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Hearing Aid Issues?

If you wear hearing aids and continue to struggle to understand your friends and family you may be wondering where to turn. There may be a few reasons why you find yourself asking others to repeat despite the use of your hearing aids

  • Hearing aids may be in need of cleaning or reprogramming.
    • Wax build-up in a hearing aid can cause the hearing aid to sound muffled leading to difficulty hearing. It is also possible the hearing itself has decreased and the hearing aids are no longer set to the level needed to hear your best.
  • Realistic expectations
    • A common belief is that when someone wears hearing aids they will be able to hear normally. Hearing aids amplify sound which allows easier hearing, but they do not replace normal hearing. This means that you may still miss out on words especially when in a noisy room or when the talker is standing far away or behind you.
  • Severe hearing loss
    • Hearing aids amplify sound and then the sound travels to the organ of hearing (the cochlea) which stimulates the hearing nerve. If the cochlea has a lot of damage sound will likely be distorted and unclear even when amplified.
    • In this case you may receive more benefit from a cochlear implant than a hearing aid. A cochlear implant directly stimulates the hearing nerve and bypasses the portion of the cochlea that has been damaged. With time and therapy this leads to clearer sound.

If you wear hearing aids and feel that you are still not hearing your best give our office a call at 904-399-0350 to further evaluate your hearing and treatment options. Perhaps it is as simple as cleaning and updating the hearing aid settings or perhaps your hearing has declined to a level where a hearing aid can no longer provide benefit. 

Vertigo in the Headlines

File:Stephen Colbert at Montclair Film 2017 (1).jpg - Wikimedia Commons

Late night talk show host Stephen Colbert announced recently that he has been diagnosed with Benign Paroxysmal Positional Vertigo (BPPV). He reported that when he would stand up from a seated position, everything began to spin and subsequently he would fall or sit down. This particular type of vertigo is characterized by the sensation of either yourself or the world around you spinning, and lasting for a few seconds to a few minutes. It is typically brought on by head movements such as rising from a seated position, moving you head in a certain direction, or rolling over in bed.

Symptoms associated with BPPV are imbalance, nausea/vomiting, and visual changes such as objects seeming to jump or moving side to side. Possible causes can include head injury, ear surgery, migraine headaches, transient ischemic attacks or stroke, a growth inside the ear, or a virus within the ear.

BPPV can usually be corrected with special positioning treatments done in the office and exercises at home. However, it is important not to assume that all vertigo is BPPV and to make sure any causes aside from the inner ear are ruled out first. Contact your primary care physician if you begin to experience dizziness. Once cleared, they will then refer you to a hearing and balance specialist to help determine the cause of vertigo and develop the next steps to help correct it.

Noisy Toys and How to Protect your Children’s Ears

It’s finally the holiday season and everyone is excited for good food, (socially distant) gatherings, and presents, unless that is, you have young children with noisy toys constantly playing throughout your house. Although most parents can attest to how loud their children’s toys are, you may not know just EXACTLY how loud. 

The Arizona Commission for Deaf and Hard of Hearing (ACDHH) and the Sight and Hearing Association are two of many organizations that put out an annual list of noisy toys for the holiday season. There are toys on their list that have been tested and shown to have an output of 103 dB! Measurements were taken as if a child had their ear next to the speaker, which is very realistic as anyone with young children would know.  According to the American Speech Language Hearing Association and the American Academy of Audiology, 85 dB is the loudest that a child should be exposure to.  For reference, the Occupational Safety and Health Administration (OSHA) notes that exposure to 90 dB for 8 hours a day is considered a “permissible noise exposure”.  The permissible time of exposure for a 100 dB sound is only 2 hours. Many of theses toys are actually labeled as educational toys.

Here are some tips for testing to see if toys are too loud:

  • Test the toys prior to buying. Many toys have a “TRY ME” button
  • Hold the toy relatively close to your own ear and see if you think it is too loud

Ways to Reduce Volume

  • If there is a volume control, make sure it is set at the lowest volume
  • Put waterproof tape or glue over the speaker to dampen the sound
  • Put tape over the volume control to prevent your child from changing the volume.

The below list was organized by The Arizona Commission for Deaf and Hard of Hearing (ACDHH):

Hearing Loss and the Holidays

With everything going on during the holiday season, it’s easy to forget that some people struggle during holiday get-togethers for various reasons. One recent online study shows that 50% of families will host at least one person with hearing loss at their holiday table. For these loved ones, the holidays can be isolating and frustrating, because they don’t feel included in the celebration.

