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Blog — Hearing Health Foundation

Technology

Real-Time Text: The FCC Makes It Official

By Kathi Mestayer

This will be the standard symbol for real-time text, from the RTT website.

This will be the standard symbol for real-time text, from the RTT website.

Have you ever been on a phone call, slowly spelling out the word you just used? And finding out how very similar fifteen and fifty sound? Or how tough it is to communicate a word such as “impingement,” even if you do spell it?

The good news is that the FCC has now enacted the long-awaited transition to providing real-time text (RTT) by cellphone providers. "Real-time text allows characters to be sent as they are created without hitting ‘send,’” according to the Dec. 15, 2016, FCC press release. “This allows text to be sent at the same time as voice communications, permitting a more conversation-friendly service.”

People with hearing loss will now be able to clarify (or receive clarification) of spoken content by quickly texting the word(s) to the other party, without interrupting the ongoing conversation (or hitting “send”).

This action is discussed briefly in Hearing Health’s Winter 2017 issue here (before the official adoption of the rules by FCC had been completed).  

The new FCC rules require large phone carriers to make RTT available by the end of this year. The first phase would require users to download an app, but RTT would eventually be built into phones.  

According to Christian Vogler, the director of Gallaudet University’s Technology Access Program, AT&T worked closely with Gallaudet at various stages of planning for RTT. In one case the testing made it possible to show “how well it held up under network conditions that can be too poor even for voice calls.”

“Too poor for voice calls”—who hasn’t been there? Very soon we’ll have another option. For more information, see the RTT website.

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Your Cell Phone Can Save Your Hearing

By Murray Grossan, M.D.

As a ear, nose, and throat specialist I treat patients with hearing loss and tinnitus. Did you know that by simply by using your smartphone, you can help prevent these hearing conditions?

Loud noises damage the ear. But how loud is too loud? When a guest attends a wedding and sees children seated in front of eight-foot speakers, are the speakers too loud? Your phone knows.

When a parent yells to his teenagers to lower the volume of their music, is it truly too loud? Your phone knows.

There are many smartphone apps available to Apple and Android operating systems. A simple search for the terms “sound meters” or “decibel meters” will bring up  different apps, including many of which are free!

Hearing sounds at 115 decibels for more than 15 minutes can cause permanent hearing loss. With hearing loss you may also develop tinnitus. Chronic tinnitus can be so distracting that it can disrupt daily life, including the loss of sleep.

It is not essential to know all the ins and outs of sound measurement in order to protect your hearing. (For technical details, see the Occupational Safety and Health Administration’s report.) A sound meter is all you need.

Why? It may be hard to realize how loud a sound really is, how close you are to it, and how long you are exposed to it. One person says the sound is too loud; another says it seems fine. A smartphone sound meter can measure the volume level. Recent research by National Institute for Occupational Safety and Health scientists shows the apps’ accuracy is approaching that of professional sound meters. And once you know the danger, you can limit your exposure: Block, walk, and turn.

We know that many older people have hearing loss. But science is not sure if age causes the loss or if it is an accumulation of years of hearing loud noises, just as the cumulative effects of sun exposure are evident decades later. I have an 88-year-old patient with perfect hearing. She never used a noisy lawnmower.

If sound meter use becomes common, and we are all fully aware of the danger of noise exposure, you won’t see children seated in front of giant speakers at a wedding. And I sincerely hope that I will see fewer people at my office because they can’t hear and have tinnitus.

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Conference Calls-Now With Captions

By Kathi Mestayer

That’s right, it’s not a typo! Where I live, Virginia Relay has just announced availability of captions for conference calls. No more worrying about that caller who is always multitasking and talking into their speakerphone from two feet away. Virginia Relay’s new Remote Conference Captioning service provides the captioning free of charge to Virginia residents, who can view the internet-based captions on their laptop during the conference call.

I learned about this new service from Clayton Bowen, the director of Virginia Relay, a program of the Virginia Department for the Deaf and Hard-of-Hearing (VDDHH). Virginia Relay provides communications access to people who are deaf, hard-of-hearing, and deaf-blind, through a number of traditional and high-tech programs.

If you live in Virginia, visit the Virginia Relay website, where there’s also more information on the conference-call captions.

