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Why Can’t I Understand the Pastor’s Sermon?

1150137_87405924As part of the Four-Step Process that we conduct with our patients at their initial consultation, we ask our patients to tell us where they most want help hearing. One of the most common situations mentioned is church, specifically when it comes to hearing a pastor’s sermon.  While hearing aids can make improvements in this situation, patients should still have realistic expectations of the capabilities of their technology in these types of settings.

Notoriously Poor Acoustics

One reason why church auditoriums and sanctuaries can cause problems with hearing aids is that the acoustics in these rooms tend to be extremely poor.  These environments typically have high, peaked ceilings, a large volume of space, and highly reflective surfaces and walls.  The result is a prolonged reverberation time that “smears” speech by eliminating the stops and gaps that allow recognition of the end and beginning of individual words.  Additionally, any vaults or peaks in the ceiling can cause dead spots or hot spots in the room, depending on the geometry of the space.  To complicate matters, ambient noises like a cough or rustling paper reverberate through these rooms as well, making it even harder to distinguish speech sounds.

In these kinds of environments, a person’s hearing loss is compounded by the poor acoustics.  Even people with normal hearing are likely to struggle to some degree in such a situation, though their auditory processing systems are better at interpreting the sounds they hear than someone with hearing loss.   A pair of hearing aids, even those that are appropriately fit to a patient, might not be enough to help because the quality of the sound they receive is poor due to the physics of the environment.

What Can Help?

The most effective method of improving sound quality in one of these kinds of rooms is the use of an induction loop system, also called a hearing loop.  The hearing loop encircles the congregation’s seating area with a magnetic field.  In order to make use of this field, a hearing aid must be equipped with a telecoil enabled for use with a separate program from the hearing aid’s every day settings.  This method allows the audio signal of the pastor’s voice to be sent directly to the hearing aid, effectively bypassing any reverberation in the auditorium. Many churches that use a hearing loop system also have small box-shaped receivers that allow the system to be used by congregants who either don’t have hearing aids or who don’t have telecoils in their hearing technology.

Another method of managing sound in large auditoriums for a person wearing hearing aids is to use directional microphones.  Any digital hearing aid that has directional microphones can programmed to use those microphones to focus solely in front of the hearing aid wearer.  The end result is that ambient noise is greatly reduced and reverberation may be reduced slightly.  The effectiveness of this method can be increased if hearing aid wearers position themselves directly in front of the loud speakers to receive the sound before the reverberations occur.  This is not nearly as effective as a hearing loop system, but can increase the benefit of hearing aids in this situation, especially when the hearing aid does not have a telecoil.

Realistic Expectations

Even with the most sophisticated technology, relying on hearing aids alone might not be enough in a church auditorium or sanctuary.  As discussed above, it is the physics of the room that is the primary source the difficulty rather than the hearing impairment itself.  In such cases, it is very important to have realistic expectations of what a hearing system and hearing technology can do and what it cannot do.  It is also very important to inform your hearing care professional of the difficulties you encounter in these situations so that they can work with you and your technology to effectively adjust and program your technology to better meet your needs.

Make the Most of this Christmas!

From our family to yours, have a Happy Holiday!
From our family to yours, have a Happy Holiday!

Advanced Hearing Care, your Hometown Hearing Experts, would like to wish everyone a very Merry Christmas 2012! The holidays are a time for creating special and magical memories with family and friends. They can also be frustrating for a person with hearing loss.  Here are some tips to help take away a lot of the frustration:

  1. Take turns opening presents.  Make a game out of it for the little ones who are anxious to dig into the goodies.  If there’s only one person to focus on, it makes it easier for a person with hearing loss to hear and understand what’s going on.  The background noise is minimized and there aren’t three or four focal points competing for attention.
  2. Have the person with hearing loss sit in a central location of the room in which you’re opening presents.  If you have hearing loss, make sure that you can see as well as hear each person.  Don’t sit on the floor or a low stool or ottoman because that will make it harder to see things above your plane of vision.
  3. Make sure that the rooms or areas where you will eat and open presents are well-lit.  People who have hearing loss, whether they wear hearing aids or not, tend to fill in SoundVoid gaps with visual contextual cues.  Good lighting makes it much easier to do this.
  4. If you have hearing loss, place yourself in a strategic location at the dinner table.  A great place is at either end of a rectangular table.  At a round table, sit closer to the people who tend to speak more softly.

With just a few tricks, the holidays can be a joyous and magical time for everyone, including family members who struggle with hearing loss.  For more tips on improving communcation, see our Communication Tips page.

