Touchless Hearing Test in the comfort of your own home. FDA and WHO approved method for audiometric testing. Karen Block, hearing instrument specialist with Advanced Hearing Aid Solutions, Georgetown, Texas
At home hearing test is a way to check your hearing in the privacy of your own home. Have the results evaluated by a professional and have a phone or video conference to discuss your results and any solutions that may be needed to help you or your loved one hear better. This is a touch-less test that allows a consumer to perform the testing by themselves in the privacy and with less possibility of exposure to Covid-19.
Lean how to use the simple at home testing kit. Having your hearing tested in the privacy of your own home is easy. Follow the step by step guide to do it yourself testing.
Tinnitus is much more common than we often think. It is believed that the prevalence of tinnitus at any given point in time is over 25%, and the prevalence of those experiencing frequent tinnitus is almost 8% (Shargarodsky et al, 2010). It is estimated that approximately 90% of people suffering from persistent tinnitus do not seek help (Tunkel et al, 2014). The reasons for not seeking help can be that the person does not know where to go, or that there is no one in their immediate geographic location that actively offers tinnitus services. Also, some of these individuals may not experience their tinnitus as bothersome enough to seek medical treatment. They may even find solutions on their own that work for them personally. However, this still leaves a very large portion of this population without the help they need.
There are many existing protocols available to assist in tinnitus management. The more common management programs are Tinnitus Retraining Therapy, Progressive Tinnitus Management and Cognitive Behavioral Therapy. Other programs include Tinnitus Activities Treatment and Mindfulness Based Tinnitus Therapy (a list of websites for the different programs appears at the end of this article). Although each of these programs has unique strategies and recommendations, they all share a few common underlying principles. For one thing, all the programs promote that sound therapy combined with counseling, offers the best chance of success. Therefore, they all suggest a combined approach, incorporating both sound therapy and counseling into their protocols. There are also proprietary hardware-driven tinnitus management programs, such as “the Levo System” from Otoharmonics and “Neuromonics”. Both also introduce counseling components to their protocols, which are used in combination with their proprietary hardware solutions. Because there are so many tinnitus management options, it is easy to see why many HCPs find providing tinnitus service confusing and challenging, and many people suffering from tinnitus struggle to understand what might be the best solution for them.
With the introduction of mobile applications (apps) in recent years, people suffering from tinnitus have direct access to more tinnitus tools than ever before, and incredibly large amounts of data are being collected on how users are interacting with and utilizing these apps. Not all of these apps are based on clinical standards, and many offer nothing more than a library of sounds to play. However, there are apps available that focus on helping the individual to manage tinnitus. ReSound Relief is a good example. It is a tinnitus-focused app that includes not only a library of high-definition sounds, but also interactive exercises and meditations. In addition, counseling information is provided to educate the user on how to appropriately manage their tinnitus.
The goal of ReSound Relief is to support both the hearing care professional (HCP) and patient with convenient access to tinnitus management tools and education as they collaborate to create the best plan of action. In addition, collecting valuable data helps us understand the tinnitus management needs of those suffering from tinnitus like never before. The questions then arise, with so many different approaches and management programs for tinnitus management, can an app like ReSound Relief bring all the pieces of the tinnitus puzzle together, and provide measurable benefit to those who use it? In addition, what types of data are collected by the ReSound Relief app and how is this data used?
The main goal of sound therapy is to divert one’s attention away from the tinnitus. This is accomplished by presenting other sounds to minimize the perceived contrast between the tinnitus and the background environment (Figure 1). For example, tinnitus is easily detected in a quiet room since there is a large discrepancy between the loudness of the tinnitus and the quietness of the environment. By enriching the environment with sound, we increase the loudness of the background environment, thereby making the tinnitus less prominent and less noticeable. Sound therapy can have immediate effects, helping to reduce tinnitus audibility (e.g. masking/partial masking) which can also potentially result in taming the underlying tinnitus. Sound stimulation may also reverse or modify the abnormal cortical reorganization thought to be responsible for tinnitus (Searchfield et al, 2010).
