Hearing Aid Help | Boston MA

What can you do to help someone who suffers from a hearing loss?

If someone you know suffers from hearing loss, you already know it's a challenging time for everyone close to that person including family, friends, colleagues and coworkers.

If you believe a family member friend or colleague is suffering from an undiagnosed hearing loss, encourage him or her to contact a family doctor or hearing care professional and request a simple test to check for a hearing problem.

Here are some ways to help

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What Can You Do If Someone You Care About Has Difficulty Hearing?

If someone you know suffers from hearing loss, you already know it's a challenging time for everyone close to that person including family, friends, colleagues and coworkers.

Sometimes, the change can be so gradual or subtle that you're not sure whether it's actually a hearing loss. Unlike many conditions, hearing loss is often hard to detect in its early stages.

Common Signs of Hearing Loss

Some of the most common indicators of hearing loss include:

  • turning up the volume of the TV or radio
  • problems hearing the doorbell or the telephone ringing
  • difficulty hearing people calling and talking from behind or in another room
  • asking people to repeat themselves or saying "what?" frequently
  • misunderstanding or "forgetting" what has been said or agreed upon
  • often cupping hands behind the ears

How You Can Help

If you believe a family member, friend or colleague is suffering from undiagnosed hearing loss, encourage him or her to contact a family doctor or hearing care professional and request a simple test to check for a hearing problem.

In most cases, the hearing test will detect a hearing loss if one is present, as well as determine the type of loss. Based on the hearing test, the hearing professional can recommend the use of a hearing device or other treatment.

Understanding Your Audiogram | Boston MA

The audiogram is a graphic representation of how we hear. It provides information on the degree and type of hearing loss. Hearing loss is not difficult to document. But understanding the audiogram is not always easy.

Illustrated audiogram

Elements of the audiogram

Frequency

The audiogram is a graph laid out like a piano keyboard with low to high frequencies graphed from left to right on the horizontal axis.

Decibels

The vertical axis charts loudness of sound in decibels—starting with soft sounds at the top and loud sounds on the bottom.

Results of both ears appear on the audiogram with “X” representing the right ear and “O” representing the left ear.

Speech “Banana”

The speech banana is an informal term referring to the frequency and decibel range covered by normal human speech. When it is mapped out on an audiogram with frequencies on horizontal axis and decibel levels on the vertical axis, the shape of the normal speech range takes the shape of a banana.

When people are given hearing tests, the person administering the test pays special attention to hearing loss that falls within the speech banana. People with good hearing will have results that are located above the speech banana, meaning that they can hear sounds at both lower and higher frequencies than normal human speech, and lower decibel levels than normal human speech. If hearing test results fall below or within the speech banana, it means that the person may have difficulty hearing normal human speech.

It is common for individuals to permanently lose their hearing in only a portion of the pitch range. That is, many people first lose their ability to hear high-frequency sounds like ‘s,’ ‘sh,’ and ‘ch' or the voices of children or women with higher-pitched voices. In many cases, speech is "heard" but misunderstood. When a portion of the speech spectrum is missing, it sounds like mumbling.

The World is a Noisy Place | Boston MA

The world is a noisy place.  We experience much more noise in our everyday activities than out ancestors ever did. Cars, planes, trains, and everyday city life produces all kinds of loud and potentially damaging noise.
 
Our ears were not designed to handle many of the loud noises we experience as part of our everyday lives. As such we are subject to some hearing loss. In many cases the hearing loss is mild and we are probably barely aware of it.
 
However mild hearing loss is nothing insignificant and should be taken seriously. The key to minimizing the amount of hearing loss we experience is to be aware that we are suffering from a certain amount of hearing loss. It is then very important that we do all we can to avoid any further damage to our ears and the subsequent hearing loss.
 
Especially in younger people, most of the hearing loss they experience is due to loud music played by their MP3 or during live concerts. This type of noise is especially tough on our hearing and other time, permanent damage can occur.
 
The damage is sometimes evident in the occasional ringing ears we sometimes experience after a loud concert. Normally this ringing disappears by the next day. 
 
However, with repeated exposure to loud noise, this ringing can become permanent. It has been extremely difficult for many people to deal with so the best thing you can do is to avoid this permanent problem in the first place.
 
Some manufacturers of hearing aids are very aware and supportive of the need for early identification of hearing loss. One manufacturer has produced an application which can run on the iPhone and iPod Touch called uHear. It is a hearing test to help users identify potential hearing loss.
 
