Tuesday, July 2, 2013

Kurt Mooney: Our Newest Addition!

House of Hearing is proud to introduce it's newest team member, Kurt Mooney! Kurt is an Orem, Utah native who returned from a Spanish-speaking mission to Portland, Oregon two years ago. He recently married his high school sweetheart, Megan.
 He is currently interning at our office to become a board certified hearing instrument specialist.  

Patients often ask us how someone becomes a board certified hearing instrument specialist. Kurt's current position offers us a glimpse into that process.  Upon completion of a 2,000 hour internship, he will be required to pass a number of tests.  First, the state written and practical examinations will be administered.  These will be followed by an international licensing examination.  Once all of these are completed, Kurt will be officially licensed to practice as a hearing instrument specialist.  Click here for more information on Utah's credentialing process.

Monday, June 17, 2013

5 Steps to Success with Hearing Aids



A year long study was conducted to answer why some people succeed with their hearing aids and others do not. Some of our patients are able to wear their aids all day, while others struggle to wear them for an hour. From this study, five principles were pinned as significant indicators for success. The following summarizes their findings published in the acclaimed Five Steps to Better Hearing.

Step One: Admit I Have A Permanent Hearing Loss

By now you have had your hearing tested and the results explained. Now comes the decision to accept your loss or deny it. Often I hear patients struggling, yet when asked they claim to be fine. These are the same people who claim everyone around them is mumbling. Trying to hide or compensate can be more obvious than any pair of hearing aids. You can try to conceal your problem, but the symptoms (what?!) have already given your secret away. The aim here is to accept that with a little work and patience, hearing aids will help enhance your quality of life.

Step Two: A Good Attitude

Hearing aid studies have shown that people who have a positive outlook on life do better with hearing aids. They believe they are in control of their life. My recommendation is to be willing to try hearing aids, adapt to new solutions, and keep frustration at a minimum when obstacles arise. I will be the first to tell you, hearing aids will not bring you instant gratification. To achieve better hearing, you must work daily. The ability to hear again has to be relearned-not just purchased.

Step Three: Personal Education

Commit to learning all you can about your hearing loss. Ask your hearing healthcare professional the following:

What is the type of hearing loss I have?
What is the degree of loss in ears?
How has my brain been affected?
What can I do to improve my hearing?

The more you know about your particular loss, the better you will be able to participate in the adjustment to hearing aid use in various listening environments. Ask questions. Remember, your provider is your advocate! For further educational information on hearing loss, visit www.audiology.com

Step Four: Set Realistic Expectations 

Be realistic. Do not expect someone else's hearing aids to work for you. Would you wear their eyeglasses and decide whether you can be helped by glasses based on this experience? Be realistic. Remember that it takes time to get used to hearing aids, especially if you're a new wearer. Keep in mind that background noise is almost always part of your environment, and adjustment to it is required. In time, you will tune out many of these everyday sounds. It's important not to become disappointed or frustrated while your brain begins to adjust to a whole new world of sound. If you are an experienced wearer trying new hearing aids, understand that they might not sound like your old ones. Before you reject them, allow neural hook-ups in the auditory system to adapt to these new sounds. You just might find that you like this new sound better than the old one.

Step 5: Patience, Time, and Patience

Realize it is not likely you will walk out of your first fit appointment hearing perfectly. Hearing aids are not a simple cure all, but will need to be serviced and adjusted to you. Do not worry if it takes a few visits to get everything sorted out. With some tweaking and patience, most of these problems should be solved.

I suggest you write the issues down to share at your appointments. Identification of situations that cause you the most difficulty is a critical step. If you can describe difficult listening conditions, your provider can address the problems and develop strategies to help you manage them. If you need more information or clarification, ask for it. Most providers will be happy you asked. By all means talk to your hearing healthcare professional about these issues. The most important thing to us is that you are comfortable. That means comfortable with the price, product, and interactions at our office.

Monday, June 10, 2013

Shopping Around For Hearing Aids

It is wise before purchasing anything to shop around for the best option. Hearing aids are no different! The following are some tips on shopping around for hearing aids.

