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Hearing Care, the Internet, and “Big Box” Retailers

July 23rd, 2010

By Crystal L. Chalmers, Au.D.
Doctor of Audiology      
North State Audiological Services
15 Jan Court
Chico, CA 95928
(888) 844-7024
www.nsaudiology.com

A full decade into the 21st Century, it would be rare to find an American who has not been to a modern shopping mall or used the Internet.  In fact many of us visit “Big Box” anchored shopping malls at least occasionally, and the number of Americans who regularly use the Internet far exceeds the number who do not.  Even amongst senior citizens — the final demographic to embrace this technology — the gap between Internet users and non-users continues to narrow.

Without doubt, the Internet is a fabulous tool, providing us with a wealth of easily obtainable information in mere seconds.  And the amount of relatively low-priced goods and services that “Big Box” and chain retailers supply can certainly help many families stretch their monthly budget.

But are these two venues the be-all-and-end-all for every consumer scenario?

The short answer is, “Absolutely not!” … especially when it comes to professional hearing care technology and follow-up service.  The Internet outlets as well as “Big Box” and retail chain stores simply cannot provide the level of patient care and service that a full-service, AudigyCertified™ hearing care practice must provide to its patients.

These outlets may tout “low prices” but remember that “price” is only an issue in the absence of value.  And when it comes to hearing care services and technology, value is clearly lacking from these types of retailers.

Compare Apples with Apples

You’ve heard that old saying countless times before and there is a good reason for its longevity.  High volume consumer retailers and Internet companies are famous for blow-out prices on a host of products, many of which are either close-outs on outdated technology or are subsidized by the manufacturer.  Then, they make those skinny margins work for them by cutting corners on labor which means poor service … for you!

This may be fine for a lot of goods such as flashlight batteries, printer paper, bulk grocery items, and various sundries.

But because hearing difficulties are so unique to each and every individual a far different approach is absolutely mandatory for a successful solution.  Achieving that solution should be a process built upon a relationship of trust and respect between the patient and a highly trained, competent, and ethical professional whose services and products provide long-term value.

For example, as a private care Doctor of Audiology and member of Audigy Group™ – the nation’s largest member-owned association of hearing care professionals — my practice is AudigyCertified™ in order to guarantee my patients that they will receive nothing less than the most experienced, professional care available in the Untied States.

All my patients receive the following:

● 100% Service Satisfaction Guarantee in Writing

● Complimentary 75 Day Trial Period on all New AGX Hearing Aid Technology Purchases

● 3 Year Warranty

● 3 Year Loss and Damage Insurance

● Free Batteries … for Life!

● Complimentary Monthly Clean & Check of Technology with Fresh Batteries Installed

● Free Annual Hearing Screening

As a smart consumer, you really do need to make sure you are comparing apples with apples.  And one good way is through the Internet, which, as noted above, shines in providing information.  Check websites. Do research.  Verify credentials as well as state and federal consumer protection laws.  A good website should educate you.

In closing, I founded North State Audiological Services with the goal of offering complete hearing health care ranging from diagnostic testing to treatment for tinnitus, with hearing technology sales and fitting based upon patient need and lifestyle; not on manufacturer incentives.  For my staff and I, our jobs are not about selling something.  Instead, it is all about taking care of our patients and helping them hear better.

Do you have questions for me or about my practice?  You can call toll free at (888) 844-7024, post a comment on this blog, email me at drchalmers@nsaudiology.com or visit my website at www.nsaudiology.com …… because hearing is a wonderful gift!”

About the writer:  Crystal Chalmers, Au.D., is an AudigyCertified™ Doctor of Audiology, the owner of North State Audiological Services in Chico, and a member of Audigy Group, the nation’s largest member-owned association of independent hearing care professionals. 

Since 2006, Audigy Group has interviewed over 5,000 of the 18,000 audiologists in the United States, yet has selected only 170 to be members in this elite association. AudigyCertified™ is a trade-mark of Audigy Group, LLC.

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Posted in AGX Hearing Aids, Audigy Group, AudigyCertified, Chain Hearing Aid Retailors, Crystal Chalmers, Diagnostic Testing, Doctor of Audiology, Hearing Aids, Hearing Care, Hearing Difficulty, Hearing Screening, Hearing Technology, Hearing Test, North State Audiological Serivces, Professional Hearing Care, tinnitus, Uncategorized

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Now Hear this…. Are You at Risk for a Hearing Loss?

June 18th, 2010

By: Bettie Borton, Au.D., FAAA
Doctor of Audiology
Doctors Hearing Clinic
7025 Halcyon Park, Suite A
Montgomery, AL 36117
(334) 396-1635
www.doctorshearingclinic.com

Did you know hearing loss…

  • Is the third most prevalent chronic health condition in America, behind high blood pressure and arthritis?
  • Affects 36 million Americans (about 17% of adults)?
  • Is more common in men than women?
  • Costs our economy billions of dollars in lost wages and hidden costs annually?

Is not being adequately identified by healthcare professionals? Only 38 percent of adults ages 70 years and older and only 29 percent of adults ages 20 to 69 have had their hearing tested within the last 5 years!

Do you or someone you love have a hearing loss? If so, you’re not alone. Almost 20% of adults in the United States will develop hearing loss during the course of their lives, and if undiagnosed and untreated, its affects can be devastating. Impaired hearing can have a profound impact on emotional, physical, economic, and social well-being.  People with hearing loss have documented decrease in quality of life, reporting symptoms of depression, dissatisfaction with life, reduced functional health, and social isolation. Statistically, they have lower income levels, and frequently complain of frustration in relationships and various communicative situations, as well as inability to enjoy social situations, and fatigue. Despite the fact that most people with hearing loss can be helped with today’s state of the art amplification, many never seek help, or resist the use hearing aids or other assistive listening technologies.

