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26.01.2014
Hearing Views discusses important issues that impact both audiology professionals and the people with hearing loss that they serve.
We rarely discuss the spiritual impact when talking about the many negative consequences of hearing loss.
Being a member of a faith community is considered an essential ingredient to a happy and fulfilled life for millions across the US and Canada. With the exception of individuals using sign language, those who have grown up attending their church, synagogue, or other house of worship have grown accustomed to hearing the daily or weekly message. It’s hard to imagine any form of weekly or daily religious service that would be able to convey its message fully without using the spoken word. Quotes regarding hearing, and its connection to our soul and spirit can be found in nearly all of the major religious texts used throughout the world.
When discussing the impact hearing loss has on the religious or spiritual dimension of our lives, it’s important to remember that the population over the age of 60 is much more likely to attend religious services than the general population. For many, being an active member of a faith community and attending services every week can help recharge their batteries and give them the strength to continue coping with their personal struggles. Would you believe that attending religious services on a regular basis has actually been found to provide a number of health benefits? Studies over the years have indicated many potential health benefits, such as: increased levels of reported happiness, improved immune system function, reduction in blood pressure, and maybe even an additional seven years added to your lifespan!
The medical community has increasingly begun to recognize the importance of spirituality in the context of health and well being.
Encourage patients who still struggle to hear despite using hearing aids to use the assistive devices that may be offered at their church, synagogue, etc.
Ongoing Exposure to Noise on the JobLong-term exposure to continuous loud noise can cause lasting hearing loss.
Michael Rothschild, MD, director, pediatric otolaryngology, Mount Sinai Medical Center, New York. National Institute on Deafness and Other Communication Disorders, National Institutes of Health. If you must raise your voice to speak with someone only 3 feet away, you are in high (hazardous) noise.
The hair cells can be worn out by long periods of loud sounds (or short blasts of extremely loud sounds). Hearing protectors reduce the wear on the hair cells by blocking noise and reducing it to a safe level, without preventing you from hearing sounds around you. There are four basic types of hearing protection listed below; each offers different advantages and options. Fit is very important for all types of hearing protectors: no one wants to wear shoes that don't fit well.
Custom-molded plugs are made especially for you so are already shaped like your ear (rather than conforming to your ear).
Cookie bite hearing losses are most often hereditary and are sometimes noticed during a child’s first hearing test. Treatments for cookie bite hearing losses are limited to hearing aids, but most people with a cookie bite loss don’t have terrific results with hearing aids. The one thing I can say with certainty about cookie bite losses is the more channels the hearing aid has, the better. If you have a cookie bite hearing loss and have found success with hearing aids, I would love to hear your story and your solution, so feel free to post in the comment section below. If you’d like a free phone consultation with a licensed hearing provider, please feel free to call us at 800-731-6794. I feel obligated to add, that my last hearing aid fitting took about 4 hours and involved going into different environments (the street, the cafe, etc) with my hearing aids and resetting them channel by channel, volume by volume (oh, how sick I was of that carrot sentence). I had a mid-frequency loss at about 50dB (depending on the day of testing), with high and low frequencies at around 30dB.
I’ve never really got on with hearing aids, but I wanted to say that I found I got horrendous feedback with open fit. I use subtitles, I read and write very well, but it takes a lot of effort to understand speech in noisy environments, especially if other people are talking and if there is background noise, if someone has an accent or mumbles, or is looking in another direction and it is echoing… Now my hearing loss in mid-range is at 55-60dB, so it is moderate. I have been learning ASL for the past year, and have started to form connections in the Deaf community and understand more about Deaf culture.
Side note – I just saw a version of Romeo and Juliet that was a combination of English and ASL in Chicago, IL. I believe I do, too, but I have the added discomfort of being really sensitive (literally pains me) to loud sounds that many others can tolerate. My question is does this sensitivity to loud sounds, coupled with (diagnosed) hearing loss, seem aligned with cookie bite or does it sound like I have different issues at once? Our son is nine months old and was just diagnosed with moderate severe to severe (60 – 80 db) cookie bite hearing loss in both ears. We appreciate you contributing to this topic, it is new to my family and we are struggling to make sense of it. Well, that type of hearing loss is generally harder to fit than others, so I would recommend something more advanced than hear pods, and open-fit of course. My daughter has cookie bite shape hearing loss with a mild loss in low frequency and moderate in the middle frequency. If you post her audiogram scores here, maybe some of the other readers can give you advice.
