From the Desk of Dr. Yoder

Should I search the web for hearing aids?

2010-08-07T20:40:00.000-07:00

Admittedly I am "in love" with the Internet (as are many in my generation) and it is easy for me to reach for the computer every time I want to research something new or look for the best prices on a product that I want to purchase. It always seems like a good idea but when it comes right down to making good choices for new purchases I nearly always seek out an expert instead of relying on the Internet. Some of the best purchases I have made for myself and my family have been with the help of a professional who took the time to get to know me and help me sort through options/features that would be appropriate for me. Doing business this way also gave me some peace of mind that I had a place to go if I needed follow up or had to return something or just had more questions. With the exception of minor purchases I like to buy my purchases locally even if that means I will pay a little more.

I shudder at the number of ways that people can come to be proud owners of hearing technology on the Internet. There is a slew of sites including auction houses and warehouse sellers with the intent to sell hearing aids through the internet. Online hearing aids sales typically focus on the sale of the devices and downplay the importance of quality service. When the cost of professional care and service are removed the price of hearing devices can be less expensive but at what cost to the buyer?

Hearing aids are considered medical devices per the FDA and should be sold as such. There is a widespread problem with inappropriate Internet sales of hearing devices and the FDA has posted warnings on their website. Though the FDA does not completely oppose online sales, they have had to shut down many organizations over the years for illegal activity regarding the sell of medical devices online. It is very difficult for the government to monitor online sales ultimately leaving the responsibility of consumer protection in the hands of the consumer. www.fda.gov/medicaldevices/resourcesforyou/consumers/buyingmedicaldevicesanddiagnostictestsonline/default.htm

[please visit the links at the bottom of this post for more consumer education articles]

With this in mind, it is so important that consumers know what to look for when shopping for hearing aids. I recommend shopping locally so that you can easily see your audiologist for follow ups. New hearing aid users have an experience in the first few months that is called the adaptation period (aka acclimatization period). During this time the brain is becoming accustomed to the new sounds and auditory input being received from the hearing aids. Fine tuning, counseling and aural rehabilitation is necessary for 99.9% of patients during the first few months. This is a very important time for professional help and those who purchase hearing aids without these services are less likely to be successful.

In addition to the adaptation period following a new hearing aid purchase hearing aids will also need to be maintained by a professional to insure that they are working properly and to help prevent problems with equipment failure from moisture, ear wax or other damage. We see patients at least 2x/year for maintenance checks and we will also see them when the warranty is about to expire to ensure the hearing aids are checked one last time under warranty. The warranty can be extended in many cases and this is a nice option that may not be found with online services. Though the patient is scheduled at least 2x/year we also encourage them to come in whenever there is a problem. That means unlimited services during the warranty period. This is another area not provided by online purchases.

Hearing aids are very customized devices. Initial programming and fitting includes a number of processes to ensure that the devices were made properly, set properly and features are verified and working as they should. It is also a good time to customize some of the features to meet the patient's needs. For example, patients may want a special phone switch or music setting. I also have had some patients that need a special program setting for use in conference meetings or for listening to the television. The devices are so flexible and have so many choices that many patients are not even aware of all the things their hearing aids are capable of doing.

I routinely spend nearly 2 hours on new hearing aid fittings going over use of the devices and all the features, verifying proper fit and sound settings and instructing the patient on how to care for the devices so they last their expected life expectancy. I then see them back weekly or every other week while they are in their adaptation period to make sure that the devices are meeting their goals. Goals are very important and by setting goals with my patients I can better understand their needs and be sure best device is prescribed to reach their goals and expectations.

I have seen many disappointed and embittered consumers who feel that hearing aids are not worth the money they paid when they purchased online or through a mail order. Those who buy hearing aids online and service is not provided end up paying for professional service on top of the cost of the hearing devices in order to get them to function correctly and this becomes costly in the long run. So buyer beware: the cost of online hearing aids can be deceiving.

If you are considering hearing aids please take the time to contact a local audiologist and ask for a consultation Many will be more than happy to sit down and talk with you and discuss your goals and your concerns on pricing. I recommend searching for audiologists that have a doctorate degree and have been board certified by the American Board of Audiology. Check the links provided below.

Helpful Links

American Board of Audiology - Highest standards in certification for audiologists
http://www.americanboardofaudiology.org/

Academy of Doctors of Audiology - represents doctors in the field of audiology
http://www.audiologist.org/

American Academy of Audiology - represents all audiologists
http://www.audiology.org/

American Speech & Hearing Association -represents all audiologist and speech language pathologists.

http://www.asha.org/

Links regarding consumer education on hearing aid purchases

FDA US Food and Drug Administration
Buying Medical Devices and Diagnostic Tests Online
http://www.fda.gov/

Consumer Reports - Consumer advocates
Hearing Aid Checklist (search on their site)
Consumer reports investigated purchasing hearing aids (search on their site)
http://www.consumerreports.org/

Hearing Loss Association of America - Consumer advocates
Developed a Hearing Aid Consumer Checklist (available in PDF on their website)
http://www.hearingloss.org/

Rehabilitation Engineering Research Center on Hearing Enhancement
Expectations: A Consumer Checklist, by Mark Ross, Ph.D.
http://www.hearingresearch.org/
See Sections: "Dr. Ross Says" "Considering A Hearing Aid" & "Expectations, A Consumer Checklist"

This blog posted by Suzanne Yoder, Au.D., Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com

Hearing Protection and the World Cup (Vuvuzela Horns)

2010-07-09T13:27:00.000-07:00

If you are following the World Cup I'm sure you've heard or heard about the Vuvezela Horns that are used by some of the fans. Although I'm sure it is fun for the fans using them, it is unfortunately a danger to hearing health for everyone around. Sound level measurements have shown that the noise level of the Vuvezela Horns during an event can reach as high as 120-125 dB. This is louder than a chainsaw! Some research is already underway to find hearing protection for the workers (journalists for instance) who are exposed to the noise over a long period of time, day after day. Here's a link that you can refer to for more information about this research.

Posted on www.audiologyonline.com http://tinyurl.com/2cf6jt9

Taken from http://www.hear-the-world.com ; Customised hearing systems created to tune out drone of vuvuzela.

And a bit more blogging here...

Hearing protection, as I've observed through the years, is under utilized over all. I put a basket of earplugs out in my waiting room from time to time for my patients to pick up. Most are unsure what to do with them thus leading me to believe that many people have never used hearing protection. I have seen the damage of noise over time as I used to do industrial testing for companies that needed to meet OSHA's standards for hearing conservation. Those who did not use their protection showed marked decrease in hearing over time (testing was annually).
Those that did use their earplugs showed slower progression and in many cases no progression of hearing loss over time. It's exciting to see that this disorder (noise induced hearing loss) CAN be prevented but frustrating to see that many people are not thinking about their hearing until permanent damage is done.

Hearing protection is a good idea for all loud noises whether it is running the lawn mower or other lawn equipment, using a shop vac or other loud household appliances or home improvement tools, attending a concert, using a firearm or working in an noisy industry just to name a few.

Finally if you tried hearing protection and didn't like it, there's a good chance that you had the wrong type of protection for the job. An audiologist can help you determine what type of protection you need for your line of work/hobby. If you are around noise regularly please get your hearing tested regularly. Baselines are important so do not wait until you have a hearing problem to get your first hearing evaluation.

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Earth Day 2010 and Hearing Aid Batteries

2010-05-10T14:20:00.000-07:00

I am often asked about recycling batteries for hearing aids and the answer comes with caution because many hearing aid batteries still have trace amounts of mercury and pose problems for recycling centers. However this year some major battery manufacturers switched to mercury free zinc air batteries making it possible to recycle them. Please check your battery packaging for the "mercury free" markings to be sure they are safe. If you save batteries to recycle them, be careful to keep them dry so that they do not leak. Also store your recycling collections separate from your hearing aids and other batteries to prevent damage from battery corrosion and leakage should that occur. Remember also that batteries are toxic, please keep them away from small children and animals and store in a separate room from where you eat and keep food.

Below is information I found from an email that was circulated originally by Cochlear America http://www.cochlearamericas.com/ [the information has been paraphased]

In support of Earth Day 2010 please consider recycling your non-rechargeable zinc-air batteries. Most non-rechargeable zinc-air batteries do not contain hazardous materials that will harm the environment after use, and are safe to dispose of in normal waste. However, it is important to know that certain recycling centers do have the capability to recycle these non-rechargeable batteries.

To determine if you are able to recycle non-rechargeable zinc-air batteries at your local recycling center, you may follow the steps below.

To recycle your used batteries:
1. Return the used batteries to one of the following locations where the batteries will be recycled free of charge.
• Best Buy
• The Home Depot
• Radio Shack
• Batteries Plus

2. Call 1 800 8BATTERY or visit:www.rbrc.org/consumer/index.phpto locate the Battery Recycling Center nearest you.

Caution: Never store used batteries in locations that are potential fire danger areas. Zinc-air batteries are combustible.

Other useful links:
Habitat for Humanity battery recycling program - http://tinyurl.com/26p776r

Hearing Review Article - Mercury free article
http://tinyurl.com/24bdtab

Journal of American Pediatrics - Hazards of battery ingestion http://tinyurl.com/28rh7lu

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Hearing Loss: A Personal Perspective

2010-04-12T13:07:00.000-07:00

As a hard of hearing audiologist, I frequently know what patients are going through in the process of accepting and adapting to hearing aids. I also know that despite the challenges of hearing with hearing aids there are wonderful rewards for those that push through and learn to use their hearing devices to treat hearing loss.

I received my first hearing aids as a young girl and over time my hearing loss became a part of me. I am thankful for my hearing aids because they sustain my independence and provide
safety. They allow me to connect with others and reduce social isolation. Without my hearing aids I cannot hear the television, the sounds of nature or talk on the phone. Nearly every aspect of my life is better because I have chosen to treat my hearing loss. I know that hearing aids are a big adjustment and support is very important. That is why I focus on counseling and spend more time up front with patients to address their concerns, expectations and the demands of their lifestyle before making recommendations.

Don't let hearing loss hold you back. Consider improving your life. See an audiologist and begin the path to better hearing for life.

— Dr. Yoder

Diabetes & Hearing Loss

2010-03-23T13:13:00.000-07:00

Risk of Hearing Loss Higher in Patients with Diabetes.

Many people do not think about diabetes and hearing loss being related. But they are related and diabetes can lead to hearing loss in many cases. Patients with diabetes are twice as likely to have hearing loss as patients without diabetes. I am already a big supporter of regular hearing tests (yearly for children and every 5-10 years for adults) but those with risk factors should have their hearing tested even more often even annually. Diabetes is one of those risk factors.

~Dr. Yoder, Audiologist

March 23rd is American Diabetes Association Alert Day (Grey Ribbon for Diabetes Awareness)

This alert is a reminder to educate yourself about diabetes and to learn your risk for type 2 diabetes by taking the simple Diabetes Risk Test online. http://www.diabetes.org/

Helpful Links:

American Diabetes Association

http://www.diabetes.org/

US Dept of Health & Human Services, National Institutes of Health, Online Article http://www.nih.gov/news/health/jun2008/niddk-16.htm

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Physical Therapy for the Ears

2010-02-22T14:10:00.001-08:00

The above video clip is a good explanation for a auditory training program call LACE (Listening and Communication Enhancement). This program is intended to improve listening skills by doing auditory training for 20 sessions. It can be done on your home PC or DVD player. Please take a moment to watch the video.

On a personal note: This program has challenged me. I have been doing the sessions myself as I am severely hard of hearing and could use the help. I like that it is challenging because I understand that change cannot occur without pushing myself beyond my comfort zone and forcing new neural pathways to form or strengthen. Listening is a skill that has to be sharpened and I am actively working to improve on this skill as I know that hearing aids alone cannot do this for me.

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Hearing Aid Tax Credit Update

2010-02-18T11:55:00.000-08:00

Exciting News: HR1646 has hit 115 co sponsors which tops the previous record of 112 set at the end of both the 109th and 110th Congress.

What would H.R. 1646, the Hearing Aid Assistance Tax Credit Act, do?
Provide a tax credit of up to $500 per hearing aid, available once every 5 years, towards the purchase of a hearing aid, available to: 1) individuals age 55 and over, or 2) those purchasing a hearing aid for a dependent. The bill includes a $200,000/year income eligibility cap.