Figure 1. Increasing the background noise level reduces the contrast between the tinnitus and the background sound level.
Individuals with tinnitus have varied preferences for the sounds used in sound therapy. This shouldn’t come as a big surprise. View someone’s music list on their smartphone or tablet and the chances two people having the exact same playlist are highly unlikely. The sounds we listen to, whether they are by choice or by-products of a particular environment, vary significantly from person to person (Tutaj et al, 2018). The sounds we prefer to listen to can even vary according to specific factors such as mood, time of day, or location, to name a few. Searchfield et al (2010) pointed out that sounds used for sound therapy can vary in their temporal, spectral and emotion-evoking characteristics, and showed that individual differences can influence the effectiveness of specific sounds over others. Henry et al (2004) asked study participants with tinnitus to evaluate different noises and nature-based sounds for sound therapy, and found that Air and Water sounds caused the least amount of annoyance to the subjects’ tinnitus. These sounds were preferred over the other options of narrowband and broadband stimuli, as well as other nature sounds.
In the past, people suffering from tinnitus have had limited sound therapy options, which has made it challenging to find the flexibility and personalization suggested by many tinnitus management protocols. A basic instrument that generates white noise or a set of headphones and a CD player were two of the more flexible options in the past. Times have changed, and in recent years tinnitus has moved more to the forefront of our industry, as it appears to be a growing concern for many people.
As mentioned earlier, 8% of the population experiencing tinnitus have it to a degree where it could be clinically treatable (Shargarodsky et al, 2010). In fact, the US Veterans Administration Annual Benefits report stated that there was an approximately 44% increase of tinnitus-related service connections to veterans between 2014 and 2016. Furthermore, tinnitus contributes to 10.5% of all service connections, which is the largest percentage of patient compensation in the Veterans Administration (Veterans Benefits Administration [VBA], 2017). With what appears to be a growing number of people requiring clinical services to help manage tinnitus, having solutions that incorporate both clinically validated elements and meet the demands of patient individuality is paramount for successful implementation of sound therapy.
Because the needs and preferences for sound therapy can vary greatly from person to person, ReSound Relief incorporates a library of sounds that differ in their spectral and temporal characteristics, as Searchfield et al (2010) suggested was important to accommodate individuals, and also includes a variety of air and water based sounds, which Henry et al (2004) showed to be effective in reducing annoyance (Figure 2).
Figure 2. Combine up to 5 sounds, including air and water sounds, from ReSound Relief’s High-definition sound library and create the soundscape that helps best.
It is generally agreed that education and counseling play a large role in effective tinnitus management, and like Advanced Hearing Aid Solution people need to be educated especially those who have persistent, bothersome tinnitus about management strategies. Counseling should include information on the link between tinnitus and hearing loss, as well lifestyle factors that can have positive and negative effects on tinnitus management. Additional information on the damaging effects of excessive noise exposure and hearing protection from noise should be presented. Follow-up appointments and reassessment of the tinnitus should be considered if the tinnitus remains bothersome or if it worsens over time (Tunkel et al, 2014). As discussed however, accessing this information can present challenges. It is common for people to turn to the internet and use search engines to research information on tinnitus and tinnitus management. Because of a lack of credible information, the unfortunate reality is that many are led to believe their tinnitus can be cured quickly. This can lead to misguided online searches using key words like ‘tinnitus cures’ and ‘eliminate tinnitus’, which can expose individuals to unproven and sometimes costly remedies and claims that have no evidence-based merit. In addition, with the increase of app usage, a number of sound therapy and tinnitus-related apps have been developed and made available on the corresponding app stores. Many of these apps offer sound files to choose from, but most fall short when it comes to providing clinically-based informational counseling on how to appropriately manage tinnitus.