Which other states offer conference-call captioning? So far, it’s just a handful, but these states do:

…and the federal government, for their employees.

To learn more about captioning, read my story on real-time captioning, which benefits from a blend of human input and voice recognition, in the Spring 2016 issue of Hearing Health.

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7-Day Challenge for Better Hearing Health

By Maggie Niu

In honor of National Public Health Week kicking off April 4, Hearing Health Foundation has seven challenges for you to complete over the course of next week, all related to hearing loss and hearing prevention. Help us celebrate by completing our list of challenges below and sharing your experiences in with us in the comments.

On your mark… get set…GO!

Day 1: Make an appointment to get your hearing tested!

It is important to have your ears tested at least once a year, especially if you are experiencing any buzzing or ringing in your ears or unable to hear clearly. Don’t hesitate to make an appointment: Early intervention is key for preventing further damage.

Here is a directory for audiologists from the Academy of Doctors of Audiology. It is super-easy and quick to find an audiologist close to you. Simply type in your zip code and the radius you are willing to travel and bing, you have your list of audiologists.

Day 2: Reduce the volume on personal music devices to under 70% of the maximum.

We all know that unwanted noise is a nuisance so we try everything in our power to drown it out—either by turning up the volume of the music we're listening to, or talking louder. In the long run, does it benefit our hearing health? The answer is no.

Noise-induced hearing loss can occur gradually over time by listening to loud music or being exposed to loud environmental noises. We can’t always control ambient noise, but we can control personal earphone volume. Next time you are using your earphones on a high volume, remember that you are damaging your ears!

Day 3: Plan a fundraiser to help us find a cure for hearing loss and tinnitus.

Need some ideas? See examples of past events and ideas for creating your own event. Individuals, companies, organizations, sororities, and fraternities of all sizes have joined in our efforts, and we hope you will too!

Day 4: Keep a journal of the foods you eat and note the loudness of the environment you’re in. You may be surprised at what you find.

Noise can affect many things. It can cause stress and affect our mood, but would you believe that noise can affect your palate? A Cornell University study found, "…that in an environment of loud noise, our sense of taste is compromised. Interestingly, this was specific to sweet and umami tastes, with sweet taste inhibited and umami taste significantly enhanced," said Robin Dando, an assistant professor of food science. "The multisensory properties of the environment where we consume our food can alter our perception of the foods we eat."

Day 5: Eat this! Incorporate certain nutrients into your diet for optimal hearing health.

Now we know that noise can affect the taste of food we eat, but are there foods that can help our ears? Check out these five nutrients that can prevent or delay hearing loss. 

Day 6: Use everyday technology to enhance your hearing health. 

Take control of your hearing health with the technology you use daily: download a sound level meter on your smartphone or tablet to measure the decibel levels. In our Winter 2015 Hearing Health magazine, we listed apps that were vetted by the National Institute for Occupational Safety and Health, and they include: NoiSee by Noise Lab ($1), Noise Hunter by Inter•net2day ($6), and SoundMeter by Faber Acoustical ($20). These apps were cited as providing the most accurate A-weighted sound level measurements.

Other apps include: The Jacoti ListenApp, where you can test your hearing via earphones, and the LesserSound App, which allows the user to take sound readings and record the location from where the noise was recorded. 

Day 7: Share your story!

Share your story about living with hearing loss, tinnitus, or other hearing conditions and how it has affected you via our online scrapbookblog, or magazine. Inspire others who are touched by similar conditions so that we can help raise awareness about the prevalence of hearing loss and other hearing disorders as well as our research to find better treatments, therapies, and ultimately a cure.

You can share your story by emailing us at info@hhf.org. It can be on ANYTHING related to hearing loss, tinnitus, or other hearing related conditions, such as funny storiespersonal experiencestips for our readers, or hearing health. If you would like to contribute but find that you're having writer's block, email us anyway! We're HEAR to get you through it! (Pun intended.) 

These are just some tips and advice that can help your hearing and the broader hearing health community. For any additional questions please contact your audiologist, email us at info@hhf.org, or visit our website.

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7 High-Tech Reasons You Should Finally Deal with Your Hearing Loss

By Laura Friedman

Lifting your mood, boosting your energy, protecting your earnings, super-charging your social life — and even keeping your mind sharp. These are just some of the many spoils that come with facing and dealing with a noise-induced hearing loss that has been slowly but persistently creeping up on you.

