Take Care This Summer

Now that COVID-19 restrictions have been eased and we’re making up for lost time, it’s time to remember that some summer activities come with a risk of damaging your hearing.

Loud, sudden noise is one of the easiest ways to damage your ears. Fireworks are a well-known source of temporary—and sometimes permanent—hearing damage. They can create sound at the 175-decibel level; damage to ears can be caused by anything over 120 decibels.

The farther away you are from an explosion, the better for your ears. And if you are responsible for a young child, be aware that a noise level that adults can handle may not be true for a youngster, since their ear canals are so much smaller (which will amplify the effects of a high-decibel incident).

The same dynamic holds true for car races, the firing of guns, power tools, and all the other loud things that are part of summer.

Getting in the water is a big part of summer too. The primary risk here is coming down with a case of swimmer’s ear—which is just a seasonal name for an ear infection—due to bacteria finding their way into tiny scrapes and scratches in the lining of your ear canal.

What’s a common way to cause such abrasions? Sticking things in your ear—fingers, swabs, towels—when trying to dry them out after swimming or sweating due to exercising.

So, try to just let your ears dry out on their own—tilting your head from side to side will help—or use drops or a hair dryer (on a low setting).

It’s good to be back out, but don’t forget to take care of your hearing.

The Threat of Hearing Loss

Did you know that hearing loss can lead to poorer brain function?

Along with more seasonable weather, and maybe the promise a few beach days, the month of June is Alzheimer’s & Brain Awareness Month. Since 1980, people have been going purple to raise awareness for Alzheimer’s support and to accelerate research.  The Alzheimer’s Association even points out that June 20th, the summer solstice and normally the longest day of the year, is our chance to “fight the darkness of Alzheimer’s.”

And if you, or anyone you know has been ignoring their hearing issues, then this is a good time to visit a hearing professional. This is because it has become clear that untreated hearing loss can lead to cognitive brain performance issues, including Alzheimer’s.

Studies published in The American Journal of Geriatric Psychiatry, The American Journal of Epidemiology, Archives of Neurology, and other peer-reviewed journals have all shown links between poor hearing and brain issues. And still others have shown that treating hearing loss effectively, especially with hearing aids, can lessen or eliminate the consequences.

Poor hearing can lead to social isolation, which heightens loneliness, which can lead to depression and dementia. More directly, the lack of activity in the part of the brain that interacts with the ears via the auditory nerve can atrophy due to lack of activity. This appears to be a process that is not necessarily localized.

“Brain scans show us that hearing loss may contribute to a faster rate of atrophy in the brain,” according to Frank Lin, M.D., Ph.D., a research director at Johns Hopkins. In fact, even mild hearing loss, when left untreated, doubled dementia risk, moderate loss tripled the risk, and those with severe hearing impairments were five times more likely to develop dementia.

There’s no reason to put off a hearing exam.

Hearing Loss Isn’t Just for the Old Folks

A patient recently asked us ‘Aren’t hearing aids only for older people? ‘. What a fantastic question! For those of us who’ve been watching, the trend of hearing loss issues moving down the age brackets has become increasingly clear over the last decade. It’s been estimated that as much as 15 percent of people under age 65 have hearing issues.

Putting aside genetic factors in hearing loss, the main drivers of this cultural dilemma are driven by lifestyle or occupation and usually in the control of the people who end up dealing with hearing loss.

The past year of social isolation has been a double-edged sword with regards to these issues.

One of the main drivers of noise induced hearing loss in younger adults has been the use of headphones and earbuds with personal listening devices – often referred to as leisure noise – that have flooded the market in recent years. With more people staying home during lockdown, activities like gaming, listening to music, watching streaming services, and even work-from-home culture complete with video conferencing with the volume turned up has exposed many to long-term, potentially damaging sounds.

On the other hand, not spending time in crowded bars or clubs where large sound systems blast out the volume (98dB on average!) has probably saved a great deal of wear and tear for many. But with vaccinations picking up steam and restrictions beginning to be dropped, such exposure may go into overdrive soon for many.

Both scenarios are the primary culprits in hearing damage sub-senior adults. The fact is, much of contemporary life is just louder than it used to be. And for many, that will mean an accumulation of damage to the inner ear.

The best countermeasure is being careful with the volume when at home and using noise-reducing earplugs when hitting the clubs and committing to regular hearing screenings to understand how, and if, your hobbies or your job might me impacting you hearing.

Are Allergies About to Affect Your Hearing?

Spring is on the way. It might still be lurking around the corner but it’ll be here soon.

Which, by and large, is a great thing. But for many folks, springtime is also allergy time. And if you’re really lucky, another aspect of seasonal allergies can be hearing issues.

By and large, this is about the fluids that the body produces in reaction to what’s floating in the springtime air. Things like pollen, mold, dander, and dust mites are taken as an invasive force and your body unleashes the dogs of the immune system—antibodies and histamines—against them. Unfortunately for you, this is a false flag operation, since allergens aren’t actually going to make you sick like germs and viruses do; your body just “thinks” they are.