The opportunity to learn new tinnitus information and management concepts should be made available to anyone with tinnitus. Everyone learns at different rates and speeds, and the degree to which counseling and information is presented depends on the person’s ability to recall information and can be modified accordingly (Henry et al, 2005). Although informational counseling is an important part of successful tinnitus management, it has been shown that 40-80% of the information can be forgotten immediately (Kessels, 2003). Furthermore, if individuals cannot recall the counseling information, they are more likely to be less satisfied and less compliant with treatment recommendations, and to experience poorer outcomes to treatment (Margolis, 2004). A logical assumption from these findings is that individuals could likely utilize the information more effectively if they had a resource allowing them quick and convenient access to it when they need it. Resound Relief is designed with this need in mind. It incorporates a variety of educational topics in the Learn section, such as “What causes tinnitus?”, “Common tinnitus therapies” and “Better Sleep” tips, among others (Figure 3).
Figure 3. The Learn section offers a variety of information counseling topics to help educate users.
Efficacy of ReSound Relief
ReSound Relief incorporates a number of clinically-validated elements, such as sound therapy and informational counseling. However, does simply incorporating these elements make ReSound Relief a valid platform for managing tinnitus? A research group led by Professor Henryk Skarzynski, M.D., at the World Hearing Center of the Institute of Physiology and Pathology of Hearing in Warsaw, Poland, showed that patients who used the ReSound Relief app as their primary tinnitus management tool presented reduced tinnitus perception after three months.
Using two objective measures to help quantify tinnitus perception, the Tinnitus Functional Index (TFI) and the Tinnitus Handicap Inventory (THI) questionnaires, the research group found significant reduction in both measures. Before using the ReSound Relief app, the grouped TFI average was 45.7, indicating a moderate tinnitus problem, and after using Resound Relief for three months, the TFI score reduced to 30.5, indicating a mild tinnitus problem. For the second measure, the grouped THI average before using the ReSound Relief app was 53.4, indicating a moderate tinnitus problem, and 32.2 after using ReSound Relief for three months, indicating a mild tinnitus problem (Skarzynski et al, 2018). This study supports the use of ReSound Relief as an effective tool in helping to manage tinnitus.
Additional support for the use of the ReSound Relief app comes from clinicians themselves. A 2015 survey showed that many hearing specialists, like Karen Block at Advanced Hearing Aid Solutions, would recommend the ReSound Relief app to their patients struggling with tinnitus. Fifty-three Veteran’s Administration clinical audiologists collectively assigned a 4.5/5 rating, when asked the question “Would you recommend ReSound Relief to your tinnitus patients?” In this survey, a ‘5’ represented a ‘Strongly Agree’ response, and ‘1’ represented a ‘Strongly Disagree’ response (Piskosz & Hallenbeck, 2015).
Additionally, many of the features in ReSound Relief have been developed with some of the leading tinnitus experts in hearing healthcare. For example, the meditation feature combines guided meditations created by both Dr. Jennifer Gans as well as the Student Wellness Center at Dartmouth College.
Many of the Learn section items have been developed in collaboration with Dr. Jim Henry and his team at the National Center for Rehabilitative Auditory Research, who are responsible for the creation and clinical implementation of the Progressive Tinnitus Management protocol. ReSound Relief is also endorsed by tinnitus organizations, such as the Tinnitus Practitioners Association, a professional organization of hearing care professionals dedicated to providing tinnitus and sound sensitivity care.
What is Big Data?
Social Media and online purchasing have changed our lives in numerous ways, such as how we connect as communities and cultures, our accessibility to goods and services and how we interact and communicate with one another on a day to day basis. Every day, there are over 5 billion likes on Facebook and over 6 billion searches on Google worldwide, contributing to the over 2.5 quintillion bytes of data created daily (Mar, 2018). In fact, in 2013 experts claimed that 90% of all data was generated over the two years prior, and Business Insider Magazine expects the current total to double in the next two years (Business Insider, 2017; SINTEF, 2013). This increase in data creation and usage is largely attributed to the increase in mobile smart phone/tablet adoption. A 2016 Nielsen report estimated that the average American is spending almost 11 hours a day connected to a computer or mobile device. As of 2014, mobile smart phone/tablets have been used a majority of that time, a trend that continues to increase with the popularity of apps (Howard, 2016). As app usage increases, and we grant access to more of our data, what information exactly, are we giving access to and where does it go?