The causes of hearing loss are varied and resultant impact on auditory capability may range from mild to pronounced. Sometimes the cause or etiology, such as wax build up in the external ear canal or an ear infection, is readily apparent. In other instances, the cause of hearing loss may be more obscure. Decreased hearing is often called “the invisible handicap”. Because hearing impairment (especially loss related to aging) often presents very gradually, those with significant hearing impairment can be unaware of their loss. Family members, significant others, co-workers and friends are frequently the first to notice communication problems related to decreased hearing sensitivity.

Given that 36 million Americans are faced with this “invisible handicap” what kinds of risk factors increase the likelihood that someone will develop hearing loss? Why do some people develop hearing loss and while others do not? Some risk factors are obvious, but others are much more obscure.

Perhaps the most widely recognized risk factor is aging. Presbycusis, or the loss of hearing that gradually occurs as we grow older, is a familiar scenario for those of us with older family members. In fact, about 30-35 percent of adults between the ages of 65 and 75 years have a hearing loss, while an estimated 40-50 percent of people 75 and older have a hearing impairment.

Loss associated with presbycusis is usually greater for high-pitched sounds, resulting in the frequent comment “I can hear people talking, but can’t understand them clearly”. It is most commonly binaural (in both ears), affecting the ears equally. Because this type of loss in hearing sensitivity is so gradual, people who have presbycusis frequently lose their frame of reference for normal loudness of sounds, and often do not realize that their hearing acuity is diminishing.

The resultant relationship dynamic is frequently the subject of jokes – “My husband suffers from ‘selective’ hearing and he’s driving me crazy”! In reality, however, hearing impairment is no laughing matter and can take quite a toll on communication with significant others. Research indicates that for couples where one person has unaddressed hearing loss, the divorce rate is actually significantly higher.

Most people would agree that we now live in a very noisy world. Noise levels for rock concerts, radios, motorcycles, traffic, industrial and lawn equipment, and even our personal listening devices constantly bombard our auditory system. It is not surprising that noise exposure is another one of the most frequently cited risk factors for hearing loss, and now rivals aging as the number one cause of hearing loss in this country.  Noise from occupational, recreational and sporting activities all pose significant hazards to hearing in the United States today. Firearm use is one of the biggest culprits in our area of the country. A single shot from a shotgun, experienced at close range, can permanently damage hearing.  Repeated exposures to loud machinery in the work place or as part of yard maintenance or recreational experience may, over an extended period of time, present a serious risk to hearing. Even something as seemingly benign as blow dryers for styling hair put hearing at risk.

Consider the noise levels for such activities as NASCAR, jet ski and power boat usage, and lawn equipment. The cumulative effects of these noise hazards and many others pose a serious risk for hearing. Noise exposure risk is a time weighted function – in other words, the longer the exposure time, the greater the risk, and lower the loudness level required to cause damage. According to the National Institute on Deafness and Other Communication Disorders (NIDCD), 10 million Americans have already suffered irreversible hearing damage from noise, and 30 million more are exposed to dangerous noise levels each day. A one-time exposure to hazardous noise resultant from gunfire or a rock concert, no matter how brief the time, of 120 dB or more can leave hearing permanently impaired. Prolonged exposure to only 85 dB (which can be generated by a commonly used appliance such as a blow dryer or hand held power tool) can do the same. 

Children and young adults are bombarded with potentially damaging noise exposure, most of which is easy to overlook. Most people intuitively recognize that “boom boxes”  IPODS, and other personal listening devices, if played too loudly, constitute a risk to hearing. However, consider the noise levels inherent to playing in a school band or orchestra. Students engaged in this commonplace activity spend hours practice in noisy environments within the context of their academic activities, yet many of them are not wearing appropriate ear protection, nor are schools effectively addressing this problem. To complicate matters, for reasons that are not fully understood some people are more susceptible to noise exposure than others.  As an example, research indicates that those with blue eyes are more prone to noise exposure than those with darker eye color!

Aging and noise exposure are two rather obvious risk factors for hearing loss, but there are many other factors that are more insidious. Studies suggest that there is a strong genetic component inherent to hearing loss, both for childhood deafness as well as presbycusic loss. If your parent or grandparent had hearing loss, your risk factor for developing a similar impairment may increase. If you had a relative who was hearing impaired from birth, family members of child bearing age need to be mindful of this risk factor, and be particularly vigilant with regard to insuring that the newest members of the family are effectively screened at birth for hearing sensitivity.

Various diseases of the ear certainly pose risk to hearing sensitivity. Ear infection, otosclerosis (a bony growth in the middle ear cavity), Meniere’s Disease, acoustic neuroma (a tumor on the auditory nerve), and a host of other maladies are obvious risk factors for hearing loss. But did you know that hearing loss is about twice as common in adults with diabetes compared to those who do not have the disease, according to a new study funded by the National Institutes of Health (NIH)? Visual deficits have long been associated with diabetes, but hearing loss is an under-recognized complication. Because of the strong correlation between diabetes and hearing loss, The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), recently suggested that people with diabetes should consider having their hearing tested.

Use of common drugs such as antibiotics, aspirin, diuretics and chemotherapy can cause hearing loss. Typically, hearing loss from ototoxic drugs is high frequency, which often results in the hearing impairment less obvious to those it affects. All radiation and chemotherapy patients should insist on baseline hearing assessments before, during, and following their course of treatment to insure that auditory effects of ototoxic interventional strategies are carefully monitored and treated.

Race and gender also play a role in hearing loss risk factor determination. Researchers now know that compared to women, men are five and one half times more likely to have hearing loss. White and Mexican American men have a higher incidence of both high-frequency hearing loss and hearing loss in both ears than blacks, who were 70 percent less likely than white participants to present with hearing loss.

