Medications
According to the Government Accountability Office, only 1 to 10% of all adverse side effects are reported to the FDA.
In a case of notable regulatory short-sightedness, drug companies are only required to report adverse effects they deem “statistically significant.” Many medications cause hearing loss, tinnitus (ringing in the ears), cognitive disorders and memory loss. These adverse reactions are not listed in the manufacturer’s “warnings of adverse side effects.”
THE LINK
It is well known that drugs and treatment that save the lives of patients with cancer cause permanent and irreversible hearing loss.
It is also known that many antibiotics and pain relieving, anti-inflammatory drugs (aspirin, Motrin, NSAIDs) damage the auditory system. It is less well known and rarely acknowledged, that drugs such as Viagra and other erectile dysfunction drugs directly affect hearing.
In addition, diuretics used to treat high blood pressure and heart failure, statin medications to lower cholesterol and even many over-the-counter and herbal medications can cause hearing loss, balance disorders and severe tinnitus.
WHAT YOU CAN DO
Get a baseline hearing test now. Bring a comprehensive list of the medications that you are taking. If you are associated with hearing, balance, tinnitus or dizziness, your audiologist will contact your doctor to discuss alternative medications that are not ototoxic.
Dr. Ronna Fisher, Au.D.
Founder & President
Hearing Health Center, Inc.
Falls and Balance
Hospitals and doctors’ offices nationwide might have avoided nearly 2000 patient deaths and thousands more emergency room visits if medical staff and patients communicated better. Those with hearing loss misunderstand over 50% of instructions given by physicians and health providers. According to a recent report published in the journal JAMA, there is a significant breakdown in communication with patients over 60. Patients describe not understanding therapeutic instructions, medication dosages or side effects which can lead to a myriad of other health issues and risks.
THE LINK
In hospitals and many medical care settings there is often competing noise in the background. Patients are often nervous and already stressed about their medical condition and the content is often extremely technical and unfamiliar. Those with hearing loss rely on lip-reading, facial expressions and visual cues when communicating. Hospitals and physician offices now require electronic medical records. Doctors and medical staff spend the majority of time typing notes into a computer thereby eliminating face-to-face doctor-patient communication.
WHAT YOU CAN DO
Get a hearing test now. If your hearing is even slightly diminished, get treatment immediately to improve your clarity and ability to understand and communicate. Ask for as many repetitions as needed to comprehend physician instructions. Ask your doctors and care providers to stop typing and look at you when they speak. Your health and life are of paramount importance, protect yourself by being your own best advocate.
Your hearing, processing, clarity and ability to understand speech are vital to your happiness, your relationships and your enjoyment of life.
Your hearing ability and your hearing health are a direct link to your overall health and wellness. Do not wait until you have a problem. By the time you realize you have a problem with your hearing, irreversible damage to your brain has already occurred and may be too late to reverse or repair. Get your hearing checked regularly.
Dr. Ronna Fisher, Au.D.
Founder & President
Hearing Health Center, Inc.
Falls and Balance
Dizziness and balance problems increase significantly with age. Over 70% of those over age 65 seek treatment and one third of everyone over 65 will fall. (Center for Disease Control). Falls are the leading cause of death over age 65.
THE LINK
A recent study done by Johns Hopkins School of Medicine and the National Institute on Aging found that hearing loss significantly increase the risk of falling. The news could have far-reaching implications when it comes to preventing falls and maintaining independent lives.
There are several reasons why a decrease in hearing increases balance problems and the risk of falling. Hearing loss decreases awareness of of people, pets or other sounds in the environment. Spatial awareness, i.e. where the body is positioned in relation to other people and objects around it, and is crucial for maintaining gait and balance. In addition, many researchers point to cognitive overload as a hindrance to balance
Research as to whether hearing aids helped maintain balance were resoundingly conclusive – the results were overwhelmingly YES. Sound information alone, coming through the hearing aids, plays a large role in maintaining balance.
WHAT YOU CAN DO
Get a baseline hearing test now. Make a list of your current medications. Report any balance, dizziness or vertigo issues and symptoms to your audiologist. Physical therapy, balance training and exercises are effective in treating 85% of all balance and dizziness problems. If you have any balance, hearing or clarity problems, seek treatment immediately.
Dr. Ronna Fisher, Au.D.
Founder & President
Hearing Health Center, Inc.
Hearing loss is the most common chronic condition associated with depression in people 60 years or older (JAMA Otolaryngology – Head and Neck Surgery. 2017), particularly in women. The National Council on Aging found that wearing hearing aids helps prevent social isolation and depression. Most impressive is the study published in the Archives of Gerontology and Geriatrics showing a marked improvement in emotional, social and cognitive conditions after wearing hearing aids for just three months.
Individuals with hearing loss show a 40% accelerated rate of cognitive decline (Frank Lin, MD., Ph.D., Johns Hopkins). With significant to profound the hearing loss, there is a greater the likelihood of developing a cognitive disorder and the steeper decline in mental function. Even those with a very mild hearing loss (even before the hearing loss becomes noticeable), these individuals show accelerated rates of gray matter shrinkage in the brain.
THE LINK
“Belongingness” is a basic and innate human emotional need. According to Roy Baumeister and Mark Leary, all human beings need a certain minimnum quantiy of regular, satisfying interactions. Inability to meet this need results in loneliness and mental distress. The desire to form and maintain social bonds is among the most powerful human motives. Without social bonds, the ability to self-regulate suffers. (Baumesiter, R. F., DeWall, C. N., Ciarocco, N. J., & Twenge, J.M. (2005), Social exclusion impairs self-regulation. Journal of Personality and Social Psychology, (88)4, 589.)