Programmable Technology

Do you want hearing aids customized for you? There is no doubt that customers are more satisfied with programmable technology, but some find it to be outside of their price range. Advanced programmable technology allows the dispenser to adjust the hearing aid to your specific hearing loss characteristics with more precision. If the product does not meet your needs, let us know! We can adjust the hearing aid at our office versus sending it back to the manufacturer. Additionally, programmable technology allows us to adjust the hearing aids based on your personal reaction to sounds. Depending on your lose, you may be sensitive to specific sounds and struggle in noisy situations. With programmable hearing aids, we can take all of that into consideration and customize your aids for you.

A second advanced feature to consider is directional hearing aids. They have either two or three microphones in them. Because of their design they are able to reduce annoying background noise and improve your ability to understand speech in more difficult listening situations. If you are an active person, directional hearing aids will result in enhanced speech intelligibility in more listening situations. A study conducted by the Better Hearing Institute found significant improvements in customer satisfaction when patients were wearing directional aids. More studies are currently underway, but we believe programmable directional hearing aids should be the technology of choice where applicable.

Controls

Decide if you want a set of hearing aids with automatic or adjustable settings. Some people like to personally control their hearing aids while others feel prefer less hassle. From my experience, there are a few reasons why patients would want to have control over the setting of their aids. For some, the automatic settings are not satisfactory for every type of environment they plan to be in. Others are long time wearers of hearing aids with controls and prefer to stick to their old habits. It is merely a personal preference. If you want to be able to adjust your aids yourself, usually we set up a volume control and multiple memory switch (for different environments) at your first fit appointment.

Do Not Purchase Based Only on Cosmetics

Because of hearing loss stigma or embarrassment, many consumers come into our office and begin, "I would like one of those invisible hearing aids that I saw on TV." It is true that the hearing aid industry has reduced the size of hearing aids to near invisibility. It is understandable some will gravitate towards the least noticeable option. The same person may opt for contacts rather than glasses. The problem is that the smallest hearing aid may not be the most suitable hearing solution for you. At our office, we will only sell invisible options to those who are good candidates. The process is simple, yet thorough. First we examine your ears. In this, we are accessing the size, shape, and health of your ear canal. Any extreme bends would make a tiny hearing aid difficult to stay in the canal. Next we measure your hearing loss. If your type of hearing loss requires more power, you may not be a good candidate for invisible solutions. Finally, we assess your lifestyle. Because they are so small, good manual dexterity is a must. If you cannot comfortably handle your hearing aids, you will be constantly frustrated. If it is determined that you are not a good candidate, there are an array of other products we can suggest for you. It is most important to us you get the best prescription for your loss.

Monday, June 25, 2012

Hearing Loss or Ear Wax?

Ear wax is a common and easily treatable cause of hearing loss, discomfort, and sometimes ringing in your ears. Wax is produced by all of us. It only causes problems when it builds up. This usually is due to over-production or difficulties in the natural clearance of the wax. Some people produce wax at a faster rate. Others have ear canals that are narrow, or that are at an angle which slows the natural passage of the wax causing it to build up. The skin cells lining our outer ear canals include tiny glands, similar to sweat glands, which produce wax. Its purpose is to act as a protective layer which traps dust and other particles that get into the ear. Wax will then slowly and naturally work its way out taking the trapped debris with it.

When wax gets trapped, the build up acts as a barrier between your ear canal and the outside world. If left untreated, wax may eventually block off the ear canal all together causing hearing loss. Whether it is wax or a permanent hearing loss, a hearing healthcare professional can assess the cause of your hearing troubles.

Monday, May 28, 2012

Top 10 Signs of Hearing Loss

Hearing loss is incredibly common, yet often ignored. Why? In pondering, I have came to the following. The full answer is a measuare of two parts. First, there are various causes of hearing loss and even different type of hearing loss. The most common cause of hearing loss, presbycusis, is simply due to aging. With this, you will notice the person struggling most often with high frequency sounds. They will feel like they can hear, but will struggle to fully understand conversation or pick up on every little sound. Speech is complex and utilizes the entire frequency spectrum. While someone is missing parts of words, they still may be fine at lower frequencies. This allows them to compensate by filling in the gaps of what they are missing, and use what they can hear to carry on a conversation. The subconscious ability for the brain to compensate for a hearing loss can make it difficult for one to detect the early stages of a hearing loss.

