —BELLINGHAM— 11 Bellwether. harvard. TMS Therapy Near Me is an online directory of Transcranial Magnetic Stimulation (TMS) centers. Why Seattle NTC?. TMS is an effective and proven therapy for many disorders and is FDA approved. Obsessive-compulsive disorder is a chronic illness characterized by repeated unwanted thoughts that lead to difficult-to-control. TMS is a medication-free treatment; you won’t experience the usual unpleasant effects of anti-depressants. If you or someone you care about is struggling, Rogers Behavioral Health can help. Call Back Request Form. Most insurance carriers cover FDA cleared TMS Therapy. Seattle Neuropsychiatric Treatment Center (SeattleNTC) specializes in Transcranial Magnetic Stimulation (TMS), Electroconvulsive Therapy (ECT), esketamine, and other cutting-edge treatments for. Street, Suite 401 Seattle, WA 98104. Consistently in the 'Top Rated' treatment programs. Please contact us to learn more about TMS and find out if TMS is right for you!. 308 Northwest 11th Avenue. Transcranial magnetic stimulation (TMS) is a procedure to treat treatment-resistant major depressive disorder. Get Started! 724. Transcranial magnetic stimulation (TMS) can help individuals suffering from depression. Paradigm Treatment Teen/Young Adult Mental Health. (253) 393-9099 FREE CONSULTATIONProvider badges reflect either the number of BrainsWay treatments during the previous quarter or number of treatment caps purchased during the trailing four quarters, with Premier Provider indicating the highest tier and Select Provider indicating the next highest tier. Eastside TMS and Wellness Center provides an alternative treatment of major depression using the revolutionary FDA approved treatment, Transcranial Magnetic Stimulation. Patients usually drive themselves to and from their TMS appointments. It does not require a significant recovery period, and the 18-min treatment can easily be integrated into each patient’s day-to-day schedule. Here are answers to some common questions we receive about depression and TMS Therapy. Hanley Center’s tropical campus in Palm Beach. Welcome to the Anxiety Center at EBTCS! We are a specialty center that offers state-of-the-art, evidence-based treatment for adults with the entire spectrum. Transcranial Magnetic Stimulation (TMS) directly stimulates the brain to improve mental health. United States. Background The clinical efficacy of repetitive transcranial magnetic stimulation (rTMS) in treatment resistant patients (at least 4 medication trials) appears to be well accepted and forms the coverage policies and rTMS’s use in many of the largest US payers. ECT causes changes in the brain chemistry and connections that can quickly reverse. Keywords: Advanced Search. This article reviews recent research that supports Stanford’s revolutionary approach, which may improve the effectiveness and accessibility of TMS for depression. 206-467. To regain control of your life, call 866-558-1376 or contact us online. Find Providers by Specialty. Wisconsin; Age. Phone: 617-726-5340. Drug abuse. Pacific Phoenix TMS Vancouver. Brendan Roe & Julia Swofford who provide deep TMS treatment (transcranial magnetic stimulation). Providence is one of a select few advanced. For. To find the closest NeuroStim TMS treatment center near you, look through our listed TMS treatment locations below. Find a Provider. Food and Drug Administration in routine clinical practice as a. "Transcranial magnetic stimulation (TMS) provides safe and effective treatment for depression. Transcranial Magnetic Stimulation (TMS) is a technological breakthrough for treating Major Depression, PTSD, Anxiety, OCD & other mood disorders. Theta Burst Treatment; TMS “Off Label” Treatments; Is TMS For You. Our care team, led by Dr. Transcranial magnetic stimulation (TMS) provides safe and effective treatment for depression. These substance use treatment centers in Seattle focus on providing mental health and substance abuse services. The treatment uses magnetic pulses, similar to those involved in MRI screenings, to produce changes in brain activity. TMS treatment for major depression and other mental disorders is proven safe and effective. NeuroStim TMS Center is a leading expert in TMS treatment with patient outcomes higher than national. Each treatment is about 15 minutes. We provide the ASAM continuum. Request Appointment. Treatment centers in King County help clients with substance abuse issues, drug abuse, and pain treatment, as well as eating disorders. Seattle Neuropsychiatric Treatment