And how do antibodies and histamines get around your body? In fluids, which can then overwhelm specific areas and produce bottlenecks, which results in swelling. If this happens in your ear canal, then you’ve got a hearing issue.

Several things can happen when fluid accumulates in your ears.

One, the already-narrow ear canal can get even slimmer, which throws off the auditory dynamics of the complex sound system deeper down in the middle and inner ear.

Fluid buildup in the inner ear will also degrade its functionality directly, including the calibration of the vestibular system. This is a crucial part of how we maintain our balance, based on maintaining equilibrium through the movement of fluid that sends signals, via tiny hairs and subsequent electrical impulses, to the brain. A buildup of excess fluid can throw the whole system off-kilter.

That’s why, for the allergy-prone, springtime can mean dizzy spells, along with hearing issues and ear-popping. Unless symptoms are severe or prolonged, it’s a matter of waiting things out, with over-the-counter antihistamines or decongestants serving as the best way to muddle through.

Giving the Gift of Hearing at the End of a Long Year

This past year—the 2020 lockdown—will always be remembered as one of sacrifice, loss, and determination. It’s demanded that we all adjust and recommit to charitable giving.

In December we once again sponsored our Gift of Hearing event. Our third annual giveaway, it features open nominations of people who—because of their public service or unique circumstances—are not only dealing with hearing issues but are also deserving of a free pair of premium hearing aids.

Like the United Way drop boxes that you’ll find at our office through the end of this month—ready for personal items like toothpaste, toothbrushes, shampoo, soap, razors that will be directed to food pantries and community shelters—the “Gift of Hearing” event is a small way to support the community in these difficult times.

Given the realities of 2020, we couldn’t choose just one deserving recipient, so we picked two.

Our first beneficiary was Andres, known not only for his selfless service to the nation but also famous for helping those in need. After many years of giving he got to be on the receiving end of generosity.

Our second recipient was Nicole, a loving wife and mother of two who has struggled with significant hearing issues for years. We’re hoping her new hearing aids help her enjoy her family in what we all expect to be a fantastic 2021.

COVID Brings Hearing Consequences

In an unfortunate, but perhaps not a surprising turn of events, it appears that COVID-19 is amplifying, as it were, hearing issues for many.

Recent articles in medical publications are beginning to chronicle the rise in tinnitus that some are experiencing in the age of COVID — and not necessarily simply because they’ve gotten the disease itself.

The study “Changes in Tinnitus Experiences During the COVID-19 Pandemic” appeared in Frontiers in Public Health. It summarizes a study of over 3,000 that focused on those who already suffered from the condition, known to many as simply a constant ringing-in-the-ears (though other sounds can also plague people).

“Having COVID-19 symptoms exacerbated tinnitus in 40% of respondents, made no change in 54%, and improved tinnitus in 6%,” states the article. “Other mediating factors such as the social and emotional consequences of the pandemic made pre-existing tinnitus more bothersome for 32% of the respondents.”

A host of consequences from COVID were listed in the report’s findings as perhaps contributing to the rising rate of tinnitus, including poor sleep patterns, the inability to exercise regularly, loneliness, depression, anxiety, and economic stress.

In contrast, a study in the Ear, Nose & Throat Journal entitled simply “COVID-19 and Tinnitus” discusses “… the first reported case of hearing loss and tinnitus in a COVID-19 patient, in the State of Qatar, and this case report strives to contribute to the ocean of literature highlighting the need for otorhinolaryngologists [nose and sinus specialists] to be aware of its correlation with COVID-19 virus.”

The study’s conclusion argues, “…this case report highlights the importance of detailed audiological diagnostics in COVID-19 patients who experience isolated tinnitus and hearing loss.”

These are sadly probably not the last studies regarding hearing loss, tinnitus, and COVID.

What Apps Can Do For You

It’s more and more a truism today: “There’s an app for that.”

And the wonderful world of apps — what a few years ago were called programs that ran on computers, before smartphones became computers people carry in their pockets — has expanded to include your hearing aid (whether you know it or not).

Back in the days when dinosaurs roamed the earth, adjusting a hearing aid meant fumbling with small knobs and buttons, trying to get the thing to perform in the way it was intended (without knocking it out of your ear in the process).

But today’s hearings aids — which like smartphones are as much computer as a sound-amplifying device — incorporate the ability to communicate wirelessly with other devices (like that smartphone, or a laptop, tablet, or desktop workstation).

Much like refrigerators, ovens, washing machines, doorbells, and vehicles are now woven together with the Internet of Things (IoT), hearing aids can become a part of a matrix of communication that can not only include your own devices but also those of your hearing health specialists and hearing aid manufacturer. Data can be collected and shared that, ultimately, can be used to increase the performance of the machine that you’re depending on to hear.

