hearing aids

Leaping Ahead with Lumity

May 26, 2023 By quadcities Leave a Comment

It’s called Lumity, and patients are stating that the improvements are very noticeable.

Hearing aids evolve at an incredible rate, with the ultimate goal of improving sound quality and clarity. The other goal is making the hearing aids as user friendly as possible. Manufacturers consistently survey their customers to determine what types of innovations are most desirable. Phonak recently launched a new technology platform. It’s called Lumity, and patients are stating that the improvements are very noticeable.

Sleeker

The most common concern patients have, even when they love how their hearing aids sound, is how they fit on the ear. While they are no longer the size of bricks, hearing aids still take up a fair amount of real estate behind the ear. This can cause interference for people who wear oxygen. It can also impact people who wear glasses, although to a lesser extent. There is simply not enough room for everything. Hearing aids can thus fall off more easily or cause discomfort. These patients then end up having to opt for in-the-ear hearing aids, even if that is not what they truly desire.

Masks have also been a big burden for hearing aid users these past few years. The hearing aids can become tangled in the straps, making them difficult to remove. Mask loops might even catch the hearing aid wires when being removed, causing the hearing aid to fly off the patient’s ear. This, of course, can be very frustrating for patients. A handful of patients have even told me that they stopped wearing their aids in public, as they were too afraid of losing them. Luckily, a new design has arrived to solve all of these concerns.

On the Lumity platform, there is a specific style called Slim. It fits behind the patient’s ear like other receiver-in-the-canal aids, and is still rechargeable. However, it is much thinner. Imagine the difference a standard shoe heel and a stiletto heel. The Slim is like a stiletto hearing aid. This allows for less interference with items such as glasses because less space is required. There is also a small curve to the hearing aid, which follows the natural contour of the skull. This curve allows the aid to sit flusher against the head. It also curves around the ear, like glasses frames, which decreases visibility. A fringe benefit of the new design is that the charger is much smaller and easier to transport.

Smarter

The Lumity hearing aids also provide a leap forward in technological quality. This is true whether you opt for the Slim or traditional style, as both possess the same computer chip. One major improvement is processing speed. Lumity can perform hundreds of more calculations per second than the prior platform. From a user standpoint, this means that the automatic program can analyze the environment more quickly and accurately, providing for a clearer sound quality. And it works! Patients who have upgraded to the Lumity from their older sets say that they can hear a noticeable difference.

In regard to specific new features, one is called Motion Sensor Hearing. If two people are having a conversation while walking, the dynamics are far different than if they were sitting still. With Motion Sensor Hearing, the aids can actually measure your movement and adjust accordingly. Another new feature (available only in the premium level) is called Speech Enhancer. Speech Enhancer automatically provides an extra boost to quiet voices. No longer will a hearing aid user have to struggle to understand tiny voices.

Another exciting development with Lumity relates to Wind Block. Wind Block is another background feature that tries to reduce wind noise as much as possible. While Wind Block is not a new feature, it was previously relegated to advanced and premium level hearing aids only. With Lumity, Wind Block has been expanded to all technology levels. In other words, it is now a default feature.

Lumity still offers universal compatibility with cell phones through Bluetooth, as well as an array of accessories. It should be noted that Lumity technology is currently only available in receiver-in-the-canal models. However, it should be available in in-the-ear models in the next few months. If Lumity sounds right for you, reach out to your audiologist. They will be able to answer your questions and help find a solution which best fits you. QCBN

By Jeff Lane, Au. D.

Dr. Jeff Lane is an audiologist at the Trinity Hearing Center.

Trinity Hearing Center is located at 1330 N. Rim Dr., Suite B in Flagstaff. For more information, visit the website at TrinityHearing.net. Jeff Lane is a doctor of audiology with a passion for improving the lives of others. Dr. Lane may be reached at 928-522-0500 or at audio@trinityhearing.net.

Accessorize Your Hearing

April 30, 2023 By quadcities Leave a Comment

Fortunately, there are a wide range of accessories compatible with current hearing aid models.

Technology is constantly evolving, often at a rapid pace, with the goal of improving and simplifying the experience of the user. If you buy a new phone, you get a pair of wireless earbuds. Hearing aids are similar. While modern hearing aids can significantly improve a wearer’s quality of life, some situations could still be improved with the addition of an accessory such as listening to someone behind you while hiking or catching all the information at a meeting. Fortunately, there are a wide range of accessories compatible with current hearing aid models.

