Tag Archives: hearing loss

Doctor checking woman's ear

Meet Allison: Audiologist and Sentio System Wearer

Allison Lenear, AuD, lost her hearing due to repeated ear drum perforations. After multiple ear infections rendered her hearing aid for one ear ineffective, she decided to try Oticon Medical’s Sentio™ System. Here she shares her experience from the unique perspective as both a hearing care professional and a patient.


Early Experience with Hearing Loss Led to Early Advocacy

My hearing loss is the result of chronic ear drum perforations left after many Pressure Equalization (PE) tube placements. At the age of 15, after four failed tympanoplasties (two on each side), I was fitted with binaural hearing aids by my audiologist. He asked, “Aren’t you tired at the end of the day?” which I thought was just a teenager thing!

My hearing aids helped me hear and understand better in class, be more confident when working my afterschool job, and improved my ability to hear whispers backstage as a stage manager in my high school’s theater department. It was at that time I decided I wanted to be the person to help other people in my position accept their hearing loss and feel confident advocating for themselves. When classmates or strangers asked, “What are those things behind your ears?” I was never offended or embarrassed; it was an excellent way to start educating people around me that hearing aids are not only for older adults.

Accepting the Need to Move Beyond Traditional Hearing Aids

I graduated with my Doctor of Audiology degree from the University of Louisville in 2017 and started working as an audiologist at ENT of Athens, where I’d completed my fourth-year externship the previous year. I hadn’t had many ear infections as an adult, meaning there was no issue with traditional amplification. However, within the past two years, I started developing frequent bacterial and fungal infections, especially in the left ear. I wasn’t able to wear my hearing aid in that ear while being treated for the infection, making it difficult to hear and understand my patients. Each time I had an infection, it meant going about two weeks unaided on the affected side. It increased my stress, made the strain to hear and understand more difficult, and made me start avoiding things I love to do because it was so exhausting having to strain to hear. Because of this, I started thinking about a bone anchored solution.

Over the years, I’ve tried pretty much any new hearing aid that came out from all six major manufacturers but always ended up coming back to Oticon. I knew that for any sort of bone anchored device, especially when choosing to surgically implant it, I wanted the incredible sound quality, dependability, and reliability that I had come to rely on. So, when the Sentio™ System received FDA approval in the US, I knew I wanted to make the leap. It took some time to get it approved through the hospital, but on July 3, 2025, I became the first recipient in Athens, GA to receive the Sentio, courtesy of my physician and friend, Dr. Jacline Phillips.

Two women smiling

My only concern before surgery was that I would be the first transcutaneous bone anchored hearing system recipient in the facility I had the surgery in! I was confident in my surgeon, who had performed many bone anchored hearing surgeries (percutaneous and other manufacturers’ transcutaneous devices), but the surgical team in the operating room was unfamiliar with them. Luckily, between Dr. Phillips and our Oticon Medical Territory Manager, Dr. Dianna Tingle, everything went off without a hitch.

Undergoing the Sentio Procedure and Processor Fitting

Dr. Phillips mentioned how much easier the Sentio was to implant versus competitors’ products. My incision was much smaller than I anticipated and lined up almost exactly with where my current tympanoplasty scars were located (behind my ear).

Recovery was extremely easy. I had surgery on Thursday and went back to work on Monday. Would I recommend that for everyone? Absolutely not! The only unforeseen issue was that I wear glasses and do not have contacts. So, when I wore my headset to perform hearing evaluations, the arm of my glasses pressed against my beautifully stitched incision and caused some discomfort. I was able to utilize the free accessory included with the Sentio, the EduMic, and connect it to my hearing aid on the right side to be able to hear patients while they were in the test booth, which eliminated pressure from the headset. I continued using that system for about a week after my stitches were removed. Since that time, I have had no pain or discomfort around the surgical site—it is almost like it never happened.

The two weeks leading up to my surgery, I had a fungal infection in the left ear and was unable to wear my hearing aid. I patiently waited two-and-a-half weeks before fitting the Sentio 1 Mini processor [Note: see video snippet below taken during Allison’s fitting session]. Since I was the first to receive a Sentio in our practice, Dr. Phillips, my colleagues, the office manager, and even Dianna came for the fitting. My colleague, who I consider “my” audiologist, was out of the country for vacation and FaceTime’d into the appointment as well!

Feeling Confident with the Sentio 1 Mini

Not having worn any type of amplification for the two weeks leading up to surgery (and more than two weeks after), it was really emotional and an enormous relief to be able to hear from my left side again. Initially, the sound quality was a little different with just my Sentio on, but when I put my right hearing aid in (a pink Oticon REAL™ 1 miniRITE-T with sparkly, swirly ear mold, of course), the sound quality was essentially exactly what I was used to with binaural air conduction amplification. I was able to localize sounds and hear again!

