Let it be known: Noise-induced hearing loss is PREVENTABLE!!!!

A large majority of middle schools, high schools and colleges are proud to present their band groups at football games, community events and in parades all over the country. School bands are an integral part of the spirit and life of many learning institutions! The bad news is ears are being damaged each time the students play.

Here are a few cold hard facts.
*Drumline rehearsals can reach peak levels of 115 dB. (The unprotected exposure limit at this level is less than 30 seconds.)
*Musicians experience significant sound exposure. (Many will develop some degree of hearing loss.)
* The human ear overloads at high sound levels making it difficult to distinguish the musical blend.
*Marching band sound levels peak as high as 120 dB. (The unprotected exposure limit is less than 7 seconds.)
*Ringing in the ears (tinnitus) and temporary hearing loss can occur from a single concert or high level sound insult.
We can do something about this problem and protect our musicians’ ears. Etymotic Research, has created a non custom high-fidelity hearing protection solution to preserving the hearing of band members across the United States by creating the Adopt a Band Program. The purpose of the program is to educate musicians about the importance of wearing hearing protection during practice and performance, advocating safe playing and practicing habits for today’s young musicians. Hearing loss is a function of exposure time, the average sound level, and the peak level of very loud sounds. Excessive noise exposure can cause permanent hearing loss depending on the intensity and duration of the sound source.

SUMMARY: 1- Noise induced hearing loss is preventable, 2-Protect your ears as you would your skin from sun OR your head from damage with the use of a helmet on the football field, 3-Realize that broken bones heal but your ears do not, 4-you can make a difference by becoming educated and spreading the word.
Utilizing ear plugs can help protect against this damage. Take this opportunity and “get on the safety bandwagon”!!

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LOUD Dining Environments: Should We ALL Suffer in NOISE ?

During a recent visit with my husband to an Atlanta area restaurant, we were subjected to something that many diners around the United States have more and more come to recognize … and detest – the excessive loudness of restaurants’ dining environments.

The two of us had just been seated at our reserved table when the waiter began telling us about the chef’s daily specials. As the waiter proceeded through the offerings, both my husband and I leaned over toward him in a vain attempt to take in even part of what he was saying. Then the waiter finished and said that he would be back shortly with water for both of us. My husband immediately leaned toward me and raised his voice to ask if I had heard what the specials were. I vigorously shook my head “No” and replied to him that I had only been able to approximate every third word that the waiter had said. Each of us had frowns on our faces as we realized that our “dining experience” was doomed to be a very noisy one, one where normal conversation would not be possible.
Unfortunately, this type of dining experience has become all too common in Atlanta as well as in other cities. As an audiologist with normal hearing, I was greatly frustrated trying to communicate in such an environment; I can only imagine the difficulties experienced by many of our patients with less than optimal hearing. The words that first come to my mind are “impossible to communicate.” Others find some environments so distressing that they describe them as “unbearable and unnecessary” or “annoying and stressful” or even “physically painful and subsequently choose “to give it up”.
What Is Going On Here?
Many new restaurants seem to be designing their spaces with what they think is a more contemporary look with the high ceilings, wood floors, and a great number of glass windows. Recently, many restaurants have also done away with carpeting, heavy curtains, table linens and plush banquettes. The result? Fewer soft, sound-absorbing materials which pushes many patrons’ priority of enjoyment and pleasant conversation to the back seat. As we have discovered, many restaurant customers rate their overall dining experience based on a variety of factors, which include not only the quality of the food enjoyed but the company and the total experience.
Customers Can Vote With their Dining Dollars
Many potential customers have decided to respond to the noisy environments which exist in restaurants by refusing to patronize them. Such actions may take time to have an impact, but should eventually pose a problem for restaurants that fail to take corrective action.

A recent online Omnivore article in Atlanta’s Creative Loafing magazine (August 2011 – posted by Cliff Bostock) addressed the problem of excessively noisy restaurant spaces when it published an email from a Decatur resident regarding a local restaurant. The article also included a number of additional reader comments that expressed dismay with loud restaurants and promised to “vote with their checkbooks.”

In addition, the well-known Zagat Survey, which publishes restaurant guides, is currently considering expanding their rating system to include noise level. Its current restaurant rating categories include: food, décor, service, and cost.

An Audiologist’s Thoughts
During daily conversations with all our patients of all ages, I have heard the following statement more times than I can count: “When I go to certain restaurants I cannot converse with my dinner guest! It is stressful and frustrating.”

Having a hearing impairment certainly makes it difficult to hear in certain listening situations but these challenging environments are difficult for normal hearing people as well. The improvement in hearing aid technology has made a positive difference but even the best of technology has its limits. We must be realistic in what we expect from the technology AND be our own advocate in the “restaurant scene”.

An Audiologist’s advice for a quieter, more peaceful dining experience:

• If possible, sit in tables in alcoves, which provide a barricade against sound waves
• Avoid sitting in locations near the bar or kitchen
• Avoid sitting near large parties
• Ask for additional light, and look at your dining companion when he or she speaks. Without realizing it we do read lips.
• Request that management turn the music down, even if you get dirty looks. Not only does this reduce noise, but it will result in people talking more softly.
• If possible (most likely online) look at photographs of the restaurant ahead of time. No carpet or table cloths and boxy dimensions should raise “noisy” red flags.

