Thursday, December 27, 2012

Happy New Year!

As the Chimes Ring Twelve!


Wishing you a Happy Healthy New Year
From All of Us At
Advanced Audiology Concepts


Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org





Thursday, December 20, 2012

Happy Holidays!

Wishing you and Your Family
Happy Holidays



May They be Filled
With the Sounds of the Season


From All of Us At
Advanced Audiology Concepts



Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org






Thursday, December 13, 2012

New Hearing Aid Technology



Up until the mid 90's, we saw advancements in hearing aids about every ten years.  Since then digital hearing aids came to the market and we've seen advances in hearing aid technology about every 18 months.

Digital hearing aids are smart.  They listen to the sounds around you and adjust accordingly.  There are many features working behind the scenes to maximize conversations even when there is background noise.  Features such as directional microphones, noise reduction and noise cancelling.  These features turn on and off automatically, adjusting to your environment.  Yes, automatically, most hearing aids today can be set so that you don’t need to adjust them.  Yet for those times when you may want control of the hearing aids there are instruments that can also be adjusted manually.

In noisy places, hearing aids focus on the person in front of you (the hearing aids assume you are looking at the person you want to hear).  Some hearing aids can be to focus to the side or even behind you.  They are tailored to each individual’s needs. 

Telephone options are also available.  With some hearing aids telephone conversations are heard in both ears at the same time.  Hearing aids can pick up blue tooth signals and send them directly to the ears. This includes cell phones, music players, lap tops, television and other electronic devices with blue tooth capabilities.

Recent research has given us ways to reduce wind noise, reverberation and background noise. 
If you have been told hearing aids won’t help, if you are struggling with your current hearing aids or if have hearings aids over 4-5 years old, contact your audiologist to learn what can be done to imporve your hearing.  95% of people with hearing loss benefit from today’s hearing aids.  Call today.  


Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/






Thursday, December 6, 2012

What to do when someone resists getting hearing aids



We are often asked how to encourage loved ones to seek hearing help, especially hearing aids. Often those with hearing loss resist seeking treatment.  We know that dealing with and accepting hearing loss is difficult for some people. 

There are many reasons why people deny hearing trouble. For some it is fear of the unknown or of aging.  For others it is denial or lack of awareness of the problem.  After all, if you don’t hear something, you don’t always know you missed it. Simply ignoring hearing loss can lead to withdrawal, isolation and depression.

Some people respond well to encouragement of loved ones.  For others pointing out the negative impact on quality of life and physical health can motivate them into action. While others do not take the suggestion well, become angry and more resistant to help. For this group, tough love may be the answer.  


The Better Hearing Institute suggests the following for those who are resistant to seeking help:


1. Don’t repeat yourself. Allow your loved one the opportunity to realize the significance of their hearing loss. Do not stop helping though. All you do is preface what you repeat by saying each time, “Hearing Help!” or some other identifier. In a short amount of time, your loved ones will realize how often you say this. In turn, they will come to realize how often they depend on you. (This suggestion is only for a loved one who resists the idea of getting any help).


2. Stop raising your voice. Raising your voice stresses your throat and vocal chords.


3. Stop being the messenger carrying the communication load for the family. Do not tell your loved one “He said” and “She said” when he or she needs to be responsible for getting this information directly from the source.


4. Do not engage in conversation from another room as tempting as this is and as convenient as it appears. This sets up you up for communication failure.


5. Create a telephone need. Stop being the interpreter on the telephone. Allow your loved one to struggle in order to recognize how much help is needed.


The hope is that the loved ones will realize what they are missing and recognize they need help.  At this point call and schedule a hearing evaluation.


Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org







Thursday, November 29, 2012

Affects of untreated hearing loss


Hearing health is an important part of daily life. It not only affects quality of life but also well-being.  There are many side effects of hearing loss that are rarely considered.  The obvious side affects are the loss of communication and the enjoyment of sounds such as listening to music.  The not so obvious ones include a negative impact on relationships and social life. Self esteem, confidence and level of physical activity are also impacted.  Further, untreated hearing loss leads to withdrawal and depression.