The day after my fitting, I went on a walk with a friend, who is an audiologist, and her linguist husband through our neighborhood. She and I were walking side by side and when I realized that, even though her husband was walking behind us, I could still hear and understand what he was saying… it was unbelievable. I was also able to hear cars and bikes coming from behind, which had been a safety concern of mine in the past when walking alone. Sentio has given me the freedom and the confidence to feel safe walking alone outside. It is absolutely lifechanging.

I love Made for iPhone® (MFi) streaming! I do miss binaural streaming, which isn’t a possibility as far as I am aware, since I am wearing two different devices now (Sentio plus hearing aid). If I need/want binaural streaming, I switch to my headphones, no biggie.

I used to be so worried about infections and making sure my left ear was dry, on top of being annoyed at having something in the left ear. So, most of the time, I would take my hearing aids out when I got home from work. My sweet husband never complained, even if I was complaining that I couldn’t hear due to taking out my own hearing aids, ha-ha! Now, when I am home, the Sentio 1 Mini processor stays on and the hearing aid in my right ear doesn’t bother me, so I am more present and need him to repeat things much less frequently.

My colleagues, after having to deal with me for a solid month of infection and healing, were incredibly relieved when I was fit. An unintended benefit, since I am more aware, is that I am much less jumpy/startled less often by people outside my peripheral vision or behind me. One of my other physicians used to think it was a fun game to sneak up behind me and surprise me—but no more, Dr. Mixson! You have been defeated by the incredible Sentio technology!

Woman doing yoga

I have been pleasantly surprised by how well the processor stays firmly magnetized during walks outside in the southern heat, during Pilates, and in yoga—even when I am in crazy positions! I have only heard feedback once when in a yoga position where my arm was tucked right by my processor, but my friend next to me said she didn’t hear it at all.

I used to have a lot of anxiety and stress due to my frustration over being historically unable to understand speech in certain environments. In the short time we have been together, the Sentio System has been amazing. It makes me feel confident in those situations: being able to hear from which direction traffic noise is coming, my friends walking behind me, and in crowded restaurants—it has brought me a lot of peace. If I start to spiral at particular recommendations for Happy Hour, I must remind myself that I might not have been to that particular restaurant since I activated my Sentio, and so maybe I will do better this time. About 99 percent of the time, I am correct (some places just have terrible acoustics)!

Because the sound quality is quite different from my hearing aid, I used my audiology knowledge and figured out that, similar to cochlear implants, there may be some listening practice involved. Over a few weekends, when at home with my husband, I wore just my Sentio to let my brain adjust to the new sound. Since sound is being transmitted differently than I have experienced in the past, it’s just different! I waited two weeks after my initial fitting before making any adjustments to the settings, which is the same timeframe I request my hearing aid patients wait while trying to adjust to new sound. It has been one month (as of this writing) since my fitting and unsurprisingly, things now sound completely normal. Amazing what can happen when you follow your own advice!


NOTE: Since providing us with this user story, Dr. Lenear has joined Oticon Medical as a Clinical Specialist for New England. 

Hearing The Call In Malawi

Bridging Continents Through Sound

Earlier this year, Oticon Medical Marketing Manager and audiologist, Hilary McManus, had the opportunity to travel to Malawi with Hearing the Call, a nonprofit organization that focuses not on short-term relief, but on the long-term development of sustainable hearing healthcare in the communities it serves. Rather than providing one-time care and moving on, Hearing the Call collaborates with local professionals to build lasting systems through education, training, and access to resources.

Three people smiling

This model of development over relief is backed by growing global health research. Short-term missions can sometimes unintentionally undermine local providers, disrupt continuity of care, and create dependency. Sustainable development, on the other hand, strengthens local infrastructure, empowers communities, and ensures that care continues long after international teams depart.1.2.3.4.

In Malawi, Hilary saw firsthand the vital role local providers play in ensuring that care is both sustainable and culturally responsive. These providers bring invaluable insights into their communities, enhancing the quality and relevance of the care delivered.

Child being fitted for hearing device

During three clinical days, Hilary’s group saw 174 patients, which included 113 traditional hearing aid fittings and eight Ponto™ fittings. They were also able to provide training to local audiologists and audiology students to ensure these patients receive top-tier follow-up care.

It was a whirlwind of activity, but what stood out most was the collaboration with dedicated Malawian clinicians and students, whose commitment to their patients and profession is nothing short of inspiring. Hilary’s group tried to see as many patients as possible while still providing excellent care. Even in this fast-paced environment, every individual on the team was able to not only teach, but learn from clinicians, students, and patients.

One of the audiologists on the trip asked everyone to think of one word to describe their time in Malawi and the first word that popped into Hilary’s mind was laughter. “Of course, we all worked hard giving those who attended the outreach clinics the best possible care,” Hilary shared. “But what I remember most are the moments of shared laughter between team members, with patients, and with my Malawian colleagues. It was the kind of laughter that supersedes language barriers, eases the weight of long days, and reminds you why you chose this profession in the first place.”