With the dramatic increase in airbag use, motor vehicle accidents (MVA’s) are common culprits for increased risk of hearing loss. In fact, 17% of those involved in MVA’s with airbag deployment will have permanent loss of hearing as a result. Other insidious risk factors for hearing loss include smoking and cardiovascular disease. The incidence of hearing loss is significantly more pronounced among smokers, as well as those with any type of cardiovascular disease.

Many healthcare professionals simply don’t make these associations, and as a result, do not refer patients for hearing evaluation as often as risk factors might dictate. So, the message is be aware, and be proactive in assessing your risk, or that of your loved one, for hearing loss. For a comprehensive audiometric evaluation, see a Board Certified Doctor of Audiology. If you’ve never had a baseline audiogram, it’s certainly in your best interest to do so. Only 38 percent of adults ages 70 years and older and only 29 percent of adults ages 20 to 69 have had their hearing tested within the last 5 years.   If you’re over 65, hearing evaluation each year by a Board Certified Audiologist should become part of your annual medical maintenance program.
(Sources: BHI, NIDCD, ABA)

Dr. Bettie Borton is a Board Certified Doctor of Audiology, and a nationally recognized expert in hearing healthcare. She has more than 30 years’ experience diagnosing and treating hearing impairment in children and adults. Dr. Borton has served as the President of the Alabama Academy of Audiology, National Chair of the American Board of Audiology, and currently serves on the National Board of Directors for the American Academy of Audiology.

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Posted in Acoustic Neuroma, Assisitve Listening Technology, AudigyCertified, Audiogram, Audiologist, Audiometric Evaluation, Auditory, Bettie Borton, Binaural, Binaural Hearing, Clinical Audiologist, Diabetes, Doctor of Audiology, Doctors Hearing Clinic, Ear Disease, Ear infection, Ear wax, Hearing Aids, Hearing Assessment, Hearing Damage, Hearing Difficulty, Hearing Evaluation, Hearing Impaired, Hearing Loss, Hearing protection, Hearing Test, Hearing Tested, Impaired Hearing, Meniere's Disease, Noise Exposure, Noise Hazards, Noise levels, Otosclerosis, Ototoxic Drugs, Presbycusis, Signs of Hearing Loss, Treatable Hearing Loss, Uncategorized

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Emerging Hearing Aid Technologies: The Future is Here!

May 14th, 2010

Emerging Technologies: The Future is Here!

By Crystal L. Chalmers, Au.D.
Doctor of Audiology      
North State Audiological Services
15 Jan Court
Chico, CA 95928
(888) 893-1352
www.nsaudiology.com

Call it revolutionary.  Call it futuristic.  Call it groundbreaking.   Any and all adjectives along these descriptive lines definitely apply because in just the last few months some of the most extraordinary advancements in hearing technology to ever take place have occurred. 

These new “emerging” technologies are truly revolutionary, completely invisible when worn in the ear, personal audio assistants designed to specifically address situational hearing difficulties.  And when I say “situational” I am talking about the millions of Americans who experience SoundVoids™ — those moments lacking in clarity in hearing or understanding – in certain situations of their daily lives, yet hear well in other situations.

A Category, not a Single Product

Note that I’ve described these futuristic technologies in the plural form, and not based on any specific manufacturer.  That is because these new technologies really should be classified as a “category” of hearing care technology designed to provide people with solutions to certain types of hearing difficulties.

These products possess several similar traits: state-of-the-art digital technology with multiple programs for all kinds of lifestyles; are easily removed by the wearer; are suitable for cell phone use; and are easy to use and maintain.

AudigyGroup Exclusive

As the only AudigyCertified™ audiology practice in the entire north state region of California, North State Audiological Services is the exclusive distributor of these emerging technologies that have been incorporated into our AGX Hearing Aid family of hearing care technology.  Being part of Audigy Group means that we offer all of our patients – including those being fit with this amazing new technology – with a 75 day trial period and a 100% Service Satisfaction Guarantee.

Not for Everyone

Due to varying physical characteristics and the unique, individual nature of hearing loss these new technologies may not be for everyone. In order to determine if a person is a suitable candidate for these emerging technologies, I would need to test their hearing and discuss with them their lifestyle and situational difficulties before making a professional recommendation.  All someone has to do is call my office at 1-888-893-1352 to schedule an appointment.

May is Better Hearing Month

About the writer:  Crystal Chalmers, Au.D., is an AudigyCertified™ Doctor of Audiology, the owner of North State Audiological Services in Chico, and a member-owner of Audigy Group, the nation’s largest member-owned association of independent hearing care professionals.  SoundVoids™ and AudigyCertified™ are trade-marks of AudigyGroup, LLC.

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Posted in Audigy Group, AudigyCertified, Audiologist, Doctor of Audiology, Emerging Hearing Aid Technology, Emerging Technology, Hearing Aids, Hearing Difficulty, Hearing Lifestyles, Hearing Loss, Uncategorized

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The Personal Impact of Untreated Hearing Loss

May 6th, 2010

  

The Personal Impact of Untreated Hearing Loss

By: Amit Gosalia, Au.D.
Board Certified Doctor of Audiology
Audiology Clinic, Inc
505 NE 87th Ave #150
Vancouver, WA 98664
(360) 892-9367
www.audiologyclinic.com 

One of the most commonly unaddressed health conditions in America today, hearing loss affects more than 31.5 million Americans- most of whom are below retirement age. 

Hearing loss can strike at any time and at any age. And when left unaddressed, hearing loss can affect virtually every aspect of an individual’s life. Numerous studies, in fact, have linked untreated hearing loss to a wide range of physical and emotional conditions, including irritability, negativism, anger, fatigue, tension, stress, depression, avoidance or withdrawal from social situations, social rejection and loneliness, reduced alertness and increased risk of personal safety, impaired memory and ability to learn new tasks, reduced job performance and earning power, and diminished psychological and overall health. 

