Many people who could benefit from a hearing aid avoid it, fearing it signals infirmity. Starkey Hearing Technologies answers that fear with a device that does more than amplify sound and tone down background noise. Livio AI is embedded with sensors and artificial intelligence that allow it to stream music; verbally answer questions like a smart assistant; translate conversations into your language; detect falls (and alert loved ones); measure physical activity; and track how often you talk to other people during the day—useful for elderly users who can become isolated. Since launching in 2018, “it’s our best-selling product ever,” says Achin Bhowmik, chief technology officer at Starkey, who wears the device even though he doesn’t have hearing loss. “It’s better than normal hearing.” Livio AI is available from hearing p rofessionals. —Mandy Oaklander
Month: December 2019
The Ins and Outs of Hearing Aids
The evolution of technology has done amazing things with hearing aids over the years. Many of the devices manufactured today are incredibly advanced, hooking seamlessly to Bluetooth technology, streaming GPS from your phone, or even linking to a hearing loop at a theater or events center.
No matter what model hearing device you have, it’s a good idea to spend some time learning about the various features and parts that are involved in case you encounter a problem. There are two common types of hearing aids on the market. In-the-ear (ITE) and Behind-the-ear (BTE), both of which are broken down into various styles.
Common parts are shared amongst most of the styles, with all models having:
- Microphone (collects sound waves and relays them to the amplifier)
- Amplifier (transforms sounds into electrical signals then sends them to the receiver/speaker)
- Wire (transmits power and signal from the body of device to the speaker)
- Power source (battery maybe disposable or rechargeable)
- Receiver/speaker (typically located within a dome or earmold inside the ear canal)
- Switch/button (depending on size and style, this might change programs, settings, or volume)
In-the-Ear
Described appropriately, this type of hearing aid is worn inside the ear canal. More customizable to the individual patient, your hearing professional will take an impression, likely during the initial consultation. Different styles of ITE hearing aids fit deeper inside the ear canal, though there are some that sit closer to the outer ear and are available in assorted skin tone colors.
Invisible in the canal (IIC) and Completely in the canal (CIC) devices are pretty much invisible to those around you. Even upon close inspection they are often unable to be detected. Placed deep within the ear canal, these tiny instruments can be removed by gently pulling on a small string that is attached to it.
Initially many are unsure about this, but after a short period of becoming acclimated they are pleased with the ease of use and the anonymity of use. Advantages are:
- Sound quality due to fit within the ear
- Very discreetly hidden
Some disadvantages are:
- Due to the small size, they can be difficult for people with dexterity issues
- The small size can also hinder wireless connectivity, for example with cell phones
- They are more prone to damage due to moisture and ear wax buildup
In-the-canal (ITC) hearing aids utilize more of the outer, lower portion of the ear canal. This sets them out a bit farther and allow more usability for people who experience problems operating smaller instruments. Since they are slightly larger than their IIC and CIC counterparts, they are known to have a longer battery life and can work for a broader variety of hearing difficulties.
Still discreet, they offer an extended range of features as well, such as manual controls for volume adjustment and directional microphones. These allow for better reception in loud environments like sporting events, restaurants, or at concerts. Advantages include:
- Additional features and a longer battery life than IIC and CIC models
- Discreet
Though slightly different than IIC and CIC models, they share similar disadvantages such as:
- The small size can also hinder wireless connectivity, for example with cell phones
- They are more prone to damage due to moisture and ear wax buildup
- Due to more of the ear being occupied, the wearer may experience a more plugged feeling
Low profile hearing aids fall within the ITC style though they vary from full-shell designs that fill most of the outer ear bowl area to half-shell which fills a portion of the ear bowl. These models are designed a bit larger and allow for features such as manual controls for volume as well as the ability to change programs with the push of a button in addition to directional microphones.
Some advantages of this model:
- Allows for more features
- Additional user controls
- Larger size makes insertion and removal easier
- Better connectivity with wireless devices
Disadvantages are:
- Larger size makes it less discreet
- Due to more of the ear being occupied, the wearer may experience a more plugged feeling
Behind-the-Ear
Normally referred to as receiver in the ear (RITE), receiver-in-ear (RIE), or receiver in canal (RIC) this type of hearing device has an open-fitting design with the speaker made to be inserted into the canal via an ear dome, rather than the main part of the hearing aid.
With the speaker inserted into the ear canal, the main brains of the device sit behind the hear in a very small box that houses the microphone, amplifier, a power source, and potentially a telecoil. The telecoil has become quite common on most hearing aids within the past 50 years. The small copper coils work in combination with a hearing loop to offer the wearer a significantly greater experience in areas where available such as event centers, airports, courtrooms, and medical offices as well as many other public areas.