Despite the high prevalence of otitis media (an infection of the middle ear) and associated hearing loss, few Malawians have ever received a hearing device. Misconceptions about hearing loss and ear infections, combined with limited access to care with widespread use of home remedies, highlight critical gaps in hearing health literacy and service delivery. Bone anchored hearing systems like Ponto are uniquely suited to these communities, where conductive hearing loss and middle ear conditions are extremely common.

A Note from Yamikani Dumbo, Local Malawi Audiologist

Malawi faces significant challenges in addressing hearing loss due to limited resources. There is only one institution offering an Audiology degree, making it difficult for aspiring audiologists to access education and training. Consequently, the country lacks sufficient audiologists to provide essential services. Those who do qualify often seek job opportunities abroad, leaving Malawi with a severe shortage of skilled professionals.

Woman smiling beside seated boy

Although four government hospitals offer audiology services, access to care remains insufficient due to limited equipment and resources. Furthermore, the absence of hearing aids at these hospitals limits the effectiveness of hearing loss diagnoses. This lack of services and essential tools deepens the problem, leaving many individuals without access to the care they need.

The state of audiology in Malawi is concerning and requires attention. There is a need to raise awareness through educating the public about the importance of ear health and the consequences of untreated hearing loss. Increasing accessibility in audiology education and training opportunities to increase the number of skilled professionals is needed to minimize challenges in accessing care. It is also essential to improve local audiology services by providing appropriate equipment and resources so they can offer comprehensive care.

Resources and Special Thanks

Hearing the Call was founded in 2016 to address the needs of thousands of individuals worldwide with treatable hearing losses who lack access to hearing aids. If you or your organization would like to support their efforts to aid hard of hearing people around the world, please visit https://hearingthecall.org/. You can also learn more about their outreach trips and volunteer opportunities.

Hilary and Oticon Medical would like to personally thank all the Hearing the Call employees and volunteers she worked with on this trip, including co-development and clinical lead Dr. Heidi Hill, co-development lead Dr. Jenna Vallario, Entheos Director of Education and Research Laurel Gregory, and photographer/videographer Cristian Veaudry.

Thanks also go out to the hearing care professionals who joined HIlary on the Malawi trip, including Dr. Sarah Conrad, Dr. Nad Kattan, and audiology student Anna Rippy and Malawian audiologists Yamikani Dumbo and Alinane Malili, Head of the Audiology Department at African Bible College (ABC), ENT physician Dr. Julia Toman and infectious disease specialist Dr. Zach Porterfield.

Most of all, we’d like to share our deep appreciation of the incredible, very soon-to-be audiologists Mphatso Dube, Enittah Chikuse, Flocy Square, Angella Banda, Peace Chikuniwenda, Micah Mbewe, Mercy Msakwiza, Cuthbert Mbalame, and Jane Iradukunda.

References

1. Chaus, M. (2020). The dark side of doing good: A qualitative study to explore perceptions of local healthcare providers regarding short-term surgical missions in Port-au-Prince, Haiti. Journal of Global Health Reports, 4, e2020002. https://doi.org/10.29392/001c.11876
    •  Journal of Global Health Reports
2. Tracey, P., Rajaratnam, E., Varughese, J., Venegas, D., Gombachika, B., Pindani, M., Ashbourne, E., & Martiniuk, A. (2022). Guidelines for short-term medical missions: Perspectives from host countries. Globalization and Health, 18(1), 19. https://doi.org/10.1186/s12992-022-00815-7
    •  BioMed Central
3. Melby, M. K., Loh, L. C., Evert, J., Prater, C., Lin, H., & Khan, O. A. (2016). Beyond medical "missions" to impact-driven short-term experiences in global health (STEGHs): Ethical principles to optimize community benefit and learner experience. Academic Medicine, 91(5), 633–638. https://doi.org/10.1097/ACM.0000000000001009
    • ResearchGate
4. Prasad, S., Aldrink, M., Compton, B., Lasker, J., Donkor, P., Weakliam, D., Rowthorn, V., Mantey, E., Martin, K., Omaswa, F., Benzian, H., Calgua-Guerra, E., Maractho, E., Agyire-Tettey, K., Crisp, N., & Balasubramaniam, R. (2022). Global health partnerships and the Brocher Declaration: Principles for ethical short-term engagements in global health. Annals of Global Health, 88(1), 31. https://doi.org/10.5334/aogh.3577
    • Annals of Global Health

The Holidays are for Hearing

With the winter holidays beginning this week, we wanted to re-run this helpful post on how to make sure everyone feels included this season. Enjoy and please share!


Families are gathering. Holidays plans are made. You are heading out on a road trip to see the grandkids. The house is bustling with the sounds of the holidays. Children are laughing, and the dinner conversations are lively. It’s time to join with your family around a festive holiday table to celebrate the season and the start of a new year.

For people with hearing loss, these joyous moments can also bring a host of challenges. A noisy dinner conversation can leave a person with hearing loss feeling tired from the effort they have to spend to understand the message. The dinner table is noisy and voices sound muffled from a distance. Important conversations are missed. These challenges can cause isolation and exhaustion for someone with hearing loss.

