Sudden Hearing Loss (SHL)

What is sudden hearing loss? You would know, it comes on suddenly, often over night. You will notice that you can not hear out of one ear, and usually have accompanying ringing or dizziness.

Who should you see if you have a sudden hearing loss? Make an appointment with your audiologist or family physician right away. You want someone to look into your ears to rule out a conductive hearing loss such as wax or an ear infection. If it is not a conductive hearing loss, you need to get a diagnostic hearing test with an audiologist to determine the type of hearing loss (sensorineural, conductive or mixed) and the severity of the hearing loss. Based on the audiologists test, a recommendation will be made for you to see an ear. nose and throat specialist or your family physician or nurse.

Will my hearing come back? About 50% of cases the hearing will return in part of in full. It’s imperative that you are treated appropriately within the first few days in order for medical intervention to help. The longer you wait, the lower your odds that your hearing will return. 

For more information about Sudden Hearing Loss visit the American Academy of Otolaryngology Head and Neck Surgery website.

Patient Handout Sudden Hearing Loss

Physician Handout Sudden Hearing Loss

2019 Hear For The Holidays!

 

Do you know someone who’s life would be improved by improved hearing? WE WANT TO KNOW!

The Hearing & Dizziness Clinic and Amherstburg Audiology & Hearing Aids are in search of members of our communities (Essex, Amherstburg and LaSalle) who’s hearing impairment is holding them back – so we can gift them US! One lucky winner from each clinic will receive a set of hearing aids and the gift of our services for 3 years.

Simply click the gift below and fill out our short online form.

All applicants must make themselves available for an audiometric evaluation. Entries will be received until November 29, 2019 at 11:59pm, so that we can have some time to have our winners hearing by the holiday! If you have questions, please feel free to contact us any time!

CLICK HERE TO ENTER!

Protect your ears this summer

The summer season is fast upon us, and so are all the fun summer activities! We’d like to take a minute to remind you of how important it is to remember that some of the fun things you do could have an irreversible effect of your hearing.

  1. Yard Work: A well groomed yard shouldn’t lead to hearing loss as you age. Protect your hearing from lawn mowers, weed whippers, chain saws and leaf blowers!
  2. Fireworks: The beautiful displays of fireworks can damage your hearing. Ringing in at up to 125dB, that’s enough to permanently cause a threshold shift. Remember your children’s ears as well at fireworks time.
  3. Sporting Events & Concerts: The loud cheers at your favorite ballpark (Go Tigers!) and summer concerts can last up to 3 hours. On average, the sound levels can reach 95dB+. That duration and intensity of sound may result in tinnitus the next day – that’s your ears’ way of telling you they were overexposed to sound.
  4. Boats and Motorcycles: Its not just the engine noise that can harm your hearing – wind noise can be the culprit! Consult our audiologists for custom hearing protection that will still allow you to hear the important sounds around you while riding and boating safely.

Make sure you get outside and enjoy all of the super activities that are part of summer traditions, but please – PROTECT THOSE EARS! If you are experiencing ringing, buzzing or fullness in your ears this summer, consult our Doctors of Audiology, Audiologists!

 

Why choose Audiology?

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May is “Better Speech & Hearing Month”. Throughout the month of May, audiologists put in extra effort to highlight the importance of hearing health within our communities. Every year, thousands of professionals involved with the treatment of speech, language and hearing disorders come together to participate in a public awareness campaign that encourages early detection and prevention of communication disorders, and seeks to increase the public’s sensitivity to the challenges faced by individuals experiencing them.

Have questions about your hearing or speech? We’re happy to answer any questions or concerns that you may have about your hearing. Contact us today to arrange a consultation or your annual hearing test with our Doctor of Audiology! (519) 961-9285.

Hearing Loss: No, it’s not just you.

You’re experiencing hearing loss, and you assume it’s just you. But it’s not just you. One out of every nine of us have hearing loss, that’s nearly 4 million Canadians.

That’s important for you to know if you are experiencing hearing issues. It can help to know that you are not alone. 

Hearing loss occurs naturally as people get older, but it’s not just seniors who are affected. Changes to your hearing can begin to occur for many when they reach their 20s, 30s and 40s, and while approximately 30 percent of people over the age of 65 have some degree of hearing loss, more than 65 percent of those who experience hearing loss do so before retirement age.