Why is this special tax treatment needed for hearing aids?
While 95% of individuals with hearing loss could be successfully treated with hearing aids, only about 25% of the 34 million Americans with hearing loss (8.4 million people) used them in 2008 according to the most recent ˜MarkeTrak ™ report, the largest national consumer survey on hearing loss. Hearing aids are not covered under Medicare, or under the vast majority of state mandated benefits. In fact, 61% of hearing aid purchases involve no third party payment according to the most recent MarkeTrak report. This places the entire burden of the purchase on the consumer. 33% of individuals with hearing loss have incomes of less than $30,000 per year according to the Better Hearing Institute, and household incomes of individuals with untreated hearing loss are usually much lower than their non hearing impaired counterparts. 68% of those with hearing loss cite financial constraints as a core reason they do not use hearing aids. The average cost for a hearing aid in 2008 was $1,675 including fitting, evaluation and post fitting treatment, according to Marketrak. Nearly 80% of individuals with hearing loss required two devices in 2008, increasing average out of pocket expenses to $3,350.

What is the extent of the problem with hearing loss in the U.S.?
Hearing loss is among the most prevalent birth defects in America, affecting 3 infants per 1,000 births. 1.2 million children under 18 have a hearing loss.
For adults, hearing loss usually occurs gradually, but increases dramatically with age. 10 million older Americans have age related hearing loss.
One of the goals of Healthy People 2010, an HHS led program, is to ˜increase the number of deaf or hard of hearing people who use adaptive devices, such as hearing aids. ™ H.R. 1646 is the most cost effective means to accomplish this goal.

What is the cost impact of untreated hearing loss?
Children who do not receive early intervention cost schools an additional $420,000 and are faced with overall lifetime costs of $1 million in special education, lost wages, and health complications, according to a 1995 study published in the International Journal of Pediatric Otorhinolaryngology. The Department of Education indicates that over 70,000 students, ages 6 21, received special education services in 2002 alone, due to their hearing loss.

For taxpayers, a 2005 survey by the Better Hearing Institute on Impact of Untreated Hearing Loss on Household Income extrapolated data on income levels from 43,000 heads of households. The study compared normal hearing people with those who had a hearing loss. The data shows that untreated hearing loss results in a loss of income per household of up to $12,000 per year. For the 24 million (at the time of the study) Americans with untreated hearing loss, this translates to $122 billion in unrealized income and a cost to society of $18 billion annually in unrealized federal income taxes (15% bracket).

For workers, noise induced hearing loss is the most common occupational disease and the second most self reported occupational injury.

For seniors, untreated hearing loss causes additional costs to Medicare and other health programs due to loss of independence, social isolation, depression, safety issues, and quality of life. The Senate Special Committee on Aging, in S. Rpt. 107 74, noted: ˜As the wave of seniors begins to experience age related disability, our current long term care system will not be able to support this demographic shift. ™ Hearing aids help enable seniors to retain their independence and avoid other long term care costs.

In 1999, the National Council on the Aging (NCOA) conducted the largest known study on the effects of untreated hearing loss among adults and their families. The study quantified both the negative results of untreated hearing loss and the positive impact of hearing instruments on an individual ™s quality of life. It found that impaired hearing results in distorted communication, isolation, withdrawal, reduced sensory input, depression, anger, and severely reduced overall psychological health.

Conversely, hearing aid usage results in:
Increased earnings power, of around 50% Enhanced emotional and mental stability and reduced anger, anxiety, depression and paranoia reduced social phobias and improved interpersonal relationships

Who supports this legislation?
In an unprecedented fashion, the hearing health community has rallied behind this bill; include major organizations of people with hearing loss, parents of children with hearing loss, hearing healthcare providers, educators, and manufacturers. Endorsing groups include Alexander Graham Bell Association for the Deaf and Hard of Hearing, Academy of Doctors of Audiology, American Academy of Audiology, American Speech Language Hearing Association, the Deaf and Hard of Hearing Alliance, Deafness Research Foundation, Hearing Industries Association, Hearing Loss Association of America and the International Hearing Society. AARP supports companion bill S1019.

Source: Andy Bopp, Director of Government Relations, Hearing Industries Association

Personal Note: I have been contacting my legistlators and and I hope you will too. Go to the Better Hearing Institute Hearing Aid Tax Credit Site for more information about how you can make a difference.

Better Hearing Institute: http://www.hearingaidtaxcredit.org/

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Super Bowl Champion Sets Example for Parents and Protects His Child’s Hearing

2010-02-18T11:34:00.000-08:00

Audiologists everywhere were thrilled to see Saints Quarterback Drew Brees protecting his child's hearing during the Super Bowl 2010.

Parents often believe when their child passes their newborn hearing screening at birth, that the child's hearing will be normal by the time he/she enters school. However, it's so important to understand that 25 times more children will have hearing loss when they enter grade school than had hearing loss at birth! Children are exposed to high noise levels more than ever before. Noise induced hearing loss is permanent and 100% preventable. Brees's leadership in hearing protection helped bring that message home.

Kudos for bringing the prevention of hearing loss in children to the world's attention. For more information on hearing loss, visit the American Academy of Audiology's consumer Web site: www.howsyourhearing.org

On a personal note:

I enjoy working on hearing prevention as much as I enjoy helping people with hearing loss issues. I encourage those who work in noise to find hearing protection that will work for them. That may be as basic as ear muffs or foam plugs or it could be advanced. I have sold custom earplugs that are specific to hunters, dentists, industrial workers and more.

Furthermore hearing protection is largely overlooked in those that have hearing loss with the thought being that "the damage is already done." This is a dangerous misconception because hearing loss from noise is ongoing and accumulative. Noise induced hearing loss is not the only reason to protect ears either. Noise can cause stress and anxiety and if loud enough it can cause injury from vibration exposure to any number of organs in the body not just the ears.

There are many resources on the Internet for learning more about noise induced hearing loss, prevention and protection. Check some of the sites below.

American Academy of Audiology Consumer Site on Prevention: http://www.howsyourhearing.org/prevention.html

National Institute on Deafness and Other Communication Disorders Noise Induced Hearing Loss Pamphlet: http://www.nidcd.nih.gov/health/hearing/noise.asp

The Better Hearing Institute Hearing Loss Prevention Site: http://www.betterhearing.org/hearing_loss_prevention/

Finding Audiologists

American Academy of Audiology
www.audiology.org/

The Academy of Doctors of Audiology - Home
http://www.audiologist.org/

American Board of Audiology
http://www.americanboardofaudiology.org/

Custom Hearing Protection Manufactures

Westone Labs: http://www.westone.com
Microsonic Inc: http://www.earmolds.com
Etymotic: http://www.etymotic.com/

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Hearing Better in the New Year

2009-12-23T11:24:00.000-08:00

During the holidays it can become apparent to family members when one of the family is having difficulty hearing. Family members with hearing loss may show the following signs (partially taken from Better Hearing Institute BHI website). Socially they may require frequent repetition; have difficulty following conversations involving more than 2 people; think that other people sound muffled or like they're mumbling; have difficulty hearing in noisy situations, like conferences, restaurants, malls, or crowded meeting rooms; have trouble hearing children and women; have your TV or radio turned up to a high volume; answer or respond inappropriately in conversations; have ringing in your ears and read lips or more intently watch people's faces when they speak with you. Emotionally they may be stressed out from straining to hear what others are saying; feel annoyed at other people because you can't hear or understand them; feel embarrassed to meet new people or from misunderstanding what others are saying; feel nervous about trying to hear and understand; and withdraw from social situations that you once enjoyed because of difficulty hearing.

Holidays are chaotic enough without having anything holding you back from connecting with your family. Now imagine that you are hard of hearing and do not realize how much you are missing. You may not even recognize that you are asking people to repeat or that people are frustrated and just stop talking to you altogether. Getting hearing help and wearing hearing devices do not solve ALL communication problems for people with hearing loss but they DO give provide the tools by which a hard of hearing person can choose to communicate better.

According to a recent study (Better Hearing Institute), family members play a critical role in helping their loved one recognize and address their hearing loss and seek help. The study showed that more than half of first time hearing aid users indicate that family members were the reason they chose better hearing options. What better New Year's resolution than to obtain help for hearing loss and to encourage those with hearing loss to put to use the tools that can benefit them most. To find a doctor of audiology who can provide professional recommendations, contact your state academy of audiology or follow the links provided at the end of this article.

My personal insight on the topic...

For myself, when the holidays roll around my level of stress increases as the crowds grow larger. Holidays with my family are difficult because of the number of people we cram into such a tight space. Being severely hard of hearing I have to employ some basic "survival tips for the hard of hearing" ... the first being ... forgive myself for not being able to follow all conversations all the time. I wear my hearing aids but they cannot repair the damage to my hearing organ, they can only assist me in using what hearing I have left. So in addition to using my hearing aids I follow some basic communication guidelines (or I try to at least). I have to remember to take time from the parties (say every hour or so) out or else I will suffer fatigue and headaches later. I try to get a family member that is chatty to follow me to a quiet spot. I read lips and look at facial expressions hand gestures to gather more information. I adjust my hearing aids to the noise setting or modify my volume control if needed. At my best I employ my FM system and point the microphone at the family member. FM assistive devices allow an increase in hearing over noise by placing the microphone close to the mouth of the speaker and hearing the speaker's voice directly in my ear. Ideally I should use my FM system in all noisy situations. A bit of foresight is needed to be successful. I have to remember to charge my extra devices and to bring them with me to the events. I also have to introduce the equipment to anyone who is not familiar with it. These are necessary inconveniences that are well worth it when I can follow conversations! I am so glad for the technology available to me today! It is a wonderful time to be an audiologist.

More Information and Links

FM systems are a type of assistive technology for the hard of hearing. Read more on the American Speech & Hearing Association website article on Assistive Technology. You can also follow this link to see the FM system that I use most often (Phonak) and this link for an overview of FM systems by the same manufacturer.

To learn more about the study mentioned in this blog, please visit the Better Hearing Institute website at http://www.betterhearing.org/press/news/pr_120709.cfm. Founded in 1973, The Better Hearing Institute (BHI) conducts research and engages in hearing health education with the goal of helping people with hearing loss to benefit from proper treatment. To receive a free copy of BHI's 28-page booklet "Your Guide to Better Hearing," visit its website at http://www.betterhearing.org/, or call the Better Hearing Institute hotline at 1-800-EAR-WELL.

Finding Audiologists

American Academy of Audiology
www.audiology.org/

The Academy of Doctors of Audiology - Home
http://www.audiologist.org/

American Board of Audiology
http://www.americanboardofaudiology.org/

Happy Holidays!!

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

A Trained Brain; Lessons on Hearing Loss

2009-11-06T10:39:00.000-08:00

As I was reading over the latest articles in hearing health care I came upon an old friend. The topic of auditory training. Auditory training is rarely brought up in audiology office and probably never discussed outside of audiology. But it is important for people with hearing loss to know that they can train their brain to hear and listen. Hearing is an act that we do passively; listening however is active. Our brain is always searching our world for sounds and allowing us to "hear". Whether or not we focus on the sounds is irrelevant. When the brain is scanned for neural responses to sound it reacts whether we attend to that sound or ignore it. Attending to and focusing on a sound will cause more parts of the brain to react and this is called "listening". Listening is a skill that we all have to work to keep sharp. People who have hearing loss often stop working at listening because it is too difficult and causes fatigue or frustration. Once hearing loss is evident, listening becomes even more critical. And the practice of listening skills becomes even more important.

When it comes to hearing loss and hearing aids, most hearing aid users would look to the device to make communication better. While hearing aids can improve hearing... they cannot improve listening.

The article I was reading quoted "Unfortunately, many of our patients want the device to do all the work for them, and are not willing to invest the time needed to develop the new skills that will improve their communicative abilities." And went on to say that audiologists are not interested in promoting a service that patients do not want and therefore it is largely under utilized. I am sad to say that I have the training, skills and tools to provide this service in my office and time and time again my patients refuse to make the time investment. So, currently I only recommend the treatment when problems arise when ideally this treatment would be part of the initial adaptation period for every new hearing aid user.

I hope for brighter days when "hearing aid consumers" act more like "patients of hearing health care." I do not know when or if this day will come but research in hearing science uncovers over and over again that hearing care is not a simple thing. My degree is a testament to this fact, as I spent 8 years in college devoted to the learning of audiology in completing three degrees and thousands of clinical hours with patients. Still I hear "consumer questions" instead of "health care questions" from my patients. Still I see people price checking for hearing care as if they were purchasing a new refrigerator instead of a life changing service.

