The Vital Sense: Exploring the Significance of Hearing
If you are like many who are weighing the ‘yes/no’ decision of hearing healthcare, or maybe in the ‘do it now OR later’, or in the ‘is it worth getting help for my parents’, you are essentially struggling with ‘how important or unimportant is my (or my parents’) health?’. Let us start by addressing the two major changes in hearing healthcare in the past decade.
#1. Hearing Loss Is a Progressive Degenerative Disorder.
It wasn’t long ago that most people in healthcare looked at hearing loss as a nuisance or something that was a ‘normal part of aging’. In fact, some people (thankfully not many!) still think of treating hearing loss as ‘elective healthcare’—which implies that hearing is somehow a luxury that we can live without.
BUT THAT WAS THEN.
In the past decade, we have learned that hearing loss increases the risk of:
- dementia
- falls (#1 cause of injury-related death in adults)
- hospitalizations
- losing your home
- institutionalizations
- lost wages
- premature death!
We’re not trying to scare you, rather, we believe we are ethically bound to each patient to level with them and tell them what we know to be true and what research tells us every day.
Signs of Hearing Loss
- Difficulty understanding speech, especially in noisy environments.
- Frequently asking others to repeat themselves.
- Turning up the volume on the TV or other electronic devices to a level that others find too loud.
- Struggling to hear high-pitched sounds like doorbells or alarms.
- Feeling like people are mumbling or not speaking clearly.
- Avoiding social situations or conversations due to the challenge of hearing.
- Tinnitus (ringing, buzzing, or hissing sounds in the ears).
- Ear pain, pressure, or a feeling of fullness in the ears.
- Difficulty following conversations on the phone.
- Misunderstanding or misinterpreting what others are saying.
- Not hearing well in one ear (unilateral hearing loss).
Treating hearing loss and tinnitus is notelective healthcare. Hearing is medically necessary for healthy social, emotional, physical, and cognitive function. Allow us to briefly explain each one of these so that you have a solid foundation of the medical benefits:
Social Health
Most often referred to as our ability to interact, form and maintain meaningful relationships. Most of the empirical research on hearing loss has a focus on the social impacts of this debilitating disorder.
Withdrawal from social situations is common in individuals with hearing loss, even in the earliest stage of the disorder. Most patients mention feelings of embarrassment, loneliness, inadequacy, fear of making mistakes in conversations, and feeling like they are not part of the conversation. Below is a quote from one of the most famous and brilliant composers that dates to the early 1800s. Unfortunately, we hear similar emotions from our patients in the 21st century.
“…my ears buzz and hum all the time, day, and night. I may tell you that I lead a wretched life. Over the past two years I have avoided almost all social contact because I can hardly say to people ‘I am deaf’.”
—Ludwig van Beethoven
Fortunately, the data and real-life everyday experiences of our patients affirm that treating hearing loss and tinnitus improve quality of life and contribute enormously to their ‘active aging’. We all share the same goal to maintain autonomy and independence as we age, and thus we must rely on preserving the tenets of interdependence (socialization and reliance on family and loved ones) and intergenerational solidarity (maintaining companionship with age-matched peers) to insure active aging.
Physical Health
It does not take an advanced degree to understand that physical activity is a requirement of maintaining proper health, especially as we age. But not everybody comprehends that untreated hear ing loss results in people being less physically active.
Here is a fascinating statistic. Centenarians–people who live to be 100 years young or more embody a small percentage of the total U.S. population. In fact, only approximately 1 out of every 10,000 Americans are 100 years or older. This small slice of the population who are surviving to extreme old age lures the attention of not only researchers but also the public, as we attempt to recognize and learn from the experiences of those who beat the odds of environmental and biological hindrances to which most of us tend to fall prey.
Why do some people live such long, fulfilling lives, while others do not? Good question! Your first thought may be ‘perhaps these individuals are genetically unique’. The truth is genetics only play a 25% part in their endurance. Guess what the other 75% is? Lifestyle & Activity!! Ergo, we must remain active.
Emotional Health
Having positive emotional health is a fundamental aspect of healthy aging. In general, people who are emotionally healthy are in control of their thoughts, feelings, and behaviors. They can cope with life’s challenges. They can keep problems in perspective and bounce back from setbacks. They feel good about themselves and have good relationships. That is not to say that people who are emotionally healthy are always happy and free from negative emotions, rather they have the skills to be able to manage the ups and downs of day-to-day life.
But…the amount of published research that details the negative impact of untreated hearing loss on emotional health, stress, anxiety, and depression is exhaustive. And the cost to manage these comorbidities (additional disorders that result from living with untreated hearing loss) is tremendous—both in terms of real dollars and in emotional bank. The medical treatment of hearing loss is one key ingredient to emotional health by strengthening social connections, helping increase quality of sleep, being mindful, and increasing self-esteem.
Cognitive Health
Perhaps the easier way to put this is: living to a good age and having a good memory. Like your brain, your ears never sleep. This means your brain is constantly stimulated by the vast neural network of your ears. Until it is not. Then what happens?
Activities which stimulate the mind, i.e., hearing, can slow cognitive decline. What starts out as subtle cognitive changes that are seemingly associated with aging go on to affect an older adult’s day-to-day function. As we age, there are certain expected (albeit minor) cognitive changes that we will all experience. However, with increased risk of cognitive decline and dementia that may be the result of hearing loss, it is important to know the differences of ‘normal aging’, MCI (mild cognitive impairment) and dementia.
Early stages of significant cognitive decline (first seen in MCI) include problems with memory, language, thinking, judgement, and visual perception. Fortunately, most people are still ‘with it’ enough to notice these issues and can seek early intervention. Family and close friends may also notice a change. But these changes often are not severe enough to significantly interfere with daily life.
MCI along with hearing loss can increase your risk of later developing dementia caused by Alzheimer’s or other neurological conditions. However, undeniable research is finding that early in tervention of hearing loss improves cognitive function, including memory recall, processing speed and selective attention.
The medical treatment of hearing loss and tinnitus is the #1 modifiable factor for preventing dementia.