Three in ten people over age 60 have hearing loss. And among Americans age 41 to 59, about 15 percent already have hearing problems- that’s one in sixty baby boomers. Younger still, 74 percent- or one in 14- Generation Xers, ages 29 to 40, suffer from hearing loss. What’s more, at least 1.4 million children, 18 or younger, have hearing problems. And it’s estimated that 3 in 1,000 infants are born with serious to profound hearing loss. 

Despite the numbers and the far-reaching impact hearing loss has on so many aspects of an individual’s life, many people who are aware that their hearing has deteriorated are reluctant to seek help. Unfortunately, too many wait years, even decades, before getting treatment, becoming more and more disconnected as time goes by. 

But the fact is that with modern advances in technology, there are solutions for many. In fact, 90 to 95 percent of people with hearing loss can be helped with hearing aids- and their quality of life significantly improved. 

Common signs of hearing loss: 

Socially, individuals with hearing loss may: 

  • Require frequent repetition
  • Have difficulty following conversations involving more than two people
  • Think that other people sound muffled or like they’re mumbling
  • Have difficulty hearing in noisy situations, like conferences, restaurants, malls, or crowded meeting rooms
  • Have trouble hearing children and women
  • Keep the TV or radio turned up to a high volume
  • Answer or respond inappropriately in conversations
  • Have ringing in their ears ; and/or
  • Read lips more intently watch people’s faces when in conversation.

Emotionally, individuals with hearing loss may: 

  • Feel stressed from straining to hear what others are saying
  • Feel annoyed at others because they can’t hear or understand them
  • Feel embarrassed to meet new people or from misunderstanding what others are saying
  • Feel nervous about trying to hear and understand; and/or
  • Withdraw from social situations that they once enjoyed.

Medically, individuals with hearing loss may: 

  • Have a family history of hearing loss
  • Take medications that can harm the hearing system (ototoxic drugs)
  • Have diabetes, circulation, or thyroid problems; and/or
  • Have been exposed to very loud sounds over a long period or single exposure to explosive noise.

If you or someone you love has shown signs of a hearing impairment, seek out the diagnosis and treatment options from a Board Certified Doctor of Audiology. If you have any questions or would like to make an appointment, please call our office at (360) 892-9367.

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Posted in Audiologist, Doctor of Audiology, Hearing Aids, Hearing Device, Hearing Difficulty, Hearing Impaired, Hearing Loss, Hearing Technology, Ringing in the Ears, Signs of Hearing Loss

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A Guide to an Exceptional Sound Experience

April 29th, 2010

A Guide to an Exceptional Sound Experience

By: Peter J. Marincovich, Ph.D., CCC-A
Audiology Associates
1111 Sonoma Ave., Suite 308
Santa Rosa, CA 95405
(707) 827-1630
www.audiologyassociates-sr.com

May is Better Hearing month- but despite the fact that more than 34 million Americans report hearing problems, relatively few are screened annually. Hearing loss is the third most common health problem in the United States. Although hearing problems are commonly associated with the aging process, they affect all age groups. More than half of hearing impaired persons in the United States are under the age of 65, including 6 million people between the ages of 18 and 44- and more than 14 million are school-age children. Here are some things to be aware of concerning hearing.

Sound voids. Do you hear “ool” but not sure if someone is saying “pool” or “cool”? Do you find yourself saying, “I hear OK, but I have trouble understanding,” or “Soft sounds are too soft but loud sounds are too loud.” Hearing clearly when there’s background noise can be especially difficult for someone with hearing loss, as can be trying to explain your hearing situation.

It’s common for people to be unaware of their hearing loss due to the gradual nature of its progression. As hearing slowly declines, an individual develops compensation strategies without even realizing it. Often it’s others, who are trying to communicate with the individual, who are more aware of the situation. Sometimes it takes years before sufferers seek professional help.

Causes. Sometimes it’s readily apparent, such as wax buildup. Other causes include hereditary factors, trauma, ear disease and certain medications. The cause of hearing loss is sometimes presumed. For instance, noise induced hearing loss is attributed to the use of stereo systems or portable music players is a growing phenomenon.

There are eary ways to tell if a particular sound is potentially harmful. Do you have difficulty talking or hearing others talk over sounds? Does the sound make your ears “ring” (tinnitus), “hurt” or seem “muffled ” after exposure? If you answered “yes” to any of these questions, the noise may be damaging your hearing. Most people don’t realize how loud everyday sounds actually are. Nearly 30 million Americans are exposed to dangerous noise levels each day and 10 million Americans suffer from irreversible hearing damage due to noise.

The diagnostic hearing evaluation. The purpose of a complete evaluation is to determine the true nature of any hearing loss. The diagnostic process may include a variety of tests: audiometric tests to measure hearing at different pitches; speech evaluation to measure how well you hear and recognize ordinary conversation at different volumes; immitance tests of the middle ear; and complete medical evaluations.

Tinnitus is a medical condition characterized by persistent ringing in one or both ears. These sounds can come and go; however most sufferers experience symptoms constantly. The American Tinnitus Association estimates mre than 50 million Americans suffer from tinnitus. It’s also the number one complaint from United States Veterans. In some cases, tinnitus retraining therapy TKT and tinnitus retraining instruments TRI may provide individual solutions.

The balance system. Due to its close proximity to the hearing mechanism, balance is also a part of the comprehensive hearing evaluation. Fear of falling is a major health concern of older individuals. Nearly 300,000 hip fractures result from balance related falls every year. The natural aging process may affect one or all of these senses, as well as the central nervous system’s ability to interpret and react quickly to them. It’s very common to hear from someone who has fallen that they saw the curb or step, but just were not able to react fast enough. With proper diagnosis and therapeutic exercise called balance retraining, many older adults are able to return to a more active lifestyle.

