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I Lost My Hearing in My Forties. Here's How I Handled It.

By Mary Louise Kelly

The interesting thing about going deaf is you don’t realize it’s happening. It’s impossible to pinpoint when everyone began to mumble, when you ceased hearing your own footsteps clicking down a hall.

“Is it the accents?” my husband asked when I complained that the actors on Downton Abbey spoke too fast. We started watching with subtitles. At the theater, I focused on the beauty of the sets and costumes because—though I would have denied this—I couldn’t follow the dialogue. Meanwhile, car horns and sirens dimmed. Packages didn’t arrive, yet the UPS man insisted he’d rung the bell three times. “Impossible,” I shot back. “I was home.”

My lowest moment came last spring at a reading to promote my first novel. A woman rose and recounted what I later learned was a risqué tale about a CIA spy (the book was an espionage thriller), then asked a question that had the audience in stitches. I squirmed, laughed along, and responded with what was surely a non sequitur, as I’d caught barely a word of what she’d said. In the taxi home, I thought: Enough.

Still, none of this prepared me for sitting in an audiologist’s office at age 43, being told that I suffered severe hearing loss. How severe? In one test, he stood across the room, spoke a series of words in a normal voice, and asked me to repeat them.

“Void,” he said.

“Void,” I repeated.

“Ditch,” he said.

“Ditch.”

Out of 20, I got 16. “Not perfect,” I sniffed, “but hardly severe.”

He repeated the test, now holding a sheet of paper before his face.

“Mumble,” he said.

“Um . . . repeat that one?”

“Mumble mumble.”

“Shoelace?”     

“Nope. Mumbledy mumble.”

This time, I got 6 out of 20. When I couldn’t see his lips move, I missed 70 percent of what he said. 

“How are you even functioning?” he inquired, genuinely mystified.

As a reporter, I’ve spent time on aircraft carriers, in helicopters, in war zones. For two decades, I’ve edited stories on deadline through headphones cranked too loud. But the most likely explanation for my hearing loss? Genetics. My father is hard of hearing. So are his sisters and 96-year-old mother. I’ve long known what loomed in my future—I just hadn’t expected it so early.

My first day with hearing aids, I went about my routine with a sense of wonder. It was astonishing to rediscover that pop songs had words I could sing along to. “Have been bopping to an ’80s dance mix all morning,” I posted on Facebook. “I challenge anyone to deny Debbie Gibson was a genius ahead of her time.” (To which came the inevitable reply: “You need to get your hearing checked.”)

By day two, I was on sensory overload. Starbucks left me near tears—I’d had no idea frothing milk made such a racket. I jogged in Rock Creek Park and for the first time in years didn’t jump every time cyclists whizzed past, because I could hear them coming.

The doctors can’t say whether my hearing has stabilized or will worsen. And hearing aids are an imperfect solution. The experience is different from, say, getting glasses and instantly being able to see. It takes time for the brain to adjust, to relearn the pathways it once knew. You almost never recover all that has been lost.

But you do learn to savor small triumphs. The other day, the UPS driver rang my doorbell and I heard him—and tipped big. I still can’t watch TV without subtitles. But at a play recently, the curtain rose and I slumped in sheer relief at being able to follow the words. Not every line, but enough. I’m holding onto that theater program, a memento of a pleasure once dimmed, now mine once more.

Mary Louise Kelly is a contributing editor at The Atlantic. She has spent two decades reporting on national security and international affairs for NPR and the BBC. As NPR’s intelligence and defense correspondent, she covered wars, terrorism, and rising nuclear powers. Kelly has also anchored NPR programs including “Morning Edition” and “All Things Considered.” She has taught national security and journalism at Georgetown University. Kelly’s writing has appeared in The New York Times, The Washington Post, Newsweek, Politico, and others. She is the author of two novels: Anonymous Sources and The Bullet.

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6 Easy Tips for Protecting Your Hearing This Summer

By Laura Friedman

The Better Hearing Institute (BHI) and Hearing Health Foundation (HHF) are encouraging people of all ages to protect their hearing this summer so they can treasure the sounds of the season for a lifetime. Packing earplugs along with the sunscreen for summer outings is just one of six easy tips.


While many noisy recreational activities are part of summer fun, it’s extremely important to take precautions to ensure that these activities don’t harm our hearing.
 
