One type of hearing of hearing loss is known as a conductive hearing loss. This type of hearing loss occurs when there is damage or blockage in the outer or middle ear which prevents sounds from being sent to the inner ear. Causes of conductive hearing loss can include:
– Complete wax build up
– Absence of the ear canal or a extremely narrow ear canal
– Hole in the eardrum
– Fluid behind the eardrum
– Displacement of the three tiny bones (ossicles) behind the eardrum
A bone anchored hearing aid (BAHA) is a treatment option to improve the hearing of people with conductive hearing loss . The BAHA is a surgically implanted post that works together with an external processor to bypass the outer and middle ear and deliver sound directly to the inner ear.
Recently a new processor was introduced by Med El that does not require surgery and is available at a much lower cost than the traditional BAHA. The ADHEAR processor uses an adhesive piece that sits behind the ear to send sound to the organ of hearing.
To learn if you are a candidate for the ADHEAR please contact Jacksonville Hearing & Balance Institute at 904-399-0350.
Hearing aids are getting more and more advanced. With all the extra processing power and new features in today’s hearing aids, you can typically get 3-10 days off a single battery. Why is the life of a hearing aid battery so unpredictable, where one battery may last a week, and another just two or three days? Much depends on your amount of hearing aid use, streaming, and how you care for your hearing aids.
Still, there are steps you can take to maximize the life of your batteries and optimize the performance of your hearing aids.
1. Let the battery “breathe” for 3-5 minutes. After removing the tab from the battery, let the battery sit for 3-5 minutes before installing it in your hearing aid. This “activation” time allows air to reach the materials inside the battery and activate them.
2. Wash your hands thoroughly before changing batteries. Grease and dirt on the batteries may damage the hearing aid. Also, grease and dirt can clog up the air pores in the battery.
3. Open the battery door at night. When you’re not wearing your hearing aid, turn it off or open the battery door to minimize battery drain. Leave the battery compartment of your hearing device open at night so moisture can escape. Doing so will keep the battery from corroding and damaging the hearing aid.
4. Use a hearing aid dehumidifier. A hearing aid dehumidifier will help absorb moisture out of your hearing aid and battery. This will allow the battery power to be used more efficiently. The dehumidifier is also a great place to store your hearing aids.
5. Remove the batteries entirely if you won’t be using the device for an extended period of time. This also helps avoid corrosion and damage from trapped moisture.
6. Check the expiration date on the batteries. The further out the batteries are, the fresher they are. Over time, batteries will drain slightly while sitting on the shelf. Ideally, you should buy batteries that have an expiration date a year or further from your purchase date.
7. Use the oldest pack of batteries first. The newest packs will have the furthest expiration date than your older packs of batteries. You want to ensure that you use the oldest batteries first, so that you are getting the most life out of them.
8. Keep the stickers on the battery. The sticker tab on the battery keeps the battery “fresh.” As soon as the sticker is removed, the battery is activated and starts draining. You want to make sure you don’t peel the sticker tab off until you need to use that battery.
9. Keep the batteries in a cool dry place. Storing new, unused batteries in extreme temperatures can cause the battery to drain/have a shorter life.
10. Invest in a rechargeable battery hearing device. Rechargeable hearing aids and batteries are starting to come out into the market. Rechargeable batteries allow you to charge the battery at night and get a full day’s worth of use the next day. If you’re interested in the new technology, make an appointment to discuss the various rechargeable options currently available on the market.
While hearing aids and cochlear implants are better known options for assisting those with hearing impairments, there is another device that may be more appropriate for your hearing loss. A BAHD, also known as a bone-anchored hearing aid (BAHA), is made up of a surgically implanted portion and a removable external processor. These devices are unique in that they send signals to your inner ear via vibrations. These vibrations are interpreted by your inner ear the same as any other sound signal.
As you can see in the above below, the sound processor sits just behind the ear.
Who is a candidate for the bone-anchored hearing device?