About 15 percent of Baby Boomers (ages 41-59) and 7 percent of Generation Xers (ages 29-34) already have significant issues with their hearing.

Because hearing loss occurs gradually, its effects are sometimes not immediately obvious, especially when it comes to recognizing a change in one’s own hearing. Often it’s a friend, family member or co-worker that points it out, and even then it can be hard to believe that it’s happening to you.

Taking care of your hearing is your responsibility. It’s up to you to be alert to the signs and have your hearing checked if you suspect that your hearing may be changing.

These signs may include: Turning the TV louder, requiring others to repeat themselves, thinking that others are mumbling, having ringing (tinnitus) in your ears, feeling tired or exhausted after strenuous listening activities or have a family history of hearing loss.

For a limited time, there is no cost to have your hearing assessed by our Doctors of Audiology if you are an adult aged 18+. We simply ask for a donation to the Essex Area Food Bank. A hearing assessment takes but an hour and will help alleviate your concerns. We are able to arrange an appointment for you Monday through Friday, from 9am until 5pm. Call today to arrange your appointment! (519) 961-9285.

Startling Statistics About BPPV

At The Hearing & Dizziness Clinic, we understand how debilitating BPPV or  Benign Paroxysmal Positional Vertigo can be.

Benign paroxysmal positional vertigo is the most common form of positional vertigo and is probably the most common disorder involving vertigo. It’s an affliction of the inner ear. In the most common clinical scenario, when the patient changes the position of the head, he or she feels that the room is spinning. The person may experience significant nausea as well.┘

According to The University of California, BPPV will affect nearly 40 percent of people over 40 at least once in their lifetime.

The good news about BPPV is that in most cases, it is entirely treatable.

The bad news about BPPV is that studies show, it can take an absurdly very long time from presentation of symptoms to treatment.

 

Two recent studies explored the time period from initial presentation of symptoms of BPPV to correct diagnosis. Fife and Fitzgerald report that in the United Kingdom, the mean wait time from initial presentation to correct diagnosis was 92 weeks. A more recent study out of China found the delay to be longer than 70 months.

We have witnessed this very same phenomenon in our practice, when people have seen multiple specialties and undergone several tests over the course of months and even years. Patients have altered their lives to accommodate their BPPV, changed their habits, disturbed their activities, family lives and working responsibilities. BPPV is easily diagnosed and easily treated.

In both studies mentioned above, the subjects were treated with Canalith repositioning (CRP) once the diagnosis of BPPV was made. In the Chinese study over 80% were successfully treated with one CRP, while the Fife and Fitzgerald study reports 85% were successfully treated.

Perhaps this is the most disturbing reality of these studies. 8/10 people who had suffered for years from Vertigo were cured of their BPPV in one treatment. Just one. 

At least 85% of cases had classical symptoms of BPPV and could have been easily identified by Primary Care Physicians at first referral, had they been trained to recognize and diagnose the condition.┌

It’s amazing to me that once someone is affected by BPPV and they tell their family and friends about it, they are shocked to realize how many people they know have experienced the very same thing! Further, they are shocked at just how easy it is to treat.

We are happy to test and manage your BPPV for you and your loved ones right in the heart of Essex County. If you have questions or concerns in regards to who we are and how we can help, please never hesitate to contact us. We are here to help!

Don’t be a statistic! 

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How to shop for hearing aids – the smart way!

We had the privilege of meeting a younger gentleman a while back who’s approach to hearing aid shopping was novel to us. We thought that it was ingenious – and thus, with his permission we are going to share a bit of his story with you.

Mr. X is a 12 year hearing aid wearer who called us to arrange a consultation. Not a hearing test. He simply wanted to meet our Doctors of Audiology and see our facilities. It seems that 12 years ago at his initial purchase he bought hearing aids where his family doctor was, and was never very happy with those services he received. The product he purchased and subsequent products he purchased over the years worked just fine, but the services he had received, to him, seemed lacking. He told us that he bought his hearing aids there because he felt his family doctor would be upset if he bought a set elsewhere – closer to home.

