Posts Tagged ‘Doctors Hearing Clinic’

Hearing Aid History: From Ear Trumpets to Digital Technology…

May 9th, 2012

Today’s Hearing Devices are Not Your Grandmother’s Hearing Aid!

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

Hearing loss has been a problem for as long as humans have been around and because hearing loss affects people’s ability to connect and form relationships with others, hearing devices were quickly developed to help those who could not hear. Here’s a short history of hearing aids – a brief guide to how we got to where we are today.

Pre-electric (Acoustic) Hearing Aids
These ear trumpets captured sound waves, sending them down a tube to the listener’s ear. They were big, bulky, unattractive and, frankly, they didn’t work very well. Of course, these were state-of-the art “hearing aids” for centuries until electricity became available.

Carbon Hearing Aids (1900-1939)
These were the first electric hearing aids. Carbon was used to amplify electric current to boost the volume of sound. However, they were bulky, buzzy and downright ugly, though for those with hearing loss, they were the only choice.

Vacuum Tube Hearing Aids (1921-1952)
Vacuum tubes were used to control the flow of electricity and, as such, they did make hearing aids a little better. However, these boxy devices were usually table-top models about the size of a clock radio, so the user had to carry around a heavy box and plug in to hear what was going on. There weren’t many controls or features, so these devices amplified all sound. That must have caused more than a few headaches back then. But hearing instruments continued to improve.

Transistors to the Rescue (1952-1970s)
Transistors enabled hearing aids to fit into a smaller shell. The first transistor hearing aids appeared in 1952 – actually, two years prior to the first transistor radios which came along in 1954. Transistor hearing aids were still big and bulky with the electronics in a box carried on the body, with ear phones connected to a tangle of wires. Not very convenient, to say the least.

Researchers shrunk transistor hearing aids over the years, making them small enough to fit behind the ear and even in the ear. However, they were anything but low-profile. They also didn’t come packed with features the way today’s hearing aids do.

Digital Hearing Devices
Today, quality hearing aids use digital technology – circuitry that’s used in computers and cell phones - and what a difference a few decades and countless hours of research and development have made!
Today’s digital hearing devices are sleek, discreet, fashionable, high-tech and low-maintenance. They can be programmed by an audiologist, to suit your specific hearing needs. Most adjust automatically for changes in volume levels and adapt to background noise. And now, with FM, Infrared, or Bluetooth technology, they can connect to multiple devices such televisions and telephones. Did you know that the new Bluetooth capability will allow you to answer you cell hands free, and route the call through both of your hearing devices?

Your hearing is very important and contributes greatly to a better quality of life, and you should do everything you can to make sure you find the right hearing center for your needs.

Finding the right audiologist can be as easy to answering a few simple questions. First, is there a licensed, board certified and experienced audiologist on staff? Then consider…

1. Is this professional willing to make a referral for a medical evaluation to rule out the need for medical or surgical treatment, if necessary?

2. Will the audiologist communicate effectively with you about hearing aid choices and fitting options, if hearing aids are appropriate for your hearing loss?

3. In determining whether a hearing device is appropriate, will the audiologist speak to you clearly about your hearing loss, lifestyle, manual dexterity, and budget?

4. Does the hearing center offer a wide range of hearing aid makes and models from various manufacturers?

5. Will you receive assistance and training regarding how to wear and care for your hearing devices , as well as how to adjust to wearing them?

6. Does the hearing center offer lengthy trial periods, warranties, and loss and damage protection?

7. Will they provide follow-up care following your hearing aid fitting, at least every six months?

8. Is the hearing center open at least five days a week, with an audiologist on staff to provide emergency care, or loaner hearing aids if needed?

9. Will you always see the same audiologist when you visit?

If you have answered “Yes” to all of these questions, you can rest assured that you have taken the right steps in finding a reputable dispensing practice. Of course, answering some of these questions may require more research than just exploring online. Call the hearing centers in your area to see how they answer your questions. Once you find one you are comfortable with, schedule an appointment for an initial consultation and hearing test.

So remember, if you’re looking for the latest and the greatest in hearing loss solutions, visit Doctors Hearing Clinic for more information and counseling. Forget everything Grandpa told you about his hearing aids. Those days and those hearing aids are long gone, thankfully. Today, you can enjoy the sounds of life without a lot of hassles. Modern digital hearing aids deliver sound quality and ease-of-use in small, attractive devices. Seek a Board certified audiologist to explore the world of high tech hearing devices that are now available – and see for yourself that this is NOT your grandmother’s hearing aid!

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Posted in Advanced Hearing Technology, Alabama, Amplification, Au.D., Audiologist, Audiologists, Audiology, Bettie Borton, Bluetooth, Bluetooth Technology, Board Certified Audiologist, Digital Hearing Aids, Digital Hearing Devices, Doctor of Audiology, Doctors Hearing Clinic, Hearing Aid, Hearing Aids, Hearing Care, Hearing Care Professional, Hearing Center, Hearing Device, Hearing Difficulty, Hearing Impaired, Hearing Loss

Tags: Acoustic Hearing Aids Alabama Audiologist Bettie Borton Bluetooth Bluetooth Technology Carbon Hearing Aids digital hearing aids Doctors Hearing Clinic Hearing Aids hearing center Hearing Devices Hearing Loss Hearing Technology History of Hearing Aids Montgomery Pre-electric Hearing Aids Transistor Hearing Aids Vacuum Tube Hearing Aids

Seeking Hearing Help? The Cost of Quality and Other Secrets of Success

April 11th, 2012

So, you finally made and KEPT that appointment for a hearing evaluation. Congratulations! You took that all-important first step to a better quality of life.