Folks with hearing loss are not alone. It is a common health problem impacting 48 million Americans. While hearing loss is common, it remains one of the most commonly untreated health conditions in the United States. The sad truth is, the majority of people with untreated hearing loss are men.

On the positive side, 95% of those with hearing loss are successfully treated with hearing aids.  Modern hearing aids are digital making them smart.  They adjust to sounds in the environment maximizing hearing for conversations.  There are many features such as directional microphones, noise cancelling and noise reduction that help hearing speech in restaurants and social activities, and they look great.  They are discreet and cosmetically appealing.  Treating hearing loss has a positive effect on self esteem, confidence, social events and relationships.  There is no reason to wait and put off treatment.  Most people regret they waited awhile to invest in hearing aids.

For those who resist seeking hearing help, the Better Hearing Institute reports one of the best ways to get a loved one to seek help for their hearing loss is to stop being their hearing helper! When family members help others to hear by repeating specials in a restaurant or filling them in on conversations, family members become the hearing "aides".   When they stop this, the person with the hearing loss becomes much more aware of what they are missing.

For most of us, the holidays bring social gatherings which can be difficult.  Encourage loved ones to call now  and schedule a hearing evaluation there is still time to be fit with hearing aidsImproving hearing is a great gift.


Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org








Thursday, November 22, 2012

Happy Thanksgiving!

Wishing You and Your Families a
Happy Thanksgiving
Filled with the Sounds of Joy and Laughter!  


From all of us at
Advanced Audiology Concepts



Life sounds great!  Enjoy every moment!


Jane Kukula, AuD

Paula Webster, MA
Advanced Audiology Concepts

8897 Mentor Ave

Mentor, Ohio 44060
440-205-8848






Thursday, November 15, 2012

Hearing aid styles


Hearing aids are the primary means of treating permanent hearing loss.  Most hearing loss is permanent and is not medically or surgically treatable. If you notice difficulty hearing or changes in your hearing, see an audiologist.  A comprehensive evaluation will determine whether you are a candidate for hearing aids or for medical/surgical options.

90% of all hearing loss is permanent. In which case
hearing aids are the first line of treatment.  Hearing aids are basically miniature loud speaker systems. The microphone picks up the sound, the amplifier makes the sound louder, and the receiver (speaker) delivers the sound. By 2009, 98 percent of all hearing aids were digital. Digital technology allows sound to be manipulated in many useful ways.  Some hearing aids are completely automatic, while others have adjustable controls. 


Hearing aid styles are classified as “standard” and “custom.” Standard hearing aids include behind-the-ear (BTE) and mini-BTE devices. These devices are designed to fit most ears and usually require some customization of the earpiece and the connection of the device to the earpiece. Custom hearing aids include in-the-ear (ITE), in-the-canal (ITC), and completely-in-the-canal (CIC). These products require a custom-molded shell that houses the electronics. Standard and custom hearing aids come in a variety of technologies, colors, shapes, and sizesWe work with you to review hearing aid options and assist you in making a good choice. 


The choice of hearing aid styles and features is based on several factors including the type and amount of hearing loss, individual needs such as communication requirements, lifestyle, and manual dexterity, and medical history. 


Start with a comprehensive hearing evaluation performed by an audiologist.  Call for an appointment.  


Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/






Thursday, November 8, 2012

Asymmetrical hearing loss


Typically we see hearing loss that is equal between ears.  Sometimes, it is unequal.  That is one ear has a mild loss and the other a more significant loss of hearing.  In these cases, when they compare hearing in between ears, it appears as if one is “good” and the other is not.  It is typical for someone who hears better in one ear to favor that ear.  They learn to rely on it for most hearing needs such as conversation, telephone, etc.  This gives the impression that the ear is good or “normal” when there is hearing loss.   