Compounded by this, we have to consider inevitable aging. It is not uncommon to have your loss accelerated by genetics and exposure to loud sounds throughout your lifetime. However, unless you experience some form of extreme trauma to your hearing, the natural aging process is so gradual that a hearing loss often will go unnoticed. The break down of someone's physiological ability to hear rarely happens overnight. Until the loss becomes severe enough to affect everyday life, the minute degradation in a person's ability to hear is extremely hard to detect.

With any medical condition, the sooner you address the hearing loss the better treatment outcome you will have. For those of you reading this that suspect you or a loved may struggle with hearing, below are the ten most common signs of a hearing loss.

1. Telephone Trouble

Most phones come with a volume control setting, so you might not have trouble hearing your friend because you have amped the telephone to the max. Check the volume setting on the telephone receiver. If it is at max volume, chances are you or someone at home has a hearing loss. If the people around you comment that you talk too loud on the phone, this is another telling sign you may have a loss. People will talk louder usually because they cannot hear themselves. They may be assuming the other person is having just as hard a time, or may not even notice they are doing it.

2. Conversation Trouble

Our ability to process multiple incoming and competing signals deteriorates over time. Let’s say you are at a meeting at work or eating dinner with the family. When two or more people talk at the same time, do you have a hard time keeping up? Many with a hearing loss complain they cannot follow conversation when too many things are happening at once.

3. TV Trouble

When your family complains that the TV is too loud, you probably have a hearing problem.

4. Straining To Hear

I do this all the time with my vision without noticing it. If I am too lazy to go find my glasses, I will automatically start squinting to try to read. I honestly do not even realize I am doing it until someone around me points it out. Same with hearing. If you find yourself straining to hear the speaker in the boardroom or at the podium, what does that tell you? If everyone else was able to hear with ease, have you considered having your hearing tested?

5. Trouble In Noisy Environments

You are with some friends at the new restaurant in town. It is noisy. All that background noise makes it difficult to hear the folks at your table. People with hearing loss often have problems masking out background noise. Good news. Today’s hearing aids – even the entry-level variety – come with directional microphones and digital noise reduction. Directional mics pick up sound in front of you, while reducing the cacophony of ambient noise surrounding you. Digital noise reduction reduces the din of background noise to improve comfort.

6. ‘What?’

If “what?” is the most commonly-used word in your vocabulary, you are not getting the sound signals you need to process information.

7. Clarity Trouble

They mumble. They do not speak loud enough. While that may be true for some, if you are having problems frequently with understanding conversation, it could be your hearing. People start to complain about muffled hearing when they are not picking up the full range of sound. Those low to high frequencies all sound like mumbling.

8. Word Discrimination Trouble

“You want me to eat a frog?” “No, Fred, I said, ‘See the fog’.” If you are having problems with word discrimination, a hearing test will cover that. During our free tests, we will do a speech test which will target specific sounds that may be giving you trouble.

9. Trouble Hearing Women/Children

As previously discussed, with age you are more likely to experience trouble in the higher frequencies. If you are struggling to hear women and children it could be because they speak at a higher pitch which is out of your hearing range. That is why it is harder to hear what your granddaughter is saying than your best friend with a big, booming, deep voice.

10. Family Trouble

Hearing loss is not soley about the ears. Loss of hearing can be associated with depression, anxiety, and isolation. Many times I see a spouse get frustrated that their significant other cannot hear them. They want the other person to repeat themselves and speak up. This blame game cycle wears on them, and can cause unneccary strain on the relationship. In reality, they are not aggrevated at their spouse, but that they cannot communicate as effectively as they once did. They are annoyed that they cannot hear. Healthy hearing is a quality of life issue. If you are missing out on conversations with your spouse, if you do not hear the birds tweeting, or your grandchild’s laughter, you are not living life to the fullest. Fortunately, there are lots of hearing solutions availabe. You just have to find the one that is most comfortable for you.

