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!
The Benefits of Binaural Listening
The question regarding whether to purchase one or two hearing aids is an important topic to address with your audiologist during a hearing aid consultation. Hearing aids are an investment in your hearing health that can contribute to improved communication with family and friends and lead to better quality of life. Hearing aids are also a financial investment and it makes sense that many people want to weigh the benefits versus the cost.
In some cases one hearing aid truly is the best option. For example, a person may have a hearing loss in only one ear and normal hearing in the other ear. Another example is a person who has very little useful hearing in one ear; in this case a hearing aid may not provide any benefit at all and a cochlear implant may be the better option. In most other cases if both ears have a hearing loss then two hearing aids are better than one.
Binaural hearing is the term used to refer to hearing with two ears (whether with two normal hearing ears or with two hearing aids). Bimodal hearing applies to people who wear a hearing aid on one side and a cochlear implant on the other ear. Studies have shown that binaural/ bimodal hearing have many benefits and leads to improved communication ability.
Detecting Location of Sound
The ability to detect where sounds are coming from is called “localization” and is a function of the brain that is dependent upon sound being heard well by both ears. The brain uses timing and loudness cues to determine which ear received the sound first and at which ear the sound was louder in order to determine where the sound is located. The brain is unable to detect the location of sound accurately with only one (amplified) ear.
Understanding in Noise
When sound reaches the ears, the signal travels to the inner ear and is then transferred to the hearing never. It then travels up the brainstem to the hearing centers of the brain. The brain analyzes and combines the sound heard from both ears to help “tease out” the speech signal from the unwanted background noise. If the brain only receives sound from one amplified ear it has much more difficulty separating speech from noise.
When sounds are received by both ears the signal travels through multiple pathways in the brainstem. This double input of information to the brain creates a boost in the volume of the speech signal making it easier to hear. This boost or summation of volume does not occur with one ear.
Studies have shown that when the brain listens with two ears, less effort is needed to hear and understand speech which helps to reduce fatigue.
For more information about the benefits of listening with two ears or about bimodal benefit for cochlear implant users call Jacksonville Hearing and Balance Institute at 904-399-0350 to set up a hearing aid consultation.
The Phonak Belong Platform: An Overview
Last week Phonak launched their ‘Made for All’ direct connect hearing aid, the Audeo B-Direct. Using a new proprietary 2.4 GHz radio chip these devices allow users to stream phone calls directly to any cell phone with Bluetooth without an intermediary device. Current technology from other hearing aid manufacturers allows only users of an Apple phone the ability to stream phone calls. The Made for All technology will allow Android, iOS or other Bluetooth cell phone users access to hands-free phone use. By utilizing built-in microphones as a voice pick-up feature, the Audeo B-Direct is able to function like a wireless Bluetooth headset. Once a phone call is received by the user, they are able to answer calls with a push of a button on the hearing aid. At this time, streaming of the phone call is only heard on the user’s preferred side, not to both devices. Patients will also have the ability to balance environment noise when background noise is present by either using the volume control on their phone or directly on their hearing aids. Using a streaming protocol called AirstreamTM Technology, the new TV Connecter from Phonak offers a “plug and play” solution that turns Audeo B-Direct hearing aids into wireless TV headphones. This device allows users to stream content from their TV without having to wear a body-worn streamer and is capable of streaming to multiple hearing aid wearers at the same time.
Virto B Biometric Calibration:
Another recent launch from Phonak is the use of Biometric Calibration in Virto B custom hearing aids. Using 3-D modeling software 1,600 biometric data points are identified from an earmold impression and are used to calculate calibration settings that are unique to each user. This technology allows individual ear anatomy and its effects on the acoustics of the incoming sound to be accounted for which provides a 2dB improvement in directionality. Another available option is the Virto B- Titanium invisible in the ear (IIC) option, which is made from medical grade titanium. Titanium is stronger and thinner than acrylic, allowing for significantly reduced device size.
Audeo B-R and Bolero-PR Rechargeable Options:
Phonak continues to offer a built-in rechargeable device option (Audeo B-R and Bolero B-PR). With a single charge, the device is powered for up to 24 hours. Smart charging options are also available, which allow on the go users to charge from anywhere, without having to worry about running out of power.
