If you’re diagnosed with a hearing loss, remember: Hearing loss is not only very common, it’s also very treatable! A licensed audiologist or hearing healthcare professional can discuss options with you, including hearing aids and assistive listening devices.
Why So Many Can’t Afford to Hear Better
Only about 14 percent of Americans with hearing loss use hearing aids. For many others, this vital, life-changing treatment that facilitates participation in meaningful conversations with friends and family is out of reach financially.
Hearing Health Foundation (HHF)’s 2017 hearing loss survey, created to better understand our constituents’ opinions related to hearing loss, was cited by a WBUR-FM Here & Now radio segment highlighting the barriers to hearing loss treatment that Americans encounter.
The news story opens with commentary from retiree Betty Hauck, 72, who was shocked when her first pair of hearing aids cost her $5,600—with no assistance from Medicare.
“A price tag like that is often a surprise to people buying hearing aids for the first time. Four states—Arkansas, Connecticut, New Hampshire and Rhode Island—require health plans to cover hearing aids for children and adults,” explains reporter Peter O’Dowd.
“But those benefits are rare. A 2017 survey by the Hearing Health Foundation, a group that funds research and advocates for treatments and cures for hearing loss, found that 40 percent of the people they asked had no hearing aid coverage through health insurance.”
Kevin Franck, director of audiology at Massachusetts Eye and Ear, among other experts, are hopeful that the Over-the-Counter Hearing Aid Act of 2017 will reduce barriers—cost, stigma, and hassle—encouraging greater adoption.
You can access the full WBUR segment, here.
Note: The audio segment is not captioned but is summarized in print.
On a Quest
By Sue Baker
From his earliest days, the concept of sound consumed musician and inventor Les Paul. How did sound work? Why did the record player produce sounds different from the player piano? Why does the sound of the train change as it moved down the tracks? Why did the body of his acoustic guitar vibrate when he plucked the strings? How could he make just the strings vibrate?
Although best known for his solid body electric guitar and industry-changing recording inventions, for Les the quest always came back to sound, even in his later years. “I’ve spent my life looking for the perfect sound, trying to build the perfect guitar to play the perfect note,” he wrote in his 2005 autobiography, “Les Paul in His Own Words.”
One of Les Paul's hearing-related inventions.
In the 1960s, Les’s eardrums were ruptured due to playful roughhousing. The resulting infection and, later, mastoidectomy surgery, left him with a hearing loss. He wasn’t happy about the hearing aids’ sound quality for music.
I met Les when I was the executive director at a museum in his hometown of Waukesha, Wisconsin. We were creating an exhibit about his career. Over the course of what would be the last decade of his life, our friendship grew. Two years after Les passed away at age 94 in 2009, his business manager Michael Braunstein asked me to work at the Les Paul Foundation.
During one of my visits to Les’s home in 2001, I asked him about an unusual piece of equipment in a corner. “Oh, it’s just an experiment I was doing,” he said. “I was trying to replicate how the human ears work.” He was a tinkerer by nature and necessity, always wanting to invent something to fill a void or to improve what was available.
Musician Jon Paris says Les’s audiologist (whom he met at New York City’s Iridium Jazz Club, where Les performed every Monday night) told him that Les “drove him nuts—in a good way—constantly demanding better quality from his hearing aids.”
Another friend, Chris Lentz, says that Les worked with Marty Garcia of Future Sonics to improve his hearing aids. In a note to Chris, Marty wrote, “Throughout our years together, Les validated just about every voice coil transducer Future Sonics developed.”
In a 2008 interview in Audiology Today, Les talked about how he wanted to improve hearing aids for music. He cited the importance of extending the audio range to capture more of the harmonic structure than what is needed for speech. Les also wanted hearing aids that could be worn in the shower and would work optimally when using the telephone.
Les Paul’s 103rd birthday would have been this June 9. He would have been gratified to see how far hearing aid technology has come.
Sue Baker is the program director for the Les Paul Foundation. For more, see lespaulfoundation.org.
Making Entertainment Relatable and Accessible for More
By C. Adrean Mejia
Films, plays, and television series have long served as platforms to create awareness of important topics that have otherwise been kept out of the spotlight. Hearing loss is one example of such a topic.
As an organization that seeks to inform the public about the prevalence, prevention, and treatment of hearing loss, Hearing Health Foundation (HHF) applauds the growing prioritization of this issue in entertainment. We are pleased to know that the number of films featuring characters with hearing loss—played by actors with hearing loss—has risen with the years, generating greater public awareness of the third most common health condition in the United States. Complementing this trend of an increased presence of hearing loss on screen is the introduction of recent legislation to make entertainment more accessible to viewers with hearing loss.
