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What to do if you suddenly experience hearing loss

As a Patient Care Coordinator, nothing is more alarming then getting a frantic call from a patient in panic mode because they suddenly lost their hearing. Working at the front desk and handling calls from patients at the Chicago office for the last six years, I’ve noticed an increase in these cases of sudden idiopathic hearing loss, or “sudden deafness”. This phenomenon, known as Sudden Sensorineural Hearing Loss (SSHL) is often unexplained.  Although the exact cause, in many cases, is unknown, some causes for SSHL are barotrauma, certain medications, a viral attack and autoimmune disorders.  SSHL is characterized as a rapid loss, usually in one ear, either all at once or over the course of a few days.

It concerns me that patients often do not realize the severity of their sudden hearing loss. Permanent ramifications, such as irreversible hearing impairment and/or constant ringing in the ear, called tinnitus, can result if the loss is not treated immediately.

Working in one of the premier audiology offices in the world, I know what is at stake for these patients, and always find ways to fit them in to see one of our Doctors of Audiology.

The audiologist first determines that the sudden hearing loss is not due to allergies, sinus infection, earwax clogging the ear canal, or other common conditions.  If the loss is indeed SSHL, we refer immediately to an ENT (Otolaryngologist), or the nearest ER.  Oral steroids or steroid injections into the ear is the standard treatment for SSHL.  Steroids can minimize and/or reverse the hearing loss.

Most importantly, know that you are not alone.  If you experience sudden deafness, the hearing professionals at the Hearing Health Center will do everything they can to combat the hearing loss and return your hearing back to normal.

Resources:

NIDCD (National Institute on Deafness and other Communication Disorders) Fact Sheet

(1) Sudden Deafness
NIH Pub. No.  00-4757
March 2018

The NIDCD maintains a directory of organizations that provide information on the normal and disordered processes of hearing, balance, taste, smell, voice, speech and language.  Visit the NIDCD website at https://nidcd.nih.gov/directory to search the directory.

NIDCD Information Clearinghouse
1 Communication Avenue
Bethesda, MD 20892-3456
Toll Free Voice:  800-241-1044
Toll Free TTY:  800-241-1055
Email:  nidcdinfo@nidcd.nih.gov
Web:  www.nidcd.nih.gov

Hearing Health Center recently introduced the option to lease hearing aids.  It certainly makes sense.  After all, we lease our cars, our smart phones, and office equipment.  Why not lease our hearing aids?

Although cost isn’t the number one reason for the 80% of Americans who need hearing aids but don’t wear them,* it can certainly be a barrier to getting help.

Why Leasing?

Most people think of cars when they hearing the word leasing.  Today, more people lease their cars than actually buy them.  Why?

  • Because they want to upgrade to the latest model every couple of years
  • Because as the car gets older, it will need more maintenance and more repairs.
  • Because they can drive a better, more expensive car, with affordable monthly payments.

Leasing quickly spread to other industries, including office equipment, medical and laboratory supplies, computers and IT equipment.  The latest leasing trend is our smartphones.  By the time we’re done paying for it, in low monthly installments, we are really to trade-in for the latest and greatest phone on the market.

Leasing Hearing Aids

The average life of hearing aids is between 3 and 5 years.  Nationally, hearing aid users get new devices every 3.6 years.  The reason is not necessarily because their hearing aids are bad.  People get new hearing aids because:

  • The prescription changed.  Hearing never gets better.  The hearing aids you got 3 years ago may no longer be appropriate for you.
  • Ears change.  The size and shape of the ear and the ear canals change with age, and wearing hearing aids often stretch the ear canal.  Weight loss and weight gain also have an effect on the ears.  Hearing aids may not fit correctly after a while.
  • Technology advances and improves.  New hearing aids increase clarity, especially in background noise, and enhance ability to communicate and participate in important conversations and activities.

If one of the things holding you back is the expense, leasing is a great solution.  Most hearing aids leases are for three years.  Monthly payments are as low as $99, for good hearing aid technology.  Payments for the best, most advanced, premium hearing aids are approximately $200/month.

At the end of the three year lease, you can buy the hearing aids outright at a discounted price, or better yet, simply sign a new lease and get the newest developments in hearing aid technology.  You’ll always have the best hearing and clearest quality of sound.

The Advantages of Leasing Hearing Aids
There are a lot of reasons why a lease may be the right option for your circumstances. Just a few of the benefits of leasing include:

  • Affordability
  • No large, out-of-pocket expenditure
  • Buy-out options
  • Flexible payment plans and financing
  • No maintenance, repairs, or follow up costs**

Is a Hearing Aid Lease Right for Your Needs?

Only you will be able to answer this question. If you intend to wear your device until it is completely worn out and do not care about having the best possible technology, this may not be the best option. If you are interested in having a technologically advanced device, the ability to upgrade your device and want any potential issues taken care of properly, a lease is the ideal solution.