First and foremost, be sure your hearing evaluation was done by an audiologist who holds Board Certification from the American Board of Audiology. A hearing evaluation is a test which allows this professional to determine the type and degree of hearing loss. Hearing evaluations are simple, quick, and painless, providing the information needed to make recommendations to improve the quality of life – YOUR life.

Ah, but the results of that evaluation were not… what you were hoping? No ear wax or infection…instead you’ve been told you are a hearing aid candidate. Finding the best hearing aids is a process that is unique to each person with hearing loss. It is important to work closely with your audiologist to determine which hearing aids best fit your hearing loss, lifestyle, listening needs and budget. Take heart…You’re going to love what you hear. You may not, however, love the price tag, but please keep reading. Hearing aids are a worthy investment for you and those you love.

As with most things in life, you get what you pay for. Most hearing aids range in price from around $1000-$3000 per instrument. And remember that in most cases you will be buying a pair. Whether we’re talking about cars, clothes or hearing aids, quality costs more. We’re not talking about those ear amps they sell on TV so “you can watch TV without disturbing your partner. ONLY $14.95!!!!” Such personal sound amplifiers (PSA) are devices that are intended for people with no hearing loss to aid in various recreational activities, not to amplify sound for those with documented hearing loss. The FDA recently felt it necessary to clarify for consumers the difference between a PSA and a hearing aid in order to protect consumers. Unlike hearing aids, PSA devices are “one size fits all”, and a recent study at Michigan State University determined that PSA devices were directly correlated to low consumer satisfaction and are potentially harmful to hearing.

A common question among consumers is “which hearing aids are best?” The best hearing aids are those chosen based on your unique hearing loss, hearing needs and lifestyle issues. Work with your audiologist to prioritize your needs, wants and budget and let them help guide you in selecting the best hearing aids for you.

So, what things should you consider when shopping for your first set of hearing aids, or looking to replace the pair that you’ve enjoyed all these years? Which features are important to you? Live in a hot and humid climate and enjoy being outdoors? Hitting the tennis courts each morning? Or maybe you walk or run with friends. In general, the more active lifestyle you lead, the more sophisticated hearing aid you will need. If you lead an active life – playing golf, jogging in the morning or just out and about, buy hearing aids that reduce wind noise and protect against moisture build-up are worth the extra money. If you lead a quiet, sedate life, you may not need extra technology to get you through the day.

Call it self-image or self-confidence, there’s a stigma in some people’s minds about hearing aids. Concerned about cosmetics? With today’s technology, no problem! Hearing aids come in a variety of styles and sizes for those looking for a discreet fit.

Completely-in-the-canal (CIC) hearing aids slip into the ear canal and are nearly invisible. Custom made hearing aids block natural sound, and often create a “stuffy ear” feeling, but the latest “open ear” devices are light and powerful. These units are remarkably cosmetically appealing, utilizing a thin transparent tube to deliver sound into the ear. So, if you’re concerned about how others will see you with hearing aids, the cosmetic appeal of an open fit is ideal.

Are you glued to a cell phone a couple of hours a day on the road? Does your PDA ring every 10 minutes? Do you have a music device like an iPod you enjoy listening to? Today’s hearing aids offer wireless connectivity to a range of Bluetooth compatible devices so you can stay in touch with family, friends and the folks back in the office using your hearing devices. You can now use your cell phone hands free, routed directly through your hearing instruments! Not exactly your grandmother’s hearing aid! On the other hand, if you still think a Blackberry is simply a tasty fruit, why spend extra for wireless connectivity?

So forget the PSA gizmos if you have a diagnosed hearing loss. They can make a bad situation worse. If you can afford the top of the line, there are some fantastic technologies available. But if you are on a budget, know there are still many options for you and your decision should be made based on exactly what you need and will use.

You need and want to enjoy the sounds around you everyday, and that’s something on which you just can’t put a price. You’re going to love what you hear.

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Posted in Audiologist, Best Hearing Aids, Bettie Borton, CIC Hearing Aids, Completely in the Canal Hearing Aids, Doctors Hearing Clinic, Ear wax, Hearing Aid Candidate, Hearing Aid Technology, Hearing Evaluation, Hearing Lifestyles, Hearing Loss, Hearing Test, Hearing Tested, Personal Sound Amplifiers, Uncategorized

Tags: Alabama american board of audiology Audiologist best hearing aids Bettie Borton CIC Hearing Aids completely in the canal hearing aids Doctors Hearing Clinic ear wax hearing aid candiate hearing aid styles hearing evaluation hearing lifestyle Hearing Loss Hearing Test Hearing Testing Personal Sound Amplifiers wireless connectivity

NOISE… An Ounce of Prevention is Worth a Pound of Cure!

April 4th, 2012

Have you ever wondered if your children or grandchildren are damaging their hearing by using personal listening devices, cell phones, or by listening to loud music that’s too loud? Most of us look at the noisy environment that envelopes young people today, and can’t help but worry about this as potentially hazardous to their hearing.

We often think of hearing loss as a problem affecting only older Americans. However, a stunning one in five teens has lost a little bit of hearing, and the problem has increased substantially in recent years, a new national study has found. Audiologists and hearing healthcare researchers are urging teenagers to turn down the volume on their digital music players, suggesting loud music delivered through earbuds may be to blame. Although definitive evidence is lacking about the cause, experts warn that slight hearing loss can cause problems in school and set the stage for increased hearing loss in later life.