Remote Microphones

Remote microphones are a wonderful solution for improving communication between individuals. Let’s say that a hearing aid user is going on a tour. The tour guide will likely be at a distance from the user or often turned away. Obviously, this makes hearing the tour guide much more difficult for the person with hearing loss. Remote microphones eliminate this frustration by delivering the speaker’s voice directly to the hearing aids. The talker can be far away (typically 60 to 80 feet) or even turned away, and the user will still hear them perfectly clearly. Plus, it is all done wirelessly! And the microphones are small, meaning they are convenient to wear.

Also, they are fairly versatile. They can be used in the car, while hiking, in a restaurant or at home with the two individuals in different rooms. They’re also great for loved ones with very soft voices. Typically, remote microphones are designed for listening to a single talker, meaning they are not ideal for group situations. However, this also means that remote microphones are very affordable.

Roger Technology

Before proceeding, it should be noted that Roger technology is specific to Phonak hearing aids. However, it is unique and beneficial enough that I felt it warranted inclusion. Roger technology is similar to a remote microphone, but far more advanced. First, it can be used in virtually any situation. It can be worn by an individual, or it can be placed on a table to hear multiple talkers. When listening to multiple talkers, it can either be automatic or manual. When automatic, it will adjust its directionality to amplify whoever is currently speaking. Or, the user can select which directions it wants the device to focus on. For example, if you only want to hear in front and to the left, you can designate that and the device will ignore everything else.

Another advantage is that Roger technology can actively cancel out background noise and increase the volume of the desired signal. Thus, you would have a much more favorable signal-to-noise ratio than with a regular remote microphone. Studies actually show that individuals with hearing loss can hear better than those with normal hearing in noisy situations when wearing hearing aids and Roger. While it does cost more, it is a wonderful solution for those who struggle to hear in noise.

Television Streamers

One of the first things a patient tells me during their hearing test is that they have to blast the TV in order to understand what is being said. Having properly fitting hearing aids will automatically help. But TV streamers can make it sound even better! Again, since the signal is being beamed straight to the aids, it eliminates the need for the sound to travel over distance and through other aural clutter. Another nice feature is that the actual TV volume isn’t affected, so other people can still hear the TV at a volume that is comfortable for them. Unfortunately, TV streamers can’t improve the sound mixing of a program or make British accents any easier to decipher.

Remote Controls

All hearing aids have buttons that allow you to adjust programs. However, this may not be the best option for some wearers. If someone has arthritis or neuropathy, they may not be able to press the button. A person with memory loss may not be able to remember where the button is or its purpose. In these situations, a remote control can be very handy. It is easy to handle and very clear on its operation. For those who want to be more discreet, there are applications for the phone that can act as a remote control as well.

To be clear, accessories are not required to use hearing aids. But for those who need or want a bit more assistance, they are worthwhile. As always, let your hearing care professional be your guide. QCBN

By Jeff Lane, Au. D.

How to Care for a Loved One with Hearing Aids

December 29, 2022 By quadcities Leave a Comment

Hearing care professionals are always willing to repair or clean hearing aids. Even calling with a simple question is always welcome.

According to the Labor of Bureau of Labor Statistics, 16% of the population provided eldercare between 2017 and 2018. Combine that with one in three people over the age of 65 having a hearing loss, and there is a very good chance you are or will be caring for someone with hearing aids. Hearing care professionals will diagnose the hearing loss and fit the devices. But, once fit, a majority of the daily use and maintenance falls to the wearer. Or, by extension, the caregiver. It is therefore prudent to know how to properly care for hearing aids.

Daily Care

First, take comfort in knowing that hearing aids are more durable than they appear. This isn’t to say one should play catch with them, but, given the proper respect, the aids will hold up just fine to daily life. Perhaps the most important thing is to not get them wet. Modern hearing aids have the highest IP ratings (resistance to dirt and water). This means they can withstand moderate amounts of sweat, rain, and snow. Humidity is also tolerable, although it is recommended that a specially-designed dehumidifier be used. However, if a hearing aid gets soaked (shower, swimming, washing machine), it can cause damage. Bottom line: hearing aids are water resistant, but not waterproof.

It is also important to clean the hearing aids. If the microphones get clogged or there is too much wax on the portion inside the canal, the sound will be diminished. Luckily, cleaning hearing aids is simple. A dry cloth or tissue can be used to wipe off any debris, while a brush can be used to keep the microphone ports clear. Ask the provider if you are unsure of the microphone location. In the case of receiver-in-the-canal (RIC) hearing aids, it is acceptable to clean the domes with soap and water. Just be sure to remove them from the hearing aid first and allow them to try completely before reattaching.

