Hear your best this holiday season with some helpful tips
from Cochlear Americas.
Prepare yourself. Make sure you’re hearing your best
before you gather with family and friends. Schedule an appointment with a
hearing specialist to explore what hearing treatment options will work best for
you or to fine-tune your current hearing device.
Plan ahead! Identify the best listening areas in a
room, such as a quiet corner. If attending an event, take advantage of
accessibility equipment offered. When sitting down for dinner, choose a seat
that works best for your hearing, possibly away from background noise and against
Travel smart. If you currently use a hearing device,
remember to bring extra batteries, chargers, remotes and accessories. You
should not need to remove hearing devices for security checkpoints. Take
advantage of visual alerts and hearing accessible accommodations. Pack any
equipment you bring for your hearing device in carry-on luggage.
Educate your loved ones. It is important that your
family and friends understand your hearing loss. They want you to take part in
the conversation and have fun too! Share tips with your loved ones on how to
best include those with hearing loss in the conversation including:
at a slower rate and at a normal volume
your attention before they begin speaking
eye contact throughout a conversation to take advantage of visual cues
During this holiday season all of us at JHBI and our Hearing Center pause to give thanks to our patients and their families, especially Veterans for their service to protect our freedoms. We’re grateful to all patients for putting their trust in us to help them hear better, especially those with severe hearing loss.
Also, we thank Clay Today* newspaper for an informative story on our patient, retired Navy Captain Mark Adrick, who had a Cochlear® implant surgically inserted to improve severe hearing loss. After decades of flying helicopters and airplanes, his hearing was completely lost. Most severe hearing loss patients have no idea about the lifelong effects of extended loud noises and how it damages the inner ear’s cochlear nerve and surrounding tissues, sometimes beyond repair.
As we count our blessings this holiday season, we wish to thank our patients and their families for trusting us to give the best hearing care possible to improve the quality of life. We wish you and your family a healthy and happy holiday season.
For people with hearing loss, restaurants can be a challenging listening environment when trying to converse with family and loved ones. In a recent article in the Washington Post, Joyce Cohen explains the frustrations often felt by many while eating out. Though it may seem like there is little you could do to improve your ability to hear in challenging listening environments, there are some changes you could make to help limit the effect of background noise.
1. Choose your restaurant carefully. Modern restaurants often have high ceilings and hard cervices that often reflect noise instead of absorbing it. The more echo and reverberation present, the more difficult it is to understand speech. It is also important to choose a restaurant that has good lightening. Non-verbal cues such as lip reading, facial expressions and body language aid spoken language to help you understand others.
2. Booths are better than tables. The high backs of booths will block some of the environmental sounds that can drown out your conversation. In addition, booth seating is typically made of softer material that can absorb background noise.
3. Sit along the edges of the dining area. By sitting around the perimeter of the room you will avoid having outside noise bombard you from all directions and will allow you to focus on those you want to converse with most.
4. Sit Away from the Kitchen. Kitchens are often the noisiest places in the restaurant. Many open concept kitchens in modern restaurants give off noise pollution to the general sitting area. By choosing a place away from the kitchen, you are able to minimize it’s effect.
For more tips on how to deal with background noise and to learn more about your hearing loss contact Jacksonville Hearing and Balance Institute. Click on the link below to read Joyce Cohen’s article from the Washington Post.
WJCT Public Media and Jacksonville Hearing & Balance Institute are hosting this free informative seminar. Learn about identifying and treating vertigo/dizziness and surgical and non-surgical treatment options.
This event will take place at WJCT studios, 100 Festival Park Avenue Jacksonville, FL 32202.
This event is FREE but seating is limited and reservations are required. Lunch will be provided. Register today by calling 904-358-6322!
Are your hearing aids no longer the best solution for your hearing loss?
Jacksonville Hearing and Balance Institute has teamed up with Cochlear Americas and WJCT to discuss cochlear implants with the community. Attendees will be given the opportunity to meet with members of the Jacksonville Hearing and Balance Institute and Cochlear Americas team. At the event, there will be cochlear implant devices and accessories that can be viewed and held by the public. Lunch will be provided to those that RSVP prior to November 6th.
Please see below for further details.
Hearing loss can be a problem for the whole family, not just the individual. Below are a few strategies that can help with effective communication at home:
- Maintain eye contact : Face the speaker and maintain eye contact. Facial expressions and body language add vital information to communication
- Gain attention: Gain the listener’s attention before you begin talking. If the person with hearing loss hears better from one ear, move to that side of the person.
- Keep hands away from face: When talking, try to keep your hands a way from your face. You will produce clearer speech and allow the listener to make use of those visual cues.
- Speak naturally: Speak distinctly, but without exaggeration. You do not need to shout. Shouting may actually distort the words. Try not to mumble. Speak at a normal rate, not too fast or too slow. Use pauses rather than slow speech to give the person time to process what you are saying.
