Business Phone Solutions for Hearing Aid Wearers: Part 1

solution-1This is the first of a three-part series addressing ideal business phone solutions for hearing aid wearers experiencing difficulty using the phone at work.  Why a three-part series? Because viable business phone solutions depend on available hearing aid features (streamer vs. no-streamer, T-coil vs. no T-coil) as well as the type of business phone being used (PBX system phone vs. mobile phone). Part 1 specifically addresses the use of standard PBX phone systems for users of streamers and/or T-coil equipped hearing instruments. The outlined product solutions allow the use of the business phone without the need to remove hearing instruments from the ear.

What is a PBX Phone System and Why Should You Care?

pbx phonePBX stands for Private Branch Exchange, a special type of phone system that connects internal telephones to one another within a business as well as to a public switched telephone network. This type of system not only allows users to make outgoing calls, but to make internal calls to co-workers via a 3 to 4 digit extension. Why should you care? Commercially available amplified telephones will NOT work with PBX systems.  In other words, do not recommend an amplified telephone as a business phone solution in the presence of a PBX system because the amplified phone will not work in this environment. Here is what you should recommend:

FOR HEARING INSTRUMENT WEARERS USING STREAMERS: 

CS-QH21. ClearSounds QH2 Bluetooth Hub & Phone Amplifier (CS-QH2): this is an in-line amplifier that will convert any corded or cordless phone (including a business phone running on a PBX system) into a Bluetooth phone.  Once connected to the business phone, the CS-QH2 may be paired to the hearing aid streamer, enabling the user to hear business phone calls via their hearing instruments in a hands-free fashion.  NOTE: when used in the Bluetooth mode, the 30dB of adjustable amplification offered by the CS-QH2 will not be accessible for the incoming call.  For this particular situation, the intended use of the CS-QH2 is to provide the ability to hear business phone calls through their hearing aids. The hearing instrument telephone program should be programmed as needed to accommodate amplification needs.

FOR HEARING INSTRUMENT WEARERS with T-COILS, NO STREAMER:

CS-QT41. ClearSounds QH2 Bluetooth Hub & Phone Amplifier (CS-QH2) + Bluetooth Amplified Neckloop: in the absence of a hearing instrument streamer, the CS-QH2 remains an option as a business phone solution in instances where the hearing instruments are equipped with T-coils. Rather than a streamer, a Bluetooth amplified neckloop [i.e. CS-QT4 (pictured right)] may be paired to the CS-QH2.  Incoming calls will be routed wirelessly from the CS-QH2 to the Bluetooth neckloop and then directly to the user’s T-coil equipped hearing instruments.

PLAN-M22-PONS2. Plantronics Non-Bluetooth Professional Office Neckloop System: this configuration requires the purchase of three separate components: 1) the Plantronics M22 Phone Amplifier (Item# 62421), 2) ClearSounds CLA7V2 Amplified Neckloop (Item# CS-CLA7v2), and 3) the Quick Connect Cord (Item# CS-M22C). This particular business phone solution is also available in a bundle whereby all three components are packaged as one item (Item# PLAN-M22-PONS) and shipped together.

While this is not an exhaustive list of options, the provided recommendations represent the most ideal solutions for users of T-coil equipped hearing instruments, both with or without streamers, experiencing difficulty using the phone at work. Additional options will be reviewed in Part 2 of this series, addressing business phone solutions for hearing instrument wearers without T-coils.

 

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Hear life to its fullest with Halo, the new Made for iPhone Hearing Aid from Starkey Hearing Technologies – guest post by Dave Fabry

RIC13%20XF_FL13_P000948_HeroStarkey Hearing Technologies is excited to announce the release of Halo, our Made for iPhone Hearing Aid. Halo offers proven best-in-class hearing aid features for feedback reduction, adaptive noise management, frequency lowering (when needed) and directionality.   But that is just the start! Halo is compatible with Apple products including iPhone, iPad and iPod Touch, which eliminates the need for “dedicated” remote controls to adjust hearing aid gain or program settings. Also, no additional hardware or accessories are needed for streaming phone calls, music, video or media directly to a user’s hearing aids.

iPhone_5s_Vert_Slvr_sRGB_Generic%20Brand_TruLinkHalo works seamlessly with the TruLink hearing control app to provide unparalleled optimization and personalization for a wide variety of sound environments. In combination with the TruLink app, Halo devices function as high-fidelity wireless stereo headphones connecting directly to sounds the listener wants to hear.  With Halo and TruLink, hearing aid users have access to the more than 1 million apps that are currently available on iTunes, connecting to anything with audio or visual inputs like music, movies, games and FaceTime.