Nearly all patients who believe that they have "good" hearing in one ear actually have hearing loss in both ears.  The Better Hearing Institute also reported that about 90% of people who benefit from hearing aids benefit from two hearing aids.

Hearing loss affects people of all ages, not just the elderly.  About 65% of people with hearing loss are under the age of 64 years.  There are about six million people in Americans between the ages of 18 and 44 with hearing loss, and more than one million are school age.

Whether you or a loved one is experiencing difficulty hearing in one or two ears, see an audiologist.   In rare cases, asymmetrical hearing loss can be a sign of a serious condition.  Following the audiologic evaluation we would be able to make specific recommendations for medical follow up or for amplification, listening training or other services.  Get started now!  Call and schedule an appointment.

Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/








Thursday, November 1, 2012

An audiologist



I recommend you see an audiologist.  Audiologists are the most trained in hearing and hearing loss.  An audiologist will perform an audiologic evaluation including measures of hearing and assess the function the eardrums, ear muscle reflexes and hearing nerve (haircell) health. The audiologic assessment is a thorough evaluation of the function of the ear going well beyond simple hearing measures. As a result an audiologist will know whether to refer you to a physician, or recommend listening training or hearing aids.

If hearing aids are indicated, I again, recommend you work with an audiologist. A hearing aid dealer can also fit and dispense hearing aids but their education and training is different.  Audiologists have either a Master’s Degree or Doctoral Degree which includes college course work on the development of the ear, how it works, the anatomy and physiology of the ear, causes of hearing loss, ear diseases and fitting hearing aids. Hearing aid dealers are licensed in most states. The requirements may vary slightly state by state.  In Ohio they need a high school education or equivalent, and must pass a state examination.  Typically they are trained by other licensed hearing aid dealers.

Get started by scheduling an appointment with an audiologist.  Call one now.



Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/







Friday, October 26, 2012

Television amplifiers


I recently had a patient looking for something to help with just the television.  I recommended a television amplifier.  With a television amplifier you can adjust the volume for television based on your needs without increasing the volume for the entire family. Television amplifiers not only allow the user to increase the volume without disturbing others, they also separate the voice track from the background sounds and music.  This way the words come through stronger then background noise.

There are several models available some work with hearing aids and others work without hearing instruments.  The ones that work with hearing aids work with the telephone feature on some hearing aids.  With the telephone feature the television signals go through the hearing aids at the prescribed settings.

The amplifiers that work without hearing aids use a headset.  The volume I usually adjusted through the headset.   These are especially great for people who have some hearing loss and do not use hearing aids.  With a television amplifier, the family can set the volume on the TV to a comfortable level.

They are easy to set up.  The transmitter is plugged into the audio out on the TV and into a wall socket.  Typically the transmitter is also used to store the headset and recharge batteries.  Stop in for a free demonstration and see for yourself. 

Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/






Thursday, October 18, 2012

Advantages of Wearing Two Hearing Aids

Your brain needs to hear from both ears to be able to locate a sound.  For example, if you hear with one ear, you will hear keys fall off the counter but not be able to tell exactly where they fell.  When both ears hear equally, the brain can quickly locate the spot the keys fell.  This is one reason why we typically recommend two hearing aids when you have hearing loss in both ears. Hearing aids work as a system.  This way the brain receives more accurate information keeping you in touch with your surroundings.
The second benefit of wearing two hearing aids is better hearing in noisy places.  With two hearing aids, the brain better separates words from background sounds.  The more information the brain has the better you can focus on the conversation.  This allows for easier communication even though there is background noise.  
Today many hearing aids operate wirelessly.   With wireless hearing aids, the aids communicate with each other maximizing hearing.  This binaural processing coordinates sound giving the brain more accurate information.  You have a better idea of things happening around you.
Research shows those who wear two hearing aids are more satisfied and those who wear one. Those who wear wireless hearing aids are the most satisfied.
Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/