This is a great screening tool.  If you find that you have experienced some moderate hearing loss, then you should consult with your Doctor or Audiologist. They can assist you with products and recommendations to help you to avoid further damage.
 
They may recommend the use of earplugs when you are exposed to noisy environments. And they will also most likely suggest ways that you can protect your hearing through the reduction in volume of your listening experiences. Do not take these recommendations lightly.
 
Hearing loss is usually permanent. It can be helped through the use of hearing aids which can amplify certain kinds of sounds the patient may have difficulty in hearing and understanding. 

However, if you are suffering from mild hearing loss, it may not be severe enough to affect your ability to understand conversation and enjoy your normal activities.  Therefore do all you can do to protect your hearing from any further loss or degradation.

The Hearing Aid Experience | Boston MA

Most people don’t know what to expect from hearing aids, even after conducting research and talking to other hearing aid wearers. In addition, myths and second-hand experience with old-fashioned analog hearing aids continues to influence the way people think about all hearing aids. But the truth of the matter is hearing aids have changed drastically from outward appearance to internal technology—making them vastly more effective.
 
“I can look people in the eye rather than watching their lips to understand what they’re saying.”
“For me, not wearing hearing aids would be like not wearing glasses. I need them to fully participate in life.”
 
How hearing aids sound
 
Your experience begins the first time you wear hearing aids. You should expect a dramatic improvement in hearing. With hearing aids, you will suddenly hear sounds that you lost the ability to hear years ago. It will take time to adjust and retrain your brain to recognize speech sounds that are no longer distorted by hearing loss; sometimes the length of the adjustment period is proportionate to the amount of change hearing aids are providing or to the age of the wearer.
 
The quality of sound you hear using hearing aids is subjective. However, this list will help you set expectations:
  • Your ability to hear and understand others should be improved. Other people’s voices shouldn’t sound distorted, harsh, tinny, raspy, sharp, booming, muffled or artificial.
  • The sound of your own voice should be “normal” not tinny, harsh, raspy, distorted, booming, muffled or artificial. Your own voice should not sound like you’re in a barrel or have an echo.
  • The intensity and quality of familiar sounds should be sharp, bright and clear—not dull or irritating.
  • The amount of sound you hear should match the environment. In crowded room with many people talking at once, sound will be loud but not deafening.
  • Hearing aids should help you distinguish speech from noise. Hearing aids should be adjusted to optimize this feature.
  • When properly tuned, hearing aids should help you identify the location of a sound or voice.  
How hearing aids feel
 
If you’ve never worn hearing aids, you won’t know what to expect in terms of “fit.” Just like a shoe or another item of clothing, your hearing aids must be comfortable in order to ensure you can and will wear them. You should not feel as though your ears are plugged nor should you experience pressure or discomfort of any kind. Hearing aids should not move or whistle when you chew, swallow or smile.
 
How hearing aids work, when working properly
 
As you learn how to use your hearing aids, pay attention to the functionality listed below to document your experience for discussion in follow-up appointments with your hearing specialist.
  1. Is your ability to understand others improved?
  2. Does your own voice sound natural?
  3. Are you able to hear soft sounds?
  4. Is the level of amplification comfortable?
  5. Are you able to wear the earpieces comfortably for extended periods?
  6. Are your hearing aids adequately controlling background noises?
  7. Are you comfortable with the appearance of your hearing aids?

Are you able to identify the location of sounds with your hearing aids?

Recognizing Hearing Loss | Boston MA

The Importance of Early Intervention
 
As we grow older, hearing loss may become evident. Unfortunately people often deny the extent of their hearing problems. On average, people tend to wait five to seven years between first experiencing hearing loss and actually getting help for it. They think it’s not a big problem… They find ways to cope, often unsuccessfully… They don’t want to spend the money… They may not want to admit having a problem they associate with aging.
 
But research shows there are good reasons to seek hearing loss treatment sooner rather than later. People with uncorrected hearing loss report feelings of being anxious, depressed, paranoid, angry and insecure. They miss important information at work and find themselves isolated from family and friends. Untreated hearing loss diminishes the quality of life everyone wants to enjoy.
 
Boomers start early, get help early
 
Our parents warned us about rock music, and they may have been right! By and large, baby boomers have been exposed to a louder lifestyle than previous generations. Concerts, stereos, headphones, traffic, and power equipment—add up to a modern world producing noise levels capable of causing early hearing damage. In recent years, hearing care professionals report an upswing in the number of younger clients seeking early intervention for hearing problems.
 