The quality-of-life and feel-good benefits of treating even just mild hearing loss brought on by years of loud music, power tools, high-volume headphones, motor-sport engines, crowded night clubs and bars, noisy restaurants, and raucous sporting events are plenty. But in this digital age of smart phones and wearable technologies, the draw for many solution-minded consumers may be in the technology itself. Super-smart, super-sleek, super-convenient, and super-sophisticated — today’s hearing aids give you a multitude of reasons to address that hearing loss you’ve been trying so hard to ignore.

Consider these inspiring facts about today’s highly functional, high-powered hearing aids. They just may get you to finally do something about your hearing loss and make your life easier.

  1. They’re cool, sleek, discreet and virtually invisible. The latest hearing aids offer functionality, style and effortless living. The designs are incredibly attractive and they’re much smaller than even conventional Bluetooth earpieces. Many of the latest hearing aids are so tiny; they sit discreetly and comfortably inside the ear canal, out of sight. Aesthetically, hearing aids have had a complete makeover.

  2. They cut out background noise so you hear what you want to hear. Hearing aids now scan the listening environment and automatically adapt to it—even in the wind. There are even hearing aids that can actually “geo-tag” a location. So if it’s convenient for you to network at a certain coffee shop, your hearing aids will know when you’re there and adjust themselves accordingly.

  3. New technologies not only help you decipher speech details in music and noise, but they better preserve and clarify the more subtle sounds of language — like the consonants B, S, F, T, and Z — so you can really follow what someone is saying. No faking.

  4. You can hear from all directions — even when scoping out what’s in the fridge. Advanced directional microphone technology lets you hear from the back and side — something really important when driving a car. But it also makes it easier to hear voices more clearly in other everyday settings — like when your head is in the fridge and your significant other is talking at your back. Yes, that’s one great feature.

  5. Digital, Bluetooth, and wireless capabilities in hearing aids are the now the norm. Many new technologies let you stream sound directly into your hearing aids — at the perfect volume — from your smartphone, laptop, conference-room speakerphone, home entertainment system, and other Bluetooth devices. Using a wireless mini-microphone — with cool, contoured designs, some even looking like a pen— placed on the restaurant or conference-room table, or near anyone you want to hear, makes it feel like they’re speaking directly and clearly into your ears, no matter how noisy the setting.

  6. State-of-the-art hearing aids can do a lot for the person. They offer no whistling due to advances in digital technology. Most are hypoallergenic with nanotechnology coating to keep them clean and dry. Some are fully waterproof so you can swim or shower with them in, and some have rechargeable batteries.

  7. There are even more disruptive hearing technologies on the horizon. Totally out-of-sight, semi-permanent hearing aids that stay in for two to three months let you shower and sleep in them, no fuss. Hearing aid manufacturers are deep in the trenches working to create future breakthrough technologies that will make it as easy as possible for the brain to decode speech and other sounds. After all, we really do hear with our brains and not with our ears. Some hearing aids with these technologies are already available.

The content for this blog post originated in a press release issued by The Better Hearing Institute. For a list of hearing aid models check out the Hearing Health Foundation's New Technology page. 

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An Ice Storm or a Nice Storm?

By Kathi Mestayer

When we get fuzzy speech data to work with, such as in music lyrics, noisy settings or, if you have a hearing loss, everywhere, our brains can come up with some pretty silly interpretations, like “I led the pigeons to the Flag…” instead of “I pledge allegiance to the Flag …”

But even when we hear correctly, that same brain can play it back to us more than one way, with more than one meaning.  Kind of like an optical illusion…but with sound.

A string of words that has multiple interpretations is called an oronym.  Like “I scream, you scream, we all scream for ice cream.” You can interpret it either way, depending on the context, the way it is said, or the phase of the moon.  

Why?

In his book, “The Language Instinct,” the Harvard psychologist and linguist Steven Pinker tells us: “In the speech sound wave, one word runs into the next seamlessly; there are no little silences between spoken words the way there are white spaces between written words. We simply hallucinate word boundaries when we reach the edge of a stretch of sound that matches some entry in our mental dictionary.”

