“A Winters Day, Bleaklow in the Peaks Past Glossop”
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ReSound For people with Cochlear Implants Winter 2018 Issue 57 “A winters day, Bleaklow in the peaks past Glossop” This newsletter has been produced on behalf of the Manchester CICADA Charity contents 1 Editorial 11 Laser devices by Kevin Williams 12 Gene editing and deafness 2 Xmas lunch at the Liner 14 News from MED-El 3 Assistive Devices report by John Newton 15 Terracotta Warriors 4 Music and CI’s 16 Ten Minute Interview 5 Selecting Sounds 17 Snippets by Beryl Hardman - Norah Clewes and Alan 6 Tinnitus Symptoms tests Corcoran 9 News from down under 19 Notes 10 Plastic Implants? Editorial Welcome to the Winter edition of Resound. find interesting and I do encourage those of you who subscribe to Blogs to have a At this time of year it is useful to look look at his website. forward and make plans for such things as events for the new season. Included in this We welcome all the new members who edition are a couple of items for the coming have joined this last year and who will year such as the guided tour of the hopefully feature in interviews in Terracotta warriors exhibition in Liverpool subsequent issues of the magazine. and the AGM and Annual dinner in March but a more complete list will be available The drop-in sessions at the MRI and also by the time of the AGM. If you have an other hospitals such as Tameside General idea for a meeting/lunch/event then please are doing well and if you think that you let anyone on the EC know. could help your local hospital in any way do get in touch with anyone from the EC and As mentioned before, any photographs we will do all we can to help. from previous events or news you would like to share with us please send it to me All of us on the EC thank you all for your at the address on the back page. continued support throughout the year and look forward to seeing you at an event or In this issue we have updates on meeting soon, the next event is the AGM developments taking place in the world as and Dinner which is at the Liner Hotel in usual and also contributions from members. Liverpool on March 17th. Our ‘Ten Minute Interview’ this issue is from a CI user who is setting up a blog with the focus on matters that we would Kevin Williams - Editor 1 Xmas Lunch at the Liner by Kevin Williams Scenes from the Xmas meal held at the Liner Hotel in Liverpool on the 25th November last year. They say Xmas is getting earlier each year! Everyone enjoyed a nice meal and a stroll around Liverpool afterwards. 2 Assistive Devices at the MRI by John Newton try something at home, you have to deposit a cheque for the value with the clinic. The cheque isn’t cashed, just put in the safe until the item is returned. Cheques are being used less and less nowadays so you need to remember to bring yours if you visit the centre. There are two main suppliers of such devices, Action on Hearing Loss The CI clinic at Manchester Royal Infirmary and Connovans both of whom publish has opened a drop-in centre to provide comprehensive catalogues and have advice about assistive devices. informative websites. Some of you may already have heard about My own experience is that the wide variety this. It is open from 2pm to 4pm every of things available can be very confusing, Monday. Drop-in does not mean that you particularly because they are all sold under arrive by parachute but that no brand names like Conversor Pro or Roger appointment is necessary, you just turn up Pen which don’t tell you much about what to the reception area at the clinic. they do. It is open to any hearing aid or CI user. The chance to actually handle them and try The centre has a selection of devices which them out at the centre helps overcome can be used to improve your hearing such confusion. There aren’t many places experience in specific situations, such as in the country where you can do this. watching the TV, attending meetings, talking with your partner in the car or in a I have been one of the volunteers at the restaurant or even waking you up in the centre for a few months now. I agreed to morning. You can try them out there and do it because I thought it would be a good then and even borrow them to try at home. way of meeting potential CICADA members (and also because I wanted to learn more Unfortunately such equipment doesn’t about the devices for my own benefit!) I come courtesy of the NHS. You have to pay have enjoyed meeting and talking to the for them! Nor does the centre actually sell “customers” and particularly learning more the gear, if you decide you would like to about the problems which deafness causes buy some item after trying it out, you will and the possible solutions. be put in touch with the suppliers. If you are considering buying such gear, I The room is managed by volunteers who would strongly recommend that you drop-in are pretty knowledgable about deafness and try them out before you buy. and about the equipment. If you decide to 3 News from across the pond Engineering music to sound don't necessarily need the entire piece to enjoy the music," Dr. Lalwani says. "Even better with cochlear though a song may have very complex implants layers, you can sometimes just enjoy the vocals, or you can just enjoy the When hearing loss becomes so severe that instruments." hearing aids no longer help, a cochlear Right now the group is testing different implant not only amplifies sounds but also arrangements of musical compositions to lets people hear speech clearly. learn which parts of the music are most Music is a different story. important for listener enjoyment. "It's not "I've pretty much given up listening to the same for somebody who has normal music and being able to enjoy it," says hearing," Dr. Lalwani says, "and that's what Prudence Garcia-Renart, a musician who we have to learn." gave up playing the piano a few years ago. Down the road, Dr. Lalwani thinks software "I've had the implant for 15 years now and will be able to take an original piece of it has done so much for me. Before I got music and reconfigure it for listeners or the implant, I was working but I could not give the listener the ability to engineer their use a phone, I needed somebody to take own music. notes for me at meetings, and I couldn't "Our eventual goal, though, is to compose have conversations with more than one music for people with cochlear implants person. I can now use a phone, I recognize based on what we've learned," Dr. Lalwani people's voices, I go to films, but music is says. "Original pieces of music that will awful." possibly have less rhythmic instruments, Cochlear implants are designed to process less reverb, possibly more vocals-- speech, which is a much simpler auditory something that is actually designed for signal compared with music. People with them." severe hearing loss also have lost auditory The study is titled, "Music Engineering as a neurons that transmit signals to the brain. Novel Strategy for Enhancing Music It's not possible to tweak the settings of Enjoyment in the Cochlear Implant the implant to compensate for the loss of Recipient." The other contributors are: auditory neurons, says Anil Lalwani, MD, Gavriel D. Kohlberg, Dean M. Mancuso, and director of the Columbia Cochlear Implant Divya A. Chari. Program. "It's unrealistic to expect people ______________________________________ with that kind of nerve loss to process the Story Source: complexity of a symphony, even with an Materials provided by Columbia University implant." Medical Center. Note: Content may be edited for style and length. Instead, Dr. Lalwani and members of Columbia's Cochlear Implant Music Engineering Group are trying to reengineer and simplify music to be more enjoyable for listeners with cochlear implants. "You 4 Selecting sounds: How the attention due to aging, disease or brain trauma and to create clinical interventions, brain knows what to listen like behavioral training, to potentially to correct or prevent hearing issues. New noninvasive approach reveals "Deficits in auditory selective attention can brain mechanisms of auditory happen for many reasons -- concussion, attention stroke, autism or even healthy aging. They How is it that we are able -- without any are also associated with social isolation, noticeable effort -- to listen to a friend talk depression, cognitive dysfunction and lower in a crowded café or follow the melody of a work force participation. violin within an orchestra? Now, we have a clearer understanding of Scientists have developed a new approach the cognitive and neural mechanisms to how the brain singles out a specific responsible for how the brain can select stream of sound from other distracting what to listen to," said Lori Holt, professor sounds. of psychology in CMU's Dietrich College of Humanities and Social Sciences and a faculty member of the Center for the Neural Basis of Cognition (CNBC). To determine how the brain can listen out for important information in different acoustic frequency ranges -- similar to paying attention to the treble or bass in a music recording -- eight adults listened to one series of short tone melodies and ignored another distracting one, responding when they heard a melody repeat.