As we age, failure to spend even $5,000 on the medical treatment of hearing loss and tinnitus can easily create an $8,000 problem (the average cost to treat anxiety and stress), $30,000 (the average cost a family incurs when an older adult falls) or even a $57,000 problem (the average cost, per year to manage a loved one with dementia!).
You cannot stop your genetics from causing your hearing loss (and it is not worth getting mad and blaming your parents!). You also cannot go back in time and NOT attend that loud concert or perhaps take back all those years you spent working in a factory or restaurant, serving in the military, mowing the lawn, or playing in a band. THE DAMAGE IS DONE—and it will only get worse without treatment.
All it takes is finding the right hearing healthcare provider to truly “fix” your hearing loss and tinnitus and all the associated cognitive needs. Here is what we are typically told by so many patients and family members:
- I am sorry I did not do this sooner.
- I had no idea how my hearing loss was impacting everybody around me.
- I wish I never let finances get in my way!
- This is SO EASY!
#2. Aging Isn’t What Is Used to Be.
It wasn’t too long ago that aging and retired adults spent most of their days in their homes and did not live an active lifestyle. Dr. Keith Darrow can still vividly remember his grandmother in her house dress and his pop spending most of his days sitting in his chair. In less than a generation there has been a dramatic change in how adults age. Older adults are working longer and playing longer! Heck… his 70-something year old mother wears jeans and Ugg boots; and he tells us that she has a much fuller social calendar than he does!
Here are some myths about aging that we have all heard:
- People slow down with age.
- You can only learn new things when you are young.
- It is time to rest now.
- DECLINE IS INEVITABLE!
Here are some truths about aging (just to name a few!):
- Older adults who continue to challenge themselves with complex mental activities can delay or even reverse the normal decline in brain mass that is a part of primary aging.
- We are living longer (life expectancy has more than doubled in the past 120 years or so).
- In the U.S., the average 65-year-old male is expected to live to 80. If you reach 80, your life expectancy increases to age 90!The average 65-year-old woman in the U.S. is expected to live to age 85. Once she reaches 85, her life expectancy exceeds 90!
- Older adults who spend more time interacting with a wide range of people are more likely to be physically active and have greater emotional wellbeing.
- DECLINE IS OPTIONAL.
The fact is, your 50’s, 60’s, 70’s, 80’s and even 90’s are your most formative years and set the course for how you want to be remembered and the legacy you leave. ‘The back 9 of life’, as we sometimes refer to it, is your time to shine, your time to enjoy, your time to make the most of life.
The Top 5 Reasons People Avoid Seeing the Hearing Care Specialist
- Patients are afraid/embarrassed/see it as a sign of aging.
- Fear is the #1 reason most people avoid treating their hearing loss. Whether it be ‘fear of the unknown’, ‘fear of costs’ or ‘fear of looking old’, nearly 42 million people live with fear of accepting and treating their hearing loss and therefore do nothing about it.
- Feelings of shame, inadequacy, being forgotten about, frustration, loneliness and insecurity are common in older adults with hearing loss. Often, people will deny themselves medical treatment for fear of being seen as ‘old’ by others. Trust me when I say this—not treating your hearing loss, not being part of the conversation, always saying ‘what?’ and ‘huh?’ when others speak—that makes you look old! (Sorry to be so blunt.)
- Patients are afraid it is going to cost too much.
- When it comes to treating hearing loss and tinnitus, much has changed in the past decade. Perhaps the biggest change is the increase in access and decrease in costs!! New treatment options for addressing hearing, tinnitus and associated cognitive decline are simple and affordable for all. Our practices offer membership programs that make treatment affordable. Fortunately, gone are the days of having to pay large out-of-pocket costs. (If you are only given the option to pay for your treatment in full upfront – run the other way!).\
- Patients are afraid it is going to take too long/ miss too much work.
- We understand that time is of the essence. Modern technology and ease of access allow us to work around your schedule AND be efficient with your time. We believe that time is of the essence, no matter your age. Modern technology used in most hearing healthcare offices allows for efficient diagnostic and treatment processes to make the most of your time in the office.
- Patients don’t see the need to take action.
- Untreated and undertreated hearing loss (people who use traditional hearing aids or over-the-counter hearing aids) can significantly decrease quality of life and increase risk of dementia, falls, isolation, and premature death. In fact, not properly addressing your hearing loss and tinnitus can lead to a loss of independence. If you have early signs of hearing loss and tinnitus—you need to act, NOW!
- Patients have been treated in the past and it didn’t work.
- Let’s face it, not all hearing healthcare specialists are created equal. Every profession has its ‘bad apples’ and to say that audiology is an exception would be to write a tale of fiction. There is NO ROOM to be indifferent when it comes to choosing the right hearing healthcare provider. Finding the right practice means that they offer state-of-the-art technology and state-of-the-art service! The right provider offers every opportunity for patients to feel comfortable, safe, and the feeling of knowing they made the right decision (which is why our practices offer a Lifetime Guarantee).
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How to Get More Information Choose a Highly Successful Hearing Healthcare Practitioner
in Long Term HearingSelecting the Pinnacle of Hearing Health: Finding Your Ideal Hearing Care Professional
Why is that important? Wouldn’t you get a “better deal” from one barely getting the light bill paid? Maybe. But an over eager hearing aid widget pusher might be seeing needs that are more urgent than they really are.
What are some good clues to select a great hearing healthcare practitioner?
We have got two: One, she/he is busy. Two, her/his practice is busy. We assure you, the ability of advertising to attract patients is limited and it is expensive. When you see a really, really, busy practice there are probably a whole lot of patient referrals. Let’s face it—nobody enthusiastically refers if they feel they were lied to or treated badly, sold something they did not need, and put their prescription technology in their underwear draw. And they probably wouldn’t come to that practice if they had to keep coming back to ‘fix a few things’ or were overcharged. People only tell other people about their great experiences when they have their trust earned and when they have a truly unique experience.
We keep our offices very busy. Yes, we do some marketing. But mostly, our practices thrive on patient referrals. Not that we would anyway, but we do not need to wrangle you into more expensive care than you need to get the best outcome. We do not need to “sell” four more sets of hearing aid widgets this month to win a cruise from the manufacturer—and yes, that stuff goes on in some practices! There’s an old cartoon from The Wall Street Journal with a bunch of executives in a boardroom at a conference table, one hollering, “Ethics? Ethics? We can’t afford ethics!”