Center. It is a technique that uses powerful, focused magnetic field pulses to stimulate the neurons of the brain. Seattle, WA 98104. TMS – By Location Unless otherwise specified, providers are as listed on practice website or as confirmed by our staff. A dedicated NeuroStim TMS patient advocate will give you a call back at the time range you select below. TMS Washington is a Transcranial Magnetic Stimulation (TMS) Treatment Center. Interventional psychiatry is a mental health specialty that uses electrical or magnetic stimulation, as well as some drug treatments, to alter brain circuitry and subsequently ease the symptoms of long-term depression, bipolar disorder and anxiety disorders. The Veterans Health Administration has offered solid organ transplant services since 1962 and bone marrow transplant services since 1982. While the focus is on the underlying mental and emotional health issues, we treat teenagers who struggle with substance abuse, trauma, grief, self harm, eating disorders, personality disorders as. com) Lead TMS Technician. Treatment centers in Seattle help clients with substance abuse issues, drug abuse, and pain treatment, as well as eating disorders. com) / TMS Washington (TMSWashington. In a TMS therapy session, the doctor sets an electromagnetic coil on the patient’s head just above the forehead. Transcranial magnetic stimulation (TMS) provides safe and effective treatment for depression. Vancouver, WA 98683 (360)-831-2276 (360)-326-2606 pacpx. Contact Us or Book an Appointment. 2366 Eastlake Ave E, Suite 335, Seattle, Washington 98102 . To learn more about how TMS therapy through NeuroStim TMS can relieve symptoms associated with depression, anxiety, and other mental health conditions or to schedule a consultation, call (888) 963-9467 or visit About NeuroStim TMS Treatment Centers—SEATTLE— 805 Madison Street, Suite 401 Seattle, WA 98104 —BELLEVUE— 1450 114th Avenue SE, Suite 110 Bellevue, WA 98004 —BELLINGHAM— 11 Bellwether Way, Suite 210 Bellingham, WA 98225 —TACOMA— 1530 S. Treatment centers in Seattle help clients with substance abuse issues, drug abuse, and pain treatment, as well as eating disorders. Vancouver, WA 98683. Your treatment is centered on the proven whole person care approach to recovery. Neuropsychiatric Treatment Center. Seattle NTC provides ketamine therapy to patients that need it most. Over 1000 TMS centers are in operation globally. Find one of our depression. In addition to TMS, ECT, and ketamine, we offer clinical trial options. Behavioral Neurology. 588. You’re in the right place. Pacific Phoenix TMS Vancouver. While the focus is on the underlying mental and emotional health issues, we treat teenagers who struggle with substance abuse, trauma, grief, self harm, eating disorders, personality disorders as. Seattle Neuropsychiatric Treatment Center (SeattleNTC) wants to add an outstanding TMS Technician to our exceptional team!. SEATTLE, Sept. Northway Square East 2150 N. Pro: Minimal Side Effects. ) Easy Apply. TMS uses a highly focused, pulsed magnetic field. Seattle clinic offering TMS, esketamine/ketamine (Spravato),. Get Help. Find Medicaid Treatment Centers in Seattle,. About Rebecca M. Welcome. com. LOCATE TMS THERAPY. Contact us at 206-363-8240 or visit us at 901 Boren Ave. A typical treatment plan involves sessions that take under 20 minutes, five days a week for four to six weeks, totaling to about 30 sessions. Find Medicare Treatment Centers in Washington,. Seattle , WA 98104. We have appointments available today. TMS delivers magnetic pulses across neural pathways to activate mood centers in the. Northpoint Seattle is a highly specialized drug and alcohol outpatient treatment center located in Northgate in Seattle, WA. Standout. com. New York City area-- Fran Anderson PhD, Arlene Feinblatt, PhD, Kirsten Fliegler, PsyD, Eric Sherman, PsyD, Margaret Chan, Ph. Additional eligibility criteria includes: Y-BOCS score greater than or equal to 20 and stable on any medications for two months prior to study entry. The most effective, life-saving treatment available for severe depression. Connecting TMS patients with providers for. TMS therapy uses a highly focused, pulsed magnetic field to. Below are answers to some common questions we receive about depression and TMS Therapy. Depression Treatment in Renton, Bellevue & Seattle Area. 1450 114th Ave SE, Suite 110 Bellevue, WA 98004. Treatment centers generally offer 30-day recovery programs, or. SeattleNTC. The definition sounds a little frightening—energy or magnetic