A speciAl Advertising feAture by MediAplAnet catch it early Age-related factors Know the risks to How your hearing reduce the damage needs will change hEARing hEALth

A TRUE 5 TIPS

FOR HEALTHY HEARING AID EARS “Celebrity Apprentice” Marlee Matlin helps make hearing tests possible for people around the world PHOTO: MICHAEL ROSENTHAL MICHAEL PHOTO: 2 · MAy 2011 A speciAl Advertising feAture by MediAplAnet ChALLEngEs

WE RECOMMEND How I hear robert chamberland’s story of living with profound hearing loss. pAge 5 “since a hearing aid is a sound amplifi ca- tion device, you would think it would solve the problem of hearing loss. but this simply is not true.”

Can it be cured? p. 10 Once hearing loss is gone—is it gone for good? Stifling stigma p. 12 How to face the implications of living with hearing loss. With an aging population, hearing loss is a growing concern for everyone. Whether you are taking steps to prevent damange, or are relearning to communicate with a loved one, it is important to understand the tcondition that eventually affects us all. HeAring HeAltH 1st editiOn, MAy 2011

Responsible for this issue: Publisher: David Shoemaker [email protected] Designer: Penelope Graham Listen up and learn [email protected] Contributors: Rex Banks, Robert Chamberland, Marshall Chasin, Kate Dekok, Susanne Gillespie, Gael Hannan, Jean Holden, Marjo Johne, Dr. Anil Katyal, David Lee, Dr. Vincent Lin, Shane Moodie, Jodi Ostroff, Kathy Pichura-Fuller, about hearing loss Conner Quinn, Brittany Randell, Shelley Randell, Susan Stanton, Peter Stelmacovich, Ted Venema earing loss has cifi cally called a “middle ear infec- ally adjust themselves in the presence Managing Director: Gustav Aspegren frequently been tion”. This type of pressure or fl uid of background noise can be very use- [email protected] called the invisible build-up in the middle ear can be ful. Assistive listening devices such as Editorial Manager: Jackie McDermott [email protected] handicap. quite painful but is treatable either wireless FM systems bring the speech Title Developer: David Shoemaker It is something by medication or minor ear surgery. closer to the listener and can be very [email protected] Business Developer: Chris Vassallo that is very grad- This type of hearing loss is called helpful at theatres and other noisi- [email protected]

ual, typically pain- conductive because it interrupts the er locations. And not everything that Photo credit: All images are from iStock.com unless hless, and is more often than not mis- conduction of sound to our ears. we “hear” is heard. Knowing the con- otherwise accredited. taken for something else. People text or topic of the speech allows us to with hearing loss may report ring- Fading over time fi ll in the blanks. The same can be said Distributed within: Toronto Star, May 2011 ing in their ears, increased fatigue, In contrast to a conductive hearing for using your vision (or lipreading) This section was created by Mediaplanet especially later in the day, or be loss, problems of the inner ear and to supplement what may be missed. and did not involve the Toronto Star or its Marshall Chasin, AuD. Editorial Departments. under the impression that they can beyond are called a sensori-neur- director of research, Those sounds that are frequently mis- only hear OK; it’s just that people al hearing loss. This is typically not Musicians’ clinics of canada sing with sensori-neural hearing loss mumble. Many people don’t men- medically treatable, is painless, and MY BEST TIPS are those very sounds that are visible tion it to their friends, family or unlike a conductive hearing loss on the speaker’s lips. Facing someone physicians fearing that their lack that can start during a cold or im- Hearing loss is gradual and is not just good manners—it’s good for of understanding or lack of clarity mediately after an airplane fl ight, is painless. Friends and family communication as well. FOLLOW US ON FACEBOOK AND TWITTER! of speech is some sort of cognitive very gradual in progression. Sensori- frequently notice it before In this report, you will fi nd great www.facebook.com/MediaplanetCA decline. For all of these reasons it is neural hearing loss may take years to the person who has it does. examples of good communication www.twitter.com/MediaplanetCA

diffi cult to get an exact estimate of notice and more often than not af- with deaf and the hard of hearing. Ac- Mediaplanet’s business is to create new the number of people with hearing fects the higher pitched consonant Initial signs of hearing loss tress Marlee Matlin has shared her customers for our advertisers by providing 1 readers with high-quality content loss. Conservative estimates suggest sounds fi rst. Sounds such as “s”, “sh”, are that you may notice that story and is an inspiration to others that motivates them to act. that about three to four million Can- “f”, and “th” contribute most of the people mumble or speech is not with profound hearing loss. Her use adians or one in 10 Canadians have clarity of speech and this is usually clear, as well as tinnitus or ringing of American Sign Language (or ASL) a signifi cant enough hearing loss to the case for most languages spoken in the ears. on television and in movies has dem- warrant intervention. in the world. People with this type onstrated the rich cultural heritage of hearing loss would report that While speaking with some- of the deaf community. Peter Stelma- Deafness denial 2 they can hear fi ne but that people one who has a hearing loss, covich is another communication star WHAT’S UP DOC? More often than not, hearing loss is mumble. face them so that they will have with hearing aids, some really impres- noticed by others long before a per- Examples of sensori-neural hear- the best chance of lipreading sive technical devices and an amazing Hearing doctors and son realizes or admits that they are ing loss are noise and music expos- speech cues visible on people’s hearing-ear dog. Peter can communi- their specialties experiencing it. When people are ure, hearing loss associated with faces. cate more eff ectively than many with ■ ENTs, also known as otolaryn- seen for a hearing assessment the aging, and very rarely, certain medi- normal hearing abilities. gologist-head and neck surgeons, fi rst comment is typically, “My wife cations. Some forms of sensori-neur- When in a noisy place such I invite you to explore this 16-page are medical doctors who specialize sent me in—she thinks I can’t hear al hearing loss are preventable—sim- 3 as a restaurant, sit with your report and discover the importance of in head and neck disorders, aff ect- her.” So why is hearing loss so fre- ply turning down the music or lis- back to a wall- this serves to mini- preventing hearing loss and manag- ing the ears, nose and throat. ENTs quently misunderstood or thought tening less often—while others are mize the sound from behind you ing a sensory defi cit that aff ects three with specialty training can cure ear- to be something else? Part of the an- inevitable and associated with aging. covering up what you want to hear. to four million Canadians—maybe related disease and infection, repair swer is related to the various mech- even you. I encourage you to learn the deformities and restore hearing anisms of hearing loss. Know your options 4 Speak slower, not louder, to a insight this report provides on issues through micro-surgery. A primary reason for a visit to a Treatment of people with sensori- hard of hearing person. such as noise induced hearing loss, ■ Audiologists assess and diagnose paediatrician or an emergency room neural hearing loss can be multi- tinnitus and the number one risk; age hearing diffi culties, select and fi t is an ear infection. This is more spe- faceted. Hearing aids that automatic- related hearing loss. hearing aids, and develop rehabili- tation strategies for patients with hearing loss. Audiologists work in various settings including private clinics, schools, hospitals, govern- the noisy culprit behind ment and universities. Some are also involved in research and pub- lic education promoting hearing hearing loss health. ■ Speech-language pathologists Bill Hodgetts often shakes tivities.” noise and hearing loss, which is a your ears—a telltale sign of exposure help adults and children with his head when he thinks of Noise is one of the leading caus- shame because noise-induced hear- to loud noise. speech, language, voice and swal- people all geared up to go es of hearing loss. There are no Can- ing loss is almost a hundred per cent “Assuming it’s a one-time expos- lowing disorders through interven- snowmobiling, drive their adian statistics tracking noise-in- preventable,” he says. ure, in about eight to 16 hours the tions that include prevention, coun- all terrain vehicle or tackle a duced hearing loss. But south of the hair cells will come back to life, but seling, treatment, management and woodworking project. border, one in three of the 36 mil- Ease up on the drums if they’re not given time to recover, rehabilitation. There are more than lion Americans with hearing loss de- In its position paper on noise pol- they’ll just die.” 7,300 speech-language pathologists “They’ve got helmets, goggles and veloped their condition because of lution, the Canadian Hearing Soci- It’s also a good idea to always have in Canada working within a multi- gloves on, which is great,” says exposure to noise, according to the ety proposes a noise control strat- on hand a pair of earplugs, which disciplinary team. A doctor’s refer- Hodgetts, assistant professor of American Academy of Audiology. egy founded on three Rs: removing most drugstores today sell for just a ral is not necessary to see a speech- speech pathology and audiology at as much noise as possible from the few dollars, says Hodgetts. language pathologist. the University of Alberta, and pro- Pay attention to the back- environment, reducing the amount But in a pinch, he suggests using ■ Hearing instrument special- gram director of bone conduction ground noise of noise that enters in the listening small, balled-up pieces of toilet ists work to select and fi t hearing amplifi cation at the Institute for Re- Dino Sophocleous, president of the space, and resting the ears after ex- paper or facial tissue. aids and other assistive devices. constructive Sciences in Medicine, Toronto-based Hearing Foundation posure to loud noise to give the hear- “It’s a really easy thing to do, a They also have a solid understand- a joint initiative of the University of of Canada, says lack of awareness is ing system a chance to recover. simple strategy that can make such ing of acoustics, sound perception Alberta, Caritas Health Group and one of the key culprits behind the “It helps to take a break,” agrees a big diff erence,” he says. and physiology of the ear. Hear- Capital Health. “But they’re all mis- high prevalence of noise-induced Hodgetts. “When you’ve been ex- ing instrument specialists work in sing the same thing—they’ve got hearing loss. posed to loud noise, the outer hair various settings, including private nothing to protect their ears from “People today are still not making cells in your ears get tired and lay practice and hospitals. the noise associated with these ac- the connection between excessive down, resulting in that ringing in MARJO JOHNE MARJO JOHNE [email protected] [email protected] A speciAl Advertising feAture by MediAplAnet A speciAl Advertising feAture by MediAplAnet MAy 2011 · 3