Using the SoundSpace feature in the TruLink Hearing Control App, users can simultaneously adjust 64 hearing aid parameters in real-time with a virtually infinite number of unique settings to match their individual listening preference. This provides patients the ability to fine tune to the “real world” with much greater precision and range than any other device on the market. Wearers can access up to 20 unique programmable memories to match the most demanding of patient lifestyles. These may be accessed manually or “geotagged” using iPhone’s integrated GPS system to automatically change settings when the patient is in that environment. TruLink also has an adaptive car mode that optimizes the settings for the best performance in this demanding environment; the system engages adaptively when the Halo user is in a car traveling more than 10 miles an hour.

Dave%20FabryDave Fabry, Ph.D., is Vice President of Audiology and Professional Relations at Starkey Hearing Technologies. He holds a Ph.D. in audiology from the University of Minnesota. His professional experience includes positions as a Research Audiologist at Walter Reed Army Medical Center, Chief of Audiology at the Mayo Clinic in Rochester, Minn., and Vice President of Professional Relations and Education for Phonak Hearing Systems. He was Chief of Audiology at the University of Miami Miller School of Medicine. Fabry is also a prolific writer, having served as an Associate Editor for Ear and Hearing, Editor of American Journal of Audiology, Associate Editor for Audiology Online and Editor of Audiology Today. He has published more than 50 articles in peer-reviewed journals. Fabry has presented widely in the U.S. and internationally and has served as a board member and president of the American Academy of Audiology, from which he received the Distinguished Service Award in 2009.

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Bluetooth Technology, Cookbooks & Really Cool Shoes

pathwaysIn the presence of unlimited access to multiple social media platforms, it is really easy to get distracted while surfing the internet.  When seeking work-related particulars, because the information super-highway branches out in infinite directions, I sometimes end up at a completely different destination than originally mapped out. For example, I was recently Googling information on Bluetooth transmission for a colleague and somehow ended up buying a new wireless speaker for streaming music at home, followed by a cookbook that I pretty much don’t need.  Mind you, this all happened while trying to find a specific piece of hearing industry information that was simply buried under a number of somewhat related temptations that veered me way off course.

youtube_logoI share this story because one of the things we are trying to do at Oaktree Products is to resurrect our YouTube channel and offer our hearing industry customers easy-to-find information addressing topics that you and/or your patients would benefit from the most. If you are reading this sentence, you have the time to take another 10-20 seconds to click on and respond to the following quick three-question survey: Oaktree Products YouTube survey. Your feedback will be instrumental in helping us map out future QuickFlicks and Talking PowerPoints.  So, tell us what YouWant to see on YouTube and we will strive to deliver! Oh, and by the way, after you fill out the survey, if you accidentally end up buying a pair of shoes because you got distracted along the information superhighway, it’s not my fault. Just make sure they’re really cool shoes.

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AudiologyNOW – Booth #1033 is the Place to Be

an2014For those of you attending AudiologyNOW 2014 in Orlando next week, the place to be is booth ten thirty-three (#1033).  Obviously, this is the assigned booth for Oaktree Products where we will be showcasing some new products as well as offering a few really great show specials. Myself along with Alison, Dana, Michael and first-time-attendee Nicole will be available to show you around and answer your questions. Actually, there will be a very special (and I mean special) appearance by Oaktree Products Founder & CEO Bob Kemp. Some of the new products to be sure to ask about include Vanish, the Amico Diagnostic Otoscope set, two additional and never-before-offered Heine Loupe Sets, and the Clear Ear Total Ear Care (TEC) system for cerumen management, just to name a few.