We build businesses on ethics and earned trust. And you do not just need a doctor to sell you some widget; you need an honest, trusted advisor.
The other clue: a great hearing healthcare specialist is not cheap. Our fees are calculated to allow for “Cadillac + Care” in every respect, to put no downward financial pressure on how we care for patients, and to never compromise a patient’s care. We never settle for “this is probably good enough.”
If we were you, we would worry if we could find a specialist that is a lot cheaper anywhere else. If you do find one, know this: behind closed doors they are probably asking, “can we do this cheaper?”. Is that the question you want discussed by your care team at every step of your treatment process?
There is both a science and art to this. Our specialists and staff are all highly trained to produce state-of-the-art outcomes, nothing less. The specialist truly makes a difference. That is why we tell everybody to get a highly successful hearing healthcare specialist.
The Top Ten Things You Should know Before Choosing a Hearing Healthcare Specialist.
This is something you want to be sure about. We have just suggested one big consideration: a highly successful practice. Here are ten more:
Take the next step:
Why a Hearing Healthcare Specialist? Why Not Just Ask Your Primary Care?
in Long Term HearingUnlocking Sound Wellness: The Vital Role of Hearing Healthcare Specialists Over Primary Care Advice
Discover a world of clearer communication and vibrant living – visit our hearing loss website for crucial insights and expert guidance on reclaiming the full spectrum of sound in your life. www.salushearing.com.
You undoubtedly already have a primary care physician (even if you don’t see her/him often enough!).
All reasonable questions.
It is true that, today, quite a few primary care doctors dance over into our territory (and even into other territories), and although the primary care doctor is a great centralized person to review all your medical records, when you need specialty care, you need to seek a specialist. As an example, anybody reading this who has a heart condition or diabetes will absolutely have a cardiovascular and endocrinology specialist, respectively.
Specifically, those who specialize in hearing healthcare have additional training in the diagnosis and treatment of auditory conditions, including:
These are NOT primary care issues. They are hearing healthcare issues.
There are some things for which a generalist or ‘jack-of-all-trades’ will do. For other things, you know it is smart to seek out the best specialist there is. When a patient is dealing with the dreaded cancer diagnosis, you do not want them to be under the care of a generalist. This is not to take anything away from all that a generalist has achieved and can do, rather it is to say that a generalist has no business treating cancer. Sorry, not sorry. We often think of the generalist in medicine as the ‘general contractor’ (G.C.) in construction. The best G.C. knows his/her limits and always hires the best electrician, the best carpenter, the best plumber, etc.
To elaborate—if all your income is on a single W-2 from one employer and you have simple ordinary deductions, getting your taxes prepared for the cheapest fee at the seasonal tax office that opens in your neighborhood shopping center is probably fine (heck, maybe you can even do it yourself!). But, if you have a W-2, 1099, investment income from real estate, depreciation on real estate in several states, own stocks and own a Christmas tree farm, you are going to need a good accountant, i.e., a C.P.A.
Or let’s say you need a simple will—leaving everything to your surviving spouse or only child is very straightforward. But, if you are of some means and have a few children, grandchildren, charities you support, investments, you are going to need to see a specialist: an estate planning attorney (not just an attorney).
Hearing healthcare is no different.
While these analogies have driven home our point, it is important to note that the same goes for your healthcare. When you suffer with the symptoms of hearing loss, including tinnitus, social isolation, memory loss, difficulty following a conversation, frustration, etc., you need a specialist. When you have hearing loss, a progressive degenerative disorder that impacts your social, emotional, physical, and cognitive health, you need a specialist.
Now that we have (hopefully) convinced you of the need to see a hearing healthcare specialist, we must help guide you on how to pick the RIGHT hearing healthcare specialist.
First, do they focus on the medical treatment of hearing loss, or do they just sell hearing aids? It does not take a special degree or a lot of money to open a hearing aid shop. When you are searching for a hearing healthcare specialist, make sure you understand their credentials and medical affiliations. As a rule of thumb, if the practice you are visiting is Excellence In Audiology™ approved, you are in the right place!
Second, is the medical treatment plan focused on treating your hearing loss and tinnitus, reducing your risk of dementia, maintaining your independence, decreasing your risk of falling, maximizing cognitive stimulation, and increasing your overall quality of life…. or do they just sell hearing aids? Unfortunately, the letters that come after somebody’s name do not tell the full story. We have seen many ‘bad apples’ that are doctors of audiology, board cer tified hearing specialists and audioprosthologist. When a provider offers an inexpertly applied, standardized solution, they tend to be cheaper than the fees of a specialist that offers custom treatment plans. Cheaper in hearing healthcare implies there is an economic pressure on them to do treatment as quickly and as simply as possible, because they’ve ‘cut it thin’. Cheaper in hearing healthcare also means that treatment outcomes may be compromised.
In this case, it is worth remembering that the medical treatment provided for hearing loss has permanent, lifelong, and life-impacting consequences. This concerns your health, including your risk of dementia, risk of falls, your ability to feel accepted and socialize with others, career longevity and your ability to be independent of others.
When possible, you always want to choose a clinician who specializes in the treatment of your hearing loss and tinnitus.
You may ask, ‘how do I know if my hearing healthcare provider is an audiologist or hearing specialist?’ It’s a great question and a critical one to ask as you seek treatment for your hearing loss and tinnitus.
Alternatively, you can ask your hearing care provider if she or he has completed a fellowship in audiology or if they underwent the training to become a board-certified hearing specialist. You can also check with your state licensing board.
Do your homework; be a “hearing detective” while on the hunt for such vital information. Look for the words “medical treatment of hearing loss” or ask your generalist for a referral to a hearing healthcare specialist (not someone who just sells hearing aids!). In urban and suburban areas, it will take minimal effort to find a specialist. In more remote, rural locations, your search might take you to another city or town. Do not be afraid to travel for the best healthcare—you are worth it.