Advertorial Zen program by Widex - clinically proven to help reduce the effects of tinnitus amplified sound from hearing aids, when Zen was fine tuned to their environmental sounds or music. individual preferences Music for relaxation • 71% of patients said their tinnitus Many of us use music for relaxation symptoms were milder after 6 and stress relief without ever thinking months of daily use about it. In fact, studies have shown • 57% felt they were less bothered by that carefully selected music, such the stress of tinnitus than before as soft and slow-paced music, can improve relaxation and concentration, Studies show that the majority of as well as slow breathing and reduce people suffer from hearing loss and the heart rate. tinnitus for many years before they begin inquiring about the benefits Zen tones can help improve quality of wearing a hearing aid. The driv- of life ing force for Widex is to improve Inspired by music research, Widex the quality of life for the 500 million developed Zen, a unique listening people around the world who have Do you hear ringing or buzzing in your ears? program available in select Widex problems hearing. Whatever your life- hearing aids. This revolutionary You’re not alone. style, whatever your needs, Widex has program offers a choice of harmonic The ringing in your ears is known as Over 70% of people with hearing loss a solution that’s right for you. tinnitus and is characterised by peri- experience some degree of recur- tones designed to promote relaxation, Consult your hearing health care odic or constant sounds like ringing, ring tinnitus. 10% of individuals with reduce stress, improve concentra- professional or visit www.widex.ca buzzing or humming. It is a common hearing loss report that tinnitus has tion and provide relief from tinnitus. to learn more about the benefits of problem that everyone, regardless of a negative impact on their quality of For tinnitus sufferers, these harmonic Widex hearing aids and Zen! age or hearing status, experiences at life, creating anxiety and stress. tones, or the optional broadband noise, can be used as a sound therapy some point. Often, the cause of tinni- Tinnitus management programs aim tool in an overall tinnitus management tus is unknown; frequently it is noise to help people with tinnitus improve treatment program. induced, or related to medical disor- their quality of life. Although there is ders, such as ear infections, or caused no cure for tinnitus, the effects can be Recent clinical studies on the Zen by use of certain drugs. Regardless of minimized by a combination of coun- program found: the cause, there is a very high correla- selling and sound stimulation. Ex- • 86% of patients found Zen made www.widex.ca tion between the presence of hearing amples of sound stimulation include them feel very or somewhat relaxed loss and tinnitus. Paid for by Widex

“Alone we can’t do much. But, together we can change the world.” Starkey Hearing Foundation founder William F. Austin

Globally, there are approximately 63 million hearing impaired children.

Every year, more than 50,000 hearing aids are delivered through over 100 Starkey Hearing Foundation Missions

Marlee Matlin on a Hearing around the world. Foundation Mission in Kenya. Since 1984, the Starkey Hearing Foundation has fitted approximately 500,000 hearing aids and devices around the world.

These numbers will continue to grow and all because of donations from people like you.

Help give the gift of hearing.

Starkey Canada is a proud supporter of the Starkey Hearing Foundation.

Our Mission: Change the social consciousness of hearing and hearing matters through education and research while providing the gift of hearing to those in need around the world.

Marlee Matlin photos courtesy of Kevin Grandalski. www.starkeyhearingfoundation.org 4 · MAy 2011 A speciAl Advertising feAture by MediAplAnet RisK FACtORs