Using the Bluetooth communication conduit, apps can be the tool to:

  • Make straightforward adjustments to volume and sound quality settings.
  • Create sound models for specific environments that are challenging — whether a workplace, a favorite restaurant, or any regularly visited site — that can be activated when returning to that space.
  • Check on the hearing aid’s specs, including how much juice is left in the battery.
  • Connect with devices to patch streaming music, television audio, or phone calls directly into your hearing aid.
  • Using “if this, then that” tech (IFTTT) to link tasks together. For example, turning off your hearing aid at night can turn any lights downstairs off that were left on.

Yup, there’s an app for that.

How Long Will Your Hearing Aid Last?

If you recently purchased a hearing aid — especially if you paid for it out-of-pocket — then you’re probably pretty motivated to keep it going as long as you can.

Luckily, that’s mostly up to you. There are some things out of your control but there are plenty of things you can do extend the life of this small device that would amaze a computer engineer transported to the here-and-now from the 1950s.

You should expect to get at least three years out of a modern hearing aid. But you could get a decade too, depending on luck and good judgment.

First, what you can’t control. The fact is some people sweat more than others, or produce more earwax, or have oily skin. Or the trifecta. All of these things do nothing good for a hearing aid, so it’s possible you might have drawn the short straw when it comes to hearing aid longevity. Also, certain environments more prone to dusty and/or humid conditions can be a problem as well.

But, taking good short- and long-term care of your investment can better your odds.

Cleaning a hearing aid daily is a great first step. There are kits available that allow you to get rid of debris that will, eventually, muck up the works of any hearing aid.

Storage is also a key factor. An overnight dehumidifier case will not only protect you from knocking it onto the floor when reaching for the alarm clock in the morning, but will also remove moisture and do wonders for its life expectancy.

And once or twice a year it’s paramount to bring it into the shop and let your hearing health provider give the unit the once over, doing a deep clean while replacing any parts that are showing signs of wear and tear.

Like any investment, a hearing aid demands some preventive maintenance to allow it to reach its maximum potential.

Coping With Videoconferencing

We’ve all had to become accustomed to new things this year. Social distancing, masks, and curbside pickup. And then there’s video-conference life. Who knew what a Zoom meeting was a year ago?

For anyone with hearing issues, that has been a challenge. The basic fact is that it’s easier to deal with one’s loss of hearing in person, since visual communication during conversation — often picked up subconsciously — can help alleviate the loss of auditory information. Lip reading and body-language cues matter.

And truth is, a videoconference can become a visual and sound free-for-all.

Here are some tips to better manage pandemic communication norms:

  • Set up in a room away from any sources of noise and, if Internet speed is an issue in your location, make sure you have priority during your meeting.
  • Headphones or earbuds — or a Bluetooth connection to your hearing aid — may really improve your experience.
  • Do whatever you can to ensure that everyone in the meeting is on video and not opting for audio-only connectivity, which will make things much harder on you.
  • Ask to start with introductions before diving into the meeting so audio adjustments can be made and you can familiarize yourself with who’s who.
  • If it’s not a casual get together, then work off of an agenda so everyone can be on the same “page” and you can concentrate on listening.
  • Taking clear turns to speak will help everyone.
  • Use the tech and record the meeting — this way you can go back and make sure you got the information you needed.

And don’t expect everything to be perfect. Most people without hearing issues find videoconferencing less than ideal.

Classifying Hearing Loss

As with any scientific discipline, at a basic level audiology is founded on categorization. Observing phenomena, then organizing that reality so as to make the complex more understandable, is the core of the scientific method.

The fact that October is National Audiology Awareness Month is a good time to review how hearing conditions are broken down into four comprehensive categories —conductive, sensorineural, auditory processing, and mixed.

When seeing a new patient, one of the first things an audiologist will do is attempt to pinpoint the exact type of hearing loss the person is suffering from:

  • Conductive Hearing Loss — In many ways the simplest type, this is a situation in which something is blocking or intruding into the physical structure of the ear canal and/or its components. It could be earwax, swollen tissue, fluid from an infection, a tumor or fibrous dysplasia (abnormal bone growth), or a tear of the eardrum.
  • Sensorineural Hearing Loss — This is when the normal communication channel between the ear and the brain is damaged, degraded, or flawed. This occurs in the inner ear when either cochlea or vestibulocochlear nerve fail for any reason.
  • Auditory Processing Disorder — Hearing loss that is not because of anything happening — or not happening — in the ear. It’s when the brain fails to process the information it is receiving — or at least process it within the range of what is considered “normal.” People with such issues usually hear sounds, just not the same ones that the vast majority of people do. It is a condition with striking similarities to dyslexia.
  • Mixed Hearing Loss — As the name implies, when some combination of the above come into play simultaneously. Figuring out what’s happening is even harder when more than one thing is happening.

When working with a hearing health professional, this is the framework he/she will have in the back of their mind while trying to help you.