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Tips for traveling with hearing loss

31/1/2019

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We're right in the middle of holiday season, and while some will soak up our Summer around Australia, others will travel abroad to cool off!  Whatever you choose, having hearing loss won't slow you down if you follow these great tips...

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Before you go

When you make your reservation, make sure to ask if a hearing-accessible room is available. If none are available on the dates you’re traveling, you may want to look for a different hotel.
What makes a hotel room hearing accessible? It varies, but generally these types of rooms have:

  • A telephone that allows guests to communicate via text or typing, such as a TTY phone and/or a phone with added amplification
  • Sensors that shake the bed and/or flash a light to alert guests that someone has rung the doorbell, or is calling on the phone. These types of alerts are also required for emergencies. Alarm clocks also must provide some sort of non-auditory signal, as well.
  • A TV with closed captioning
  • Signage indicating assistive listening devices are available


What to pack

A day or two ahead of time, make a packing list so you don’t forget any of your hearing device essentials. A checklist of the basics include:
  • Hearing aid storage case/drying container
  • Small hearing aid dehumidifier
  • Hearing aid splash protectors or wind sleeves, if your plans include active outdoor activities, such as camping and hiking
  • Adapter for your charger if you’re traveling abroad
  • Extra batteries
  • Cleaning kit
  • Assistive listening devices
  • Hearing aid accessories

Get a hearing aid tune up, if needed

Before you leave town, you may want to check in with your hearing healthcare professional. These sorts of visits are often free or require a small office visit fee. Ask them to check your hearing devices to make sure they are clean and working properly. Tell them where you are going and what types of listening environments you anticipate. Together you can determine what adjustments, if any, need to be made to your devices so you can hear effectively while you’re away from home.


Getting there

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Traveling by car

If you’re planning to fill up the tank and hit the highway, buckle up, of course! You won’t have to pass through security or worry about hearing last-minute gate changes, but you may have other challenges. Here are some suggestions, and be sure to check out our in-depth piece on driving with hearing loss:
  • Ask your hearing healthcare professional about purchasing an assistive listening device that will improve your ability to hear conversations with fellow travelers while in the car.
  • Consider purchasing an extra wide rear-view mirror so you can see more of your surroundings. Because you may not hear cars approach or honk, this is an added layer of safety.
  • If you frequently take road trips with passengers, look into having an induction loop installed. This electronic device will allow you to better hear and understand your radio, cell phone and conversation from other passengers. (Induction loops are also found in some airports and travel hubs like train stations.)
  • If you rely on texting or emailing for conversations, don’t compromise safety. Pull to the side of the road to send or receive these messages or ask one of your passengers to act as your reader and scribe.

Traveling by public transportation or airplane

Taking a plane, train or bus? Regardless of which mode of transportation you choose, you will likely find yourself in some pretty noisy, even chaotic, environments. Be sure to keep the following in mind:
  • You do not have to remove your hearing aids when going through airport security. 
  • For any transportation, check relevant websites or call ahead to ask about services for those with hearing loss. Many facilities require at least two weeks’ advance notice for sign language interpretation, so be sure to give yourself plenty of time if this is a service you require.
  • Some travel hubs have induction loop systems to allow people with hearing loss to hear announcements more clearly. 
  • Pack necessary travel documents in an easy-to-reach place.
  • Sign up for travel alerts via text messaging, which can be useful if announcements are garbled.


During your trip

Hearing aid problems

If your hearing aids start giving you trouble while you’re traveling, our troubleshooting guide can help you problem-solve on the fly. If case of emergency, you also can always research local hearing clinics and get their help and advice.
Troubleshooting Guide


Dining

When searching for a spot for lunch, seek out food stands and cafes with outdoor seating and quiet corners. Excess noise and loud interior spaces make it difficult to hear and focus on the conversation with the ones you love. Having an eye for ear-friendly locales can cut back on the stress and mental exhaustion it takes to decipher multiple sounds at once.


If you're traveling to a foreign country

If you’re traveling internationally where the people speak an unfamiliar language, communication is difficult enough without factoring in your hearing loss. There are a number of things you can do to facilitate communication, including:
  • Downloading a translator app on your smartphone or keeping a translation dictionary in your bag
  • Alerting the travel personnel ahead of time about your hearing loss, so they can help point you in the right direction when you arrive
  • Seeking out translator and hearing loss services ahead of time online


Planning is key

Being your own advocate can make a huge difference in the quality of your vacation. If you take a little time to research your trip before you go, you’ll save time, feel more confident and be better equipped to enjoy the adventure.
Also, your hearing aid professional or audiologist can provide you with more tips on what to consider before traveling the open skies, rails or roads.

(Source: healthyhearing.com)

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How to troubleshoot common hearing aid problems

17/1/2019

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Common Hearing Aid Issues


The four most common issues hearing aid wearers experience are:
  • My hearing aids aren't producing any sound (or my hearing aids are "dead")
  • My hearing aids aren't loud enough
  • My hearing aids sound "funny" or distorted
  • My hearing aids are "whistling" or producing feedback
Troubleshooting steps for these common issues are highlighted below and in the downloadable checklist. We ordered the checklists with the simplest fixes at the top. If you're not able to fix your hearing aids yourself, you may need to come into the hearing Centre to find out what to do to get your hearing aids repaired.
Download Checklist


My hearing aids aren’t producing any sound


  1. Visually examine the hearing aid. Is there earwax blocking the microphone opening or sound outlet? Carefully clean away any debris.
  2. Make sure your hearing aid is turned on. Hearing aids are usually powered on by closing the battery door. If the battery door won’t shut easily, the battery is likely upside down. Take the battery out, flip it and try inserting again. If placed properly, the door will close easily.
  3. Turn up the volume with your remote control or directly on the hearing aid. If you have a manual volume control wheel, adjust the wheel up and down a couple of times to make sure it's all the way on. 
  4. Toggle between the programs or memories. If you have a button to change settings, press it and listen for several minutes to see if that makes a difference.
  5. Replace the battery. If you have a hearing aid battery tester, check the voltage of the old battery to confirm it’s dead before activating a new battery by removing the sticker.
  6. Consider whether the hearing aid may be damaged. Contact us at the Hearing Centre for further assistance.