Oticon Medical has focused on these challenging situations to present patients with device programming and accessory options that improve communication and quality of life. Our accessories, paired with good communication practices, can positively impact interactions with users of our product portfolio. Here are some communication strategies that we can all practice throughout the holidays that will help make communication easier and the season more enjoyable for people with hearing loss.

How to talk to someone with hearing loss

  • Face the person. Ensure that the person with hearing loss can see everyone’s face. The visual cues will help the person understand the words they didn’t catch.
  • Minimize background noise. Turn off the TV and reduce the volume of surrounding music or television to make communication easier.
  • Make sure the room is well-lit. A well-lit environment can make it easier for the person with hearing loss to see facial expressions, body language, and gestures from across a room.
  • Get their attention first. Get an individual’s attention by saying their name first or gently tapping their arm, and then convey your message to increase the chance that it will be heard and understood.
  • Speak slowly and clearly. Annunciate your words and take your time.
  • Rephrase, don’t repeat. If something isn’t heard the first time, try rephrasing it. Instead of repeating the same sentence louder, try saying it a different way.
  • Don’t speak from another room. Minimizing distance will maximize the chance that your message will be heard and understood.
  • Speak at a normal volume. Shouting during conservation can distort the signal for the person with hearing loss and so, rather than making it easier for a hard of hearing person to understand you, it often has the opposite effect.

Useful tools for communication success

Oticon Medical’s BrainHearing™ philosophy reminds us that we hear with our brains, not just our ears. Our Ponto™ devices are equipped with special noise reduction options that operate with this philosophy in mind. The Ponto family is compatible with a variety of accessories that have streaming capabilities to help people with hearing loss communicate successfully in difficult listening environments. Let’s look at a few scenarios where Ponto users can use these tools to make communication easier in challenging situations during the holidays.

Road trips

A Ponto 5 Mini user and his wife have loaded up the RV for a holiday road trip to see their grandkids. For these two people, a conversation in the car is challenging because of road noise and the lack of visual cues as they face the road. The Ponto user can use the ConnectClip to give themselves a big advantage in this situation and allow for an enjoyable road trip full of conversation. The Ponto user’s wife can clip the ConnectClip that is paired to her husband’s Ponto 5 Mini to her lapel about 6 inches from her mouth. She presses and holds the multi-function button for a few seconds until the lights turn purple and green. This action sends her voice on a wireless journey direct to her husband’s Ponto 5 Mini, allowing for effortless conversation between the two, reducing background noise, and minimizing the effects of distance on their ability to communicate.

Watching a movie

Oticon Medical’s TV Adapter 3.0 is compatible with the entire Ponto product family. You can pair a TV Adapter to your Ponto 3 SuperPower using your Oticon Medical Streamer or to Ponto 4 or 5 Mini directly. This allows you to stream audio directly from your television to your device. You can use your streamer or the Oticon ON™ app to control the volume of the television while your family continues to listen at a level that’s comfortable for them.

Adjustments from afar

You are having difficulty hearing in noise on your holiday vacation, but it isn’t convenient for you to visit your audiologist for programming in person. What can you do? Ponto 5 Mini users can now use RemoteCare to arrange a quick telehealth appointment with their audiologist. During a scheduled RemoteCare visit, an audiologist can log into a private portal which allows them to make the adjustments that their patient needs. The program changes are uploaded to the patient’s device using Oticon’s RemoteCare app and the new settings can be used by the Ponto 5 Mini user right away. This groundbreaking technology opens a new frontier for Ponto patients.        

Family dinner

Oticon Medical has developed OpenSound Navigator™ as a method of noise reduction for those energetic conversations around your holiday dinner table. In this situation, you want to hear the conversation, regardless of its direction. OpenSound Navigator will seamlessly adjust to your environment and reduces the effort it takes to hear. Talk to your audiologist about creating a program in your Ponto 4 or 5 Mini device that utilizes OpenSound Navigator and hear the difference at the holiday dinner table this year. Additionally, you can hand a paired ConnectClip to a relative across the table and their voice can be streamed directly from up to 65 feet away.

Online resources

Oticon Medical is here to support you while you are on the go this holiday season. For product support, videos on how to pair accessories, or in-depth information about the different solutions available to you, visit Wireless Connectivity.

Should you need help from an Oticon Medical audiologist during the holiday season, please contact our Auditory Technical Services support team during the hours of 8 AM and 8 PM, Eastern time at 888-277-8014 or by email at [email protected].

            Oticon Medical wishes you and your family a happy and healthy holiday season!

About the Author

Courtney Smith, M.A., CCC-A, is the Clinical Trainer at Oticon Medical, having just joined the team in October of 2021. She practiced audiology in both medical and private practice settings in Las Vegas, NV. She has experience working with hearing aids, cochlear implants, and bone anchored solutions for adults and pediatrics. She completed her training at the University of Iowa in 2003.