Mr. X visited us on a Tuesday, along with his wife and brought a copy of his most recent hearing test. He was open and honest that we were not the first clinic that he visited. He asked about our education, experience and what we recommended for him and his hearing loss. It would be a 25 minute drive from his home for him to visit us, but he’d been further.

Mr. X was not price shopping. He was Audiologist shopping: and we loved it. 

In Mr. X’s reasoning, only a few hundred dollars separate the costs of the hearing aids. But the quality of service is where he perceives his value. Cost and value: two very different concepts but often interchanged ideas.

COST: the price of something, the amount of money that is needed to pay for or buy something.

VALUE: the regard that something is held to deserve; the importance, worth, or usefulness of something. One’s judgment of what is important.

We want to encourage each and every reader to consider shopping for an Audiologist rather than a hearing aid. The right Audiologist will very often lead you to the right hearing aid for you. This day and age, we tend to get wrapped up in the cost of things, getting a good sale etc., but we don’t think so much of the value of the services that we receive along with those products. Don’t be tempted to price shop so much as to value shop. And when all else fails; we price match.

(Don’t forget! We are once again performing complimentary hearing screenings with our Doctors of Audiology in exchange for canned food donations!  Call Melissa today to arrange your appointment! (519) 961-9285!)

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Sudden Hearing Loss, Tinnitus or Dizziness – Time is of the essence!

Did you wake up with hearing loss? Suddenly hearing a ringing, buzzing or crackling in your ear? Are you feeling dizzy or nauseated as a result of your recent onset ear symptoms?

We’ve heard it many times, and usually we are a secondary contact – that is, a patient has been to their primary care physician complaining of a sudden hearing loss or tinnitus (which often follows a few weeks after a cold or upper respiratory infection). Usually a course of antibiotics are given, and often nasal sprays. I’ve heard of everything including allergy medications and even diuretics. Weeks pass and when still there’s little to no improvement, a phone call to the Audiologist is made.

First and foremost, I’d like to mention that there are very few Audiological emergencies. A sudden hearing loss, sudden onset tinnitus or dizziness account for pretty well all of these emergencies.

If you are suddenly stricken with sudden onset hearing loss or tinnitus – which tends to be unilateral or in one ear, PLEASE do not hesitate to contact us immediately. Our schedules are wide open to accommodate your emergent situation, even if you have seen your physician or a walk in clinic. If you cannot come to see our Doctors of Audiology for an audiometric evaluation to document the hearing loss, please go to the Emergency Room at the nearest hospital. This sort of emergency is what the Emergency Room is for. You must see an Ear, Nose & Throat doctor as soon as possible, having had a hearing test will do nothing but expedite this process. 

Treatment should begin on an emergent schedule, and usually consists of IV dextrose, and oral or intratympanic (through the ear drum) steroids. Sometimes an antiviral medication or Aspirin is prescribed. Studies show that the more urgently treatment has begun, the better the prognosis of having any hearing recovery. 

Remember, that anything that suddenly changes in our body is not normal. You would never ignore it if you woke up blind in one eye. Contact our Doctors of Audiology should you be experiencing any sudden changes in your your hearing. Remember, time is of the essence. 

The Hurdles to Getting Hearing Aids

A New York Times blog posted this morning struck a cord with us here at The Hearing & Dizziness Clinic. (Click here to read it.)

Jane Brody writes that

Hearing loss is usually gradual, and people often fail to recognize when it becomes severe enough to warrant hearing aids. Some deny that they have a problem, and instead accuse others of mumbling when they know people are talking but can’t understand what is being said. Still others regard hearing aids as unattractive devices that make them feel and look old in a society that prizes youthfulness.

We see this every day. Mostly those who could benefit from a hearing aid value their vanity over communication with family and friends.

What many people with hearing loss don’t realize is that the signs of the untreated hearing loss are more noticeable to others than hearing aids.

If you feel you are having trouble communicating or are isolating yourself socially because of your hearing trouble, give us a call. We would be happy to walk you over perceived hurdles. Our Doctors of Audiology are here to help. (519) 961-9285

 

 

 

 

What do William Shatner, Beethoven, Will.I.am & Ronald Reagan have in common?

