Yes, I sure will I'm sorry, I just re-read your post.
When is your US and Echo ordered for your ears?
If you have Peripheral Artery Disease, then this could be a clue as to what is the possible problem with your ears too. Since you do not have diabetes, I would suggest you focus on cholesterol and homocysteine. This is something your doctor may have checked and you may be aware of. Cholesterol and poor HDL/LDL rations, high triglycerides, and high inflammation, leads to increased vascular problems. I can give you some home remedies for lowering your cholesterol and improving your HDL/LDL and homeocysteine if you are interested. Let me know if you would like that information. It involves supplements (fiber, fish or flax seed oil) and dietary awareness of inflammatory foods.
I'm going to start with your sleep problem. Sleep is so important, and lack of proper sleep has been shown now to cause problems like depression and fibromyalgia, so I see this as the next priority to discuss with you. I realize the ear issue being that loud may effect the quality of your sleep as well, is that true?
Can you explain the sleep problem in more detail. What time of the day are you taking your cymbalta, and what times of day are you taking the xanax? Also, what times of day are you taking your vicodin.
I'll look for your reply.