One should also be conscious of pets. Animals, particularly cats and dogs, are attracted to hearing aids. Unfortunately, they are not very gentle and can often cause significant damage. If the aids are not being worn, place them in a container out of reach of any critters.

Putting on Hearing Aids

It is possible that, because of vision or dexterity difficulties, the patient may not be able to put the aids on independently. Here are the best methods for putting hearing aids on somebody else, based on style:

RIC: Hook the aid over the ear. It should sit on top of the ear, between the skull and pinna, with the wire running down the front of the ear. Grab the wire near the dome and gently insert the dome into the canal. Gently push until it settles into place.

Behind-the-ear (BTE): These types of aids will have an earmold, which is custom-molded to the patient. Thus, the mold can be easily inserted and then the hearing aid can be swung over the ear.

In-the ear (ITE): These aids are custom-molded and are contained entirely within the ear. Insert the aid with the battery door facing outward.

Most hearing aids will have indicators to identify the proper ear: red is right and blue is left. If there are no color indicators, the proper ear can usually be determined by holding up the aid and examining the orientation.

Special Considerations

It is possible that the individual being cared for is not always with the caretaker. Perhaps the loved one resides in a nursing home. In this case, the staff can be trained to assist with the hearing aids. Initial training can be done, along with written reminders. When visiting a loved one, the staff can be asked to provide updates on hearing aid use.

Another possibility is that the loved one is sick. If they are admitted to a hospital, it is probably best to hold onto the aids for them, as aids can often become lost in such an environment. The hearing aids can be placed on the patient during visits with family of the doctor, but should be stored at home. If they are transferred to hospice care, it is probably okay to leave the hearing aids with them as a hospice is a less hectic environment.

Caring for a loved one can be challenging. Remember that it does not have to be done alone, even with hearing aids. Hearing care professionals are always willing to repair or clean hearing aids. Even calling with a simple question is always welcome. QCBN

By Jeff Lane, Au. D.

Making Sure Hearing Aids Work for You

November 30, 2022 By quadcities Leave a Comment

The hearing aids fit by audiologists are also on the cutting edge of technology.

As audiologists, our main goal is always to improve our patient’s safety and quality of life. Typically, this is done through the fitting of hearing aids. Surveys have shown that one major barrier to accessing hearing aids is cost. In an effort to help address this barrier, Congress recently granted permission for hearing devices to be sold over the counter. Now it can be even more challenging for patients to know which option best suits their needs. Fortunately, you do not have to figure it out all on your own.

Technology

Now that hearing aids can be sold over the counter, it can be expected that there will be a huge increase in available products. A couple have already been revealed in stores like Walmart. A few patients have asked me if the technology is any good. Honestly, it’s too early to say for sure. But the concern would be that all of this technology is unproven. There is no data to say how well they perform or how long they’ll last.

A major benefit of seeing an audiologist is that you know the quality of what you are receiving. The brands they fit have published studies that verify that the devices provide the benefit they claim to. A lot of these studies are performed by independent researchers, meaning the results are objective. They have also been around for decades, meaning the products have been put through their paces and shown their durability. Your audiologist will have the experience and knowledge to help pair you with devices that will best suit your needs.

The hearing aids fit by audiologists are also on the cutting edge of technology. Not only do they amplify, but they have filters that help reduce background noise and ease communication. They also have an array of accessories, such as remote microphones, to help you hear in crowds or at distance. Can’t make it into the office? No worries! Most hearing aids can be adjusted remotely. And given that hearing aids have different performance levels, these features are often available at a very competitive price.

Reliable Support

Deciding which hearing aids to choose can be overwhelming. And once you are fitted with a pair, there can be a steep learning curve. After all, most people don’t even think about hearing aids until they need them. That’s why it is so valuable to have someone to support you along your journey. Audiologists have a treasure trove of knowledge and real-world experience dealing with all manner of hearing aid issues. No difficulty or question is too small or silly. We love to help!

At the fitting, the audiologist can measure the output of the hearing aid to ensure it is as accurate for your hearing loss as possible. Over-the-counter hearing aids do not have a verification system in place. Also, it looks like a lot of over-the-counter models are designed to be set up through a smartphone application. This is definitely convenient, but may not work for those who do not have a smartphone or are uncomfortable using one. After programming them, the audiologist will review how to use the hearing aids and answer any and all questions that arise, ensuring that you are confident in operating them when you walk out the door.

