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Hearing with Restaurant Noise

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.

Better Hearing and Speech Month

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.

NIH QUESTIONNAIRE:

  1. Do you feel frustrated when talking to members of your family because you have difficulty hearing them?
  2. Do you have difficulty hearing or understanding co-workers, clients, or customers?
  3. Do you feel restricted or limited by a hearing problem?
  4. Do you have difficulty hearing when visiting friends, relatives, or neighbors?
  5. Do you have trouble hearing in the movies or in the theater?
  6. Does a hearing problem cause you to argue with family members?
  7. Do you have trouble hearing the TV or radio at levels that are loud enough for others?
  8. Do you feel that any difficulty with your hearing limits your personal or social life?
  9. 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.

Upcoming Hearing Aid Informational Session

Do you watch television with the volume louder than you used to? Do you have trouble understanding conversation when in a restaurant? Do you complain that people are always mumbling? These are common signs that indicate you may have a hearing loss.
• The first step is to undergo a hearing evaluation by an audiologist. If the test shows that you have a hearing loss, a hearing aid is often recommended to help make communication easier and enjoyable again.

A quick search on the internet can lead to many results regarding which hearing aid is the best. It is easy to become overwhelmed and confused by all the marketing, sales and misinformation regarding hearing aids.


Jacksonville Hearing & Balance Institute is hosting a ‘Lunch & Learn’ event to help guide you through the hearing aid selection process and to provide you with the tools you need to succeed with hearing aids.


Come join Dr. Green and Dr. Aquilina on Wednesday March 20th for an informational session regarding hearing loss and how to get the most out of your hearing aids. Register now to reserve your spot!

7 Tips for Better Communication

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:

  1. Maintain eye contact : Face the speaker and maintain eye contact. Facial expressions and body language add vital information to communication
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.

Better Hearing and Speech Month

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.

 

NIH QUESTIONNAIRE:

  1. Do you feel frustrated when talking to members of your family because you have difficulty hearing them?
  2. Do you have difficulty hearing or understanding co-workers, clients, or customers?
  3. Do you feel restricted or limited by a hearing problem?
  4. Do you have difficulty hearing when visiting friends, relatives, or neighbors?
  5. Do you have trouble hearing in the movies or in the theater?
  6. Does a hearing problem cause you to argue with family members?
  7. Do you have trouble hearing the TV or radio at levels that are loud enough for others?
  8. Do you feel that any difficulty with your hearing limits your personal or social life?
  9. 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.

I Can Hear My Family, But I Can’t Understand

Hear for the Holidays

As the holidays draw near you may find yourself concerned with your ability to hear family and friends at holiday parties and gatherings. Many people often report that they can hear the conversation around them but can’t understand what people are saying or they state that people often mumble. This may be especially true in a crowded restaurant or room.

If this situation sounds familiar you may have a hearing loss in one or both ears. A type of hearing loss often seen in older adults is known as ‘presbycusis’. Presbycusis describes a pattern of hearing loss that manifests in the high pitch range. This means low pitched sounds (men’s voices etc) are easy to hear but high pitched sounds (women and childrens’ voices, birds, etc) are much more difficult to hear.

Speech is comprised of many different sounds and they all need to be heard well in order to understand conversation clearly. Low pitched speech sounds, such as vowels, bring the volume or the “power” to speech. High pitched sounds, such as consonants, provide the clarity to speech. In the case of presbycusis, an individual can hear the low pitched vowels but are unable to distinguish the high pitch consonants which results in being able to hear that someone is talking but not being able to understand what they are saying. In addition, listening in a noisy environment such as a party or crowded restaurant can be difficult, stressful and exhausting. The volume of the background noise often “washes over” the soft high pitched consonants making them even more difficult to hear. Also, when a hearing loss is present the brain has a harder time teasing out a speech signal from the unwanted background noise.

If you find yourself struggling to hear loves ones this holiday season call 904-399-0350 to schedule an appointment for a comprehensive hearing evaluation with an audiologist. You will be able to learn more about your hearing and the steps you can take to communicate more easily with friends and family.

What’s New with Hearing Aids

The Phonak Belong Platform: An Overview

Audeo B-Direct:

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: A Family Problem

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.

Hearing Loss and Cognition

The Link Between Hearing Loss and Cognitive Decline

Recently, the Hearing Center at Jacksonville Hearing and Balance Institute partnered with Phonak (a major hearing aid company) to give a presentation to the community regarding the connection between hearing loss and cognitive decline in older adults. Unfortunately, it filled up too quickly for us to accommodate everyone who wanted to attend. Just in case you missed it, here are some of the highlights from the presentation:

The study in question was conducted by Frank Lin, Ph.D. and his colleagues at Johns Hopkins University using information gathered from older adults over a period of decades. The researchers found that those individuals with untreated hearing loss (whether it was mild, moderate, severe, or profound) were significantly more likely to experience cognitive impairments than their normal hearing peers.

But just how are hearing loss and cognitive impairment connected? As Dr. Lin reports, “Your inner ear has to take in a complex sound and convert it into a signal that goes into the brain. When we say that people have hearing loss, it means the inner ear is no longer as good at encoding those signals with accuracy and fidelity. So the brain gets a very garbled message — you can hear what’s being said but you can’t quite make it out. It takes a little more effort to hear what that person said. As a result, the brain has to re-dedicate sources to help with hearing and sound processing. That comes at the loss of something else.” Dr. Lin also notes that, “As we develop hearing loss, we withdraw socially. You’re less likely to go out and you may be less likely to be engaged in conversation.”

While more research needs to be completed regarding the link between hearing loss, social isolation, and cognitive decline, these early results certainly emphasize the importance of hearing heath on one’s overall health. Unfortunately, up to two-thirds of adults with hearing loss remain untreated. Here at JHBI, we hope that by increasing awareness about this topic, we can identify hearing impairments and possible intervention strategies earlier rather than later.

Resources:

Lin, F. R., et al. (2013). Hearing loss and cognitive decline in older adults. JAMA Internal Medicine(4), 173, 293-293. doi:10.1001/jamainternmed.2013.1868

Hearing Health Seminar

Please Join Us!

Where: Maggiano’s Little Italy in St. Johns Town Center

When: Wednesday, July 12

Time: 6:00 pm-7:00 pm

Jacksonville Hearing and Balance Institute invites you to an important hearing educational seminar followed by hors d’oeuvres and drinks. We will discuss the causes and consequences of hearing loss, the relationship between hearing loss and cognitive decline, brain cognition health tips, and how to arrive at a hearing health care solution. The providers at Jacksonville Hearing and Balance Institute will offer advice and practical tools for individuals and families impacted by hearing loss.

Join us for:

  •  More information about the relationship between hearing, cognition and your overall health and well being.
  • The latest information on hearing loss treatment to clear up any confusion about hearing aids. If you or a loved one are experiencing symptoms of hearing loss, then don’t miss this special opportunity!

 

RSVP required by Friday, July 7th ~ Limited Seating

(904) 302-9576