HeineLoupeSetSpeaking of cerumen management, Patricia Gaffney of Nova Southeastern University will offer a 3.5 Tier 1 Hour course on that very topic on Wednesday, March 26 at 8:30 am through 12:15 pm in Room 231C.  That same day, I will deliver a 2 hour practical presentation (2:30 pm – 4:30 pm) on cerumen management to a large group of students registered for SAA’s CSI: Case Study Investigations full day seminar. Immediately thereafter, the exhibit hall will actually open Wednesday evening, March 26 at 5:00 pm with a full day of exhibit time on Thursday, March 27 (10:00 am – 6:00 pm) and Friday, March 28 (9:00 am – 3:00 pm). So, if you were not able to participate in any of the cerumen management presentations, be sure to come to the Oaktree Products booth as we will have a full array of instruments, equipment, headlamps, otoscopes and much more for you to check out. See all you #audpeeps soon!

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An Unusual Childhood of an Extraordinary Audiologist

NorthernCov2If you are an audiologist, you know the name Jerry Northern. I first learned of a Dr. Northern while an audiology student when I had to buy the textbook Hearing In Children.  Originally published in 1972, Plural Publishing announced the release of the book’s sixth edition a little over a week ago.  This event was commemorated with a Feature Article by Jerry Northern about his unconventional childhood which was posted on Plural Publishing’s blog on March 3, 2014. Jerry’s personal story about his own childhood was very touching and I wanted to share it with as many people as possible. As soon as I read it, I asked Plural Publishing if I could re-post the Feature Article in its entirety on my blog. They said yes.  Thank you Plural Publishing.  Thank you Dr. Northern. Here it is:

An Unconventional Childhood by author Jerry Northern

Author Jerry Northern, age 2 years circa 1942

Author Jerry Northern, age 2 years circa 1942

This is a personal story about an unconventional childhood.  Maybe “unusual” childhood is a better description.   It begins way back in 1942 when I was 2 years old and my parents were in the midst of an unpleasant divorce.  While my parents were engaged in drawn-out skirmishes over custody for my older brother and me, we were sent to live with my grandparents in Denver, Colorado.  The unusual part of the story is that my grandparents were totally deaf.  And I mean rock-stone deaf – no measurable hearing and no hearing aids in those early days.  The communication between them was solely by American Sign Language (ASL).   My brother and I arrived at their home to meet them for the first time and realized that we no means of talking with them.

At that time my grandparents were in their early 60s and probably not prepared to take on the tasks of rearing two young, wild grandsons for an undetermined length of time.  Both grandparents had been deaf since their childhood.  Both had lost their hearing through childhood episodes of cerebrospinal meningitis which spread as a near-epidemic during the 1880s. Common health issues resulting from meningitis include blindness and severe cardiac problems; profound hearing loss is the most common adverse outcome experienced by some 50% of those stricken.  The hearing loss of my grandparents was, fortunately, the only health issue they suffered following recovery from this serious infectious disease.

GallaudetSealA major difference between my grandparents was that my grandmother lost her hearing at age 6 months – within the period that we now identify as pre-lingual.  In contrast, my grandfather was 9 years of age when he lost his hearing – so he was post-lingually deafened.  Accordingly, their speech skills were dramatically different from each other.  My grandmother, having never heard herself or others speak, was always reluctant to use her noticeably deaf speech outside our home environment and was sensitive about her limited language skills.  My grandfather, on the other hand, with a significant amount of normal hearing for speech and language development in his early childhood, had near-normal voice quality and good language skills.  Although from different states in their childhood, both attended Gallaudet College (for the deaf) in Washington DC from 1889 – 1902 where they met and married after graduation.