For more information on hearing loss or to schedule a comprehensive hearing test, contact us today.  Don’t wait to hear what you’ve been missing!

Hearing Loss is More Common than You Think

From the Hearing Care Blog

SpeakerCraft TV Speaker with tv no grille
Is your TV so loud that your neighbors are getting the benefit of your new satellite dish?! Hearing loss is a very common health concern in the United States today – in fact, it’s the 3rd most prevalent chronic health condition in our country, ranking only behind arthritis and high blood pressure. So, if this health care concern is so prevalent, will your primary care physician recommend a screening? Chances are, no.  Amazingly, only 13% of primary care physicians routinely send their patients for hearing evaluations or screenings – which means that almost 90% of patients are not directed to evaluate their hearing, and may be overlooking a healthcare concern that has big consequences.

Hearing loss is no laughing matter.

Failure to regularly assess hearing is a costly error for patients, their families, and for society at large. We now have a great deal of research available regarding the consequences of untreated hearing loss (isolation, fall risk, relationship to cognitive problems, quality of life, and even links to reduced income level and failure to find or keep your employment). Each year, unaddressed hearing loss costs the US economy alone billions (yes, I said billions) of dollars in employee/business/health care related issues.

The resistance factor.

So, physician referral aside, why don’t more folks seek out hearing screenings, or appropriate hearing devices to address hearing loss on their own? If you know someone who is beginning to develop hearing loss, perhaps you’ve run up against this challenge. Suddenly, the person you know and love becomes accusatory (“you’re mumbling”), demanding (“don’t talk to me with your back turned”), and irritable (“you don’t have to shout at me!”).  We all giggle about spouses with “selective hearing”, but it’s important to remember that in couples where one person has unaddressed hearing loss and the other does not, this one-sided deficit can take a terrible toll on the relationship itself. Did you know that the divorce rate is actually significantly higher in those marriages? Again, not really very funny.

Why do people postpone getting a simple, painless, hearing test?

Well, consider that in most cases, hearing loss develops very gradually. The change can be so subtle that the person with hearing loss actually loses their frame of reference for normal loudness. While their communicative counterpart is frustrated to the max, the person with hearing loss may be blissfully unaware of what they’re missing. Additionally, in our youth oriented culture, hearing loss is often equated to aging, and sometimes people struggle with accepting that time is passing (and they are aging!). But in actuality, this is not a fair assessment. The fact is that today, noise exposure has replaced aging as the number one cause of hearing, and we live in a very noisy world. Just because you didn’t work in a noisy factory or serve in the military doesn’t mean you haven’t been exposed to damaging noise. Hair dryers, jet skis, yard equipment, and loud music are culprits for causing hearing loss, too.

Sometimes people worry about the cost of hearing devices themselves, which is a legitimate concern. Hearing devices can be costly, but given the amount of use (7 days a week, at least 8-10 hours a day), the cost is relatively modest as compared to the overall communication benefit, and the costs of say, an automobile. Those with hearing loss will likely use their hearing devices many more hours than their car.

Since hearing devices often represent a significant investment in healthcare, choose your hearing healthcare provider carefully.

If you’ve never had your hearing evaluated, seeing an audiologist who can determine whether or not your hearing loss needs medical treatment is very important. Also, if you have budget limitations, it becomes paramount to get the most value for monies expended. In other words, you want to be certain you purchase the right product for  you, and a Board Certified Audiologist can be a tremendous advocate in that regard.

So if the TV in your house is consistently louder than it should be, make sure that you and your family have your hearing evaluated by an audiologist, and follow their recommendations for improving your hearing health. You (Bettie Bortin Au.D, F.A.A.A.and you neighbors and family members) will be glad you did!

About the Author

Bettie Borton, Au.D., F.A.A.A

Dr. Bettie B. Borton is a licensed audiologist in Alabama, and was the first audiologist in Montgomery to hold certification by the American Board of Audiology, and is the only audiologist with such certification in private practice in this area.

Overcoming the Social Stigma of Hearing Loss

From the Hearing Care Blog:

The social stigma of hearing loss

Its been with us since the beginning of time

The stigma associated with hearing loss can be a big obstacle for individuals who need help to hear better. Some individuals are afraid to take the next step because of how they think their friends, family, or acquaintances may view them. Negative stereotypes and prejudices have followed hearing loss for years, and it surprises me how many people still associate those misperceptions to hearing loss. In the past, perceptions of hearing loss were associated with “old age”, poor communicators, social awkwardness, low cognition, etc. The truth is hearing loss has been around since the beginning of time and as education and research has become more abundant, the negative stigma associated with hearing loss is starting to change.