pulses entering the brain brings up images of inhumane psych wards in horror movies. Seattle Neuropsychiatric Treatment Center (SeattleNTC) has room for outstanding physician-psychiatrists on our exceptional team. Apply to Psychiatrist, Psychiatric-mental Health Nurse Practitioner, Civil Engineer and more!What Is TMS Therapy; Where To Start; Disorders Treated; In The News; Contact Us; TMS Forum; Search. The NeuroStar TMS Therapy system is also the first TMS device to have been evaluated in a large, multicenter, randomized controlled clinical trial. Alaska. Currents pass through the coil to stimulate nerve cells in the part of your brain that regulates mood. Transcranial magnetic stimulation (TMS) uses a magnetic field generated by a coil in a paddle that is held against the patient's head to stimulate specific areas of the brain. The position requires dependability, a highly professional demeanor, compassion, outstanding communication skills, comfort with high. Cascade Behavioral Health, located in Tukwila, Washington, is a leading provider of inpatient addiction treatment. Step 2 – Magnets treat your depression. 1450 114th Ave SE. Seattle Detoxification Treatment Center is a beacon of hope for individuals seeking a fresh start in their journey to recovery. Zand helped Carol feel on top of the world. 8555703049 More About This Center. Transcranial magnetic stimulation (TMS) is a brain intervention that modulates activity in discrete cortical regions and associated neural circuits by noninvasively inducing intracerebral currents. Psychiatrists Therapists Teletherapy Treatment Centers Support Groups. Havenwood Academy, a long-term residential treatment center in Southern Utah, specializes in treating young women who are struggling with complex trauma and attachment related issues. It is a technique that uses powerful, focused. & Online. It is a technique that. Acute Pain Therapies & Ketamine Clinic in Seattle 13033 Bel-Red Rd. Blog; About TMS. 13, 2022 /PRNewswire/ -- With seven locations in the Puget Sound area, NeuroStim TMS provides TMS (transcranial magnetic stimulation) treatment to patients struggling to overcome. In 1985, Anthony Barker and his team developed transcranial magnetic stimulation (TMS) when they produced a motor response by noninvasively applying a magnetic field to the human motor. However, MST operates at a. We are located at Cleveland Clinic's main campus, 9500 Euclid Ave. Psychology Today. S. Contact. And if you like to take in edgier modern dance performances, check out the many smaller theatres that are a little more off Bellevue’s beaten path. TMS Therapy can help. Ours is the only clinic in Washington state offering all major FDA-approved treatment options – TMS, Esketamine, IV Ketamine, ECT and others – for disorders that have not improved with medications and. (206) 966-6287. Union Avenue, Suite 14 Tacoma, WA 98405 —KITSAP— 17791 Fjord Dr NE, Suite 110 Poulsbo, WA 98370. We serve: Seattle, WA 98134. MeRT is a highly customized use of Transcranial Magnetic Stimulation or TMS, based on sophisticated diagnostics. Our world-class staff provides. Transcranial Magnetic Stimulation Clinical Service. NeuroStim TMS is Washington's largest provider of Transcranial Magnetic Stimulation (TMS Therapy) with nine (9) TMS treatment centers located throughout the Puget Sound Region (Everett, Seattle. We are proud to be the first Pacific Northwest TMS clinic. Northpoint Seattle is a highly specialized drug and alcohol outpatient treatment center located in Northgate in Seattle, WA. We work with. Give us a call now to see how we can help you: (888) 963-9467. 6076 and/or info@successtms. 107th St. Standout. Please fill out this short form today for a free phone consultation with NeuroStim TMS in. St. Seattle mental health clinic offers Telepsychiatry, TMS Therapy, Esketamine, Medication Management and ADHD treatment. Downar has directed dozens of TMS clinical studies, and his work has been published in numerous high-impact international research journals. ): Intensive outpatient treatment. Neuropsychiatric Treatment Center. (360) 516-1618. Treatment centers generally offer 30-day recovery programs, or. I accept insurance. The Everett-Mill Creek area, located about 25 miles north of Seattle, seems to have it all. TMS is an FDA-cleared, non-drug, non-invasive therapy for the treatment of Major Depressive Disorder (MDD) and Obsessive-Compulsive Disorder. To schedule an appointment, call 844-867-8444. Methods. 