So, if our mental dictionary contains more than one match for what we hear, well, we can hear it both ways. In fact, the sound input doesn’t even have to be speech for our brains to have a crack at it. Pinker explains: “The brain can hear speech content in sounds that have only the remotest resemblance to speech.”

So, we will superimpose meaning onto just about anything, and if it doesn’t make sense, we just keep trying until something fits. Kind of like when my brain heard baroque music coming from the vacuum cleaner, or the countless phrases I swear my parrot says (everything from “ashram” to “wiki” with “kabuki” and “Nietzsche” and many more in between). 

While our brains are busy riffing on what we hear, programmers and engineers are working hard trying to create devices that can interpret speech, even passably, well. One application is online captioning, or what I call “robo-captions.”

The results are not particularly impressive so far, but our brains are a tough act to follow. According to Pinker, “No human-made system can match a human in decoding speech.” That fact was brought home to me when my friend complained about the speech-activated calling system in her car. “It can only interpret the numbers if I read them without any pauses. If I pause, for just a second, the computer inserts the number eight,” she says.  

Online captions created by speech-interpretation software are particularly bad at it (the real-time captions on TV are much better). You can go here to get a quick chuckle.

Staff writer Kathi Mestayer serves on advisory boards for the Virginia Department for the Deaf and Hard of Hearing and the Greater Richmond, Virginia, chapter of the Hearing Loss Association of America. This is adapted from her reader-sponsored work, “Be Hear Now.”

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How to Handle the Holidays When You Have a Hearing Loss

By Shari Eberts

My post How to Tackle Thanksgiving Dinner When You Have a Hearing Loss received so many helpful tips in the comments, I decided to incorporate them into a new post that focuses on the holidays more generally. Thank you to everyone who shared their ideas! There were so many great ones. I wish you all a very happy and healthy holiday season!

The holidays are a great time of year, filled with family dinners and celebrations, gatherings with friends, holiday parties, and lots of socializing. I love getting dressed up, enjoying the decorations and participating in the general feeling of happiness that comes along with the season. But if I’m not careful, all the socializing and holiday hubbub can become exhausting and overwhelming. I want to be a part of the fun, but the concentration required to hear can be taxing, particularly at holiday parties held in noisy restaurants or similar venues.

But, let’s NOT let that put a damper on the holiday season! I hope these tips will help you approach the holiday season with more joy and less fear. Please let me know your suggestions in the comments.

Living With Hearing Loss’s Tips to Survive and Thrive at Holiday Gatherings

  1. Position yourself in a good spot: For me, it is very helpful if I have a wall behind me to block the background noise. If it is a seated meal, I try to sit near the middle of the table, which gives me a better shot at hearing more conversation. If it is a cocktail party, I scope out a quieter area of the room away from the music and high traffic areas like the buffet or bar area and try to spend time there. If the party is in multiple rooms, I head to the quieter room. You can invite some friends to come with you. I bet they will enjoy the lower volume too.

  2. Avoid background noise when possible: If I am hosting, I always keep background music to a minimum. Other hosts may like to play music more loudly. Try asking your host to lower the volume a bit or to adjust the volume in different parts of the room or venue. I always ask restaurants to turn down the volume of the music too!

  3. Converse with those next to you: At a seated dinner, don’t try to participate in conversations across large distances. If you would like to talk with someone, move closer to him, or ask that you continue the conversation when you have a chance to be closer together. If it is a party with multiple rooms, you can ask someone to join you in a quieter spot.

  4. Wear your hearing aids: Many of us hate to wear our hearing aids, but they really can help. Experiment with a couple of different settings to find what is optimal. You can even practice at home if you don’t want to spend time experimenting at the event. It may take some time getting used to the new setting, but the investment of that time will be worth it.

  5. Try other technologies: There are many new technologies now available that can help you hear in a group setting including personal FM systems or other one to one communication devices. Some of my friends swear by these.

  6. Have reasonable expectations: You probably won’t hear everything that everyone says, but that is ok. Enjoy talking to the people near you, then seek out others to talk with during other parts of the party.

  7. Take a break: Don’t be shy about taking a break from the action for a few minutes to give your ears and brain a rest. Head to the restroom, or find a quiet spot in another room. Or go stand outside for a few minutes. It really helps me to clear my head and build up some energy for another round of socializing.