But of course, technology doesn’t always work as intended. The sound quality may be good in one area, but bothersome in another. The hearing aids may somehow malfunction and need to be repaired. Or they may simply need cleaning with tools too small for someone to see or manipulate. All of these things can be addressed by the audiologist. Simply call them or walk in, and they can get you back up and running. Audiology offices provide peace of mind that help is always on hand. Any hearing aid you receive from an audiologist will have a multi-year warranty, meaning repairs are often free!

Friendly Faces

Most audiology offices are small and local. This means that they have a consistent staff through the years. The providers know you and your history. You don’t have to worry about learning new faces every time you need help. Plus, you can trust that the audiologist is going to make recommendations that best suit your particular needs.

When it comes to amplification, anything is going to be more helpful than nothing. So, if over-the-counter hearing aids are the best option at the time, go for it. Just don’t discount the value of exploring all your options. QCBN

By Jeff Lane, Au.D.

Maintaining the Sounds of Summer

May 27, 2022 By quadcities Leave a Comment

Most hearing aids also have Bluetooth built directly into them, allowing you to make calls, or listen to music or podcasts while exercising.

As the temperatures increase and the days stretch out, it is clear that summer is upon us. For most, this means spending more time outside, near water or traveling. It also means increased considerations when it comes to caring for hearing aids. Fortunately, hearing aids are built with these considerations in mind.

Moisture

Hearing aids are essentially tiny computers. Thus, the internal electrical components are susceptible to damage from moisture. While most hearing aids are not considered to be fully waterproof, they are highly water resistant. In fact, they have an IP rating of 68. The IP scale refers to an object’s resistance to penetration by solid objects and liquid. The second number refers to liquids, with 8 being the maximum resistance. Thus, most hearing aids are able to hold up well against rain, sweat and humidity. So, for most people, as long as they are being mindful, moisture should not be too much of a concern, even during the summer months.

However, there are special situations. If you live in a humid environment, or in a place where temperatures get especially high (as I experienced growing up in Phoenix), the aids are going to be constantly subjected to moisture in the form of sweat or condensation. Thus, the risk of water sneaking its way inside the casing increases. In these situations, a dehumidifier is very useful. It wicks out the moisture when the user is not wearing them. Rechargeable hearing aids actually have a dehumidifier built into the charger. You would just need to add the desiccant, which can be found in most stores. For those with regular batteries, a standalone dehumidifier may be purchased. They can be electronic or manual, and are quite affordable.

Now, what about those who want to hit the pool or lake to cool off? Again, most hearing aids are not recommended for these types of activities, as they would be submerged. But not being able to hear in these environments isn’t ideal either. Fortunately, for those looking to try hearing aids or upgrade their current set, Phonak has just released the Audeo Life, which is truly waterproof! You can wear it in all types of moisture, including being submerged up to one and a half feet. Beat the heat while still being connected to the world around you.

Travel

According to estimates, 82% of Americans took part in some form of travel last summer. Hearing aids can help patients enjoy their trip to the fullest. Fortunately, hearing aid chargers are compact, making for easy transport. Most charger cords are USB cables, meaning they can be plugged into a port if an outlet is not readily available. In some cases, you might not even need to plug in the charger. Phonak has an external battery, called a power pack, which can be attached to the bottom of the charger case. Oticon has a separate smart charger, which is designed specifically for travel. Both of these options allow a patient to charge their hearing aids for a week without the need for an outlet. This can be convenient in situations such as camping, when electricity may not be readily available.

One risk of summer travel is losing a hearing aid. Some manufacturers, such as Oticon, have a feature on their app called Find My Hearing Aid. If you were to get home and realize you had misplaced one, you could open the app and it would tell you the general location of where it was left. Note that this is not a universal feature among all manufacturers. Also keep in mind that all hearing aids come with a multi-year warranty. If you lose your hearing aid and are unable to find it, the manufacturer will replace it one time for a small restocking fee. You will need to contact your audiologist to do so.

Fitness

Summer is a wonderful time to take evening walks or exercise outdoors. Newer hearing aids are being developed with health and fitness in mind. Some models are able to track step count, while others can even go as far as monitoring your heart rate. This is still a new frontier, but one that is quickly expanding. Most hearing aids also have Bluetooth built directly into them, allowing you to make calls, or listen to music or podcasts while exercising. And it can all be done in one package, eliminating the need for too many accessories on the body.