Social media, online retail and search engines are some of the biggest collectors of data in the world today, and we now have access to them at the push of a button on our mobile devices. This data allows companies to understand their users better, and fine-tune what they advertise and promote to their users, according to users’ preferences and behavior. This is why when you go to your favorite online retail store, they often times already have suggested items before even purchasing anything. In order to do this, massive amounts of data, called Big Data, is collected.
Big data is an extremely large data set that may be analyzed computationally to reveal patterns, trends, and associations, especially relating to human behavior and interactions. Furthermore, big data is commonly categorized into a variety of segments. Two of those segments are “Personal Data” and “Sensitive Personal Data”. Personal Data is data that relates to a person who can be identified from the data (e.g. name, address, D.O.B). Sensitive Personal Data is data that includes information about an individual’s ethnic origin, political opinions, religious beliefs, sexual life, physical/mental health conditions, criminal convictions and/or alleged criminal offenses and related proceedings. There are strict requirements for how this data is processed, because this is sensitive data that has a very strong influence on our identity.
Personal data is often available in the Public Domain, and can typically be found doing a search for that person online. Sensitive Personal Data however, has much more strict rules about how that data can be accessed. The European Union in 2018 passed the General Data Protection Regulation (GDPR), which expands what falls into the Personal Data segment, and the individual’s rights over that data. A big part of the legislation is that individuals must give permission to use the data. Companies cannot collect and use data without the permission of the individual, and furthermore, the more personal the data, the more clearly written the Terms and Conditions need to be. This is very important with the growing biometric data industry, which collects health measures from individuals that can be used to identify that individual, along with sensitive health information
What Kind of Data Does ReSound Relief Collect?
The ReSound Relief app does not collect any Personal Data and/or Sensitive Personal Data. All the data collected in the ReSound Relief app is general usage data, meaning how any particular user is interacting with the features of the app. Examples of this are how often a user plays a sound, or what particular sound they choose, as well as how many times the app may crash, or malfunction. It can also collect data showing how many times a user accesses the Deep Breathing exercise, and for how long they use it, as well as how a user utilizes the Learn section, where they can educate themselves about potential causes, common therapies and tips to help them cope better with their tinnitus. All data collected in ReSound Relief is aggregated, and it is not possible to link it to any individual’s identity. The user’s data only appears as a generic user of the ReSound Relief app. Any Personal Data and/or Sensitive Personal Data shared by the user is owned and operated under their corresponding app store, such as the App Store for Apple and Google Play for Google. For apps, this is often in the form of credit card payments, which are tied to the individual’s corresponding app store profile.
Why is Data Collection Important for Tinnitus?
Over time, collective general usage data may show patterns, trends and tendencies of all users of the app, and how particular features are being used. These behaviors allow us to assess how the app is performing, what experiences users are having (both positive and negative) and learn about areas where we can make improvements, to help provide users a better experience. This is very important when it comes to the tinnitus population.
It appears a large portion of the tinnitus population goes untreated (Kochkin et al, 2011). There is a long list of potential reasons why this is: lack of educational standards for tinnitus, no universal established protocols and subgroup data, and lack of 3rd party funding, to name a few (Tunkel et al, 2014). Whatever the reasons may be, a large percentage of this population is seeking help they just cannot find.