The speaker located within the ear canal is connected to the transmitter with a small, thin wire. This type of technology offers a quality of sound that is more advanced and is available from most major manufacturers of hearing aids.
As with all these options, no one type, or style is right for everyone. Seek the assistance and advice of a hearing health professional if you’re considering purchasing hearing aids. Have them run through all the benefits and features of each part so you’re aware of the pros and cons and can make an educated decision.
If you already wear hearing aids, do yourself a favor and become familiar with the different parts that make them work. You’ll be better able to troubleshoot any problems you encounter, or you’ll be in a better position to explain to your hearing aid specialist if you’re having issues.
How Hearing Loss Can Change a Child’s Brain
Did you know that approximately 1.4 babies out of every 1000 have hearing loss, and according to the Centers for Disease Control and Prevention (CDC), 14.9% of children age 6 to 19 years have at least some hearing loss? Whether it’s due to noise exposure, genetics and injury, or something else, early detection of hearing loss is critical.
Up until now, the focus has been on those children with deafness, but new research indicates that any level of hearing loss can affect a child’s brain and development.
The risk of hearing loss
Hearing loss in children can be a whole different ball game than hearing loss in adults. This is because children’s language and social development are so deeply rooted in hearing. Untreated hearing loss has been shown to impact social interaction and development, delay language and speech, and even leave children struggling academically. Early intervention is critical in avoiding these concerns.
But, do children with mild to moderate hearing loss face the same risks or just those with severe or profound hearing loss?
The research
New research led by Dr. Lorna Halliday, now at the MRC Cognition and Brain Sciences Unit, University of Cambridge, suggests that any level of hearing loss could lead to changes in how the brain processes sound. This, in turn, could pose developmental risks for the child.
The research team worked with 46 children diagnosed with mild to moderate hearing loss. An electroencephalogram (EEG) was used to measure their brain responses while they were listening to sounds. Dividing the children into two age groups (8-12 years old and 12-16 years old), researchers compared their results with those of children with normal hearing.
The results were not surprising. Those in the younger age group showed results similar to normal-hearing children their age, but those in the older group showed less response to sounds than those of normal-hearing children their age. The team repeated the test with the younger group several years later, finding consistent results. Their brain responses changed and were less than those of normal-hearing peers.
The team believes this is not due to a change in hearing loss but a change in how the brain works to hear sound with existing hearing loss.
“We know that children’s brains develop in response to exposure to sounds, so it should not be too surprising that even mild-to-moderate levels of hearing loss can lead to changes in the brain,” says Dr. Axelle Calcus, lead author of the paper, from PSL University, Paris. “However, this does suggest that we need to identify these problems at an earlier stage than is currently the case.”
The team believes that findings like these could help change how we diagnose children with hearing loss, and when hearing loss of any level is present, how we can better support them to foster strong language and social development.
If you believe your child has a hearing loss, contact our office to schedule a hearing evaluation today.
Sonus Hearing Care Professionals is Proud to Support the Hearing Health Foundation
As the holiday season ends, we’re reminded of all the things we’re thankful for. Not only are we grateful to support our patients with their hearing concerns, but we appreciate the opportunity to help others in need. It’s not just the immediate people around us that can benefit from generosity; you can make a difference in the world no matter where you are.
At Sonus Hearing Care Professionals, we are a proud supporter of a variety of charities and noteworthy causes. This winter, we’ve extended our reach to support the Hearing Health Foundation. We’re committed to the welfare of others and are grateful that we can encourage this fantastic organization and the important work they’re doing.
Our staff thanks you for the gift you give us daily – being able to help you with your hearing needs. It’s what makes our job truly special.
Season’s greetings!
Autumn Oak is Proud to Support Habitat for Humanity
As the holiday season ends, we’re reminded of all the things we’re thankful for. Not only are we grateful to support our patients with their hearing concerns, but we appreciate the opportunity to help others in need. It’s not just the immediate people around us that can benefit from generosity; you can make a difference in the world no matter where you are.
At Autumn Oak Speech, Voice & Hearing, we are a proud supporter of a variety of charities and noteworthy causes. This winter, we’ve extended our reach to support Habitat for Humanity. We’re committed to the welfare of others and are grateful that we can encourage this fantastic organization and the important work they’re doing.
Our staff thanks you for the gift you give us daily – being able to help you with your hearing needs. It’s what makes our job truly special.
Season’s greetings!
Just Say No to Cotton Swabs
The push to minimize plastic and protect the environment is celebrating another small victory thanks to a recent move by Scotland, and it could be another step toward protecting ears and hearing health around the world.
It’s not plastic bags or straws. It’s a ban on single-use cotton swabs and the plastic they use.