I know that audiologist are underutilized and I understand how this came about but audiologists are the providers most specialized in hearing. I hope that some day "audiology" becomes a household name and people find their audiologist not through ads for hearing aids but through their primary care doctor or their insurance company or perhaps through the American Board of Audiology which records all audiologists who voluntary strive to a higher standard of care.

This blog gives an insight to my own personal and professional frustrations. I've been on both "sides of the fence" so to speak. I am a hard of hearing consumer and user of hearing aids (grew up with severe hearing loss) and I am an audiologist and doctor to the hearing impaired. The more I am educated about my field and the consumers I work with, the more I realize how under educated the public is and how much I desire to change this.

Please let me know what you think of this blog and share your feedback. Email me at DrYoder@hearwellcenter.com.

Other Resources:
LACE Aural Rehabilitiation Program, University of California at San Francisco http://www.neurotone.com/lace/

HEARING SOLUTIONS- Auditory Rehabilitation, Patricia McCarthy, Ph.D. & Ross J. Roeser, Ph.D. - Better Hearing Institute www.betterhearing.org/hearing_solutions/audioRehabilitation.cfm

Self-auditory rehabilitation materials, (intended for cochlear implant users), Cochlear Americas http://www.cochlearamericas.com/Support/367.asp

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Fall Weather and Hearing Awareness

2009-11-03T11:47:00.000-08:00

"Fall weather and hearing awareness." Sounds like a strange combination of words doesn't it? I'd like to tell you how these two things are related.

This past October I celebrated Protect Your Hearing Month. In particular I focused on hearing protection and provided seminars to my community about proper hearing protection techniques. Dangerous loudness levels affect more people than you may realize. Each year thousands of hunters and recreational shooters suffer hearing damage when they enter the forests and firing ranges. Many musicians unknowingly harm their hearing with long term exposure to loud music. Industrial workers, farmers, and even dentists find their occupations a hazard to their hearing health. Many things in our everyday environment have been shown to effect our hearing such as music earphones, lawn care equipment, and home improvement tools. The good news is this type of hearing loss can be prevented.

Hearing protection is relatively inexpensive and is proven to do the job. I've found the best protection is a pair of foam plugs under earmuffs; I call this "double protecting". This is especially important for shooters. Those that need special hearing protection to allow for music appreciation or communication can find custom earmolds with filters that will do the job. They cost more, but the investment in better hearing usually outweighs that initial expense. I like the custom molds made by Westone or Microsonic. (check their websites for more information http://www.westone.com/ or http://www.earmolds.com/) Musicians typically need more customization than any other occupation requiring hearing protection. Their hearing protection options are outlined nicely by Westone's Music Division (also found at http://www.westone.com/). As an audiologist part of my job is to identify my patients that are at risk for noise induced hearing loss and recommend hearing protection that will meet their needs. Unfortunately many people do not think about hearing protection until they already have hearing problems.

Hearing loss occurs in 1 of every 10 people. Many people do not realize they have hearing loss and need help recognizing the signs. Most hearing loss is treatable either medically or with technology. Although hearing is an important sense that keeps us feeling connected to the world most people do not have yearly screenings. Consider having your hearing checked this fall.

This month, November, I am celebrating Assistive Technology Month. My focus is on assistive devices for those with hearing loss and I have been scheduling demonstrations of the devices. My next demonstration is November 5, 2009 at the Three Rivers Center for Assistive Technology in Pittsburgh, PA. [the public is welcome please email me for more information at DrYoder@hearwellcenter.com]

Assistive devices can help bridge the gap for people who struggle with the phone, television, doorbells and more because of a deficit in their hearing. There are many choices in assistive technology and it is often difficult to know which is right for you. Some devices are designed to be used in conjunction with hearing aids or cochlear implants while others are meant for use without hearing aids. Proper selection of assistive devices can improve quality of life, increase job performance, improve confidence in communication, maintain independence, ensure safety and reconnected with family and friends.

I like this focus because I use assistive devices all the time. Being severely hard of hearing I need to have devices that will wake me when I'm sleeping for alarms, phone calls, doorbells and smoke detectors. I also need to have extra amplification for hearing on the phone and for listening to my shows on television. Although I have hearing aids that I am dearly grateful for, they cannot accomplish all the things that assistive devices can. The gap is bridged for me and because of this I am fully independent and well adjusted despite my lack of hearing.

So, now you know what Fall Weather and Hearing Awareness is all about. I encourage your comments so please email me at DrYoder@hearwellcenter.com.

Hearing Protection Resources:
NIOSH Safety and Health Topic: Noise and Hearing Loss Prevention http://www.cdc.gov/niosh/topics/noise/

National Institute on Deafness and Other Communication Disorders: Noise-Induced Hearing Loss http://www.nidcd.nih.gov/health/hearing/noise.asp

American Academy of Audiology: Keeping the Sound Down: Educational Campaign Launched to Prevent Hearing Loss http://www.turnittotheleft.com/news/keymessagesandfacts.htm

Assistive Technology Resources:
U.S. Department of Labor's Office of Disability Employment Policy (ODEP): Disability.gov http://www.disability.gov/education/assistive_technology

American Speech-Language-Hearing Association (ASHA): Assistive Technology http://www.asha.org/public/hearing/treatment/assist_tech.htm

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

At risk for noise induced hearing loss? Take the test!

2009-07-23T12:40:00.000-07:00

10 questions to determine your risk of hearing loss.

Do you listen to a personal music player with earbuds that sit in your ear?

Does your workplace tell you to wear hearing protection?

Do you use firearms frequently?

Do you attend participate in live NASCAR events?

Do you attend Live Concerts?

Do you ride motorboats, motorcycles or other motorized vehicle not enclosed?

Do you drive a car with a modified exhaust?

Do you use lawn equipment or power tools for 4 hours/day at least 5 days/week?

Do you ever have any ringing in your ears that lasts longer than 2 days?

Do you smoke?

If you answered yes to 3 or more you could be at risk for noise induced hearing loss. If you think your hearing may not be what it used to be a basic hearing screening will provide a simple pass or fail for determining if a more comprehensive exam is warrented. A failed hearing screening means it's time to see an Audiologist for a comprehensive exam to determine the degree and type of hearing loss. Also, if you ever feel that your hearing has changed significantly in a short amout of time it is important to valuated right away.

Most people wait an average of seven years to seek testing for hearing loss AFTER they notice difficulty hearing. Preventing hearing loss is a simple way to save years of aggrivation after the damage has been done. Simple disposable foam plugs are effective and cheap for everday uses. Personalized custom earmolds are also available for when comfort and sound quality are concerns.

Here are some great links:

Links for Custom Earplugs
Westone www.westone.com
Microsonic www.earmolds.com

Links for Hearing Loss Prevention
National Institute for Occupational Safety & Health (NIOSH) http://www.cdc.gov/niosh/topics/noise/

Better Hearing Institute
http://www.betterhearing.org/hearing_loss_prevention/

Public Video on Hearing Loss Prevention by Better Hearing Institute
link at http://www.betterhearing.org/hearing_loss_prevention/

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Better Hearing with Both Ears

2009-07-23T08:14:00.000-07:00

I feel the frustrations of my patients who only have one hearing aid and lack hearing in the non-aided ear. The struggles of depending on one ear to do the work of two are sometimes enough that they want to give up.

I grew up hard of hearing and had hearing aids in both ears from a very young age. When I needed to repair one of my hearing aids I would have to go without it for 1-2 weeks while it went to the lab. I can remember the lone ear feeling left out and my own awareness of the auditory world being stunted. Hearing from one ear alone changes the perception of the sounds around you. Think of it as depth perception if you will; having only one ear turns off some of our brain's responses to sounds and how it handles sounds. I felt the absence of my hearing on one side in how I struggled to hear in class, felt isolated on the school bus, felt completely at loss in background noise and had to strain to understand conversation in every environment. I had to make changes by sitting with my aided ear near my friends at the lunch table and moving closer to the teacher in the classroom and turning up the TV. The relief I felt when my hearing aid was returned to me and I had both ears working again is hard to describe. I welcomed the pairing of my ears. Thankfully now that I am working in the profession of audiology and own my practice I have a large supply of spare hearing aids and won't have to experience this again. Unless of course I lose all my hearing and become deafened in one or both ears. So long as I have hearing in both ears I intend to make good use of both ears.

I encourage my patients to aid hearing in both ears when needed. Sometimes, for various reasons, that is not possible and I have a considerable amount of counseling to do to help my patients who can only use one ear. When only one ear is in play difficulties can be expected as the norm, not the exception.

Here is what you need to know.

The benefits of hearing in both ears equally...

1. Ability to localize sounds improves.

2. Ability to understand speech in noisy surroundings improves.

3. Sounds are richer, fuller and more natural.

4. Risk of "auditory deprivation" is reduced.

Your sense of direction...

Why do you suppose you are born with two ears? The brain needs input from both ears to tell us the direction of sounds. Our ears alert us of danger for things such as honking car horns or speeding trucks. Within the brain the neural response from both sides differs by milliseconds but is perceived enough to alert us of direction of sound. This is called localization. Localization keeps us feeling safe and comfortable in everyday situations.

Understanding conversation in noise...

Background noise makes communication difficult for everyone, not just the hard of hearing. But having hearing loss puts you at a particular disadvantage as most hearing loss causes distortion and loss of specificity. This is further impacted by hearing in only one ear as this causes unequal stimulation of the brain for sound. The brain needs both ears' input in order to filter and sort the noises around you. You cannot eliminate noise altogether with hearing aids but having both ears working equally well can help you manage noise better.

A fuller, richer auditory world...

When you hear equally well with both ears, sounds are more comfortable to listen to. You have less strain, sounds have more clarity and depth and give you a sense of spacial awareness. Hearing with both ears can be compared to listening to the radio in stereo. Without stereo the radio can be shallow and flat sounding, hearing with one ear may also sound this way.

Reducing deprivation...

Research has consistently shown over the years that when one ear is ignored (not aided) the brain over time turns it "off." In other words the unaided ear becomes deprived of sound because the brain is making more use of the aided ear. The brain's dependency on the aided ear causes the neural pathways to "re-route" and work in a way that was not intended for the brain to work. The unfortunate side effect is auditory deprivation of the ignored ear. As the ear goes unaided for long periods of time hearing loss is more likely to worsen and clarity for speech, in particular, can be affected. Some patients with auditory deprivation can eventually lose the use of the unaided ear as the brain has ignored it for so long that it becomes unusable or even disruptive.

For these reasons two hearing instruments are recommended when hearing loss occurs in both ears and can be aided in both ears. Each person with hearing loss presents with different circumstances so these recommendations are a generalization and there are exceptions to the rule. If you suspect hearing loss or any other hearing disorder, the best line of defense is to have an evaluation and full diagnostic work up of your hearing sensitivity.

Related Links

1. Better Hearing Institute http://www.betterhearing.org/hearing_solutions/binaural.cfm

2. Rehabilitation Engineering Research Center on Hearing Enhancement - Dr. Ross Article http://www.hearingresearch.org/Dr.Ross/Binaural-Better.htm

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

A "Hearing Evaluation" for Newborns

2009-05-30T08:35:00.000-07:00

The other day a friend of mine mentioned that her daughter (newborn) had a hearing test in the hospital before she was discharged and she asked me how that is possible. It occurred to me that some people think newborns are still tested with the startle reflex test (this test was performed by moving up behind a sleeping baby, making a very loud noise and seeing if they startle).

The startle reflex test was never a very reliable means to assess an infant's hearing and it certainly did not rule out hearing loss of all types and degrees. Thankfully technology and research has brought about a new way to evaluated newborn hearing status.

One of the most common ways to test an infant in the hospital nursery is with otoacoustic emissions (OAEs) testing. Otoacoustic emissions are like little "echos" that are reflected back from sound stimulating the cochlea (the cochlea is the hearing organ). These "echos" are a by product of a healthy cochlear amplifier. In other words... a healthy ear will send back an echo that can be measured without the patient having to do anything except remain still and quiet for a minute or two.

There are limitations to this test as it will not rule out mild hearing loss and in some cases infants will pass this evaluation in the nursery. Mild hearing loss can be a significant barrier to a child's development of language, speech and reading skills. If your child passed the nursery newborn hearing screening but later shows signs of struggling with learning to talk or later still when in school have their hearing re-evaluated.