Bone Anchored Hearing Systems: When Hearing Aids Aren’t Enough

A Message for Veterans with Hearing Loss

Many veterans experience hearing loss due to physical trauma endured while on duty. Many of these losses may be treatable with traditional hearing aids. However, some forms of hearing loss—typically involving damage to the outer ear, ear canal, or other physical components—may not be. Yet many vets are unaware that they have options beyond regular hearing aids, such as bone anchored hearing systems (BAHS).

If you served your country, you may qualify to receive coverage from the government for a BAHS. Read on to learn more about this advanced treatment and whether it might be the solution you need.

Types of Hearing Loss Commonly Experienced by Veterans

More than 1.3 million US veterans receive disability compensation for hearing loss. Considering how frequently military personnel are exposed to extremely loud sounds for extended periods, including explosions, weapons fire, military air-and-seacrafts, and more, it is no surprise that so many experience noise-induced hearing damage, aka sensorineural hearing loss. This form of hearing loss is most often treated with traditional, air conduction hearing aids—the removable devices worn either in the ear or behind the ear.

However, hearing losses related to physical injuries typically require an alternative treatment that utilizes bone conduction to improve hearing ability. Known as conductive hearing losses, these may result from the loss of the pinna (outer ear), damage or loss of the ear canal, or similar injuries. Those with single-sided deafness—whether due to sensorineural or conductive hearing loss—may also experience better results from bone conduction.

Bone Anchored Hearing Systems Aid Certain Service-Related Hearing Losses

As mentioned above, bone anchored hearing treatment utilizes bone conduction to improve hearing ability. While regular hearing aids go in or on the ear to receive, amplify, and clarify sound, BAHS are worn on small, implanted posts called abutments near the ear. Bone conduction may be a viable option if your cochlea (inner ear) is still intact and functional.

A processor that receives sound is snapped onto the abutment a few weeks following implantation. This device transmits sound via unnoticeable vibrations through your skull bone, bypassing the damaged or missing portions of your ear, directly into the cochlea. The sound is then sent to your brain for normal processing as comprehensible speech, music, or other sounds.

Next Steps for Vets Interested in Bone Conduction

If you think your hearing loss might be treatable with a BAHS, your first step should be to contact your local Veterans Administration and schedule an appointment with an audiology professional. Depending on your past service, you might qualify for free or reduced-cost hearing healthcare, including diagnosis and treatment. You may also qualify for monthly disability compensation payments, tax-free. Please note that if you don’t live near a VA hearing clinic or the wait is extensive, you might be able to utilize VA Community Care to see a local hearing healthcare provider.

To find out which benefits you qualify for, please contact your local VA medical center representative.

Oticon Medical Ponto System for Veterans

Oticon Medical offers bone anchored hearing solutions that are used by wearers all over the world to help them overcome hearing loss at home, work, and in social situations. For more information on our minimally invasive Ponto™ surgery for implantation of an abutment and our most current technology, the Ponto 5 family of hearing processors, please visit our website.

Exploring the Links Between Your Hearing and Your Health

This month marks World Hearing Day (March 3). With that in mind, we are resharing this important article on the links between your hearing and your overall health!

Did you know? 

We exercise, drink water, and eat healthy to prevent any health issues down the road. Many of us have regular primary care appointments as preventative care. But what about your hearing health? How does hearing loss impact your overall health?

Nearly 27 million Americans ages 50 and older have hearing loss. Of those, only one in seven treat it. Those that do treat their hearing loss often wait an average of 10 years or more before meeting with a hearing healthcare processional. Unfortunately, this can have a lasting impact on your health.

A study from Johns Hopkins expert Frank Lin, M.D. Ph.D monitored nearly 700 adults for 12 years and found that people with moderate or severe hearing loss were at an increased risk for developing balance problems resulting in more frequent falls as well as a higher prevalence of memory loss. In addition to these findings, other research has confirmed that individuals with heart disease, kidney disease, and diabetes are more likely to also experience hearing loss as compared to their age matched peers.

So, how does this impact your daily life?

If you are reading this post, you are likely very aware that hearing loss can have a significant impact on social interactions. You might find that you are asking others to repeat themselves. You may struggle to follow conversation with more than one person. Or you may find yourself thinking everyone else is mumbling. Whatever it is that you struggle with, the effects on social interactions can lead to self-isolation and ultimately depression and anxiety.

What can you do to prevent these effects?

One of the best ways to prevent these issues is to start with good hearing habits early in life. Just like we brush our teeth every day for good oral hygiene, we should protect our hearing when in loud environments. We should reduce exposure to medications that can cause hearing loss and we should have regular hearing exams with a hearing healthcare provider to monitor hearing over time. If hearing loss is detected, we should treat it quickly.

What if I already know I have hearing loss?