  8. Don’t fake it: It is very tempting to just nod along and pretend that you hear what others are saying or laugh just because others are laughing. But it can be dangerous, particularly if someone is asking you a question. Be brave and be honest with others if you are having trouble hearing. It will make your interactions more memorable on both sides.

  9. Give visual clues to indicate if you are having trouble hearing: If you are having trouble hearing, you can cup your ear with your hand to indicate to the speaker to speak louder without interrupting the flow of the conversation. I have seen this in action and it is very effective.

  10. Bring your sense of humor: It can be hard to keep it all in perspective during the holidays when you feel like you are missing out on the fun, but try to laugh a little and be grateful for the wonderful friends and family around you. You may not hear every word they say, but you can partake in all of the good feelings nonetheless. Try to enjoy the moment.

Readers, what tips do you have for enjoying the holidays when you have a hearing loss?

To read more posts by Shari Eberts, please visit her blog, Living With Hearing Loss

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The State of Deaf Education Today

By Yishane Lee

Have advances in technology, changes in attitudes, and decades of research influenced how children with hearing loss learn and are taught?

The answer is a resounding yes on all counts, and the result is a change in what “deaf education” actually means today. In our Spring issue of Hearing Health magazine, three respected, experienced educators in the field of educating children with hearing loss weigh in with what these changes are and what they mean.

Susan Lenihan, Ph.D., is a professor and the director of Deaf Education at Fontbonne University, in St. Louis. She has four decades of experience, instructing teachers, speech-language pathologists, and early interventionists. She describes the educational experiences of children diagnosed with hearing loss as dramatically changed from a few decades ago.

She writes that early identification of hearing loss in newborns, thanks to universal hearing screening (an effort that HHF was instrumental in advocating for), provides children with earlier access to listening devices and intervention services.

“Listening technology (such as digital hearing aids, cochlear implants, and classroom audio systems) provides better access to higher quality sound at younger ages than ever before. Infants and toddlers can be fit with hearing aids during the first weeks of life. Research shows that when children with severe to profound hearing loss begin using cochlear implants between 6 and 18 months of age, listening, language, and speech development improve.

“Many children who learn to listen and use spoken language when they are young will receive educational services at their neighborhood school. Advances in sound field technology (a teacher using a microphone whose sound is transmitted to room speakers) and FM systems (a teacher using a microphone whose sound is transmitted into a receiver worn by a listener) provide needed support for students who benefit from enhanced sound from a distance and in noisy environments.”

As a result, she says, “Increasing numbers of children with hearing loss are receiving elementary and secondary educational services in their neighborhood school rather than in a specialized school for students who are deaf.” In a word, they are mainstreamed.

Patricia M. Chute, Ed.D., the dean of the School of Health Professions at the New York Institute of Technology, and Mary Ellen Nevins, Ed.D., the national director of Professional Preparation in Cochlear Implants, detail how changes affecting education as a whole are touching education efforts for children with hearing loss.

“National efforts to engage and empower families to be their child’s first teachers—regardless of whether that child has a hearing loss—open the door to the possibility that children with hearing loss born today will be kindergarten-ready, and as such, will be primed to learn with typically hearing peers. As children with hearing loss increasingly are mainstreamed, attending their neighborhood school, they are set to benefit from the same changes in education affecting all schoolchildren.”

They concisely summarize the revamped focus in educational goals this way:

“Traditional approaches to public education have focused on the three R’s: reading, writing, and ’rithmetic. But now the three R’s may be considered the three T’s: teaching, technology, and transitions.”

Read more from these educators in our story “The State of Deaf Education Today” in the Spring issue. It includes a profile of a now-college-age student who was fitted with a cochlear implant at age 6 and successfully mainstreamed into her local public school.

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Let's Get Looped!

By Yishane Lee

We’re talking about hearing loop systems, of course. As writer Elizabeth Stump describes in “Keeping You in the Loop,” in our new Spring issue of Hearing Health magazine, hearing loop systems deliver clear sound—free from background noise, echo, or distortion—directly into hearing aids that are equipped with telecoils (T-coils). About two-thirds of hearing aids have T-coils, and hearing loop systems are available at a growing number of public venues, ranging from churches and other places of worship to New York City taxis to auditorium ticket booths.