William Shatner, Beethoven, Will.I.am & Ronald Reagan seem likely to have nothing in common. An actor, a classical composer, a rapper and a former American President – they seemingly couldn’t be more different. But according to an article by stoptheringing.org they all (and many others) suffer from Tinnitus.

Tinnitus is commonly referred to as a ringing or buzzing in the ears, and it is the perception of sound when there is no external sound present.

The British Tinnitus Association recently released a Top Ten List about Tinnitus for Physicians.

 

Ten Top Tinnitus Tips 

1 At any point in time around 10% of the population experience tinnitus – both sexes are equally affected and although tinnitus is more common in the elderly it can occur at any age, including childhood. The perceived sound can have virtually any quality – ringing, whistling and buzzing are common – but more complex sounds can also be described.

2 Most tinnitus is mild in fact it is relatively rare for it to develop into a chronic problem of life-altering severity, but it does happen. The natural history of tinnitus in most patients is of an acute phase of distress when the problem begins, followed by improvement over time. But for a minority of patients the distress is ongoing and very significant, and they will require specialist support.

3 Tinnitus is more common in people with hearing loss tinnitus prevalence is greater among people with hearing impairment but the severity of the tinnitus correlates poorly with the degree of hearing loss. It is also quite possible to have tinnitus with a completely normal pure tone audiogram.

4 Tinnitus can be associated with a blocked sensation for reasons that are not clear tinnitus and sensorineural hearing loss can give rise to a blocked feeling in the ears despite normal middle ear pressure and eardrum mobility. Otoscopy and, if available, tympanometry can exclude Eustachian tube dysfunction. Decongestants and antibiotics are rarely helpful.

5 Giving a negative prognosis is actively harmful it is all too common to hear that patients have been told nothing can be done about tinnitus. Such negative statements are not only unhelpful but also tend to focus the patient’s attention on their tinnitus and exacerbate the distress. A positive attitude is generally helpful and there are many constructive statements that can be made about tinnitus, such as: most tinnitus lessens or disappears with time; most tinnitus is mild; tinnitus is not a precursor of hearing loss.

6 Enriching the sound environment is helpful useful sources of sound to reduce the starkness of tinnitus include quiet uneventful music, a fan or a water feature. There are inexpensive devices that produce environmental sounds, and these are particularly useful at bedtime.

7 Hearing aids are helpful straining to listen causes increased central auditory gain and this increased sensitivity can allow tinnitus to emerge or, if already present, to worsen. Correcting any associated hearing loss reduces this central auditory gain and thereby reduces the level of the tinnitus. Hearing aids are useful even if the hearing loss is relatively mild and an aid would not normally be considered. Recent Department of Health guidelines have emphasised the value of audiometry in a tinnitus consultation, and this is the definitive basis for decisions about hearing aid candidacy. If in doubt, refer for an audiological opinion. In our view, all people who describe tinnitus deserve an audiological assessment. Decisions on when to start using a hearing aid and what sort to use are up to the individual patient and audiologist.

8 Underlying pathology is rare, but be vigilant in many cases tinnitus is due to heightened awareness of spontaneous electrical activity in the auditory system that is normally not perceived. It can however be a symptom of treatable and significant otological pathology, such as a vestibular schwannoma or otosclerosis. One should be especially vigilant if the tinnitus is unilateral, or if it has a pulsatile quality.

9 There is no direct role for drugs although they can be used to treat associated symptoms such as vertigo, insomnia, anxiety or depression. There is also no conventional or complementary medication that has been shown to have specific tinnitus ameliorating qualities and there is anecdotal suggestion that repeatedly trying unsuccessful therapies worsens tinnitus.

10 Self-help is often effective – Audiologists provide excellent information on tinnitus and common sense advice on managing symptoms. Written by: Dr David Baguley PhD, Head of Audiology

Of course, as Doctors of Audiology, our Audiologists have extensive education and experience with tinnitus. If you or a loved one experience tinnitus, please feel free to call our office for more information about how we can help.