As always, your audiologist will be able to guide you toward the model that best suits your needs. QCBN

Jeff Lane, Au. D.

Understanding the Total Package of Hearing Aid Purchases

April 29, 2022 By quadcities Leave a Comment

Find an audiologist to select, fit and educate you on the joys of using hearing aids.

When a person purchases hearing aids, they are making an investment in their lifestyle. Hearing aids are able to expand friendships, close relationships and even the non-social activities you engage in. I have been told by many patients hearing aids changed their life! Musicians are amazed that they are able to hear the parts of music (and their own voice while singing) better than they could have imagined. So, what is the difference between a purchase of stock internet hearing aids and hearing aids purchased from a local audiologist?

Personalized Hearing Aid Programming

The first appointment with your audiologist will be to determine the type and degree of hearing loss you have. During that appointment, you will discuss your personal needs of hearing such as what you want to be able to do and in what situations. You will be guided toward hearing aids that have the options you would like. Not everyone needs the top-of-the-line hearing aids, so your audiologist will assist you by explaining what programs the various hearing aids can offer. Programs are special settings that will focus on what you want at a particular moment like programs for a noisy restaurant or for listening to TV or music. You can even have programs for riding in the car and focusing on speech behind you!

Personalized Training for Assistive Technology

The majority of people we work with need formal training on using the hearing aid programs and hearing on their cell phone. I see people glaze over the moment I explain all the wonderful features they have at their fingertips. It seems like too many options and too much to learn! However, because you are working with people who teach this information every day, all day long, you can be assured we can slowly introduce you to using the technology until you feel like a professional with your hearing aids! You can come back for small amounts of information until using the aids is second nature to you. The audiology office staff take pride in being able to explain the technology in a way that everyone can understand, even the “technically challenged.” We understand that technology is scary for some people and consider it a privilege to be able to provide appropriate instruction.

Tips to Extend the Use of Hearing Aids

Clean the hearing aids at least once a month. Ear wax will build up over time and collect in the wax trap of the part that goes into the ear. You will be taught how to change the disposable wax trap or you can pop into the office and we can change it for you!
The microphones on the outside of the hearing aid are where the sound goes into the hearing aid. Dust or debris can dampen the sound. Once a month, take a dry toothbrush (dedicated to your hearing aids) and brush the microphone openings.
Apply body care and hair care products before you put the hearing aids on. Fine particles from sprays or powder can settle into the microphone and the control button.
Hearing aids that require a single-use battery will need to have the battery changed about once a week. Some batteries last longer and some last less time but one week is a good average. Most of the hearing aids available now have rechargeable batteries that only require putting them into the charger at bedtime. It is a good idea to wipe off the part of the hearing aid that sits in the charger so good electrical contact is made.
The hearing aids are electronic devices so they want to be dry and free of significant dust, similar to a phone or computer. Rechargeable hearing aids are the most resistant to moisture issues.
Store the hearing aids in a safe location, keep them away from children and pets. They love to chew on them!
Protect your hearing aids from extreme heat or cold. It is not a good idea to leave them in a car or any area where the hearing aids can become extremely hot or cold.

Support After Purchase

In my opinion, support in the care and follow-up testing are paramount to enjoying hearing aids. Without the individualized attention to the unique needs of each person we see, the majority of people would not be satisfied with their new purchase. Find an audiologist to select, fit and educate you on the joys of using hearing aids. QCBN

By Karen Lynn, Au.D.

Trinity Hearing Center is located at 1330 N. Rim Dr., Suite B in Flagstaff. For more information, visit TrinityHearing.net.

Karon Lynn, Au.D., is a doctor of audiology with 30 years of experience working with hearing impaired individuals. She may be reached at 928-522-0500 or at audio@trinityhearing.net.

Common Questions for Your Audiologist

January 1, 2022 By quadcities Leave a Comment

Here are some of the most common questions I hear during appointments.

Going to a heath care professional can be a stressful situation. You have chosen to ask for a professional opinion about your health and want to get the best possible information during the appointment. Treatment for a physical issue you are having is a very personal subject and you want to feel that you are receiving individualized recommendations.

When you go to any health care professional, it is important to be prepared before the appointment. Write down possible questions you have. They might focus on treatment, length of treatment and possible outcomes. Having questions with you will help you stay organized during the appointment and help to make certain you don’t forget to ask something you planned to find out. Next, be prepared to write down the answers. It is difficult to remember what someone is telling you, especially if you are stressed or not feeling well. If you don’t want to write down what is said, take a friend or family member who is willing to do it for you. Two heads listening during an appointment is much better than just one!

