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Can I be frank about something?

I’ve recently had the worst summer cold ever, which started as a sore throat (for which my doctor gave me antibiotics), which worsened and then proceeded to make me bed ridden the entire long weekend +1. In this midst of all the this fun and excitement (ugh I felt like a bag of sand) both of my eardrums perforated. Ruptured. Tore.

I’ve now been without a significant portion of my hearing for 3 days. This is what’s called a conductive hearing loss.

con·duc·tive
kənˈdəktiv/
adjective
adjective: conductive
  1. having the property of conducting something (especially heat or electricity or sound).
    “to induce currents in conductive coils”
    • of or relating to conduction.

My hearing will gradually find its way back to me with the help of my Doctor’s magic drops and time, as my eardrums heal I should get my hearing back. It can take 8+ weeks to heal on its own. If it doesn’t, I need a referral to see an Otolaryngologist if my ear drums don’t heal on their own and I still have a significant hearing loss.

Here are the things that I have noticed since I’ve been for all tense and purposes placed in a sound proof bubble:

  1. Everything makes noise. My pen on the desk, my dogs’ nails on the floor. The neighbor’s car door, my car, my phone. I never really noticed how noisy the world was before – now that its gone the silence is deafening. Poof. Gone. The most bizarre sensation in the world is standing in the shower (with my ears protected from water) and not hearing the water fall. Bizarre. Like, I laughed out loud about it. I can’t hear the keys right now as I type, but I know they are making noise. So if a tree falls in a forest, it does make a sound.
  2. People suck at communication skills. I like to think that because of where I work, I may be an exception… But in general, when you tell people that you can’t hear them, they continue talking at the same volume and pitch they were speaking before, they make no greater effort for you to hear them out. i.e. my Doctor yesterday kept turning away from me when she was talking. And I would have to ask her repeat herself. Over. And Over. And Over. Look at me, because the pieces of the puzzle that I can’t hear can be filled in by my looking at your beautiful face!
  3. There’s a lot of noise in my head. Every inhale, every exhale. Every bite I chew. Every hair I comb, every time I move my head or jaw. Clearing my throat is loud. My stomach growling woke me out of a cold and sinus drug addled sleep. This is all a symptom of conductive hearing loss, and it is obnoxious that I can’t hear much that goes on on the outside of my own head. Everything on the inside… LOUD. Part of it of course is because I don’t hear anything else, its not drowning out the sound of my swallowing.
  4. I’m exhausted. Now that the general malaise is gone from my illness and it took some hearing with it, everything I do is a struggle and I’m exhausted trying to read people, struggle on the phone with all the fantastic people who call me (that’s you!) and it makes me tired. My brain is working too hard to compensate.
  5. Tinnitus is real. My particular tinnitus is pulsatile tinnitus, I can hear my heartbeat. Its not a sound that anyone else can hear, every heartbeat I hear loud and clear in my head. Every last one. Over. And Over. And Over. I wake up and its there. I try to sleep and its there. I can’t mask this with another sound, because I can’t hear that either. This will go away when my hearing comes back and I hear other things than what is happening in my head. I hope.

So that’s that. The first thing I said to Bernice and Paige when my hearing hopped a train was ‘I can’t understand why hearing aids don’t sell themselves’. So if I might be frank, this not hearing all the sounds is no joke. My hearing loss happened suddenly and traumatically so of course, I noticed all the sounds gone at once, not gradually like everyone else. None the less, this has been a real eye opener. I can’t imagine why anyone would not want to hear the sounds of life.

I’m frantic to get a piece of those sounds back. 8+ weeks seems so far away.

~melissa

 

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Protect your ears this summer

The summer season is fast upon us, and so are all the fun summer activities! We’d like to take a minute to remind you of how important it is to remember that some of the fun things you do could have an irreversible effect of your hearing.

  1. Yard Work: A well groomed yard shouldn’t lead to hearing loss as you age. Protect your hearing from lawn mowers, weed whippers, chain saws and leaf blowers!
  2. Fireworks: The beautiful displays of fireworks can damage your hearing. Ringing in at up to 125dB, that’s enough to permanently cause a threshold shift. Remember your children’s ears as well at fireworks time.
  3. Sporting Events & Concerts: The loud cheers at your favorite ballpark (Go Tigers!) and summer concerts can last up to 3 hours. On average, the sound levels can reach 95dB+. That duration and intensity of sound may result in tinnitus the next day – that’s your ears’ way of telling you they were overexposed to sound.
  4. Boats and Motorcycles: Its not just the engine noise that can harm your hearing – wind noise can be the culprit! Consult our audiologists for custom hearing protection that will still allow you to hear the important sounds around you while riding and boating safely.

