If you feel that your hearing is not what it used to be, then you could have already lost more hearing capabilities than you would care to admit. Syphilis, if undiscovered and left untreated, can result in severe tinnitus guard. Since tinnitus guard is an inevitable part of aging, (and one we seem to be very good at accelerating) it is equally important to get regular hearing tests. This type of child my not respond if talked to and may not follow directions.
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