Archive for August, 2010

The Science of Hearing

August 27th, 2010

By: Mark Saunders
AudigyGroup Freelancer

Traveling at the Speed of Sound

Sound is a form of energy made when air molecules move. This movement is called sound waves, which are a series of compression waves created by the vibration of some object (e.g., banging a drum, speaking through the cone in a radio loudspeaker, clapping hands, etc,). The waves are very versatile and can pass through just about any medium, including all forms of matter (gas, solids, and liquids). Sound waves share characteristics of frequency, wavelength and amplitude.

How Often, How Far, How Loud

Frequency, measured in cycles per second (or Hertz), is the rate at which sound waves vibrate; the higher the frequency, the higher the pitch. The distance between one sound wave compression and the next is called the wavelength. Faster sounds have shorter wavelengths and higher frequencies. Amplitude measures the amount of energy in a sound wave; the more energy, the louder the sound.

The Sound Barrier

So just how fast is sound? The speed of sound is measured as the velocity of sound through a medium.  For example, the speed of sound in air is 768.095 mph at a temperature of 20°C or 68°F. At sea level, this means “sound” moves faster than 750 miles per hour.

In general, the denser the medium, the faster sound travels. Sound travels faster through steel than through wood, and it travels four times faster through water than through air. That’s why inhaling from a helium balloon gives your voice that temporary, goofy Donald Duck sound. Your voice is much higher than normal because sound travels faster through helium than through air.

Now Arriving

The eardrum (tympanic membrane) gathers the sound and passes it to the ossicles, which send it to the cochlea—home of your hearing organs. In sum, the ear receives and sends sounds to the auditory cortex at the back of the brain for processing. Message sent, received, and processed. Additionally, the brain computes the different arrival times of sound (measured in one millionth of a second) into each ear to estimate the location of its source.

The Science of Hearing – Sidebars

Sidebar 1: Earth Sounds Are Easy

As part of the Apollo 15 space crew that landed on the Moon in July 30, 1971, NASA astronaut David Scott performed an experiment by dropping a hammer and a feather at the same time to see which would land first. Because the Moon has the thinnest of atmospheres, a near-vacuum estimated to be five-trillionth as dense as Earth’s, the two items landed at the exact same time, accelerated only by the force of gravity. And since sound needs to travel through something—air, water, gas—to get from point A to point B, astronaut Scott’s dropped objects made no sound.  Or put another way, the Moon, for all intents and purposes, is silent. Earth, on the other hand, is noisy. Indoors we hear alarm clocks, vacuum cleaners, dishwashers, washing machines, television sets, conversations, and so on. Outside it’s chirping birds and barking dogs, lawnmowers and chain saws, even planes, trains, and automobiles.

Sidebar 2: The Big Boom Theory

A sonic boom is the sound of an object moving faster than the speed of sound. At sea level, this means the sound is moving faster than 750 miles per hour. As a jet flies through the air, it creates a wave of pressure in front; if the jet travels less than the speed of sound, air particles have enough time to part in front of it, much like waves part in front of a ship. However, when the jet flies faster than the speed of sound, also referred to as Mach 1, the pressure waves are compressed and overlap, resulting in what’s known as a sonic boom. The loudest sonic boom every recorded was 144 pounds of overpressure – created by an F-4 fighter jet flying just over Mach 1 at an altitude of 100 feet. There were no injuries, which is amazing since just 5 pounds of overpressure can cause minor damage to buildings. Recently, an experimental jet set a record for hypersonic flight, traveling at Mach 6 – six times the speed of sound!

Sidebar 3: Faster than a Speeding Bullet—Sometimes

Is sound faster than a speeding bullet? The answer depends on the type of bullet and the weapon discharging it. Most pistols and revolvers are slower than the speed of sound. On the other hand, most military rifles are faster, which explains why sometimes you’ll see the shot land before hearing its impact.

Should I search the web for hearing aids?

August 19th, 2010

By: Suzanne Yoder, Au.D.
Doctor of Audiology
HearWell Center
2400 Ardmore Blvd., Suite 401
Pittsburgh, PA 15221
(412) 271-3002
www.hearwellcenter.com

Article first published on Dr. Suzanne Yoder’s blog on hearing care:

Admittedly I am “in love” with the Internet (as are many in my generation) and it is easy for me to reach for the computer every time I want to research something new or look for the best prices on a product that I want to purchase. It always seems like a good idea but when it comes right down to making good choices for new purchases I nearly always seek out an expert instead of relying on the Internet. Some of the best purchases I have made for myself and my family have been with the help of a professional who took the time to get to know me and help me sort through options/features that would be appropriate for me. Doing business this way also gave me some peace of mind that I had a place to go if I needed follow up or had to return something or just had more questions. With the exception of minor purchases I like to buy my purchases locally even if that means I will pay a little more.

I shudder at the number of ways that people can come to be proud owners of hearing aids on the Internet. There is a slew of sites including auction houses and warehouse sellers with the intent to sell hearing aids through the internet. Online hearing aids sales typically focus on the sale of the devices and downplay the importance of quality service. When the cost of professional care and service are removed the price of hearing devices can be less expensive but at what cost to the buyer?

Hearing aids are considered medical devices per the FDA and should be sold as such. There is a widespread problem with inappropriate Internet sales of hearing devices and the FDA has posted warnings on their website. Though the FDA does not completely oppose online sales, they have had to shut down many organizations over the years for illegal activity regarding the sell of medical devices online. It is very difficult for the government to monitor online sales ultimately leaving the responsibility of consumer protection in the hands of the consumer. www.fda.gov/medicaldevices/resourcesforyou/consumers/buyingmedicaldevicesanddiagnostictestsonline/default.htm

[please visit the links at the bottom of this post for more consumer education articles]

With this in mind, it is so important that consumers know what to look for when shopping for hearing aids. I recommend shopping locally so that you can easily see your audiologist for follow ups. New hearing aid users have an experience in the first few months that is called the adaptation period (aka acclimatization period). During this time the brain is becoming accustomed to the new sounds and auditory input being received from the hearing aids. Fine tuning, counseling and aural rehabilitation is necessary for 99.9% of patients during the first few months. This is a very important time for professional help and those who purchase hearing aids without these services are less likely to be successful.