Our hope is we can encourage people to be careful,” said the study’s senior author, Dr. Gary Curhan of Harvard-affiliated Brigham and Women’s Hospital in Boston. Researchers here analyzed data on 12 to 19 year-olds from a nationwide health survey. They compared hearing loss in nearly 3,000 kids tested from 1988-94 to nearly 1,800 kids tested over 2005-06.

The prevalence of hearing loss increased from about 15 percent to 19.5 percent. Most of the hearing loss was “slight,” defined as inability to hear at 16 to 24 decibels – or sounds such as a whisper or rustling leaves. A teenager with slight hearing loss might not be able to hear water dripping or his mother whispering “good night.”

Extrapolating this data to the nation’s teen population, that would mean about 6.5 million young people with at least slight hearing loss. Those with slight hearing loss “will hear all of the vowel sounds clearly, but might miss some of the consonant sounds” such as t, k and s, Curhan said. “Although speech will be detectable, it might not be fully intelligible,” he said. While the researchers didn’t single out iPods or any other device for blame, they found a significant increase in high-frequency hearing loss, which they said may indicate that noise caused the problems. And they cited a 2010 Australian study that linked use of personal listening devices with a 70 percent increased risk of hearing loss in children. Theses findings recently appeared in the Journal of the American Medical Association.

Loud music isn’t new, of course. Each new generation of teenagers has found a new technology to blast music – from the bulky headphones of the 1960s to the handheld Sony Walkmans of the 1980s. But according to Dr. Brian Fligor, an audiologist at Harvard Medical School, today’s young people are listening longer, more than twice as long as previous generations; older technologies had limited battery life and limited music storage, he points out. And with the Apple iPod, users can set their own volume limits, but parents can use the feature to set a maximum volume on their child’s iPod and lock it with a code.

One of Fligor’s patients, 17-year-old Matthew Brady of Foxborough, Mass., recently was diagnosed with mild hearing loss. He has trouble hearing his friends in the school cafeteria. He ends up faking comprehension. “I laugh when they laugh,” he said.

Fligor believes Brady’s muffled hearing was caused by listening to an iPod turned up too loud and for too long. After his mother had a heart attack, Brady’s pediatrician had advised him to exercise for his own health. So he cranked up the volume on his music while walking on a treadmill at least four days a week for 30-minute stretches. One day last summer, he got off the treadmill and found he couldn’t hear anything with his left ear. His hearing gradually returned, but was never the same.

Often, young people turn their digital players up to levels that would exceed federal workplace exposure limits. In Fligor’s own study of about 200 New York college students, more than half listened to music at 85 decibels or louder. That’s about as loud as a hair dryer or a vacuum cleaner. Habitual listening at those levels can turn microscopic hair cells in the inner ear into scar tissue, and for reasons that we don’t fully understand, some people may be more predisposed to damage than others; Fligor believes Brady is one of them. And remember, once damage is inflicted, it cannot be undone.

These days, Brady still listens to his digital player, but at lower volumes. His sage advice…”Do not blare your iPod,” he said. “It’s only going to hurt your hearing. I learned this the hard way.”

If you or a loved ones are concerned with a teen’s hearing or listening habits, visit our website for more information, or contact an audiologist for comprehensive hearing evaluation.

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Posted in Audiologist, Bettie Borton, Comprehensive Hearing Evaluation, Damaging Hearing, Digital Music Players, Doctors Hearing Clinic, Hazardous Hearing, Hearing Loss, Hearing Loss in Children, High-Frequency, iPods, Personal Listening Devices, Uncategorized

Tags: Audiologists comprehensive hearing evaluation Damaging hearing digital music players digital player Doctors Hearing Clinic Dr. Bettie Borton earbuds hazardous on hearing hearing healthcare Hearing Loss hearing loss in children High-Frequency Hearing Loss Ipods personal listening devices

Hearing is Big Business!

January 25th, 2012

Are you Assisting Employees with Hearing Loss? If not, listen up.

In a 2009 survey of 46,000 U.S. households, the Better Hearing Institute (BHI) determined that over the past generation hearing loss grew at an alarming 160 percent of the U.S. population growth— largely attributable to the aging of the American population. Yet the study found that 60 percent of people with hearing loss are below retirement age, indicating that 16.3 million people with hearing loss were in the U.S. workforce in 2010. In other words, untreated hearing loss has serious consequences for both employers and employees. Untreated hearing loss is costing society and those with the loss millions of dollars annually in lost revenue, productivity, and manpower.

Good hearing is good business. Given the incidence and prevalence of hearing loss, most businesses will confront this challenge in the context of management’s responsibility and oversight of human resources. So, what can companies do to plan for and address the impact of employee hearing loss? There are a number of simple steps employers can take to educate employees about hearing loss and to facilitate the use of hearing aids, where needed, that are simple to implement and very cost effective.

Previous research at BHI has shown that 50 percent of people with untreated hearing loss have never had their hearing checked by an audiologist and lack sufficient information to know whether they need to take action to correct it. Company owners and human resource professionals can help employees understand if they need treatment by:

Educating employees regarding the impact of untreated hearing loss on quality of life.
Encouraging employees to have their hearing screened on an annual basis, and providing opportunities for them to do so.