Patients with middle ear issues (chronic ear infections, previous surgeries, etc.) are often successful users of a BAHD because it bypasses the middle ear and directly stimulates the inner ear. The device is also beneficial for those with single-sided deafness. The BAHD is placed on the side of the head with the severe-to-profound hearing loss and the signal is sent to the better hearing ear.
New options with the BAHD!
Previously, the BAHD could only be worn by attaching it to an abutment that projected out from under the skin or by wearing a headband. There is now an option for attaching the external processor to the internal implant via a magnet. The image on the left demonstrates the magnet attachment.
In addition to the new wearing options, BAHDs have Bluetooth capabilities!
If you and your family are interested in learning more about BAHDs and want to know if you are a possible candidate, please do not hesitate to contact our clinic at 904-399-0350.
May was designated as the Better Hearing and Speech Month by the American Speech-Language-Hearing Association (ASHA) in 1927. The goals of Better Hearing and Speech month is to bring awareness to hearing and speech deficits, educate the population on how these issues effect the community, and empower individuals to take action if they suspect they have a speech or hearing deficit.
Hearing loss is the third most common health issue in the United States, effecting one in every eight people over the age of 12. Difficulty communicating with others can lead individuals to be withdrawn, negatively impacting them both socially and emotionally. The primary goal of an audiologist, when working with these patients, is to provide the tools they need to maintain an active lifestyle and minimize the effect of their hearing loss. The National Institute of Health (NIH) developed a short questionnaire* to see if you could benefit from having your hearing evaluated by an audiologist.
- Do you feel frustrated when talking to members of your family because you have difficulty hearing them?
- Do you have difficulty hearing or understanding co-workers, clients, or customers?
- Do you feel restricted or limited by a hearing problem?
- Do you have difficulty hearing when visiting friends, relatives, or neighbors?
- Do you have trouble hearing in the movies or in the theater?
- Does a hearing problem cause you to argue with family members?
- Do you have trouble hearing the TV or radio at levels that are loud enough for others?
- Do you feel that any difficulty with your hearing limits your personal or social life?
- Do you have trouble hearing family or friends when you are together in a restaurant?
If you answered “YES” to three or more of above questions, feel free to contact our clinic at (904) 339-0350 to schedule an appointment with a provider. Together you will develop an individualized plan to improve your hearing healthcare.
*Adapted from: Newman, C.W., Weinstein, B.E., Jacobson, G.P., & Hug, G.A. (1990). The Hearing Handicap Inventory for Adults [HHIA]: Psychometric adequacy and audiometric correlates. Ear Hear, 11, 430-433.
Identifying and Treating Tinnitus
Jacksonville Hearing and Balance Institute (JHBI) is excited to partner with WJCT to host a speaker series on Friday, March 23rd, on the diagnosis and management of tinnitus, or ringing in the ears.
The event will take place at WJCT studios at 100 Festival Park Ave, Jacksonville FL, 32202. While registration opens at 11:30 am, the main speaking event, which includes a presentation and a question and answer session, will run from 12:00 until 1:00 pm. Complimentary lunch will be provided.
Dr. Douglas Green Jr., the founder of JHBI and the practice’s neurotologist, will be speaking on the medical causes and subsequent diagnosis of tinnitus. Dr. Janelle Kelley, a clinical audiologist at JHBI, will be discussing the audiological evaluation of tinnitus and several management strategies ranging from at-home smart phone app usage to hearing aids.
Space is limited! If you are interested in attending, please RSVP by March 21st at 5pm by calling 904-358-6322 or visiting wjct.org/jhbi.
Sound and Taste: Where Is the Connection?
Synesthesia is a neurological phenomenon in which two or more senses interact; stimulation of one sensory or cognitive pathway leads to automatic, involuntary experiences in a second sensory or cognitive pathway. One of the most common forms of synesthesia is grapheme-color synesthesia, in which people perceive individual letters of the alphabet and numbers to be “shaded” with a color. Other forms of synesthesia include correlating sounds with scents, sounds with shapes, or sounds with taste. This brings us back to: sound and taste, where is the connection?