If you or someone you love is noticing hearing difficulties and would like to discuss hearing aid options, contact The Hearing Center at JHBI at (904) 399-0350 ext 246 to schedule an appointment to speak with an Audiologist about your options!
Hearing Loss and Communicating with Family
If you have hearing loss, you have probably noticed that your difficulty hearing is not just a problem for you, but for your whole family. When families have trouble communicating, they often report a decrease in perceived intimacy and an increase in conflict. This is because for most people, verbal communication is how we connect. When you cannot hear your friends and family, it becomes difficult to participate in a lot of things, from milestone events to nightly dinners. As the person with hearing loss, you are certain to feel this isolation and usually your family feels the disconnect as well. Even if you use hearing aids, there may still be some situations you cannot communicate well in depending on the severity of your hearing loss.
The first step to bridging the gap created by a hearing loss is simply to start the conversation on why you might not be participating the way you used to. Many times, people with hearing loss are assumed to be rude or dismissive because they are not responding in the expected way. Explain to your family that you are having trouble hearing them and go into detail about what situations make it worse. If you have extra difficulty understanding your spouse when he or she talks from another room, be very clear that this is not a situation you can succeed it. Explain to your children or grandchildren that they need to turn the television off when you are having a conversation so that you can hear them. Pinpoint situations that you really struggle in and work to tackle one at a time. Be patient with yourself and your family though – it may take a few reminders for them to break long standing habits.
Another good step is bringing your family or close friends to your audiologist appointments with you. Your hearing healthcare provider can explain your hearing loss and the limitations you might continue to have, even with hearing aids. Sometimes, it’s helpful for a third party to remind your family of the things they can do to help you succeed in hearing with as little frustration as possible. Your audiologist is there to help you as well as those closest to you in every aspect of your hearing loss journey so be sure to utilize them as a resource.
Becoming More Successful With Your CI
One of the most important steps in the cochlear implant process is rehabilitation. Research studies demonstrate that patients adjust more quickly and achieve greater overall success when they actively participate in a rehabilitation program. Rehabilitation with a cochlear implant can be done at home with computer based programs and listening exercises with family members or in a more formal setting with an auditory verbal therapist.
After a cochlear implant is activated it is important to complete listening exercises to help teach the brain how to listen with a cochlear implant. Immediately following activation, speech often sounds strange and unclear; this is because sound is being delivered to the brain through electrical stimulation (versus acoustic stimulation). The brain must adjust to this new way of receiving sound input. This process of “brain acclimatization” can be greatly impacted by the amount of effort put into the rehabilitation stage. Imagine never completing physical therapy after a knee or hip replacement; it would be very difficulty to walk effectively and progress may be much slower. Fortunately there are many resources available for patients to help them with their “listening therapy’. Each cochlear implant company offers an abundance of support and activities intended to help the brain acclimate to listening with a cochlear implant.
Cochlear’s Communication Corner offers specially designed activities for every age group from young children to older adults. Each group offers activities that range in difficulty to allow you to tailor you rehabilitation process to your specific needs. They also offer a Music program to help you enjoy the sounds of music again. In addition Cochlear has a telephone program called “Telephone with Confidence”. This program allows you to practice listening on the telephone through guided activities.
Follow this link: http://www.cochlear.com/wps/wcm/connect/us/communication-corner
The Listening Room:
Advanced Bionics’ The Listening Room provides numerous listening activities for people of all ages. Activates vary in difficulty and are labeled as beginner, intermediate or advanced to allow you to work through hearing skills at your own pace. The activities can be completed with a listening partner or done independently. Lessons are designed to improve speech understanding as well as increase music appreciation.
Follow this link: https://thelisteningroom.com/
BRIDGE to Better Communication:
MED EL’s BRIDGE program contains listening exercises for various age groups. The activities for adults focus on sentence recognition. The recorded activities can be done independently and allow the listener to vary how the sentences are presented to mimic more ‘real world’ scenarios. There are also activities that can be completed with a partner. Suggestions are given on how to increase the difficulty of the task to ensure the listener continues to make progress once a particular skill is mastered.