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TIP Hearing loss in PREVENTION IS the workplace THE BEST WAY TO COUNTER ■ The Accessibility for Ontarians NOISE-INDUCED HEARING LOSS with Disabilities Act (AODA) be- came law in 2005. The Act is a fi rst—unique in On- tario’s and Canada’s history—prom- ising an Ontario that is accessible to all persons with disabilities by 2025. The law is setting new standards and timelines for implementation and applies to information and communication, the built environ- ment, employment, transportation, and customer service (standard al- ready enacted). It addresses policy as well as the removal of practical and attitudinal barriers. The Canadian Hearing Society has been actively involved in the implementation of the AODA repre- senting the interests of Deaf people and people with hearing loss on the Standards Development Commit- tees. What you need to know is that people with hearing loss have the right to not be discriminated against based on their hearing abil- ity, and the right to not be denied ac- cess to information and communi- cation, goods and services, transpor- tation, buildings, and employment. For those of us not experiencing hearing loss, it’s important that we take the measures to prevent indus- trial induced hearing loss. Noise deafness still ranks high in occupational diseases. Many em- ployees assume the employer alone is responsible for the protection of Are you at high risk the employee’s hearing however this is only partially correct: The employer is responsible primarily for the reduction of sources of noise on the job but it’s up to you to ensure for hearing loss? proper use of hearing protecters. ■ Question: What’s the best they lost their hearing. There are two types of way to minimize your risk of “it’s much better to hearing protectors: developing hearing loss? take the steps now Protect the noggin ■ Passive ear muffs dampen ■ Answer: turning down the Head trauma can also cause hearing all sound, which means that all volume helps—the earlier, the to prevent hearing loss, says Pichora-Fuller, even when noises are reduced as they pass th- better. loss than to deal the ear hasn’t been damaged. rough the ear muff s. It is important with it later.” “The sound may start in your ear that the hearing protection used SHOWCASE but it has to get to your brain, so hear- provides enough attenuation to ing really is connected to various parts protect the hearing. But it is also About 1.2 million Canadians Kathy Pichora-Fuller Adjunct scientist, of the brain,” she says. “If your skull important that it doesn’t give atte- aged 15 or older have some toronto rehabilitation institute gets shaken up and you have a trau- nuation so high that you are over- form of hearing limitation, matic brain injury, then you can ex- protected. according to a 2006 survey Harvard Medical School Massachu- ear-related conditions or disorders, perience neural degeneration that Overprotection can prevent you by Statistics Canada. setts Eye & Ear Infi rmary, also sug- such as ear infections, Ménière’s dis- could aff ect your hearing.” from hearing your workmates, gests that hearing loss may be more ease—which aff ects the inner ear and There are other possible causes of alarms and other important sig- While hearing loss is not always pre- likely or worse in older people who causes symptoms such as vertigo and hearing loss that researchers are still nals. The recommended sound level ventable, understanding the risk were exposed to loud noise during ringing in the ears—and ostosclerois, trying to fi gure out, says Pichora-Ful- under the hearing protector is be- factors behind this serious condi- their youth. an abnormal growth of bone in the ler, including the role of genetics. Sci- tween 70 – 80 dB. tion is an important fi rst step in pro- Two conditions that are large- middle ear. entists recently discovered a gene ■ Active [electronic] ear muff s tecting your hearing. ly preventable, diabetes and cardio- Of the 36 million Americans who called GJB2, which contains the in- with a built-in electronic circuit li- “It’s much better to take the steps vascular disease, can also lead to have problems with hearing, one structions for a protein that aff ects the mit noise but let you hold normal now to prevent hearing loss than hearing loss. Other causes include in three say loud noise is the reason functioning of the cochlea, that snail- conversation with other people— to deal with it later,” says Kathy like tube in the middle ear that trans- without having to remove your Pichora-Fuller, an adjunct scien- BUT WHAT ABOUT THE KIDS? mits incoming sounds as nerve sig- hearing protector. Built-in level de- tist at the Toronto Rehabilitation nals to the brain. Changes to the GJB2 pendent amplifi cation amplifi es Institute and professor of psychol- Hearing loss isn’t just an ol- ing Foundation of Canada, which gene can lead to hearing loss, with the speech and other harmless sounds ogy at the University of Toronto in der person’s disease. Ba- runs Sounds Sense, a program likelihood increasing for babies who while protecting against harmful Mississauga. bies, children and teens are that educates elementary school have two copies—one from each par- sound levels. To prevent harmful also affected by hearing loss. children about hearing loss. “The ent—of the changed gene. noise levels, the internal speaker Turn it down— problem is growing.” “There’s so much more for us to output is limited to 82 dB. while you still can “One in fi ve teenagers now have The main culprit: noise—from learn,” says Pichora-Fuller. “But we’re The choice of the correct hearing Hearing loss can be caused by various some hearing loss, according MP3 players, concerts and clubs. continuing to look for answers and protection depends on the kind of reasons. Age, says Pichora-Fuller, has to a study by the Journal of the Sophocleous says young people we’ll get there.” noise arising and also on working long been recognized as one of the American Medical Association,” need to either turn it down, conditions. The following factors leading causes. But recent research says Dino Sophocleous, presi- minimize exposure to loud noise, MARJO JOHNE play a role in the selection of correct by Charles Liberman, a professor at dent of the Toronto-based Hear- or wear protective ear plugs. [email protected] protection for the ears: ■ Exactness of fit: The ear must be completely sealed. ■ Effectiveness: The noise must be absorbed eff ectively. the inner workings of tinnitus ■ Comfort: Since the hearing protection must be worn all the ti- For some people, it’s a mere terized by noise coming from with- would typically refer the case to an its combination of stress reduc- me that a high noise level prevails, nuisance—a faint noise insi- in the ear. The Tinnitus Association ear, nose and throat specialist. tion strategies, low-level neutral it must be as light and comfortable de their heads they of Canada notes that 50 diff erent “It’s important to fi rst identify if sound and ongoing educational as possible. eventually learn to ignore. sounds have been reported by people there is anything going on medic- counseling. ■ Easy handling: The hearing with tinnitus, ranging from ringing ally,” she says. “A critical part of this “Education is really eff ective in protection must be practical and For others, it’s an unrelenting sen- and clicking to hissing, sizzling and discovery process is an audiological the management of tinnitus,” says easy to use. sory attack that often leads to de- roaring. assessment by an audiologist.” Ciurlia-Guy, whose clinic special- ■ Compatibility: Other pression or high levels of frustration. In a rare manifestation of this Treatment for tinnitus varies ac- izes in tinnitus re-training ther- safety devices must also be able Tinnitus, the Latin word for “ring- condition, called objective tinnitus, cording to the severity and nature apy. “By giving people a better to be worn at the same time, such ing”, aff ects more than 360,000 Can- the sound is also audible to other of the condition. Some practitioners understanding of tinnitus, we can as helmets, eye protectors, face adians, according to the Tinnitus As- people. recommend a “masker” that drowns help them better control and man- shields or respirators. sociation of Canada. About 150,000 out the tinnitus sound with another, age their condition.” of these tinnitus suff erers say their Getting to the source more pleasant sound, such as run- condition seriously interferes with Enza Ciurlia-Guy, an audiologist at ning water. their ability to function and enjoy the Canadian Tinnitus & Hyperacu- The Canadian Tinnitus Asso- their lives. sis Centre in Whitby, Ontario, says ciation singles out tinnitus re- courtesy of MsA – the safety company & Often accompanied by hearing the fi rst step toward addressing tin- training therapy as an eff ective MARJO JOHNE the canadian Hearing society loss, tinnitus is generally charac- nitus is to see a family doctor, who sound-based treatment, citing [email protected] [email protected] A special advertising feature by MediaPlanet A special advertising feature by MediaPlanet May 2011 · 5 insight How I hear: coping with conversation have a profound hearing loss— “pitcher,” with no obvious connec- painting.” Painting! Ah-ha! Major I now have a choice. I can ask you to repeat the last part or gamble 80 percent in my left ear, 100 per- tion to what was being discussed clue, time to reprocess. and guess what you’ve just said. It cent in my right. The hearing aid before, no clue how things transi- This occurs in my mind as you’re seems likely you said “we should def- I wear has a miniature sound can- tioned to this topic, and it’ll take a still talking: “Remember when “Since a initely go again.” I respond, “Oh yes, cellation chamber to solve the few moments before you’re certain we went to [vee-nay oomsum] (a for sure!” Often I can have a seem- problem of feedback and echo the conversation has really moved place with paintings) and saw that hearing aid is a ingly successful conversation even associated with especially loud on to baseball and you’re not just [rambam] (a name of a painting, sound while missing whole tracts of it; I’m Ihearing aids. imagining it. two syllables starts with R, pos- used to it. sibly Rembrandt, Raphael or Ru- amplification Of course, you could have been Since a hearing aid is a sound ampli- Sorry... Can you repeat that? bens.)” device, you asking me a question, in which case fication device, you would think it But it gets worse. Suppose I have Meanwhile, I’m taking in your you might now be looking at me would solve the problem of hearing your undivided attention; you and next sentence, but this time I have would think it strangely—a look I know well, the loss, but this is simply not true. I are the only ones in a quiet room, a bit more of a clue what you’re would solve the one which says “that was an un- There is so much involved in hear- and there is no noise or distraction talking about: “Oh, the collars (ob- usual response.” Then I’ll know I’ve ing that most people take for grant- (optimum hearing conditions). viously colours, I hope), the lines, problem of missed something and will ask you ed. For instance, you need two Even though I can hear every word the useflytenshedo (yikes).” hearing loss, but to repeat. ears to determine the direction of you’ve said, it’s likely I’ll only Third pass, mind racing: “Re- Or you could have been asking a sound. If you only have one and understand anywhere from 30 per- member when we went to (logical this simply is not me to buy tickets to the museum, you’re in a group conversation you’ll cent to 70 percent of them. deduction, I’ve never seen a Raph- true.” in which case I’ve just answered af- be doing as I do, constantly scanning This is because I don’t hear with ael or Rubens, plus rambam sounds firmatively and there’s no hint for the room for the source of the sound the same clarity as someone who is more like Rembrandt. Where did I either of us that I completely mis- —only to find it moving again just as hearing. What I understand looks see Rembrandt? Now I remember, understood. you’ve found it. like this: “Rob, remember ww- the Victoria and Albert Museum, You’ll walk away thinking I’m If, like me, you also depend heav- mmmphwed to veeenay oomsum also known as the “V and A”—that going to buy tickets, I’ll walk away ily on speechreading then this is and saw the rambam? Wasn’t dot explains the vee-nay oomsum)”. thinking we’ve just had a pleasant especially difficult, as not only will an incred-immmul painting?” And Meanwhile, you’re now onto conversation about a painting we you be chasing the elusive conversa- I’ll politely smile and nod while your third sentence, which I’m once saw. tion from one person to another, but trying to decipher what you’ve taking in, but now I have enough Perhaps the best thing you could when you do track down each speak- said. It will look like this in my clues to process your second sen- do is double check—make sure I er, they’ll already be well into their head: tence: “Oh, the colours, the lines, understood I’m buying tickets, to discourse, and you’ve missed the “Rob, remember [wwmmpmph- the [useflytenshedo] (Ok, Rem- the V and A, to see Rembrandt, on opening context of their remarks. wed]” (A proper name? Verb? Wed? brandt was known for colours, such and such a date. Most people Sounded like ‘when’? ‘When we good lines, um...could lytenshedo would find such a conversation Following secret clues went’ would be consistent with could be light and shadow? Yes! strange. After all why was I nod- That context of conversation is cru- ‘remember’) “to [vee-nay]” (Un- “Use of light and shadow”). ding and smiling if I didn’t really cial, since you can move from dis- known, move on.) “[oomsum]” understand? I even said “for sure!” cussing, say, work, a familiar topic (A place we went to? Maybe ‘mu- Filling in the blanks with great conviction. But that’s the with a familiar terminology, to a seum’?) “and saw the [rambam]?” At this point, because I was in my thing—how can I know I misunder- completely different topic which, (What did I see that sounds like thoughts, I missed most of your stood? How can either of us? with few clues—could be literally rambam?) “Wasn’t dot an [incred- third sentence and only just caught Robert Chamberland On the other hand, how about anything. You could unexpected- immul] (not many words begin the ending: “…[one syllable] [four Web Architect those Toronto Blue Jays? They sure The Canadian Hearing Society ly encounter words like “RBI” and with ‘incred’, must be ‘incredible’) syllables] [one syllable] again.” know how to use light and shadow!

