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Facts & Questions we hear

Hearing loss is more common than you might think. Interestingly, due to recreational and environmental noise, hearing loss is occurring at younger and younger ages. Consider the facts:

Demographics:

  • 40 million Americans are hearing impaired, and an estimated 500 million experience hearing loss, worldwide
  • In the U.S., one out of ten 30+ year-olds is already hearing-impaired, and one in four 62+ year-olds suffer from hearing loss
  • There are more baby boomers aged 45-64 with a hearing loss (13 million) than there are people over the age of 65 with a hearing loss (10 million)
  • More than a third of all hearing loss is attributed to noise: loud music, loud workplaces, loud recreational equipment
  • Thanks to the above, we’re all losing our hearing at a younger age than we were 30 years ago
  • Of the 13 million Americans aged 45 to 64 who have a hearing loss, six out of ten do not yet benefit from wearing hearing aids

Hearing loss facts:

  • Hearing loss is second only to arthritis as the most common complaint of older adults
  • Only about 10% of hearing losses are helped by surgery or other medical treatment
  • 90% of hearing losses can be treated with the use of hearing instruments
  • Only 16% of physicians routinely screen for hearing loss
  • Consistent noise above 80-90 decibels in an 8-hour workday is considered hazardous
  • Firearms, music, airplanes, lawnmowers, power tools, and many appliances are louder than 80 decibels and potentially hazardous to hearing with prolonged exposure
  • A live rock concert produces sounds from 110 to 120 decibels — easily high enough to cause permanent damage to hearing over a two to three hour period

Hearing Loss Myths

Myth:

Only a few people are truly hearing impaired; the statistics don’t apply to me or those close to me.

Fact:

With 40 million reporting hearing loss in this country alone, or one in ten people, odds are good that you or someone you know is indeed affected by hearing loss — especially if you’re over the age of 57.

Myth:

If I did have a hearing impairment, I’d certainly know about it.

Fact:

The truth is, hearing loss happens gradually and the signs are subtle at first. Our own built-in defenses and ability to adapt make it difficult to self-diagnose. A simple Q & A hearing test can help you gain insight, while professional screening can provide a more definitive answer.

Myth:

Most hearing problems can’t be helped.

Fact:

30 or 40 years ago, that was true. Today, 90% of hearing loss — the kind that’s brought on by age or exposure to noise — is very responsive to treatment in the form of technically advanced hearing instruments.

Myth:

If you’re hearing impaired, it just means sounds aren’t loud enough.

Fact:

Hearing isn’t only about loudness or decibel level. Typically, hearing loss has more to do with the frequency of the sound — that is, it's more pitch than it is loudness. When hearing loss occurs, it’s harder to hear higher pitches — especially when there is background noise to complicate the picture, such as conversation in a noisy restaurant. That’s why amplifying incoming sounds alone isn’t as effective in treating hearing loss as amplifying selectively.

Myth:

Living with hearing loss is not a big deal.

Fact:

There are many psychological effects to hearing loss, including frustration, withdrawal, and depression. Trouble communicating with others creates a strain on relationships and a loss of esteem. It’s far better to deal with hearing loss than to pretend it isn’t happening — or to ignore the effect it is having on those around you.

Myth:

Hearing aids are obvious and unattractive.

Fact:

While it’s true that hearing aids don’t enjoy the fashion status of a pair of glasses, new technology has made these devices remarkably discreet. Many people can wear aids that are either tucked well inside the ear or almost completely hidden in the ear canal. Behind-the-ear styles are often disguised by hairstyles.

Myth:

Hearing loss and hearing aids are a sign of old age.

Fact:

Things are changing. Just as hearing loss itself is no longer the province of the elderly (there are more hearing-impaired people in the 45-64 year-old age category than there are in the over-65 age group), neither is wearing a hearing aid. Many of the baby boomers now experiencing hearing loss will undoubtedly invest in better hearing sooner than later. And, as a culture, we’re increasingly showing our preference for treatment over doing nothing. Consider the popularity of such investments as laser eye surgery and hormone replacement therapy, just to name a few. Indeed, doing nothing to help yourself may be seen as a more obvious sign of old age than the problem itself.

Myth:

Really good hearing aids are prohibitively expensive.

Fact:

Better hearing through technology is within the reach of most people. The real issue is quality of life, and what it’s worth to you. While good hearing aids are seen as expensive, putting a price on a better life is hard to do. You have to weigh the benefits and make your own decision. However you choose to look at it, treating hearing loss and enjoying the benefits is still relatively inexpensive compared to treating most health problems.

Myth:

Hearing aids don’t work.

Fact:

Hearing aids won’t restore lost hearing or stop the progression of age or noise-related hearing loss. And because hearing is as much a function of the brain as it is the inner ear, hearing aids aren’t the whole story in hearing better. But smart, new digital technologies, including the ability to amplify sound selectively, do help most people to hear better in most situations. Even so, it needs to be said that no hearing aid, no matter how sophisticated, will work unless you are willing to wear and adapt to it.

How does hearing loss happen?