As an audiologist, I hear many questions about hearing and balance. I am pleasantly surprised when someone comes to an appointment with pen and paper in hand. It shows me that the individual is prepared and attentive and, usually, the appointment has a better outcome. I am able to explain more and I know that the individual will review what was said during the appointment. That reduces confusion.

Here are some of the most common questions I hear during appointments.

Do I have a hearing loss?

Once a hearing evaluation is completed, the audiologist will help you understand the results of the test. Most of us understand that the lingo used will be foreign, so we try to use language that is more commonly heard. We expect a person to ask for clarification if they need it. Don’t be shy! You are paying to have someone who has extensive training in a subject bring the information to you in a way you can use. You will be told if the hearing loss is in one or both ears and what amount of decrease in hearing you have compared to a standardized norm.

Is the hearing loss permanent?

This is a wonderful question to ask. The audiologist will be able to tell you if the hearing loss is from permanent damage to your hearing nerve or if it is caused by a temporary issue with the middle ear. The testing process is designed to do just that. In addition to hearing test results, we need a list of current medications to note if any might be compounding your hearing difficulty. If you have had a previous hearing evaluation, it is good to bring a copy of the test to compare to the current results. We will help you understand if the hearing difficulty is progressive or something that will resolve on its own, or needs the intervention of medication or surgery. We need to understand your family history of hearing loss, noise exposure, significant illnesses or chronic illnesses, when the hearing difficulty began and how the hearing issue affects you.

Do I need hearing aids?

To answer this question, the audiologist will use the test results and the answers to questions about the difficulty you have hearing friends and family, music or TV, etc. The audiologist will explain to you if your hearing loss can be treated medically or make a recommendation to see an ear surgeon. If medical intervention is not recommended, then hearing aids are an option.

Do I have to get hearing aids?

During the visit you will be offered a variety of treatments. Hearing aids are one option. The decision to wear hearing aids is based on the difficulty you have hearing the things that are important to you. If you are not ready to do anything about the hearing loss, explain that to the audiologist. We will give you a list of things to watch for and recommend a yearly hearing examination to document the progression of the loss. The brain likes to be stimulated with sound to maintain proper skills, so to speak. Because of this, it is important to continue exposing yourself to sound, so if later you decide to try out hearing aids, your brain will jump on board. Hearing is not just an ear thing; it is a brain and ear thing! QCBN

By Karon Lynn, Au.D.

Trinity Hearing Center is located at 1330 N. Rim Dr., Suite B in Flagstaff. For more information, visit TrinityHearing.net.

Karon Lynn, Au.D., is a doctor of audiology with 30 years of experience working with hearing impaired individuals. She may be reached at 928-522-0500 or at audio@trinityhearing.net.

Accessorize Your Hearing

October 1, 2021 By quadcities Leave a Comment

To be clear, accessories are not required to use hearing aids. But for those who need or want a bit more assistance, they are worthwhile.

Technology is constantly evolving, often at a rapid pace, with the goal of improving and simplifying the experience for the user. If you buy a new phone, you get a pair of wireless earbuds. Hearing aids are similar. While modern hearing aids can significantly improve a wearer’s quality of life, some situations could still be improved with the addition of an accessory – situations such as listening to someone behind you while hiking or catching all the information at a meeting. Fortunately, there is a wide range of accessories compatible with current hearing aid models.

Remote Microphones

Remote microphones are a wonderful solution for improving communication between individuals. Let’s say that a hearing aid user is going on a tour. The tour guide will likely be at a distance from the user, or often turned away. Obviously, this makes hearing the tour guide much more difficult for the person with hearing loss. Remote microphones eliminate this frustration by delivering the speaker’s voice directly to the hearing aids. The talker can be far away (typically 60 to 80 feet) or even turned away, and the user will still hear them perfectly clear. Plus, it is all done wirelessly! And the microphones are small, meaning they are convenient to wear.

Also, they are fairly versatile. They can be used in the car, while hiking, in a restaurant, or at home with the two individuals in different rooms. They’re also great for loved ones with very soft voices. Typically, remote microphones are designed for listening to a single talker, meaning they are not ideal for group situations. However, this also means that remote microphones are very affordable.