Hearing loss does not only affect those individuals who are “older” in age; it affects infants, children, teens and adults in all age ranges. Technological advancements have helped to identify newborns with hearing loss within hours of being born. In the past, you would never see a toddler walking around with hearing aids, now they are.

Allowing the old stigma of hearing loss to influence the acceptance of help can be very detrimental to a person who needs it. Hearing loss is an invisible impairment that individuals try to conceal from others. When hearing loss is concealed, individuals can become increasingly withdrawn from social interaction with friends and family. It can also lead them on a path to depression. Most individuals who have a hearing loss will feel alone and isolated unless they confront it by getting help. Truth is, once someone has a hearing loss and uses hearing aids, they not only realize how much they were missing, but they start to notice how many other people wear them.

Overcoming the stigma associated with hearing loss can be very difficult, especially for someone who has been diagnosed with a hearing loss. If you are affected by the stigma associated with hearing loss, try to observe how the hearing loss is affecting you at home, work or in leisure time. Weigh the pros and cons of hearing better vs. missing out on conversation. Identify the main emotion that holds you back from getting help and address it. Hearing aids are continuing to shrink in size because of desire for invisibility.  Get involved with organization such as the Hearing Loss Association of AmericaHearing Like Me and local support groups. Nobody should feel alone with his or her hearing loss.

If you feel that you are having trouble hearing or accepting a hearing loss diagnosis, ask your audiologist for information on support groups, organizations or websites that can help. We are here to help and support you with all of your hearing needs.

This article re-distributed with permission from The Hearing Rehab Center blog. Visit their site to learn more about hearing care services in the Denver, CO area.

Why Can’t My Loved One Hear Me? They’re Wearing Aids!

SoundVoids™ can cause unnecessary frustration in visiting with your loved ones.

Here at Advanced Hearing Care, I spend a lot of time counseling patients and their families and friends on realistic expectations for hearing treatment and rehabilitation.  Some of the conversations can be quite passionate, especially when the family can’t understand why their loved one cannot seem to hear them, even though they’re wearing their hearing aids.  After all, hearing aids are supposed to fix the problem, right?

Well, no, not really.  Hearing aids are wonderful devices that supplement bad hearing.  They help a person make the most of the hearing that they may have left.  But they are not a substitute for good hearing.  Nothing, no magic pill or surgery, can restore a person’s hearing to the way it was before the hearing loss occurred.

How Hearing Works

One of the biggest reasons why people have this misconception of hearing aids and hearing treatment is that they don’t really understand how hearing works or what is happening when someone has a hearing loss.  After all, your ears just work, right? And you don’t have to think about it to make them work.  So, most people just don’t have reason to think about it.

Like most of your senses, hearing requires a means of collecting stimuli and a method of delivering the data from those stimuli to the brain for processing.  Your ears act as a funnel to collect sound waves in your environment and then both amplify and transform those sound waves into an electrical signal that can be processed by your brain.  This process involves the outer ear, called the pinna; the ear canal; the middle ear, which is made of the ear drum and the ossicular bones; the inner ear, or cochlea; and the auditory nerve and brain.  Along the way, the ear drum converts sound waves into mechanical energy, the stapes and cochlea convert the mechanical energy into hydraulic energy, and the cilia in the cochlea converts the hydraulic energy into electrical energy, which is finally processed by the auditory cortex in the brain.

A Matter of Physics

Sounds are formed anytime an object creates a vibration.  These vibrations are called sound waves and they happen at a molecular level in every substance that has matter and mass.  A good way to visualize this is to drop a pebble in a pond and watch the waves it creates.  As mentioned above, the ear collects these sound waves in order to amplify and transform them into signals in the brain.

Generally speaking, the less complicated the sound environment, the easier it will be for the brain to sort through the sound waves available.  In a small quiet room, there is very little interference from other sources of sound waves, there are fewer barriers to sound wave transmission, and the sound waves don’t have to travel very far to the ear.   This is an ideal situation for hearing.  The larger the space, the more sources of interfering background noise, the farther away you are from a reflective surface, the harder it will be to hear, even with normal hearing.  Imagine again the pond and the pebble.  The sound waves are a lot easier to “see” in a small pond with just a few pebbles than they are in an ocean during a rain storm.