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KNOW YOUR MOST INNOVATIVE SOLUTIONS the digital age of hearing aids When you think about vision sounds extensively, and loud sounds don’t. Some digital hearing aids Tech toys and wearing glasses, what is minimally, or not at all. The word for give more amplifi cation to speech- Other advancements in digit- your first impression? Once this is “compression,” and all digital like sounds and others give less al hearing aids include Bluetooth considered a “nerdy” acces- hearing technology today uses it. amplifi cation to noise-like sounds. and wi-fi technology. Bluetooth al- sory, glasses are now fashio- The jury is out on whether these lows link-up to other devices like nable—they imply that an in- Tuning out techniques really improve hear- telephones and iPods. It also allows dividual is smart or studious; Separating background noise from ing speech in noise but one thing is hearing aids to communicate with they’re cool, even geek chic. speech is what listeners with hear- certain; DNR surely makes listen- each other, so that adjusting the vol- ing aids want; however, this is eas- ing in noise more comfortable. ume on one hearing aid automatic- Ted Venema PhD However, the loss of vision to some Hearing instrument specialist program ier said than done. One way is for Another digital feature, Auto- ally adjusts the same on the hear- degree is exactly like the loss of hear- conestoga college the hearing aids to use Direction- matic Feedback Reduction, is a ing aid for the opposite ear. In short, ing—so why does everyone fear the al Microphones (Dmics). On hear- way to deal with the awful whist- the line between hearing aids and stigma of a hearing aid? The fact is “the technological ing aids, these are tiny special- ling that can occur with hear- other listening devices is fast be- that hearing aids are sleek, stylish, advancements in ized microphones, about the size ing aids. Feedback occurs when a coming blurred—a good thing for and off er a variety of technological hearing aids, of a pinhole. Compared to regu- microphone is placed too close to the emerging, bulging, baby-boomer advancements. lar microphones found in hear- a speaker. Sounds from the speaker population. accessories and ing aids, Dmics are less sensitive get picked up by the microphone, The technological advancements The digital age other assistant to sounds coming from the sides sent on to the speaker, picked up by in hearing aids, accessories, and other Today’s hearing aids are almost all listening devices is and behind. This way, one hears the microphone and the circle goes assistive listening devices is stagger- digital. They are programmed on less background noise. Digital on and on—the result of which is ing. From lights in your home that computer software to give bass, staggering.” Noise Reduction (DNR) is another a sharp and constant whistle. In fl icker when the doorbell rings, FM treble, or any other pitch required way to help improve picking up hearing aids, the whistling results transmitters that allow students at for any particular hearing loss. There ground noise. speech through noise. Most nois- from high pitches that can leak the back of a class to seem right next are lots of features that digital tech- Hearing loss prevents one from es, like fans, air conditioners, etc., out between the hearing aid and to their teacher’s voice, to connectiv- nology provides, but let’s start at the hearing soft sounds. What most have a steady loudness. Speech, the walls of one’s ear canal. These ity systems that allow the user to con- beginning. Today’s digital hearing people don’t realize is that loud and on the other hand, is diff erent be- sounds get picked up by the hear- nect wirelessly to the tv, computer or aids have a job where they have to obnoxious sounds to those with nor- cause it constantly changes from ing aid microphone, and the circle mobile phone, technology is making do two things: 1) amplify sounds to mal hearing are also loud and ob- soft to loud to soft. DNR uses these begins. Digital technology can can- the stigma and interruption in nor- be heard by those with hearing loss, noxious to those with hearing loss! characteristics to diff erentiate the cel out this feedback before it gets mal daily function associated with and 2) separate speech from back- So, hearing aids must amplify soft speech you want and the noise you started. hearing loss a thing of the past. A speciAl Advertising feAture by MediAplAnet A speciAl Advertising feAture by MediAplAnet MAy 2011 · 7 tEChnOLOgiCAL ADVAnCEMEnts

how do cochlear DON’T MISS! implants work? Age: the number one Sound is captured by the microphone on the sound processor. reason for The sound processor converts sound into detailed digital information. hearing loss The magnetic headpiece sends the digital signals to the cochlear Once people enter their implant. 70s, two-thirds will have hearing loss. The cochlear implant sends electrical signals to the By age 90, ninety percent will hearing nerve. have hearing loss. The number of seniors in Ontario experiencing The hearing nerve sends hearing loss is projected to more impulses to the brain, where they than double in the next 20 years. are interpreted as sound. 1.8 million Ontario seniors were aff ected by hearing loss in 2009. That number is estimated to go

IMAGE COURTESY OF: ADVANCED BIONICS as high as 3.7 million by 2030. The impact of hearing loss can be sub- stantial for seniors: dependence Question: What are your options when hearing on social and health care services can be signifi cant; misdiagnosis and not following health recom- aids no longer prove e ective? mendations can exacerbate the problem. Answer: Cochlear implants may provide the An 83-year-old widow living alone in a rural area who was clarity you need. headed for a long-term care home was diagnosed with hearing loss. Hearing aids and hearing coun- seling meant that she was able to move into a downtown apartment instead. Stories like this are no Cochlear surprise when one notes that one of the leading reasons for admis- sion to long term care facilities in- cludes social isolation and a lack of communication which is often implants bring hearing a result of unmanaged hearing de- cline. We need to get the message out to families, health profession- als and seniors to make hearing back—and quality of life health a routine priority in man- aging their aging process before EXAMPLE they all did, except for my son, plains Dr. Vince Lin, an otolaryn- Advancements continue in this we are hit with a tidal wave of whose voice had changed and didn’t gologist—also known as a head technology as companies like Phon- preventable impacts. Michel David will never for- sound like a kid anymore.” and neck surgeon—at Sunnybrook ak and Advanced Bionics partner get that day in April seven Sometimes referred to as a bionic Health Sciences Centre in Toron- their efforts toward researching years ago when he heard ear, a cochlear implant is a tiny elec- to, which has performed more than ways to combine hearing aid and his children’s voices for the tronic device that uses electrical sig- 1,000 cochlear implants in the last implant technologies. first time. He had just had a nals to stimulate the cochlea, the 30 years. “Although it does not re- Not everyone is a candidate for cochlear implant put in and snail-like tube inside the ear. It has store hearing, what it does for many a cochlear implant. Because it re- was amazed to finally hear two main parts: an “implant pack- people is restore quality of life.” quires anesthetic, it is generally not his five children speak. age” that goes under the skin with a recommended for people with ad- wire leading to the cochlea, and an Restoring quality of life vanced diseases, says Lin. It is also “It was a terrifi c moment,” says external speech processor that sits Many children who receive coch- not for people who can hear sounds David, who works as a project lead behind the ear. lear implants are able to go to with a hearing aid. at the Canadian Hard of Hearing regular schools, according to Lin. Association in Ottawa. “Strange- Now hear this Adult patients tend to report bet- DAVID LEE MARJO JOHNE ly enough, I had imagined each of “What a cochlear implant does is ter performance on the job and [email protected] them to sound a certain way and help with hearing perception,” ex- improved family and social lives. [email protected]

Hearing TesTs Hearing aids Hearing ProTecTion earPHones & moniTors

To try the latest hearing aid technology absolutely free for 30 days, contact the office nearest you!