But hearing loop system advocates think we can do better. Here is advice from Juliëtte Sterkens, Au.D., the consumer and hearing loop advocate for the Hearing Loss Association of America (HLAA) and a member of the National HLAA/American Academy of Audiology Hearing Loop Task Force.

What are your recommendations to others on how to advocate successfully for looping systems in their community?

I usually make a phone call or a pay a visit and explain why people with hearing loss (even if they use hearing aids or cochlear implants) have trouble hearing. Most facilities are unaware of the difficulties people with hearing loss experience—it is my experience that they want to help. During the visit I often play parts of sound demos in and out of hearing loops. These sound demos can be eye—or should I say ear—opening?

I have also let some of the responses from hearing loop users help me in the process. Many comments can be found online, such as at LoopWisconsin.com.

Advocating is made easier if I know that a facility will soon be undergoing remodeling because the installation of the loop wire is usually easier and less expensive if completed when the carpeting is going to be replaced anyway.

If cost is going to be of concern, I will offer information as to how other venues have handled this. For example, there are grant monies available for some venues (libraries, some houses of worship), and many communities have a community foundation is interested in knowing what can be done to improve access.  

For example in Oshkosh, Wis., the community foundation was helping to fund a remodel of the Oshkosh Convention Center in the fall of 2008. I made a couple of phone calls and sent a letter with information to the executive director. The result was they helped fund two hearing loops at the convention center about two weeks before the carpeting was to be laid down. 

The executive director believed me when I told her that having a hearing loop at the convention center would convince other venues to do the same. Oshkosh now has more than 40 hearing loops including its 100-plus-year-old Grand Opera House, a funeral home, several retirement communities, a court room, and a new conference center at University of Wisconsin Oshkosh.

To increase attention to a need, I have found that a letter to the editor of a newspaper can be of tremendous help—and the best part is that this is free!

There is strength in numbers: If you are advocating for improved access ask a friend or family member or a hearing professional to write a short letter of support as well.  

The last resort would be playing the ADA card (Americans with Disability Act). The ADA mandates that facilities offer assistive technology. If a facility is unwilling one could file a complaint with the Department of Justice.


The HLAA has more tips to help you advocate for loops in your community, and we have additional links including looped spaces at hhf.org/loops.

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Hearing Aid Pop Quiz

By Kathi Mestayer

This year, I'm getting new hearing aids! My existing aids are five years old, and have Bluetooth-compatibility, telecoils, adaptive directionality, and programs to fit my most idiosyncratic needs, including a birdwatching/music program with omnidirectional microphones.

But a lot can happen in five years, and I've been hearing from my audiologist, Sandy Burkes-Campbell, M.S., CCC-A, of Maico Audiological Services in Newport News, Va., that some of her patients are getting big improvements in speech comprehension, including in noise, with newer aids, so I'm pumped.

When I set up my appointment, she informed me that I would be getting a questionnaire to fill out for our consultation.  

Pop quiz! The pressure is on… and the questions include but are not limited to:

1. How important are the following:

a. having high-tech aids?

b. "cosmetic" issues (e.g. size, color, visibility)?

c. price constraints?

2. Do you experience frustration in family interactions?

3. Do you feel "left out" when with a group?

4. Is your social life limited by your hearing loss?

5. Do you have any ringing in your ears?

6. Is listening to music a priority for you?  

7.  Do your current aids present any of the following problems/challenges:

a. Tinny/metallic sounds?

b. Feedback or whistling?

c. Wind noise?

d. Trouble using a landline or other phone?

e. Difficulty changing batteries?

f. Don't like how your own voice sounds?

And then, I got the open-ended essay question:

If there was anything you could change about your current hearing aids, what would it be?

I'm working hard filling in the blanks and writing (and revising) my essay… I need to get an A. More importantly, I think the result will be a thoughtful, complete discussion of my needs and issues. Thanks, Sandy!

Also from our latest issue of Hearing Health magazine, you can get nuts-and-bolts answers to real-life hearing aid questions. Earlier, we featured the ultimate guide to hearing aid styles.


Also in the new Spring issue, you can learn about finding the right hearing health professional for you.

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