The Communication Needs Assessment. In addition to a medical evaluation and after medican and/or surgical intervention, if an individual still suffers from difficulty communicating, a complete communcation needs evaluation is now the gold standard of hearing care. The first step is identifying the individuals needs: What are the listening situations where they individual would like to hear well? The second step is indentifying the individuals lifestyle. For example, not just if they have trouble hearing in restaurants, but how often they do, or would like to, go to restaurants.

Technology alone doesn’t help people hear better. Instead, it’s how well the practitioner works with the individual and applies the technology. If an individual doesn’t see well through a pair of glasses, it’s not due the “glass”, per se. It has to do with either the measurement of the individual’s vision, the prescription or fit, or some combination. Hearing technology is similar in application. What helps someone hear better is the correct amount of sound at the appropriate pitches for that individual’s heairng loss, environment, and communication needs. Individuals with similar hearing loss may require completely different amplification strategies based on all of the factors mentioned here.

The all-important aftercare completes a comprehensive communication needs assessment for an exceptional sound experience. This includeds assessment of need for assistive listening systems for telephone, Bluetooth, TV, loops, or music systems. In addition to assistive solutions, aftercare will include lip reading and listening skills counseling.

It is important that a hearing-impaired individual take an active role in listening and participate in the recommended auditory retraining and rehabilitation program. The auditory system may not have heard the certain voices and sounds for many years, and the reintroduction of new sounds and voices needs to be presented gradually. In other words, just as the hearing loss may have occurred gradually, the reintroduction of new sound needs to occur gradually.

A hearing screening can quickly and accurately evaluate an individual’s hearing, determine the degree of hearing loss and put him or her on the path toward treatment. After treatment, it’s important to monitor the hearing loss to ensure the technology is meeting an individual’s needs.

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Posted in AudigyCertified, Audiologist, Balance, Dizziness, Hearing Aids, Hearing Device, Hearing Difficulty, Hearing Impaired, Hearing Lifestyles, Hearing Loss, Hearing Technology, Ringing in the Ears, tinnitus, Treatable Hearing Loss, Uncategorized

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A Guide to Healthy Senior Living: Take steps to protect and keep your hearing!

April 22nd, 2010

A Guide to Healthy Senior Living: Take steps to protect and keep your hearing!

By: Amit Gosalia, Au.D.
Board Certified Doctor of Audiology
Audiology Clinic, Inc
505 NE 87th Ave #150
Vancouver, WA 98664
(360) 892-9367
www.audiologyclinic.com

Over 32 million Americans have hearing loss, and a half of them are under the age of 65. In the U.S., it is predicted that the number of Americans with hearing loss will exceed 70 million by the year 2030. Most of these people will suffer from noise induced hearing loss (NIHL). In 1999, the Veterans Administration (VA) spend $300 million to compensate over 50,000 veterans for noise-induced hearing loss, That number is expected to rise significantly.

Everyday, sounds over 85 decibels can cause some type of hearing loss. Types of these sounds include a gun shot, bombs exploding, jets taking off, power tools, and a musical concert (not just rock and roll), to name a few. However, even common, everyday items, such as a hair dryer, Walkman/IPod, lawn mower, and blender, can cause some type of NIHL. If you have stood next to someone listening to music through headphones, and you can hear the music, then that volume has reached a damaging range. If you cannot hold a conversation while a choir is singing, then that volume has reached a damaging range. Some side effects to NIHL include tinnitus (ringing in the ears), and diminished speech understanding (especially women and children’s voices). With NIHL, common sounds in our language, such as k, s, f, t, and p, can be mixed up (i.e. hearing the word cat, when someone said cap).

Unlike most other types of hearing loss, NIHL can be prevented. Because NIHL is gradual and cumulative, repeated noise traumas can impact hearing loss in a greater fashion. A noise trauma from 50 years ago can cause problems now. Many of my patients who served in the military during World War II, the Vietnam War, and even the Gulf War, are now seeing the effects of NIHL. Usually, the sensitive hair cells in our inner ears (cochlea) can recover from noise trauma, within 48-72 hours. The hearing loss can become permanent if the noise overwhelms the self-repairing function of the hair cells, and they do not recover.

So what can we do? First, avoid all types of loud noises. If it is necessary, then use some form of noise attenuators, such as ear plugs or earmuffs. Custom earplugs can be made for you in our office. Secondly, turn down the noise. Turn down the IPods, and Walkmans. The volume should not increase past the half-way mark. Finally, there is initial research to indicate that certain antioxidants and certain drugs (otoprotective agents), if taken prior to exposure, can reduce the damage done by noise. Newer studies, are working on a “morning-after noise pill” to prevent inner ear hair cell damage. However, none of these drugs will counter a healthy regimen of reducing noise.

Because NIHL creeps up gradually, it is very difficult to notice it. It is the family members, friends and co-workers who notice your hearing loss first. If you feel that you or a family member may be feeling the symptoms of NIHL, then call our office at (360) 892-9367, and I will conduct a full audiological evaluation and determine a course of action. Most NIHL patients choose a treatment option that may include the use of hearing aids. The American Medical Association concluded that 95 percent of people with hearing loss would benefit from hearing aids. If this is the only option available, I, or any audiologist, will help in the decision- making process, and stay committed to help you hear better. Turn down the noise and protect your hearing.

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Posted in AudigyCertified, Audiologist, Doctor of Audiology, Hearing Aids, Hearing Device, Hearing Difficulty, Hearing Loss, Hearing protection, Hearing Technology, Noise-induced, Treatable Hearing Loss, Uncategorized

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Invisible Pervasive Handicap in the Classroom

April 12th, 2010

Invisible Pervasive Handicap in the Classroom

By Linda S. Remensnyder, Au.D.
Doctor of Audiology      
Hearing Associates, P.C. . . . Eliminating the Sound of Silence
755 S. Milwaukee Avenue, Suite 189
Libertyville, IL 60048
www.hearingdoc.com

One-Third of Young Children Affected:  Recent research confirms that, on any given day, one third of all children, kindergarten through third grade, have impaired hearing/listening. 