Employers can create a corporate climate where hearing loss is recognized so those with hidden hearing loss feel more comfortable. Here are some suggestions:

Avoid noisy restaurants as meeting locations.
Summarize meeting minutes in writing to be sure that those with hearing issues are clear on the outcome of the meeting.
Provide easy accommodations, such as moving an employee’s desk away from noisy hallways, machines, or air conditioning and heating vents, or installing a phone that amplifies high frequencies.
Build work environments that facilitate better hearing by choosing cubicles with noise-absorbent materials and equipping meeting rooms with an inductive loop that creates a wireless zone for hearing aids with telecoils, headsets or microphones.

In many cases, hearing aids can help protect employees from being at a competitive disadvantage with peers. Organizations can encourage the use of hearing devices, when needed, by participating with a private practice in Audiology to contract for the provision of services, group discounts, hearing devices, and more! Audiologists can design and implement screening programs (on and off site), as well as effective follow up scenarios to assist employees with managing hearing loss if it is identified.

Companies can also encourage employees to purchase hearing aids using pretax medical flexible spending account funds. In Montgomery, Doctors Hearing Clinic offers just such an option through their BHP program , and the good news is that it is FREE to employers, as well as employees and their families. This Better Hearing Program (BHP) offers free screenings, group discounts on hearing devices, in-service educational presentations, and a host of other hearing related employment benefits.

If you’re currently employed, encourage your employer to seek offerings for the provision of hearing healthcare services, and remember, these services can often be contracted with local audiology practices. If you’re an employer in the Tri County region and don’t currently offer a hearing healthcare package, the program at Doctors Hearing Clinic is an example of what is available to your company. This FREE array of benefits for your staff and their families, offers great value in hearing healthcare at no cost to you or your employees!

So start the 2012 business year out right. By encouraging employees to treat hidden hearing loss rather than hide it, an employer creates a win-win situation by ensuring that the loss of hearing does not interfere with job performance, productivity, safety, or the employee’s career or quality of life on or off the job.

References:

Sergei Kochkin, Ph.D., executive director of the Better Hearing Institute, a not-for-profit that educates the public about hearing loss, prevention and treatment.

Better Hearing Institute (BHI)

The Society for Human Resource Management

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Posted in Audiologist, Better Hearing Institute, Bettie Borton, Doctors Hearing Clinic, Employee Hearing Loss, Good Hearing, Hearing Checked, Hearing Evaluation, Hearing Health, Hearing Healthcare, Hearing Issues, Hearing Loss, Hearing Screening, Hearing Test, Hearing Tested, Treatable Hearing Loss, Uncategorized, Untreated Hearing Loss

Tags: Alabama Audiologist better hearing Better Hearing Institute Bettie Borton Doctors Hearing Clinic employee hearing loss employee hearing screening programs good business good hearing Hearing Aids hearing checked hearing employment benefits hearing healthcare services hearing issues Hearing Loss hearing screened Montgomery Sergei Kochkin treat hearing loss Untreated Hearing Loss

What Should You Expect from Your Hearing Evaluation?

January 12th, 2012

More than 32 million Americans have significant hearing loss, yet only a fraction of that number have ever had their hearing tested by a Board Certified Audiologist. Everyone over 25 should have a baseline audiogram! Consider this fact- 17% of all those involved in motor vehicle accidents will have resultant permanent sensorineural hearing loss. However, if you’ve never had a valid hearing evaluation, you’d be hard pressed to show that your hearing was normal prior to such an accident.

A thorough hearing test is the first step in determining if you do, in fact, have hearing loss. The hearing test results also allow your audiologist to recommend the best treatment options if you do in fact have hearing loss. A hearing test is a quick, painless and non-invasive test, and should always be performed by a licensed, Board Certified audiologist. Ask to see the credentials of those who will be doing your testing! As with most health care professionals, credentialed individuals have the greatest amount of educational training in diagnosis and treatment of hearing impairment, and will offer you or your loved ones solutions that reflect their knowledge base.

The test begins with a thorough case history, which reviews specific health information that may provide insight into hearing loss causes and will assist in determining which tests should be performed. Following the case history, the audiologist will examine your ear canals and eardrums with a special light called an otoscope. Your middle ear function will also be assessed by a test called tympanometry, which offers insight regarding the status of the area behind your eardrum. This area cannot be easily seen, and so the tympangram offers valuable information to the examiner. The test involves a pressure change, and may replicate the feeling you experience while going up in an elevator, but is not painful in any way.

Next, the levels of hearing in each of your ears should be measured in a sound-treated test booth. Some hearing aid technicians don’t use this type of equipment~ but be wary of any hearing test that is not conducted in such a booth, as reliability may be seriously compromised. During this test, a series of tones of different pitches, as well as speech signals, are presented to each ear through headphones. You will be asked to respond to the signals by either pushing a button, raising your hand or in the case of speech signals, repeating what you heard. You will be asked to respond to the lowest level that you can hear which determines your hearing thresholds. Thresholds for each pitch and ear are plotted on a graph called an audiogram. These thresholds indicate the level at which you are just barely able to detect sound. The speech testing yields a word recognition score, which is important in determining in part how well you will perform with hearing aids, which listening situations will be most challenging, etc.

Further tests may be conducted during the hearing test. Your ability to understand words or sentences at different volume levels or in the presence of noise may be assessed to determine how clearly you hear speech in various conditions. Following the tests, the hearing professional will discuss the results with you and may provide further recommendations, including treatment options, like hearing aids.