Hearing aids cannot change the physics of environmental sound.  There are certain properties to background noise, such as frequency ranges and harmonic patterns, that a hearing aid processor can be programmed to reduce, but it doesn’t work like a pair of noise-cancelling headphones.  Those headphones have a distinct signal input from an audio device and a distinct sound pattern for the noise collected through a microphone.  The headphones produce an inverse sound wave that cancels the noise.  With hearing aids, the signal is mixed in with the noise and there’s no way to produce that inverse sound wave.

Mucking Up the Works

When hearing loss occurs, something happens to the anatomy of the ears and brain that causes the sound wave conversion and amplification process to not work the way it’s supposed to work.  One of the most common problems is that the cilia in the cochlea, the part of the hearing that sends those electrical signals to your brain, begin to die.  This is called sensorineural hearing loss.  It is nerve damage and it is permanent.

This kind of hearing loss also often involves an issue with sound clarity in addition to the inability to detect certain sounds.  In the case of someone who has those sound clarity issues, something is happening in the brain that causes the electrical signals that the brain receives to become garbled and distorted.  When a person is experiencing this distortion, simple amplification of sound doesn’t help as much as you might think.  After all, making a garbled sound louder does not improve its clarity.  Since the distortion is actually happening in the brain, it is different for each person who experiences it and it cannot be easily measured or quantified, making compensation practically impossible.

So What Can I Do?

There are small things that you can do while you are speaking to make it easier for your loved one to understand you.  Slow down and speak clearly; don’t shout!  Shouting only distorts your speech.  Rather than repeating a misunderstood word or phrase to the point of frustration, use different phrasing to avoid that misunderstanding.  Make sure that you’re not speaking with your mouth full or obstructing your mouth with your hand or another object.

The best thing that can be done to help someone who has sound clarity and processing issues is to make the listening environment as simple as possible.  First, turn off all potential sources of interfering noise.  If it can’t be turned off, then turn it down or adjust its position to minimize the interference.  Get on the same level as the person with the hearing loss and face them so you can speak directly to them.  Move closer to them and stay within 4 to 6 feet.  Never walk away from them while you’re talking or try to talk to them from another room in the house.  Small environmental changes can do a lot to assist someone who is having trouble understanding speech.

In Closing

It’s very important to remember that hearing loss is a permanent impairment and the goal of any hearing loss treatment process is to make the most of an individual’s remaining hearing.  In even a best-case scenario, there are limitations to what hearing technology can do as far as speech enhancement and background noise reduction in very complex listening situations.  No matter how much the technology advances, no matter how far it develops or how sophisticated it gets, it will never be a replacement for the hearing that you or your loved one enjoyed had before the hearing loss.  For more tips and tricks, feel free to visit our Communication Tips page, or Contact Us with any questions you may have.

Hearing Loss Affects About 1 in 5 Americans, Research Says

Nov. 14, 2011. About one in five Americans ages 12 and older suffer from hearing loss that’s severe enough to make communication difficult, researchers from Johns Hopkins University found.

About 30 million Americans, or 13 percent of the population, have hearing loss in both ears, and 48 million, or 20 percent, in at least one ear, according to a study published today in the Archives of Internal Medicine. That exceeds previous estimates, which put the number of people with hearing loss at 21 million to 29 million, the researchers said.

The study also found that hearing loss doubled every decade of life. Deficient hearing has been linked to a greater risk of dementia, poor cognitive function and falling in the elderly, said lead study author Frank Lin, an assistant professor of otolaryngology and epidemiology at Johns Hopkins in Baltimore. The impact of hearing loss on the aging isn’t “inconsequential” and should be treated, he said.

“If you have poor hearing, your brain almost has to work harder to decode and process sound,” said Lin in a Nov. 11 telephone interview. “If you brain is having to reallocate resources to hearing, it probably comes at the expense of cognition or thinking ability.”

Researchers in the study used data from the National Health and Nutritional Examination Surveys from 2001 to 2008 for all participants ages 12 and older who had their hearing tested over that period. The survey is thought to be representative of the U.S. population.

Worse With Age
For those in their 40s, about 2.8 million suffer from hearing loss in both ears and 5.6 million have the condition in at least one ear. That number jumped to 8.8 million for people in their 70s who had hearing loss in both ears and 10.8 million for those who had hearing loss in at least one ear, the study showed.

Women and black people were less likely than other groups to suffer from hearing loss, the study found. Lin said estrogen may be protective of hearing and the same cells that make skin dark may also play a role in preventing hearing loss.