As an aside to my story, a bit of history may be of interest.  Until the mid-1940s, persons with profound deafness were commonly known as “deaf and dumb” or “deaf-mute.” The “dumb” and “mute” terms were related to the view from outsiders that the deaf could not speak because they chose to communicate in signs. In those early years, these terms were not necessarily derogatory, but actually socially acceptable.  In fact, my grandfather referred to his deaf friends as his “dummie friends.”  The manual sign for deafness was conveyed by pointing to the ear, pointing to the mouth, and making the sign for “closed.”  Whereas, the sign for a hearing person was fingers moving forward from the mouth – as in speaking.  The first school for the deaf in the US was established in american-asylumHartford in 1817 and was named The Connecticut Asylum for the Deaf and Dumb.  In the following years, states established their own schools for educating the deaf with support from the federal government.  Because many deaf children had to travel some distance to attend the state school, the schools were often residential and from early in their lives the students studied and lived on the school campus.  So in the case of my family, my grandfather attended and was a resident of the Kentucky School for the Deaf in Danville and my grandmother grew up at the Colorado School for the Deaf and Blind in Colorado Springs.

The question often asked is how did I learn speech and language at age 2 in a home that was silent?  The answer, of course, is that this home was far from silent.  My brother and I communicated normally – in whatever terms an 8-year-old might talk to a 2-year-old. Both grandparents spoke to us orally as best they could.  I have been told that I enjoyed having my grandmother read to me in spite of her poor vocal qualities.  And, apparently my brother and I picked up the manual language of signing and finger-spelling quickly.  Although I was too young to spell words, the sign language was sufficiently illustrative for Edgar_Bergen_and_Mortimer_Snerd_1941me to get my needs and thoughts communicated.  We were largely entertained by the radio that my grandparents purchased for us. The radio turned out to be language rich with nightly serial stories such as The Green Hornet, Amos and Andy, The Lone Ranger, the spooky mysteries of Inner Sanctum, and the comedy of Edgar Bergan and his puppet, Charlie McCarthy.  Saturday morning radio was aimed at children with shows such as Let’s Pretend, Sky King, Terry and the Pirates, and Dick Tracy. Apparently, I entertained my grandparents by enthusiastically trying to tell them through pantomime and signs what I was listening to on the radio.

It is a common mis-perception that the hearing children of deaf parents have trouble learning spoken language. There have been reports of delayed and inadequate language acquisition from such children.  However, I quickly became “bilingual,” i.e., learning American Sign Language and spoken English at the same time.  As the hearing child of deaf grandparents, I really lived within two languages and two cultures.  I had my own normal hearing family and friends and mixed well within the circle of deaf friends of my grandparents. As a preschooler, it was a matter of making pictures and signs with my hands in the language of my grandparents; at the same time learning to speak words and sentences by listening to visitors, the radio, and ultimately kindergarten.

In the homes of deaf persons, you will find a few peculiarities.  For example, the doorbell not only “rings” but it is often hooked into the lighting system of the household so that lights in each room blink on and off as the doorbell is pressed.  A very loud alarm clock also vibrates the pillow and may flash a light on and off to awake the deaf sleeper.  We had a wonderful mutt of a dog who was likely the first “hearing service dog” before that concept was developed.  Our dog, General, seemed to understand that my grandparents could not hear.   He served as their daily “ears”.   Certainly no one could approach our house without General sounding the alarm – or even pulling one of them to the front door.  One gets the attention of a deaf person by casually waving a hand or wildly waving an arm and hand to gain immediate attention for more important matters.  As persons with deafness are extraordinarily aware of vibration, stomping on the floor can also be used as an attention gaining behavior.  To ignore someone, you simply refuse to look at them.

radioEarly on I learned that I could be of great help to my grandparents by serving as an interpreter.  By the age of 3, relatives tell me I would hear the weather forecast on the radio and pass it on to my grandmother through signs and facial expressions.  By the age of 4, and thereafter throughout life, my job was to accompany and interpret for them.  It made me feel very grown up and mature – and I remember how surprised the clerks were to see me conversing in signs.  Our grandparents had a telephone installed in the house so that my brother and I could place phone calls for them – making their lives easier.  For the most part, being their interpreter seemed a normal part of my life.  Perhaps it forced me to mature sooner than my peers. Being dragged everywhere your grandparents went so that you could interpret for them (e.g., the post office, doctor’s appointments, the driver’s license bureau, the courtroom, etc.) tends to involve one in a number of grownup things that most children are not exposed to until their adult years. Such children (known today as CODA – Children Of Deaf Adults) learn spoken language as a natural part of growing up; however, they are naturally required to navigate the border between the deaf and hearing worlds, operating as a liaison between their deaf parents and the hearing world.