Actors and characters with hearing loss expand society’s understanding of the condition. Hearing loss empowers abilities, emotions, and experiences unlike those of people with typical hearing. Some recent works with characters with hearing loss include the following:
The Silent Child tells the story of a profoundly deaf four-year-old girl who is about to attend a mainstream school with minimal support—until a social worker teaches her American Sign Language (ASL). The film communicates the disappointing statistic that over 78% of deaf children attend mainstream school without accommodations. A final comment that states that the creators “hope this film contributes in the fight for sign language to be recognized in every school across the globe.”
Children of a Lesser God, a play written in 1979, made its Broadway debut last April. The piece focuses on the professional and romantic relationship between a deaf janitor and a typical hearing teacher and shows the contrasting worlds off sound and silence. To Sarah, the janitor, deafness is an identity, not a defect.
This Close is a TV series by two deaf writers and actors that narrates the true story of their lives. The show provides a close look of the everyday day life of two best friends, emphasizing their challenges and frustrations while highlighting the positive and beautiful things that their hearing loss brings to their existence.
HHF commends these and the artists behind similar works for the awareness their creations have generated. Likewise, the organization is proud to witness the introduction of new laws and procedures to make entertainment more accessible to the hearing loss community.
Credit: Naugatuck Patch
The American with Disabilities Act (ADA) first broke barriers by advocating for the requirement that all video program distributors close caption their TV shows. But it wasn’t until recently, with the help of technology, that these rules have expanded. On November 2016, the Final Rule on the ADA Title III was signed, requiring all American movie theaters to provide accessibility for captions. Large cinemas now offer assistive listening, closed captions, and descriptive audio.
Broadway, too, has made tremendous improvements. In 2016, the Theater Development Fund (TDF) and The Broadway League, launched www.theatreaccess.nyc, a website with information about tickets prices, dates and accommodations for theatergoers with disabilities. In addition, TDF now provides accessibility programs with open captioning and/or ASL at select Broadway performances.
Entertainment has made progress in becoming more inclusive for people with hearing loss since the implementation of these programs, but additional work is needed. Though mandating captioning at movie theaters represents great progress, other entertainment settings, including sports arenas and concert halls, must follow suit.
To optimize the listening experience for audience members with hearing loss, more must adopt the use of hearing loops, which transmit sound from a PA system to hearing aids and cochlear implants. In December 2017, the state of Minnesota passed a bill requiring hearing loops in public meeting spaces, taking after similar New York City legislation from earlier in 2017.
HHF looks forward to a day where no one must live with hearing loss. As long as hearing remains out of reach for tens of million Americans, fair accommodations are the most ethical choice.
Clear Speech: It’s Not Just About Conversation
By Kathi Mestayer
In the Spring 2018 issue of Hearing Health, we talk about ways to help our conversational partners speak more clearly, so we can understand them better.
But what about public broadcast speech? It comes to us via phone, radio, television, and computer screen, as well as those echo-filled train stations, bus terminals, and airports. There’s room for improvement everywhere.
This digital oscilloscope representation of speech, with pauses, shows that gaps as short as a few milliseconds are used to separate words and syllables. According to Frank Musiek, Ph.D., CCC-A, a professor of speech, language and hearing sciences at the University of Arizona, people with some kinds of hearing difficulties require longer than normal gap intervals in order to perceive them.
Credit: Frank Musiek
In some cases, like Amtrak’s 30th Street Station in Philadelphia [LISTEN], clear speech is a real challenge. The beautiful space has towering cathedral ceilings, and is wildly reverberant, like a huge echo chamber. Even typical-hearing people can’t understand a word that comes over the PA system. Trust me; I’ve asked several times.
In that space, a large visual display in the center of the hall and the lines of people moving toward the boarding areas get the message across: It’s time to get on the train. I wonder why they even bother with the announcements, except that they signal that something is going on, so people will check the display.
Radio is very different, at least in my kitchen. There are no echoes, so I can enjoy listening to talk radio while I make my coffee in the morning. The other day, the broadcast about one of the station’s nonprofit supporters was described as: “…supporting creative people and defective institutions…”
Huh? That couldn’t be right. It took a few seconds for me to realize what had actually been said: “supporting creative people and effective institutions.” Inter-word pauses are one of the key characteristics of clear speech. A slightly longer pause between the words “and” and “effective” would, in this case, have done the trick.
In the meantime, I chuckle every time that segment airs (which is often), and wonder if anyone else thinks about the defective institutions!
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.