Side note: there is no disrespect between hearing healthcare providers and primary care/generalist providers. As a matter of fact, many audiology patients are referred by their PCP. These are great, capable, and caring professionals who know where their expertise begins and ends and do not let ego or income opportunity step in front of what they know is best for their patient.
Just as the generalist doctor must refer her/his patients with possible or significant heart disease to the cardiologist, and if need be, the cardiologist refers to the cardiovascular surgeon, the best generalists refer patients with audiology needs to the hearing healthcare specialist.
Take the next step:
Why Must We Treat Hearing Loss & Tinnitus?
in Long Term HearingLost in a Sea of Sound: How Tinnitus Amplifies Restaurant Noise
Is treating hearing loss nothing more than a great conspiracy (like Disney always trying to squeeze money out of patrons)?
Then, and now, there may be some overprescribing or even premature prescribing by some hearing healthcare providers (remember—there are bad apples in every orchard!)
But there is a very legitimate, clinically documented, medically approved, and 90+ percent of the time, clearly visible reason some adults, sometimes as young as their 40s, need treatment and care: tinnitus.
Tinnitus (pronounced tin-ni-tus or tin-night-us; either is correct!), is most often attributed to the progressive and degenerative loss of nerves connecting the ear to the brain, (aka HEARING LOSS). Tinnitus is just the fancy-pants word for ‘ringing in your ears’ or ‘ringing in your head’. Ironically, people with hearing loss are often described as ‘’suffering in silence’, when in fact, that is exactly the opposite of what most people with hearing loss deal with as the tinnitus can severely impact living.
Discover a world of support and solutions for hearing loss and tinnitus – visit our website today to empower yourself with knowledge, connect with a community, and take the first step towards a life filled with clearer sounds and renewed well-being. salushearing.com.
Simply put, as the nerves break down (from aging, genetics, noise exposure, medications, virus, etc.,) the brain will automatically make up for the missing signal and create the false percep tion of sound. This ‘central gain’ of neural activity can be altered with treatment (aka neuroplasticity) and reduce the experience of tinnitus. The patients treated in our practices have tremendous success in reducing and/or eliminating their tinnitus. Chances are, when we begin your treatment, you have an 80+% probability of living with less (or no) tinnitus. While I am not much of a gambler… I like those odds!
If you or your loved one are suffering from any, several, or all the following early indicators of hearing loss and tinnitus, consider having them addressed by a hearing healthcare specialist sooner rather than later:
If you notice any of these signs in yourself or your loved one, do something about it, today!
The right hearing healthcare provider understands the importance of early intervention, or as we most often say to patients, ‘you have to catch it early and treat it early’. The right hearing healthcare provider can help you understand the implication of cognitive decline, help you address how your hearing loss is playing a role in your decline, help you understand the other risk factors of cognitive decline and dementia, and help you with additional resources.
The first question then is: do you have or show all the signs of early hearing loss, a progressive degenerative disorder? Second: if so, what should be done about it? Third: when?
To answer all these questions, the first comprehensive audiology exam should occur at 50 years of age. We passionately believe in the expression ‘Ears and Rears’—the two things you must get checked when turning 50 years young. With early and peri odic audiology exams, you may avoid the dire consequences of living with untreated hearing loss, the extra costs of living with untreated hearing loss, and living without the embarrassment and frustration related to untreated hearing loss. And do not forget, mid-life treatment of hearing loss is at the top of the list of ways in which you can prevent dementia.
Waiting will have profoundly dire consequences, often requiring more treatment, higher costs, and poorerprognosis! What too many patients fail to realize is that the signs of hearing loss are urgent and should be treated as such. We often say to patients ‘the time for treatment is yesterday!’ If you or your loved one need medical treatment for hearing loss—now or at some predictable future time—the outcome of the initial exam can help lead to more sensible decisions.
Let us be empathetically clear. We are not in the business of treating hearing loss for people who do not need it. Our offices are not hearing aid stores.
We are in the business of helping people and their families obtain the right medical treatment of hearing loss and tinnitus if needed, access to treatment, affordable treatment, and the opportunity to hear and live their absolute best. We believe the best patient is the educated patient. In our offices, you are never told what to do. You are provided with factual information, no medical jargon, and in plain English the ‘reasons why’ you have hearing loss and tinnitus, and what your treatment options are.
Every adult with hearing loss and tinnitus needs treatment. But not all treatment is created equal. Together, we will collaborate with you to figure out what is, or is not needed, and what options are the best. And we will never compromise.
Take the next step:
Why Is My Hearing So Important?
in Long Term HearingThe Vital Sense: Exploring the Significance of Hearing
If you are like many who are weighing the ‘yes/no’ decision of hearing healthcare, or maybe in the ‘do it now OR later’, or in the ‘is it worth getting help for my parents’, you are essentially struggling with ‘how important or unimportant is my (or my parents’) health?’. Let us start by addressing the two major changes in hearing healthcare in the past decade.
#1. Hearing Loss Is a Progressive Degenerative Disorder.
It wasn’t long ago that most people in healthcare looked at hearing loss as a nuisance or something that was a ‘normal part of aging’. In fact, some people (thankfully not many!) still think of treating hearing loss as ‘elective healthcare’—which implies that hearing is somehow a luxury that we can live without.
BUT THAT WAS THEN.
In the past decade, we have learned that hearing loss increases the risk of:
We’re not trying to scare you, rather, we believe we are ethically bound to each patient to level with them and tell them what we know to be true and what research tells us every day.
Signs of Hearing Loss
Treating hearing loss and tinnitus is notelective healthcare. Hearing is medically necessary for healthy social, emotional, physical, and cognitive function. Allow us to briefly explain each one of these so that you have a solid foundation of the medical benefits:
Social Health
Most often referred to as our ability to interact, form and maintain meaningful relationships. Most of the empirical research on hearing loss has a focus on the social impacts of this debilitating disorder.
Withdrawal from social situations is common in individuals with hearing loss, even in the earliest stage of the disorder. Most patients mention feelings of embarrassment, loneliness, inadequacy, fear of making mistakes in conversations, and feeling like they are not part of the conversation. Below is a quote from one of the most famous and brilliant composers that dates to the early 1800s. Unfortunately, we hear similar emotions from our patients in the 21st century.