If you suspect you have hearing loss it is important to have your hearing tested as soon as possible. The use-it or lose-it principle does apply to our hearing; the sooner you treat hearing loss, the better the outcome of treatment. Most people wait an average of seven years from the time they suspect they have hearing loss until they purchase hearing devices. During that time period, the auditory system is at extreme risk for auditory deprivation, or lack of stimulation due to insufficient volume. This can make a difficult situation worse than it really needs to be. So why wait? Have a Board Certified Audiologist evaluate your hearing as soon as you (or others!) suspect there might be a hearing loss.

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Posted in Audiogram, Audiologist, Bettie Borton, Board Certified Audiologist, Doctors Hearing Clinic, Ear Canal, Eardrum, Ears, Hearing, Hearing Aid, Hearing Aid Technician, Hearing Care, Hearing Evaluation, Hearing Impaired, Hearing Loss, Hearing Test, Hearing Tested, Hearing Threshold, Listening Situations, Otoscope, Sensorineural Hearing Loss, Uncategorized

Tags: Alabama audiogram Audiologist Bettie Borton Board Certified Audiologist Doctors Hearing Clinic ear canals eardrums ears hearing hearing aid technician Hearing Aids hearing care professionals hearing evaluation hearing impairment Hearing Loss hearing professional Hearing Test Hearing Testing hearing threshold listening situation Montgomery Opelika otoscope Sensorineural Hearing Loss sound-treated speech signals timpangram tympanometry

What’s the Best Hearing Aid?

December 8th, 2011

“What’s the best hearing aid?” As an Audiologist, I’ve heard that question so many times. To successfully answer that question, perhaps the very first thing I need to do is modify it slightly ~ “What’s the best hearing aid for you?” An important concept to keep in mind when exploring today’s vast array of options for hearing devices is that what’s right for you may not be right for someone else, and vice reverse. The decision regarding which type of hearing instrument technology will sound and perform the very best will be largely dependent on you, your lifestyle, budget, and listening needs. These parameters tend to be highly variable from person to person, so let’s take a closer look.

Not all hearing losses can be correctly fit with the same style or type of device. This is very evident when fitting those with precipitous loss in the high frequencies. High frequency deficits are the most common configuration of hearing loss, and respond best to open fit technology. This type of device leaves your ear canal open, ensuring that the sound of your own voice is normal and pleasant. Conversely, fitting those with high frequency loss with conventional “in the ear” devices can have catastrophic results in terms of patient satisfaction. Have hearing instruments that you or your loved one are not using? It may be resultant from the units being the wrong style for the loss! High quality open fit technology has been available for a relatively short period of time, and many of those whose instruments were purchased more than 5 years ago may not have had access to those devices.

What about some of the new “fancy stuff”, like Blue Tooth technology? Is that for you? Many of my patients are not familiar with Blue Tooth, but it can open up a world of ancillary devices and couplings for your hearing devices. For example, if you use Blue Tooth enabled hearing aids, you can wear a “streamer” around your neck, and answer your cell phone hands free through your hearing aids! With the new cell phone use restrictions now in place in Montgomery, that can be a really handy feature. It’s also possible to listen to your TV or IPod directly through your hearing instruments with this technology, or use a special microphone to make conversations with your significant other in a noisy car or restaurant much easier. Other technologies to consider are remote controls, assistive listening devices like amplified phones or doorbell alerts, or FM devices to help with performance in a classroom or job environment. However, if you don’t want or need such technologies, don’t pay for them!

What kind of lifestyle do you have? If you are still working, it’s likely that you are in highly variable listening environments, or your profession demands auditory accuracy (and most jobs do!). Those who lead very active lifestyles need to consider today’s high end technology, with plenty of noise reduction capability. On the other hand, if you’re retired, living alone, and seldom go to restaurants or parties, simpler, more basic noise reduction features will suffice – and cost less! If you are the type of person who “wants the best of everything” then there are plenty of high end technologies to wow you (and your friends and family). Don’t overbuy, but do be honest with your Audiologist about your listening needs. If you aren’t you may be disappointed with your hearing devices.

Finally, as self-serving as this might sound, perhaps the only honest and comprehensive answer to the question above is “a hearing device recommended and provided by an exceptionally skilled and dedicated Audiologist.” Sometimes that’s not the answer folks are looking for. I have patients tell me “it’s all about price” or request a specific brand because a friend or relative was successful with a particular device. Hearing aids are a big investment with the potential for providing a big improvement in the quality of your life. People with hearing impairment need a competent and caring Board Certified Audiologist who will go the extra mile to provide them with solutions custom-tailored to their own unique hearing loss and listening situations. As critical as the various aspects of technology may be to the hearing aid industry, it is ultimately the professional who is the decisive factor in guiding patients to satisfaction and benefit with hearing devices.

Note: Doctors Hearing Clinic was recently named Best of 2011 Hearing Healthcare Professionals by The Hearing Review, and was Dr. Borton and her staff were the only clinic in Central Alabama to receive this award. This recognition was provided to only 165 hearing healthcare clinics across the United States.

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Posted in Audiologist, Bettie Borton, Bluetooth, Central Alabama, Doctors Hearing Clinic, Hearing Aid, Hearing Device, Hearing Instruments, Hearing Loss, Hearing Technology, Listening Enviornments, Listening Situations, Listening Tips, Noise Reduction, Uncategorized

Tags: Alabama Assistive Listening Devices Audiologist Best Hearing Aid Bettie Borton Bluetooth Technology Doctors Hearing Clinic hearing aid hearing device hearing impairment hearing instrument technology Hearing Losses listening lifestyle Montgomery Open Fit Technology

Make the Most of Your Hearing – (re) Train Your Brain!