586 eglinton ave east 1110 sheppard ave east 416 484 4327 416 628 3759 www.heartoronto.ca 8 · MAy 2011 A speciAl Advertising feAture by MediAplAnet insPiRAtiOn Losing her hearing as an infant hasn’t slowed down Academy Award winner Marlee Matlin. The fi rst Deaf actress to garner such an award, she is now raking in big bucks for a charitable cause on “The Celebrity Apprentice.” Marlee Matlin shows em’ who’s boss LEADER TO LEADER bonus to give to their charity. PROFILE So far, Matlin has been success- viewed it as some sort of disabil- ful with her mission, even break- ity put up,” she says. “I achieved She captured everyone’s heart in Spreading the power to listen ing records by raising $1 million success by applying the formula I “Children of a Lesser God”, a ro- Matlin has chosen to champion the Star- in a single day. But raising money believe should be taught in every mantic drama centred on a Deaf key Hearing Foundation, which provides isn’t the only thing she’s suc- school: courage plus dreams equal woman named Sarah, who is free hearing aids to deaf and hard-of-hear- ceeding at—her appearance on success.” brought out of her insular existen- ing people around the world who cannot “Celebrity Apprentice” is raising “I gathered up the courage to ce by a speech teacher who en- aff ord them. awareness about the hundreds of dream whatever dream I had courages her to learn to talk. “The Starkey Hearing foundation is im- thousands of people around the despite what others thought portant to me because every child they fi t world who have a hearing loss but I couldn’t do and applied it to Today, 25 years after that Oscar-winning with a hearing aid as a result of the money cannot get fi nancial help to buy a achieve success. In other words, performance—an achievement made even that is donated to distribute free hearing PHOTO: MICHAEL ROSENTHAL hearing aid. I just did it and refused to let the greater by the fact that she was the young- aids reminds me of myself,” says Matlin, Marlee Matlin barriers that were in people’s est and only deaf actress to win the Acad- who lives in the Los Angeles area with her ■ Position: The possibilities are minds—not the one they saw in emy Award for best actress—Marlee Matlin husband and four children. “Fortunately, Actress, author, loud and clear my ears—get in my way.” continues to charm and amaze audiences my family was able to aff ord hearing aids charitable Matlin, who lost her hearing when For young people experiencing around the world. for me when I was growing up and I am advocate she was 18 months old, landed her hearing loss, Matlin off ers this ad- Her acting credits include 15 movies and grateful every day for having them.” ■ At the age of fi rst acting role at the age of sev- vice: Follow your heart and follow numerous appearances in shows ranging Matlin says she can’t imagine living 21, became the en, when she played Dorothy in a your spirit and your dreams will from “CSI” and “Dancing with the Stars” to without her hearing aid. youngest actress Chicago stage production of The come true. “Nip/Tuck” and “The West Wing”. She has “So when I hear of the thousands up- to win an Oscar “Wizard of Oz”. She was soon spot- “If you will it, it is not a dream,” also authored two novels and an autobiog- on thousands of children who, for what- for best actress in ted by actor, director and producer she says. “Courage and determina- raphy, titled “I’ll Scream Later”. ever reason, are unable to see a doctor, have a leading role, and Henry Winkler, who later became tion can overcome any barrier.” their hearing tested or be able to buy a the only deaf ac- her mentor. Competitive spirit hearing aid, I want to reach out and help,” tress to win this Although Matlin went on to be- These days, Matlin is hard at work on “Ce- she says. “The Starkey Hearing Foundation award. come a highly successful actress, lebrity Apprentice”, the television show provides a barrier-free environment for ■ Spokesperson her journey to fame and fortune where contestants are given challenges children and adults in Third World coun- for the American was not without challenges. that allow them to raise money for their tries and here in North America to have Red Cross “The challenges I faced were not charity of choice while proving their busi- their hearing tested and to get hearing as a result of my ‘loss’ but because MARJO JOHNE ness acumen. The winner gets a $250,000 aids. They are truly hearing angels.” of the barriers that people who [email protected] A speciAl Advertising feAture by MediAplAnet A speciAl Advertising feAture by MediAplAnet MAy 2011 · 9 insPiRAtiOn

dOn’t Miss!

■ Interpreters facilitate communi- cation between parties who do not share the same language or mode of communication. Profession- al sign language interpreters are specifically trained in providing this service when Deaf, deafened or hard-of-hearing individuals are present. Language barriers and dis- criminatory attitudes have, in the past, served to deny Deaf people ad- equate access in all sectors of soci- ety including health care, legal pro- ceedings, education, training and politics. As a result, Deaf people have sometimes experienced a com- promised quality of life. In recent years our judicial system has af- fi rmed, through the Supreme Court of Canada, the rights of Deaf people to be provided with professional interpreting services to facilitate their participation in various situ- ations. In 2005 the Ontario govern- ment, recognizing the historical discrimination against persons who have disabilities or who are Deaf, passed the Accessibility for Ontar- ians with Disabilities Act (AODA), to develop, implement and enforce 1 accessibility standards in order to achieve accessibility for people with disabilities and for people who are Deaf. Interpreting services are an essential means to bridge the lin- guistic and cultural diff erences be- tween people who are Deaf and so- ciety at large. Providing access may call for the use of technologies such as captioning services for those who prefer to read written text or the use of video or web cam conferencing for individuals who live remotely in addition to providing on-site inter- preters. Diversity within the Deaf community leads to the need for fl exibility and respect for individ- ual preferences when arranging for services.

LESLEY ROACH 1-2. Interacting with a child while on a mission director of Membership trip to Africa. OAsli board 2 PHOTO: JACK JASON [email protected] 10 · MAy 2011 A speciAl Advertising feAture by MediAplAnet EAR CARE

DON’T MISS! Connor Quinn Contributor, Lifestyle Hearing TIP

BE CAREFUL NOT TO BLAST MUSIC OVER YOUR HEAD- PHONES hear better— and play better

■ Slowly but surely, people are starting to prioritize hearing loss in their personal healthcare hab- its. Hearing loss is being recognized as an important detriment to one’s day-to-day life. This is due to an increased amount of information being made available about hearing loss and its consequences on family, so- cial, and professional life. Hear- ing loss is proven to negatively af- fect relationships including mar- riages, intimacy, income levels, stress, anxiety, mental health and a number of other areas in one’s life. These eff ects may have fi nally con- vinced people to fi nally stop yelling “WHAT DID YOU SAY,” and instead start fi xing their hearing. A big lack of understanding exists when it comes to hearing and sports. Gordie Howe, the icon- ic NHL Hall of Famer, recently cor- rected his hearing, and declared that if he knew how much clear- er everything would be, he’d have thought to tackle his hearing loss while he was still playing— he real- ized how much it had impacted his playing. The June 2005 cover story in Golf 1. Using cotton swabs to Digest magazine by Peter Morrice, clean the inner ear is ill advised. entitled “The Search for Feel,” drew 2. Hearing plays a a direct link between one’s hear- surprisingly large role in sports performance. ing capabilities and one’s perform- 1 2 ance on the course. According to Morrice’s tests, normal hearing is necessary to fi nd what golfers call a “feel” for the shot. The article is constructed around several experi- ments and stories of professional and blind golfers who place hearing Ear care: the general as the number-one sensory impres- sion aff ecting their swing. “’When it comes to drivers, sound domin- ates what the player calls feel,” says Matt Erickson, manager of prod- do’s and don’ts uct analysis for Callaway. The arti- cle went on to quote Arnold Palmer: ■ Question: How can you pre- ficient alternative. Researchers “without my [hearing] aids…I lose vent unneccesary damange to “do not use house- have shown that it’s not only in- all feel for what I want to do.” your inner ear canal? hold objects or effective, but dangerous. Do not Liam Maguire, Ottawa-based ■ Answer: by protecting your anything sharp...in waste your money or risk your hockey analyst, tried Golf Digest’s ears from invasive cleaning met- health on such procedures. experiments with a hockey stick hods, excessive noise, you can an attempt to clean in lieu of a golf club: “You just can’t maintain healthy hearing. the inner ear.” Keep it to a dull roar handle the puck if you’re not able to People working in an environ- hear it hitting the stick. It’s amaz- There are many ways to ment with noise above 70 decibels prevent ear problems from Brittany Randall H.I.S ing how much hearing plays into Association of Hearing instrument should wear ear protectors such these basic capabilities.” occurring. practitioners of Ontario as ear muffs or ear plugs. At home try to keep all volumes at a com- Know your hearing history There are also many ways to cause al causing impaction. Do not use ear wax and excessive build-up fortable level especially the tele- It’s not only about sports perform- damage to your ears if you don’t take household objects or anything sharp can occur. When there is a large vision, stereo, mp3 players, and ance, but knowing how well one care of them properly. To clean the such as car keys, pens or pencils, amount of ear wax in the inner, radios. Periodic hearing evalua- hears can be an important diag- outer ear, you should use a damp soft paper clips, toothpicks in an attempt softeners such as baby oil, mine- tions with your hearing special- nostic indicator in the event of wash cloth, alcohol based wipes, or to clean the inner ear. ral oil or olive oil can be used sa- ist should also be scheduled, espe- head injuries. Recent studies in a cotton swab such as a Q-tip. Have ■ Ear Wax: A small amount of ear fely to help loosen the wax. If the cially when buzzing, also known the Journal of Neurotrauma tell you ever noticed that the side of Q- wax is healthy to have in the ear ca- use of softeners proves ineffective as tinnitus, is occurring in the ear. us that hearing impairment is one Tips brand boxes specifi cally say nal. Ear wax is naturally produced to in reducing the amount of excess Ear care doesn’t have to be in- of the subtle and often unnoticed that you should not put the cot- protect your eardrum from potenti- wax, an appointment with your vasive and is pretty much as easy defi cits after a concussion. This ton swab inside your ear canal? You al hazards such as unwanted bacte- hearing specialist or physician as breathing. Speak to your hear- is important to athletes who play should ONLY use the Q-tip for the ria, insects, and water. However, so- to have the excess wax removed ing care professional if you have contact sports such as hockey, outer ear. If inserted in the canal it metimes the pores in the ear canal should be made. Ear Candling also any concerns about how to best football, or lacrosse. The problem may push wax further into the can- don’t know when to stop producing known as ear coning is not an ef- take care of your ears! is that hearing professionals don’t usually have a baseline of hear- ing sensitivity for a given athlete. Without a pre-trauma hearing as- sessment, audiologists and phys- Can hearing loss be cured? icians have no essential informa- tion to determine whether the Will regenerative medicine “it is estimated that Since then, scientists from all over the head injury has contributed to a provide a cure for hearing world, including those at the Sunny- post-trauma hearing loss, which loss? approximately 70 brook Research Institute have been might be important in determin- percent of canadians exploring and understanding these ing the extent of any brain dam- Unfortunately hearing loss associat- over the age of 70 will mechanisms and cellular pathways age sustained. It is up to teams, ed with aging, excessive noise expos- with the hope that this ability can be coaches, and trainers to advocate ure and ototoxic medications cannot have... hearing loss.” triggered in deafened humans thus for assessments and the prop- be restored. It is estimated that ap- Vincent Lin MD FRCSC providing a potential cure for hear- Assistant Professor, Associate Scientist Oto- er safety measures to avoid head proximately 70 percent of Canadians laryngology/Head & Neck Surgeon ing loss. There has been some recent- trauma in the fi rst place. over the age of 70 will have signifi cant Sunnybrook Health Sciences Centre Faculty ly published success from the Univer- The significance of hearing sensorineural hearing loss. However, of Medicine, sity of Michigan in regenerating audi- health hasn’t made it all the way to sensorineural hearing loss is also be- tory hair cells in deafened guinea pigs the world of sports just yet. How- coming more prevalent in younger within the cochlea and is perma- interpreted. by viral manipulation. Currently one ever with the help of influen- individuals usually from excessive nent in humans. These hair cells con- In the late 1980’s scientists discov- area that auditory regeneration scien- tial studies and respected spokes- noise exposure from personal lis- vert energy of the sounds we hear ered that birds that were deafened tists are extremely excited about in- people, it soon will. All it takes is for tening devices, clubs, and concerts. into distinct nerve signals that trav- from excessive noise had the abil- volves the manipulation of adult stem someone like Gordie Howe to say, Sensorineural hearing loss is the re- el along the auditory nerve and into ity to regenerate these hair cells and cells as a potential method to regener- “Don’t wait like I did.” sult of death of auditory hair cells the centres of the brain where it is furthermore recover their hearing. ate new auditory hair cells. A speciAl Advertising feAture by MediAplAnet A speciAl Advertising feAture by MediAplAnet MAy 2011 · 11