Roger Technology

Before proceeding, it should be noted that Roger technology is specific to Phonak hearing aids. However, it is unique and beneficial enough that I felt it warranted inclusion. Roger technology is similar to a remote microphone, but far more advanced. First, it can be used in virtually any situation. It can be worn by an individual, or it can be placed on a table to hear multiple talkers. When listening to multiple talkers, it can either be automatic or manual. When automatic, it will adjust its directionality to amplify whoever is currently speaking. Or, the user can select which directions it wants the device to focus upon. (If you only want to hear in front and to the left, you can designate that and the device will ignore everything else.)

Television Streamers

One of the first things patients tell me during a hearing test is that they have to blast the TV in order to understand what is being said. Having properly fitting hearing aids will automatically help. But, TV streamers can make it sound even better! Again, because the signal is being beamed straight to the aids, it eliminates the need for the sound to travel over distance and through other aural clutter. Another nice feature is that the actual TV volume isn’t affected, so other people can still hear the TV at a volume that is comfortable for them. Unfortunately, TV streamers can’t improve the sound mixing of a program.

Remote Controls

All hearing aids have buttons that allow you to adjust programs. However, this may not be the best option for some wearers. Those who have arthritis or neuropathy may not be able to press the button. A person with memory loss may not be able to remember where the button is or its purpose. In these situations, a remote control can be very handy. It is easy to handle and very clear on its operation. For those who want to be more discreet, there are applications for the phone that can act as a remote control as well.

By Jeff Lane, Au.D.

Exploring Hearing Loss, Dementia, Social Isolation, Loneliness

August 26, 2021 By quadcities Leave a Comment

Hearing loss may create an invisible barrier to building a relationship with family and friends.

Hearing loss occurs in all age groups. According to the National Institutes of Health, hearing loss is found in three out of 1,000 children in one or both ears. In adults, the number of people reporting trouble hearing is one in eight people, or 13%, in the United States.

The Link Between Hearing and Dementia

According to a recent Johns Hopkins study that tracked more than 600 adults for 12 years, it was evident that even a mild hearing loss doubled dementia risk. Moderate hearing loss tripled the risk of developing dementia and a person with a severe hearing loss was five times more likely to develop dementia. They found via brain scans that hearing loss may contribute to a faster rate of atrophy in the brain. If a person has a hearing loss, they tend to reduce the number of interactions with others. They may not want to be around groups of people or engage in conversations as much. These factors contribute to escalating dementia.

Common symptoms of dementia and hearing loss are confusion during a conversation, difficulty completing everyday tasks, difficulty communicating when stressed or in a noisy environment. If an individual struggles to understand what is being said, they are less likely to store new information in their brain. They spend so much energy and focus on getting the information that there is no time to store the comment or information before the conversation progresses. Most conversations are fast and require quick moment-to-moment storage of information. So, if you are trying to figure out what the third word was in the first sentence and the other person continues to talk, the following sentences will be missed. Sometimes, it is just too much trouble to keep up, so you give up.

Hearing Loss and Social Isolation

In the previous example, you can see how difficult it is to maintain a social connection with other people. If the hearing-impaired person asks to have something repeated, the normal hearing person will sometimes repeat but may not talk slower to help facilitate understanding. More likely, they will repeat part of the dialogue and expect the other person to keep up. These types of exchanges contribute to social isolation. The hearing impaired will not want to engage in conversations that are too stressful to keep up or conversations that make them feel less than adequate. I have heard patients say, “It is easier to pretend that I understood what was said so they don’t think I am mentally slow.” I have heard comments like, “My family gets mad at me if I don’t understand what is being said,” or they will be told, “You were sitting right there, why didn’t you listen?”

If you are sitting with a hearing-impaired person talking only to them, facing them and speaking slower than normal, you will probably be understood. However, if there are three or more people talking, people no longer look directly at the person with hearing loss when speaking. They assume everyone is able to keep up with the various speakers. But the hearing-impaired person is dealing with different voice pitches, different rates of speech, perhaps someone is laughing at the same time someone is talking. This all makes being with other people more stressful and less enjoyable. It is easier to sit and read a book or watch TV than be with other people.

Hearing Loss and Loneliness

Loneliness is a state of mind in which what someone wants and what they are experiencing is not aligned. Another description of loneliness is the feeling we get when our needs for rewarding social contact and relationships are not met. You might feel misunderstood or not cared for by the people around you. You do not have to be alone to be lonely. People can experience loneliness in a group of people.

If you have difficulty interacting with people, you might feel lonely. Hearing loss may create an invisible barrier to building a relationship with family and friends. It is hard to maintain relationships if you don’t understand what is being said or feel the conversations are not interesting.