The vast majority of these statistics reflect children missed in hearing screenings.  Their ranks are comprised of so-called “normal hearing children” who experience greater speech-recognition difficulties in classroom noise and reverberation than previously suspected. These subtle hearing deficits cause the affected child to experience an invisible handicap—a handicap comprised of not being able to hear well consistently.

These kindergarten and primary grade children have slight or “minimal” hearing loss for a variety of reasons. Causes can be as innocuous as occluding ear canal wax or as serious as otitis media (fluid accumulation behind the eardrums). Otitis media (middle ear fluid) ranks second to the common cold as the most common health problem in young children.  Ear infections, which have increased by 224% since 1975, cause five million school days to be missed annually and half of all episodes are undetected by parents or teachers. Even the ventilating tubes resorted to in serious cases can become plugged by infection or debris and cause hearing deficits.

These “minimal” hearing loss statistics also reflect youngsters who have allergies causing them to be chronically “stuffed up”, bilateral high frequency hearing loss in ranges not screened in hearing screenings, or unilateral hearing losses in which excellent hearing is limited to one ear.  They reflect youngsters with developmental delays, articulation disorders, or dyslexia.  Students who have central auditory processing disorders (CAPD), attention deficit disorders (ADD), and behavioral problems also fall into this category.  In addition, the slight hearing impairment statistics include children for whom English is not their primary language because language comprehension requires sustained effort.

A “Minimal” Condition with Maximal Consequences: A “minimal” hearing loss, which requires neither medical intervention nor hearing aids, does not constitute a minimal handicapping condition with minimal consequences, especially during the younger elementary school years when the child’s brain is assimilating and developing language.  Hearing is the acknowledged bridge to reading and to future academic performance and this critical period to learn language is time-locked (generally considered age 0 through 7).

Children with minimal hearing loss experience problems hearing faint or distant speech and the esteemed educational audiologist, Carol Flexer, calculates that these children are missing more than 25% of classroom instruction. What 25% of the speech signal do these children miss?  They miss the soft intensity sounds — the endings of speech, the sibilants (s, sh, ch) and the fricatives (f, th).  They miss the subtleties of speech — the plurals, the tenses, and the possessives/auxiliaries.  They miss the innuendoes and the asides, the responses from fellow classmates in the back of the classroom, and they miss the whispers.  And they definitely miss what the teacher is saying when the room is noisy, when other classmates are conversing, or when the teacher’s back is facing them.

It is believed that 90% of a young child’s knowledge is attributed to incidental reception of conversations around them.  Thus, learning and understanding are hindered even with the slightest hearing difficulty.

How, then, are these children with “minimal” hearing loss able to learn language when language is learned by hearing it in full context? They’re not — they’re handicapped by their inability to hear consistently well.

It is important to keep in mind that the classroom is a difficult listening environment. Chatting students, humming air conditioners, squeaking desks, and outside traffic contribute to a level of background noise that distracts from the teacher’s voice.  The problem becomes even more significant when the noise echoes off uncarpeted floors in rooms with high ceilings and hard desks and windows.

In addition, Dr. Flexer also believes that “children are not short adults; they bring a different ‘listening’ to a learning situation.”  Research has documented that children do not develop an adult-like capacity to recognize speech in noise until approximately 13 to 15 years of age.  The central auditory system of children is not neurologically mature until a child is about 15 years old.  Thus levels of classroom noise and reverberation can deleteriously affect the speech perception of those younger than 15 even if the children do possess normal hearing sensitivity.

IMPACT of an Enhanced Signal and Improved Acoustics:  Research has confirmed that if the teacher wears a lapel microphone and if her or his voice is amplified via suspended speakers placed in each of four corners of the classroom, all children are able to hear better and all children benefit (even those who already wear hearing aids).  These sound field systems simply make it easier to understand or focus on the teacher’s voice. 

Teachers who use these systems have less vocal strain, are less fatigued at the end of the school day, and require fewer sick days off.  More importantly, the ability of all children to hear an enhanced speech signal has resulted in improvements in reading (comprehension and test scores), fewer discipline and behavioral problems, and increased classroom participation.

The trend is to place these sound field systems in all kindergarten and primary grade classrooms.  Strides are also being made in terms of classroom acoustics insuring that new construction and planned renovations take into account the need to limit ambient noise levels.  PTA’s and school fund-raisers are providing funding for the technology to promote optimum hearing. Parents can make it happen and make the future brighter (and more audible) for all.

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Posted in Audiologist, Classroom Hearing handicap, Hearing Aids, Hearing Device, Hearing Difficulty, Hearing Impaired, Hearing Loss, Kids Hearing Loss, Treatable Hearing Loss

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DIABETES LINKED TO HEARING LOSS

March 26th, 2010

Diabetes Linked to Hearing Loss

By Amit K. Gosalia, Au.D., FAAA
Doctor of Audiology      
Audiology Clinic
505 NE 87th Ave., #150
Vancouver, WA 98664
www.audiologyclinic.com

As of late, many studies have been published regarding a variety of factors, causing hearing loss.  The most recent study concluded that diabetics’ auditory (hearing) system may age faster, although past a certain age (~60 years old), the hearing loss may be obscured by presbycusis (age-related hearing loss).

Initial findings of this new study have determined that diabetes mellitus (DM), which is approaching epidemic proportions, may lead to premature aging of the body’s auditory system. The findings, which come from the Department of Veterans Affairs National Center for Rehabilitative Auditory Research (NCRAR) in Portland, OR, add to the literature that has chronicled diabetes’ damaging impact on various organs of the body such as the kidneys, eyes, heart and nervous system.  NCRAR is currently conducting a five-year epidemiological study to assess the prevalence and severity of auditory dysfunction in veterans with diabetes.