Of course, my deafness connection caused me no end of embarrassment during my teen years.  I had to often accompany my grandparents and openly sign and communicate for them.  What if any of my friends would see me?  And, it was a difficult situation to be put into when my grandfather was angry over some issue and I had to transmit his words and feelings to someone else.  I was in middle school before I realized my friends thought my skills with ASL were “pretty neat.”  Many young people try to learn the manual alphabet with thoughts of secret communications with friends; however, few of them ever become sufficiently skilled to actually carry on more than a word or two in conversation.  It was with some pride when I finally realized that my ASL abilities were viewed as a talent and brought me special recognition.

memoriesThere were a number of memorable events related to their deafness. At about age 16, I was eating in a restaurant with my grandparents and, of course, we were talking to each other through ASL.  I was aware of an older couple intently watching us from a nearby table.   As they finished their meal, the woman come over to my grandfather, tapped him politely on the shoulder and said to him, “I think it is wonderful what you are doing for this young boy.”  As he could not understand what she was saying, it fell to me to tell her that he was the deaf person and I could hear just fine.  She was suddenly so embarrassed she turned and fled without another word.  I also recall the occasion when a group of my high-school football buddies were invited to my home for dinner served by my grandparents.  After a time, one of the friends asked me, “How do you know they are not faking and actually listening to everything we are talking about?”  To test this question, the guys casually dropped some swear words that should never be used at any dinner table; when my grandparents did not respond or show interest, the dinner situation unfortunately descended into deplorable conversations – much to the amusement of my depraved friends.

People with normal hearing are able to reflexively adjust the volume of their voice according to the presence of background noise.  I smile now as remember my grandfather attempting to whisper to me in the midst of a seriously quiet church moment, but unfortunately loudly voicing his message to me so that all could hear him.  On the other hand, in a noisy situation he was unaware that he needed to speak with a louder voice.  In somewhat the same regard, I shudder as I remember him driving slowly to a crawl to turn a corner, blissfully unaware of the honking horns and screeching brakes of the drivers behind him.

lifeThey are both gone now having lived healthy and happy lives.  Yes, they often mentioned how frustrating it was to be deaf, yet they managed living every day to the fullest.  My grandfather had a successful printing business in downtown Denver. Their social life involved groups of deaf friends who played cards together, went bowling, picnic outings, and church activities. Their deafness did not hold them back from experiencing most of the activities of normal hearing persons.  In today’s technical environment they would have likely been among the earliest to step up for digital hearing aids and cochlear implants; visual-voicing devices and texting would have been such an incredible benefit for them.

My family evolution is notable for having four generations involved with deafness and hearing loss as both my aunt and my daughter are certified teachers of the deaf.  As for me, being a child raised by loving deaf grandparents created many opportunities as I pursued a career of more than 50 years in various aspects of audiology.  Fondly looking back now in my near-retirement years, I owe much to my deaf grandparents for making my “unconventional childhood” so exceptional.

Jerry L. Northern, PhD, is Founder and President of the Colorado Hearing Foundation – a non-profit organization that supports education and research in hearing and hearing disorders, and provides services to children with hearing impairment.  

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Ear Impression Have Gone Digital with the AURA 3D Ear Scanner – guest post by Brian Fligor & Andrew McGrath

finding-the-right-fit-for-your-teamTaking an ear impression is perhaps the most common non-diagnostic procedure performed by audiologists, and is one of the first technical skills that students learn in audiology training programs.  While common, taking ear impressions is also a very technically challenging and invasive procedure.  The skills and techniques necessary for taking proper ear impressions take many years to develop, and even when performed by an experienced clinician, the patient can experience significant discomfort or, rarely, injury.  Nevertheless, accurate ear impressions are vital to the successful fitting of any custom in-ear product, including hearing aids, earmolds, custom headphone sleeves, and noise protection earplugs.