Additionally it is possible to fail this test and still have normal hearing. OAEs are very small echos and are impacted by other problems such as fluid in the ear or noisy breathing. When an infant fails a screening in the newborn nursery it is important to follow up as instructed and remember that routine screenings are helpful at identifying children with hearing loss at a young age but will sometimes be incorrect.

When an infant fails an OAE screening in the nursery there is another test that is often performed called auditory brainstem response (ABR) testing. This is an excellent way to evaluated hearing sensitivity and can be used routinely or when OAEs fail. However, the test is more complex and requires a soundly sleeping baby. Electrodes are attached to the head and sounds are played while brainwaves are analyzed. Assuming that this test can be completed without the baby waking up it will give a better picture of the hearing status. Since many babies are discharged within 48 hours it is not always possible to perform a complete ABR and a referral for more testing will be given if your child is identified for follow up. Again, it is important to follow up as instructed. Hearing loss effects 1 in 10 people and in young children is can impact development on many levels.

Hearing screenings for newborns are now provided in hospitals around the country routinely. When I was born that was not the case. My hearing loss was not discovered until I was 4 years old. I struggled as a young child in learning to read, I needed speech therapy and I sometime feel that I never caught up with my peers on a social level so I am very thankful for the newborn screenings that will help identify children with hearing loss sooner and give them more complete exposure to the hearing world when it matters most.

Here are some great resources on the web:

Boys Town National Research Hospital
http://www.babyhearing.org/

Centers for Disease Control and Prevention
http://www.cdc.gov/ncbddd/ehdi/

[these sites will lead you to even more resources - happy web surfing]

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Testimonials about Hearing Aids

2009-05-20T16:39:00.000-07:00

When my patients are excited about their experience with hearing aids I ask them if they are willing to share this with others. Almost always they say "yes" and I believe it is because they have been profoundly changed by their hearing aids and their journey towards better hearing.

Taking the journey towards better hearing comes with its ups and downs. Some people find the journey to be trying, most find it to be challenging but worthwhile and a few find it to be easy. Ease of adaptation is affected by many factors such as personality, lifestyle, other health issues and more.

Learning to hear again and retraining your listening skills does not happen overnight. New users have to find the courage to be patient during this experience and to work closely with and audiologist especially when they are going through tough times.

I teach this to my patients (and anyone else who will listen) so that realistic expectations can be formed and good working relationships can be maintained. I suspect that many of the folks who bought hearing aids and didn't wear them are suffering from unrealistic expectation disappointment and an unhealthy working relationship with their audiologist.

Whenever I receive permission from a patient to share their testimonials I know it will be helpful to others and therefore today's blog is spotlighting some of the testimonials on my web page.

"On the first day (of wearing the new hearing aids) riding home with my brother and sister-in-law we noticed that my husband could hear us. We all went to lunch and my husband could hear what we were saying and he even joined in the conversation. When we got home we had the windows down and he heard the kids talking on the street, which he had never heard before."

"It took a few weeks for my brain to adjust, but now I love them! I can't believe how much I was missing and how much more relaxed I feel not straining to hear every word someone says."
"Mom could hear our conversation in the car talking normally and she can now hear all of us at the table when we eat out and follow everyone’s conversation. The TV is no longer turned up as high. Makes you wonder how much she was missing before of the sounds around her."
Excerpts from testimonials.

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Radio Show "Can you hear me now?" Aired 3/3/09

2009-03-03T13:40:00.000-08:00

I recently did a live radio interview with "Techno Granny" and you can listen to the recording by following the link below.

This show covered several areas of audiology and hearing loss issues but only scratches the surface of what is available out there. I hope you enjoy listening. I know I enjoyed recording it.

Episode InformationTechno Granny--updates 21st Century Tech
Hosted by: technogrannyTitle: Techno Granny; Can You Hear Me Now? All about Hearing Aids

03/02/2009 07:00 AM EST
Episode Notes: Dr. Suzanne Yoder, Au.D. Doctor of Audiology and Owner of HearWell Center Located in Forest Hills

Hearing Loss and Your Job

2009-01-13T06:33:00.001-08:00

Are you like many people who want to sweep the hearing issue under the rug and believe that their hearing loss does not affect their job performance? Well listen up. Untreated hearing loss has a big influence on household income, unemployment and career aspiration. With unemployment sky rocketing in the US it is important to deal with issues that could be holding you back from reaching your full potential. Hearing loss can not only affect the ability to communicate effectively but it can also affect self esteem, self confidence and overall mental health. Untreated hearing loss has been proven to cause depression, anxiety and stress.

One study of household income by Sergei Kochkin, Ph.D. (2005) showed "for America’s 24 million hearing impaired who do not use hearing instruments, the impact of untreated hearing loss is quantified to be in excess of $100 billion annually." Those subjects in this study who wore hearing devices proved that the effects of hearing loss could be mitigated by at least 50% thereby proving that hearing loss does not have to dictate earning potential. This study is available online at the Better Hearing Institutes's website http://www.betterhearing.org/ or Click Here for the direct link.

A survey in the UK showed four times the unemployment rate for hard of hearing workers vs normal hearing workers. Those surveyed stated that communication and telephone usage were both problematic in finding or maintaining work. Most disturbing of all the facts is that the likelihood of unemployment among hard of hearing and deaf workers has doubled compared to surveys done four years earlier. This article is available online at http://www.hearit.org/ or Click here for the direct link.

Another survey worth looking at is "Baby Boomer Hearing Loss Study." This was conducted by Clarity and the Ear Foundation (2006) and further supports the fact that hearing loss can affect communication with co-workers and on the phone at work (including cell phones). This survey can be viewed at http://www.clarityproducts.com/ or Click Here for a direct link.

This is just a small peek at the data that is available providing evidence that hearing loss can hinder career aspirations, earning potential and general satisfaction at work. Hearing loss is one of the most common health concerns in the US and is said to be the number one disability in the world. But it is treatable and doesn't have to hold you back from who you want to be.

Call an audiologist today. [Visit http://www.audiologist.org/ for a list of Doctors of Audiology in your area] Have your ears checked and take part in a demo of the latest hearing devices. Take the first step to a better life by including better hearing for life in your list of life goals. And take the journey to open your world up to the bigger world of sounds, people and living.

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Genes and Hearing Loss

2009-01-12T08:22:00.000-08:00

I have been communicating to my patients that there are many reasons our hearing can degrade and often it is hard to determine exactly why hearing loss has occured. In most situations patients have a number of factors that can contribute to hearing loss including noise exposure, medications that are ototoxic (you won't find that information on the label), certain illnesses or diseases and genetic predisposition. Genetic predisposition means that your body is programmed (genetically) to do something at a a certain time. Lossing your hearing is one of those programmed responses.

I learned about this during my many years in college (8 years by the time I finished my doctorate) but today when I browsed the internet I learned even more about genetic predisposition to hearing loss. I want to share an exciting article with my readers. Please go to Las Angeles Times and read the article "Gene influencing age-related hearing loss" and learn about an amazing discovery that will help us understand genes and hearing loss even more.

Also, while surfing the internet... check out the best careers in 2009 (Audiology made the list).
http://www.usnews.com/articles/business/best-careers/2008/12/11/best-careers-2009-audiologist.html

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Loops & Looping for the Hard of Hearing

2009-01-06T01:00:00.000-08:00

What does “loop” mean to you? You are about to learn a new definition for the word “loop” as it applies to the world of hearing loss accommodation.

Loop – a wire that acts as a conductor of sound. Used to aid the hearing impaired listener by transmitting the sound signal from the speaker to the hearing aid through electromagnetic energy received by the t-coil in the hearing instrument and converted into sound.

Audiologists who are familiar with Loops and Looping know that Loops can make a significant impact on the hearing impaired individual’s ability to hear in certain circumstances. Sometimes a hearing aid is not enough to help a hearing impaired person hear. This can be especially true if the sound is far away. For example… hearing the minister in the front of the church; hearing a movie or live presentation on stage; or hearing the television from across the room. Although with hearing aids the sounds may be audible they may not always be clear. Distance and reverberation can affect the quality of the sound as it travels to the hearing aid. A loop will bring the sound directly to the ear with little or no interference. Loops are just one of many ways to transmit sounds. I like loops because they are so versatile, require very little extra equipment and can be used with any hearing aid that has a telecoil function built in, which is most all hearing aids manufacturered today. [Not sure if your hearing aid has a telecoil? Ask your audiologist. Sometimes telecoils can be added].

FAQ about Loops:

Where are loops found? Loops are in churches, lecture halls, theaters, homes and more.

Can you find a loop in the store? Loops are not sold in your average department store. They are a specialty device made for hearing impaired listeners. You can purchase loops at an audiologist’s office or clinics that help the hard of hearing. You may also be able to find a loop online. But I cannot emphasize enough the importance of professional guidance in the selection and use of hearing devices for the hard of hearing. Additionally, audiologist's offices may have loaner devices that you can try before you buy.

What does a loop look like? Loops are made in many different sizes. You can wear a small loop around your neck like a necklace. You can use a loop built into a mat for under your chair cushion. Or you could run a loop around the floor boards or under the carpet of an entire room.

What are they made of? Loops are made of wire or speaker cable. They are attached to an amp of some sort. To determine the best loop system for you I recommend consulting with an audiologist if for your personal use or a team of sound engineers and audiologists if for commerical use.

Can you make your own loops? Yes you can. I encourage you to do some research on line to find out more about making your own loops.

Are loops common? Unfortunately many public venues in the US are not looped. It is a common practice to loop theaters and churches in Europe. But this has not caught on in the United States. If you would like a venue looped I encourage you to talk to the venue. You can also contact advocates for people with hearing loss. And speak with your audiologist.

Check these advocacy sites:

ODHH – Office of the Deaf and Hard of Hearing [check with your state]

--> in PA visit http://www.dli.state.pa.us/landi/cwp/view.asp?a=128&q=246284

Alexander Graham Bell Association of the Deaf and Hard of Hearing http://www.agbell.org/DesktopDefault.aspx?linkid=1

Hearing Loss Association of America http://www.hearingloss.org/

And these websites for additional information

http://www.hearingloop.org/
http://www.loopamerica.com/

Do you know of any venues in your neighborhood that are looped? Please share comments at info@hearwellcenter.com.

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Happy New Year!

2009-01-05T16:19:00.001-08:00

My Wish for 2009... the best of times; the healthiest of days; the happiest of moments and Better Hearing for Life!

Happy for the Holidays

2008-12-23T09:12:00.000-08:00

HearWell Center wishes you a very Happy Holiday Season!

What should you do with a hearing aid brush?

2008-12-13T14:48:00.000-08:00

So, you have a hearing aid brush sitting in your kit that came with your hearing aid.

Do you know what to do with it?

Many people are not sure and just ignore that little brush. But that brush might be just the thing to keep a hearing aid working well and keep it from going back to the manufacturer.

Follow these simple steps to keep your hearing aid clean and working in top condition.

For In-the-ear styles

1. Hold your hearing aid so that the surface you are cleaning faces down.

2. Brush firmly but gently over all the switches and holes moving debris out and away from the hearing aid.

3. All the holes on the hearing aid need to be brushed. This includes the microphone holes (which are usually very small and close to the battery door) and the canal opening (which is where the speaker is housed) and the vent holes.

For Behind-the-ear styles

1. Hold your hearing aid so that the surface you are cleaning faces down.

2. Brush firmly but gently over all the switches and holes moving debris out and away from the hearing aid.

3. All the holes on the hearing aid need to be brushed. The microphones are sometimes covered by hoods, screens or under the earhook. When brushing the microphones be careful not to remove the hoods or screens. If your hood or screen comes off take it to the audiologist to have it replaced.

4. Remember to clean your earmold too. the openings at the end of the earmold allow the sound to come out. Keep these clear by brushing them out as well.

In some situations you'll need to use a pick to remove wax from the opening of a hearing aid or earmold. Picks are specially made for hearing aids and you should never use a needle or bobby pin to do this job.

If you do not have a brush or a pic ask your audiologist for one. Always keep this brush separate from other brushes. Use the brush only on your hearing aids and earmolds and never for cleaning other things.

Remember to work with clean hands. Dirty hands lead to dirty hearing aids which can lead to ear infections!