The study included 694 veterans age 25 to 85. Of this group, 342 had diabetes, and 352 did not. By the completion of the study, 800 participants in all will have been evaluated. Participants were divided into two groups: those 60 years old and under, and those older than 60. Diabetic patients included only those who had been diagnosed at least five years ago.

All participants underwent audiometric (hearing) testing and were given a questionnaire. Glucose levels and HbA1c (glycosylated hemoglobin, a measure of overall diabetes control) were tested to indicate metabolic control over the past three months. A variety of tests were used to evaluate auditory function. Further investigation is planned to determine the cause and effect of the central auditory processing delays seen in diabetic patients.

Diabetic patients under 60 years old exhibited greater hearing loss than non-diabetic study participants of the same age. However, in those over 60, hearing loss was similar between diabetic and non-diabetics. It is theorized that in older diabetic patients, presbycusis may obscure any changes in hearing loss due to diabetes. Central auditory processing functions are affected by diabetes to a greater extent than peripheral functions, indicating that ABR and pure tone testing may be appropriate to reveal changes early in diabetic care. Since hearing takes place not only in the ear, but in higher auditory and cognitive centers (i.e. auditory cortex in the brain) responsible for processing the sounds received in the inner ear (cochlea), early identification of processing changes could be important to verbal communication.  The finding that hearing loss is exacerbated in diabetics under 60 years of age is consistent with the theory that diabetes is associated with accelerated aging of the auditory system. 

Hearing loss due to premature aging of the cochlea is a permanent sensorineural hearing loss, which can not be treated medically or surgically.  Sensorineural hearing loss is commonly mistaken as “nerve-deafness.”  The nerves can degrade over time, however, initially, the hair cells in the inner ear are damaged.  Proper amplification can improve a person’s hearing abilities in quiet and in situations with loud background noise. 

Hearing testing is recommended on an annual basis after the age of 60.  With this new research, hearing testing may be used as a screening tool.   If you would like more information on this research, or if you know someone who is diabetic or has a hearing problem, please do not hesitate to call our office at (360) 892-9367, or visit our website at www.audiologyclinic.com to schedule a complete hearing test.

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Posted in Audiologist, Clinical Audiologist, Doctor of Audiology, Hearing Aids, Hearing Difficulty, Hearing Impaired, Hearing Loss, Noise-induced, Treatable Hearing Loss, Uncategorized

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Why YOUR Lifestyle – Regardless of Age – Needs to be Considered When Selecting Hearing Aids

March 19th, 2010

Why YOUR Lifestyle - Regardless of Age – Needs to be Considered When Selecting Hearing Technology

By Crystal L. Chalmers, Au.D.
Doctor of Audiology      
North State Audiological Services
15 Jan Court
Chico, CA 95928
www.nsaudiology.com

Ah, high-technology consumer-oriented electronic devices.  They’re everywhere we look in our daily lives.  From the L.E.D. read-out timer-controlled automatic coffee maker to the hands-free cellular phone to digitally enhanced music and television systems, high-tech products are all the rage, enhancing our lives in ways that couldn’t have been imagined less than a generation ago.

And judging from some of the advertisements that are out there one might get the impression that high-tech hearing aids are the end-all answer to communication difficulties for someone with hearing loss.  People are bombarded with ads on hearing aids telling them that by purchasing the “latest and greatest” from Brand ABC that they’ll immediately hear like they did when they were a teenager.  Being good consumers, they research for hours on end, and then decide on a product with high expectations.      

But for someone with hearing loss, taking that path is like trying to follow a map without directions nor a compass. 

That’s because the first step towards better hearing lies not in selecting a hearing aid, but rather in examining one’s lifestyle and listening needs. 

Regardless of age, people have different lifestyles.  While one person might lead a very active life, another seemingly similar individual might lead a more quiet life.  If both have similar levels of hearing loss, should they both select the “latest and greatest” from Brand ABC?  Of course not!

Instead of focusing on the hearing aid one of the first things I like my patients to do is talk with me about their lifestyles and how that lifestyle is affected by their hearing and communication difficulties.   Whenever possible, I also like to involve a spouse or significant life partner; oftentimes those close to the patient can offer helpful insight about their loved one’s difficulties as well as positive support.

Only after this communication process — coupled with a thorough audiological assessment – is complete is it time to start discussing the appropriate level of hearing technology. 

That is the path that will lead to successful use of today’s hearing aids  …. because hearing is a wonderful gift!

SIDEBAR –  A Slice of Life (Well, 4 of Them, Actually)

Following are four different lifestyle categories.  Where do you fit in? 

Active lifestyles: Characterized by a variety of video and audio entertainment, diverse restaurant dining, sporting events, outdoor activities, demanding careers, group participation, family gathering, movies, driving, mall shopping, and church activities.  Frequent background noise.

Casual Lifestyles:  Typically include activities such as regular conversation, frequent television, quiet restaurant dining, small meetings, family gatherings, driving, shopping trips, movies, and weekly church services.  Occasional background noise

Quiet Lifestyles:  Often feature one-to-one conversations, some television and radio, quiet shopping, trips, and weekly church services.  Limited background noise.

Very Quiet Lifestyle:  Comprised of activities in and around the home, such as limited television, radio, or recorded books, and small church services. Rarely includes background noise.

About the writer:  Crystal Chalmers, Au.D., is an AudigyCertified™ Doctor of Audiology, the owner of North State Audiological Services in Chico, and a member/owner of AudigyGroup, the nation’s largest member-owned association of independent hearing care professionals.