With the AURATM 3D Ear Scanner, Lantos Technologies is bringing the process of creating earmolds into the digital age. The first digital ear scanner of its kind (shown below), this device allows for quick, comfortable, and accurate digital impressions of the pinna and ear canal. The scanner captures the topology of the whole ear, from a complete aura scannerconcha to down the canal to within a few millimeters of the tympanic membrane.  The AURATM 3D scanner provides a number of innovative and clinically relevant benefits that audiologists will appreciate. The AURATM 3D scanner consists of a hand-held scanner with retractable scope and proprietary LantosViewTM software.  Housed within the scope is a high-resolution video camera with extremely wide field of view, allowing the scanner to also function as a high quality video otoscope, providing full visualization of the ear canal and the tympanic membrane.

When using the unit to obtain digital ear impressions, a small inflatable membrane is placed over the scope prior to insertion into the ear.  The scope is placed into the ear canal in otoscope mode, which provides constant visualization of the ear canal and tympanic membrane, minimizing the risk of discomfort or injury, while allowing for precise placement of the scope into the ear canal.  Once the scope is at the desired depth, the audiologist uses the scanner-mounted controls to inflate the membrane.

fig 2Housed within the scanner unit is a light-absorbing fluid medium, which flows into the membrane, inflating it gently but completely.  As illustrated in the figure at the right, when inflated, the membrane conforms to the surface of the ear.  Any hair in the ear canal is gently pushed out-of-the-way, as is modest amounts of cerumen, trapped between the ear canal wall and the external surface of the membrane.  The scope, now within the inflated membrane and surrounded by the fluid medium, emits light which fluoresces the inside of the membrane.  The LantosViewTM software compares the intensity of light in two different bandwidths to determine relative distances, which allows mapping of the surface of the ear with accuracy on the order of microns. This highly accurate digital image is stitched together in real-time, and is displayed in the user interface during scanning (click here for Lantos Technologies YouTube video). Once the scan is complete, the audiologist deflates the membrane and removes the scope from the patient’s ear.

fig 3Once completed, the digital ear impression (shown left) is a three-dimensional representation of the external ear and ear canal, visible within the LantosView TM software.  The file generated is an “.stl” file, a standard file format in the realm of high-resolution 3D printing. This impression can be manipulated, measured, and dissected for use as a clinical counseling tool. Hearing aid options that are available to the patient can be discussed in the context of the digital ear impression.  Similarly, hearing aid styles that may not be an option for a particular patient, due to limitations in a specific individual’s ear anatomy, can be reviewed and the patient counseled with real data to support the audiologist’s recommendations.

StopwatchAs we know, the traditional process of obtaining an earmold impression is relatively time-consuming. Once the impression material is injected into the ear canal, it must be allowed to cure for five to ten minutes.  In some patients, they tolerate both ears being impressed simultaneously; others find the experience of being completely “blocked up” off-putting and request the impressions be done sequentially. Often this results in considerable “down time” for the audiologist; for instance, very little communication can occur with the patient during this time.  Once the impressions come out, they must be packaged and the hearing aid or earmold order form must be completed.  The order form may need to be copied, and then is folded and placed inside the box with the impressions.  The box is placed into a shipping bag, which also needs a shipping label, and then a package “pick-up” must be scheduled.  If it is too late in the day, the pick-up may not occur until the next day. In a busy practice, this time-intensive procedure may be undertaken many times each day.  The scanning procedure is similar in some ways to taking ear impressions, but without the discomfort often experienced by patients.  Many audiologists will find that the skills they have developed in taking ear impressions translate easily to the ear scanning procedure.  The scan takes about 45-60 seconds per ear.

digital-tunnel-wallpaper1Digital ear scanning eliminates many of the time-consuming steps outlined above.  The digital scan can be sent electronically to the hearing aid or earmold manufacturer, reaching them almost instantly, and possibly cut shipping costs in half.  This can facilitate online ordering, and may be integrated directed into the manufacturers’ existing shell/earmold fabrication process.