This is my favorite type of hearing aid brush. At one end is a brush and magnet and at the other end is a wax pick.

How to hold the hearing aid when cleaning.

That small black hole on the left is the microphone; beside it is the battery door and to the far right is the volume control. Brush over all of these components but focus on the microphone. Your hearing aid might have two or more microphones so make sure you brush all of them.

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Thankful for Hearing Well

2008-11-20T13:52:00.000-08:00

Here at HearWell Center, we are thankful for many things but mostly we are thankful for being able to help others hear and better enjoy this holiday season. The holiday craze will soon be upon us. Those with hearing loss may find themselves struggling to hear or completely isolating themselves at family functions. If you or a loved one are experiencing hearing difficulties during the holidays there in no need to be left out of the fun again this year. Need to schedule a appointment, but reluctant? Consultations are free! We cater to the hesitant patient. Successful treatment takes time and patience and we believe in providing both. Need to schedule an appointment and aren't sure what to do? We will walk you through it. Please call 412 271-3002 or visit our website to learn more about HearWell Center and the services we offer.

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Free Report on Better Hearing for Life

2008-10-28T16:30:00.000-07:00

Do you ever have a few questions about hearing issues? Like "how much does a hearing aid cost?" or "where should I go for a hearing evaluation?" or "what type of features should I look for in a hearing aid?"

At HearWell Center we strongly believe that the educated consumer is the most satisfied consumer and taking the time to research your options and the asking the tough questions is the biggest hurdle to jump in the journey towards better hearing. Once you jump that hurdle the rest of the journey is a breeze if you have a good navigator [aka audiologist].

We provide FREE REPORTS to those interested in Hearing Aids, Hearing Protection or Hearing Loss issues.

Just email us at info@hearwellcenter.com and send your full name, address [street, city, zip] and tell use which report you would like to receive. The report is FREE, no strings attached. You can even request an electronic copy. Just let us know. We will be happy to put the information in your hands so that you can better educate yourself and start the journey towards better hearing for life!

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

At risk for noise induced hearing loss? Take the test!

2008-10-21T20:15:00.000-07:00

10 questions to determine your risk of hearing loss.

Do you listen to a personal music player with earbuds that sit in your ear?

Does your workplace tell you to wear hearing protection?

Do you use firearms frequently?

Do you attend participate in live NASCAR events?

Do you attend Live Concerts?

Do you ride motorboats, motorcycles or other motorized vehicle not enclosed?

Do you drive a car with a modified exhaust?

Do you use lawn equipment or power tools for 4 hours/day at least 5 days/week?

Do you ever have any ringing in your ears that lasts longer than 2 days?

Do you smoke?

If you answered yes to 3 or more you could be at risk for noise induced hearing loss. If you think your hearing may not be what it used to be a basic hearing screening will provide a simple pass or fail for determining if a more comprehensive exam is warrented. A failed hearing screening means it's time to see an Audiologist for a comprehensive exam to determine the degree and type of hearing loss. Also, if you ever feel that your hearing has changed significantly in a short amout of time it is important to valuated right away.

Most people wait an average of seven years to seek testing for hearing loss AFTER they notice difficulty hearing. Preventing hearing loss is a simple way to save years of aggrivation after the damage has been done. Simple disposable foam plugs are effective and cheap for everday uses. Personalized custom earmolds are also available for when comfort and sound quality are concerns.

Here are some great links:

Links for Custom Earplugs
Westone www.westone.com
Microsonic www.earmolds.com

Links for Hearing Loss Prevention
National Institute for Occupational Safety & Health (NIOSH) http://www.cdc.gov/niosh/topics/noise/
Better Hearing Institute http://www.betterhearing.org/hearing_loss_prevention/

Public Video on Hearing Loss Prevention by Better Hearing Institute
link at http://www.betterhearing.org/hearing_loss_prevention/

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Of Hearing Loss & Legislation

2008-10-15T09:03:00.000-07:00

There are two especially important pieces of pending legislation in congress now that are particularly relevant to both Audiology as a profession and all Americans with hearing loss. The proposed bills recognize the effect of hearing loss on our aging population and summarized their findings in the Medicare Hearing Health Care Enhancement Act of 2007. The following is pulled directly from the bill section 2.

“Congress finds the following:
(1) Approximately 30,000,000 Americans experience some degree of hearing loss and by 2030 that number is expected to increase to 78,000,000 Americans.
(2) Hearing impairment is one of the most common conditions affecting older adults, with approximately 33 percent of Americans aged 60 years and over, and 40 to 50 percent of those aged 75 years and older, experiencing hearing loss.
(3) Hearing loss is a major barrier to participating in society, both economically and socially.
(4) Hearing loss among senior citizens, if left untreated, can result in isolation and depression.
(5) The Department of Veterans Affairs allows veterans to directly access audiologists and has reported that this policy, adopted in 1992, provides high-quality, efficient, and cost-effective hearing care.
(6) The Office of Personnel Management allows Federal employees and Members of Congress to directly access audiologists through the Federal Employees Health benefits Program.
(7) Audiologists are licensed in each State and the District of Columbia and the scope of services furnished by audiologists is determined by each such jurisdiction involved.
(8) Consistency in Federal policy with respect to hearing health care services should be encouraged to the greatest extent possible.”

H.R.
1665 IH
Sec. 2 Findings

These findings have led to the proposal of two bills. The first is the “Hearing Aid Assistance Tax Credit Act” which would provide a tax credit for the out of pocket expense of hearing aids of up to $500 per qualifying hearing aid or $1000 tax credit for two hearing aids. This benefit would be available to individuals of age 55 and over and could be claimed every five years. As an Audiologist I am thrilled to see the government begin to recognize the importance of hearing aids as a vital part of senior healthcare. The second bill is the aforementioned Medicare Hearing Health Care Enhancement Act of 2007. This bill recognizes the cost efficiency gained when patients are able to go directly to an Audiologist without the need to first get a referral from another doctor.

If these bills pass it will be a significant step forward in making it easier and more affordable than ever before to get quality hearing care to millions of Americans. Please consider taking action today. Just follow these links:

You can review these bills through their links from this page or go to http://thomas.loc.gov/home/c110query.html and search by the bill numbers S. 1410 and H.R. 1665.
To generate an automatic letter to print and send your congressman about these and other issues please see the American Academy of Audiology website and their “Take Action” page at http://capwiz.com/audiology/home/.
Also, you can visit the Better Hearing Institute’s “Hearing Aid Tax Credit” webpage at http://www.hearingaidtaxcredit.org/

As exciting as these bills are they still need to be passed to make a difference. If you or someone close to you is affected by hearing loss please take a moment to make a difference.

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Using Hearing Aids with iPods - and Other New Advances

2008-07-30T17:00:00.000-07:00

Could my dreams be coming true? All my life I have wondered why haven't they made a hearing aid that send transmissions so I can hear the radio or television? Well folks... now they have. It is incredible the changes in technology that have been implemented into hearing devices both for the hard of hearing and for the normal hearing person. Have you seen some of the neat technology that is ear level? All the fancy bluetooth headsets and wireless earphones for the iPod?

Now that technology is available in hearing instruments for the hard of hearing. More and more manufacturers are taking a closer look at helping the hard of hearing consumer connect with technology that normal hearing people take for granted. I love being able to tell my patients that they can enjoy their iPod, their TV, their cell phone the way they want to.

Check these two manufacturers for more information on hearing aids that can connect you to a whole new world of sounds. [be sure to watch the videos]

Phonak Hearing Systems

Oticon Inc

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

How Do Hearing Aid Batteries Work? Battery Issues for Hearing Aid Users

2008-07-28T09:26:00.000-07:00

Hearing aid batteries are more complicated than you might suspect. Even a long-time hearing aid user may learn a few new things from this article.

Batteries for hearing aids are typically zinc air cells. They are small, one-time-use, disposable cells that require oxygen to work. The only exception to this is the rechargeable batteries.

Hearing aid batteries come in many sizes and can be distinguished by the standardized color coding system and the numbers. In order of size from largest to smallest the following are the common batteries seen in hearing aids today; size 675 is blue, size 13 is orange, size 312 is brown and size 10 is yellow. The color system is seen in the color of the packaging as well as the color of the stick tab on each cell.

As stated the batteries are zinc air and this distinguishes them from any other battery commonly used in our households. Zinc air batteries are activated by the oxygen in the air. Without oxygen the batteries cannot function.

When the sticker (or tab) is removed from the back of a cell the battery is slowly powered up as oxygen is gathered around and absorbed into the small holes on the battery. If you look closely you can see these holes. The holes are small to prevent the battery from leaking "battery juices" but large enough to allow a molecule of oxygen to permeate. There is also a filter behind that hole to prevent leakage and that filter will allow oxygen to permeate, although it does slow the absorption.

Because the process of oxygen absorption is not immediate, battery companies recommend that you wait one full minute before inserting the battery into the hearing aid and closing the battery door. If you do not wait that full minute, the battery may not have sufficient oxygen to power up and it can be starved for oxygen inside the hearing aid's casing. This instruction can sometimes be seen on the battery packaging.

This tip is little known or understood among hearing aid users and healthcare professionals. The fact that battery cells can starve for oxygen was not as likely in older model hearing aids so the issue was not often brought up. But newer hearing aids on the market are more air tight in an attempt to help reduce moisture related problems (sweat, humidity, water, rain, etc) and to make the hearing aids more water resistant.

I gathered much of this information from a discussion with my battery supplier. Being an audiologist I have the fortunate opportunity to learn from all the industries that deal with hearing aids and hearing aid related products. I am happy to pass this information along to the general public and my patients.

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Is a hearing aid a mini computer for your ears?

2008-06-21T13:50:00.000-07:00

Modern hearing aids are very advanced technological products. It is best to explain hearing aids as a type of specialized computer. Most of my patients have only a small idea of how complex a hearing aid really is. On occasion someone might say to me "why are hearing aids so expensive it's just a fancy amplifier." That is an outdated belief as hearing aids haven't been simply an amplifier for decades.

Modern hearing aids are built with capabilities that are so complex it can be a daunting task to explain to my patients how they work. But here are some of the basic parts. There are one or two highly sensitive microphones to receive all of the sounds coming at the user. When sound is collected by those microphones it is received by a tiny processor similar to one used in a desktop computer. The processor adjusts the sounds coming in to selectively fit the individual hearing loss of the user. Modern processors can tell the difference between quiet, background noise, speech, and music and thus correct only the sounds a user wants to hear. Finally an amplifier will then make the modified sounds sufficiently loud enough and send the modified sounds to the high fidelity speaker inside the ear. These parts are so tiny that a microscope must be used to view them. The newest hearing aids go another step further and can connect directly to televisions or portable devices like phones and music players so that the user can listen to them through the hearing aid.

In order to achieve all of the above the hearing aid must be connected to a computer to be programmed by a hearing professional who understands each individual’s hearing needs. Most hearing aids can be programmed to help with all types and severities of hearing loss just by changing the programming. This allows patients who have a change in hearing over time to continue to use the same hearing aids as only the settings have to be updated.

Modern hearing aids use a lot of power so batteries made for hearing aids have to carry a strong enough charge to operate these miniature workhorses all day for several days. This is why hearing aid batteries need to be replaced about every two weeks or more often for smaller batteries.

When you think about all that a hearing aid has to do it is not surprising that such a wonderful, miniature, smart little device is so expensive. Hearing aids today are making magnificent use of the best modern technology has to offer and help so many hard of hearing people hear better today than ever before. I am so glad that this technology is available for me and for my patients. It is an exciting time to be an audiologist and to help people hear better for life.

This blog posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information http://www.hearwellcenter.com/

Consumer Information on Hearing Care, Hearing Aids and Choosing an Audiologist

2008-06-18T12:05:00.000-07:00

Mar 25, 2008 08:00 ET

National Network of Audiologists Launches Consumer Education Video Website
AuDNet, Inc.'s New User-Friendly Website Offers Consumers Information on Hearing Care, Best Hearing Aids, and Choosing an Audiologist in Neighborhoods Across the US

BURNSVILLE, MN (Marketwire - March 25, 2008) - AuDNet, Inc. -- America's Audiology Network, a national network of audiologists and Doctors of Audiology, announced today that it launched multiple videos on their consumer education website www.NowiHear.com. The purpose of the website is to teach consumers about quality hearing care including how to choose a competent professional and the best hearing aids. The website provides information on causes of hearing loss, complete audiology hearing tests, causes of deafness, ear doctors, the best hearing care and hearing loss treatment including hearing aids and hearing aid services.