Humans have a profound need to connect with others and gain acceptance into social groups. When relationships deteriorate or when social bonds are broken, depression may set in. The world over, in every country, culture and religion, people are most happy when they are with those they care about and love. It is a frustrating and isolating feeling to be with those who you hold dear only to feel left out because you do not understand the conversations and cannot participate in sharing. According to Steger, M. F., & Kashdan, (T. B. 2009) people who are depressed often feel unable to satisfy their need for belonging, leading to having fewer intimate relationships. They also induce negative feelings and reactions in others, which consequently elicits rejections. The effects of rejection are more potent than the effects of acceptance because rejection causes emotional hurt and pain (Buckley, Winkel and Leary).
WHAT YOU CAN DO
Get a baseline hearing test and brain processing evaluation now. If you have any hearing or processing difficulties, seek immediate treatment.
Dr. Ronna Fisher, Au.D.
Founder & President
Hearing Health Center, Inc.
A study conducted by Harvard University found an overwhelming relation between heart disease and hearing loss. “Hearing loss has occurred 54% more often in people with heart disease than in the general population.” Heart disease can be caused by problems with blood flow and blood vessels. It often results from plaque build-up on the arteries (atherosclerosis) which makes it difficult for blood to flow through the veins, arteries, vessels and bodily organs – especially the inner ear.
Hearing loss is not only the consequence of ineadequate blood flow to the auditory system. Recent research (Hull RH, Kerschen SR, The influence of cardiovascular health on peripheral and central auditory function in adults: a research review. AmerJournAud 2010;19(1):9-6. shows corresponding damage to the brainstem and auditory pathways resulting in difficulties processing, decoding and understanding speech.
THE LINK
The inner ear is extremely sensitive to blood flow. Inadequate blood flow and blood vessel trauma damages the nerves of the inner ear. Hearing loss could be an early, in fact the first, warning sign of an impending heart attack or stroke.
The nerves of the inner ear are so sensitive and fragile that Harvard researchers concluded the ear might be the first organ to feel the effects of cardiovascular disease. They stated that if blow flow is inadequate. The nerves of the inner ear are so sensitive that hearing loss can be an early warning sign of impending cardiovascular disease.
WHAT YOU CAN DO
Get a baseline hearing test now. If you are receiving treatment for cardiovascular disease, monitor your hearing regularly for any changes.
Dr. Ronna Fisher, Au.D.
Founder & President
Hearing Health Center, Inc.
Rheumatoid Arthritis is a chromic autoimmune disease that causes the immune system to attack healthy tissues. The result is inflammation, pain, deformity of the affected areas and stiffness in the joints. Astudy conducted by the Arthritis Foundation found an overwhelming connection between rheumatoid arthritis and hearing loss, with a 42.7% correlation.
Hearing loss is the most common health-related issue, with up to 72% prevalence in rheumatoid arthritis (The Open Rheumatology Journal, Jan. 2016)
THE LINK
Rheumatoid Arthritis is associated with many other diseases that are also known to adversely affect hearing such as cardiovascular disease, osteoporosis and kidney dysfunction.
Another link between rheumatoid arthritis and hearing loss is medications. Many medications are known to cause hearing loss. Ibuprofen and acetaminophen, which is often used to manage the pain of R.A., can cause hearing problems. A 2012 study, published in the American Journal of Epidemiology, showed that taking these pain medications six or seven times a week increased the risk of hearing loss by 24%. These painkillers, such as Advil, Motrin or Tylenol restrict blood flow to the inner ear. Blood carries oxygen and other nutrients throughout the body, so when less blood reaches the ear, the cells become damaged, resulting in loss of hearing.
What you can do
Get a baseline hearing test now. If you have rheumatoid arthritis, your medications should be reviewed and your hearing monitored regularly for any associative changes.
Dr. Ronna Fisher, Au.D.
Founder & President
Hearing Health Center, Inc.
Dr. Ronna Fisher, Founder of the Hearing Health Centers in Chicago, demonstrates how to insert and remove a Lyric Hearing Aid. To learn more about Hearing Aids, visit https://hearinghealthcenter.com/hearing-aids-chicago/
Dr. Ronna Fisher, Founder of the Hearing Health Centers in Chicago, demonstrates how to insert and remove a Lyric Hearing Aid. Learn more about Hearing Aids here
Na na na na na na na na BATMAN!
(Above: Our patient, Riley, who is battling cancer was gifted with hearing aids from his favorite superhero, Batman, due to the donations from the Fisher Foundation).
In 2005, the Fisher Foundation was established by Dr. Ronna Fisher to provide hearing services and treatment to those in need. Dr. Fisher and the Hearing Health Center team provide education to the community, ear protection to our troops and hearing aids to children and adults.
The most popular event The Fisher Foundation hosts is an annual Hike 4 Better Hearing in which the community comes together to spread awareness for hearing health and raise donations for this great cause.
With the combined efforts of the HHC team, patients, sponsors and community, we are able to provide the gift of hearing to many special individuals. Take this opportunity to find your inner superhero and spread the joy of hearing. With Batman’s help we are unstoppable! We want to help even more people this year and educate the public about our most precious sense…hearing.
Website: fisherfoundationforhearing.org
Melissa Mandra, Au.D.
Roger Daltrey, lead singer of the iconic rock group, The Who, said, “Dr. Ronna Fisher, at Hearing Health Center, is the only person I trust with my hearing.” Near the end of Monday night’s performance of the rock opera, Tommy, at Ravinia Festival, Daltrey talked about the struggles with his hearing. “Do yourself a favor, he told the standing ovation crowd, go get your hearing checked. It’s more important than you know.”