Thursday, May 10, 2012

Hearing Aid Style Breakdown:Receiver in Canal

Small, discreet, and quick to fit.
Behind the Ear hearing instruments that place an earbud directly in the ear are referred to as Receiver in the Canal hearing aids. For our office, this style of aid is by far our most popular. Visually they are very similar to a classic Behind the Ear hearing aid. They are also worn the same way. Side by side, the case on a Receiver in the Canal (RIC) hearing aid is much smaller than a BTE. Even though a RIC instrument often is best fit without using a traditional custom earmold, its modularity allows this option to be used on patients when beneficial. If you forego an earmold, it is possible to fit your hearing aids the same day as your test. There is no need to take impressions, send them off to the factory, and wait for a couple weeks before having your aids ready.

While many see the RIC's convienance as a major advantage, the real selling point is in the design.  At times, offering a discreet fit can sacrifice performance. Making instruments smaller can result in increased acoustic feedback, a shorter battery life, and additional fit and comfort complaints. Well aware of these issues, the design of a RIC style hearing aid works to bring patients a small, yet effective product.

The RIC style features a receiver that is placed in the ear canal rather than in the case behind the ear. The receiver is then connected to the sound processor, which is worn behind the ear, via a wire link. A benefit of placing the receiver in the canal rather than behind the ear is that it provides an overall increase in sound pressure level, especially in the high frequencies. This added "gain," allows the hearing aid to function without the additional increase in amplifier gain needed with thin tube BTEs to compensate for acoustic anomalies. Additionally, multiple receiver units are available during the fitting process that can accommodate the appropriate power and acoustic needs for each patient. Multiple sizes of wire connectors can be chosen to optimize the comfort, performance and appearance of the instrument.

The design of the RIC instrument also offers a distinct advantage for feedback management due to the physical separation of the microphone and receiver. Mechanical feedback occurs when vibrations from the receiver pass through other components or the hearing aid case and enter the microphone. Acoustic feedback results from sound waves coming out of the receiver and re-entering the microphone. Consequently, for instruments that fit all in the ear, or in the canal, the feedback path is relatively short. The RIC design provides a greater separation of transducers over any other device, thus reducing both mechanical and acoustic feedback sensitivity.

Let us end with dicussing custom earmolds more in depth. The following also applies to custom hearing aids that fit down into your ear canal. If you have a custom earmold or a Completely in the Canal hearing aid, have you ever had that 'plugged up' feeling? That is a common complaint that is caused by the occlusion effect. There are two ways to reduce or eliminate the occlusion effect. The first is by venting or open fitting. The second is to obtain a sealed fit in the bony region of the canal. Both methods are possible with a modular RIC instrument. The open fitting can provide a very comfortable and easy fit for patients with high-frequency loss. However its benefits are limited when low-frequency amplification is needed. It allows non-amplified sound to pass dir­ectly to the eardrum naturally while also allowing low-frequency sounds to escape from the canal, thus reducing or eliminating the occlusion effect, but also reducing low-frequency amplification. Sealing the ear canal in the bony region also keeps the low-frequency sounds of the user's voice from passing to the tympanic membrane, therefore reducing and/or eliminating the occlusion effect, but additionally is able to retain low-frequency ampli­fication as needed. Therefore, the RIC style fitting can reduce occlusion effects for all levels of hearing loss and amplification.

Monday, May 7, 2012

May Fillmore and Delta Openhouse!

We have added a schedule to our blog! You will notice some events are labeled as a 'clinic' and others as an 'openhouse'. Clinics are an opportunity for our current patients to call and schedule a cleaning, service, or adjustment appointment. An Openhouse is a special event for new and prospective patients to have their hearing tested for free and see the latest technology. We will continue to update our monthly schedule so you will know where we will be in advance. Please call to make an appointment for a location close to you.

This month, May 8th through the 10th, House of Hearing Orem will be in both Fillmore and Delta UT. We will be at the Bird Senior Center in Delta, and the Best Western Resort (Paradise Inn) in Fillmore. With the recent success of our Richfield Openhouse, we have again invited NuEar Product Representative Don Bain to our event. He will be offering tremendous incentives and factory discounts toward the purchase of any hearing aids sold during this event. During this special event, we will be working with Mr. Bain to offer the following free of charge:

*Complete Hearing Evaluation
*Product Demonstrations
*No Obligation Consultation
*Complete Clean and Check of Your Current Aids

If you are in the Fillmore or Delta area, contact us for an appointment. Our number is 877-432-7457 or 801-221-1220. Call and take advantage of our limited time no cost services!