- Rephrase rather than repeat: If the listener has difficulty understanding something you said, find a different way of saying it. If he or she did not understand the words the first time, it’s likely he or she will not understand the words the second time.
- Converse away from background noise: Try to reduce background noise if possible. Turn off radio or television. Move to a quiet space away from the noise source. When going to a restaurant, ask for a table away from the kitchen, server stations, or large parties.
- Move to an area with good lighting: Sit where there is good lighting so that your face can be more easily seen. Avoid strong lighting coming from behind you, such as through a window.
A cochlear implant can be a life changing treatment for people with severe hearing loss who receive little benefit from hearing aids. An important component of the cochlear implant process is to approach the first several weeks after activation with realistic expectations, commitment and patience. A cochlear implant is designed to bypass the damaged hair cells of the hearing organ, the cochlea, and deliver sounds to the brain by directly stimulating the auditory nerve. The brain then interprets the sound as a meaningful message. This mechanism is very different than the way our natural hearing system is designed so right away the brain is unable to recognize the sounds delivered by the cochlear implant. The good news is that the brain is an amazing organ and capable of learning new things all the time. The brain will learn to recognize speech and environmental sounds with exposure, experience and practice.
Exposure: Once the cochlear implant is activated the brain needs to hear sound in order to begin to learn to adapt. Although conversation will likely sound strange and unclear at first the only way to make progress is to expose yourself to all kinds of sound; conversation, music, environmental sounds…anything!
Experience: A key part of cochlear implant process is experience; wearing the cochlear implant all day every day, allows speech and other sounds to become more pleasant and clear. Think of the adjustment to a cochlear implant as being a marathon rather than a sprint.
Practice: Finally practice, practice, practice! Similar to completing physical therapy exercises at home following a hip replacement surgery, listening therapy must be completed to teach the brain to listen with a cochlear implant. There are many types of listening exercises that can make practice enjoyable. These can be done on your own or with a partner.
Keep in mind everyone progresses at their own pace, have patience with the process and know that the benefits will be worth the journey.
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:
What Kind of Hearing Loss Do You Have?
As described in our last blog post, the human ear can be divided into three general parts: the outer ear, the middle ear, and the inner ear. Hearing loss can occur in any, or multiple, parts of the pathway from the ear to the brain. Depending on where the hearing loss is occurring, hearing loss can be classified into three different types: conductive hearing loss, sensorineural hearing loss, and mixed hearing loss.
Note that in order to determine the type and degree of hearing loss, an audiologist would perform a hearing test and graph the results on an audiogram. In addition, different types of hearing loss require different types of intervention. Make sure to discuss all of your options with a medical provider.
- Conductive hearing loss occurs when sound cannot be transmitted from the outer ear, to the ear drum, and into the middle ear space (where the smallest bones in the human body, the ossicles, are located). This type of hearing loss can often be corrected medically or surgically. Common causes of a conductive hearing loss may include:
- Middle ear infection (otitis media)
- Earwax (cerumen) impaction
- Fluid or pressure in the middle ear from colds or allergies
- Poor Eustachian tube function
- Perforation in the eardrum
- Head trauma
- Swimmer’s ear (otitis externa)
- Sensorineural hearing loss happens when there is damage to the inner ear (the cochlea) or to the nerve pathways from the inner ear to the brain. This is the most common type of permanent hearing loss. And even when speech is loud enough to hear, it may still be unclear or sound muffled. Common causes of a sensorineural hearing loss can include:
- Exposure to loud noise
- Genetics (hearing loss that runs in the family)
- Drugs that are toxic to hearing
- Mixed hearing loss occurs when a conductive hearing loss happens in combination with a sensorineural hearing loss. In other words, there may be damage in the outer or middle ear as well as damage in the inner ear or auditory nerve. Common causes of a mixed hearing loss can include any combination of the other issues listed above.
A Brief History
The introduction of the jet engine aircraft in the late 1940s and early 1950s raised concerns about hazardous noise and was one of the most important occurrences to the subsequent development of hearing conservation programs (Nixon, 1998). No sound of the jet engine’s magnitude had ever been routinely experienced in the military or by civilians. In 1952, the Navy conducted a study to evaluate the effects of the jet engine noise on personnel aboard the aircraft carrier USS Coral Sea. The study verified the seriousness of the high-intensity noise problem. In response to the problem, the NAS-NRC Armed Services Committee on Hearing and Bioacoustics (CHABA) was established in 1952 (Nixon, 1998). It was their job to examine the areas of (a) effects and control of noise, (b) auditory discrimination, (c) speech communications, (d) fundamental mechanisms of hearing, and (e) auditory standards. CHABA members were at the forefront of hearing conservation program (HCP) development. They began sponsoring and publishing reports related to noise in the military. They went on to publish a Memorandum No. 2 on “Hearing Conservation Data and Procedures” in 1956. The Memorandum described components of a hearing conservation program and provided recommendations for their implementation.