Prolonged exposure to loud outdoor concerts, lawn mowers, power tools, motorized recreational vehicles, target shooting, sporting events and fireworks can potentially damage our ears. In fact, the single bang of a firecracker at close range can cause permanent hearing loss in an instant, making it forever more difficult to hear the quieter sounds of summer.
 
According to the World Health Organization (WHO), 1.1 billion teenagers and young adults (12 to 35 year olds) are at risk of hearing loss due to exposure to damaging levels of sound at noisy entertainment venues and the unsafe use of personal audio devices.
 
“Hearing is the sense that connects us to each other,” says William Hal Martin, Ph.D., Professor of Otolaryngology, National University of Singapore, Program Director MSc of Audiology, Center for Hearing, Speech & Balance, and Co-Director of Dangerous Decibels. “Exposure to high level sounds cannot only destroy our ability to hear, it can cause tinnitus—ringing in the ears.”
 
“People of all ages are at risk of hearing loss from high level sounds, but it easily can be prevented by simple steps,” Martin continues. “It is important to recognize when your ears are in danger and to safeguard them so you can enjoy listening to friends, music, and sounds you love for the rest of your life.”
 
How Noise Affects Our Hearing
 
We hear sound when delicate hair cells in our inner ear vibrate, creating nerve signals that the brain understands as sound. But just as we can overload an electrical circuit, we also can overload these vibrating hair cells. Loud noise damages these delicate hair cells, resulting in sensorineural hearing loss and often tinnitus (ringing in the ears). The cells that are the first to be damaged or die are those that vibrate most quickly—those that allow us to hear higher-frequency sounds clearly, like the sounds of birds singing and children speaking.
Sound volume is measured in decibels, with the softest sound a normal hearing human can hear measuring at 0 dBA. Any sounds above 85 dBA for 8 or more hours are considered unsafe. Most firecrackers produce sounds starting at 125 dB peak SPL, presenting the risk of irreversible ear damage.
 
Repeated exposure to loud noise, over an extended period of time, presents serious risks to hearing health as well. If you have to shout over the noise to be heard by someone within arm’s length, the noise is probably in the dangerous range. Here are the warning signs:

  • You have pain in your ears after leaving a noisy area.

  • You hear ringing or buzzing (tinnitus) in your ears immediately after exposure to noise.

  • You suddenly have difficulty understanding speech after exposure to noise; you can hear people talking but can’t understand them.

6 Easy Tips for Protecting Your Hearing This Summer

  1. Walk away and plug your ears. If a loud noise takes you by surprise, quickly plug your ears with your fingers and walk away. Increasing the distance between you and the source of the sound will help reduce the intensity (or decibels) at which the sound is reaching your ears.

  2. Use earplugs. When you know you’ll be around loud sounds, use earplugs. Disposable earplugs, made of foam or silicone, are often available at local pharmacies. They’re practical because you can still hear music and conversation when they’re in your ears. But when they fit snuggly, they’re effective in adequately blocking out dangerously loud sounds.

  3. Leave the fireworks to the professionals. Be smart when you celebrate 4thof July festivities. Leave the fireworks to the professionals. And when watching the show, stay a safe distance away—where you can enjoy the colors and lights but not expose yourself and your family to loud noises. To protect your hearing, make sure you’re wearing earplugs and that they’re securely in place before the show begins. Also be sure to keep them in for the entire show.

  4. Limit your time in noisy environments. Do all you can to limit the length of time you spend in a noisy environment. When you do participate in noisy activities, alternate them with periods of quiet. And remember to use ear protection.

  5. Turn it down. When listening to smartphones and other electronics, keep them at a low volume. Importantly, limit your use of headphones and ear buds. Remember, it’s not just the volume that matters. It’s also the duration of time spent listening.

  6. Visit your local hearing healthcare professional for custom-fitted ear protection and a hearing test. A hearing healthcare professional can provide a hearing test to determine your baseline hearing level and determine if you have any hearing loss that should be addressed. Hearing care professionals also can provide custom ear protection to ensure a proper fit.

The content for this blog post originated in a press release issued by The Better Hearing Institute on June 26, 2015. 

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Mind Your Ears

By Marc A. Gallo

Many of us go about life enjoying the symphony of sounds from birds singing in the trees to your favorite band rockin’ out at a local music venue. These as well as other sounds give us great pleasure. But extensive exposure to sounds that might not seem very loud may in fact result in long term damage to your hearing.