Often, tinnitus patients are grouped into a general ‘tinnitus bucket’, although individuals may have very different causes and perceptions of their tinnitus, as well as unique needs on how to manage it. Just as patients with hearing loss can be unique in their diagnosis, fitting and progress, tinnitus patients should also be considered individually. Unfortunately, a lack of definitive tinnitus subgroup data makes it difficult to understand what the best course of action may be for a specific type of tinnitus. For example, consider someone who struggles with hearing loss due to aging, compared to someone with hearing loss due to a middle ear pathology that can be surgically treated. Although there are some similarities and overlap in how you would go about examining and providing amplification for these two individuals, there are many other considerations according to the specific situation, such as style of earmolds, frequency of post-op appointments and what clinical tests a Hearing Care Professional (HCP) may perform. There is very clear subgroup data on these different populations (e.g. age-related hearing loss versus otosclerosis), and therefore clear and established practices on what the best course of action for each case would be. This simply is not established in the tinnitus community, even though there are many types of tinnitus, and people react to their tinnitus perception in many different ways. Subgroup tinnitus data has proven to be very challenging to collect using more conventional methods of research, largely due to the time it takes to collect this information on a large scale. However, with big data collection, we may be able to see trends and behavioral patterns in users in just a few months, even weeks. These behaviors help us to collect insights and analytics that can potentially yield subgroup data to help us work with the tinnitus population more thoroughly and effectively.
Another concern for many Karen Block and other Hearing Heathcare Providers is the perception that tinnitus patients take up a lot of clinic time; without third party reimbursement in many countries, this can be a challenge in terms of clinic profitability. Tinnitus is often a difficult topic to address in the clinic, and tinnitus consultations can take upwards of an hour or more. ReSound Relief is designed to help HCPs like the ones at Advanced Hearing Aid Solutions of Georgetown, overcome those difficulties by offering the most complete and flexible app toolset to help people manage their tinnitus. In addition to providing more than fifty High Definition sounds to choose from, the app also allows the user to create their own dynamic soundscapes, with the ability to layer up to 5 sounds (Figure 4). What makes ReSound Relief truly unique is that it also educates the user about their tinnitus, while providing personalization and guidance on how to better manage their own tinnitus (Figure 5). Because the app is interactive, and tracks usage, ReSound Relief can be used to recommend follow-up visits where HCPs can review progress, fine tune the program and discuss further steps with their patients (Figure 6).
Figure 4. Combine up to 5 sounds from our High Definition selection and create multi-layered dynamic soundscapes.
Figure 5. Learn about tinnitus, its causes and common therapies. Also find tips on better sleep and how to change negative thoughts related to tinnitus.
Figure 6. Keep track of ReSound Relief usage over the last week, month and 3 months.
ReSound Relief- My Plan
The more data Advanced Hearing Aid Solutions collect from our patients, the better we can understand how users interact with and utilize ReSound Relief. Over time this can provide us with information that can help design more personalized programs and features for users. A good example of this in Relief, is the My Plan feature. To help us offer more to our users and better understand their needs, we have introduced My Plan, which is a premium subscription-based feature in Relief. At a minimal cost, users can unlock My Plan, giving them access to new features that will provide additional support with personalized guidance on how to better manage their tinnitus.
My Plan offers the following additional features:
- Identify tinnitus type and the main day to day challenges
- Receive new weekly training plans to help manage tinnitus
- Track performance towards defined weekly goals
- Access to premium high definition environmental and musical sounds
My Plan begins by asking the user a series of intake questions regarding their tinnitus to help identify concerns (Figure 7). Next, the user is asked to select the sound that most closely resembles their tinnitus (Figure 8). By answering these questions, we can develop a better picture of someone’s tinnitus and what struggles they are facing. Once the intake questions are complete, a recommended plan will automatically be developed (Figure 9). When you visit with your hearing specialist, Karen Block, you can review your progress and challenges. These results and progress will be maintained in your personal files at Advanced Hearing Aid Solutions, Georgetown TX
Figure 7. Identify what are the most common problems your tinnitus causes in your daily life.
Figure 8. Listen to different sounds and identify which one most resembles the tinnitus.
Figure 9. Design a personalized tinnitus management plan using My Plan. The plan changes every week to learn helpful tinnitus management skills.