*The number one reason for not treating hearing problems is that most people don’t think their hearing is “bad enough.”

**Many leasing options include all maintenance, cover routine maintenance, clearings, reprogramming and adjustments, and manufacturer repairs.

Your Voice on a Tape Recorder (or through a Hearing Aid)

Did you ever hear your voice on a recording or through a hearing aid?  Bet you didn’t like it. You most likely thought it didn’t sound anything like you. In fact, in a study of subjects listening to recordings of their own voice, along with recordings of 19 unfamiliar voice recordings, only 38% of subjects recognized their own voice.

Whether you liked or hated the sound of your voice on a recording that is the “real” sound of your voice. That is the voice others hear when you speak. It is not however, the voice you hear. The sound waves, created when we talk, create vibrations in our vocal cords, the vibrations of our vocal cords, soft tissue, and bones in our head. This makes us sound richer and deeper to ourselves.

WHAT’S NORMAL?  How Your Voice Sounds With a Hearing Aid

Nearly everyone that puts on a hearing aid for the first time hates the sound of their voice. After putting on the hearing aids, every audiologist hears, “Ewww, I hate my own voice.” “I sound hollow and like an echo.” “I sound like I’m in a tunnel.” “I sound so raspy.”

The response of every audiologist is, “Don’t worry, you’ll get used to it.”  That is true. The majority of hearing aid users do quickly get used to, and accept, the sound of their own voice.

“Normal” is what you’re used to. You’re used to hearing yourself with a hearing deficit at many of the pitches of speech. Your hearing changed gradually over 15 to 20 years. You didn’t notice that, little by little, your voice changed subtly along with it. Suddenly, in one minute, you’re hearing all of the pitches that took 20 years to lose.

It’s shocking. You don’t like it. No one likes it. But really, you do get used to the sound of your voice through hearing aids. Your “new” voice becomes your “new” normal. Unfortunately, it doesn’t happen overnight

THE GOOD NEWS. Hearing Aids Deliver

Faster Adaptation and more immediate relief are on their way.  By understanding, and then manipulating, the intricacies and dynamics of sound, hearing aid manufacturers have gone to great lengths to reduce the shock of hearing a new you.

Technology really is amazing (when your computer works).

HHC-FamilyPhoto

If we seem a little smarter about new hearing technologies next time you come in, here’s why.

Hearing Health Center audiologists learn about new hearing technologies through committed continuing education

Several times a year, we close all five offices and everyone gets together for an intense, idea-filled day of Continuing Education. Friday, August 23, was one of those days—with a full program of expert speakers, demonstrations and hands-on experience with the newest of the new in Audiology.

“We’re in an industry with technical and treatment advances happening continuously and our patients depend on us to be on the cutting-edge of progress at all times,” said Director of Operations Marsela Kole, who was the Event Chairperson.

The “next generation” hearing aids from the world’s leading manufacturers garnered profound interest. They provide benefits to wearers that go far beyond hearing quality and clarity that have exceeded all expectations. Patients who have worn hearing aids for years will discover processing power far beyond anything they’ve experienced, letting them understand speech effortlessly in noisy settings—with unwanted sounds suppressed.

Features of this new hearing technology include many vital functions for health, safety and information never before associated with hearing aids.  The revolutionary devices include ones that monitor brain and body activity, can actually sense if the wearer has fallen and automatically send out alerts to three pre-selected contacts. Others can be serviced via an app, avoiding an office visit, and stream telephone, TV, music and messages directly into the patients’ ears.

Marsela Kole said “These days are always a good chance for the teams from each of the offices to get together, compare notes and participate together in group activities. There’s always some fun to be had.”

Over 100,000 people will descend on Chicago’s Grant Park for Lollapalooza this year.  The annual festival is already wreaking havoc on traffic, and is sure to kill millions of tiny hair cells in the ears that respond to sound.  Many attendees will go home with permanent hearing damage.

In previous years, the level of the music was measured anywhere from 115 to 135 decibels.  “At that level,” said Dr.

Ronna Fisher, AuD audiologist, “permanent damage can occur in two minutes.”

“Once it’s gone…it’s gone,” says Fisher.  “You will never hear the music, or anything else, clearly again.”

Do not be a martyr…or stupid.

The music is too loud if:

  1.  You experience any buzzing/ringing/noises (tinnitus) in your ears
  2. Sounds, voices, hearing, is muffled when you leave
  3. If you have to yell to be heard, it is too loud.


Tips to Protect Whatever Hearing You Have Left

  1.  Try to position yourself away from the speakers (where the sound is loudest)
  2.  Wear earplugs.  Almost any kind will protect your ears if you get them in correctly.  For frequent concertgoers, get custom, high fidelity earplugs (available at any Audiology office).  They will fit your ears perfectly and let you hear the music and the singer while decreasing harmful sounds.
  3. Take a break.  Ears that get a break have time to recover and do not suffer as much damage.
  4. Drinking and smoking make you less sensitive to sound (ever get into your car in the morning and the radio is blasting from the night before?).  Pay attention.