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Posted in Audigy Group, AudigyCertified, Cell Phone, Hearing Aids, Hearing Device, Hearing Difficulty, Hearing Lifestyles, Hearing Loss, Hearing protection, Hearing Technology, High-Technology, Treatable Hearing Loss, Uncategorized

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Noise-Induced Hearing Loss: an Epidemic that is Preventable

March 12th, 2010

Noise-Induced Hearing Loss – an Epidemic that is Preventable

By Linda S. Remensnyder, Au.D.
Doctor of Audiology      
Hearing Associates, P.C. . . . Eliminating the Sound of Silence
35 Tower Court, Suite A
Gurnee, IL 60031
www.hearingdoc.com

In the United States, hearing loss is the third most common condition in those over 45 preceded only by high blood pressure and arthritis. A large factor contributing to this statistic is the high noise levels in the United States. From the subway to the airport, to the power tools on the weekends to the motorcycles we drive during the summer, to the music levels we listen to while exercising, to the loud movies our children attend; our citizens are becoming hearing impaired.

Prolonged exposure to potentially damaging noise levels in the workplace has been the subject of much litigation. Certainly, manufacturing environments such as steel mills, foundries, and welding plants are places people typically think of when they think of noise-induced hearing loss. The Occupational, Safety, and Health Administration (OSHA) has made great strides in terms of resolving the issue. Workers such as carpenters, electricians, and construction workers who are not employed in the manufacturing industry are not so lucky. OSHA is unable to exert pressure on their employers because those workers frequently work at different workstations and often work for different employers depending upon the season. Tinnitus (ringing of the ears) and eventual hearing loss is shrugged off as an occupational side effect because everyone has it. Our military has aggressively tried to prevent noise-induced hearing loss by mandating ear protection during target practice and other noisy maneuvers. Research conducted by the U.S. Navy has resulted in the formulation of special antioxidants (one such product is called The Hearing Pill) that can be taken prior to and after exposure to help prevent noise-induced hearing loss. Other preventative substances are in various stages of research and production. Even the sound levels of air-powered instruments that orthopedic surgeons use during surgery exceed those sound levels of manufacturing plants that are being monitored by OSHA.

Many TV and radio professionals have noise-induced hearing loss secondary to the use of earphones for monitoring equipment. And certainly, noise-induced hearing loss is an occupational hazard with musicians. Incidences of noise-induced hearing loss occurring among musicians range up to 52% in classical musicians and up to 30% in rock/pop musicians. Over the past ten years, functionally superior hearing protection products have become widely available for performing artists. Musicians have learned that if they lose their hearing, they’ve lost their livelihood. Unfortunately, they are not making the same diligent effort to preserve the hearing of their audiences. The amplifiers which face out during concerts often cause tinnitus, ear fullness, hearing loss, and sometimes hyperacusis (intolerance to loud sounds) in their attendees. Motorcycle drivers, especially those with Harley Davidsons whose mufflers have been tampered with, generally have a noise-induced hearing loss that’s worse in the right ear. Right-handed use of guns (even when restricted to the hunting season) causes noise-induced hearing loss more pronounced in the left ear. That’s because the right ear is sheltered by the right shoulder as the rifle/shotgun is positioned. Airbags and some leaf blowers have been measured to have the same noise levels as aircrafts. Aerobic instructors can have noise-induced hearing loss because they play the music so loud in the attempt to motivate their students.

IN CHILDREN: Research has confirmed that children are being exposed to excessive and potentially damaging levels of noise. A 7-year nationwide survey indicated that approximately 5.2 million Americans ages 6 to 19 have a noise-induced hearing loss in at least one ear (July 2001, Pediatrics). This is approximately one child in eight having a noise-induced hearing loss. The low-level chronic noise of everyday local traffic has also been shown to cause stress in children and raise blood pressure, heart rates, and levels of stress hormones. In addition, traffic noise has been found to adversely effect children’s motivation. Children’s toys need to be tested before purchase. If the noise levels hurt the parent’s ears, then it will definitely hurt the child’s. According to a recent newsletter from the Sight & Hearing Association, Baby’s First Cell Phone, for example, generates 90dB of noise.

Two things are certain, noise-induced hearing loss is preventable and everyone has unknown and different susceptibility to noise exposure. My own son developed bilateral tinnitus after dropping a few cherry bombs in our driveway before leaving for college. He’s now thirty-five and still has to sleep with a fan running to relieve his tinnitus. He will suffer a lifetime because of that isolated exposure. Be vigilant with your children. If you have to raise your voice to be heard while they are listening to music under earphones, then the sound levels are too high. Original earphone CD players that did not have a maximum loudness level should be replaced with newer ones which have limiting devices in place to preserve the user’s hearing.

WHAT YOU CAN DO: Purchase multiple packets of those squishy spongy yellow earplugs available at sporting good stores or the pharmacy. Also purchase a good pair of headset noise protection earphones. Keep the earplugs in your purse or briefcase and keep a pair of earplugs and earphones in the garage/basement where your power tools are stored. The combination of both earplugs and earphones provides the best hearing protection. If your ears ring or you suspect hearing loss, call for an appointment so the nature of the hearing loss can be documented and you can learn further techniques to prevent further self-inflicted hearing loss. If you are taking ototoxic (hearing toxic) medications (and there are MANY of them—ask your pharmacist), be especially vigilant about not being exposed to noise because your chance of developing a hearing problem is higher than those who are not taking the medications. Your susceptibility is also significantly enhanced if you smoke or if you are a blue-eyed blond. PLEASE, don’t take your hearing for granted. You and your children need good hearing for a lifetime.

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Posted in Audigy Group, Audiologist, Hearing Aids, Hearing Difficulty, Hearing Impaired, Hearing Loss, Hearing protection, Hearing Technology, Noise-induced, Treatable Hearing Loss, Uncategorized

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