Piecing the Tinnitus Puzzle Together
There is evidence that ReSound Relief can help individuals manage their tinnitus. In the sea of apps aimed at those with tinnitus, ReSound Relief is unique as it is designed specifically for the needs of the tinnitus population based on clinical standards and evidence-based tools. As hearing healthcare apps proliferate, it is important to choose ones that are validated to show they provide true benefit to users, and use data collection to continuously update the app according to user needs. Because apps provide the flexibility for personalization, the mobility for convenience and the user data for continuous updates, validated apps can be powerful tools to help complement clinical concepts and practice. ReSound Relief brings the most important and validated tinnitus and digital concepts together, helping to piece the tinnitus puzzle together for many who so desperately need it.
Tinnitus Management Programs and Resources
Please copy and paste links into your web browser:
- Tinnitus Retraining Therapy: http://www.tinnitus-pjj.com/
- Progressive Tinnitus Management: https://www.ncrar.research.va.gov/education/documents/tinnitusdocuments/ index.asp
- Tinnitus Activities Treatment: https://medicine.uiowa.edu/oto/research/tinnitus-and-hyperacusis
- Mindfulness Based Tinnitus Therapy: http://mindfultinnitusrelief.com/index.html
- Neuromonics: http://neuromonics.com
- Dartmouth College: https://students.dartmouth.edu/wellnesscenter/wellness mindfulness/relaxation-downloads
Advanced Hearing Aid Solutions: Georgetown
There have been significant technological breakthroughs in the hearing aid industry in the last five years and more significantly in the last two years. The largest breakthrough was in new micro chips that are 100 times faster and more efficient. This new technology has allowed the engineers to layer in amazing new programs using algorithms to create the most natural hearing in our acoustic environment. Our acoustic environment has been quantified and plotted on the audiogram. Every sound has a defined frequency and decibel which algorithms have been programed to provide a new and unique experience. Karen Block at Advanced Hearing Aid Solutions in Central Texas is able to individualize hearing programs customized to your personal acoustic environment.
Binaural Directionality: coordinates between both ears for optimal binaural response. Front and rear speech detectors on each instrument seek out speech in a bilateral omnidirectional response with spatial sense. The environmental recognition system is a complex set of algorithms using both speech recognition and noise cancelling programs.
** background speech has been real challenge until now
Spatial Sense: Is an intuitive feel for shape and space. It involves concepts of traditional geometry including the ability to recognize, represent and transform geometric shapes. This new program works in unison with many other programs to create natural hearing in noisy environments
Noise Tracker: (Resound) Noise has been identified and is instantly reduced with in milliseconds compared to 7-14 seconds in other devices.
Sound Shaper: Strategy for improving high frequency audibility for people with high frequency loss (Majority). Frequency compression technology that moves high frequency sounds down in spectrum, while maintaining proportional relationship between input and output. Overall it improves the audibility of speech and maintains the best sound quality possible.
Ear to Ear communication: full 360-degree sound even with a profound to non-hearing ear.
Wind guard: Is an amazing program that recognizes the sound of wind and filters it out.
Tinnitus sound generator: steams sounds to mask the tinnitus.
Multi Mic: ( Resound) streams sound and speech directly to the hearing aid from up to 100 feet. Can be worn on clothing, sat on podiums or tables. Greatly improves the hearing experience in noisy environments. Enables tcoil is large venues. Great while traveling (Road Noise).
Phone Clip: allows for streaming Bluetooth enabled phones and devices directly to the hearing aid. Turns the hearing aids into ear buds with enhanced sound quality and speech recognition.
TV Streamer: (Resound) Streams stereo sound directly to your hearing aids, so you can listen at the volume that is comfortable to you.
Smart phone: blue tooth programs enhancing the hearing experience through preprogrammed programs from you’re his. It also allows the wearer to control their acoustic environment by adjusting like a graphic equalizer.
Find my hearing aids: you can track your hearing aids using your smart phone.
Geotag: You can tag a specific location and your Hearing aid will change the program to the last time you were there.
Apps: enhance your experience and acoustic environment
The Second and latest breakthrough is in the rechargeable Battery. Lithium batteries have created a game changing event lasting 30 hours (24 steaming) on a 3-hour charge. The batteries will last at 100% between 5-7 years and only degrading 2% annually afterwards. This also creates a sealed aid which has reduces moisture exposure by 98 percent. There are remote chargers available that will charge the hearing aids for a full week. You will never have to buy batteries again.