Let Me Give You a Few Examples…

You work and live in the city. To get from your home to your job or to hook up with friends requires taking the subway. To get back home afterwards means you have to take the subway again. If you’re exposed to subway noise in excess of 15 minutes a day you will suffer permanent hearing loss over time.

Here’s another example…you just bought the new iPhone 6 from Apple. Killer phone…and you’re psyched to enjoy your music on iTunes. The new phone conveniently comes with earbuds. You pop ’em in and crank it up! It sounds loud but it’s not hurting you. Or is it? Believe it or not, the iPhone at its maximum volume exceeds 100 db. Listening to your music anywhere near 100 db for more than 30 minutes a day is causing permanent hearing damage.

I Have Tinnitus and It’s Only Getting Worse

I’m a musician, performer and loud-mouthed Irish-Italian…a dangerous mix. Having rehearsed and performed in bands and studios over all these years has caused some degree of hearing loss but worse yet, tinnitus. It’s the dreaded ringing of the ears.

When I go to bed at night, I hear ringing. When I wake up, I hear ringing. When I meditate, I hear ringing. I will never experience silence again. Don’t end up like me or many celebrities like Pete Townsend, Danny Elfman, Will.I.Am and many others. We neglected our ears and now we’re paying the price.

But There’s Hope!

Start protecting your ears today! Turn down the volume. It doesn’t need to be SO loud to be enjoyed. Wear ear plugs when you go to sporting events and concerts. These venues normally exceed 110 db when everyone screams after a touchdown or an encore!

Protect your ears even when you’re doing normal everyday tasks like mowing the lawn, vacuuming your carpet and blowing your leaves. Excessive sound pressure levels, albeit briefly, still have a deleterious affect on your hearing in the long term.

Believe me, you want to enjoy the sound of silence. I wish I could.

This post originally appeared on Mind The Gap's blog on March 27, 2015. The author, Marc A. Gallo. has recorded, performed and published music for Great Egg Music since 1990 and is currently President of Mind The Gap, a provider of on hold music and messaging services. 

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5 Tips for Summer Hearing Aid Care

By Courtney Campbell, Au.D.

The summer months bring so many wonderful things—warm weather, sunshine, outdoor activities, and vacations—but for people who wear hearing aids, summer also brings extra maintenance.

Moisture is the enemy of hearing devices, so one of the biggest challenges during the warmer months is the accumulation of moisture in them. This moisture can be caused by humidity in the air, perspiration, or accidental splashes of water at the beach or pool or from a sprinkler.

Here are five ways to keep your devices dry and safe:

  1. Use hearing aid covers for behind-the-ear styles. There are several different types on the market. Hearing aid “sweatbands” are made from an all-natural fabric that repels moisture, dust, and dirt. There are also hearing aid sheaths that are made of a water-resistant, spandex-nylon material that also keep out dirt, sweat, and moisture. Both options protect the hearing aid from outside moisture while letting sound come in naturally.

  2. Dry instruments overnight. Recommended for use year-round, desiccant jars and electric hearing aid dryers are special containers that either use desiccant beads or electric drying technology to suck excess moisture out of the hearing aids. They double as overnight storage and should be used nightly.

  3. Leave the battery doors open. To avoid corrosion in the battery compartment, leave the battery doors on your instruments open or take the battery out when you aren’t wearing the hearing aids.

  4. Use clips to keep hearing aids secure. When participating in an activity with lots of movement, use specially designed, lightweight lanyards that attach your BTE or in-the-ear (ITE) hearing aids to your clothing or glasses. If your devices do fall out of your ears, they won’t get too far!

  5. Disinfect your hearing aids. Warmth and moisture are breeding grounds for bacteria. Always be sure to disinfect your hearing aids before inserting them in your ears. There are many disinfectant wipes specially made for this purpose.

And finally, if you are near water and do not need your hearing aids for safety reasons, always take them out and put them in a safe place. But if the hearing aids do get wet or even submerged, remove them from the water immediately, dry them off, take out the battery, and place them in a desiccant jar or electric hearing aid dryer.

Which styles of hearing aids are best suited to active lifestyles? Find out here.

Courtney Campbell, Au.D., is an audiologist at A&A Hearing Group in Chevy Chase, Maryland, and has been wearing hearing aids for over a decade. 

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Ages and Stages

By Maureen Plain

Effective communication is one of life’s greatest pleasures, and for those of us with typical hearing, we so often take this gift for granted. The process of verbal communication starts with being able to hear what is said. We then apply knowledge of the words we hear, so we can decipher its message.