Dr Oz looked at the ways to prevent hearing loss, starting with getting ibuprofen and acetaminophen out of your medicine cabinet.


Dr Craig Kasper, a researcher on the study, said that the first thing Bonnie needs to do is talk to a physician. Now that you know what hearing loss is and what causes it, here’s how to stay on top of your ear health!
Topics range from education and advocacy to industry, technology and the client-professional relationship, and more.
Yet, this alone could be one of the most damaging aspects of hearing loss on a person’s quality of life. One can only imagine the increased level of frustration experienced in that type of environment by someone with a gradually progressing hearing loss, often seen in age-related hearing decline (presbycusis). For some, however, the inability to hear and communicate with members of their faith community may become yet be another reminder of the many difficulties they face in life.
If their house of worship does not have these devices available, this is a perfect opportunity for you, as the professional (or for a family member or other advocate) to help educate the patient and possibly other members of the community on the benefits of FM systems, loop systems, etc., in making sure that hearing loss does not prevent people from satisfying such a basic human desire as the need for spiritual connection. It is intended for general informational purposes only and does not address individual circumstances. Below are links to sample audiograms showing one example of a normal audiogram, as well as an example of an audiogram demonstrating hearing loss from noise exposure. The tiny hair cells lining the cochlea respond to vibrations (amplified by the ear drum and the middle ear bones) and send signals to the brain, alerting us to sounds.
With all of these choices, you need to try different types until you find one that feels comfortable, properly blocks out noise, and works for your activities. However, it’s more common that this type of hearing loss is first noticed between the age of thirty and forty. If you browse the message boards online and talk to other people with cookie bite hearing losses the majority are all saying the same thing- it’s hard to find someone that knows how to adjust hearing aids for a cookie bite loss. In general, the more channels a hearing aid has, the more flexibility your hearing provider has when adjusting your hearing aids.
Tried FM unit, tried hearing aids, custom fit, open, etc… Audiologists hardly EVER know how to adjust properly for cookie bite, because it is so rare, and they are trained to adjust for other types of hearing loss, just like the article says. Because of this, it’s a good idea to get a hearing test at least every 2 years and get a copy of the results for yourself so you can track your hearing”.
I’m not against hearing aids, but there are other options that you can choose in addition to or instead of hearing aids. I would encourage anyone to learn ASL and agree that it is a beautiful and expressive, mesmerizing language. My hearing is not that bad overall, but I teach and was having a hard time hearing students asking questions. I assume she is under 18, and in that case I can’t really speak to her fitting- lots of issues could be involved, but generally an open fit will be more comfortable and allow for more natural sound. Dr Oz and the researchers behind this study offered alternatives to ibuprofen and acetaminophen.
There are alternatives to taking ibuprofen, such as eating healthier and having a healthy body. Dr Oz recommended 380 mg to prevent blood vessels from spasming, the root cause of headaches. Some of them have no family support system nearby and are struggling to cope with their situation on their own.
The improved health function, researchers suggest, is due to the enhanced social networks and support that are often available to those who are active members of a faith community. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Then the cells lay over like wet grass, demonstrating a fairly long exposure to loud sound. The usual indications of a cookie bite hearing loss is inability to hear mid-range sounds, yet no problems hearing the low or high frequency sounds.
Unfortunately, there has been very little research conducted on actually fitting cookie bite hearing losses, so it’s hard for hearing providers to know how to properly adjust hearing aids for this type of loss. With a cookie bite loss, chances are you’re going to have to experiment with a lot of different settings on your hearing aids, and having all the channels you need will help you get that variation needed to find a setting that works for you. Choose for yourself, and educate yourself on ALL the options – not just hearing aid options, but options that give you a chance to connect with a language, community, and culture of people who can relate to your experience! With regards to your comments about upselling hearing aids, on posts like this, I try to be brand-agnostic, and in this post I was.
After reading your article we see that open ear might be best for him versus the ear molds.
In addition, true open-fit aids would not easily stay put on an infant- so it’s necessary to have some type of small earmold. In my experience it is pretty rare for someone to switch from open fit to custom products and be happier with the custom products, but who knows, maybe you’re an outlier. You should avoid standing too close to speakers at concerts and wear ear plugs if you know that you are going to be in an overly loud setting.
Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. Because the exposure is so long (relatively), the cells do not bounce back to their normal position, but instead become damaged. With cookie bite losses, like most hearing losses, there’s no telling if the loss is going to get better or worse, you just have to kind of wait and see. Admittedly, I’ve had a few clients with this type of loss that I basically tried everything on and was just kind of shooting from the hip.