Sound and Taste
Although not directly described as synesthesia, Charles Spence, an experimental psychologist at the University of Oxford has devoted much of his career specializing in research about the integration of information across the different senses. His work helps to explain why food can be more or less enjoyable depending on environmental features/atmosphere, colors, or in this case, sounds. Some of his most noteworthy work relates to how our perception of taste is effected by other sensory modalities, say sound, for example. As Spence writes, “Many of the food properties that we all find highly desirable – think crispy, crackly, crunchy, carbonated, creamy, and of course, squeaky (like halloumi cheese) – depend, at least in part, on what we hear”. Perhaps his most notable experiment in the field of cross-modal research was “The Role of Auditory Cues in Modulating the Perceived Crispness and Staleness of Potato Chips,” published in the Journal of Sensory Studies in 2004. From this research, Spence concluded that food can taste different depending on changes in sound. In general, higher pitched crisps with more crunch were reported to be more fresh and more desirable in taste. More recently, he found that higher-pitched music enhances sweetness. The evidence shows that when people are asked to match tastes with a specific pitch or musical instrument, the majority of people will match sweet-tasting foods with sounds having a higher pitch and the sound of the piano while matching bitter-tasting foods with lower pitched sounds and the sound of a brass instrument. Another thought: Ever think about why tomato juice or a Bloody Mary is more appealing on an airplane? Spence explains that the 5th flavor of taste, umami—a meaty, protein-like flavor described by the Japanese is actually enhanced in flight. According to research done by Spence, the loud engine noise of the plane at upwards of 85 decibels can influence how you taste food and beverage. It tends to suppress sweet and salty whilst enhancing umami, thus, you choose to drink tomato juice. Many drink options on planes tend to be sweet, hence juice and soda. Tomato juice is one of the only savory options. In fact, the German airline Lufthansa estimates people consume about as much tomato juice as beer aboard its flights! Spence’s suggestion to make more things taste appealing in air is to simply use noise-cancelling headphones. There is also work being done looking at different music people listen to on flights and how that can possibly contribute to how things taste. More work is being done in this area related to how restaurants can use sound to enhance the dining experience and food and beverage companies can utilize sound to better market their products.
Charles Spence recently published a book called Gastrophysics: The New Science of Eating. It is about the quirks of human perception and how they play out at mealtimes. https://www.amazon.com/Gastrophysics-Science-Eating-Charles-Spence/dp/0735223467
Also, click these links to view some interesting videos about the topics discussed above:
The Hearing Center at Jacksonville Hearing & Balance Join Kilwins Ice Cream Run (5K and One Mile)
The Hearing Center at Jacksonville Hearing & Balance Institute is proud to join Kilwins to be a sponsor of this year’s Kilwins Ice Cream Run (5K and One Mile) to benefit Clarke Schools for Hearing and Speech in Jacksonville. The Clarke mission is to provide children who are deaf or hard of hearing with the listening, learning and spoken language skills they need to succeed. Clarke impacts the lives of children and adults through education and early childhood programs, hearing services, mainstream services, research, curriculum development, and the teachers and professionals trained by Clarke who take their special skills to all parts of the world. They teach children who are deaf and hard of hearing how to listen and talk using the latest technology – all so each person who receives the caring and compassionate services delivered by Clarke is able to reach his or her full potential. The Hearing Center’s audiologists, along with Douglas A. Green Jr., MD and the staff at Jacksonville Hearing & Balance Institute, know Clarke is more than a school, it is a place that allows new horizons for those they serve. Register now and come along with us – run and walk to help this extraordinary organization! Sign up today – and bring your friends: //www.clarkeschools.org/icecreamrun
An event to Benefit
Clarke Schools for Hearing and Speech
Saturday, March 3, 2018
St. Johns Town Center, Jacksonville, FL
Learning About Cochlear Implants
If you or a loved one has a severe hearing loss and have tried hearing aids without success you may be a candidate for a cochlear implant. A cochlear implant is an implantable device that works together with an externally worn processor to bypass the damaged portion of the inner ear to deliver sound to the brain. Due to damage to the organ of hearing, many people find that hearing aids simply amplify sound and do not provide clarity or understanding.