When crafting a response, we must have the words in our repertoire of vocabulary readily available, so we can express our thoughts and then pronounce the words clearly enough to be understood by others. As we verbalize our response, grammatical markers for our words, intonation patterns, and understanding the social setting helps us share our thoughts effectively. This process of verbal communication begins in infancy with the use of eye contact, sounds, and body language, and continues throughout our lives. 

For those with hearing loss, all of this can be especially challenging.

Imagine the challenge for a 3-year-old girl who has just been diagnosed with a moderate to severe sensorineural hearing loss in both ears. For three years until diagnosis, she communicated entirely by reading body language and other physical cues. But how did this affect her ability to effectively communicate with others in the hearing world?

In the first couple years of life, caregivers (i.e. parents, nannies, and family members) are acutely aware of small children and often times face them when speaking. This girl’s caregivers did not realize she was solely dependent on reading body language and other physical cues, including lips, to communicate. As she got older, her mother noticed that when faced away, her daughter was unresponsive. After many misdiagnoses, this little girl and her family were told she had hearing loss.

Fortunately this child has a dedicated family that responded to her diagnosis with unwavering commitment, and immediately started designing a team of professionals to support the best learning possible, which included top-notch audiologists and a speech-language pathologist/auditory therapist. The school district provided great support and I was fortunate to be this child’s speech/language pathologist from the very beginning, working with her a few times each week from age 3 until she graduated from high school. 

Vocabulary growth and clear and proper pronunciation of words were always a crucial components of our therapy, as well as benchmarking and tracking progress. A toddler needs vocabulary to engage in play and to learn, just as a teenager needs vocabulary to navigate school and friendships.

At every age, building vocabulary with a person with a hearing loss is multifaceted and hard work. First we worked on hearing and saying each word until it became familiar enough to begin the process of developing listening for each word. We paid extra attention to words with syllables extremely difficult for her to hear, in this case those that are considered high-frequency (S-, SH-, CH-,TH-, -ECT.).

As the child grew older, she spoke intelligibly but would often leave off the ending syllables, such as a plural “s” because she was repeating only the sounds she heard. We worked on learning grammatical marker patterns so she would pronounce a plural “s” based on grammatical rules. Practicing the articulation for each sound component in a word is also very challenging, since a hearing loss makes it difficult to hear your own speech sound errors and correct them. We also used an oral motor approach to complement our work on sound production. We focused on how a sound felt when it was pronounced; where her lips, tongue and jaw belonged to articulate different sounds properly. We also practice oral vs. nasal air flow and practiced making sounds in front a mirror to see how it looked. Through this process, she developed speech that is clear and understood by all listeners, in addition to being able to use verbal cues and grammatical markers that she has been trained to watch for, but was otherwise unable to hear.

We also integrated speech therapy with auditory training exercises. Listening practice included her looking and listening when I was visible, and repeating the sounds she heard back to me. Once she mastered that, I then moved farther away from her sight to advance this skill. We then moved to improving listening without looking; while still facing her, I covered my mouth with a paper to develop better listening and discrimination of sound. As accuracy improved, I then would sit behind her and continually moved farther away until I was 6 feet away, with her back facing toward me. We also practiced listening to the word so it can be recognized in quiet and in noise.

Listening skills were paired with our work on vocabulary comprehension to enhance communication. Beyond pronunciation and listening, learning the definition of each word to build comprehension is crucial. Vocabulary shapes our conversation, and since mishearing words is a constant challenge for those with hearing loss, they must rely on their vocabulary knowledge to fill in the gaps for greater conversation participation and quality of life.

These are just a few of the many strategies that we used to improve speech, language, and listening during our 15 years together. To succeed she, as well as her parents and family, needed to fully trust the process and integrate these strategies into her everyday life. While therapy was only 2-3 hours a week, speech and verbal communication is a chosen part of her everyday life.

Therapy was a lot of hard work and sometimes frustrating for her, as not every milestone was easy. Until there’s a cure for her type of hearing loss, she will not have the ability to hear as seamlessly as those with typical hearing or have perfect speech. 

May is Better Speech and Hearing Month and serves as reminder that verbal communication is a shared pleasure that brings us laughter, learning, and love. We should take this month to treasure the gift of communication and celebrate the hard work and success of all individuals whose ability to communicate is challenged, for whatever reason.