Overall the latest hearing aids from Phonak (Marvel) and Resound (Linx Quattro) provide better hearing and speech understanding in noisy environments, Provide the optimal experience in our acoustical environment and have become more comfortable and easier to wear while lasting longer. The rechargeable feature has made wearing a hearing aid easier and less expensive. Advanced Hearing Aid Solutions in Georgetown Texas is Central leading the way in advanced hearing technology. Karen Block is a caring Hearing instrument specialist who is currently wearing the Resound Quattro herself.
Understanding Hearing Loss
Hearing loss that occurs gradually as you age is common. About 25 percent of people in the United States between the ages of 55 and 64 have some degree of hearing loss. For those older than 65, the number of people with some hearing loss is almost 50 percent. In Georgetown TX the concentration of older adults is more concentrated which in turn raises the ratio of hearing impaired higher.
Aging and chronic exposure to loud noises are significant factors that contribute to hearing loss. Other factors, such as excessive earwax, can temporarily prevent your ears from conducting sounds as well as they should.
You can’t reverse most types of hearing loss. However, you don’t have to live in a world of muted, less distinct sounds. You and your hearing specialist can take steps to improve what you hear. Getting your hearing tested by a qualified person like, Karen Block at Advanced Hearing Aid Solutions yearly will help to determine the extent of your hearing loss and the type of loss.
Signs and symptoms of hearing loss may include:
- Muffled speech and other sounds
- Difficulty understanding words, especially against background noise or in a crowd of people
- Trouble hearing consonants
- Frequently asking others to speak more slowly, clearly and loudly
- Needing to turn up the volume of the television or radio
- Withdrawal from conversations
- Avoidance of some social settings
Some causes of hearing loss include damage to the inner ear, a buildup of earwax, infections and a ruptured eardrum. To understand how hearing loss occurs, it can be helpful to understand how you hear.
Hearing occurs when sound waves reach the structures inside your ear, where the sound wave vibrations are converted into nerve signals that your brain recognizes as sound.
Your ear consists of three major areas: outer ear, middle ear, and inner ear. Sound waves pass through the outer ear and cause vibrations at the eardrum. The eardrum and three small bones of the middle ear amplify the vibrations as they travel to the inner ear. There, the vibrations pass through fluid in a snail-shaped structure in the inner ear (cochlea).
Attached to nerve cells in the cochlea are thousands of tiny hairs that help translate sound vibrations into electrical signals that are transmitted to your brain. The vibrations of different sounds affect these tiny hairs in different ways, causing the nerve cells to send different signals to your brain. That’s how you distinguish one sound from another.
Causes of hearing loss include:
- Damage to the inner ear. Aging and exposure to loud noise may cause wear and tear on the hairs or nerve cells in the cochlea that send sound signals to the brain. When these hairs or nerve cells are damaged or missing, electrical signals aren’t transmitted as efficiently, and hearing loss occurs. Higher pitched tones may become muffled to you (consonants).
It may become difficult for you to pick out words against background noise. Heredity may make you more prone to these changes. This type of hearing loss is known as sensorineural hearing loss, which is permanent.
- A gradual buildup of earwax. Earwax can block the ear canal and prevent conduction of sound waves. This can be restored with earwax removal.
- Ear infection and abnormal bone growths or tumors. In the outer or middle ear, any of these can cause hearing loss.
- Ruptured eardrum (tympanic membrane perforation). Loud blasts of noise, sudden changes in pressure, poking your eardrum with an object and infection can cause your eardrum to rupture and affect your hearing.
Factors that may damage or lead to loss of the hairs and nerve cells in your inner ear include:
- Aging. Degeneration inner ear structures occurs over time.
- Loud noise. Exposure to loud sounds can damage the cells of your inner ear. Damage can occur with long-term exposure to loud noises, or from a short blast of noise, such as from a gunshot.