Hearing for the Holidays


The holidays can be a joyous time and often a loud hectic time of the year.    For those with hearing loss and hearing aids it can be especially stressful.   With hearing loss, hearing does not come naturally, people need to pay attention, focus and concentrate.  Listening in noisy places takes effort on the part of the person with hearing loss. 
Gatherings with family and friends, whether in a home or a restaurant can be loud, interfering with conversation.  When having difficulty hearing in a group conversation, try one- on-one conversations.  Make sure you are able to see speaker's face and pay attention to gestures.  Keep as much of the noise behind you as you can.  Be ready to ask people to speak slowly or to rephrase the information when needed.  Conversing loved ones is well worth the effort.  
When talking to someone with hearing loss, first get their attention.  This can be as simple as starting a sentence with their name. This way they can give your comments their attention.  Speak slowly and distinctly.    If they miss hear what was said rephrase it, state it differently.  Whenever possible reduce background noise. 
The first and best step to hearing well for the holidays starts with good audiologic care.  Have an audiologist perform a hearing evaluation and when recommended, wear hearing aids.  Hearing aids do a great job improving hearing and communication.  Get started now.
Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/






Thursday, October 11, 2012

Things to consider when purchasing hearing aids


I am often asked what is important to consider when investing in hearing aids.  I typically tell people to keep it simple and break it down into three basic decisions.  The first two are simple.

First, for most people if you have hearing loss in both ears, then you need two hearing aids.  There are few exceptions to this rule.  The ears work best when they work together.  This is important when in noisy places.  You need both ears to separate speech from background noise.

Second, you will need to decide on the style of the hearing aids.  There are four basic styles.  Among the newest instruments are miniature behind-the-ear aids.  These rest at the top of the ear and have a slim tube leading into the ear canal.  They are discreet and well camouflaged.  Traditional behind-the-ear hearing aids have a thicker tube leading to an ear piece that fills the ear.  In-the-ear hearing aids fit all in the ear and fill the opening of the ear.  In-the-canal hearing aids are placed in the lower part of the ear and ear canal.  Completely-in-the-canal aids fit in the ear canal.  Hearing loss, dexterity of the hands and fingers and personal preference are considered when choosing the best style of each individual.

Third, you will choose the technology for the hearing aids. This is the most complex of the decisions and has the greatest impact on the cost of the aids.  The technology and features typically affect; how well the aids can adjust to many different listening environments; the degree of fine tuning available to match your hearing loss and how aggressive the hearing aids will be at separating speech from background noise.  Any hearing aid technology and feature can be added to most any style instrument. 

Your audiologist can discuss the advantages and disadvantages of style and technologies and further explain the benefits best suited to your lifestyle.  Get started with an Audiologic Evaluation. In Mentor Ohio call 440-205-8848.

Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/









Thursday, October 4, 2012

I have ringing in my ears!

Tinnitus is the perception of a sound when that sound does not exist.  The most common sounds are ringing, buzzing, clicking or humming.” It is estimated that 50 million Americans experience tinnitus.  For some, it is constant, for others it is occasional.  It can be heard in one or both ears.  The most common cause of tinnitus is exposure to loud sounds.  Tinnitus has also been associated with ear infections, aging, excessive ear wax, high blood pressure and hearing loss.  Other activities which can cause tinnitus include smoking, drinking alcohol or caffeine and taking excessive amounts of aspirin or antibiotics.
Unfortunately, there is no magic pill that relieves tinnitus.  Obviously, reducing stress, alcohol and caffeine consumption, keeping blood pressure under control and reducing exposure to loud noise will all be beneficial.  Tinnitus can be a very troublesome symptom.  It should be investigated, evaluated and treated.
First, rule out a medical problem. If there is a medical cause, treatment of the underlining problem may resolve the tinnitus.  In many cases, those who have tinnitus also have some degree of hearing loss possibly even a mild loss of hearing.  An Audiological Evaluation can identify the nature and degree of hearing loss, as well as evaluate the frequency and intensity of the tinnitus.  If hearing aids are appropriate, use of hearing aids often “cover up” or “mask” the tinnitus, making it less distracting.  Sometimes a noise generator called a tinnitus masker is used.  This creates a noise to cover up the tinnitus.  If these solutions are not successful, behavior modification and relaxation techniques may be recommended.  
Start with a hearing evaluation and medical examination.  Call today to schedule an appointment.
Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/