In addition to the adaptation period following a new hearing aid purchase hearing aids will also need to be maintained by a professional to insure that they are working properly and to help prevent problems with equipment failure from moisture, ear wax or other damage. We see patients at least 2x/year for maintenance checks and we will also see them when the warranty is about to expire to ensure the hearing aids are checked one last time under warranty. The warranty can be extended in many cases and this is a nice option that may not be found with online services. Though the patient is scheduled at least 2x/year we also encourage them to come in whenever there is a problem. That means unlimited services during the warranty period. This is another area not provided by online purchases.

Hearing aids are very customized devices. Initial programming and fitting includes a number of processes to ensure that the devices were made properly, set properly and features are verified and working as they should. It is also a good time to customize some of the features to meet the patient’s needs. For example, patients may want a special phone switch or music setting. I also have had some patients that need a special program setting for use in conference meetings or for listening to the television. The devices are so flexible and have so many choices that many patients are not even aware of all the things their hearing aids are capable of doing.

I routinely spend nearly 2 hours on new hearing aid fittings going over use of the devices and all the features, verifying proper fit and sound settings and instructing the patient on how to care for the devices so they last their expected life expectancy. I then see them back weekly or every other week while they are in their adaptation period to make sure that the devices are meeting their goals. Goals are very important and by setting goals with my patients I can better understand their needs and be sure best device is prescribed to reach their goals and expectations.

I have seen many disappointed and embittered consumers who feel that hearing aids are not worth the money they paid when they purchased online or through a mail order. Those who buy hearing aids online and service is not provided end up paying for professional service on top of the cost of the hearing devices in order to get them to function correctly and this becomes costly in the long run. So buyer beware: the cost of online hearing aids can be deceiving.

If you are considering hearing aids please take the time to contact a local audiologist and ask for a consultation Many will be more than happy to sit down and talk with you and discuss your goals and your concerns on pricing. I recommend searching for audiologists that have a doctorate degree and have been board certified by the American Board of Audiology. Check the links provided below.

Helpful Links

American Board of Audiology – Highest standards in certification for audiologists
http://www.americanboardofaudiology.org/

Academy of Doctors of Audiology – represents doctors in the field of audiology
http://www.audiologist.org/

American Academy of Audiology – represents all audiologists
http://www.audiology.org/

American Speech & Hearing Association -represents all audiologist and speech language pathologists.
Links regarding consumer education on hearing aid purchases
 
FDA US Food and Drug Administration
Buying Medical Devices and Diagnostic Tests Online
http://www.fda.gov/

Consumer Reports – Consumer advocates
Hearing Aid Checklist (search on their site)
Consumer reports investigated purchasing hearing aids (search on their site)
http://www.consumerreports.org/

Hearing Loss Association of America – Consumer advocates
Developed a Hearing Aid Consumer Checklist (available in PDF on their website)
http://www.hearingloss.org/

Rehabilitation Engineering Research Center on Hearing Enhancement
Expectations: A Consumer Checklist, by Mark Ross, Ph.D.
http://www.hearingresearch.org/
See Sections: “Dr. Ross Says” “Considering A Hearing Aid” & “Expectations, A Consumer Checklist”

Hearing Loss Now Third Most Common Health Problem in the United States….

August 6th, 2010

By: Janis Wolfe Gasch, Au.D.
Doctor of Audiology
Founding Director
Arizona Hearing Specialists
7574 N. La Cholla Blvd.
Tucson, AZ 85741
(520) 742-2845
www.arizonahearing.com

Hearing Loss Now Third Most Common Health Problem in the United States and Americans believe their social life and safety are suffering…..

Tucson, AZWith more than 50 million Americans suffering from its effects, hearing loss is now the third most common health problem in the country today, behind only arthritis and heart disease.  Additionally, Americans believe their social life and/or safety is the most negatively impacted by substantial hearing loss, results found from a nationwide survey of 1,000 adults (conducted by HearUSA – Kelton Research).

“More than half of all hearing impaired persons are younger than 65,” says Janis Wolfe Gasch, Au.D., Doctor of Audiology and Founding Director of Arizona Hearing Specialists in Tucson and Green Valley.  “Sadly, too many people either do not recognize that they are having hearing difficulties, or do not want to admit their difficulties due to preconceived notions or social stereotypes.”

Findings have shown that even mild hearing loss can lead to avoidance of social situations, reduced alertness and reduced job performance and earning power. Because not seeking treatment can have long-term negative effects on communication and cognition, Dr. Gasch wants to remind people that help is available. 

Arizona Hearing Specialists wants to encourage people in the community to seek answers to their questions about hearing difficulties and to educate themselves about available solutions.  For over 25 years, the locally owned hearing care practice has been helping people improve the quality of their lives through better hearing.  Additionally, they are certified by Audigy Group as being one of the leading hearing care providers in the nation. 

During August, two educational seminars, with breakfast included, are free to the public on two separate dates.  However, due to limited seating, the Seminar requires advance reservations. Interested persons should call 520.742.2845 to reserve their space.  Spouses or significant others are encouraged to also attend. People are also welcome to visit www.arizonahearing.com for other events and information throughout the year.

“My goal in sponsoring these events is to provide people in our community with the knowledge they need to make informed decisions regarding their hearing health,” says Dr. Gasch.