Audiology care also includes testing for balance, dizziness, and tinnitus (noise in the ears) and the associated therapies, hearing conservation, and hearing protection among other things. The user-friendly site walks the viewer through many of the important things to consider when he, she, or a family member experiences hearing, understanding, or balance problems.

"Today over 31.5 million American's experience some degree of hearing loss and with our aging demographic more and more American's will experience hearing, understanding, balance, or dizziness problems. It is projected that over 78 million Americans will experience some degree of hearing loss by 2030. It is so important that consumers know not only where to find appropriate care, but also where to find the best hearing and balance care. The site (www.NowiHear.com) offers an easy, fun, and accurate educational tool for consumers," stated Kathy Foltner, Au.D. -- Doctor of Audiology and CEO of AuDNet.
About AuDNet, Inc.

AuDNet, Inc. is a national network of licensed audiologists and Doctors of Audiology who are "THE Hearing Experts." AuDNet Audiologists and Doctors of Audiology are an elite group of highly trained, educated, licensed, and experienced professionals who specialize in audiology care and rehabilitation including hearing aids. Although AuDNet audiologists can diagnose all ages, the growing aging demographic means millions more of Americans must understand who is best qualified to solve problems associated with hearing loss. To learn more about AuDNet visit www.aud-net.com or call 1-800-308-7290.

This news release posted by Suzanne Yoder, Au.D. Doctor of Audiology and owner of HearWell Center. Please visit our website for more information www.hearwellcenter.com.

Announcing Health Fair

2008-06-11T11:17:00.000-07:00

HearWell Center will be participating in a health fair event at Station Square in Pittsburgh, PA on June 27, 28 and 29th.

Many of our best products will be on display. We will also demonstrate video-otoscopy, a way to view the inside of your ear with a camera.

Please stop and see our booth. We look forward to sharing all the wonderful ways to hear better for life.

Suzanne Yoder, Au.D.
Doctor of Audiology & Owner of HearWell Center

Moisture and Your Hearing Aid

2008-04-25T11:39:00.001-07:00

taken from Ear Technology Corporation website and
adapted for use at HearWell Center

1. Recognizing moisture problems

Some moisture problems are obvious, such as droplets visible in the tubing of BTE instruments. Most, however, are not so apparent because most problems are caused by moisture molecules, not visible droplets.

Even if you can’t see the moisture, you will likely notice its presence because your hearing aids will not sound as good. You may notice distortion, intermittent failures or faulty switches as the moisture soaks into the diaphragms of speakers and microphones, starts corroding metal contacts and sensitive electronics, and blocks air vents and tubing. It can even interfere with battery efficiency.

It is a good idea to suspect moisture when obvious causes such as weak batteries are eliminated.

2. How does the moisture get there?

To start with, the humidity level in a typical ear canal is high. Then, perspiration introduces even more moisture into the ear canal. Temperature changes cause condensation, as described below. Then of course there’s the accidental dunk in the shower, pool, or washing machine.

Why is water vapor attracted to your hearing aids? Simply put, warm air can hold more moisture than cold air can hold. It’s the same principle that causes your bathroom mirror to fog up during a hot shower. The hot shower introduces water vapor to the air, but the cool air can’t hold all the moisture, so it's looking for a place to land. That's when it "condenses" onto surfaces. It's landing everywhere, but it's just more noticeable on the mirror.

The same thing is happening to your hearing aids all day as you experience different levels of activity and different ambient temperatures. Again, condensation happens when warm air meets cool air, so it even happens when you enter an air-conditioned building on a warm or humid day.

Since a hearing aid has such tiny openings, once the moisture gets inside, it takes special measures to draw the moisture back out. That’s where Dry & Store comes in.

3. How to Get Rid of It

1. Open battery door at night.
2. Use an earmold blower on BTE tubing.
3. If moisture problem persist use the Dry & Store drying unit nightly available for purchase in our office.

The Dry & Store combines several technologies to effectively remove even microscopic molecules of moisture from your hearing aid:
-a controlled amount of heat;
-a large volume of warm, sanitized, circulated air; and
-a charged desiccant to absorb the moisture that is released

This information brought to you by Dr. Yoder of HearWell Center, Pittsburgh, Pennsylvania. To learn more about our office please visit www.hearwellcenter.com

How to Talk to your Hard of Hearing Loved One

2008-04-25T10:36:00.000-07:00

What is the first thing many people do when they find out they are talking to a person who is hard of hearing? Yell? Walk away? Address another person instead? Ignore them? Many people do not know what to do differently when talking to someone with hearing loss and so even the best intentions can seem cruel. Talking to someone who struggles to hear is not as simple as you might think or maybe it is more simple than you thought.

Here are some guidelines to follow to help your loved one with hearing loss understand you better.

•Ask for strategies that work best; speak louder, slow down, etc.

•Speak at a normal rate.

•Avoid chewing, eating, or covering your mouth while speaking.

•Keep a close distance between you and the listener (no more than 6 feet).

•Use Facial expression and gestures.

•Make sure your face is visible to the listener

•Move away from background noise.

•Avoid sudden changes in topic.

•Give the listener enough time to comprehend your message and respond.

•Do not talk from another room.

•Rephrase (don’t repeat)

•If you are giving specific information (e.g., time for a meeting) ask the hearing-impaired listener to repeat the information to verify correct reception.

•Do not let intensity of your voice drop at the end of your sentences.

•During a group presentation, provide a brief outline of the presentation with any new vocabulary. Make use of visual aids; Be careful not to talk while you are looking at the visual aids (e.g., blackboard) and away from the audience. Re-state any questions from the audience.

•Volunteer to use an assistive device the listener may have (such as an external microphone or personal FM system).

Adapted from works posted on Hearing Loss Association of America website.

This information is brought to you by Dr. Yoder of HearWell Center. For more information about HearWell Center please visit our website www.hearwellcenter.com

Communication Strategies for Listeners with Hearing Loss

2008-04-25T10:22:00.001-07:00

Whether or not you already use hearing aids or assistive devices (or other methods) to help you hear, communication strategies can further enhance your listening experience. By following these guidelines you will improve your conversations by reducing stress, controling your enviroment,and helping others understand your needs. Follow the guidelines listed below whenever possible.

1. Avoiding Noisy or Poorly Lit areas (for example: choose a quiet restaurant over a sports bar for dinner).

2. Plan ahead when possible for difficult situations.

3. Explain to others how to speak to you. “I’m hard of hearing… please speak slower.” For example.

4. Do not become distracted… pay attention.

5. Use visual clues.

6. Ask for information in writing when needed or written key words.

7. Do not pretend to understand. Let the speaker know if you do or don’t understand what is being said.

8. Take breaks when needed.

9. Repeat important information back to the speaker to be sure you understood (e.g. time and place for meeting, phone number, etc…)

10. Be realistic.

This was adapted from works posted on Hearing Loss Association of America's website

This information is brought to you by Dr. Yoder of HearWell Center. For more information about HearWell Center please visit our website www.hearwellcenter.com

What to Expect from Hearing Aids

2008-04-24T15:34:00.000-07:00

Hearing aids capture the world of sound for those of us who struggle to hear the whole sound picture. Without hearing aids or other assistive device many hard of hearing people would experience isolation and resulting depression, relationship struggles and more. Hearing aids connect people to people and to the world around us. The benefits are many, but many people do not know what to expect from a hearing aid and this blog will give you some pointers.

Should I expect perfect hearing from a hearing aid? Answer: No. Hearing aids do not correct hearing, nor are they a cure for hearing loss. Hearing aids "aid your hearing" they allow you to benefit from the hearing that you have left.

Will I be able to hear at the dinner table? Answer: Yes. For most hearing aid users listening to a conversation with a few people at the dinner table in their own home is no problem. This is also a good place to practice good communication strategies. (see blog for Communication Strategies).

Will I be able to hear in background noise? Answer: Yes and No. You should not expect to hear without effort even with hearing aids in noisy listening situations; even people with normal hearing will have to work harder to hear in noise. This is a challenging listening situation where many people find hearing aids fall short. However, modern hearing aids have special features to make it easier to communicate in noisy places. Most people should experience some improvement with hearing aids over no hearing aids at all in background noise (assuming hearing aids have the noise features). In addition there are other products on the market that can be used with a hearing aid to improve your ability to hear in noise called Assistive Listening Devices (ALD).

Will loud noises hurt my ears when I wear hearing aids? Answer: No. When you first start to wear hearing aids everything will seem too loud because the sounds in your environment are being heard as if for the first time again. It takes time for the brain to adjust to hearing again. And some sounds may even seem like noise at first until you learn to recognize the sounds correctly. Hearing aids that are programmed corrected for your measured hearing loss as well as your perceived loudness threshold will control loud sounds from being too loud for you. Hearing aids employ compression. Compression does what you might guess from the name; it "compresses" sounds to keep sound levels from reaching your uncomfortable level. This is just one of many ways your hearing aid is acting like a mini computer and "thinking" for your ears.

Will my hearing aids be comfortable? Answer: Yes. It is reasonable to expect your hearing aids should be comfortable in your ears. If you have a hearing aid that is causing a sore spot it may need remade or it may need adjusted or perhaps you need some advice on the best way to put it in your ear.

Will I be able to adjust to hearing aids? Answer: Yes. It takes time to adjust to hearing aids, but it can be done. The brain has to be retrained and for some that can mean a month or so, for others it can mean several months or maybe a year of adjusting. The time it takes to adjust is call "acclimatization period" and it is different for everyone. There are ways to help. First, wear the prescribed hearing aid(s). If you were fit with two hearing aids, you need to wear both. Each ear sends information to the brain differently and the brain needs all the information to sort out the world of sounds around you. Secondly, wear your hearing aids all day. Just like getting used to glasses, dentures, jewelry or contact lenses, the more you wear it the more it seems like part of your body. Once you become used to wearing it, you will miss it when you don't' have it on. The same is true for hearing aids. Not only for the physical comfort but for auditory comfort. Follow the wear schedule that your audiologist recommends. Typically new users start at 8 hours/day and experienced users should be wearing their hearing aid all day (from breakfast to bedtime stories).

This information is brought to you by Dr. Yoder of HearWell Center. For more information about HearWell Center please visit our website www.hearwellcenter.com

Outside links that I find helpful to share with my patients

Helpful Hints by Dr. Mark Ross

Hearing Aids publication from the National Institute on Deafness and Other Communication Disorders

Consumer Guide "Hearing Aids FAQ" published by the American Academy of Audiology

Online Hearing Test

2008-04-24T09:49:00.000-07:00

I hesitate to put an "Online Hearing Test" on my blog because it is so limited. The best way to determine if you have hearing loss is to visit an audiologist and have your hearing evaluated. However, that said, some people appreciate having access to a survey that will help determine the need to seek audiological care.

Please remember to answer the questions honestly or the test will be invalid.

1. Do you ask your friends, family members or co-workers to repeat themselves frequently (frequently is 3 times a day or more)?

2. Do you turn your television louder than is comfortable for others watching television with you?

3. Do you find yourself turning up the volume on the phone (whether regular phone or cell phone)?

4. Do you struggle to hear people correctly and mistake what they say, sometimes to the point of embarrassment?

5. Do you have to strain to understand conversation in noisy places (such as a restaurant or social hall)?

6. Do you find yourself lipreading people to understand what they are saying?

7. Do you lose the ability to follow conversation when you are in a crowd of people (such as an assembly or party)?

8. Do you request that other people take your phone calls because you are afraid of not hearing correctly?

9. Do you depend on other people to tell you what is being said in movies or television programs?

10. Has anyone told you that you are not hearing or that you should get a hearing aid?

Scoring:

If you answered Yes to less than 3 questions... No significant hearing loss or very mild hearing loss should be suspected

If you answered Yes to 3 to 5 questions... Moderate hearing loss should be suspected.

If you answered Yes to 6 or more questions... Significant hearing loss should be suspected.

This test was devised as a means to assess hearing performance for individuals who suspect that they need to seek hearing care options. This test is not sensitive to all types or degrees of hearing loss and should not be considered a diagnostic test. Only a full audiological evaluation will show the complete nature of hearing loss.