Make sure you get outside and enjoy all of the super activities that are part of summer traditions, but please – PROTECT THOSE EARS! If you are experiencing ringing, buzzing or fullness in your ears this summer, consult our Doctors of Audiology, Audiologists!

 

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Why choose Audiology?

May is “Better Speech & Hearing Month”. Throughout the month of May, audiologists put in extra effort to highlight the importance of hearing health within our communities. Every year, thousands of professionals involved with the treatment of speech, language and hearing disorders come together to participate in a public awareness campaign that encourages early detection and prevention of communication disorders, and seeks to increase the public’s sensitivity to the challenges faced by individuals experiencing them.

Have questions about your hearing or speech? We’re happy to answer any questions or concerns that you may have about your hearing. Contact us today to arrange a consultation or your annual hearing test with our Doctor of Audiology! (519) 961-9285.

BPPV Testing and Management

Startling Statistics About BPPV

At The Hearing & Dizziness Clinic, we understand how debilitating BPPV or  Benign Paroxysmal Positional Vertigo can be.

Benign paroxysmal positional vertigo is the most common form of positional vertigo and is probably the most common disorder involving vertigo. It’s an affliction of the inner ear. In the most common clinical scenario, when the patient changes the position of the head, he or she feels that the room is spinning. The person may experience significant nausea as well.┘

According to The University of California, BPPV will affect nearly 40 percent of people over 40 at least once in their lifetime.

The good news about BPPV is that in most cases, it is entirely treatable.

The bad news about BPPV is that studies show, it can take an absurdly very long time from presentation of symptoms to treatment.

 

Two recent studies explored the time period from initial presentation of symptoms of BPPV to correct diagnosis. Fife and Fitzgerald report that in the United Kingdom, the mean wait time from initial presentation to correct diagnosis was 92 weeks. A more recent study out of China found the delay to be longer than 70 months.

We have witnessed this very same phenomenon in our practice, when people have seen multiple specialties and undergone several tests over the course of months and even years. Patients have altered their lives to accommodate their BPPV, changed their habits, disturbed their activities, family lives and working responsibilities. BPPV is easily diagnosed and easily treated.

In both studies mentioned above, the subjects were treated with Canalith repositioning (CRP) once the diagnosis of BPPV was made. In the Chinese study over 80% were successfully treated with one CRP, while the Fife and Fitzgerald study reports 85% were successfully treated.

Perhaps this is the most disturbing reality of these studies. 8/10 people who had suffered for years from Vertigo were cured of their BPPV in one treatment. Just one. 

At least 85% of cases had classical symptoms of BPPV and could have been easily identified by Primary Care Physicians at first referral, had they been trained to recognize and diagnose the condition.┌

It’s amazing to me that once someone is affected by BPPV and they tell their family and friends about it, they are shocked to realize how many people they know have experienced the very same thing! Further, they are shocked at just how easy it is to treat.

We are happy to test and manage your BPPV for you and your loved ones right in the heart of Essex County. If you have questions or concerns in regards to who we are and how we can help, please never hesitate to contact us. We are here to help!

Don’t be a statistic! 

Read more

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Thank you Essex for your Support!

It’s Food Bank day at The Hearing & Dizziness Clinic!

THANK YOU Essex County for your support of our non-perishable food donations to The Essex Area Food Bank.

We had set a goal of 500lbs to collect for those in our community who are in need of our help, doing hearing tests in exchange for non-perishable food items. We are happy to report that we have SMASHED that goal with at least twice what we had hoped! You brought everything from noodles to beans, rice to corn meal and cereal and baby food.

Please call if you are in need of your annual hearing screening. For a limited time, our Doctors of Audiology will provide complimentary adult hearing screenings for a canned food donation. Call today to arrange your appointment at (519) 961-9285

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New Physician Guidelines for Treating Children’s Ear Infections

The American Academy of Pediatrics and American Academy of Family Physicians released their new treatment recommendations for children who suffer from Otitis Media with Effusion or OME (commonly known as ‘fluid’ or an ear infection).

New recommendations include

  • additional information on pneumatic otoscopy and tympanometry to improve diagnostic certainty;
  • expanded information on speech and language assessment for children with OME;
  • new recommendations for managing OME in children who fail a newborn hearing screen and for evaluating at-risk children;
  • a new recommendation against using topical intranasal steroids;
  • a new recommendation against adenoidectomy for a primary indication of OME in children under 4 years of age;
  • a new recommendation for assessing OME outcomes.