- Heredity. Your genetic makeup may make you more susceptible to ear damage from loud sounds or deterioration from aging.
- Occupational noises. Jobs where loud noise part of the working environment, such as farming, construction or factory work, Military, can lead to damage inside your ear.
- Recreational noises. Exposure to explosive noises, such as from firearms and jet engines, can cause immediate, permanent hearing loss. Other recreational activities with dangerously high noise levels include Wind, snowmobiling, motorcycling or listening to loud music.
- Some medications. Drugs, such as the antibiotic gentamicin and certain chemotherapy drugs, can damage the inner ear. Temporary effects on your hearing — ringing in the ear (tinnitus) or hearing loss can occur if you take high doses of aspirin, other pain relievers, antimalarial drugs or loop diuretics.
- Some illnesses. Diseases or illnesses that result in high fever, such as meningitis, may damage the cochlea. Allergies can cause fluid buildup in the ears.
Hearing loss can have a significant effect on your quality of life.
Unfortunately, most people affected by hearing loss live with these difficulties for years before seeking treatment. This may also cause lasting problems for those who love you, if you try to cope by denying your hearing loss or withdrawing from social interactions.
You should have your Hearing tested annually and build the test into your wellness program. A base line test will allow you to notice changes of your overall health.
There is a link between many health issues regarding hearing loss. If you notice a significant loss or sudden loss in hearing seek help from your healthcare professional.
Advanced Hearing Aid Solutions
Digital hearing aids can be programed for your specific loss. The sounds that you are missing due to the damaged hairs in your cochlea can be reintroduced to you at a balanced frequency. When you have hearing loss you may only understand the vowel sounds and understanding speech is like a puzzle. A well-programed hearing aid can help fill in the gaps allowing you to understand speech. This will also lower anxiety and frustration.
There have many new technology breakthroughs recently. Bluetooth and streaming devices that introduce sound directly into the hearing aid (TV, Stereo, Phone, Computer).
T-Coil systems are readily available at local theatres, churches, courtrooms. The T-Coil is an electromagnetic field that enables your Hearing Aid to directly receive sound from the source.
Rechargeable batteries have eliminated the need to change batteries. The new batteries can hold a charge and last up to 30 in active use. They recharge with in just a few hours. The battery life is between 5-7 years at 100% strength. There is an expected drop off 2% annually after the 5-7 period. This new battery allows the hearing Aid to be factory sealed and virtually highly moisture resistant.
Faster processing microcomputer chips have greater ability to filter out background noises and focus the quality of speech. All sounds and noise can be quantified and have been built into the algorithms used during programing. This allows the wearer of the new hearing aids to understand and communicate in loud places like a restaurant. To reduce wind now when outside. The new hearing aids can be programed to respond to any environment you may be exposed to. The hearing aids are smart and will know where you are and change programs to assist the wearer.
Cell phone and remote control compatible. You can completely control your hearing environment using your phone or remote. It’s like having a graphic equalizer in your pocket.
TV Streamers work on your computers, TV, Stereo equipment. Using Bluetooth technology, you can stream sound directly into your hearing aid so the sound can be filtered and programed for you. The sound quality is amazing, and your sound experience greatly improved. This also controls the volume in your hearing aid so avoids the need to blast the devise volume.
Remote Microphones can be placed anywhere the wearer wants to receive sound directly into the hearing aid. Passengers in or on your vehicle, podiums, dinner tables, hiking, horseback riding. They stream sound directly to the hearing aid allowing for greater freedom and enhanced communication.
Remote Chargers last up to 90 hours of charging and do not require an electrical outlet until it needs to be charged. This is great for travel when you do not have access to electricity. You can keep your hearing aids charged for a full week.
Advanced Hearing Aid solutions have never been more readily available. Better sound quality in noise, better speech recognition, faster processing and enhanced programs, Cell phone remote control, streaming, T-Coil, Rechargeable batteries. Hearing Aids have never been better.