We know a lot about how hearing loss occurs. By far the most common cause is the natural aging process. Just like our hair thins and gets gray, and our eyes lose fine focus, hair cells in the inner ear weaken, break and grow unresponsive with age.

The second leading cause of hearing loss is exposure to noise. Loud machinery at home or where you work can damage your ears - even short bursts of sound over 90 decibels can have an impact. Prolonged noise is worse. Our lives are filled with noise we can’t control - from working in military or factory environments, to airplanes, subway trains, and traffic sounds. There’s also plenty of noise we can control, but choose not to - rock concerts, loud cheering at sporting events, and all those power tools around the house.

All of these forms of hearing loss are examples of sensorineural loss. Heredity can also play a role in developing this kind of hearing loss. Hearing losses can also be caused by illness such as severe ear infection, disease, tumors or injury—for example, a blow to the head. Another cause, easily fixed, is a build-up of earwax in the ear canal. Some of these problems will ease on their own, while others may respond to medicines or surgery. These are examples of conductive hearing loss.

When it comes to treating hearing loss, you can often improve your ability to hear and communicate with hearing instruments. The first step is having your hearing evaluated by Ellis-Scott & Associates.

What are the types of hearing loss?

Hearing loss falls into two broad categories, depending on the part of the ear that’s affected. You can have a hearing loss in one ear only, or, more commonly, the loss may be binaural - in both ears.

Conductive hearing loss

When the structures of the outer or middle ear fail to conduct sound waves to the inner ear properly, the result is conductive hearing loss. This type of loss is usually temporary and may be reversed through surgery or other medical means. Causes include ear infections, injury to the ear, such as a punctured eardrum, or even a build-up of wax in the ear canal. Because children are prone to ear infections, it’s important to have their hearing checked frequently and to be aware of the signs of hearing loss.

Sensorineural hearing loss

Sensorineural hearing loss describes what happens when the inner ear doesn’t process sound normally. It can result from a variety of causes, but the most typical scenario is damage done to hair cells in the cochlea from exposure to loud noise and/or the natural aging process. When hair cells are unresponsive, sounds are not properly transmitted to the auditory nerve in the brain. Sensorineural hearing loss accounts for about 90% of all hearing losses.

While sensorineural hearing loss is irreversible, you can help prevent further damage from noise by wearing earplugs in noisy environments and listening to music at lower, more comfortable levels.

How do I recognize the Signs of a Hearing Loss?

If you think someone you know might have a hearing loss, take a look at this list of common signs. Do any of the following sound familiar?

  • They appear to hear people talk but have difficulty understanding some of the words
  • They’re constantly asking people to repeat themselves
  • They have a hard time understanding women and children’s voices
  • They have a hard time hearing and/or understanding speech in a crowded environment
  • It’s hard for them to understand speech over the phone
  • They favor one ear over the other
  • They complain of a ringing sensation in one or both ears
  • They often appear uncomfortable in social occasions they used to enjoy
  • They seem withdrawn, depressed or irritable
  • Other friends or family members have noticed their difficulty hearing

While a few "yes" answers don’t automatically indicate a hearing loss, it does suggest the need for further evaluation.

Why do I need two hearing aids?

Two ears are better than one

Why do we have two ears? Much like having two eyes helps us to see all around us, having two ears helps us locate sound in time and space.

Balanced or binaural hearing is vital to your ability to locate where a sound is coming from. The brain instinctively locates a sound’s source by measuring the tiny differences in duration and intensity in the way each ear hears the sound.

For example, when you’re crossing a street, the sound of an approaching car reaches the closer ear a fraction of a second before the other ear, and at a higher intensity. These differences are translated by the brain, allowing you to internally calculate the sound’s direction and distance from you.

Two ears also help you to focus in on desired sounds and ignore sounds you’re not interested in hearing. With two inputs, the brain can select a specific sound and concentrate on it. A common example of this is the cocktail party setting, where you may overhear your name and shift your attention to a conversation other than the one you’re already involved in. Hearing in stereo also gives a fuller quality to sound.

For all of these reasons, we’ve evolved with two ears. That’s why, for those with a binaural hearing loss, two hearing aids are often recommended.

Why are hearing aids so costly?

Improving your hearing and adding to your quality of life is hard to put a price tag on.

While it might seem odd, it’s not really what’s inside the piece of plastic that you’re paying for — it’s how well the hearing aid improves your quality of life. The real value is what it’s worth to be able to fully engage in your relationships, work, and the activities you enjoy.

You may also want to think about what you value most in terms of a hearing aid’s features and benefits. How important is vanity? How important is the latest technology? The equation of price will depend somewhat on your priorities — and it’s different for everyone.

Hearing aids generally run from several hundred to a few thousand dollars. Typically, costs reflect the amount of research and development that has gone into the product, as well as the quality of the components, with the smallest, most technologically advanced aids at the higher end of the pricing spectrum. However, you can also get hearing aids that still provide excellent benefits, while being modestly priced.

Pricing may include services, such as the testing, making of the earmold impression, fitting of the aid, and follow-up care and service. In addition, most hearing aids come with a warranty and return guarantee.

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