Follow this link: http://www.medel.com/us/soundscape/#prettyPhoto
Do I need a hearing aid?
This is a question that the audiologists and physicians hear every day at The Hearing Center and JHBI. Let’s take a look at what matters (and what doesn’t!) when it comes to making that decision.
The first step to deciding whether or not it’s time to try hearing aids will depend on your hearing loss. Hearing aids can be programmed to fit all different degrees and configurations of hearing loss, from mild to profound. However, you have to keep in mind that what your hearing loss looks like will greatly affect your outcome with amplification. For example, patients that have very little usable hearing left may be better suited to a cochlear implant. Patients with middle ear problems may want to try a bone-anchored hearing device. So how do you know what’s right for you? That’s an easy one to answer- you just have to ask an audiologist. Come in for a hearing aid consult. If hearing aids aren’t the correct choice for you, we promise to guide you to whatever is.
Most people with hearing loss know that they have trouble hearing. In fact, that is usually what drove them to get a hearing test in the first place. However, even with severe hearing loss, some people will deny any hearing difficulties. Hearing aids are a process that involve both commitment and work on the part of the new user, so that person has to be invested in a positive outcome. In other words, it is important that you feel like you have something to gain from wearing a hearing aid. If you are convinced that you are not having any difficulty hearing, it will be hard to justify using hearing aids. Keep in mind, though, that sometimes it is actually the people you are talking to that take the brunt of a hearing loss. Are they frequently repeating or speaking up so that you can be apart of the conversation? Look to those closest to you for honest opinions about how they are affected by your hearing difficulties. If they are expressing frustration, that might be a reason to consider trying hearing aids.
Hearing aids are for people with hearing loss, no matter their age. It does not matter at all how old you are- If you have a hearing problem, it is time to consider a hearing aid. Please do not wait until you reach a certain age to start considering a hearing aid.
It’s okay to be worried about what a hearing aid will look like. We are all human, and we want to present our most confident self to the world. For some people, it’s scary to think about what a hearing aid will look like. The good news is that we have come a long way from the large devices that used to be the industry standard. Most styles are nearly invisible these days. Depending on your ear canal size and hearing loss, your audiologist can guide you into the most discrete style possible.
For many people, the price of hearing aids can be very intimidating. At JHBI, we offer different levels of hearing aids at varying prices to meet the needs of everyone that comes through our door. We also have some financing options that may help. We encourage you to come in and see what we have to offer and talk about what your budget allows. Even if a hearing aid isn’t an option for you currently, we may be able to find some ways to help you hear better that are within reach.
For more information on hearing aids, click on the following link: https://www.betterhearingjax.com/hearing-technology/our-hearing-aids/
Thanks to the advancements in technology, now is a better time than ever to treat your hearing loss. Here’s why.
Provided courtesy of Better Hearing Institute (BHI)
Lifting your mood, boosting your energy, protecting your earnings, super-charging your social life — and even keeping your mind sharp: These are just some of the many spoils that come with facing and dealing with a noise-induced hearing loss that has been slowly but persistently creeping up on you. The quality-of-life and feel-good benefits of treating even just mild hearing loss brought on by years of loud music, power tools, high-volume headphones, motor-sport engines, crowded night clubs and bars, noisy restaurants, and raucous sporting events are plenty. But in this digital age of smart phones and wearable technologies, the draw for many solution-minded consumers may be in the technology itself. Super-smart, super-sleek, super-convenient, and super-sophisticated — today’s hearing aids give you a multitude of reasons to address that hearing loss you’ve been trying so hard to ignore. Consider these inspiring facts about today’s highly functional, high-powered hearing aids. They just may get you to finally do something about your hearing loss and make your life easier.
They’re cool, sleek, discreet and virtually invisible.
New technologies are all about function, style, and effortless living. The latest hearing aids offer all three. The designs are incredibly attractive with smooth, modern contours. And they’re much smaller than even conventional Bluetooth earpieces. Many of the latest hearing aids are so tiny, they sit discreetly and comfortably inside the ear canal, out of sight. You might say that aesthetically, hearing aids have had a complete makeover.