Many audiologists remember the impact that digital signal processing had on the quality of hearing aid technology.  The Lantos AURATM 3D Ear Scanner is the next generation of ear impressions.  Ear impressions have gone digital, allowing for a more interactive patient experience and a more rapid transition from audiogram to hearing aid fitting. Visit Lantos Technologies at AudiologyNOW! March 26-28, 2014, at booth 1614 to see the AURATM 3D ear scanner in action!

brianBrian Fligor, Sc.D., is Chief Audiology Officer at Lantos Technologies, Inc., Wakefield, MA. Prior to joining Lantos, Dr. Fligor was Director of Diagnostic Audiology at Boston Children’s Hospital and Assistant Professor at Harvard Medical School.  He is adjunct faculty at Northeastern University and Salus University, a member of the Children’s Oncology Group, and founder and past-chair of the Music-Induced Hearing Disorders Taskforce for the National Hearing Conservation Association. He was a member of the Board of Directors of the American Academy of Audiology 2009-2012.  Dr. Fligor’s publications on hearing loss risk from music received considerable popular media attention, including being spoofed on the David Letterman Show in 2005. His publications on ototoxicity have helped shape the JCIH Position Statement (2007) and helped shape a new unified international chemotherapy ototoxicity grading scale. He holds a B.S. in Biomedical Engineering and Sc.D. in Audiology from Boston University.

andrewAndrew P. McGrath, Au.D., is the Global Training Manager at Lantos Technologies, Inc.  Prior to joining Lantos, Dr. McGrath was the Director of the Department of Audiology at Women & Infants Hospital in Providence, RI.  He has held faculty appointments at the Yale University School of Medicine, the Brown University Alpert Medical School, and the University of Rhode Island.  Dr. McGrath has extensive experience working both in private audiology practice and in hospital-based audiology practices, with expertise in electrophysiology, vestibular disorders, pediatric audiology, and adult and pediatric amplification.

Posted in Audiology, Guest Blog Posts, Hearing Instrument Technology, Impression Material | Tagged , , , , , , , | 7 Comments

Got Beads?

Props-Got BeadsWith Fat Tuesday right around the corner, a must-have component for any parade participant is the quintessential Mardi Gras beads. Similarly, an essential tool every hearing instrument wearer should readily have on hand is their own set of beads.  The beads that I am referring to come packaged in the form of a desiccant. Hearing aids gather moisture from many sources throughout the day including the environment, the patient’s ear canal, cerumen, and perspiration.  Our patients need to be educated and encouraged to protect their investment. One of the most economical ways to remove potentially damaging moisture build-up from hearing instruments may be accomplished with some type of hearing aid dehumidifier.

mardi-gras-masks_mediumJust like Mardi Gras beads, hearing aid dehumidifiers come in a variety of shapes and sizes. Some products may work out better for certain patients.  While this is not an exhaustive list, here are some potential product solutions that may work well with specific patient types:

FOR THE HEARING INSTRUMENT WEARER THAT DOES NOT WANT TO DEAL WITH NEEDING TO PLUG ANYTHING INTO A SOCKET:

no-cords1A wide variety of non-electric hearing aid dehumidifiers are available including Audiologist’s Choice Ducks or Fish; Westone Hearing Aid Saver (mini or standard); either of the Hal Hen Mini, Super, or Mini Super Dri Aids.

FOR THE HEARING INSTRUMENT WEARER EXPOSED TO HUMID ENVIRONMENTS:

humidAn electronic hearing aid dehumidifier that uses a desiccant and capable of generating heated, moving air is ideal for any user living in extremely humid environments and/or involved in daily activities generating excessive perspiration while wearing hearing instruments. Popular products include the Dry & Store Global II or the Zephyr.

FOR THE HEARING INSTRUMENT WEARER WHO DOESN’T WANT TO DEAL WITH RECHARGING  DESICCANTS:

microwaveSeveral disposable hearing aid dehumidifiers including the Dry Caddy and DRI-EZE have been designed to specifically eliminate the need for periodic recharging or reactivation of desiccants. The desiccant in these products is designed to effectively work a pre-determined period of time after which it is disposed of and replaced with a new desiccant.