Thursday, September 27, 2012

Why are some hearing tests free and others are not?


My dad always told me there was nothing free in life.  I agree with him when it comes to hearing tests.  I don’t believe there are “free” hearing tests.  Those who offer free hearing tests often bundle the cost of the test into the price of the hearing aids.  It is hard to see the added cost since it is difficult to price compare hearing aids. 

Typically and audiologist will charge for the assessment.  An audiologic assessment is more than just a hearing test.  Audiologic assessment gives in depth information about your ears and hearing.  It is the most important part of your evaluation.  It is the cornerstone form which all of the decisions and recommendations are made.  The assessment needs to be accurate and thorough.  It is performed in a sound booth using calibrated equipment.  The assessment is the first step to good hearing care and properly adjusting hearing aids.  It is so important that Medicare and other insurances pay for the assessment even when they do not pay for hearing aids. 

Audiologists are recognized by the government and insurance companies as providers for audiologic assessment.  If you seek assistance from an audiologist, then the audiologist can bill insurance for the audiologic evaluation.  Besides receiving good hearing care, billing insurance for the evaluation, keeps your costs down. 

Hearing aid dealers or hearing aid "specialists" can perform a hearing test but not an audiologic assessment.   Hearing aid dealers are trained to perform simple measures of hearing.  In most states, hearing aid dealers are not recognized as providers for audiologic assessment and cannot bill medical insurance to be reimbursed for the evaluation.

Give yourself good care.  Have a thorough audiologic assessment with an audiologist.  From there your audiologist will determine if you need to see a physician, wear hearing aids or if other options are appropriate.  

Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/




Reference and for more information go to: http://www.sciencedaily.com/releases/2011/07/110718164026.htm



Thursday, September 20, 2012

My husband resists hearing aids. What can I do?


Resistance to wearing hearing aids is common.  Many people have excuses for neglecting their hearing.  Some worry about looking old and others feel the financial investment isn’t worth it.  Few people realize the cost of not using hearing aids.  Talk to him about the negative effects of ignoring his hearing problem.   
                        
When someone cannot hear what is said or miss hears information, it’s easy to see the impact on communication.  Isolation and withdrawal from social situations is also easily seen.  Not so apparent are the affects the brain.  Not using hearing aids reduces stimulation of the hearing pathways in the brain.  This can cause a reduction in the brain’s ability to recall words and the ability to learn new tasks. Words become mumbled and with long periods of reduced stimulation, the mumbling can become permanent. People with hearing loss have to work harder to hear and remember what was heard. 

Untreated hearing loss can also have serious social and emotional affects.  A study by the National Council on Aging reported that adults 50 and older with hearing loss experience more stress, sadness, and depression.  They worry and are more anxious than those who use hearing aids. 

Other studies show that those who are working earn from $12,000-$24,000 less annual due to hearing loss.  They are less likely to be promoted and often seen as loaners.

Don't wait to get started.  Encourage him to have a trial with hearing aids.  Hopefully he will find they are inconspicuous, comfortable and work well.  Call now for an appointment.  

Life sounds great!  Enjoy every moment!

Jane Kukula, AuD
Paula Webster, MA

Advanced Audiology Concepts
8897 Mentor Ave
Mentor, Ohio 44060
440-205-8848
http://www.aacHEAR.org/




Reference and for more information go to: http://www.sciencedaily.com/releases/2011/07/110718164026.htm