115 NE 100th Street, Suite #300 Seattle, WA 98125. Provide state-of-the-art Transcranial Magnetic Stimulation, or TMS, Therapy service to the Seattle and Washington Area. Only 8 Weeks to Experiencing Relief. Get Relief from Depression Without Taking a Pill! TMS Therapy in Millburn. TMS treatment works by placing electromagnets on specific, targeted positions on the head to create magnetic fields that stimulate the nerve cells in the brain. 22 Tms Treatment jobs available in Des Moines, WA on Indeed. On a sheer treatment basis, TMS is clearly less expensive than ECT. Roles and Qualifications of TMS Treatment Team Members. Verified. Transcranial magnetic stimulation (TMS), which was approved by the FDA for routine clinical use in 2013, is a painless and virtually side-effect free treatment for people with severe depression. Individuals that have tried medications and psychotherapy to relieve their depression, with little or no success, often give up hope. Mayo Clinic's Department of Psychiatry and Psychology, one of the largest psychiatric treatment groups in the U. Call Us: (206) 402-3375. Mon 8:00 am - 5:00 pmOver 5. TMS is one of the newest and most innovative procedures for psychiatric and neurological issues. Transcranial magnetic stimulation (TMS) provides safe and effective treatment for depression. Suite 411. Suite 400 Seattle, WA 98133. Suite 190. |. TMS Therapy | Transcranial Magnetic Stimulation TMS is a safe, effective treatment option for a variety of mental health conditions. We specialize in a range of behavioral health issues and disorders including depression, anxiety, OCD, and much more. Seattle Neuropsychiatric Treatment Center is a Group Practice with 1 Location. Consistently in the 'Top Rated' treatment programs. Available both in-person and online. 224. Overview; About Depression;. Seattle WA-- Serena Sterling, PsyD 206-707-9397; SterlingPeakPerformance. It is an FDA-approved, non-invasive treatment that. Louis, MO 63104-1027. Bariatric Surgery. Transcranial magnetic stimulation (TMS) is a brain stimulation therapy that uses a series of magnetic pulses to activate the depressed brain. It is a technique that. The Journal of Clinical Psychiatry, 73(4), e567-573. Search. Cost/Insurance. 1450 114th Ave SE Suite 110. 800. (503) 379-0890. Northway Square East 2150 N. The neuropsychiatry center provides patients…. Step 4: Repeat for 6-8 weeks, less. since 2008 for the treatment of major depressive disorder unresponsive to at least one medication, using a rather basic protocol, the future use. Refer a patient online, learn about our clinical partner program, find out more about our services and accepted insurances, meet our clinicians, and more. Transcranial Magnetic Stimulation (TMS) stimulates your brain non-invasively using magnetic pulses. Northway Square East 2150 N. org Click here to begin the screening process with our TMS team. Call Us: 206-402-3375. Prepare a list of any medications and/or supplements you are taking with the doses and when you began using them. TMS (or transcranial magnetic stimulation) therapy is an FDA-approved treatment for Major Depressive Disorder. In 18 months, the Seattle Indian Health Board plans to open on Vashon Island what may be the state’s largest inpatient substance use disorder treatment center. Transcranial magnetic stimulation (TMS) is an effective method used to diagnose and treat many neurological disorders. Call 615. While the focus is on the underlying mental and emotional health issues, we treat teenagers who struggle with substance abuse, trauma, grief, self harm, eating disorders, personality disorders as. The answer is a resounding "Yes. It's called a "noninvasive" procedure because it's done without using surgery or cutting the skin. Eastside TMS and Wellness Center has a patient-first philosophy. Con: Insurance Doesn’t Cover it Yet. Call Today! 813-878-2100. Call Sarah F Robbins. Location. STE 104. Treatment Setting Residential inpatient Hospital inpatient Outpatient Telemedicine Detox. Approved by the US Food and Drug Administration (FDA) in 2008, TMS devices operate outside of the body and use powerful magnetic fields to stimulate nerve cells in specific areas of the brain to improve symptoms of depression. Next Page: Frequently Asked Questions. Call. It's possible you may know someone who has sought alternative treatments for depression. Depression Treatment. 