November 23rd, 2011

We hear in our ears, but we process and understand sound in our brain. Hearing aids can help a person detect that are no longer in their range of audibility, but they don’t necessarily provide good listening skills. There is a fundamental difference between hearing and listening, and hearing devices alone do not assure good listening. We all know people who have normal hearing but are poor listeners (ok, ok, don’t reference your spouse’s selective hearing!). Hearing requires a functional auditory system that allows sound to be heard, listening requires specific effort and skill, and that can become more difficult when a hearing loss is present.

As technically advanced as modern hearing aids might be, these devices alone cannot ensure listening skills needed for communication. Listening integrates a number of skills including attending, understanding, and remembering. Unfortunately, many of these cognitive skills deteriorate as we age. This may show up as a worsening of short-term memory, or increasing difficulty understanding rapid speech. Modern hearing aids have certainly improved the quality of sound in noisy environments, but they do not eliminate background sounds. People with sensorineural hearing loss have disproportionately difficult time understanding speech in noise. In addition, research shows that a loss of hearing produces physical changes in the auditory pathways of the brain. We now know that when hearing loss deprives parts of the brain of auditory stimulation, neural pathways actually degrade. The old adage of “use it or lose it” is very true with regard to hearing loss- waiting to get hearing aids when you know you have hearing loss is problematic because your brain may not be receiving the kind of stimulation it needs to maintain speech understanding.

When people lose confidence in their ability to communicate in noisy social situations, they simply drop out and avoid those environments. While this may save them effort and embarrassment, it ultimately costs them important personal and social contact. Some individuals utilize compensatory strategies that may result in successful hearing aid use. Others, however, are not so fortunate. The need for additional therapy beyond that provided by devices alone is becoming increasingly evident, and is underscored by the fact that individuals with similar hearing loss frequently report a wide range in satisfaction and benefit from their hearing aids.

The good news is a Board Certified Audiologist can optimize your hearing aid hearing experience using a number of methods, strategies and techniques. The hearing healthcare professionals at Doctors Hearing Clinic specialize in developing individualized treatment plans for those struggling with hearing impairment, and can offer the very latest in technologies, as well as the time required to successfully implement them! Have realistic expectations for hearing aids – they’re wonderful devices, but not new ears. Join a self help group to share methods and techniques that are successful for you and others (Montgomery has a Hearing Loss Support Group that meets the second Thursday of each month at the First Methodist Church, 4 PM, free of charge!). And consider new computer software to “train your brain” to listen more effectively!

The great news is that with the help of a skilled Audiologist who routinely offers programs in aural rehabilitation, you or your loved ones can keep listening skills from deteriorating and improve ability to function in noisy situations. When a person injures an arm or leg, everyone recognizes the importance of physical therapy to strengthen adjacent muscles and instruction to optimize function. Similarly, it is likely that hearing devices alone will not produce optimal communication skills unless accompanied by counseling and training.

There are many exercises you can try on your own. Here are three examples:

• Use closed- captioned TV, or record programs using a DVR or TIVO. Watch the show live. Then replay it with closed captioning or by slowing it down.

• Listen to, while reading, audio books.

• Buy two copies of the newspaper. Have your spouse or colleague read the newspaper aloud while you are listening only, and then go ahead and read it yourself. Try this in quiet at first, and then proceed to noisier listening environments.

• Try self-help computer assisted training programs

One such auditory training therapy program designed to help the brain listen, Listening and Communication Enhancement (LACE) uses a computer or DVD. LACE is designed to enhance listening and communication skills, improve confidence levels, and provide communication strategies. The program consists of a variety of interactive and adaptive training tasks for listening to speech in noise, rapid speech, and auditory memory. Besides the immediate feedback given for each task, LACE provides you with a graph depicting daily improvement from the start of the training.

LACE training is conducted in the privacy of your own home at a pace comfortable to you; Doctors Hearing Clinic also offers a computer lab where you can take all or part of the training in their office. Research on thousands of people with hearing loss demonstrates that you can expect on average a 40% improvement of speech comprehension in noisy situations, if you complete the training program.

So if you or someone you love uses hearing devices, take the important step of seeking help from a Board Certified Audiologist to help you develop a comprehensive strategy for hearing and communication skills – train your brain for listening!

References: Robert W. Sweetow, Ph.D., Professor of Otolaryngology, University of California, San Francisco and the Better Hearing Institute

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Posted in Audiologist, Communication, Communication Strategies, Hearing Aids, Hearing Loss, LACE, Listening Tips, Sensorineural Hearing Loss, Uncategorized

Tags: Audiologist Board Certified Audioloigst Communication Skills Doctors Hearing Clinic Hearing Aids Hearing Loss LACE LACE Training Sensorineural Hearing Loss Train Brain

Can I Prevent My Hearing Loss From Getting Worse?

November 10th, 2011

When I diagnose patients with a loss of hearing, they usually want to know if there is any way they can stop the progression of the loss. Common sense (and a large body of research) tells us that hearing loss tends to get worse as we get older, but each case is unique. In many cases, hearing is stable for many years. In others, the hearing loss progresses relatively rapidly.

One of the most important things that all adults over the age of 50 need to do is to have an audiological evaluation that will establish their baseline hearing, and keep that on file with their primary care physician and with their health records kept at home. Getting a comprehensive audiometric by a Board Certified Audiologist ensures that you have been evaluated by a professional who has the most training for this purpose, and ascribes to the highest ethical, practice, and continuing education requirements available. Why is it so important to have this baseline? Well, if your hearing changes, it will be much easier to gauge the rate of progression of the loss if you have clearly established a “starting point”, and have annual re-evaluations to document any shift in thresholds. And remember, documenting that starting point could be very important –No one wants to borrow trouble, but don’t forget that 17% of all of those involved in motor vehicle accidents with air bag deployment have permanent sensorineural hearing loss as a result! That could be difficult to prove in a court of law if you haven’t had a recent hearing test.