Feeling lonely can trigger dejection and depression. It is important to address the hearing loss before attempting to change social activities. If you try new activities with the hearing loss, you may feel overwhelmed and misunderstood. Work with an audiologist to find the best amplification for your particular needs. The noise reduction and assistive technology will be important features to discuss. Your desired lifestyle needs and the price point of the hearing aids will be important information in a discussion with your audiologist. QCBN

By Karon Lynn, Au.D.

Trinity Hearing Center is located at 1330 N. Rim Dr., Suite B in Flagstaff. For more information, visit TrinityHearing.net.

Karon Lynn, Au.D., is a doctor of audiology with 30 years of experience working with hearing impaired individuals. Dr. Lynn may be reached at 928-522-0500 or at audio@trinityhearing.net.

Phonak Offers Hearing Aids that Respond to Motion

June 28, 2021 By quadcities Leave a Comment

The hearing aid industry is changing to meet the needs of more people than ever before.

Phonak has a new hearing aid that is able to adjust sound input based on your motion! When you are walking, your hearing needs are not the same as when you are sitting in a chair talking to a friend. Speech sound while walking the dog with someone or hiking on a trail present unique challenges, which are now finally addressed. It is all based on your motion read by a chip in the hearing aid that is able to change the noise cancellation and the microphone settings in the hearing aids without any assistance from the person wearing the hearing aid. It is all automatically changed.

Traditional Hearing Instruments

Hearing aids are designed to pick up sound with a microphone. The microphone converts the sound waves into electrical signals. The microphone may have the ability to switch between directional or omnidirectional function, depending on the needs of the wearer. In some situations, the microphones may switch to directional to help reduce background noise. In other environments, it is important to hear sound from all directions, so the microphone switches to omnidirectional. A hearing aid with the ability to automatically switch back and forth between directional and omnidirectional microphone pick up is important to create the most natural sound.

The electrical signal is then sent to an amplifier, also called a processor, or the computer, of the hearing aid. The job of the amplifier is to change the electrical signal from the microphone and convert it into digital sounds. This is the part of the hearing aid that the audiologist programs to respond to particular pitches and situations based on the results from hearing evaluation. After the adjustments to the sound have been completed, the amplifier converts the sound back to an analog signal.

The receiver of the hearing aid takes the sound from the processor and enhances the sound to meet the hearing loss of the wearer of the aids. Receivers are made to provide mild, moderate, power or extra power to the listener, depending on the hearing loss. The receiver converts the analog signal back into sound waves that the hearing aid wearer hears. All of these components complete this process in a fraction of a second!

The New Paradise Motion Detect Hearing Aid

Now, let’s imagine you are sitting and talking to some friends over lunch. You are able to look at the person you want to hear. You will typically look left or right as each person speaks to you. You are focused only on the voices and not the surrounding sounds. Ideally, your brain will help to focus your attention on the desired voice and ignore the competitive sound in the environment. Directional microphones are used in this scenario. The microphones facing behind you are turned off or turned down and the forward-facing microphones are picking up the speech. It is important to remember that you will have the least amount of auditory distraction if you sit with your back to the room noise. You don’t want to face your friends with loud noise going on behind them, because that noise will sneak into your hearing aids.

However, if you go on a walk or hike with your friends, it is more difficult to look at the person talking. They might be off to your side or behind you. If you are walking on the side of a road and a car passes while you are listening to your friend, it would be difficult to hear. This new hearing aid feature in the Phonak Paradise hearing aid employs a unique algorithm when motion is detected. It changes the microphone focus and deactivates the spatial noise cancellation. A study in August 2020 demonstrated improved sound quality, speech understanding and environmental awareness of sound when out walking while wearing the Phonak Paradise model hearing aids. I find this feature amazing and the fact that this all happens automatically is a winner! No need to push a button or change a setting in the hearing aid app in your phone.

The hearing aid industry is changing to meet the needs of more people than ever before. The special features are just part of the advantages. Battery life, water resistant hearing aids and programming to the specific desires of an individual are now at our fingertips. Be mindful of offers that seem too good to be true, your hearing is your connection to the people you love and it is important that you explore the best fit for your lifestyle. QCBN

By Karon Lynn, Au.D.

Trinity Hearing Center is located at 1330 N. Rim Dr., Suite B in Flagstaff. For more information, visit TrinityHearing.net.

Karon Lynn, Au.D., is a doctor of audiology with 30 years of experience working with hearing impaired individuals. Dr. Lynn may be reached at 928-522-0500 or at audio@trinityhearing.net.

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