In 1956, the Air Force was the first to establish a comprehensive hearing conservation program. The Regulation was revised in 1973. Both were model programs after which many organizations within and outside the government were created (Nixon, 1998). In 1978, the Department of Defense Instruction (DODI) 6055.3 was published and contained requirements that attempted to make all hearing conservation programs uniform across services. By 1980, the three branches (Air Force, Army, and Navy) had established hearing conservation programs in compliance with DODI (Nixon, 1998). In 1987, the DODI was revised. The most current DODI is 6055.12, and ensures that all services have a hearing conservation program implemented and these programs should include: a) sound measurements, b) engineering control measures, 3) noise labels in hazardous areas/on equipment, d) issuance of hearing protective devices, e) appropriate education to all personnel working around hazardous noises, f) routine audiometric testing which is to be stored in the Defense Occupational and Environmental Health Readiness System (DOEHRS), g) access to materials, h) record keeping through DOEHRS, and i) program performance evaluations (DOD, 2010).
NIHL in the Military
Northeast Florida is home to many military installations, including Naval Air Station Jacksonville, Naval Station Mayport, Kings Bay Naval Base, Camp Blanding Joint Training Center, Naval Aviation Depot Jacksonville, and Marine Corps Blount Island Command, which together provide employment to more than 50,000 active duty, reserve, and civilian men and women. As of 2011, there were 2,226,883 military members in the United States serving (including active duty, National Guard, Air National Guard, and reserves). Within the military population, an estimated 60% of veterans returning home from war have a hearing loss (CDC, 2013). Disabilities of the auditory system, including hearing loss and tinnitus, are the third most common injury experienced by veterans (Helfer, Canham-Chervak, Canada, & Mitchener, 2010). As far back as World War II, handguns, rifles, artillery rockets, ships, aircraft carriers, vehicles, communications devices, and many more, have been sources of potentially damaging noise levels (Humes et al., 2006, p. 201). Hearing is critical to the performance of military personnel, and noise-induced hearing loss (NIHL) is a severe impairment that can potentially reduce military effectiveness.
Several studies have been conducted to document reports of military hearing loss and tinnitus and effects due to noise. Results from a study conducted in 2010 using data between 2003-2005, found that a total number of 88,285 hearing impairment and noise-induced hearing related injuries (NIHI) were documented—unspecified hearing loss, tinnitus, perforations of tympanic membrane, acoustic trauma, impairment of auditory discrimination, etc. (Helfer et al., 2010). Overall, NIHI visits were reported for 9.6 per 1000 personnel.
How Does NIHL Occur? How Can It Be Prevented?
Loud noises destroy the ear’s special cells, called “hair cells.” They lie within the sensory organ of the ear, called “the cochlea”. The cochlea cannot regrow new hair cells. Once they have become permanently damaged, they are no longer a useful part of the cochlea. Hair cells are important because they help translate sound into a signal the brain interprets, or “hears.” The hair cells can be damaged significantly by a single impulse sound — gunfire, for example, or by prolonged noise exposure at levels that are harmful to healthy hair cells (greater than 85 dB).
Prevention is key in helping to reduce the number of military members and veterans with NIHL. Hearing conservation programs are a step in the right direction. Hearing protection devices, such as passive and active earplugs and earmuffs will also aid in prevention when used properly. Engineering controls to help reduce excessive noise levels should also be implemented. Most importantly, education about the dangers of hazardous noise levels is paramount to further reducing the incidence of NIHL in military members and veterans. Over the past several years, all branches of the military have been making strides towards better education about hearing loss and taking steps towards providing the best hearing protection for soldiers.
For the general population, three strategies you can use for prevention are: 1) walk away- at further distances, dangerous noise levels are not as harmful to your ears, 2) turn it down- if you have the ability, make sure you are listening to things at safe levels, reference the dB level above, and 3) protect your ears- always have a pair of earplugs or muffs on hand when you go to concerts, loud sporting events, hit the shooting range, etc. And just remember, currently, there is no cure for hearing loss, so try to protect the healthy hair cells you have!
DoD. 2010. Department of Defense Instruction 6055.12: DoD Hearing Conservation Program. Washington, DC: Department of Defense
Helfer, T. M., Canham-Chervak, M., Canada, S., & Mitchener, T. A. (2010). Epidemiology of hearing impairment and noise-induced hearing injury among U.S. military personnel, 2003-2005. American Journal of Preventative Medicines, 38(1S), S71-S77. doi: 10.1016/j.amepre.2009.10.025
Humes, L. E., Joellenbeck, L. M., & Durch, J. S. (2006) Noise and military service: Implications for hearing loss and tinnitus. Washington, DC: National Academies Press
Nixon, C.W. (1998). A glimpse of history: The origin of hearing conservation was in the military? Wright-Patterson Air Force Base, OH: U.S. Air Force Research Laboratory