Clinicians should continue to avoid antibiotics and myringotomy (tube) surgery (under aged 4).

More information can be found here.

 

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The Hurdles to Getting Hearing Aids

A New York Times blog posted this morning struck a cord with us here at The Hearing & Dizziness Clinic. (Click here to read it.)

Jane Brody writes that

Hearing loss is usually gradual, and people often fail to recognize when it becomes severe enough to warrant hearing aids. Some deny that they have a problem, and instead accuse others of mumbling when they know people are talking but can’t understand what is being said. Still others regard hearing aids as unattractive devices that make them feel and look old in a society that prizes youthfulness.

We see this every day. Mostly those who could benefit from a hearing aid value their vanity over communication with family and friends.

What many people with hearing loss don’t realize is that the signs of the untreated hearing loss are more noticeable to others than hearing aids.

If you feel you are having trouble communicating or are isolating yourself socially because of your hearing trouble, give us a call. We would be happy to walk you over perceived hurdles. Our Doctors of Audiology are here to help. (519) 961-9285

 

 

 

 

VEDA-BAW Save the Date-for website

Top 10 Facts About Positional Vertigo (BPPV)- Balance Awareness Week

Is benign paroxysmal positional vertigo (BPPV)  a rare and exotic disease? No, on most clinic days, I see at least one person with BPPV, and often, I see several. For some, BPPV is a minor annoyance. For others, it’s a nightmare of dizziness, loss of balance, nausea, and inability to work or participate in family activities. — Gregory T. Whitman, M.D. (otoneurology)

Here are the Top 10 things you should know about Positional Vertigo (BPPV), with thanks to the Vestibular Disorders Association

1. If you woke up with vertigo, it is likely you have BPPV.

2. If you have vertigo that comes on when you lie down, it is likely you have BPPV.

3. If you have had more than 2 episodes of severe vertigo, there’s a strong possibility you have BPPV .

4. If you have BPPV in both ears, it will almost certainly throw off your balance.

5. If you have a past history of migraine and develop BPPV, you may notice an increase in headaches or light sensitivity. These symptoms will likely decrease after the BPPV has been successfully treated.

6. After BPPV has been treated, it’s a good idea for the doctor to ensure that dizziness, imbalance and related symptoms resolve.

7. If your vertigo makes you nauseated, and you do not have any vestibular tests planned, you may want to ask your audiologist if it would be all right to take a medication for vertigo before the Epley Maneuver. This can make BPPV treatment much more comfortable.

8. Curing a bout of BPPV can require persistence. Doctors and Audiologists always talk about the “easy” cases, miraculously cured on the first visit. However, I have seen patients who needed treatment on 10 different days in one month to finally clear the symptoms.

9. Another version of Rule 8: if you’ve “had BPPV for a year” or more, it’s likely you haven’t been treated enough.

10. In some cases, BPPV follows a previous inner ear infection that has damaged the inner ear and/or vestibular nerve. If this is the case, and if you still have symptoms after successful treatment of BPPV, the best treatment may be vestibular physical therapy, intended to train the ear and brain to work well together.

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If you think that you or someone you may know may benefit from speaking to our Doctors of Audiology, please give us a call! We’re here to help you (519) 961-9285.

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This was fun!

Melissa stumbled across THIS WEBPAGE today.

In this test, created by Amplifon, players are taken to three different locations filled with noises.

It’s the player’s task to locate the waterfall, birds and telephone. The interactive sound map lets you move 360 degrees around the public location to pin-point the source. The noises get louder and clearer as you explore the map. After you’ve had a stab, it reveals where other users have guessed.

Aging is the most common cause of hearing loss, but the World Health Organisation recently said that the single largest cause of preventable loss is loud noise, such as from heavy industry in work places and loud music.

Generally, we don’t like online hearing tests – as they are only as good as your speaker system, but this was a fun take on showing how well we localize sound.

Put on your headphones and give it a try! And if you don’t score as well as you had thought, you know who to call!

Untreated Hearing Loss Linked to Dementia

Hearing Loss linked to Dementia in the Elderly

As if we needed ANOTHER reason to have a hearing test, new studies have come to show that the social isolation and lack of stimulation to the brain that stem from untreated hearing loss accelerate the onset and progression of Dementia.

Out of 639 participants, researchers found that those with hearing loss at the beginning of the study were significantly more likely to develop dementia by the end. In fact, the risk of developing dementia over time was believed to increase by as much as five-fold.

Read the whole article here: http://www.free-alzheimers-support.com/wordpress/hearing-loss-can-lead-to-dementia/