Noise is a leading cause of hearing loss, and hearing loss from noise exposure is usually preventable. Both the level of the noise and the length of time you’re exposed to it determine if a noise will cause damage to your hearing. A good rule of thumb is: if you have to raise your voice to be heard by someone standing three feet away, the noise around you could be damaging. Everyday sounds, such as music, power tools, or a lawn mower, have been shown to cause hearing damage.

Visit a local hearing center for advice regarding the best options for ear plugs or other noise protection to wear during these activities and get your hearing checked on a a regular basis. Your hearing professional can compare your exams over time to determine if your hearing loss is worsening. If a significant change is noted, your hearing professional may refer to you to an ear doctor for further evaluation.

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Posted in Audiological Evaluation, Audiometric, Baseline Hearing, Bettie Borton, Board Certified Audiologist, Doctors Hearing Clinic, Hearing Center, Hearing Damage, Hearing Loss, Hearing Professional, Hearing Test, Loss of Hearing, Noise Exposure, Sensorineural Hearing Loss, Uncategorized

Tags: Alabama audiological evaluation audiometric baseline hearing Bettie Borton Board Certified Audiologist Doctors Hearing Clinic hearing center hearing damage Hearing Loss hearing professional Hearing Test Loss of Hearing Montgomery noise exposure Sensorineural Hearing Loss

It Doesn’t Really Matter If I Wear My Hearing Aids, RIGHT?

October 28th, 2011

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

WRONG! According to ScienceDaily (Sep. 20, 2011), mild hearing loss has now been linked to brain atrophy in older adults. Anecdotally, over the course of my 30+ years in private practice as a Board Certified Audiologist, I’ve observed this to be true. But now, more and more research is indicating strong correlation between failure to obtain or use hearing devices and increased problems with understanding speech and cognition.

We have all heard (or perhaps experienced) the complaint that despite the fact that speech is audible, it’s not understandable. “I hear but I can’t understand” is probably the most commonly voiced concern in my office. So, if someone has hearing loss, if your hearing aids make sounds louder, why doesn’t that solve all hearing related issues? Well, like lots of things in life, it’s just not that simple.

A person’s audiogram (or those little blue X’s and red O’s on the graph of your responses to the “beeps”) tells us a lot, but it does not yield the whole story. Hearing thresholds (or the point at which someone is just barely able to detect sound across the frequency range) are certainly important, but don’t give much information regarding how well someone will understand when speech sounds are made sufficiently loud. Word recognition testing, with and without noise, provides additional information regarding this capability, and as a by-product, an indirect measure of the distortional component inherent to sensorineural hearing loss.

We now have mounting evidence that those who have hearing loss, but fail to get and/or use hearing devices run the risk of depriving their auditory system of sufficient loudness, which in turn results in degradation of the mechanisms responsible for understanding speech. A new study by researchers from the Perelman School of Medicine at the University of Pennsylvania shows that declines in hearing ability may accelerate gray mater atrophy in auditory areas of the brain and increase the listening effort necessary for older adults to successfully comprehend speech. When any one of our senses (smell, taste, sight, hearing, or touch) is changed in some way, the brain reorganizes and adjusts. In the case of those with hearing loss, researchers found that the gray matter density of brain in areas specific to hearing was lower in people with decreased hearing ability, suggesting a link between hearing ability and brain volume.

So, use it or lose it may be the prevailing philosophy. Take heart (and USE those instruments that you have!) According to this study, early intervention for hearing loss with the consistent use of amplification can slow the progression of speech comprehension difficulty. “As hearing ability declines with age, interventions such as hearing aids should be considered not only to improve hearing but to preserve the brain,” said lead author Jonathan Peelle, PhD, research associate in the Department of Neurology. “People hear differently, and those with even moderate hearing loss may have to work harder to understand complex sentences.”

In two recent research studies, researchers measured the relationship of hearing acuity to the brain, first measuring the brain’s response to increasingly complex sentences and then measuring cortical brain volume in auditory cortex. Results indicate that older adults (60-77 years of age) with normal hearing for their age were evaluated to determine whether normal variations in hearing ability impacted the structure or function of the network of areas in the brain supporting speech comprehension.

The studies found that people with hearing loss showed less brain activity on functional MRI scans when listening to complex sentences. Poorer hearers also had less gray matter in the auditory cortex, suggesting that areas of the brain related to auditory processing may show accelerated atrophy when hearing ability declines.

In general, research suggests that hearing sensitivity has important consequences for neural processes supporting both speech perception and cognition. Although most the research has been conducted in older adults, the findings also have implications for younger adults, including those concerned about listening to music at loud volumes. “Your hearing ability directly affects how the brain processes sounds, including speech,” says Dr. Peelle. “Preserving your hearing doesn’t only protect your ears, but also helps your brain perform at its best.”

Physicians should monitor hearing in patients as they age, and everyone should have a baseline audiogram performed by a Board Certified Audiologist, looking specifically at speech recognition abilities even in the presence of normal hearing. Patients should talk to their physician or audiologist if they are experiencing any difficulty hearing or understanding speech. If your physician has not referred you for hearing evaluation, take action!