This information is brought to you by Dr. Yoder of HearWell Center. For more information about HearWell Center please visit our website www.hearwellcenter.com

For more Self Assessments Hearing Tests or Online Hearing Tests or Screenings visit

Better Hearing Institute
ASHA
Hearing Loss Association of America
HealthyHearing.com

Temporal Bone Donation

2008-04-08T07:08:00.001-07:00

There is much to be learned about the human ear and sense of hearing. The research that is done to understand the diseases of the human ear and the causes of hearing loss and deafness are limited by the inability to surgically investigate the structures of ear without further damaging the organs of hearing and balance. Therefore, temporal bone donation offers a unique opportunity to help further the research on hearing loss and deafness. I encourage you to learn more about this by visiting NIDCD National Temporal Bone, Hearing and Balance Pathology Resource Registry

This information is brought to you by Dr. Yoder of HearWell Center. For more information about HearWell Center please visit our website www.hearwellcenter.com

Buying a Hearing Aid - From the PA Attorney General's Office

2008-03-20T17:06:00.000-07:00

Buying a Hearing Aid

Unfortunately, the Attorney General's office would not give me permission to reprint the article. You can read the "Buying a Hearing Aid" article at the following web address. (go to page 10)

http://www.attorneygeneral.gov/uploadedFiles/Consumers/bcp_book.pdf

For a paper copy write to:

Pennsylvania Office of Attorney General
Strawberry Square
Harrisburg, PA 17120
717-787-3391

This information is brought to you by Dr. Yoder of HearWell Center, Pittsburgh PA.

About HearWell Center
HearWell Center, located in Forest Hills, PA, provides the highest standard of care to patients with, or at high risk to hearing and vestibular disorders, in a respectful, friendly and professional environment. Audiologist Dr. Yoder maximizes the patient experience and enhances quality of life through individual-based audiology services including hearing tests, diagnostics, education, counseling, treatments, rehabilitation and devices (such as hearing aids, hearing protection assistive devices and alerting devices). To learn more: http://www.hearwellcenter.com/

Hearing Aids Explained

2008-03-14T16:31:00.000-07:00

Hearing aids now accommodate some of the biggest complaints consumers have with hearing aids: Feedback, Background Noise, and Unnatural Sound Quality

Feedback/Whistling
Hearing aids of the past had a tendency to whistle (called feedback), especially for people with more severe hearing loss. Technology today helps eliminate feedback in nearly all situations. Several hearing aids employ feedback cancellation to allow for greater power (amplification) without whistling.

Background Noise
Consumers of hearing aids in the past have struggled to hear in background noise (such as a noisy restaurant). Hearing aids today nearly always come standard with noise management and directional microphones. Both features help cut down on background noise while making it possible to have a conversation. Some hearing aids even do this automatically (others have a button to push).

Unnatural Sound Quality
Another great advancement in hearing aids is the ability to fit challenging hearing loss such as high frequency (high pitched) hearing loss. This hearing loss is very common in the older generation but can also be a result of noise-induced hearing loss found in all age groups. Previously, hearing aids had a tendency to “turn up” all frequencies (pitches) even if the wearer only needed help in the high frequencies. This often made hearing aids sound very unnatural. Today’s high frequency hearing aids allow for natural hearing while amplifying only the frequencies necessary for better hearing.

In addition to the above features hearing aids have even more flexibility with Automatic features, Datalogging and More channels/bands in the frequency resolution of the amplifier.

Automatic Features
Hearing aids can be ordered customized to your needs. You may want a hearing aid that automatically senses background noise and reduces it for your comfort. You may be looking for a hearing aid that will switch over to a phone setting automatically when the phone is placed up to the ear (no whistling). Or you may be looking for a hearing aid that can do both and more by sensing all types of sounds in the environment and making changes for you accordingly. This is a more expensive option, so make careful consideration of your needs for this type of feature. It may be more important for someone who is very active or needs to have use of their hands for other activities (and cannot be stopping to switch the hearing aid manually).

Datalogging
This feature, datalogging, is very new. The hearing aids on the market this year are introducing datalogging as a way for the hearing aid to keep track of your environment and the hearing aid’s activities. This eases the patient responsibility for remembering every time they changed a program or made a volume control adjustment. Because the hearing aid records all the activity on the computer chip, the audiologist can pull this information from the hearing aid and see how it was working for you from day to day and what type of environments you were in. This increased the ability of the audiologist to understand your needs and make adjustments to the hearing aids accordingly. Let’s face it, we don’t go around with a notebook all day and record our listening environments.

More Channels/Band
As the hearing aids advance they are better able to add clarity through increased numbers of channels or bands. This offers a better fitting aid because it can be more closely tuned to your hearing loss. Whereas the aids use to have one or two channels (low or high usually) now they can have anywhere from six to sixteen channels. Think off it as being able to choose how much low, mid and high pitch you want to a degree that is very fine tuned. In everyday terms, this gives you the ability to adjust the hearing aid to your best satisfaction.

What does “Digital” Mean?
With the move to digitization, most hearing aid on the market today are digital. You can compare this to your entertainment center. Try to think back to the quality of an audio tape versus a CD. Most of us probably agree that the CD offers better sound quality. Hearing aids also benefit from the change to digital technology with more stable sound quality and better utilization of extra features and programming. Digital means more possibilities, more possibilities means higher patient satisfaction

Please find other info enclosed. Be careful of the internet resources as there are many false claims online. If you ever have a question regarding these issues, it is best to contact your audiologist.

Written by: Suzanne Yoder, Au.D., HearWell Center

Suzanne Yoder, Au.D. is a doctor of audiology and founder of HearWell Center. She owns and operates a HearWell Center location in Forest Hills, PA (Pittsburgh). Please feel free to respond to this blog by emailing her at info@hearwellcenter.com. You can learn more about HearWell Center by visiting www.hearwellcenter.com

HearWell Center in the News

2008-03-14T16:27:00.000-07:00

HearWell Center was recently in the Valley Mirror announcing the opening of the Forest Hills, PA location.

Dr. Suzanne Yoder was pictured on the front page and an article reviewed the services offered at HearWell Center.

We are very happy to have this office up and running.

Captioned Movies

2008-02-18T15:06:00.000-08:00

Did you know you can go to the movies and watch the latest films captioned?

Many people are not aware that the local theaters provide captioned movies. I have enjoyed captioned movies for a number of years here in Pittsburgh, PA. The movie selection is limited and they only play the captioned movies a few days out of each month, but the experience is worth some inconvenience. It is so neat to understand every word said in the movie and just sit back and enjoy it for once. I often see the same movies twice just so I can take advantage of the opportunity.

If you want to learn more about captioned movies in the theater go to Insight Cinema http://www.insightcinema.org/ or call your local movie theater.

I encourage everyone who is interested to call their favorite theaters and let them know of your interest in captioned movies and ask for the movies you want to see. The more consumer input the theaters receive, the more likely they are to accommodate.

Don't forget to try the hearing assistive devices at the theater, too. I'll write more on that topic another time.

Air Travel (Part II)

2007-10-18T16:10:00.000-07:00

My experience at the airport was more of the usual. Busy, Chaotic, and mostly Unfriendly. I know that over the years I have modified my behavior and I made a point to "observe myself" (if there is such a thing) and really think about how I was accommodated at the airport.

My arrival in the car was uneventful. My husband dropped me off. I had already logged into the airline website and had my ticket. So, all I had to do was check my luggage. I went to the desk and the lady behind the desk said "Mmm hmm mhhh *muffle* *muffle*" and she was not looking directly at me. I was lipreading and anticipating that she would talk to me. So I knew that she was asking how I was. I anticipated that she would also ask the usual questions about my luggage like "have you had your luggage within your control at all times?" I vaguely remember that the first time they asked this very strange question I had no idea what they were trying to say and had them repeat it like 20 times. This trip, there were no questions about my luggage. *whew*

I took my luggage over to the ramp for the xray and the staff took it from me without much interest. I think I initiated a question about whether or not they needed me to stand by or if I should continue to the security check line. I again anticipated the answer and did some lipreading.

I am realizing that I maintain my independence by lipreading and anticipating. I knew this but only partially realized the extent of my reliance on experience. Anyone new to flying would be neglected in a lot of ways at a public airport.

I got to security and knowing that I don't want to cause alarm I immediately told every security staff and office that I was hard of hearing and pointed to my ears. I make a point to do this with exaggeration so that they pay attention. Lots of people point to their ears even if they are not hard of hearing because of noise levels or inattention. So pointing to your ears doesn't necessarily identify your hearing loss. I thought for a moment that I should have worn my pin (face me I read lips) but I rarely think it works with most people, so I resort to the pointing and telling instead.

I got through security check without issue and there is never a problem with my hearing aids and the detector devices.

I then went to catch the tram to transit over to the gates. The tram had some outlandishly loud announcement that said "HOLD ON" and I could have heard that without my aids. But it would still be a concern for those with profound hearing loss and those with loss of clarity. I found myself wishing that the cars were staffed or at least had bright visuals.

I arrived at my gate and spent some time walking about the airport. I noticed as the time drew near for my flight that people were walking out of the gate and heading elsewhere. I had time, so I followed the "herd" and when I arrived at the new gate I asked the attendant if I was indeed at the right location. I was and the airline had switched gates. That happens alot. So, I anticipated it and watched others for reactions. But I didn't know from any announcement. I was not able to understand the announcements. However, knowing my abilities, I made a conscience effort to be aware of my surroundings, ask frequently when I was unsure and refer to the Arriving/Departing flight boards which give the status of the flights and the gate numbers.

When it got close to boarding time I assessed the group to determine if I would need to tell anyone I was hard of hearing. But the airline had boarding corrals and so, I knew when my line started to move, I was going to be boarding. When I stepped onto the plane I immediately spoke to the attendant who was welcoming us and explained that I would not be able to hear on the flight. I hoped that they would accommodate me by getting my attention when necessary. I probably could have gone into more details, but being a frequent flyer I determined that was unnecessary... plus it was a short trip.

The flight went well and I actually was in "hard of hearing bliss" with my hearing aids turned off. I didn't have to hear the babies and small children screaming the whole way down or the loud engine noise. I just enjoyed my book and when the drink cart came around I gave my order (I anticipated this, of course).

I missed all the airline instructions and announcements because my hearing aids were turned off. I don't recommend that a new flyer ignore these very important pieces of information.

When it was all said and done, my experience was good. But I realize that it was only good because my expectations were lowered. I anticipated everything and I knew what signs to look for and how to advocate for myself. There is much to improve on and I think all the industries can learn from our experiences. I encourage all of you to write to vendors and companies that you interact with and give your feedback. I hope that you can learn from my experience and hopefully be a little more prepared for your next trip to the airport.

Air Travel

2007-10-10T09:57:00.000-07:00

I was catching up on some online reading and looking over Hearing Loss Association of America's website http://www.hearingloss.org/ and the blog by Terry Portis and I was reminded of the struggle for hearing assessibility in airports. I am about to leave for a convention in Orlando, FL tonight and I'll be flying again. I think I will make it a point to really pay attention to the experience. I am a frequent flyer and so I know what to expect when I get on a plane. I have to really think back to recall the first time I flew.

Hearing Aid Tax Credit

2007-09-07T21:25:00.000-07:00

Hearing aids are considered medical devices and are tax deductible. There may also be a tax credit if the Hearing Aid Tax Credit Act - H.R. 414 passes legislation. Check with a tax preparation specialist or accountant for more information on this. And find more about advocating this bill at the American Academy of Audiology website.

Financial Assistance and Hearing Aids

2007-09-07T21:02:00.000-07:00

There are many programs that assist patients in the purchase of hearing aids.

This is not a complete list

Low-income programs (typically less than 200% national poverty levels). Obtain hearing aids for a greatly reduced cost HearNow, Audient, Lion's Club, Rotary, etc. Many programs will have a 2-3 month wait time.
Programs for Veterans depending on service (we can help you determine your qualifications).
Working adults and college students may be eligible to receive assistance through the Office of Vocational Rehabilitation, Department of Labor in the state of Pennsylvania.
Children age 21 and under can obtain coverage through the Medical Assistance (ACCESS) program in the state of Pennsylvania.
Children can also receive special services through the school system whether public, private, or charter school.

At HearWell Center we will help you determine your qualifications for such programs and help you understand the limitations as well. Financial assistance programs will generally dictate the type of hearing aids allowed.

Financing Hearing Aids

2007-09-07T20:48:00.001-07:00

Financing plans are great for those that find a monthly payment plan is most desirable.

