Communication Strategies for Combating Noisy Situations

Difficulty hearing in noisy situations is one of the most common complaints of people with hearing loss. In some cases, people with hearing loss will get a hearing aid and this difficulty is alleviated to some degree. Other times however, the hearing loss is not enough to a need for hearing aids or the difficulty hearing is background noise persists even with hearing aids. In these cases, it is very helpful to use some communication strategies to help hear better when in noisy situations.

Here are some listening strategies to help in situations where we are not hearing our best:

 How can you REDUCE BACKGROUND NOISE in your environment?

  • – At Home: Turn the TV off, down, or mute it when having a conversation
  • – In the Kitchen: Turn off  running water, the microwave, and fans that cause a lot of background noise
  • – In the Car: Roll up the windows and turn down the radio to better understand the speaker
  • – At the Office: Close the door to the room you are trying to have a conversation, this will help block out the extra office noise
  • – In the Restaurant: Request a booth up against the wall or in a corner, avoid tables in the middle of the dining area, try to avoid
  • busy dinner rush hours because there is more commotion and noise, ask to be seated away from the kitchen

Can you SEE the Speaker?

  • – Face the person talking: Facial expressions, gestures and speech reading are all helpful cues in understanding and
  • hearing the message
  • – Wear your glasses: This will help you see the speakers face and mouth
  • – Sit close to the speaker: The closer you are the easier it is to hear and see them, stay within 6 feet of each other; Avoid
  • having conversation from different rooms
  • – Good lighting is important to see the speaker clearly

What did you HEAR?

  • – Repeat what you heard: This helps the speaker know you are listening
  • – Avoid using the phrases “huh?” and “what?”: Instead repeat the parts you heard and the speaker can fill in any blanks
  • – Don’t pretend you heard everything! Do not just nod in agreement; you never know what you might be agreeing to

Communication strategies can be used for people with hearing loss, but they are also effective and useful for people without hearing loss as well. It is important to remember that even those with great hearing still struggle to hear in some situations.

Next week we will go over good communication strategies for partners of those who have hearing loss. Sometimes we as communication partners can get frustrated or upset at our significant other who has difficulty hearing. We have some tips and strategies to help improve the flow of communication! Stay tuned!

If you are experiencing any difficulty hearing in background noise, please contact our office at 651-888-7800 to make an appointment with one of our audiologists.

Help! I have high frequency hearing loss.

Two very common types of hearing loss include noise induced hearing loss and presbycusis, or age related hearing loss. Both of these are permanent in the fact that once our inner ear hair cells are damaged, we have no way in restoring their function to normal. Both conditions frequently result in something call high frequency hearing loss.

What is high frequency hearing loss?

Our ears hear a wide range of tones or frequencies. These range from low or bass tones, to high or treble tones. Often times, only part of the hearing range is damaged. For people who have high frequency hearing loss, it is not uncommon to have normal hearing for the bass or low pitch tones, but to have lost the ability to hear the high pitches. If you picture a radio that has all of the treble tuned out of it, this is what it can be like with high frequency hearing loss. You will still hear, but often times people complain of a lack of clarity.

How can high frequency hearing loss affect me?

Clarity in our hearing comes from the ability to hear high frequency sounds. We have many valuable speech sounds in the high frequency region that are important for distinguishing words. These include the “s” “f” “t” “th” sounds to name a few. Somebody who has high frequency hearing loss may hear the word “wife” and “white” the same, and this often leads to a misunderstanding. We will hear patients with high frequency hearing loss say, “I can hear the voice, I just don’t understand what they’re saying.”

Missing out on these valuable speech cues and having misunderstanding can be very frustrating. This frustration can lead to the listener giving up, or possibly isolating themselves because they don’t want to put in the extra effort to communicate.

Hearing aids can help with high frequency hearing loss

Hearing aid technology allows for the important speech information to be amplified to a point that the individual ear can use the information again. It is important that individuals don’t go too long without hearing the high frequencies because the longer the brain goes w/out hearing certain tones, the harder it is to introduce them back at a later time. Remember, the brain is a muscle, and you have to keep it exercised to keep it strong.

Take home

The first step in identifying whether or not hearing loss exists, is to visit an audiologist for a hearing test. If you think you may have hearing loss come meet with one of our Doctors of Audiology. Together we work with our medical doctors to come up with the best treatment options for your needs. Call us at 651-888-7800 to schedule an appointment.

In the meantime, here is some information about why our hearing is so important. 

What is Eustachian Tube Dysfunction and How is it Treated?

Now that winter is officially upon us, many people are experiencing some symptoms associated with colds and sinuses. These symptoms can range from mild to severe and affect all sort of areas in our bodies as well as in our daily lives. One of the most common symptoms associated with this time of year is eustachian tube dysfunction.

What is eustachian tube dysfunction?