The research cited above in this article appears in the latest edition of The Journal of Neuroscience and was funded by the National Institutes of Health.

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Posted in Advanced Hearing Technology, Au.D., Bettie Borton, Board Certified Audiologist, Communication, Diagnostic Testing, Digital Hearing Aids, Doctor of Audiology, Ear Protection, Hearing, Hearing Aid, Hearing Aids, Hearing Assessment, Hearing Care, Hearing Test, Hearing Tested, Hearing Threshold, Signs of Hearing Loss

Tags: advanced hearing technology Alabama Au.D. audiogram Audiologist Audiologists auditory cortex Bettie Borton Board Certified Audiologist brain atrophy communication cortical brain volume Department of Neurology diagnostic testing digital hearing aids Doctor of Audiology Doctors Hearing Clinic ear protection gray matter hearing hearing assessment hearing care Hearing Devices Hearing Loss Hearing protection Hearing Test Hearing Tested hearing threshold Jonathan Peelle Journal of Neuroscience Montgomery MRI National Institutes of Health Perelman School of Medicine PhD ScienceDaily Sensorineural Hearing Loss signs of hearing loss speech comprehension University of Pennsylvania word recognition

The Hearing Aid Tax Credit – Not Moving at the Speed of Sound

June 16th, 2011

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

As a member of the American Academy of Audiology Board of Directors, the “big picture” with regard to hearing healthcare is one of my primary focus areas. With all the talk about the new healthcare plan currently being debated in the Senate, you may be wondering what is the status of the Hearing Aid Tax Credit Act? Unfortunately, it is not part of the current healthcare reform legislation and it has been moving through the House and the Senate at a snail’s pace.

There are some differences between the House of Representatives and the Senate bills: the House one (H.R. 1646) calls for provision of a tax credit towards the purchase of each hearing aid of up to $500 per device, available once every five years. It would be available to people age 55 and over, or those purchasing a hearing aid for a dependent. This bill excludes coverage for people earning over $200,000 a year. The Senate bill (S. 1019) would provide the same $500 credit but cover all age groups.

Although similar bills are introduced on the Hill every year, they never get very far. However, since August 2009, the bill has reached the threshold of 100 bipartisan co-sponsors (66 Democrats and 34 Republicans), so there is every reason to be optimistic that it will finally be passed. This hope is shared by leading healthcare and advocacy organizations, including Better Hearing Institute (BHI), the Hearing Loss Association of America, the American Academy of Audiology, the American Speech-Language Hearing Association and the AARP, among others.

Why should you care about the passage of the Hearing Tax Credit legislation? Well, for one thing, hearing loss is one of the most common conditions affecting older Americans. As Better Hearing Institute, points out that:

3 in 10 people over age 60 have hearing loss
1 in 6 baby boomers (ages 41-59) have a hearing problem
1 in 14 Generation Xers (ages 29-40) already have hearing loss
At least 1.4 million children (18 or younger) have hearing problems; it is estimated that 3 in 1,000 infants are born with severe to profound hearing loss. In fact, hearing loss is the most common of birth defects, occurring more frequently than, for example, Down Syndrome.

While sensorineural hearing loss can’t be “cured”, studies have conclusively shown that hearing technology, such as hearing aids, not only helps users hear better, but, at the same time, it vastly improves the overall quality of their lives by allowing them to participate in conversations and social activities, as well as reducing isolation, getting better compliance with medical concerns, and a host of other advantages.

By the same token, those who do not wear hearing aids are at an increased risk of loneliness, isolation and depression. For children, untreated hearing loss means that their language and social skills development will be delayed and / or diminished. Any way you look at it, hearing aids are necessary for quality of life, safety, and skill development for many Americans, young and old.

Unfortunately, for far too many people with hearing loss they remain out of reach.

Millions of people need hearing devices, but don’t get them, and a large part of the problem is the cost. There are currently an estimated 36 million Americans with some degree of hearing loss. Yet, according to BHI, only nine million actually wear hearing aids. Of those who do not, many cite the high cost of assistive technology for not getting treatment; in fact, two out of three adults with hearing loss say financial constraints are the main reason they do not use hearing aids.

The cost of hearing aids – ranging from $1,000 to 4,000 per hearing aid – is not covered by either Medicare or most private insurers, making it too expensive for many people. But a survey carried out by BHI demonstrates that 10 million of the 27 million Americans with untreated hearing loss would likely buy hearing aids if tax credits were available.

That’s why it is crucial that the Hearing Aid Tax Credit Act does not languish on the Hill much longer.

Make your voice heard! Congressmen do listen to their constituents, so it is critical that you write your representatives urging them to support this legislation.

For optimum effect, Doctors Hearing Clinic and BHI recommend that you personalize your letter, sharing the story of why the hearing aid tax credit is important to you and your family. For example, you may mention that your elderly parents are on fixed income and can’t afford the full price of hearing aids. Or, you are struggling financially and can’t pay for your child’s devices.

Alternatively, BHI offers online forms so you can type your message to your Congressperson directly, and Doctors Hearing Clinic provides copies of written directives to take further action.

Additionally, three states – New York, North Dakota and Montana – are currently debating hearing aid tax laws similar to the federal ones. Consider asking our state representatives to entertain such legislation. The more feedback and comments your representative receives, the better a chance of him or her sitting up and listening. For more information about this very important legislation, visit www.hearingaidtaxcredit.org, or call the professionals at Doctors Hearing Clinic. If we work together on this issue, we will all benefit.