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Top 10 Facts About Positional Vertigo (BPPV)- Balance Awareness Week

Is benign paroxysmal positional vertigo (BPPV)  a rare and exotic disease? No, on most clinic days, I see at least one person with BPPV, and often, I see several. For some, BPPV is a minor annoyance. For others, it’s a nightmare of dizziness, loss of balance, nausea, and inability to work or participate in family activities. — Gregory T. Whitman, M.D. (otoneurology)

Here are the Top 10 things you should know about Positional Vertigo (BPPV), with thanks to the Vestibular Disorders Association

1. If you woke up with vertigo, it is likely you have BPPV.

2. If you have vertigo that comes on when you lie down, it is likely you have BPPV.

3. If you have had more than 2 episodes of severe vertigo, there’s a strong possibility you have BPPV .

4. If you have BPPV in both ears, it will almost certainly throw off your balance.

5. If you have a past history of migraine and develop BPPV, you may notice an increase in headaches or light sensitivity. These symptoms will likely decrease after the BPPV has been successfully treated.

6. After BPPV has been treated, it’s a good idea for the doctor to ensure that dizziness, imbalance and related symptoms resolve.

7. If your vertigo makes you nauseated, and you do not have any vestibular tests planned, you may want to ask your audiologist if it would be all right to take a medication for vertigo before the Epley Maneuver. This can make BPPV treatment much more comfortable.

8. Curing a bout of BPPV can require persistence. Doctors and Audiologists always talk about the “easy” cases, miraculously cured on the first visit. However, I have seen patients who needed treatment on 10 different days in one month to finally clear the symptoms.

9. Another version of Rule 8: if you’ve “had BPPV for a year” or more, it’s likely you haven’t been treated enough.

10. In some cases, BPPV follows a previous inner ear infection that has damaged the inner ear and/or vestibular nerve. If this is the case, and if you still have symptoms after successful treatment of BPPV, the best treatment may be vestibular physical therapy, intended to train the ear and brain to work well together.

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If you think that you or someone you may know may benefit from speaking to our Doctors of Audiology, please give us a call! We’re here to help you (519) 961-9285.

Adventures in Dizziness – What does ‘Dizzy’ feel like to you?

Continuing with the theme of Balance Awareness Week, I sat and thought what would be interesting for our followers to read. As I think about the dizzy, vertigo and imbalance patients that we’ve been lucky enough to see at The Hearing & Dizziness Clinic, their stories came to mind.

The moment that they got dizzy, felt the world spin or that they were spinning.

I stumbled upon this blog post by blogger Mysocalleddizzylife and was amazed at the clarity with which she described her symptoms.

My Dizziness is sometimes more like a little ripple of vertigo, this weird uncomfortable sensation: like if I turn my head, it feels like my head hasn’t caught up to where I am.  My head feels unsteady.  I feel unsteady.  When I’m dizzy I can feel nauseous.  I feel it if I turn around too quickly or when I’m practicing some of my vestibular rehabilitation therapy exercises.  And like butterflies in your stomach when you feel naseous, I also feel the butterflies in my head, spinning around, making me feel woozy.  When this happens, I want nothing more than to close my eyes and pray for the tranquility of stillness.  When I’m really dizzy, I have no balance.  I’m more than clumsy.  If I walk, I look like I’m drunk.  Unsteady and stumbling.

The other night I felt so dizzy; it was like there was a violent sea in my head, waves sloshing around so that I couldn’t find my balance.

Emily’s blog describes the beginning of her symptoms, tests, treatments, vestibular rehabilitation and her life after her dizzies. How many of our readers have shared their dizzy stories with family and friends and learned that they too have had some vestibular dysfunction?

Balance Awareness Week isn’t just learning about imbalance, but about knowing that you aren’t alone.

Who needs Beats when you have these?

It’s estimated that half of baby boomers have some degree of hearing loss, caused by everything from rock music to lawn mowers or just aging. (It happens.) Yet only a quarter of those who need hearing aids actually get them. As one study notes, “For many people a hearing aid is an unwelcome reminder of the aging process, one that they simply cannot accept.”

Screw that. When I explain what my hearables can do, the kids are envious.

We love this article on the Mother Nature Network, and the vigor with which Lloyd Alter writes about his ‘hearables‘. We wish that everyone had the appreciation for the raw power of these tiny little devices that sit in our ears. So much more than a hearing aid, hearables help control the life around us and connect us to family, friends and the rest of the world in a way that leaves “kids envious”. Who needs Beats when you have these?