If you still have ringing/buzzing,etc, and voices still sound muffled and unclear, after 48 hours, you need professional help.  Now.  Call your local Doctor of Audiology, Primary Physician, or ENT specialist.

Every Voice is Too Precious to Miss: Going Above and Beyond

A Patient Care Story

\"\"At Hearing Health Center, going the extra mile is part of our mission statement. We strive to bring our patients the best care in every way we can; it’s written into our foundation. That’s why Dr. Robert Risley made a home visit recently after he had seen all of his patients for the day.

Let’s say this patient’s name is Sarah. Sarah is homebound in an apartment and lives with a care giver. Since her hearing aids are no longer strong enough for her hearing needs, Sarah relies on written notes for her caregiver and subtitles on the television to stay engaged with what is happening around her. Her daughter does not live locally, making assisting her mother a near-impossible task.

The circumstances surrounding our health do not define us. That’s why Dr. Risley brought his portable audiometer in hopes of being able to improve Sarah’s quality of living. We do not realize the divide hearing loss wedges between us and our loved ones. Old hobbies become a challenge, routine life feels much more fast-paced and confusing. Hearing loss is gradual; the average American waits seven years before seeking help. Do yourself and your loved ones the biggest favor and stop in for a hearing check-up. You’ll be glad you did.

I recently came across a story by Alan Felman, a 30 year old writer for Medical News Today.  I want to share it with you because it expresses so many of the emotions and behaviors I felt and exhibited before getting my hearing aids…and after.

“The big kicker with gradual-onset hearing loss is that you are not aware of how it’s changing you until the physical symptoms have become moderate to severe,” said Adam.

Hearing ability diminishes so slowly that you don’t realize that one day the sound of the turn signal disappeared.  You no longer hear the key in the lock or the footsteps behind you. The “sounds of life” that keep us in touch with our environment, that soothe, reassure, and alert us, are gone.

Then there are the misunderstandings, mistakes, embarrassment. Your hearing is crucial for understanding the world around you. When your ability to hear and understand the spoken word diminishes, so too does your enjoyment of the things you love doing, the people you love being with and your ability to achieve closeness and bond with others. It is a frustrating and isolating feeling to be with those whom you hold dear only to feel left out because you do not understand the conversation and cannot participate in sharing.

Adam writes, “Communication is a huge part of navigating every stage of your life. If any element of communication is lacking, it can have a significant impact on the way our personality develops, and the methods you use to connect with the outside world.”

Even though your friends are probably understanding, and although subtitles exist to significantly improve the viewing experience for people who cannot hear as well as others, it can still be hard to ignore the underlying feeling of being ‘different’ and stigmatized.

“I developed subtle, invisible coping mechanisms to anchor my social interactions.  For example, I cycle between a set of 10-15 stock phrases that I wheel out based on the tone of voice and the context.”

“Absolutely!”

“100 percent!”

“I can fully understand that!”

“Tell me about it!”

None of these seems out of place in a conversation. However, once they become a substitute for genuine responses and coherent conversational flow, they develop into a cornerstone of shame and awkwardness in daily encounters. Especially when they are the wrong response.

Socializing becomes too much of a risk.  Every pang of guilt or embarrassment after saying “what?” or “huh?” might lead to another night when you don’t risk going out to socialize. You end up distancing softly spoken colleagues, friends, and even family members, simply because the effort it takes to process their speech can become draining.

“I have a lot to learn about life with hearing aids, but my first lesson was that no one close to me sees it as a negative life event. Everyone has been congratulating me as if I’ve just become a parent for the first time.  I’ve realized that however self-conscious you might feel about wearing hearing aids, people only see it as a connection with the world, and this is huge.”

Adam’s hearing aids gave him back the intimate details of life: easily hearing and understanding those around him and whispering a joke to a friend helped him close the gap that hearing loss drives between individuals. Our need to socialize with others is innately human.

Adam says his new hearing aids are discreet, nearly invisible, yet powerful.  Sometimes, to his underused ears, things sound a little too powerful.  A packet of chips opening across the room, wheels of the stroller on the balcony above, even the “cacophony during bathroom breaks sounds like a National Geographic documentary.”

“There are unexpected changes, too. My experience of food has completely altered — the additional frequencies and sounds add a lightness of bite and extra crunch that I was previously unaware of.”

“My hearing no longer feels impaired — that is, until I remove the hearing aids. Those few moments in the day without them, such as going to the gym or grabbing a shower, are now pretty draining by comparison.

“I have a lot to learn about life with hearing aids, but my first lesson was that no one close to me sees it as a negative life event. Everyone has been congratulating me as if I’ve just become a parent for the first time.  I’ve realized that however self-conscious you might feel about wearing hearing aids, people only see it as a connection with the world, and this is huge.”

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