Today’s study “gives us the real scope of the problem for the first time and shows us how big of a problem hearing loss really is,” Lin said in a statement.
By Nicole Ostrow

Bloomberg from PRnewswire

New Research Links Hearing Aid Use to Improved Self-Esteem

Better hearing can make a big difference in your overall mental fitness.

Last year was a big year for hearing studies, particularly as hearing health relates to mental health.  We saw multiple studies that linked untreated mild hearing loss to disorders such as dementia and brain atrophy.  A new study was just released that offered a bit of positive news: hearing aid use may actually increase self-esteem.

The study, conducted by Hear the World, showed that a majority of hearing aid users experience better overall mental fitness than people who allow their hearing loss to go untreated.  Quality of life, intimacy, personal confidence, even insomnia tend to improve for people who wear hearing aids.  And when you think about it, this makes a lot of sense.  Our hearing is our most important social sense; it’s the principle component of how we communicate with one another.  To quote Helen Keller, hearing loss “means the loss of the most vital stimulus — the sound of the voice that brings language, sets thoughts astir and keeps us in the intellectual company of man.”

One of the most important things that we do at Advanced Hearing is work with our patients to restore their quality of life where their hearing loss interferes.  It isn’t a surprise for us to see the results of this study.  We see the importance of better hearing everyday in our patients.  It’s our biggest passion and our greatest privilege.  To experience the difference better hearing can make, call us today.

 

Why Can’t I Hear In Background Noise, Even With My Hearing Aids?

Amit Gosalia, Au.D. - Doctor of Audiology, Vancouver, WA

Originally posted on the Hearing Care Blog
By: Amit Gosalia, Au.D., FAAA

Board Certified Doctor of Audiology

Audiology Clinic, Inc.
505 NE 87th Ave., #150
Vancouver, WA 98664

(360) 892-9367
Follow Audiology Clinic | Facebook | Twitter
www.audiologyclinic.com 

Dr. Gosalia, I just bought a pair of $8500 hearing aids from XYZ in Portland. I was told that I would hear normally in all environments, including restaurants and ball-games. I am less than pleased because I still can’t hear or understand in noise. Did I waste my money?”

This was a case I dealt with a few months ago. This patient went to a business to purchase hearing aids, and this franchise/chain location set some lofty expectations for the patient. As hearing instrument technology improves, so do patient expectations. Terms such as noise reduction, noise management & directional hearing (along with many other proprietary terms) give the perception that the end-user will not hear background noise, and only hear the person in front of them. Unfortunately and fortunately, this is not true. Below I’ve touched the surface of noise, noise reduction and directivity.

Let’s start with noise. Noise is any disrupting event (in this case, sound) that impedes one’s ability to sense (in this case, hear) a signal (in this case, speech). For the purpose of this post, we’ll concentrate on hearing speech within a noisy environment. A general term and formula that is used in hearing healthcare is Speech-to-Noise Ratio (SNR) which tells us how loud speech is in relation to noise. For example, average speech is 45-55 decibels (dB) hearing speech in a basketball stadium where the crowd is cheering over 90 dB is difficult because the speech is 35-45 dB lower than the noise. This is considered a very low SNR; now compare this to speaking at a normal volume in a quiet library, the SNR will be high making speech much easier to understand. When someone has a hearing loss things change. Without amplification important parts of speech are not heard well, making understanding the person next to you difficult, if not impossible. The natural ability of any person to hear through noise decreases as hearing loss increases. This is a fact that has been well established in research on the human auditory system. Thus, a hearing aid can help make missing pieces of speech more easily heard but it cannot repair one’s ability to hear through noise and find valuable pieces of speech. For this reason, modern hearing aids focus on managing noise and amplifying clean speech.

Hearing instruments can come with or without venting. Vents are holes that are drilled through either the hearing instrument or the earmold for the purpose of letting air and sound travel in and out of the ear canal. The larger the vent, the closer you get to a more natural, open ear. Newer technology has allowed us to keep the ear open with small hearing instruments that rest behind the ear and even some custom molded devices (please see other postings for detailed descriptions of hearing technology). As cute as they may be, if your hearing is not within or near normal limits in the lower frequencies, an open ear device may not be for you.

One advantage of an open ear hearing aid is to allow low frequency sound to escape the ear canal, keeping the user’s voice more natural. When the user complains of hearing their own voice in their head or sounding as if they are speaking in a barrel, it’s usually a phenomenon called occlusion (or ampclusion). Keeping an ear canal open minimizes this effect but also introduces two detrimental issues. First, low frequency environmental sounds will bypass the hearing aid and travel into the ear naturally through the vent. These sounds that bypass the hearing aid are often heard naturally because most hearing losses are minimal in the low-frequencies and greater in the high-frequencies. This also means that the hearing aid is not able to process the sound before it’s heard, so technologies such as noise reduction do not affect low-frequency sounds in the open ear hearing aid.