Now is a great time to start treating it! Do not hold back from choosing to do something about it. Schedule an appointment with your hearing healthcare provider and share a comprehensive medical history with them. Work with them to determine the best solution for you. If you do not yet have a provider, please use our Find a clinic tool. Or you can reach out to our team at 888.277.8014 (M-F 8am-8pm ET), and we would be glad to help find the right provider for you.

Any form of hearing loss can be challenging for the person experiencing it and for loved ones trying to communicate with them. It is our hope to help you hear your best because sound matters!

About the author‌

Alicia Wooten, Au.D. CCC-A is a Senior Auditory Technical Specialist at Oticon Medical. She specializes in implantable hearing devices and has a strong passion for aural rehabilitation and its impact on patient outcomes.

Citations

Hopkinsmedicine.org. 2022. The Hidden Risks of Hearing Loss. [online] Available at: <https://www.hopkinsmedicine.org/health/wellness-and-prevention/the-hidden-risks-of-hearing-loss> [Accessed 29 April 2022].

Hearing Tips to Make Sure Everyone Enjoys the Holidays

It’s that time of year again, when you join family and friends to celebrate the holidays. But if you are hard of hearing, it might be a challenge to enjoy the hustle and bustle fully. A noisy dinner conversation can leave you exhausted by the effort spent trying to understand what everyone is saying.

With that in mind, we’d like to share some tips to help make communication easier and the season more enjoyable for everyone regardless of hearing ability. We encourage you to share these with your loved ones, so that they know how to make you feel fully included this season, and all year ’round.

Face the person to whom you are speaking

Ensure that someone with hearing loss can see your face. The visual cues will help them understand any words they might have missed.

Minimize background noise

Turn off the TV during mealtime. Lower the volume on any music playing in the background or turn it off entirely.

Make sure the room is well-lit

This makes it easier for the hard-of-hearing person to read lips and see facial expressions and body language around the room.

Get the individual’s attention before speaking

Say the name of the person to whom you are speaking first or gently tap their arm. Once you have their attention, begin speaking and you are likelier to be heard and understood.

Speak slowly and clearly

Annunciate each word and don’t speak so quickly that your words all run together.

Don’t just repeat – rephrase 

If the person you are speaking to says, “What?” or otherwise indicates they didn’t hear what you said, don’t just repeat the same thing more loudly, try saying it a different way. Typically, the issue the person has understanding you is not volume, but clarity.

Oticon Medical’s OpenSound Navigator can make hearing easier

Oticon Medical has developed OpenSound Navigator™ as a method of noise reduction and it can help you participate more fully in conversations around your holiday dinner table. In this situation, you want to hear the conversation, regardless of its direction. OpenSound Navigator seamlessly adjusts to your environment and reduces the effort it takes to hear.

Talk to your audiologist about creating a program in your Ponto™ 5 Mini or Ponto 5 SuperPower sound processor that utilizes OpenSound Navigator and enjoy the difference it makes this season. Additionally, you can hand a paired ConnectClip™ to a friend or relative across the table. Their voice can be streamed directly into your Ponto 5 device from up to 65 feet away!

            Oticon Medical wishes you and your family a happy and healthy holiday season!

Student. Intern. Artist. Sarah is Grateful for Her Ponto 5 SuperPowers

Oticon Medical advocate and recent summer intern Sarah Sabal shares her experience before and after upgrading to Ponto™ 5 SuperPower bone conduction hearing devices.

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Born with Microtia and Atresia, I grew up in a seemingly busy world that, to me, was quiet. It was like watching a silent movie of people living their everyday life. As a young child, I eventually developed my thoughts and emotions through my artwork—a form of visual communication.

Later, when I got adopted in 2007, I was aided at the age of 8 with my first hard-wired bone anchored hearing devices on a headband. At first, I was shocked to hear for the first time, but later on, I had discomfort from wearing my hard-wired headband for a prolonged time, with addition to constant feedback. In 2013, I started wearing Ponto devices, and I now wear the Ponto 5 SuperPower.

I received multiple scholarships before going to college. I was awarded two government scholarships in Critical Language Scholarship funded by the State Department, and Boren Awards by the National Security. In addition, I have received multiple awards in art contests and been on RIT’s Dean’s List for having a GPA higher than 3.40.

Going to college, I was so grateful that I could do well in classes and make new friends. Wearing my Ponto 5 SuperPower processors allow me to hear the surrounding environment through OpenSound Navigator™ (full 360-degree soundscape). Most of the time, I use my ConnectClip™ to stream music, videos, and Zoom calls through my laptop, and EduMic™ to hear my professors in classroom settings.

I recently worked with Oticon Medical as a summer Digital Marketing intern. The resources provided by my college (RIT) and Oticon Medical gave me the opportunity to achieve success. My motivation and career plan are to pursue Marketing with the ability to speak Chinese for future opportunities. I am currently studying abroad in Taiwan under my Boren Awards scholarship.

I hope my motivation and determination to succeed despite my deafness will encourage others that anything is possible when you have a positive mindset!