They cut out background noise so you hear what you want to hear.
Even with the best of hearing, it’s tough to hear people when it’s noisy. But many state-of-the-art hearing aids not only reduce unwanted noise, they also scan the listening environment and automatically adapt to it — even in wind. There are hearing aids that can actually “geo-tag” a location. So if it’s convenient for you to network at a certain coffee shop, your hearing aids will know when you’re there and adjust themselves accordingly. For the record, it’s not by chance that the latest state-of-the-art hearing aids are so adaptable to changing noise scenarios. Recordings of virtually every imaginable listening situation have been used to create algorithms and “train” these amazing mini-computers for your ears.
They capture the natural richness and variation of speech, so it’s easier to follow the conversation wherever you are.
Let’s face it, one of the most pesky aspects of not hearing as well as you once did is not catching everything people are saying. New technologies not only help you decipher speech details in music and noise, but they better preserve and clarify the more subtle sounds of language — like the consonants B, S, F, T, and Z — so you can really follow what someone is saying. No faking.
You can hear from all directions — even when scoping out what’s in the fridge.
Advanced directional microphone technology lets you hear from the back and side — something really important when driving a car. But it also makes it easier to hear voices more clearly in other everyday settings — like when your head is in the fridge and your significant other is talking at your back. Yes, that’s one great feature.
Digital, Bluetooth, and wireless capabilities keep you connected when it counts.
Digital, wireless hearing aids are the now the norm. That means many new technologies let you stream sound directly into your hearing aids — at the perfect volume — from your smartphone, laptop, conference-room speakerphone, home entertainment system, and other Bluetooth devices. Music, phone calls, podcasts, videos, whatever you listen to through your iPhone (or iPad and iPod for that matter), you can listen to through many hearing aids. Some even let you control the volume and other personalized sound settings with an app on your smartphone. Several types of wireless accessories give you a listening boost by bridging the gap between you and the speaker, making it easier to hear in loud or large places. Using a wireless mini-microphone — with cool, contoured designs, some even looking like a pen— placed on the restaurant or conference-room table, or near anyone you want to hear, makes it feel like they’re speaking directly and clearly into your ears, no matter how noisy the setting. You adjust the volume.
State-of-the-art comfort and convenience mean you’ll always want to use them.
Super-small, super-light, customized, functional, and ergonomically designed, hearing aids today are more comfy than ever — yet tough enough to withstand real life. For most of the newest hearing aids, there’s virtually no feedback or whistling thanks to advances in digital technologies. And most are hypoallergenic with nanotechnology coating to keep them clean and dry. Some are even fully waterproof, so you can swim and shower in them, no problem. Plus, today’s greater-than-ever audio-processing goes hand-in-hand with less battery usage. Some hearing aids are even rechargeable, eliminating the need to change batteries altogether. But the convenience and comfort don’t end there. Some brands let you set up reminders for things like appointments or taking medicine. Perhaps the most “peace-of-mind-preserving” life hack, though, is leading-edge technology that helps sooth the ringing in your ears (tinnitus) in a way that suits you.
There are even more disruptive hearing technologies on the horizon.
Totally out-of-sight, semi-permanent hearing aids that stay in for two to three months let you shower and sleep in them, no fuss. Perhaps the most futuristic glimpse of hearing aids is tied to recent ground-breaking studies revealing a significant link between untreated hearing loss and dementia. Hearing aid manufacturers are deep in the trenches working to create future break-through technologies that will make it as easy as possible for the brain to decode speech and other sounds. Reducing cognitive load — that is, drawing fewer resources from the brain just to “hear” — is a very good thing. After all, we really do hear with our brains and not with our ears. Some hearing aids with these technologies are already available. Yes, leading-edge hearing aids are here to help you keep your mind sharp and your life easier by hearing your best at every age — starting today.
For more information on hearing loss and hearing aids, visit www.BetterHearing.org, www.jhbi.org or www.betterhearingjax.com. If you think you or a loved one needs to consider amplification, the first step is a comprehensive hearing evaluation. Call us at 904-399-0350 to schedule an appointment today.