My hearing aids aren’t loud enough


  1. Visually examine the hearing aids. Is there earwax blocking the microphone opening or the sound outlet? If you wear a behind-the-ear (BTE) hearing aid with an ear-mold and tubing, inspect the tubing to make sure there are no cracks, blockages or beads of moisture. Contact us if you need assistance replacing the tubing.
  2. Turn up the volume with your remote control or directly on the hearing aid. If you have a manual volume control wheel, adjust the wheel up and down a couple of times to make sure you can hear the volume changing. 
  3. Try a different program or memory. You may have accidentally switched to a different program that is set differently to your usual program.
  4. Consider whether your hearing may have changed. If it’s been a while since your last hearing evaluation, you may need to schedule a hearing test with us. We may be able to adjust your hearing aids to accommodate any changes to your hearing ability.


My hearing aids sound "funny" or distorted


  1. Visually examine the batteries. Are they corroded? If so, replace them.
  2. Inspect the battery contacts. These are the little metal prongs that connect with the battery when the door is closed. Are they corroded? If so, open and close the battery compartment several times to clean the contacts. Then replace the battery and see if the sound has improved. The Hearing Centre can also clean the battery contacts for you. Do they appear to make contact with the battery? If they are oriented correctly to make contact, you are likely to see scratches on the surface of a used battery.
  3. Try a different program or memory. You may have accidentally switched to a wireless setting meant to be used with an assistive listening device.
  4. Consider whether the hearing aids may be damaged. Contact usl for further assistance.


My hearing aids are “whistling” or producing feedback


  1. If your hearing aids are whistling while in your ears, remove them and try re-inserting them. They may not be inserted properly.
  2. Turn down the volume. If the hearing aids are properly inserted and they stop whistling when you turn down the volume, there may be too much sound leaking out through the vent or around the earmold. You may need to have the fit adjusted by us here at the Hearing Cenre.
  3. If you think your ear canals may be blocked with earwax, see your hearing care professional or physician to have your ears cleaned thoroughly. This blockage could be causing feedback in two different ways: 
    —You turn up the volume higher than normal so you can hear through the earwax, leaking out more sound than usual, or
    —Sound can bounce off any blockage in your ear canal and leak back out.
  4. If you have recently lost a considerable amount of weight, the fit of your hearing aids may have changed. We can evaluate the new fit and determine whether they can fix the issue in the office or if you need to have your hearing aids or earmolds remade.

If you have tried all these troubleshooting steps and still are having issues, please contact us on 4441 8886 or come into the Hearing Centre to speak to one of our staff about your issues.

(Source: healthyhearing.com)
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Study points to possible new therapy for hearing loss

9/1/2019

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Researchers have taken an important step toward what may become a new approach to restore the hearing loss. In a new study, out today in the European Journal of Neuroscience, scientists have been able to regrow the sensory hair cells found in the cochlea -- a part of the inner ear -- that converts sound vibrations into electrical signals and can be permanently lost due to age or noise damage.


Hearing impairment has long been accepted as a fact of life for the aging population.  However, scientists have long observed that other animals -- namely birds, frogs, and fish -- have been shown to have the ability to regenerate lost sensory hair cells.

"It's funny, but mammals are the oddballs in the animal kingdom when it comes to cochlear regeneration," said Jingyuan Zhang, Ph.D., with the University of Rochester Department of Biology and a co-author of the study. "We're the only vertebrates that can't do it."

Research conducted in the lab of Patricia White, Ph.D., in 2012 identified a family of receptors -- called epidermal growth factor (EGF) -- When triggered, these cells proliferate and foster the generation of new sensory hair cells. She speculated that this signaling pathway could potentially be manipulated to produce a similar result in mammals.

"In mice, the cochlea expresses EGF receptors throughout the animal's life, but they apparently never drive regeneration of hair cells," said White. "Perhaps during mammalian evolution, there have been changes in the expression of intracellular regulators of EGF receptor family signaling. Those regulators could have altered the outcome of signaling, blocking regeneration. Our research is focused on finding a way switch the pathway temporarily, in order to promote both regeneration of hair cells and their integration with nerve cells, both of which are critical for hearing."

In the new study, the team tested the theory that signaling from the EGF family of receptors could play a role in cochlear regeneration in mammals. The researchers focused on a specific receptor called ERBB2 which is found in cochlear support cells.

The researchers found that activating the ERBB2 pathway triggered a cascading series of cellular events by which cochlear support cells began to proliferate and start the process of activating other neighboring stem cells to become new sensory hair cells. Furthermore, it appears that this process not only could impact the regeneration of sensory hair cells, but also support their integration with nerve cells.

"The process of repairing hearing is a complex problem and requires a series of cellular events," said White. "You have to regenerate sensory hair cells and these cells have to function properly and connect with the necessary network of neurons. This research demonstrates a signaling pathway that can be activated by different methods and could represent a new approach to cochlear regeneration and, ultimately, restoration of hearing."



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