In addition, the open fit style of hearing aid is probably best, as it will allow your (normal) low and high frequency sounds to enter the ear unaltered by the hearing aid. It explores both cultures and languages, and was a great adaption of Shakespeare’s text.
Just choose what’s right for you, and realize that no matter what, there is a whole community of people out there that you can connect with!
I think steering folks towards an open-fit hearing aid with many channels is the right idea for a cookie bite loss, most of the time.
Phonak is very well respected, though I am not familiar with those particular aids because I have never fit children. Our local ENT has someone come up from the Miracle Ear store in a city about 40 minutes away once a week.
Also, Google ear bud or ear dome pieces for open fit aids, I would bet someone sells a wider variety than widex supplies and you could experiment with those on your own.
Because of this, it’s a good idea to get a hearing test at least every 2 years and get a copy of the results for yourself so you can track your hearing. The fact is, the vast majority of folks with hearing loss have either a flat loss or a high frequency loss, or some variation of both, and so the majority of education and training is centered around helping those individuals. People sign when scuba diving and playing baseball, and the football huddle was actually created because Deaf football players from Gallaudet University could lip-read the other team’s plays, so players formed huddles to have more private conversations! I think miracle ear is expensive compared to other options but it was the most convenient to obtain. If you don’t know how to read that audiogram, it shows that the individual has a hard time hearing the mid frequencies, and an easier time hearing the lows and highs. ASL is an amazing language, once you learn it, and I don’t think enough Hard of Hearing people are exposed to this language or Deaf culture, understanding that we can be a part of it, and connect with others who experience similar challenges, but function just fine by using a visual-manual language!
We ask, only because the channels are difficult to adjust appropriately for an adult let alone a child who can provide no feedback. Lastly, I can’t say with certainty, but I would think it would be best to leave the aids off for some portion of the day to help prevent ear infections. Injury or Pressure ChangesSevere head trauma can dislocate middle-ear bones or cause nerve damage, causing permanent hearing loss.
Really you’re gonna have to lean on the knowledge of your local pediatric audiologists on this one. Sudden changes in pressure -- from flying or scuba diving -- can lead to damage to the eardrum, middle ear, or inner ear and hearing loss. If he can not have open ear hearing aides is it best to leave the hearing aides off for some portion of the day? I’m not opposed to hearing aids, but I think for the money, learning basic ASL is definitely less expensive and great to have in the long run!
We are headed in to get a new set of hearing aids today to start off high school with the most up-to-date technology.
Hearing aids might help, yes, but I’ve not met an audiologist yet who can actually adjust hearing aids properly for a cookie-bite loss, or even has experience with it. I am actually considering going into audiology, and maybe specializing in cookie-bite loss, because no one seems to understand it enough. Chronic DiseaseCertain chronic diseases that are not directly related to the ear can cause hearing loss.
Autoimmune diseases, such as rheumatoid arthritis, also can be linked to some forms of hearing loss. How You Hear -- Anatomy of the EarSound waves enter the outer ear and travel through the ear canal. This causes the eardrum and tiny bones, called the hammer and anvil, in the middle ear to vibrate.
Then vibrations travel to the fluid in the cochlea where microscopic hairs send nerve signals to the brain so sound is understood.
Tumors and GrowthsNoncancerous growths, including osteomas, exostoses, and benign polyps, can block the ear canal, causing hearing loss. Acoustic neuroma (an inner ear tumor shown here), grows on the hearing and balance nerve in the inner ear.
The average decibel level at a rock show is 110, loud enough to cause permanent damage after just 15 minutes. Hearing damage can occur with extended exposure of any noise over 85 decibels. Headphones and EarbudsCan others hear the music and lyrics you’re listening to through earphones? Think you have an earwax blockage? Don't try removing the wax with a cotton-tipped swab or by inserting anything else into your ear canal.
Ear infections can cause the middle ear to fill with fluid and cause hearing loss that usually clears when the infection and fluid are gone. Diseases known to affect hearing in children include chickenpox, encephalitis, influenza, measles, meningitis, and mumps.
Though congenital hearing loss often runs in families, it can occur with maternal diabetes or an infection when pregnant. Hearing loss can also develop if a newborn is premature or from other causes such as trauma during birth resulting in the infant not getting enough oxygen. Usually, age-related hearing loss is caused by the progressive loss of inner-ear hair cells.



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