Teaching on a Different Route
By Lauren McGrath
Assistant Teacher Ms. Tiana Brown with two of her preschool students at Clarke.
The clock moves toward 9:00 AM as two teachers oversee the listening check with their preschool students, ages four to five, to verify that their hearing devices are operating properly. A critical test for children with hearing loss, the check is step one each day for colleagues Ms. Kathryn Smith, Teacher of the Deaf, and Ms. Tiana Brown, Assistant Teacher at Clarke Schools for Hearing and Speech in New York.
Assured that all devices allow optimal access to sound, Ms. Kathryn and Ms. Tiana are ready to begin a busy day in the classroom. Beyond following a typical preschool curriculum with pre-reading, pre-academics, math, science, art, music, and language, the two teachers lead social and emotional development and self-help instruction. Throughout the day, Ms. Kathryn and Ms. Tiana track students’ progress toward goals they've defined as part of each child’s professional team. Each team is comprised of a unique set of professionals, based on individual students' strengths and needs.
Both Ms. Kathryn and Ms. Tiana have long been passionate about working with children. Ms. Tiana takes pride in being an advocate who can provide emotional support to kids and Ms. Kathryn feels fortunate to spend her career working with young people who are full of wonder and excitement.
Ms. Kathryn Smith, Teacher of the Deaf, smiles with a student.
Ms. Kathryn holds a Bachelor's in Communication Disorders with a minor in Deaf Studies from SUNY New Paltz and a Master’s in Deaf Education from Hunter College. Ms. Tiana completed her Bachelor’s in Communication Disorders at St. John’s University. After developing interests in aural rehabilitation in school, working with children who are deaf or hard-of-hearing—where they can contribute to the success of many children with unique perspectives and experiences—was a natural career choice for both Ms. Kathryn and Ms. Tiana.
The progress that Clarke students make, despite not having the same abilities as their typical-hearing peers, impresses the teachers. Though the children have an “added challenge at the starting line,” they experience tremendous growth as a result of their efforts made both independently and in collaboration with their families and professionals, says Ms. Kathryn. She recalls a few of her classroom’s latest accomplishments. One child is celebrating her newfound ability to put her FM system on all by herself. Another student who recently received a cochlear implant is regularly responsive to the sound of his name in the noisy classroom.
Ms. Tiana reflects on positive experiences outside the classroom, such as daily trips to the park, which she particularly enjoys. “As soon as we step outside, a whole new world opens up for them. They tell me about the sounds they hear and the sights they observe—and I know they’re not missing out on a single piece of life.” She feels most rewarded at work when a student expresses gratitude for help she provided.
At 2:30 PM, the Clarke students make their way out of school and home to their families. As staff, Ms. Kathryn and Ms. Tiana also build relationships with the school’s families who, like the students, greatly admire the teachers and look to them for guidance. Ms. Kathryn reminds parents and families not to lose sight of their child in the diagnosis. “Your child has a hearing loss, but it is not all of them. Your hopes and dreams for your child can still be achieved; they may just take a different route.”
Get Moving to Preserve Your Hearing
By Yvonnie Phan
As 2018 begins, many Americans, motivated to improve their physical and mental wellbeing, have already made the popular New Year’s Resolution to exercise more frequently. This commitment has an additional, lesser-known benefit; exercise is proven to preserve hearing health. Engaging in physical activity with proper safety precautions can delay or prevent age-related hearing loss, or presbycusis, which affects a quarter of adults 65-74 and half of those older than 75.
Cardiovascular exercise is vital to hearing health as one ages. A person over 50 years old without a genetic predisposition to hearing loss and who engages in cardio for 20-30 minutes five times weekly is more likely to maintain a healthy auditory system than someone with low cardiovascular activity. In a decade-long Miami University study of 1000 subjects of all ages, those over 50 with moderate-to-high cardiovascular fitness levels maintained hearing sensitivity comparable to people in their 30s, effectively delaying presbycusis.
An additional investigation from the University of Florida affirms that routine cardio provides the necessary blood flow, oxygen, and nutrients to maintain the health of important auditory systems within the cochlea. Lead author Shinichi Someya, Ph.D. explains that “the cochlea, or inner ear, is a high-energy demanding organ.”
Stretching and yoga are healthy alternatives to cardiovascular exercise. These activities facilitate proper blood flow throughout the body and activate the muscles. While stretching or performing yoga poses, it’s important to focus on breathing to increase oxygen and blood flow. There are even yoga poses designed specifically for those with tinnitus.
The hearing health benefits of exercise can be negated by noise exposure or improper ear care, however.