At our office we generally use third party financing who can offer promotions such as no-interest for 3 or 6 months.

Here's what to expect with financing options:

You can expect to apply for financing as you would a credit card.
Interest is often compounded if you do not pay off the balance by the end of the promotional period.
The interest rate can be very high after the promotional period is over.

The well-advised consumer can benefit greatly from financing options.

Promotional plans vary so call for more information.

Are Two Ears Better?

2007-09-07T20:20:00.001-07:00

Two ears are better than one.

Hearing loss is more complicated than most people think. Your ears are an instrument that communicates to your brain the information about the auditory world around you. When your hearing is "less than perfect" the brain receives only part of the information it needs to be aware and fully comprehend what it is hearing. So, for instance...with both ears functioning you can localize the direction of sound; is it coming from the left or the right? With both ears you can pick apart the different aspects of sound; is that noise I am hearing? is someone talking to me in the car? is there a piano playing in the bar? With both ears you can understand more clearly; is that person saying "I love my cat" or "I love my hat"? With both ears you can feel more balanced and natural.

If you are unfortunately left with only one functioning ear all the above mentioned benefits are diminished or completely disappear. If you have usable hearing in both ears, use both ears and benefit fully from hearing aids.

With very few exceptions most people with hearing loss in both ears will perform better with two hearing aids.

Search Keywords: Binaural hearing; Binaural benefit; Unilateral hearing loss; Auditory Deprivation

Guidelines for when to visit an Audiologist

2007-09-07T18:40:00.000-07:00

Here are some general guidelines to follow when choosing who to visit first for your hearing or vestibular disorder:

For Emergencies such as sudden, dramatic hearing loss, extreme pain, excessive bleeding, and head injuries please visit your local emergency room.

See an audiologist for hearing or vestibular conditions that have occurred gradually without incident or injury to your ears. Audiologists specialize in the diagnosis and treatment of hearing loss and vestibular disorders. You can see an audiologist at anytime in the course of your treatment for a hearing or vestibular disorder. Audiologists will refer you to a medical specialist if symptoms and/or diagnosis are questionable or an obvious medical condition exists. Often hearing loss is caused by factors that are not medically treatable such as age, long-term noise exposure or hereditary hearing loss. Seeing an audiologist first can help you determine the best course of treatment for your hearing loss.

Audiologists have specialized training in the treatment of hearing loss including hearing aids, assistive devices, alerting devices, treatment of tinnitus (ringing in the ear), treatment of hyperacusis (sensitivity to loud sound), treatment of auditory processing disorders, and other disorders that affect hearing. Physicians rarely have this knowledge and unless they have attended an audiology degree program they would not be able to provide these services in a comprehensive manner without referral to an audiologist.

See a physician for any obvious medical conditions: sudden and dramatic changes in hearing, pain, drainage, unusual odor, injury, bleeding, skin lesions, debilitating dizziness and vertigo, etc. Physicians can prescribe medications or imaging (CT Scan or MRI) if necessary. Some physicians can also perform surgery where hearing loss is reversible.

In some offices you will find audiologists and physicians working side-by-side within the same practice. Today it is more common for physicians and audiologists to have independent practices and refer to each other when needed. Many insurance plans do not require a referral to be seen by and audiologist, however it is recommended that you confirm coverage before making an appointment to be seen.

Medicare patients are currently required to provide a referral from a physician for coverage of audiological services. In time Medicare patients will have the option to see an audiologist directly just as you have the option to see a Dentist, Optometrist or Chiropractor without a referral. Currently those under federal health plans are allowed direct access to audiologists. Would you like to have the same privilege and the ability to control your healthcare decisions when it comes to your hearing care? This will depend on the passing of Medicare Hearing Health Care Enhancement Act of 2007 (HR 1665- the Direct Access bill) and you can help by contacting your government officials through this website sponsored by the American Academy of Audiology.

HearWell Center strives to meet the needs of each individual patient by working as a team with the other medical specialists in the community. We will communicate with your family doctor and any specialist you see where necessary to ensure proper follow up and treatment.

What is an Au.D.?

2007-09-07T18:21:00.001-07:00

Au.D. is a degree designation that stands for Doctor of Audiology.

Doctorate in Audiology (Au.D.) is the most common degree earned in order to practice audiology today. You may also see audiologist who have Master's degrees (M.A. or M.S. or M.Ed.) or Doctor of Philosophy (Ph.D.). An Au.D. is a clinical degree that can be used in many ways. Audiologists holding an Au.D. can practice clinical audiology, they can perform research and they can teach.

It is necessary in most of the United States to have an Au.D. in order to obtain a license to practice audiology today. Master's Degree programs are being phased out however, audiologists practicing with their Master's Degree or equivalent will continue under the licensure laws that were in place at the time that they were originally licensed. Some audiologists have chosen to complete this level of education by going back to school and earning the Au.D. and others have decided to continue practicing with their Master's or equivalent degree.

You can learn more about the Au.D. and the profession of audiology by visiting these links:
Academy of Doctors of Audiology (ADA) http://www.audiologist.org/
American Academy of Audiology (AAA) http://www.audiology.org/

Smoke Detectors and the Hard of Hearing

2007-08-14T20:45:00.000-07:00

Recently there has been some coverage on how smoke detectors do not wake people who are hard of hearing. Although smoke detectors have very loud alarms and are "alarming" to most people... those with a hearing loss may not find that to be true. Depending on the degree of hearing loss, hard of hearing people may hear the alarm but it may not be loud enough to disrupt sleep; it may be soft or it may be completely inaudible.

I know hearing aid wearers who live alone in their homes and are concerned about taking their hearing aids off at night and for good reason. Hearing aids are the link to the audible world for many people and is often the only device people invest in to compensate for their loss. Alerting system can help fill the gap in accommodating for situations where hearing aids are not enough, when hearing aids can't be worn or are not an option.

Alerting systems are not new to the market... in fact strobe lights and vibrating alerts have been around for a long time. They are an everyday electronic in the homes of severe or profoundly hard of hearing or deaf/Deaf folks but they are not very common in the homes of the hard of hearing of lesser degree.

Unfortunately, many people with hearing loss deny themselves the protection of appropriate alerting devices because they do not believe their loss is great enough to justify the purchase or because they believe their family or friends or neighbors will help them if there is ever an emergency. This is truly troubling. Those who deny themselves the help are sacrificing their independence and possibly endangering their lives. It is not worth the risk. It is suspected that many casualties have resulted from this chosen isolation from the world.

Don't take the risk. Tell your family about it, too. Professional help is available and audiological care includes the assessment of your needs for alerting and assistive devices. Please call for more information. There is a solution for every household.

Studies show smoking leads to increased hearing loss - News

2007-08-03T20:38:00.000-07:00

Studies show smoking leads to increased hearing loss - News

Itchy Ears? Part One: Earmolds

2007-07-28T17:15:00.000-07:00

Occassionally a hearing aid patient will ask about severely itchy ears and what they can do to stop the itch or prevent further irriation. Sometimes it is a simple issue of hygene and can be solved by keeping instruments that go in the ear clean. And don't forget to keep your hands cleans too. Often the germs that end up causing ear infections and other ear conditions come from dirty hands.

This article is all about cleaning your Earmolds. If you are not sure you have an earmold do not use these instructions. There are separate instructions for the cleaning of hearing aids.

The best way to keep earmolds clean is to wash and disinfect them. It is very important that you do not wash the hearing aid when cleaning your earmolds. The hearing aid and earmold disconnect (so long as they have been well maintained) and you can wash the earmold under warm soapy water. You will need to dry the earmold completely and use an earmold blower to remove moisture from the tube before you reconnect it to the hearing aid.

When you don't have time to wash the mold, you can use non-alchoholic disinfectant wipes. This can be obtained through your audiologist. You never want to use peroxide, alchohol or antibiotic ointment on your molds or in your ears. Do not put anything in your ears unless it has been sold to you by a professional (or prescribed by a doctor).

If your ears are reacting severely with pus or crustiness, you should see an Ear-Nose-& Throat Physician (ENT), Dermtologist or other medical doctor. These symptoms may indicate an infection and may require special medications. An allergic reaction to products or the earmold is another possiblity. You could also have an infection of the outer ear or you could have a middle ear infection that is draining. Regardless of what it is, it should be looked at.

Sometimes moisture can cause itchyness problems. Sweating in and around the ear can be uncomfortable for hearing aid wearers and is a common reason for hearing aid repairs. Consider a hearing aid dryer to remove moisture and protect your hearing aids and if you are sweating alot you may need to remove your hearing aids for more stenuous activities, wear a sweat band or protective cover over your hearing instrument.

All products mentioned in this article are available at the HearWell Center.

Can hearing aids be waterproof? Can I wear my aid in the pool?

2007-07-28T16:40:00.000-07:00

The topic of moisture and hearing aids goes on.

It is a big topic and one that I discuss a lot with patients. Hearing aids are susceptible to all types of moisture and their is no way to avoid it completely. The best you can do to protect your investment and your instruments is to maintain an acceptable level of dryness and that can be done in a number of ways.

Sometimes I am asked if there is such a thing as a waterproof hearing aid. There answer is "none that have been successful." Part of the reason why hearing aids continue to have moisture issues is due to the battery. The batteries in hearing aids are air activated... that means that they need to be exposed to the air to work. If the hearing aids were completely sealed from air, the batteries would not function (consequently, they cannot be easily sealed from water for the same reason). Also, if the aids are sealed and moisture gets in the aid it won't be able to escape back out. If moisture becomes trapped inside the hearing aid you then have battery corrosion issues and possibly moisture related break down of the amplifier, and/or processor (or other delicate parts of the hearing aid). So, some leakage of air (and water) is necessary for a hearing aid to function. Perhaps in the future with sciences like Nanotechnology we will eventually be able to create a membrane barrier that will not allow moisture in but will allow moisture to escape and air in for the battery. Perhaps with improvements to the batteries (such as the new rechargables that are coming out) we will no longer need zinc-air battery cells for power. Some manufacturers are starting to play around with Nanotechnology and it is a fascinating science. I believe consumer will see many of their concerns slowly addressed as appropriate solutions are put on the market.

As for moisture prevention solutions...

Let me first say, you cannot swim with your hearing aids in but if you are going to wear your in-the-ear (ITE) aids in or around the pool or other potentially hazardous places, at the very least find a head wrap called EarBandit. This will also keep the aids from falling in the water. For those of you that wear behind-the-ear (BTE) hearing aids, you can also use the sweatband or EarGear products. These are not waterproof options and you still should avoid getting the aids wet... but they will provide splashguard. So, you can relax a little and have some fun. When you are done for the day at the pool... let your hearing aids dry out for 8 hours before wearing them again. Open the battery door and put in a dry, safe place. Never use hair dryers, heat lamps, hot air guns, microwaves or ovens to dry the aids.

Aids that are frequently exposed to water/sweat need a gentle, even, dry heat to remove moisture build up and this can only be found in electric drying kits. This is very important for those on the list that are profuse sweaters and love water sports. Even those who live in humid, muggy climates should consider an electric drying kit. If you are very active or if you sleep with your aids in (you know who you are) you need to give the aids a break once in a while and dry them out. Different companies offer different features in their drying units. You will find that most have a desiccant bar/bag/pouch and a heat source. Some also have ultraviolet light, thermoplastic heat and vibratory or mechanical spin dry cycles. Some are very simple, others more complex. Check to see if your audiologist has any demonstration units in their office. I've tried many drying units myself and I have always liked the Dry & Store brand. However, there may be a different unit that will fit your needs better. For BTE users on the list. Don't forget your tubing needs to staydry. Moisture sneaks into the hearing aid through the earmold and up the tubing. You'll see little bubbles around the bends of the tubing. This is best removed by disconnecting the earmold from the earhook/hearing aid and pushing dry air through the tube. Remember if you try to blow into the tube with your mouth you are only re-introducing the moisture from your own breath. So, it is better to have a "earmold blower" which looks like a nasal bulb or other compressed air. Be cautious with canned air... it can contain chemicals that can contain irritants that affect the respiratory system and cause skin sensitivities and possibly be toxic to your health.

Even if all the information above is not applicable to your situation because you are not active or don't sweat, you'll still want to at least open that battery door up overnight and have your aids professionally cleaned and dried twice a year.

Feel free to contact me for more information or to ask specific questions about this topic. info@hearwellcenter.com