Pulsatile Tinnitus: A rare form of tinnitus where you hear a rhythmic thumping, whooshing, or throbbing sound in your ear that beats in exact sync with your heartbeat.

The below is a computer-generated response from Neo, Neopoet’s AI:

The poem's central conceit — transforming an unwanted medical symptom into a train journey toward sleep — is genuinely appealing, and the moment of discovery in the third stanza ("I suddenly realize it sounds like the chuff-chuff") lands with real pleasure. The emotional arc is clear and honest: resistance, acceptance, reimagining. That progression earns its quiet resolution.

The main craft issue is that the poem tells its own story too plainly, explaining each step of the speaker's thinking rather than trusting the imagery to carry it. Phrases like "and I have it!" and "I am comforted by it now" announce the emotional shift rather than enact it. If the train imagery were allowed to do more of the work — the physical sensation of being carried, the specific sounds and rhythms of the journey itself — the reader would arrive at comfort alongside the speaker rather than being informed of it. The final line about the conductor and tickets gestures toward that richer territory but stops just as it gets interesting. Expanding that last image, and pulling back on the explanatory commentary in the middle stanza, would let the conceit breathe and give the poem more genuine mystery.

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I TOTALLY get this! I had tinnitus years ago when the dentist over extended my jaw while removing a molar.(and I have TMJ)  I have enough "stuff" banging around in my head and the ringing was enough to drive me mad!!! I couldn't shut it off, nor drown it out. Through research (I'm one who tries natural remedies) I found that Ginko Biloba can help with Tinnitus. i gave it a whirl. I took it as directed and two-three weeks later, the four months of torturous ringing finally stopped. 

I feel your pain. I hope this (above) gives you hope...

Live, Love & Laugh

(and don't forget Write!)

Yours in Ink,

Tink