The hearing device that brings you closer to natural hearing

Every few years, technology takes a significant leap forward. ReSound Alera gives you the most advanced features ever offered by ReSound. New Surround Sound technology improves hearing in even the most difficult listening environments. Sound is crisper, cleaner and works more like natural hearing to provide a truly advanced listening experience. It’s hard to improve on something this powerful, but now with 2.4GHz wireless capabilities, ReSound Alera also connects you to your TV, stereo and phone so you can hear audio directly in your ear without bothering those around you. It makes traditional hearing aids a thing of the past.

ReSound UniteTM ReSound UniteTM ReSound UniteTM TV Phone Clip Remote Control Call 1-888-441-2565, option 1 to find the hearing health care professional nearest you. 12 · MAy 2011 A speciAl Advertising feAture by MediAplAnet insight Aging alone is a good reason to get your hearing checked. The importance is compounded when coupled with some conditions such as diabetes, kidney disease and cardiovascular disease which are independently linked NEWS IN BRIEF to higher prevalence of hearing loss. TIP Communicating YOUR HEARING NEEDS WILL with loved ones CHANGE AS YOU AGE Communicating with our loved ones is essential to our wellbeing, connecting us to something bigger.

We communicate in person, over Countering hearing the phone, via video or computer calls. We let people know that we love, accept and care about them. When someone close to us loses the ability to hear, we quickly real- ize how diffi cult communication conditions as we age can become. Expressing terms of endearment is replaced with frus- hile hear- stand how we should take care of our- tration from having to repeat our- ing loss selves. A research report in the Can- selves. Calling at the end of the day can occur adian Medical Association Journal in quickly brings worry when the at any age, 2008 showed a signifi cant relation- phone keeps ringing. it is well ship between preventable medical Soon it becomes easier not to known adverse eff ects and patients who had communicate and before you real- that ac- communication challenges (includ- ize it, your loved ones are discon- quiredW hearing loss is more likely ing hearing loss). In clinics, hospitals, nected from you. as we age and is experienced in two at home and in long term care resi- thirds of people by their 70s. dences, it is very important to make What can you do to Jean Holden, MSc MBA People in their 50s and 60s may sure that hearing aids are working and Hearing Healthcare Initiative maintain the lines of start to have subtle changes, like Rex Banks, M.A.CCC-A, Reg. CASLPO overall hearing healthcare needs (e.g. The Canadian Hearing Society communication with Director, Hearing Healthcare fi nding it diffi cult to hear conver- Hearing Healthcare Initiative checking for ear wax) are managed. “it is important for someone who can’t hear sation in noisy restaurants, feeling Chief Audiologist Optimize the listening environment you? The Canadian Hearing Society that people seem to be mumbling by reducing noise, using materials to healthcare system more, and turning up the volume on “communica- absorb sound and providing lighting policies to integrate ■ Get the person’s attention be- the TV. to see faces better. Hand-held amplifi - hearing healthcare fore you speak to them. tion is needed cation systems and TV-to-headset sys- into strategies for ■ Face the person and maintain Filling in the blanks everywhere in our tems can help to reduce isolation and eye contact. Over time, some people compen- loneliness for those without hearing managing aging ■ Speak clearly at a moderate sate by guessing missed words and lives.” aids. Hearing should be checked be- adults.” pace. removing themselves from conver- fore entering health education pro- ■ Use facial expressions. sations. As time continues, hearing ing aids, FM amplifi cation systems, grams. cation on brain health. There is some ■ Give clues when changing the loss often deepens and a pattern of etc. and there are counselling pro- Research has identified higher evidence that hearing interventions subject, for example, “let’s talk social isolation may develop. Lack grams that can help people and their prevalence of hearing loss with other can improve the lives of even those about our weekend plans now.” of communication can impact the families fi nd eff ective non-technical chronic health conditions such as with signifi cant dementia. ■ Rephrase rather than repeat. level of comfort people have to do methods to help with hearing loss. diabetes, chronic kidney disease and Considering the impact of hearing ■ Write down your message on a the things they love, and stress reac- cardiovascular disease, suggesting a loss on eff ective communication in piece of paper or on an electronic tions grow. Social isolation and lack The importance higher need for hearing tests. Recent healthcare, it is important for health- device. of communication can lead to lone- of connection research has shown that hearing loss care system policies to integrate hear- ■ Use a personal assistive lis- liness, anxiety, relationship break- Communication is needed every- is independently associated with de- ing healthcare into strategies for tening device (ALD), such as the down and even depression. The good where in our lives. If we have a doc- mentia. Whether hearing loss is a managing aging adults. For example, “Pocket Talker” that amplifies news is that there are lots of tech- tor’s appointment, a hospital admis- marker of early stage dementia or is a family practice check-ups, “aging at your speech. nical and other management meth- sion, home care services or live in a modifi able risk factor, it is important home” programs and “chronic disease ■ Purchase a telephone with ods that can help regain communi- long-term care facility, we need to to detect hearing loss as soon as pos- management” strategies should con- amplifi ed ringer and volume con- cation eff ectiveness. Other articles have conversations that help to diag- sible. We need to continue research- tinue to optimize integration of hear- trol. in this supplement talk about hear- nose our health condition and under- ing the eff ect of declining communi- ing healthcare into their procedures. ■ Contact The Canadian Hearing Society to learn about and pur- chase hearing aids, telephones, ALDs and signalling devices. no need to feel society’s stigma ■ Be patient and fl exible. ■ Ask for feedback about what Hearing aid technology has Kathy Pichora- courage and support the decision tunately, education about hearing, works for the person with hear- advanced incredibly as the Fuller to get help for hearing loss be- hearing loss, and how to manage it ing loss. Full Professor, world has evolved in the digi- Department of cause they want to reduce stress can help to debunk the myths that tal and wireless era of Psychology, during communication. Many surround hearing loss. In fact, get- University of communication. Toronto people struggle as they adjust to ting help for hearing loss is one of the realization that they have a the health-promoting steps that But despite engineers’ innovations, hearing loss. people should take if they want will baby boomers feel any less stig- try a hearing aid because they are to age successfully. Baby boom- SUSANNE GILLESPIE ma than their parents when they afraid of looking old. Some worry Debunking the stereotypes ers may be the fi rst generation not director, Hearing care counselling program, hear, “a hearing aid could help you about the reactions of others, Negative reactions and worries to let hearing loss prevent them the canadian Hearing society hear better”? but this worry is likely needless. about coping with hearing loss can from staying mentally and socially [email protected] Many people are reluctant to More often family and friends en- actually make it even harder. For- active as they age.