Here are some suggestions to help you have a hearing-friendly holiday:

  1. Minimize background noise. Skip the holiday music or television in the background. Background noise can make it difficult to hear. Consider having rowdy football fans enjoy the game in a different room.
  2. Pay attention to seating. Seat the individual with hearing loss at the head of the dinner table or middle of the table, making it easier for them to see all the guests’ faces. Round tables enable easy viewing for everyone. When setting your table, try decorating with shorter centerpieces to avoid blocking sightlines.
  3. Rephrase, don’t repeat. Instead of repeating the same words, try rephrasing. It’s very likely when someone with hearing loss mentions they can’t hear you; they may be having trouble understanding a specific word or phrase. This approach draws less attention to the individual with hearing loss by keeping the conversation more natural. For those uneasy or self-conscious about hearing loss, this will be appreciated.
  4. Skip the mood lighting. A well-lit room helps those with hearing loss see the mouths and facial expressions of those speaking.
  5. Capture attention. Look directly at the person with hearing loss when speaking to them, so they can see your mouth and facial expressions. To get their attention, gently touch them on the hand, arm or shoulder, or say their name before starting to speak.
  6. Speak clearly. Be deliberate while speaking clearly. Be careful to project, but don’t shout. Keep your hands away from your face when speaking. Avoid disturbances which make following a conversation more difficult.
  7. Ask how you can help. Be respectful and discrete by taking aside the individual with hearing loss and asking if there’s anything you can do to make their visit easier. Demonstrate understanding and compassion, and you’ll be an example of the true meaning of holiday spirit.

If you’re concerned about possible hearing loss for you or a loved one, consider scheduling a consultation with one of our audiologists.

Happy Holidays from JHBI!

Everyone at Jacksonville Hearing and Balance Institute would like to wish you a happy holidays!


See below for a message from Dr. Green!


Hear for the Holidays

The holidays are a great time to reconnect with the people you care about. This couldn’t be more important during the 2020 holiday season due to the ongoing COVID-19 pandemic. But when you suffer from hearing loss, the holidays can be extra stressful or even isolating. Don’t let your hearing loss prevent you from enjoying the holidays this year.

Here at JHBI, we are getting ready to celebrate the holidays with better hearing! The Hearing Center is offering a special promotion on hearing aids this holiday season. Enjoy a discount off the cost of hearing aids from the end of November through the end of December. To take advantage of this offer, call 904-399-0350 to schedule a consolation with an audiologist and learn about the newest technology in hearing aids!

A Former Dr. Green Patient in the News!

October is Breast Cancer Awareness Month!

The Jacksonville Hearing and Balance Institute team came together on October 29th to take a picture of everyone wearing their pink outfits in support of Breast Cancer Awareness month! See below for a link to the National Breast Cancer Foundation website.

https://www.nationalbreastcancer.org/breast-cancer-awareness-month

Congratulations Dr. Judy Nelson!

Judy Nelson, one of our physician assistants, has been a member of the Jacksonville Hearing and Balance Institute team since 2003. Her care and compassion is well-known by her patients. We are very proud to say that in addition to having more than 36 years of experience, she has recently completed her Doctor of Medical Science degree through the University of Lynchburg, with a specialty in Neurotology.  

Congratulations Judy Nelson, DMSc, PA-C!

Judy Nelson, MPAS, PA-C

Dr. Nelson works with patients with dizziness, vertigo, imbalance and hearing loss. If you would like to schedule an appointment, please call us at 904-399-0350.

Hearing Loss in the Time of Covid-19

Communication difficulties have increased since the start of the Covid-19 Pandemic in March with the addition of masks to everyday life. A major part of the connection that we make with others depends on our facial expressions. They are universal – a smile is a smile in every culture and language. Even those who are not hard of hearing can find communicating, while wearing a cloth facemask, difficult.

Having a hearing loss makes even the easiest listening environments difficult to understand conversation. Those who are deaf or hard of hearing often rely on reading lips to communicate. Wearing a mask is one of the recommended strategies to mitigate the current global pandemic, and facemasks that cover the mouth can be a challenging and frustrating barrier. Covering the bottom part of one’s face and mouth makes communication more difficult, especially for persons who are hearing impaired or older adults.

Wearing a transparent mask that allows your mouth to be viewed is a beneficial option to allow those with a significant hearing loss to be better able to understand conversation. Clear face masks make it possible for us to communicate more effectively and maintain that human connection, while still practicing the protective measures necessary during this global pandemic.

Clear face masks can be found from many online websites such as www.Walmart.com, www.Etsy.com, and Safe’N’Clear, Inc. – The only FDA approved mask with clear window made in the USA