Mother. Student. Advocate. Camilla Juggles It All with Ponto 5 SuperPower

Camilla Gilbert has faced many obstacles in life, including bilateral microtia/atresia with hearing loss and other challenges. Yet nothing has deterred her from helping others and advancing her education. Now she is doing it all with support from her Ponto™ 5 SuperPower bone anchored hearing devices.

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I had heard about many people with Ponto 5 SuperPower devices and wanted to try them. I heard that it was terrific regarding the sound quality, power, and feedback reduction.

Before I went back to school for my Masters in Social Work (MSW), I went to school to learn about Deaf culture and history, and ASL. What motivated me to return to school was to become a role model for myself, my daughter, and the communities I knew I would serve one day. I want to help and support people who feel like there is no hope in the Deaf/hard of hearing communities and the disabled community. I am currently pursuing my Doctor of Education degree in Educational Leadership.

My experience wearing a Ponto to school as an adult compared to going to a school as a kid without treatment is different. I’m able to understand more clearly. I can not only hear the professors, but participate in dialogue with my classmates.

Wearing the Ponto 5 SuperPower is also helping me achieve my goals as an employee, since I’m very new to my position. I can hear my colleagues whispering in their office with the door closed. Maybe we have thin walls, but before this new Ponto 5 SuperPower, I could not hear the whispering!

With Ponto 5 SP, I can communicate in a social situations, such as at a restaurant, in meetings, and at various appointments. Before, I struggled with understanding what people were saying in social situations. Now I can engage more without listening fatigue.

My hearing journey hasn’t been easy. However, this journey is who I am and will always be. Life is what you make out of it, so we must embrace our differences, weirdness, disabilities, and technology. Without technologies from Oticon Medical, which believes that Sound Matters, I wouldn’t understand hearing health’s quality and importance. If you are at a crossroads in your hearing journey, I suggest you do your research about Ponto 5 SuperPower.

You Hear with Your Brain

Exploring the Close Relationship Between Hearing Health and Cognitive Health

What is cognition?

Cognition is the “the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses.” (Oxford 2022). It is how we process information, develop into who we are, learn what we learn and process our surrounding environment. Cognitive function is critical to participation in activities, social gatherings and for enjoying conversation with family and friends.

What does hearing have to do with cognition?

In recent years, there has been a steady increase in research outcomes that show a connection between untreated hearing loss and accelerated cognitive decline.  One study completed by Croll et al in 2021, showed that individuals with hearing loss had lower cognitive function results than those of their peers with normal hearing. In several studies using functional imaging, there was evidence that when listening to different inputs the brain was stimulated less in individuals with hearing loss.

There are numerous theories as to how hearing loss plays a role in cognitive changes. Today we will examine two schools of thought.

The Common Cause Theory

The first theory to explore is the concept that age-related changes cause global declines. This widely researched theory suggests that neural degenerative diseases or even cardiovascular disease play a role in overall cognition. How does this theory expand to untreated hearing loss? This theory suggests that, like other health conditions, hearing loss has an impact on our overall health and cognitive abilities as we age.

The Cascade Theory

This is known as the “use it or lose it” theory (Chung, 2018). We know that hearing loss decreases auditory stimulation within the brain, and in turn this deprivation can cause cognitive decline. The idea is that auditory deprivation (i.e., hearing loss) can cause a ‘cascade’ of other issues like social isolation, depression, and the accelerated onset of dementia. Hearing loss also causes a person to have more cognitive load, meaning that individuals with hearing loss must work harder to process information. If we further explore the ‘cascade’ theory, there is hope that by treating your hearing loss sooner than later, you can slow the progression of cognitive decline.

What you can do to retain cognitive function as you age

Additional research is needed to understand more about how hearing loss impacts cognition. However, research suggests there are close ties between our hearing health and our overall health and wellness.

Here are a few steps you can take to ensure that your hearing health and cognition stay in shape as you age:

  • Get your hearing tested annually and continue to monitor it regularly. Add your hearing to the list of health-related check-ups you schedule each year.
  • If you have a hearing loss, seek treatment from an audiologist. Early intervention and early use of hearing aids or assistive listening devices are proven to reduce the effects of hearing loss such as depression, isolation, and memory loss.
  • Use the latest technology to your advantage. Although hearing aids cannot reverse the effects of hearing loss and cognitive decline, research does show that patients who use hearing devices regularly to treat their hearing loss have a greater ability to retain their cognitive function throughout the aging process.

Talk to a hearing care professional about the many benefits of treating your hearing loss today. And if traditional hearing aids aren’t the right solution for you, we encourage you to explore a bone anchored hearing system instead.

About the Author

Author Nicole Maxam, AuD, has been an audiologist for almost 17 years and has worked with a variety of patients. Before joining the Auditory Technical Services team, she worked in the school settings and private ENT setting offering hearing aids and implantable options to her patients.