467. Transcranial magnetic stimulation (TMS) provides safe and effective treatment for depression. Step 3 – Repeat for 8 weeks. Our goal is to give your child or teen complete and coordinated care and help them transition to adult services when the time. We provide the ASAM continuum of care. From the moment our patients step through the doors, they’ll begin developing the tools needed for everyday life after treatment. 1499 S. 1499 S. Discover a NEW and advanced treatment for depression at one of our Success TMS depression treatment centers. TMS Therapy - New England Center for Mental Health, Treatment Center, Littleton, MA, 01460, (978) 261-3792, Now there's hope! If you are suffering from depression, you are not alone. 16715 Seattle Avenue N, Suite 102 Seattle, WA 98133 Main Tel: 206-546-9766 #9: Consejo Counseling and Referral Service : 4. Bellevue, WA 98004. , #1776, Seattle, WA 98104: TMJ Orofacial Disorders Center. 19,20 Repetitive TMS (rTMS) refers to TMS applied repeatedly during a session. Transcranial magnetic stimulation (TMS) uses a targeted pulsed magnetic field, similar to what is used in an MRI (magnetic. Suite 400 Seattle, WA 98133 info@tmswashington. Rambam Health Center Pain Clinic. NeuroStim TMS Center is a leading expert in TMS treatment with patient outcomes higher than national averages. Transcranial Magnetic Stimulation (TMS) is a cutting-edge treatment that involves using electromagnetic pulses, much like an MRI, to generate a targeted magnetic field in the brain, activating neural circuits in the region of the brain associated with mood control. 4: 113 23rd Avenue S Seattle, WA 98144 Main Tel: 206-219-5980Understanding TMS Therapy and its Benefits TMS therapy, also known as transcranial magnetic stimulation, is a revolutionary treatment for various mental health conditions, particularly depression. Our focus is on clinical excellence, evidence-based practice, and patient-centered care. 805 Madison Street, Suite 401 Seattle, WA 98104. To learn how Rogers in Seattle can help, call 800-767-4411 for a free, confidential screening or complete the form below. NeuroStim TMS Center is a leading expert in TMS treatment with patient outcomes higher than national. 4: 113 23rd Avenue S Seattle, WA 98144 Main Tel: 206-219-5980 Understanding TMS Therapy and its Benefits TMS therapy, also known as transcranial magnetic stimulation, is a revolutionary treatment for various mental health conditions, particularly depression. When used for depression, OCD and to stop smoking, this treatment involves delivering repeated. Allen Psychiatry, TMS & IOP, Treatment Center, Allen, TX, 75013, (972) 945-8106, Transcranial Magnetic Stimulation (TMS) therapy is a drug-free, FDA-cleared treatment that uses gentle magnetic. Depression Treatment in Renton, Bellevue & Seattle Area. Seattle NTC – Seattle, Washington Ketamine Clinics, TMS Therapy Clinics. com. (855) 999-0274. You may be a candidate for interventional psychiatry if medication and therapy have not. Cost/Insurance. It is a technique that uses. I believe that you are the expert of your life, so we will work together in a collaborative effort, to best serve your needs. A completed referral form is required prior to. Suite 400 Seattle, WA 98133 info@tmswashington. Virginia. We serve: Seattle, WA 98134. I accept insurance. Evidence Based Treatment Center is a Group Practice with 1 Location. Esketamine, also known by the brand name Spravato®, is a promising new antidepressant that has the potential to work very quickly. Magnetic seizure therapy (MST) is similar to TMS, in that it is a non-invasive procedure in which magnetic pulses are delivered to the brain via the patient’s scalp. Most relevant. Transcranial Magnetic Stimulation (TMS) Therapy is an innovative non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms, restoring HOPE to those struggling to. Find Meridian Treatment Centers in Seattle, King County, Washington,. The number of sessions is dependent on response to treatment and other factors. TMS and Wellness Center was established for the treatment of major depression using the revolutionary FDA approved treatment, Transcranial Magnetic Stimulation. 1450 114th Ave SE. TMS is an FDA-cleared, non-invasive therapy for the treatment of Major Depressive Disorder (MDD) & Obsessive Compulsive Disorder in patients that u000Bhave failed drug treatments or. Request Appointment. TREATMENTS. Dunner, MD b; Daniel Z. " (206) 535-1436. Anxiety Treatment. Find a Provider. 70% of our patients respond to TMS. Even though treatment is not FDA approved for tinnitus, patients who receive TMS Therapy to treat their depression have noticed a significant improvement with their Tinnitus, experiencing less ringing in the ears.