Forget wearables; let’s talk hearables, the devices formerly known as hearing aids. The hearing aid/hearables market is $5.4 billion worldwide, compared to the $2 billion headphone market. Apple buying Beats may have made headlines, but Apple building Bluetooth Low Energy (BLE) and an accessibility app into the iPhone 5 and 6 is much more newsworthy. Why? Because this opens up the hearables market so wide that the $3 billion Beats purchase will look like small change — and make Google Glass look like a toy.

We think it’s pretty cool too! If you’d like to try a set of ‘hearables‘, please give us a call and we’d be happy to demonstrate this new realm of hearing technology on you! Call to arrange an appointment with our Doctors of Audiology, Audiologists. (519) 961-9285

 

Meniere’s Disease – Do you have it?

Do you have other symptoms with your hearing loss?

How about dizziness? Vertigo, or imbalance? Tinnitus or ringing in your ears? Fullness in your ears?

When the three occur together – Hearing Loss, Tinnitus & Dizziness – as Audiologists, this triad of symptoms is a red flag for a disease called Meniere’s Disease.

There is no quick and easy test for Meniere’s Disease. Diagnosis is based on a detailed case history, hearing tests and balance assessment. Your Doctor may send you for a CT scan or an MRI to rule out other possible causes for your symptoms.

The disease itself is no fun, but with ongoing research and new treatments, people with Meniere’s are finding success in managing their various symptoms. And one day there may even be cure as researchers continue to learn more.

If you are experiencing Meniere’s like symptoms, it does not necessarily mean that you have Meniere’s Disease. Contact The Hearing & Dizziness Clinic to have your  hearing and balance tested today!

Hearing Loss linked to Dementia in the Elderly

As if we needed ANOTHER reason to have a hearing test, new studies have come to show that the social isolation and lack of stimulation to the brain that stem from untreated hearing loss accelerate the onset and progression of Dementia.

Out of 639 participants, researchers found that those with hearing loss at the beginning of the study were significantly more likely to develop dementia by the end. In fact, the risk of developing dementia over time was believed to increase by as much as five-fold.

Read the whole article here: http://www.free-alzheimers-support.com/wordpress/hearing-loss-can-lead-to-dementia/

The Epley Maneuver – Voodoo Medicine?

If you’ve ever been on the receiving end of the Epley maneuver – you’ll know where we’re coming from with this one….

The Epley maneuver is an exercise used to treat benign paroxysmal positional vertigo, or BPPV, which is a disorder arising in the inner ear. Its symptoms are repeated episodes of positional vertigo, that is, of a spinning sensation caused by changes in the position of the head. The maneuver is done with the assistance of an Audiologist or Doctor. A single 10- to 15-minute session usually is all that is needed. 

In the 1970’s, John Epley, the U.S. pioneer of cochlear implant surgery found that vertigo attacks were caused by crystals breaking free from the inner ear and settling in the semicircular canals of our vestibular organs. Our brain perceives these crystals as movement, even if we are still.

Our Doctors of Audiology at The Hearing & Dizziness Clinic have a special interest in vestibular disorders, whether it be true vertigo, un-diagnosed dizziness or imbalance. And if you ask some of our patients on the receiving end of the Epley maneuver, it sure seems like voodoo medicine. Often these patients get up and walk confidently from our office after just one treatment (sometimes after suffering years with vertigo). For particularly stubborn crystals – it may take two treatments.

Recent studies show that 40% of those admitted to hospital with a head injury have BPPV, and can be helped by the Epley Maneuver.

If you are suffering with vertigo, half an hour with our Audiologists may change your life. Call Melissa and set up an appointment with our Doctors of Audiology. We know it’s no fun to suffer with vertigo, so we’ll do our very best to get you in as quickly as possible. (519) 961-9285.

Sources: http://www.theguardian.com/books/2015/may/18/adventures-in-human-being-gavin-francis-review-john-epley-wirvell, http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=9354276&utm_source=Issue_Alert&utm_medium=RSS&utm_campaign=BIM