Resources

  • Campbell, Julia and Sharma, Anu. “Compensatory changes in cortical resource allocation in adults with hearing loss”, Front. Syst. Neurosci., 25 October 2013, https://doi.org/10.3389/fnsys.2013.00071
  • Crolling, Pauline, “Hearing Loss and Cognitive Decline in the General Population: a prosceptive cohort study”, J Neurol. 2021 Mar;268(3):860-871. doi: 10.1007/s00415-020-10208-8
  • “Cognition”. Lexico. Oxford University Press and Dictionary.com. Retrieved 3/25/2022
  • King, Chung. Theories on Hearing-Cognition Functions, The Hearing Journal Dec. 2018. V71.12 p10-12.
  • Naples, James, Hearing Loss may affect brain health, Harvard Health Blog, 31 Jan 2020, www.health.harvard.edu/blog/hearing-loss-may-affect-brain-health-2020013118739
  • Tran, Yvonne, et al, “Co-occurring Hearing Loss and Cognitive Decline in Older Adults: A Dual Group-Based Trajectory Modeling Approach”, Front Aging Neurosci. 2021 Dec 24;13:794787. doi:10.3389/fnagi.2021.794787. eCollection 2021

Auditory Rehabilitation: The Importance of Developing your Listening Skills

Hearing loss can have a significant impact on your quality of life. For some people it can impact social interactions, work environment, and even activities that you used to find to be relaxing and enjoyable. The purpose of this blog post is to help you to understand that you are not alone in this journey. Depending on the type and degree of hearing loss you experience, bone anchored hearing systems along with aural rehabilitation, may help you to reduce your listening effort.

Learning to listen

Did you know that we listen with our brains rather than our ears? If you are someone experiencing hearing loss, your brain may not be getting the auditory stimulation it needs to be able to understand and comprehend speech information. Therefore, the first step in learning to listen is to make sure your brain is getting access to the sound it needs. The best way to ensure this is to work with your hearing healthcare professional to determine the type and degree of hearing loss you have and how to best treat it.

Sometimes we need more

Of course, many different factors influence outcomes with your hearing devices. One of those factors could be that your brain needs to re-learn how to listen and understand. Just like your hip might need rehabilitation if you hurt it, your brain may need some listening rehabilitation to reduce listening fatigue and improve overall understanding. We call this aural rehabilitation. You may also hear it referred to as “AR”.

What is aural rehabilitation?

Aural rehabilitation allows individuals experiencing hearing loss to learn how to use their technology and other resources to improve speech understanding, listening effort, and overall communication. According to Arthur Boothroyd[1], there are four components of aural rehabilitation:

  1. Sensory management: Treatment of the hearing loss.
  2. Instruction: Learning how to use your devices to best serve you in many different listening environments.
  3. Perceptual training: Learning how to listen and process sound through targeted therapy either provided in-person or via virtual platform.
  4. Counseling: Understanding realistic expectations.

The goal of aural rehabilitation is to improve quality of life by teaching the listener (you) how to reduce listening effort.  By reducing listening effort, you can experience improved listening stamina and even improvements in understanding when listening in different environments.

What are some benefits to doing aural rehabilitation?

Let’s face it, we are all busy. We have errands to run, kids to pick up, grandkids to play with, and Netflix® to binge! So, why put in the effort? Aural rehabilitation has been proven to improve listening outcomes from a reduction in the perception of hearing difficulties to an improvement in quality-of-life. Aural rehab can really help you to get the most out of your hearing technology.

When is the best time to start aural rehabilitation?

While research indicates that aural rehabilitation provides the most benefit within the first three months post device fit (Dornhoffer et al, 2021)[2], some form of aural rehabilitation can be beneficial to all individuals with hearing loss at any point during their hearing healthcare journey. The best time to start is now!

There are many ways in which you can pursue the different forms of aural rehabilitation. In addition to in-person therapy sessions, AR includes the use of any assistive technologies or accessories, support from friends and family, as well as training tools to help you to feel more confident no matter the listening environment. Some of these training methods include in-person therapy sessions, online training materials provided by various manufacturers, and even different phone applications that can support your hearing and listening journey. The best way for you to have an experience tailored to your needs is to discuss these therapy options with your hearing healthcare professional, so that they can determine the best ways to ensure that you have the resources you need to be successful.

About the author‌

Alicia Wooten, Au.D. CCC-A is a Senior Auditory Technical Specialist at Oticon Medical. She specializes in implantable hearing devices and has a strong passion for aural rehabilitation and its impact on patient outcomes.

[1] Boothroyd, A. (2007). Adult Aural Rehabilitation: What Is It and Does It Work? Trends in Amplification, 11(2), 63-71. https://doi.org/10.1177/1084713807301073

[2] Dornhoffer, J. R., Reddy, P., Ma, C., Schvartz-Leyzac, K. C., Dubno, J. R., & McRackan, T. R. (2021). Use of Auditory Training and Its Influence on Early Cochlear Implant Outcomes in Adults. Otology & Neurotology43(2), e165–e173. https://doi.org/10.1097/mao.0000000000003417