In closing … Bon Appetit

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“HONEY, YOU KNOW I CAN’T HEAR YOU WHEN THE WATER IS RUNNING”

After the identification of a hearing impairment aural rehabilitation is part of the process whereby appropriate therapies are implemented. Aural rehab is designed to help people adjust to their hearing loss and maximize their potential with hearing aids. Strategies include a thorough , discussion of the many assistive devices available to further maximize hearing potential, and to investigate diverse approaches that allow one to take greater charge of his/her communications needs. Aural rehab can be conducted in groups or on an individualized basis, and should be considered to be a routine part of visits with your audiologist. Your audiologist will assist you by helping to define and reach realistic hearing goals, and by providing listening strategies that are specific to your various listening environments.
To those who have experienced hearing loss it may not be surprising to learn that the effects of hearing loss on one’s social relationships can be very significant. These important “psychosocial” aspects of hearing loss have been well documented and are classified in terms of the emotional, cognitive, interpersonal, behavioral and physical reactions related to hearing loss. Individuals with hearing loss often experience stress, anxiety, loss of sleep, fatigue, and even shame as a result of the stigma of hearing loss. Because of these strong emotional ties to hearing loss, people often have feelings of isolation, loss of identity and will be likely to avoid social situations in which they have to “bluff” their way through conversations.
Research has also shed light on the significant psychosocial impacts of living with an individual with hearing impairment. Often the spouse acts as an interpreter for the individual with hearing loss, repeating parts of conversations and clarifying miscommunications. With the added burden of listening and repeating, the spouse is also likely to experience stress, fatigue and even embarrassment with regard to the hearing loss. As the individual with hearing loss begins to avoid social situations, spouses also experience a corresponding reduction in their social life and as a result can also experience less satisfaction in the marriage.
When looking at success with aural rehabilitation programs, researchers focus on the improvement in the social and emotional aspects of life for both the person with hearing loss and their significant other. When investigating these quality of life issues the person with hearing loss is asked to rate their quality of life with hearing loss, and likewise the significant other is asked to rate the quality of life of the person with hearing loss. Often there is a discrepancy between the two scores, with the spouse giving a much lower quality of life rating than the person with the hearing loss. Successful aural rehab programs are not only able to realize a reduction in the discrepancies between these scores, but an improvement in the couple’s overall satisfaction with their marriage as well as an improvement in the perceived benefit from the hearing aids by the person with hearing loss.
Aural rehabilitation is not a one time thing; it is an on-going learning process whereby the individual puts into daily practice the use of both visual and listening skills to improve their ability to communicate with others. By keeping your audiologist informed about your communication problems you can ensure that you receive strategies and tips that are specific to your needs. Furthermore, involving family members and friends in this process helps them better understand the issues you are encountering and also helps to reduce stress, frustration, and communication breakdowns for all parties involved.

References:
Better Hearing Institute: Aural Education and Counseling
Audiologic Rehabilitation with Adults & Significant Others: Is it really worth it? 2009, Jill E. Preminger

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Amazing Feature on the Today Show

Check out this amazing feature on the today show!

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I can hear you, … but I can’t understand you…

The statement above is one that Audiologists hear almost every day. While this complaint is a common one, its cause is not always so easy to determine. There are quite a number of different reasons that may give rise to such a complaint. A high-frequency loss of hearing is one potential reason, but another is the individual’s Cognitive Hearing ability, often becoming especially noticeable as we age. Read Full Article

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Chuck Leavell Talks About the Importance of Hearing Protection

Chuck is one of the most respected and sought-after piano players and keyboardists in modern music history, as well as one of the most dedicated and revered conservationists in the world. His work both as a solo artist and as a musician with The Rolling Stones, Eric Clapton, George Harrison, The Allman Brothers Band, The Black Crowes, Gov’t Mule, Train and many others is among the most accomplished of any living keyboardist. Chuck talks about the importance of hearing protection and safe listening and playing habits.
This Georgia state Hearing Protection initiative is sponsored by The Georgia Commission for Hearing Impaired and Deaf Persons along with strategic partners: The Georgia Academy of Audiology, Ther Georgia Lions Lighthouse Foundation and Etymotic Reasearch.

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“ADOPT A BAND” Program

Our own ACA audiologist and business owner, Dr. Kadyn Williams,  participated at the Drum Corp International competition held at the GA Dome last Saturday July 30.   Dr. Williams along with representatives from the Georgia Academy of Audiology and the Georgia Lions Lighthouse Foundation provided information to young musicians, parents and spectators on the value of wearing hearing protectors when exposed to high levels of sound. They sold EtyPlug high fidelity hearing protectors and educated the atendees on the hazards of noise.  The sponsor of this statewide initiative,  the Georgia Commission for Hearing Impaired and Deaf Persons, along with its partners, The Georgia Academy of Audiology, the Georgia Lions Lighthouse Foundation and Etymotic Research thank Dr. Kadyn Williams, Sharifa Peart, Dr. Jamie Howard, Dr. Denise Sheppard, Dr. Norma Mraz for their time and talent during this exciting event.

View the YouTube video featuring Chuck Leavell at: YouTube Etyhead.

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Cell Phone and Hearing Aid Compatibility – It’s About Time!

Until very recently, wearers of hearing aids who wanted to use cell phones have often had to endure some frustrating barriers to attaining clear communication. Annoying difficulties such as static and interference often have caused many hearing aid patients to shy away from cell phone usage altogether. Many have felt that their pleas for improved compatibility have gone unheard. Read Full Article

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It Takes a Village:But the Rewards are Great!

Approximately thirty-six million, or 1 out of 10, Americans have some degree of hearing loss. So, take a moment to imagine how often you have been in a conversation with someone that is experiencing some communication difficulty! Read Full Article

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To Candle or Not to Candle…

To Candle or Not to Candle……

That is the burning question!  There is no pun intended but there are major risks associated with candling. Read Full Article

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