Secondly, directional microphones will prove less beneficial in the open-ear fitting.2 What this means is that the more open the ear canal, the harder it becomes to hear what’s in front of you. So, theoretically, if our goal is to have the instruments focus more front-facing, the ear canal should not be very open. Note that normal low frequency hearing will be affected by closing the ear canal, and opening the canal with moderate to profound low frequency hearing will result in less hearing in those frequencies.1,2

So, what does this tell us about hearing in noise with amplification? You will hear background noise in noisy environments. You will most likely hear the kids screaming four tables away. You may still have difficulties hearing the person across the table from you. The good news is that with proper hearing aid selection and the correct technology that meets your lifestyle and budget, you’ll hear much better. Only a well trained hearing care professional can make these choices and help you to establish reasonable expectations for better hearing.

“Ms. XX, although the level of technology you purchased is consistent with an Active Lifestyle (in our clinic approx $7500 – $1000 less than the chain!!), you should know that hearing aids only supplement your hearing in those difficult environments. In fact, with normal hearing, I have difficulty hearing at basketball games and certain restaurants as well. Although we can not restore normal hearing, we can help you hear much better in more environments. You will still have some difficulty hearing and understanding in certain environments, but, with some realistic expectations, expert advice, and some auditory retraining, you will find greater success.”

Footnotes:
1 What is the Effect of Venting on Directivity? Audiology Online 10/2009; Todd A. Ricketts, Ph.D., CCC-A, FAAA
2 Efficacy of an Open-Fitting Hearing Aid; Hearing Review February 2005; Francis Kuk, Phd, et al

4 Reasons to Hear Better in 2012

SoundVoids™ can cause unnecessary frustration in visiting with your loved ones.

It’s coming.  2011 is almost over and 2012 is on its way.  As the new year approaches, it’s a great time to begin the journey toward better hearing.  Here are four great reasons to start today:

  1. If you don’t use it, you’ll lose it. A common phenomenon, especially among those who let their hearing loss go untreated, is called phonemic regression. Simply put, phonemic regression is when we find a loss of speech discrimination that isn’t proportional to the person’s pure tone thresholds. The most common symptom of this is being able to hear that someone is speaking but simply not being able to understand what is being said, something we call a Sound Void. This is a very frustrating situation, as the problem is not a simple matter of volume. In some cases, phonemic regression could have been prevented simply by wearing hearing aids earlier.
  2. Keep your brain sharp! In February, John’s Hopkins University released a startling study that linked untreated hearing loss to the development of dementia in elderly populations. While the exact nature of this link remains a bit of a mystery, it is well known that social isolation contributes to dementia.  One of the biggest contributing factors to this kind of isolation is the inability to hear well enough to enjoy getting out and being active.
  3. New technology provides superior sound quality and satisfaction.  The king of hearing aids is no longer that big ear plug that your father or grandfather wore (or refused to wear, as the case may have been).  There are many styles available for nearly every budget that are designed to treat nearly every type of hearing loss.  The possibilities are all but endless, and so is our ability to help people with many different kinds of hearing loss.
  4. Better hearing has never been easier!  Our ultimate goal as hearing professionals is to reintroduce you to a world of sounds that you haven’t been hearing.  Our Service Excellence Guarantee provides you with peace of mind knowing that we’ll have your back and make sure that you get the full value of your investment in better hearing.  We offer a 75-day trial period, well beyond the 30 days required by state law, with a 100% refund if you’re not completely satisfied.  We also offer extended warranties, in-office repairs and service, manufacturer repair if needed, and a wealth of knowledge to customize hearing solutions for every patient, all as part of our Service Excellence Guarantee.  We will support you every step along your journey to better hearing.

To start your journey toward better hearing, call us to schedule an appointment for a hearing test.  Through our 4-step process, we’ll learn about you and your better hearing goals, examine your ears for any defects or blockages, diagnose your hearing loss, and show you what we can do to help you hear better.  Don’t wait to hear what you’ve been missing!  Early treatment can make all the difference!

In observance of New Year’s Day, Advanced Hearing Care will be closed on Friday, December 31. We will return for normal office hours on Monday, January 2. Have a safe and happy New Year!