 heart problems neurological problems um you know so we always go through these things when you go through your history so we can see if there's something that we can say yep that'll do it or i don't really have a good reason we need to dig a little bit deeper we need to monitor this so it's one of those that we really do ask a lot of questions on there are some questionnaires that you get prior to the visit and we can really see if we can get an idea of what's causing the tinnitus if you have tinnitus and you have an underlying problem can that exacerbate the problem