Maureen Plain M.S., CCC-SLP, is a speech-language pathologist with 37 years of experience in the greater NY area. She is currently a Program Director for Sunny Days Consulting Services in New York.

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6 Facts Every Woman Should Know About Hearing Health

By Laura Friedman

National Women’s Health Week may only last a week (May 10-16, 2015), but women’s health is a year-round issue. A growing body of research shows an association between hearing loss, quality of life, and a number of common chronic diseases and health conditions.

In the United States today, as many as one-third of women in their 50s have some degree of hearing loss, along with nearly two-thirds of women in their 60s. The findings of a 2008 study also suggest that the prevalence of hearing loss among younger adults, specifically among those in their 20s and 30s, is increasing. Fortunately, for the vast majority of people with hearing loss, hearing aids can help.

For many years, experts have known the positive impact that addressing hearing loss has on quality of life. Research shows that many people with hearing loss who use hearing aids see an improvement in their ability to hear in many settings; and many see an improvement in their relationships at home and at work, in their social lives, and in their ability to communicate effectively in most situations. Many even say they feel better about themselves.

In honor of National Women’s Health Week, we are sharing 6 Facts Every Woman Should Know About Hearing Health from The Better Hearing Institute:

  1. Women with hearing loss are more likely to be depressed. Research shows that hearing loss is associated with depression among U.S. adults, but particularly among women.

  2. The ear may be a window to the heart. Cardiovascular and hearing health are linked. Some experts say the inner ear is so sensitive to blood flow that it’s possible that abnormalities in the cardiovascular system could be noted here earlier than in other less sensitive parts of the body. Heart disease is the No. 1 killer of women, according to the American Heart Association.

  3. If you have diabetes, you’re about twice as likely to have hearing loss. What’s more, having diabetes may cause women to experience a greater degree of hearing loss as they age, especially if the diabetes is not well controlled with medication. About 11% of women in the United States are affected by diabetes.

  4. Many of the same lifestyle behaviors that affect the heart impact hearing. More evidence of the interconnectedness between cardiovascular and hearing health is found in three studies on modifiable behaviors: One found that a higher level of physical activity is associated with lower risk of hearing loss in women. Another revealed that smokers and passive smokers are more likely to suffer hearing loss. And a third found that regular fish consumption and higher intake of long-chain omega-3 polyunsaturated fatty acids are associated with lower risk of hearing loss in women.

  5. Hearing loss in women is tied to common pain relievers. Ibuprofen and acetaminophen are associated with an increased risk of hearing loss in women. The link is even stronger among those younger than 50.

  6. Addressing hearing loss may benefit cognitive function. Research shows a link between hearing loss and dementia, which leads experts to believe that interventions, like hearing aids, could potentially delay or prevent dementia. Research is ongoing.

HI and HHF are encouraging women of all ages to take a free, quick, and confidential online hearing check at BetterHearing.org to help determine if they need a comprehensive hearing test by a hearing healthcare professional.

The content for this blog post originated in a press release issued by The Better Hearing Institute on May 8, 2015. 

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Do Airplanes Trigger Tinnitus?

By Shari Eberts

I am lucky enough to have mostly mild tinnitus. Sometimes I have flare-ups and lately I have been experiencing a day of tinnitus after any air travel. This is a problem for me since I love to travel, and most of the places I like to travel to require an airplane ride. So what’s a weary hard-of-hearing traveler to do? It became clear to me that proper ear protection on the airplane is key.

My post-airplane tinnitus flare-ups have been occurring for the last several months and are usually accompanied by a reduced ability to hear. Even for someone with typical-hearing, it can be a challenge getting off the plane at a new destination, navigating the baggage claim, the rental car agency, and perhaps customs, all with two children in tow. But with a tinnitus flare-up and reduced hearing, it is even more challenging.

For me, I believe the issue is the sustained level of noise on the airplane; according to my iPhone decibel reader app, the interior of a plane is very loud—anywhere from 80 to 95 decibels, depending on the flight. Once in the air, the sound is like white noise and is easy to forget about or ignore, but it is constant, and can be damaging to our hearing. The rule of thumb is that prolonged exposure to any noise at or above 85 decibels can cause gradual hearing loss—and that damage can be permanent.