Fortunately, the data and real-life everyday experiences of our patients affirm that treating hearing loss and tinnitus improve quality of life and contribute enormously to their ‘active aging’. We all share the same goal to maintain autonomy and independence as we age, and thus we must rely on preserving the tenets of interdependence (socialization and reliance on family and loved ones) and intergenerational solidarity (maintaining companionship with age-matched peers) to insure active aging.
Physical Health
It does not take an advanced degree to understand that physical activity is a requirement of maintaining proper health, especially as we age. But not everybody comprehends that untreated hear ing loss results in people being less physically active.
Here is a fascinating statistic. Centenarians–people who live to be 100 years young or more embody a small percentage of the total U.S. population. In fact, only approximately 1 out of every 10,000 Americans are 100 years or older. This small slice of the population who are surviving to extreme old age lures the attention of not only researchers but also the public, as we attempt to recognize and learn from the experiences of those who beat the odds of environmental and biological hindrances to which most of us tend to fall prey.
Why do some people live such long, fulfilling lives, while others do not? Good question! Your first thought may be ‘perhaps these individuals are genetically unique’. The truth is genetics only play a 25% part in their endurance. Guess what the other 75% is? Lifestyle & Activity!! Ergo, we must remain active.
Emotional Health
Having positive emotional health is a fundamental aspect of healthy aging. In general, people who are emotionally healthy are in control of their thoughts, feelings, and behaviors. They can cope with life’s challenges. They can keep problems in perspective and bounce back from setbacks. They feel good about themselves and have good relationships. That is not to say that people who are emotionally healthy are always happy and free from negative emotions, rather they have the skills to be able to manage the ups and downs of day-to-day life.
But…the amount of published research that details the negative impact of untreated hearing loss on emotional health, stress, anxiety, and depression is exhaustive. And the cost to manage these comorbidities (additional disorders that result from living with untreated hearing loss) is tremendous—both in terms of real dollars and in emotional bank. The medical treatment of hearing loss is one key ingredient to emotional health by strengthening social connections, helping increase quality of sleep, being mindful, and increasing self-esteem.
Cognitive Health
Perhaps the easier way to put this is: living to a good age and having a good memory. Like your brain, your ears never sleep. This means your brain is constantly stimulated by the vast neural network of your ears. Until it is not. Then what happens?
Activities which stimulate the mind, i.e., hearing, can slow cognitive decline. What starts out as subtle cognitive changes that are seemingly associated with aging go on to affect an older adult’s day-to-day function. As we age, there are certain expected (albeit minor) cognitive changes that we will all experience. However, with increased risk of cognitive decline and dementia that may be the result of hearing loss, it is important to know the differences of ‘normal aging’, MCI (mild cognitive impairment) and dementia.
Early stages of significant cognitive decline (first seen in MCI) include problems with memory, language, thinking, judgement, and visual perception. Fortunately, most people are still ‘with it’ enough to notice these issues and can seek early intervention. Family and close friends may also notice a change. But these changes often are not severe enough to significantly interfere with daily life.
MCI along with hearing loss can increase your risk of later developing dementia caused by Alzheimer’s or other neurological conditions. However, undeniable research is finding that early in tervention of hearing loss improves cognitive function, including memory recall, processing speed and selective attention.
The medical treatment of hearing loss and tinnitus is the #1 modifiable factor for preventing dementia.
As we age, failure to spend even $5,000 on the medical treatment of hearing loss and tinnitus can easily create an $8,000 problem (the average cost to treat anxiety and stress), $30,000 (the average cost a family incurs when an older adult falls) or even a $57,000 problem (the average cost, per year to manage a loved one with dementia!).
You cannot stop your genetics from causing your hearing loss (and it is not worth getting mad and blaming your parents!). You also cannot go back in time and NOT attend that loud concert or perhaps take back all those years you spent working in a factory or restaurant, serving in the military, mowing the lawn, or playing in a band. THE DAMAGE IS DONE—and it will only get worse without treatment.
All it takes is finding the right hearing healthcare provider to truly “fix” your hearing loss and tinnitus and all the associated cognitive needs. Here is what we are typically told by so many patients and family members:
#2. Aging Isn’t What Is Used to Be.
It wasn’t too long ago that aging and retired adults spent most of their days in their homes and did not live an active lifestyle. Dr. Keith Darrow can still vividly remember his grandmother in her house dress and his pop spending most of his days sitting in his chair. In less than a generation there has been a dramatic change in how adults age. Older adults are working longer and playing longer! Heck… his 70-something year old mother wears jeans and Ugg boots; and he tells us that she has a much fuller social calendar than he does!
Here are some myths about aging that we have all heard:
Here are some truths about aging (just to name a few!):
The fact is, your 50’s, 60’s, 70’s, 80’s and even 90’s are your most formative years and set the course for how you want to be remembered and the legacy you leave. ‘The back 9 of life’, as we sometimes refer to it, is your time to shine, your time to enjoy, your time to make the most of life.
The Top 5 Reasons People Avoid Seeing the Hearing Care Specialist
Take the next step:
Dementia & Hearing Loss Go Hand in Hand. What Can You Do?
in DementiaGet the Scoop as We Celebrate Better Hearing & Speech Month
If asked about the many ways better hearing enhances your life, what comes to mind? For some, it’s the sounds of nature, game night with family and friends, an epic live concert, a critical project at work, or something as simple yet enjoyable as settling in for a favorite TV show.
But did you know improved hearing might be a key to better brain health too? A growing body of research ties hearing loss to cognitive-decline problems such as dementia. So for Better Hearing & Speech Month, we’re taking a closer look at the issue and the importance of hearing help.
Just this year, a Johns Hopkins Bloomberg School of Public Health-led study announced findings that older adults with more severe forms of hearing loss have a significantly higher risk of dementia. The investigation uncovered a 61% greater prevalence of dementia over those with normal hearing.
Both dementia and hearing loss continue to rise in the global population. An estimated 55 million people live with dementia, per the World Health Organization, which predicts the rate will reach 139 million in 2025. Hearing loss, estimated at over 1.5 billion children and adults worldwide, could climb to over 2.5 billion people by 2050.