Early intervention yields significant benefits
  • Get help early to slow the secondary effects of hearing loss
Reduced stimulation to the ears and brain can actually impair the brain’s ability to recognize speech adequately. Once speech recognition deteriorates, it is only partially recoverable once hearing aids are in place, so it’s important to seek help before the secondary effects of hearing loss occur.
  • Early intervention slows cognitive decline and communication problems
It’s the old “use it or lose it” concept. When you can’t hear what’s going on around you, it contributes to reduced mental sharpness and communication abilities. Using hearing aids early can help prevent other effects of hearing loss.
  • Early intervention improves the use of hearing aids themselves
The effects of auditory deprivation are cumulative. Over time, with lack of auditory stimulation from the ears, the brain begins to lose its ability to process sounds and recognize speech. Just as muscles gain strength from use, the hearing organ and brain need use to stay sharp.
The earlier people begin to use hearing aids, the more comfortable they are with them, and the easier it is to learn to use them to greatest advantage.
 
How to Recognize Hearing Loss
 
It’s not hard to identify when someone is having trouble hearing if he or she is constantly asking others to speak up or repeat themselves. But did you know other signs of hearing loss are sometimes mistaken for dementia?
For example, forgetfulness is sometimes a symptom of hearing loss. When the ability to communicate is disrupted by hearing loss, more of a person’s mental energy is spent trying to hear—leaving less mental energy available for other tasks—such as memory.
 
Common signs of hearing loss
  • Asking others to repeat themselves
  • Inability to hear women's and children’s voices especially
  • Turning up the volume to levels others find intolerable
  • Conversation in places with background noise is especially difficult and frustrating
  • Forgetting things
  • Claiming others are always “mumbling”
  • Seeming more irritable
  • Not paying attention
  • Withdrawing socially
  • Saying things that are irrelevant to the situation
  • Not being able to follow a fast-moving conversation
  • Lacking their usual keen insight
  • Relating well in a one-to-one setting but seeming a bit “out of it” in groups

If you have concerns about someone you care about, suggest a thorough hearing test with a hearing professional. It’s the first step in identifying hearing loss or ruling it out as a contributing cause to other behavioral changes.

One Hearing Aid or Two? | Boston MA

Human hearing is designed for two ears. The technical term is binaural listening, and the auditory system is wired for it to allow for the best possible hearing and understanding.
 
If a professional evaluation by a hearing professional indicates that you have hearing loss in both ears, two hearing aids may be recommended.
 
It’s a good idea to be fitted with two hearing aids, rather than trying to get by with one. While it may be tempting to try to limit the cost by going with a single hearing aid, the truth is that one hearing aid simply can’t do the job of two.
 
It makes sense to wear two hearing aids if the results of your hearing evaluation show that you need them.
 
Two hearing aids
  • Provide a full listening experience – As we know from listening to music, hearing in “stereo” rather than “mono” improves the quality of sound. Stereo is more natural and distinct, with a fuller and richer sound. The brain is naturally able to hear sound in this way, but it needs the input from both ears to do so. Using one hearing aid when two are needed does not provide the full input the brain requires.
  • Give your brain the information it needs – Just as you have two ears, you have two halves of your brain, and they both work together to create what is known as auditory intelligence. Each ear sends a different signal to your brain, and the signals travel a complicated neural pathway. Some signals stay on the same side of the brain, others cross over to the opposite side where they are received differently and have different effects on perception and understanding. This complex system—involving both ears and both sides of the brain—helps increase auditory intelligence and gives you a fuller understanding of everything you hear.
  • Help you detect sound direction – Sound signals from both ears give your brain the ability to locate where sounds are coming from. This can be important socially because it lets you quickly identify which person in a group is speaking so you can bring your attention to them. It is also important for reasons of personal safety; for example binaural hearing helps you identify the direction from which traffic is approaching.
  • Contribute to better listening – Being able to hear speech from people on both sides of you in a group setting is critical to participating fully in a conversation. If you’re only wearing a hearing aid in one ear, you can’t hear the person on the other side of you as well. Whether you’re in a business or social setting, understanding is increased with two hearing aids.
  • Reduce the need for volume – When two hearing aids are worn, you can keep them at a lower volume and still hear adequately. With just one hearing aid, you often need to turn up the volume to an uncomfortably high level in order to compensate. This can cause one of the most frequent complaints of hearing aid wearers, "Everything sounds too loud!" Keeping the volume down also helps protect your hearing from further damage.
  • Help you separate voices from noise – Two hearing aids with directional microphones enable you to weed out the background noise in an environment and focus on the person who is speaking. With only one hearing aid, noises blend together and it is difficult to discriminate between the sounds you want to hear and those you don’t.
  • Mask tinnitus – If you suffer from tinnitus (ringing in the ears), the use of two hearing aids can help. Hearing aids are frequently recommended for tinnitus relief—but a single hearing aid alone will not mask the ringing sound in the unaided ear.
  • Deliver higher satisfaction with hearing aids overall – Studies show that people who wear two hearing aids when needed are more satisfied with their hearing aids than those who choose to wear only one. The quality of sound provided by two hearing aids significantly enhances the listening experience. Most say once they’ve tried two hearing aids, they would never go back to wearing just one.
  • Provide more relaxed listening – For all the reasons above, listening with two hearing aids is less tiring. You don’t have to strain to hear in order to make sense of the sounds around you.