Here are some workarounds that I have found; I hope they work for you as they do for me:

  1. When I get on the plane I shut my hearing aids off, so they act as earplugs. This can be a challenge if I need to communicate during the flight because almost all sound is blocked, preventing me from hearing. While sometimes I must turn them on, I try to keep my aids off for the entire flight, from prior to takeoff until we have reached the gate.

  2. I try to reserve a seat on the aisle and as far away from the engines as possible. Sometimes this is not possible without paying extra for a special seat, but when possible, I do so.

  3. I wear a hooded sweatshirt or jacket on the plane for an additional barrier to the noise. It helps prevent the tinnitus and the effect of reduced hearing.

These activities have helped a little bit, but have not fully eliminated the issue. I am still searching for solutions until there is a cure. Please share your tips with us in the comment box below.

This post originally appeared on the blog Living With Hearing Loss on March 25, 2015. The author, Shari Eberts, is the chair of HHF's Board of Directors.

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A Neurological Emergency

By Jane Madell, Au.D.

Hearing loss is the most common disability in children worldwide. Annually in America approximately 3 in 1,000 babies are born with permanent hearing loss, making hearing loss one of the most common birth defects in the U.S. Hearing loss cannot be viewed in isolation; it can cause problems for auditory brain development. When a child with hearing loss is born, the child has already had 20 weeks of auditory deprivation.

Typical*-hearing babies
When babies with typical-hearing are born, they have been listening to their mother’s voice and the voices of others near their mother. They can tell the difference between their mother’s voice and their father’s voice. They recognize inflection; they can tell which words are important and separate them from words that are used to connect the important words. They recognize emotion in voices, and music they heard during pregnancy. Although the sounds they hear are softer and a little muffled compared with those heard outside the womb, they provide significant input to the auditory brain.

Babies with hearing loss
Babies with hearing loss are born with brain deprivation, which is why it is important to act quickly to reduce the effect of this delay. The critical thing to remember is that there is a short window for developing the auditory brain. If children do not get the opportunity to hear during the first 3 to 3 ½ years, they will lose that opportunity. We are not just talking about developing language (which is certainly critical), but also about literacy. Reading is in the same part of the brain as hearing, so if we want children to succeed, we need to build the auditory brain early.

Typical-hearing babies who are not exposed to language
Lack of exposure to auditory stimulation affects everyone’s brain. Typical-hearing children who live in homes where their parents do not talk with them will also show a lack of auditory brain development. Hart and Risley (1995) have demonstrated that the number of words heard directly affects both the number of words in a child’s vocabulary and the child’s IQ at age 3 years. Children who heard ~30,100 words in a 14-hour day had a vocabulary of ~1,100 words and an IQ of 117 at age three years, while children who heard ~8,600 words in a day had a vocabulary of 525 words and an IQ of 79.

So what should we be doing?

Every child needs good exposure to language. While professionals have a role, the most important people in providing language stimulation to children are their parents. Everyone who works with children needs to help parents understand that EVERY child needs a lot of auditory input. Parents need to be encouraged to talk, read, and sing to their children. Ten books a day should be the goal. We need to help parents learn how to talk to their children, and, most importantly, how to enjoy talking to their children. All children with limited language — not just those with hearing loss — have reduced economic possibilities.

Empowering parents
Ears are the pathway to the brain; the brain is the organ of hearing. Just as parents are the people who need to feed their children and keep them warm, parents are also the people who have to give children power to use their brain. It is essential that parents are properly educated about their child's hearing loss and the role they play in their child's auditory development. If children can learn to listen and talk, they will be able to:

  • Talk to people around them and learn from them

  • Hear and learn great ideas

  • Read well and learn about the world

  • Receive a good education

  • Have life choices

The ability to get a good education and to increase life choices has the added advantage of reducing poverty, as well as the possibility of making major changes in a child’s life.

Take action today to protect your children's ears against the dangers of noise and consider donating today to help us find a cure for hearing loss and tinnitus.

This post originally appeared on Hearing Health @ Hearing Health & Technology Matters’ blog on February 10, 2015. The author, Jane Madell, Au.D., is an audiologist, speech-language pathologist, and auditory verbal therapist with 40-plus years of experience in the greater New York City area.  

*Typical Hearing was use in place of Normal Hearing. 

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Make Sure You Hear That

By Kathi Mestayer

With another holiday season right around the corner, participating in conversations around the dinner table and social gatherings can be a real challenge for those with hearing loss. It can lead to feelings of frustration, especially if there is a family member who has an unacknowledged—and untreated—hearing loss.