Studies have long linked hearing loss and other conditions such as cognitive decline in older adults, with data showing evidence of:
The present study, however, stands apart from some other investigations by having relied not only on in-clinic data but also home-based information — including testing and interviews — comprising a more nationally representative population across a 65-plus age group.
Like an increasing number of studies, the findings showed potential benefits of better hearing in curbing the dementia threat. According to the investigators, hearing aid use was associated with a 32% lower prevalence of dementia among those with moderate or severe hearing loss.
It’s not quite conclusive that hearing aids prevent or reverse dementia — future research will continue to probe the issue. But it looks promising. In an online report, the investigation’s lead author stated, “This study refines what we’ve observed about the link between hearing loss and dementia and builds support for public health action to improve hearing care access.”
What can you do? Staying sharp and engaged is easier than you think and starts with regular hearing screenings. Whether your hearing level seems to have changed or it’s simply been a while since your last checkup, book an evaluation today. Tracking your hearing health helps catch any potential problems early and could go a long way toward supporting your brain and cognitive wellness.
Last-Minute Mother’s Day Shopping? ‘Hear, Hear’ for These Picks!
in Accessories, Hearing Aids7 Gift Ideas Celebrating Mom’s Wonderful World of Sound
Uh-oh! Did your plans to find Mom the perfect gift get a little derailed? Not to worry. Last-minute finds can turn out to be the best of all. So check out these seven sound-savvy ideas to bring a smile to her face this Mother’s Day and beyond.
1. Concert Tickets
Superstars from Beyonce, Taylor Swift, Shania Twain, Beck, and Paramore to Billy Idol, Lizzo, the Zac Brown Band, Destroyer, and Big Thief are touring this year. Scoring tickets to your mom’s favorite band — or even a local showcase featuring talented community members — might be just the answer. Find out who’s performing with resources such as Entertainment Weekly’s concert and festival guide.
2. National Parks Pass
How does access to an estimated 2,000 U.S. federal recreation sites or over 80 Canadian national park sites sound? With an annual pass, a whole world of adventure awaits — including breathtaking canyons, fascinating wildlife, beautiful flora, historic waterways, timeless architecture, hiking, camping, and more. It’s a great way to create memories that last a lifetime.
3. Personalized Celeb Video
Can you imagine your mom’s delight receiving a personalized video message from her celebrity fave? The online platform Cameo boasts a robust roster of actors, athletes, comedians, and other entertainers who can provide a message tailored just for her. With the easy-search database, we even found Eric Braeden, famously known as “Victor” on the long-running daytime show The Young and the Restless!
4. Bluetooth Speaker
There’s nothing like enjoying the sounds you want to hear with the help of a portable speaker. Whether gardening, camping, crafting a new wood table in the garage, or hosting a backyard barbecue, streaming audio through a quality Bluetooth speaker puts wireless convenience — and joyful sound — right at your mom’s fingertips. To help you decide, CNN breaks down its top Bluetooth speaker picks for 2023.
5. Audiobook Subscription
If your mom savors a good mystery novel or other reads, how about letting her hear them? That’s right, let’s talk audiobooks. They can open a whole new world of content and be a feast for the ears, between radio shows, TV programs, and digital audiobooks. Platforms such as Audible and AudiobooksNow offer various subscriptions or membership tiers.
6. Better-Hearing Gift Certificate
What’s better than life-changing hearing technology? Life-changing hearing technology with all the wonderful accessories that can enhance it. Remote microphones, hearing aid dryers or dehumidifiers, TV clips, and cleaning kits are just some of the accoutrements that can help support your mom’s better-hearing journey. Our gift certificates make it a cinch for her to choose what she needs.
7. Hearing Aid Fashion
Hearing technology and fashion go well together, and talented artists are taking note with imaginative creations that inspire, empower, and wow. Award-winning company DeafMetal USA not only makes hearing aid and cochlear implant jewelry but also skins and stickers that let the wearer show off their personality. With a gift card that lets Mom pick out her favorite pieces, she’ll be good to go.
Want more gift ideas to celebrate Mom’s connection to a world of sound? Don’t wait. Contact our caring team today!
Four Animal Facts: Hearing Edition (Part 2)
in NewsTarantulas “Feel” Sounds
“If a tree falls in a forest and there’s no one around to hear it, does it make a sound?”
For tarantulas, this age-old philosophical question has an answer: Yes. While they do not possess ears or an auditory cortex, and therefore lack the ability to hear like we do, tarantulas use sound waves to navigate the world. They have extremely sensitive hairs on their legs that feel the displacement of air when a sound is emitted. Some smaller spiders, like jumping spiders and ogre-faced spiders, actually have special nerve cells on their forelegs that send signals to the brain when certain frequencies are detected. Studies have shown that the accuracy of this “hearing” is remarkably accurate. Sound waves can help the spiders pinpoint the location of prey up to six feet away.
Whales Can Communicate Long-Distance
For decades, the hearing capabilities of dolphins and whales mystified scientists. These animals could obviously hear very well underwater, but since they lack external ears, marine biologists wondered how. Now we know that whale skulls amplify sound through bone conduction. Even more amazing is the fact that baleen whales, such as humpbacks and blues, are capable of vocalizing over a distance of tens of thousands of miles. This means that a whale swimming in Ireland can have a conversation with another whale basking in the Caribbean!
Unfortunately, there is a growing body of research that suggests that human activities like oil drilling and commercial fishing have made our oceans so noisy that whales are having trouble hearing one another. Scientists aren’t yet sure what the consequences of these findings will be, but since sunlight does not penetrate water very well and whales must rely more on hearing than eyesight, it’s likely that their migration and mating patterns will be disrupted.
Pigeons and Moths Have the Best Hearing in the Animal Kingdom
There’s a reason pigeons have long been renowned for their incredible navigational abilities: They have extraordinary hearing! Much of this ability is due to their detection of infrasound, which occurs in frequencies too low for the human ear to hear. Some of this infrasound even comes from the earth’s electromagnetic field, giving pigeons a 360-degree sonic view of their surroundings and allowing them to easily map the landscape.