Listening to audio through headphones at a loud volume can increase one’s chances of Music-Induced Hearing Loss (MIHL), as can the music played during exercise classes. Turning down the volume on your device, wearing earplugs, and giving ears time to recover from loud noises can help prevent damage to the auditory system.
Those who swim are encouraged to keep their ears dry. Moisture in the ear allows for bacteria, or even fungi and viruses, to attack the ear canal, which can lead to Swimmer’s Ear and cause temporary hearing loss. Dry ears immediately and do not insert anything, such as cotton swabs, into them.
Health professionals strongly recommend everyone incorporate exercise into their daily routine. There are many benefits in maintaining a consistent exercise regimen and we can now add hearing loss prevention to the list. Before starting a new fitness routine, consult your physician to assure the routine is safe and suitable for your health.
Talk to Your Loved Ones About Hearing Loss, HHF Urges in Renew Magazine
Hearing Health Foundation (HHF) Board of Directors member Anil Lalwani, M.D. and Communications and Programs Manager Laura Friedman recently shared their expertise about untreated hearing loss and how to encourage a loved one—with compassion—to get help.
The story, "Heart of Hearing," is found on page 26 in the latest issue of Renew, a publication of United Healthcare and AARP.
“Regardless of age, type of hearing loss, or cause, if left untreated or undetected, hearing loss can have negative effects on your well-being,” says the Hearing Health Foundation’s Laura Friedman. “Untreated hearing loss can lead to numerous negative social, psychological, cognitive and health effects, and can seriously impact professional and personal life, at times leading to isolation and depression.”
As the consequences of untreated hearing loss can be devastating, Anil Lalwani urges readers to offer encouragement to their loved ones with untreated hearing loss.
“Often the individual with hearing loss is unaware of what they cannot hear,” explains Lalwani. Whether you think your loved one is aware of his or her potential hearing loss or not, it’s important to approach the topic lovingly."
FCC Improves Phone Accessibility for People with Hearing Loss
The Federal Communications Commission on Tuesday, October 24 approved updates to various Commission rules for hearing aid compatibility and volume control on wireline and wireless telephones.
Under the Hearing Aid Compatibility Act, the Commission is required to establish rules that ensure access by people with hearing loss to telephones manufactured or imported for use in the United States. With this action, the Commission continues its efforts to ensure that tens of millions of Americans with hearing loss have access to and can benefit from critical and modern communication technologies and services.
With the Order, the Commission adopted a revised volume control standard for wireline handsets to provide a more accurate measurement of voice amplification. The Order also implements a provision of the Twenty-First Century Communications and Video Accessibility Act to apply all the Commission’s hearing aid compatibility requirements to wireline telephones used with advanced communication services, including phones used with Voice-over-Internet-Protocol (VoIP) services. Compliance with these provisions must be achieved within two years.
Recognizing the increased reliance on wireless phones, the Order further requires that, within the next three years, all wireless handsets newly certified as hearing aid compatible must include volume control suitable for consumers with hearing loss. It also reminds manufacturers and service providers of existing outreach obligations to ensure that consumers are informed about the availability of hearing aid compatible phones, such as by posting information about wireless phones on their websites.
More information on existing FCC hearing aid compatibility rules is available online at https://www.fcc.gov/general/hearing-aid-compatibility-and-volume-control.
Action by the Commission October 24, 2017 by Report and Order and Order on Reconsideration (FCC 17-135). Chairman Pai, Commissioners Clyburn and Rosenworcel approving. Commissioners O’Rielly and Carr approve in part and dissent in part. Chairman Pai, Commissioners Clyburn, O’Rielly and Carr issuing separate statements.
CG Docket No. 13-46; WT Docket No. 07-250; WT Docket No. 10-254
This press release was republished with permission from the FCC. For additional information, contact Michael Snyder at (202) 418-0997 or michael.snyder@fcc.gov.
Idaho Seniors Receive Hearing Health Resources
Idaho Senior News, the Gem State's oldest and largest publication for individuals 50+, printed hearing loss resources in its October 2017 edition. Authored by Hearing Health Foundation (HHF)'s Communications and Programs Manager Laura Friedman, the piece educates readers about hearing loss—the third most common health problem in the U.S.—noting that the condition is most common among older adults.
Left untreated in adults, hearing loss can "lead to considerable negative social, psychological, cognitive and health effects and can seriously impact professional and personal life, at times leading to isolation and depression," Laura writes.
But there is good news. The most common form of hearing loss, noise-induced hearing loss, is preventable. "If you are in an environment where you have to shout to be heard, it is probably too loud."
Laura's full article, "Hear, Hear: All About Hearing Loss," is available in this PDF on the Idaho Senior News website on page 19.