We have 3 main parts of our ears: the outer ear, the middle ear, and the inner ear. All 3 of these parts need to be working properly for us to hear effectively. As our allergies act up, out middle ear is particularly susceptible to issues, particularly due to dysfunction of our eustachian tubes. The most common cause of eustachian tube dysfunction is excessive mucus and inflammation of the tube caused by a cold, the flu, a sinus infection or allergies.

The eustachian tube is a small passageway that connects the upper part of your throat (pharynx) to your middle ears. The purpose of our eustachian tubes is to equalize pressure the pressure in our middle ear. Sneezing, swallowing, or yawning will usually force open the eustachian tubes to allow air to flow in and out. But sometimes one or both of our eustachian tubes is plugged and the eustachian tubes cannot open. This is called eustachian tube dysfunction or ETD for short. When this happens, sounds can become muffled and your ear may feel full. You may also experience ear pain or other symptoms.

What are the symptoms of eustachian tube dysfunction?

Some common complaints of those with eustachian tube dysfunction are:

  • – Plugged or full sensation of your ears
  • – Muffled hearing
  • – Popping, clicking, or fluttering sensation in your ears
  • – Pain in your ears
  • – Ringing, or tinnitus, in your ears
  • – Mild dizziness or off-balance feeling

Some people will experience only a few of these symptoms and other may experience all of them. Activities such as flying or riding in an elevator can further affect the pressure in the middle ear.

How is eustachian tube dysfunction diagnosed?

An otolaryngologist (ENT) doctor can diagnose eustachian tube dysfunction. Your ENT doctor will be able to diagnose ETD by talking to you about your symptoms and by examining you. Your doctor will examine your ear canals and eardrums, and your nasal passages and the back of your throat.

An audiologist may also want to see you if you are having symptoms associated with eustachian tube dysfunction. The audiologist will do a tympanogram test to determine if there is an abnormal amount of negative pressure in your middle ear space. They may also want to conduct a hearing test to determine if there is any hearing loss associated with the eustachian tube dysfunction.

What is the treatment for eustachian tube dysfunction?

Sometimes eustachian tube dysfunction clears up on its own without any treatment. If it does not clear up, there are a number of things your doctor may do to help alleviate the eustachian tube dysfunction, including:

  • – Eustachian tube exercises to help force the eustachian tube to open
  • – Prescribing a decongestant to help reduce swelling of the eustachian tube
  • – Prescribing an antihistamine or steroid nasal spray to reduce allergic responses
  • – Surgically implanting pressure equalizing (PE) tubes to help equalize the pressure
  • – Performing a myringotomy – making a tiny incision in the eardrum to help equalize the pressure

Take Home

If you are someone you know is experiencing symptoms associated with eustachian tube dysfunction call us at 651-888-7800 to schedule an appointment with our doctor.

Check out our post from last week for more information about when to see your audiologist or see our Andros ENT and Sleep Center website to get more information.

Photo by Dawid Sobolewski on Unsplash

Why Hearing is Important

Your hearing is important because it is what connects you with the world around you. It is one of our five precious senses. It is not something that is typically asked about by your family practice doctors but it is the sense that stimulates the brain the most. How important is hearing, really?

Birth-to-school age

We begin hearing in the womb and can recognize our mother’s voice before we are even born! Early on in life, our hearing allows us to start learning language. Unless sign language is used, our hearing is an integral part in language development. Babies and toddlers will imitate the sounds of the world around them before they develop language. Strong language development lays the groundwork for our educational years.

School-age

While in our school-aged years, our hearing becomes important for both social and educational reasons. People who are unable to hear their teachers may start to fall behind their peers. This may also impact and shape social connections. Our life experiences build through our educational years. Hearing loss can be isolating and have an impact on how social connections are built.

Adult

Once people are entering the workforce, hearing can have a major impact on employment opportunities and earning potential. A study published in the Annals of Otology, Rhinology & Laryngology (2012) found that people with hearing loss are more likely to be either unemployed, or earn significantly lower incomes than their normal hearing peers.

Retirement

The more common impacts of hearing loss tend to show in our elderly and aging population. Hearing loss becomes increasingly common as age increases. Our bodies wear out with age, and hearing is no different. Keeping the brain stimulated and active is a key activity to prevent this wear and tear from impacting our brains. If hearing loss prevents people from engaging in their social lives, the brain can start to shrink from lack of use. This can also lead to isolation, depression, and overall lower quality-of-life. If hearing loss goes untreated long enough, it can even cause neurological changes.

Hearing is important at every stage of life. We can take steps to prevent noise-induced hearing loss by wearing hearing protection in hazardous levels of noise. Some hearing loss in unpreventable. This is why it is important to get routine hearing evaluations so that you can catch changes before they may problematic and bothersome. Call our office today at (651) 888-7888 to schedule your hearing evaluation!