And what about the best high-frequency hearing? That honor goes to certain moth species, which often detect sounds up to 300,000 Hz. For comparison, the upper range of human hearing extends only to about 20,000 Hz. These moths are locked in an evolutionary race with the bats that prey on them, with each species developing more acute hearing over the passing of time.
Pet Birds Enjoy Music
It’s commonly accepted wisdom that playing music for your parakeet, cockatoo, or finch will make your bird happy, but is it true? Turns out, it is! Bird brains process musical sounds in much the same way human brains do, and — just like us — birds are individuals, with their own likes and dislikes. Some parrot owners have discovered, much to their chagrin, that their feathered friends’ favorite tunes are in a genre they can’t stand. This can be especially frustrating with male birds, who often incorporate songs that they enjoy into their repertoire. Fortunately, most birds appreciate soft, relaxing music, such as classical and smooth jazz, regardless of their personal taste. If you share your home with one of these wonderful animals, try creating a playlist for the two of you to enjoy together.
If you loved this article, be sure to check out these four other amazing animal facts!
Contact us today if you need to schedule a hearing evaluation.
Sources:
Yong E. The Insect That Hears Like a Human, With Ears on Its Knees.
https://www.nationalgeographic.com/science/phenomena/2012/11/15/the-insect-that-hears-like-a-human-with-ears-on-its-knees/. Accessed Nov. 22, 2019. DOSITS. Hearing in Cetaceans and Sirenians, the Fully Aquatic Ear. https://dosits.org/animals/sound-reception/marine-mammals-hear/hearing-in-cetaceans. Accessed Nov. 22, 2019. St. Fleur N. An Elephant’s Silent Call. https://www.sciencemag.org/news/2012/08/elephants-silent-call. Accessed Nov. 22, 2019. Snowden C, et al. Cats Prefer Species-Appropriate Music. Applied Animal Behaviour Science. 2015;166:106–111.
Erectile Dysfunction and Hearing Loss
in Comorbidity, Hearing lossWhat the research says
SSHL is defined as a partial or total hearing loss that occurs rapidly over the course of hours or days. This is considered a medical emergency and should be investigated by a doctor right away. Only a small percentage of diagnosed cases of SSHL have an identifiable cause, but the most common triggers include:
The effects of ED medication on hearing
The FDA reports that some incidents of sudden hearing loss also included vestibular problems such as tinnitus, vertigo, or dizziness, and that the hearing loss was temporary in about a third of cases. There is some evidence that cessation of ototoxic medications can reverse the hearing damage they cause, but patients are advised to consult their doctor before stopping a medication. Click here for more information about ototoxicity and what to do if you experience it.
Sources
Hsu, Hsin-Te, et al. Increased Risk of Erectile Dysfunction in Patients with Sudden Sensorineural Hearing Loss. Otology & Neurotology. https://journals.lww.com/otology-neurotology/pages/articleviewer.aspx?year=2013&issue=07000&article=00014&type. Accessed November 2, 2022.
McGwin, Gerald Jr. Phosphodiesterase type 5 inhibitor use and hearing impairment. Archives of Otolaryngology-Head and Neck Surgery. https://pubmed.ncbi.nlm.nih.gov/20479381/. Accessed November 4, 2022.
Medical News Today. FDA Reports Hearing Loss Linked To Viagra And Other PDE5 Inhibitors. https://www.medicalnewstoday.com/articles/86215. Accessed November 8, 2022.
National Institute on Deafness and Other Communication Disorders. Sudden Deafness. https://www.nidcd.nih.gov/health/sudden-deafness. Accessed November 8, 2022.
What Causes Itching Sensations in the Ear?
in Hearing HealthNext to pain, itching is probably the most uncomfortable physical sensation we experience. It is annoying, distracting, and in some cases, absolutely maddening. When that itching occurs in a place we can’t reach, it can be difficult to find relief, and our ear canals are the most common place unreachable itching occurs. Fortunately, most causes of deep ear itching are understood, and there are things we can do to alleviate or even prevent it.
ALLERGIES
One of the most common culprits of inner ear itching is allergies. The same histamine response that causes itchy hives on the skin, watery eyes, and sneezing can also cause the eustachian tube to become inflamed. Most of us will press on our tragus (that small flap of cartilaginous skin near the ear’s opening) and wiggle it vigorously to relieve the sensation, but the best home remedy is to take an antihistamine.
DRY SKIN
For the outer ear, itching is rarely a notable issue, since we can easily rub or scratch that itch away. It is usually caused by dry skin or irritants that come into contact with the skin. It is no different from itching on any other exposed part of the body, but if it becomes a nuisance, applying a bit of mineral oil or Vaseline to the affected area with a cotton swab can help rehydrate the skin and protect it from further irritation.
SKIN CONDITIONS
In addition to the superficial irritation from substances you come in contact with, two of the most common benign skin diseases, eczema and psoriasis, can also affect your ears. If scaling of the skin is present, one of these conditions will be suspected as the cause of your itching. Your hearing care provider and dermatologist can provide solutions.
INFECTION
Almost everyone has suffered an ear infection at some point in their lives, and when we think back on this experience, it is usually the pain that we remember the most, but itching can also be an important indicator of bacterial buildup in the middle ear. If the itching you feel is persistent and intense or accompanied by a throbbing sensation, schedule an appointment with your audiologist or ENT. Treating an infection at this
stage can save you from further discomfort down the road.
ANXIETY
You may be surprised to learn this, but simply being nervous, stressed, or feeling on edge can cause itching in any area of the body, including the ears!
What Can I Do to Relieve Itching?
As mentioned above, medication is usually the best method to relieve persistent itching deep in the ear, but there are also some over-the-counter remedies you can try. Commercial eardrops that dissolve wax can clear the ear of buildup and debris and relieve itching. Taking a hot shower or sipping a hot cup of tea may also help, as the heat dilates blood vessels and improves circulation to the ears. An added benefit of
this approach is that it is likely to relax you, which will reduce nervous itching.
Can I Prevent Itchy Ears?