With more than 5,800 members, the Canadian Association of Speech-Language Pathologists and Audiologists (CASLPA) is the national professional association representing speech-language pathologists, audiologists and supportive personnel. To fi nd a professional near you or for regular VOICE for Hearing Impaired Children is a parent support news, updates, articles and resources related organization that strives to ensure that all children with hearing loss have their rights upheld with access to services for developing 410 Jarvis Street to communication disorders, visit www. their abilities to learn to HEAR, LISTEN and SPEAK. speechandhearing.ca, or follow @CASLPA on Toronto, Ontario Twitter at http://twitter.com/CASLPA or on VOICE gives children with hearing loss a VOICE for life! Phone: 416-920-3676 Facebook at http://tinyurl.com/caslpaonfacebook. We invite you to join our DRESS LOUD celebrations in May! Toll Free: 1-800-718-6752 (OSLA) Fax: 416-920-6214 Please visit www.voicefordeafkids.com for more information on how your office can have some fun and raise awareness of the needs www.osla.on.ca www.speechandhearing.ca of persons with hearing loss too by Email: [email protected] DRESSING LOUD! www.voicefordeafkids.com 1-866-779-5144 VOICE is a Canadian Registered Charity #Charitable Registration: 12360 9364 RR0001 A speciAl Advertising feAture by MediAplAnet A speciAl Advertising feAture by MediAplAnet MAy 2011 · 13

Communicating with loved ones

Inspiring CASELxcPOellence Dedicated to excellence in comprehensive professional health care service delivery Do you or does someone you love have a hearing or a speech language problem? You will need care that is Registration provided by regulated professionals abiding by a code of ethics and the highest standards of practice.That is our commitment to you. We are the College of Audiologists and Speech-Language Pathologists of Ontario (CASLPO), a self-regulatory body, governing all Audiologists and Speech-Language Pathologists in the province. Our Council is composed of professionals, public members and academics. Our mandate is to ensure that the public receives quality Quality care from our 3,400 regulated members on a daily basis. Complaints Assurance We establish and enforce professional standards for: 410 Jarvis Street I entry to the professions Toronto, Ontario Phone: 416-920-3676 I clinical practice and patient/client care Toll Free: 1-800-718-6752 (OSLA) I continuing competence, and Fax: 416-920-6214 www.osla.on.ca I professional conduct. Email: [email protected] We have a process to lodge complaints if a professional service does not meet your expectations. Professional Know your rights Assist those you care for by learning more about Practice communication disorders. Know your rights should you encounter problems. Visit CASLPO’s website, or call toll-free to speak with one of CASLPO’s staff members.

CASLPO was created to regulate and support the professions, in the public interest, in accordance with the Regulated Health Professions Act, 1991, the Audiology and Speech-Language Pathology Act,1991, and the regulations and by-laws adopted Vicky Papaioannou, President by the College. Brian O’Riordan, Registrar

www.caslpo.com 416 975-5347 1 800 993-9459 14 · MAy 2011 A speciAl Advertising feAture by MediAplAnet insight

Peter Stelmacovich has su ered from hearing loss from an early age. By the time he entered university, it had become so severe that it a ected his quality of life. Now sporting a cochlear implant, he takes full advantage of his restored sense—and works to ensure that everyone knows ! about the solutions available to them. GAEL’S STORY suffering from hearing loss these days? You’re lucky.

Not that long ago, being Gael Hannan Hearing Health Refusing to hard of hearing was consi- Consultant, dered shameful, something Director, Canadian Hard of to deny; “People will think Hearing I’m old, or not with it, or Association both!”

fade away Today hearing loss is coming out of the closet, and not only because tain to the degree of hearing loss eter Stelmacovich’s After seeing fi rst-hand how the people are getting older. It aff ects (mild, moderate, severe or pro- part-time band, In right technology can make such a people of all ages, including one in found) and amount of usable resid- Denial, doesn’t exact- “i wanted to signifi cant diff erence in the life of fi ve teenagers. The causes are many, ual hearing, a person’s communi- ly pull in the big someone who is deaf or hard of hear- but the key culprits are age-relat- cation choice (spoken language or a bucks. make sure that ing, Stelmacovich decided to be- ed (presbycusis) and overexposure signed language), and how a person “The most we’ve everyone is fully come an audiologist. to loud noise, which can lead to ir- self-identifi es. For example, per- ever been paid is He enrolled into the audiology reversible noise-induced hearing sons who use speech to communi- Pwings and beer,” says Stelmacovich, aware of program at the University of West- loss. cate might self-identify as “hard of who plays bass for In Denial but technology ern Ontario in London. When he Regardless of the cause, a grow- hearing” or “having hearing loss” whose full time job is as FM prod- graduated in 1990, he became the ing number of people are experi- if they have some residual hear- uct manager with Phonak Canada, a available to them fi rst Canadian-trained audiologist encing the challenges of hearing ing, or as “deaf” or “oral deaf” if they Switzerland-based global advanced and not suffer with hearing loss. loss—the (suddenly) soft voices of have none. A “deafened” person has hearing solutions company. “I wanted to make sure that every- family members, incomprehen- lost their residual hearing at some For Stelmacovich, who lives in To- needlessly.” one is fully aware of technology sible television unless the cap- point after learning to speak, usu- ronto with his wife and 16-year-old available to them and not suff er tioning is on, background noise ally as an adult, but may identify as son, the wonder is that he’s even needlessly,” says Stelmacovich. that makes you crazy—and no one either “deaf” or “hard of hearing”. playing music at all. Born with nor- After working in various clinic- knows how to communicate with A person who is “Deaf” identifi es mal hearing, he suff ered damage al settings—including several years you. with Deaf Culture and uses a signed to his ears in early childhood—pos- as an educational audiologist at Ro- language. And if that’s not clear sibly as a result of ear infections— barts School for the Deaf in London, Don’t suffer in silence enough, a Deaf person may also use and began wearing hearing aids at Ontario—Stelmacovich accepted a But the good news is there’s never hearing aids and a hard of hearing the age of fi ve. position with Phonak Canada where been a better time to have hearing person may also use sign language. Stelmacovich says he was for- he has been for the past 11 years. loss. Misery loves company and tunate in that, as he grew up and there are millions of people deal- Read my lips his hearing deteriorated, he was al- Making a difference ing with hearing issues. There’s a But, statistically speaking, the ways fi tted with the best possible Today, as the FM product manager, whole new world of information majority of people with hearing technology available at the time. he works directly with school boards, available, and support organiza- loss use a spoken language, aug- But when he entered university, his hearing instrument practitioners tions standing by to help. Most im- mented by a variety of visual cues hearing loss had become so severe and audiologists. Peter is current- portantly, the technology explo- such as reading text and reading that he found it extremely diffi cult ly involved in the launch of Lyric, the sion has produced powerful hear- lips. Speechreading is not fool- to hear lectures. world’s fi rst invisible, no hassle, 24/7 ing aids and other assistive devices proof, as less than half of speech hearing aid. that are both eff ective and stylish. movements are visible on the lips Fading out—and flunking out He remains as committed today in Everybody has something in their and some people are more skilled His marks dropped from an A aver- the private sector to his goal of spread- ears these days—Bluetooth devices, than others. (I’m a crackerjack age in high school to a C average in ing the word about eff ective hearing earbuds, hearing aids—what’s the speechreader, although that his fi rst year in university. A trend technology. diff erence? doesn’t explain why my husband that may have followed had he not Stelmacovich himself is well- chose to pop the question when found out about a wireless FM lis- equipped with some of the latest hear- Defining deafness my hearing aids were out. To this tening system that lets instructors ing technology. He has a Nucleus Free- But the toughest question facing a day, both of us wonder if I got the talk into a microphone, which then dom cochlear implant from Cochlear person with hearing diffi culties is question right.) transmits the sound directly into a Ltd. in his right ear and a Naida hear- what do you call yourself? Is there a Now is the best time in hist- hearing aid. ing aid by Phonak in his left. diff erence between “deaf”, “hearing ory to have hearing loss, because “That resulted in a signifi cant “The technology today is amazing loss”, “hard of hearing”, “oral deaf”, the old shame is disappearing, improvement in my ability to and it continues to evolve,” says Stel- “Deaf” and “deafened”? replaced with positive attitude, hear my professors again, so my macovich. “Today, there is a solution The answer is yes, but to the un- technology and access. People marks went up again to an A aver- Peter Stelmacovich for practically every hearing com- initiated, the boundaries can seem have the power to communicate fM production Manager age utilizing that instrument,” says phonak canada plaint, so don’t let hearing loss be a a little blurry. The distinctions per- successfully—and that’s the goal. Stelmacovich. barrier.”