FOR THE HEARING INSTRUMENT WEARER WHO TRAVELS A LOT:

TravelPicEither of the previously mentioned Dry & Store Global II or Zephyr will work well from the perspective that these devices are equipped with a universal AC adapter that can be used worldwide (100-240 volts) with an appropriate plug adapter.  If cords and/or recharging desiccants is out of the question, the Dry Caddy or DRI-EZE are perfect products for the busy traveler.

00301FOR THE HEARING INSTRUMENT WEARER WHO WANTS SOMETHING PRETTY:

Make no mistake, there are many people out there who want to invest in something that looks pretty. The perfect product in this instance in the Audiologist’s Choice Dry Spot Dehumidifier.

As you can see, there are lots of choices in hearing aid dehumidifiers and there is something out there for every hearing instrument wearer. The key is to get hearing instrument wearers to invest in taking care of their hearing aids so that their hearing aids can take care of them!

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I Need a Wireless Solution to Hear My Cell Phone Better!!

cell-phones_10836790When your patient with hearing loss tells you “I need a wireless solution that will help me hear my cell phone better“, what solutions come to mind? Certainly, a hearing instrument accompanied with a streamer would be ideal although those of us in the hearing industry are well aware that not every individual with hearing loss will pursue hearing instruments. For the 20% – 25% that do, not every one of these individuals will invest in hearing instruments with streamers. Regardless, an individual with a hearing loss seeking help to converse better while using his or her cell phone, whether a hearing instrument wearer or not, represents an opportunity for audiologists to offer some viable solutions. This is not an exhaustive list but here are at least some potential product solutions for consideration:

FOR  HEARING INSTRUMENT WEARERS, WITH OR WITHOUT T-COILS, USING A BLUETOOTH ENABLED CELL PHONE:

CS-A1600BT1. ClearSounds iConnect A1600BT: an amplified cordless telephone specifically designed to pair with a Bluetooth cell phone, enabling the user to wirelessly route cell phone calls to a traditional amplified telephone. The CS-A1600BT may also be connected to home landline is the user chooses to do so. This is an ideal solution for someone who uses a cell phone mainly at home.

962. HearALL Cell Phone Amplifier: an amplified cordless handset specifically designed to pair with a Bluetooth cell phone. This is an ideal solution for someone who uses their cell phone in a variety of environments (home, car, work, etc.).

cs-bts0013. ClearSounds Wireless Bluetooth Speaker with Microphone: a wireless Bluetooth speaker for music, TV listening, and hands-free speaker phone.

ADDITIONAL OPTIONS FOR WEARERS OF T-COIL EQUIPPED HEARING INSTRUMENTS USING A BLUETOOTH ENABLED CELL PHONE:

CS-QT41. Any Bluetooth enabled neckloop such as the Quattro 4.0, the original Quattro, NoiZfree Beetle H-3ST, Artone-3 Loopset, or the Williams Sound Amplified Bluetooth Neckloop. This is an ideal solution for an active cell phone user who uses their cell phone in many different environments.

NON-HEARING INSTRUMENT WEARERS USING A BLUETOOTH ENABLED CELL PHONE:

1. Any Bluetooth headset such as the etyBLU2 Noise-Isolating Bluetooth Headset

2. ClearSounds iConnect A1600BT

3. HearALL Cell Phone Amplifier

4. NoiZfree Beetle XTRA-3

5. ClearSounds Wireless Bluetooth Speaker with Microphone 

granddaughter-grandmother-cell-phone-598-x-298As you can see, there are many different Bluetooth options available out there for your hearing aid wearing and non-hearing aid wearing patients who are looking for a solution that will help them converse more effectively when using their cell phone.  For more information on any of these products solutions, call Oaktree Products toll-free at 800.347.1960 and ask for customer service. If you prefer email, send your product questions to otp@oaktreeproducts.com. 

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