The best way to prevent itching in any part of the ear is to practice good ear hygiene and avoid allergy triggers. While we are all tempted to clean our ears at home, this often does more harm than good. No foreign object should ever be inserted into the ear. This pushes wax deeper into the canal, which can cause everything from
painful blockages to that persistent itching we’re trying to avoid. Wax is actually a very important component of ear health; it keeps the inner ear waterproof and resistant to microbes. Gently washing the outer ear with a soft washcloth and warm water will rinse away any excess wax or debris and help keep dermatitis at bay. Click here for more information.
If you wear earrings, make sure they are made of a hypoallergenic metal
such as pure gold, sterling silver, or titanium, as some other metals (chiefly nickel) can react with the skin and cause itching. This is especially important for cartilage piercings.
Avoid getting excess water in your ears whenever possible. Swim with your head above the surface and consider wearing a shower cap while bathing. Switching to a shampoo formulated for sensitive skin can also cut down on ear irritation.
Steer clear of allergens whenever possible, and follow your allergy treatment plan.
And finally, when inserting hearing aids, earbuds, or any other device that fits into the ear, do so gently and carefully, and ensure the device is clean. It may seem like a small gesture, but anytime we place something in or near the ear canal, we’re potentially disrupting the ear’s natural biome.
If you’re dealing with itchy ears this spring, don’t hesitate to call our caring team for a consultation. We’re here to help!
Q&A: Does Tinnitus Go Away?
in TinnitusThat Ringing or Buzzing Isn’t Always Permanent. Get the Facts Here.
Q: I’ve been experiencing high-pitched sounds in my head for as long as I can remember. They’re infrequent but kind of disruptive — I might be in the middle of a conversation, and suddenly this sonic whine erupts in my ear before fading out soon afterward. Do annoying tinnitus sounds like these ever go away?
A: The short answer: Sometimes. In certain cases, tinnitus can eventually resolve on its own over time or with treatment of the underlying condition that caused it. For many, the problem could be permanent but potentially manageable with specific therapies.
Let’s look at factors that influence tinnitus, the likelihood of the condition resolving, and what you can do.
Some Tinnitus Basics
Before diving into the question of whether tinnitus goes away, it’s important to understand what the condition is — and isn’t. Tinnitus isn’t a disease. Instead it’s a sign or symptom of a more primary medical issue — for example, head or neck injury, medication reaction, ear infection, temporomandibular joint issues, ear-canal blockage, or hearing loss.
One of the most commonly described tinnitus symptoms involves ringing in the ears or head. Other sounds, however, can include buzzing, clicking, whooshing, hissing, humming, high-pitched sonic sensations, or even musical notes. They can be intermittent or continuous, with frequency and intensity varying from person to person.
Most of the time, the sound is audible only to the person experiencing the symptoms. Known as “subjective tinnitus,” this more common occurrence relates to issues within the auditory system, such as age-related hearing loss, earwax blockages, or inner-ear damage from excess exposure to loud noise.
With objective tinnitus, however, both the affected person and others — for example, a health care provider using a stethoscope or listening close to the ear, can hear the sounds. Though rare, this occurrence is more possible with pulsatile tinnitus and is usually linked to physical issues such as blood vessel disorders or muscle contractions near the ear.
Tinnitus can occur in one or both ears and generally comes in two forms. Determining which type of tinnitus you’re dealing with can play a role in uncovering the cause:
Tinnitus Resolution — Influencing Factors
As many as 1 in 4 people may have tinnitus, which can be temporary or permanent. And just as each person’s tinnitus symptoms can prove quite different from another’s, resolution can also vary and may depend on factors including underlying cause, overall health, lifestyle factors, and other elements that can come into play.
Here are some key influencers on whether tinnitus goes away:
Reversible Root Cause
If the tinnitus resulted from a potentially reversible issue, such as an earwax blockage, an ear infection, or a medication side effect, addressing the cause may lead to resolution. In these cases, the tinnitus may lessen or potentially disappear altogether.
Age-Related Hearing Decline
With aging can come a decrease in the ear’s functioning hair cells, which in turn could lead to hearing loss-related tinnitus. The tinnitus may not entirely disappear, but hearing aids or treatments specific to tinnitus can help address it and the hearing difficulties.
Noise-Related Hearing Problems
From music concerts to power tools, motorcycle engines, heavy machinery, and even some everyday appliances, exposure to sounds at or above the danger threshold of 85 decibels can lead to hearing loss and tinnitus, which can be temporary or permanent.
Lifestyle Factors
In addition to avoiding exposure to loud noises, discussed above, other actions such as reducing stress, getting restful sleep, eating a balanced diet, eschewing tobacco, and engaging in regular exercise may also help reduce or in some cases eliminate symptoms.
Individual Sensitivity
As mentioned earlier, some people may find that their tinnitus gradually fades over time. Others may experience a persistent perception of sound. Factors such as genetics and individual sensitivity to tinnitus symptoms could contribute to these variations.
Common Tinnitus Treatments
Tinnitus can be effectively managed. Depending on the underlying cause, addressing the problem may include approaches ranging from earwax removal, hearing aids, cochlear implants, or sound devices to medication adjustments, lifestyle changes, or interventions such as tinnitus retraining therapy.
Other types of counseling, such as sleep, cognitive behavioral therapy, or relaxation methods, can also play an important role in helping you or a loved one manage tinnitus symptoms by reducing the stress, anxiety, and sleeplessness often associated with the condition.
Relief might also involve habituation, in which the brain adapts to tinnitus such that symptoms are significantly less bothersome. Sound therapy, using external sounds to reduce the perceived intensity of tinnitus noise and make it less noticeable, can play a role in that approach.
In certain situations, surgery recommended to correct an underlying issue — an acoustic neuroma or benign tumor along a hearing nerve, for example — may help relieve tinnitus symptoms for some patients.
As you can see, a range of factors help determine tinnitus resolution. Though the symptoms may not disappear for everyone, they can be significantly reduced and controlled. You don’t have to put up with tinnitus!
Tinnitus at a Glance: 7 Quick Facts
Are you or a loved one experiencing tinnitus? It’s essential to consult a professional to determine the underlying cause and develop an appropriate plan tailored to your individual needs. If you have questions about the condition or want to learn what management options might be available, don’t wait. Contact our knowledgeable team today!