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Shelley Randall Dr. Anil Katyal Jodi Ostroff, PhD Kate Dekok, M.CI. Hearing Instrument Otolaryngologist, Audiology Manager, Sc. Aud(C), Specialist , Head & Neck Surgeon Hearing Solutions Chief Audiologist President, AHIP ListenUP! Canada

Question 1: The majority of people do not A hearing test by a qualifi ed Over a million Canadians re- Hearing loss typically develops like to admit that they may have a audiologist or physician provides ported having a hearing loss (Stats- as we get older, happening grad- Why is it important hearing loss. But to improve your a baseline so that you will know Can, 2002), and the true number is ually over time so people often that I get my hearing quality of life, a hearing assess- if your hearing has deteriorat- probably higher as the condition is don’t realize it. Those who suff er suffering from hearing tested? ment may help you make some ed over time. Some types of hear- often under-reported. from untreated hearing loss usu- decisions regarding your hear- ing losses are medically treatable, A reduction in hearing ability is part ally experience unneeded anx- ing. Your hearing loss may eff ect and you can be referred to an oto- of the normal aging process. Hear- iety and depression, and also iso- loss these days? you and the loved ones around laryngologist for management. ing loss associated with aging is late themselves from family and you. Ever notice going out to a so- Other hearing losses are prevent- called Presbycusis—a treatable con- friends. It’s really a “quality of life” You’re lucky. cial event and not being able to able. Early detection means early dition that is diagnosed with a sim- issue. It’s important that everyone hear clearly or correctly, constant- intervention which can prevent ple hearing test. Hearing aids can over the age of 45 have their hear- ly asking “Pardon, can you repeat further hearing damage. Finally, signifi cantly enhance quality of life, ing checked annually. The check- that, please?” Booking a hearing if a hearing test indicates perma- interpersonal and work relation- up itself only takes a few minutes. test is just one step closer to get- nent hearing loss, there are many ships and reduce stress. However, ting your social life back again and things that can be done to ensure many seniors who could benefi t many other assets that you have better communication and a good from hearing aids often do not seek been missing. quality of life. help or refuse treatment.

Question 2: Having a hearing loss is not If you have hearing loss, your Does it seem like everyone’s Depending on the hearing easy—people suff er by not being ENT doctor (otolaryngologist) may mumbling? Are you asking for rep- assessment, and after discuss- What can I expect to able to understand speech, they want to send you for addition- etition frequently? Do you have ing with you what your lifestyle occur if it turns out may have ringing in the ears (tin- al tests. Once everything is com- diffi culty understanding conver- and communications needs are, a that I am experiencing nitus) and also experience fatigue plete, your physician will provide sations on the telephone? If you hearing healthcare professional from trying to understand what you with any medical or surgical answered yes to any of these, you will present you with a couple of hearing loss? people are saying to them. They options to improve or restore your may have hearing loss. The fi rst treatment alternatives. This may also start to withdraw from so- hearing. If there are no eff ective thing to do is to make an appoint- involve monitoring your hearing cial activities and become frus- medical or surgical treatments ment with an audiologist. The loss over time or, if your hearing trated. By making the initial ef- available to improve your hearing, audiologist is to ears what the op- loss is more serious, the profes- fort to book a consultation with then a hearing health care profes- tometrist is to eyes. The audiolo- sional will discuss the benefi ts of your hearing professional most of sional can provide you with other gist will do a comprehensive test wearing hearing aids, what your these unpleasant experiences can non-medical options such as hear- of your hearing. If the test results expectations should be, and pro- be helped. ing aids, assistive devices, and indicate a hearing loss, the appro- vide you with alternatives that other communication strategies. priate recommendation, particu- will suit your needs and budget. larly when caused by Presbycu- The decision to wear hearing aids sis (as a result of the normal aging is up to you. process) is hearing aids.

Question 3: Try to limit your noise exposure. Noise damage is one of the Hearing loss to varying degrees Exposure to loud noise is the Wearing hearing protection such most common causes of hear- is almost inevitable with age. leading preventable cause of hear- What can I do in my as ear plugs, foam or ear muff s will ing loss and it is completely pre- However, there is concern that ing loss. So protect your ears from life to prevent hearing help you in noisy environments. ventable. If you work in a noisy with all the mp3 players around, short bursts and extended expos- damage? While at home make sure that the place, you should consistently people are causing additional ure to noise levels exceeding 85 television, iPod, video game, radio wear good ear protection, and use damage to their hearing. Noise- decibels (e.g. about the same noise and stereo are at a comfortable lis- it properly. If you are exposed to induced hearing loss results from level as a power lawnmower). If tening level. When operating loud high noise levels recreational- the combination of the loudness you must be around loud noise, machinery, not only in the work- ly or in other aspects of your life of sound AND the length of time wear well-fitting noise protec- place but also at home, make sure (e.g., music, motorcycles, snow of exposure to the sound. There- tion, limit your exposure, and take you wear ear plugs or muff s to pro- blowers, concerts) then consid- fore, if you listen to your favour- breaks when you can from expos- tect your hearing from any damag- er using ear protection in these ite song really loud, just turn the ure to the loud noise. Other than ing loud noises. Ask your physician situations and give your ears next song down to a softer, more that, it is quite common to grad- or pharmacist about medications plenty of time to rest before and comfortable level. A good gener- ually lose your hearing as that could be ototoxic (dangerous after noise exposure. al rule, is that you should be able you age. to your hearing). to understand someone speak- ing to you at arm’s length while listening to your music. getting tested: A fi rst hand account DON’T BE AFRAID OFTHE Mediaplanet sent their intr- Entering isolation airplane, sunset, workshop. Some tion of a party, where a man talks to TEST! ing test turned epid journalist, Marjo Joh- Saunders invited me into her words were too faint to hear so I sim- me over a din of other voices. My task out to be. I wish ne, to find out first hand what “spaceship”—a small insulated ply said, “I don’t know.” was to repeat what the man was say- I had done it taking a hearing test is like. room designed to isolate sounds. ing. I was able to do this with most of sooner. Read on for her story: After doing a preliminary check for The beep test his sentences, but a few were lost in My suggestion: ear wax and air pressure, she put in To fi nd out if I can hear sounds in dif- the noise—a common problem with Go and get your ■ Over the years, I’ve often won- each of my ears foam-tipped plugs ferent frequencies, Saunders hand- people who are hard of hearing. hearing tested, it’s dered if I was losing my hearing. attached to thin wires that went ed me a beeper device, similar to the Saunders verdict: my hearing is pretty fun and nothing to fear. I got a defi nitive answer recently around my neck. Speaking through ones contestants use in TV game normal. I was pleasantly surprised— from Tracy Saunders, an audiologist a microphone outside the room, shows,and asked me to press the but- and relieved—to hear this. But what I with Hearing Solutions at Bathurst she instructed me to repeat a ser- ton whenever I heard a beep. She al- found even more surprising was how MARJO JOHNE and Lawrence. ies of words: mushroom, hotdog, so put me through an audio simula- easy, painless and engaging the hear- [email protected] 16 · MAy 2011 A speciAl Advertising feAture by MediAplAnet