Scotland’s legislation
According to reports, Scotland is now the first UK country to ban plastic cotton swabs. In a bill presented in September 2019 and put into effect in October 2019, the throw-away swabs will no longer have a home in the country. Experts believe the ban to be passed by English Parliament in April 2020. Backers estimated that almost 2 billion of the plastic cotton swabs are used in England each year.
“Single-use plastic products are not only wasteful but generate unnecessary litter than blights our beautiful beaches and green spaces while threatening our wildlife on land and at sea,” said Scotland’s environment secretary, Roseanna Cunningham.
It’s a step forward for the environment, but could it also be a step forward for hearing health?
The danger of cotton swabs
It’s no secret that most of us have ear wax. For some, it’s a little; for others, it’s a lot. Either way, ear wax is an integral part of our ears.
Ear wax is a waxy substance produced in the outer ear canal to help protect the ear with its sticky consistency and antibacterial properties. As it moves through the ear canal with the help of our jaw movements, it picks up foreign particles and dead skin cells to carry them out of the ear. Without ear wax, we may be prone to itchiness in the ear canal and even increased infections.
That doesn’t stop many from trying to clean it out, though, and often that is with the dangerous help of cotton swabs. These disposable little tools can often do permanent damage to the ears and hearing whether it’s impacting ear wax, damaging the eardrum, or scratching the ear canal. Hearing healthcare professionals continue to warn against ever putting objects into ears, including cotton swabs. Many hope that as cotton swabs are banned for environmental reasons, those still using them will find safer options for ear cleaning.
How to clean the ear
While most hearing healthcare providers recommend leaving ear wax to do its job, there are times when it builds up and can cause discomfort. In these cases, cleaning the ear may become necessary. If you believe your ear wax has built up and needs to be removed, skip the swab and opt for one of these solutions:
- A professional ear wax cleaning – Schedule an appointment with your hearing health care provider to quickly and easily remove excess earwax in their office. This may include ear irrigation or removal with a specialized tool.
- Over the counter products at home – Discuss the best options with your hearing health care provider. They may recommend ear wax softener drops or ear irrigation. Not all at-home remedies are safe.
Take a stand for the environment and your ears by saying no to cotton swabs!
Disaster Preparedness For People With Hearing Loss
Natural disasters come in many types. From simple power outages to fires, hurricanes, and tornadoes, natural disasters can exact a heavy toll. Being prepared for an emergency is an essential part of staying safe during difficult times. For those with hearing loss, there are extra challenges involving getting information and communicating with others during these trying times. Here are some emergency preparedness steps for those of you with hearing loss.
Hearing Loss-Friendly Weather-Alert Radio
Continuous weather information is accessible from the National Weather Service on a nationwide network called NOAA Weather Radio (NWR). You can receive hazard information for your area by looking for NWR receivers. The receivers have specialized connectors that can work together with security systems, shakers, pillow vibrators, and strobe lights.
Receive Reverse 911 Alerts
It is possible to receive text alerts with emergency information on your smartphone. This information includes instructions for evacuating or avoiding dangerous areas during environmental disasters. By signing up for this service, you can get life-saving information much sooner than on local news or social media.
Assemble Your Emergency Kit
Pack a bag in advance that contains everything you might need if a disaster occurs. Items should include emergency preparedness items specifically for people with hearing loss.
- A 4-week supply of hearing aid batteries
- Battery charger for cochlear implants
- Flashlight with extra batteries
- Pen and paper for writing messages
- A waterproof container for storing hearing aids
- Battery removal tool
- Dry kit
- Telephone number of hearing healthcare professional
- Batteries for any additional ALDs you may have
If you have a hearing dog, there are a few extra items to pack as well:
- 1-2-week supply of food and treats
- Water for at least 24 hours
- Collar and leash
- Service ID
- Copies of dog’s immunization records
Train For A Disaster
Many communities now have programs that educate and prepare citizens for potential disasters. Community Emergency Response Team (CERT) programs teach necessary disaster response skills, fire safety, and medical operations. The classrooms and training environments are accessible to people with hearing loss. Some venues have assistive listening systems, while others offer amplified sound microphones or sign language interpreters.
Support Network
If you have a hearing loss and live alone, forming a support system is crucial. A small network of neighbors, friends, and family can work together during an emergency to ensure everyone stays safe and receives up-to-date emergency information. Please remember to inform your network about any health concerns, assistive listening devices, or medical supplies. This information is vital for responders who may help you during a disaster. You may consider using communication cards to communicate with rescue workers. These cards can alert a rescuer to your hearing loss and use images, symbols, and words to convey meaning.
If you have a hearing loss, it is essential that you take the time to prepare for natural disasters. Assemble a kit, sign up for alerts, and train for emergencies. Contact your hearing healthcare professional for additional tips and help for emergency preparedness.