To learn more about cochlear implants and other implantable devices please join Jacksonville Hearing and Balance Institute as we partner with Cochlear Americas to host an Open House event on Wednesday, March 7th, 2018. Representatives from Cochlear Americas will be available from 8am-3pm to answer questions, discuss candidacy and show models of cochlear implants and other implantable devices. A cochlear implant audiologist from Jacksonville Hearing and Balance Institute will be available from 10-12pm and from 1-3pm to discuss the evaluation and follow up process.
Mark your calendars for this wonderful and informational event. Feel free to drop by at your convenience any time between 8am and 3pm.
Wednesday March, 7th 2018
Sheraton Jacksonville Hotel
10605 Deerwood Park Blvd
Jacksonville, Florida 32256
To register, or for more information, contact Ralyn Jelus at firstname.lastname@example.org or by telephone/text at (404)695-8612. We hope to see you there!
Causes, Diagnosis, and Treatment of Tinnitus
Jacksonville Hearing and Balance Institute will be hosting an informational seminar about the causes, diagnosis, and treatment of tinnitus. Dr. J. Douglas Green and Janelle Kelley Au.D., CCC-A will be speaking. You will also get the chance to hear from individuals who live with tinnitus on a daily basis and the steps they have taken to manage their tinnitus.
Where: Southeast Regional Library, 10599 Deerwood Park Blvd, Room A
When: Saturday, February 3, 2018
Time: 10:30am – 12:30pm
Seating is limited! Please RSVP by contacting Judy Martin by telephone at (904) 778-2265 or email at email@example.com. We look forward to meeting all those in attendance.
How Long Do Hearing Aids Last?
One of the most common questions we hear during a hearing aid consultation is “how long will these devices last?” It’s a smart question to ask given the investment that is required for a new pair of hearing aids. Many long-term hearing aid users will also start to worry that their devices will fail suddenly, leaving them without sound.
The average hearing aid user will upgrade their technology after 5 to 6 years. Some people will continue to use a hearing aid for 8-10 years, while others will choose to buy new technology after just two years. Let’s take a look at what might affect how long someone uses a hearing aid:
- Repairs: Like all electronics, hearing aids are more prone to requiring repairs the older they are. After the initial manufacturer’s warranty expires on the hearing aid (typically at 2 to 3 years), all repairs are out-of-pocket costs. Depending on what has gone wrong, repairs can range from $50 to $300+. In most cases, frequent repairs also mean time spent without the hearing aid, which can be very difficult for people who have grown dependent on their amplification. If repairs become too frequent, a person may opt to put their money towards updated technology. Also keep in mind that eventually, a manufacturer will run out of replacement parts for older models of hearing aids, so it become more difficult to get an 8-10 year old hearing aid repaired.
- Updates to technology: Hearing aid technology turns over very quickly. Most manufacturer’s release at least one new product every year, if not more often. It usually takes about five years for someone to notice a significant increase in sound quality and functionality of the hearing aid in order to justify upgrading technology.
- Loss/Damage: New hearing aids usually have a loss and damage warranty for 1-3 years. During that time, if you lose a device, the manufacturer will replace it with a new one for a small fee. Outside of the warranty, if you lose the hearing aid, you have to purchase a new one to replace it.
- Hearing changes: Most hearing aids can be reprogrammed to fit a large range of hearing levels. In rare instances of severe and sudden hearing deterioration, it is possible that someone would need to purchase a power device, which would be a new hearing aid designed to fit worsening hearing.
If you are wondering if newer hearing aids are appropriate for you, or you are noticing increased difficulties hearing, it’s a good idea to visit your audiologist. He or she can make recommendations for improving your current devices or moving forward with purchasing new technology. Remember that this is your journey, so don’t be afraid to ask questions and state your preferences. We look forward to helping you along the way.