Undiagnosed, untreated hearing loss has been shown to detrimentally affect personal relationships, as the Better Hearing Institute reports: “Research demonstrates the considerable negative social, psychological, cognitive, and health effects of untreated hearing loss with far-reaching implications that go well beyond hearing alone. In fact, those who have difficulty hearing can experience such distorted and incomplete communication that it seriously impacts their professional and personal lives, at times leading to isolation and withdrawal.”

Here are some tips to help you hear your best:

  • Sit at the end of the dinner table so you can see everyone’s faces. The ambient noise from a crowded table can be a tough listening situation, so seeing people when they are speaking will help.

  • Try to avoid sitting or standing next to fans, vents, or anything else that may be adding an extra layer of background noise.

  • Adjust the programming on your hearing aid or other listening device to accommodate a noisy environment.

  • Consider using an FM system or other assistive listening device to help you hear.

Before she became a staff writer for Hearing Health, Kathi Mestayer’s first article for the magazine in Summer 2011 spoke about the challenges of communicating well with family members. Her “tacit norms” include this list of informal rules in her family:

  • Outdoors is better. A screened porch or the back yard is a much quieter and easier place to converse than a noisy house.

  • One speaker at a time. Really.

  • Be patient. We’re all trying our best, even the kids.

  • Take a break. Struggling to make sense out of the incomplete sound data we get is exhausting. A nap or some quiet time is the best way to recharge your brain.

We hope that these tips are helpful to you in hearing that “thank you” from your loved ones.  

Show your thanks by making a gift to honor or in memory of a loved one and help HHF find a cure for hearing loss and tinnitus through our Hearing Restoration Project. We are ever thankful for your support!

Staff writer Kathi Mestayer serves on advisory boards for the Virginia Department for the Deaf and Hard of Hearing and the Greater Richmond, Virginia, chapter of the Hearing Loss Association of America. This is adapted from her reader-sponsored work, “Be Hear Now.”

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An Ice Storm or a Nice Storm?

By Kathi Mestayer

When we get fuzzy speech data to work with, such as in music lyrics, noisy settings or, if you have a hearing loss, everywhere, our brains can come up with some pretty silly interpretations, like “I led the pigeons to the Flag…” instead of “I pledge allegiance to the Flag …”

But even when we hear correctly, that same brain can play it back to us more than one way, with more than one meaning.  Kind of like an optical illusion…but with sound.

A string of words that has multiple interpretations is called an oronym.  Like “I scream, you scream, we all scream for ice cream.” You can interpret it either way, depending on the context, the way it is said, or the phase of the moon.  

Why?

In his book, “The Language Instinct,” the Harvard psychologist and linguist Steven Pinker tells us: “In the speech sound wave, one word runs into the next seamlessly; there are no little silences between spoken words the way there are white spaces between written words. We simply hallucinate word boundaries when we reach the edge of a stretch of sound that matches some entry in our mental dictionary.”

So, if our mental dictionary contains more than one match for what we hear, well, we can hear it both ways. In fact, the sound input doesn’t even have to be speech for our brains to have a crack at it. Pinker explains: “The brain can hear speech content in sounds that have only the remotest resemblance to speech.”

So, we will superimpose meaning onto just about anything, and if it doesn’t make sense, we just keep trying until something fits. Kind of like when my brain heard baroque music coming from the vacuum cleaner, or the countless phrases I swear my parrot says (everything from “ashram” to “wiki” with “kabuki” and “Nietzsche” and many more in between). 

While our brains are busy riffing on what we hear, programmers and engineers are working hard trying to create devices that can interpret speech, even passably, well. One application is online captioning, or what I call “robo-captions.”

The results are not particularly impressive so far, but our brains are a tough act to follow. According to Pinker, “No human-made system can match a human in decoding speech.” That fact was brought home to me when my friend complained about the speech-activated calling system in her car. “It can only interpret the numbers if I read them without any pauses. If I pause, for just a second, the computer inserts the number eight,” she says.  

Online captions created by speech-interpretation software are particularly bad at it (the real-time captions on TV are much better). You can go here to get a quick chuckle.

Staff writer Kathi Mestayer serves on advisory boards for the Virginia Department for the Deaf and Hard of Hearing and the Greater Richmond, Virginia, chapter of the Hearing Loss Association of America. This is adapted from her reader-sponsored work, “Be Hear Now.”

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