Getting Your Hearing Tested | Boston MA

Hearing loss is much more common than you think—and nearly every hearing impairment can be treated today. Most hearing professionals enter the field in the hope of helping people get more enjoyment from life. Still—when you don’t know what to expect, it can be scary to ask for help. Here’s what to expect at your hearing examination.
 
Some insurance providers cover the cost of hearing tests; some hearing specialists offer free hearing tests.
 
1. The office visit
 
Following a questionnaire to establish your general health and health history, your hearing specialist will conduct a painless visual examination of the ear with a manual or video otoscope. This examination will reveal obstructions or infections that might affect your hearing. If a condition requiring medical treatment is detected, you will be referred to an ear, nose and throat specialist.
If there is no medical reason for hearing loss, such as blockage, perforated eardrum, hyperthyroidism or other conditions, your hearing specialist will perform a series of tests to determine if you will benefit from hearing aids.
 
2. The seven tests of hearing
 
A hearing professional uses an audiometer to conduct testing. This equipment emits sounds or tones, like musical notes, at various frequencies and at differing volume or decibel levels. Testing is usually done in a soundproof testing room.
During some of the tests, you will wear headphones to block distracting sounds. At the sound of a tone, you will be asked to use a gesture or a device to indicate when you hear tones. The audiologist will lower the volume and repeat tones until you can no longer detect them. This process is repeated over a wide range of tones or frequencies from very deep, low sounds, to very high frequency sounds. Each ear is tested separately because sensitivity to sound often differs from one ear to the other.
 
There are seven tests of hearing and speech recognition. Your hearing specialist may conduct some or all of the following tests:
 
1. Tympanometry is an objective test of middle-ear function. By applying air pressure in the ear canal, tympanometry tests the mobility of the eardrum and the conduction bones. This test provides information to distinguish if the hearing loss is conductive or sensorineural.
 
2. Pure-tone test is a subjective hearing test used to identify hearing threshold levels. The patient wears headphones while the hearing specialist administers pure tone stimuli. The patient indicates when he or she hears the tones in each ear. Pure tone test thresholds determine the softest level at which the patient can hear at least 50 percent of tones.
 
3. Speech reception threshold is a test to determine the lowest sound intensity level at which the patient is able to repeat correctly fifty percent or more of the spondaic test words (words of two syllables having equal stress). This test determines the level at which the patient can detect AND understand speech.
 
4. Most comfortable listening level test is administered via headphones to determine the best hearing level as reported by the patient.
 
5. Uncomfortable loudness test is also administered via headphones to determine the loudest level a patient is able to listen to without pain.
 
6. The speech discrimination test (sometimes called word recognition testing) is conducted to determine how well the patient hears and understands speech when the volume of the headphones is set to patient’s most comfortable listening level.
 
For this test, the hearing specialist asks the patient to repeat 50 single-syllable words. The speech discrimination score is an important indicator of how much difficulty the patient will have communicating and how well he or she will respond to amplification. If the patient’s speech discrimination score is 90 percent or more, it indicates he or she heard and repeated words correctly. If the score is zero, it means the patient cannot understand speech no matter how loud. People with scores under 50 percent may not be helped by hearing aids.
 
7. Bone conduction test is used to determine if the patient’s hearing loss is caused by issues relating to the inner ear. A small oscillator is placed on the bone behind the patient’s ear to painlessly stimulate the bones of the skull, which in turn stimulate the inner ear. The patient will indicate when he or she can hear the sound as the tone is raised and lowered.

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Wi Series can also stream stereo sound directly from your TV, radio or computer to your hearing aids, like headphones. Let your us help you find the hearing aid that best suits your lifestyle.
 
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