June 3, 2023

Pardon Me - Can You Speak Up?


Estimates are that about 37 million Americans suffer from some degree of hearing loss. Nearly 30 million of those could benefit from some form of hearing aid or alternative.

Men are twice as likely as women to suffer a noticeable decline in the ability to distinguish words or hear in a noisy environment. Yet, they are less likely to agree to a solution. My wife has worn hearing aids for thirty-five years. I just turn up the television and avoid places that make it hard to listen to the conversation.

Well, that is about to change. I am about to take the plunge and reenter the world of decent hearing. The average age that a man in America finally agrees to help is 70. I turned 74 last month, so it is (past) time.

My radio career meant wearing very loud headphones when I was on the air. It meant going to concerts with the likes of Led Zeppelin and Grand Funk Railroad, playing at ear-splitting volumes for hours at a time. It was not unusual for my ears to ring for a full day or two after such exposure. 

I started experiencing tinnitus a decade ago, but that ringing would always fade away. The male side of my family produces ear wax like world champions. Every 12 months, a doctor is privileged to go digging and give me improved hearing for a while.

But, the obvious decline in my ability to hear soft words, my grandkids' questions at church, or the fact that I have almost maxed out the TV volume led me to the obvious conclusion: I need help.

Hearing aids are expensive. I mean, really pricey. About fifteen years ago, Betty bought a top-of-the-line pair that retailed for $10,000. Amazingly, her health insurance covered that purchase. Maybe not coincidentally; that same company removed the hearing aid benefit one year later.

Her last few pairs have been in the $4-$5,000 range. My Dad purchased a set for almost $7,000 just a few years before his death. Medicare does cover batteries, but not the actual hearing aids.  So usually, that cost is out-of-pocket.

Suddenly, a sea change. Late last year, the Federal government approved the sale of over-the-counter hearing aids. With quality almost as good as the prescription-grade ones sold by audiologists, the hearing-challenged, like me, could suddenly find a pair for $1,000-$3,000.

Though their big brothers are more customized in fit or function, my research tells me the performance will be entirely acceptable for me. I have been tested, revealing mild to moderate loss in both ears. For someone like me, OTC aids are a viable option.

The pair I am purchasing will be the type with the working parts in small cases that fit behind the ear. A nearly invisible wire is placed in the ear canal, carrying the sound. A smartphone app allows for the customization of the sounds that are amplified or muted. I can boost the sound in the mid-range, where I struggle the most. 

I will be able to use Bluetooth to stream music and TV audio to the hearing aids, as well as answering and responding to phone calls without needing the phone by my side.

There is a 100-day trial period, with a full refund available. Since it takes the brain 2-3 weeks to adjust to the new level of sound entering the ears, having a testing and adjustment period is critical. With a $195 deductible, if the hearing aids are damaged or lost, they will be replaced at no cost within the first three years.

I am expecting my pair next week. That will give me almost three months before our France trip to get used to both the sound and care of the aids. 

This will be a significant adjustment for me, but one that holds the potential for improving the quality of my life and saving the ears of those near our TV.


22 comments:

  1. Welcome to the world of hearing aids, Bob. I remember my first aid very well. I didn't realize that people could actually hear birds singing, leaves rustling in the trees, and paper being wadded up. I'm sure that Betty will help you with coping with some of the annoyances, like hearing the pots and pans clanging together when the kitchen door is opened in a restaurant.

    Like everything else in life, there are pluses and minuses, but improved hearing has many pluses. I was 24 when I got my first aid, I was totally deaf in my left ear by then so only needed one. That saved a few bucks. I still have my last hearing aid that I put away in 1988 when I lost that last shred of hearing. That changed my world drastically, but Yvonne and I quickly learned sign language, which at least helped communications between us, and of course, she kept me up on what others were saying.

    In my RetCom there are many here who wear hearing aids, but there are just as many who need them but won't admit it. I tried to help out with that, but seniors, especially those over 80, can be a very stubborn group.

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    1. I have been reminded there is a period of a few weeks as ths brain adjust to the new influx of sound. And, yes, the kitchen is VERY loud!

      I can adjust for different
      environments and whether I want noise filtering or speech clarity.

      So far, the most immediate change is setting the TV volume at 23 instead of 49.

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  2. Hi Bob! Congratulations. I wrote about my own experience with hearing aids over 8 years ago. There are so many hard-science reasons to wear them--not just to hear well but to also age well. And you didn't say where you got yours but I HIGHLY recommend Costco which undercuts price everywhere that I can tell and provides brand names. I have been wearing them for 8 years (now 68) and the benefits are numerous. Not sure if you allow it but here is the post I wrote after I got mine...I hope your experience is as positive as mine. ~Kathy https://www.smartliving365.com/do-my-hearing-aids-make-me-look-fat/

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    1. No problem...thank you for the link. I look forward to learning from your experience.

      I bought mine directly from the manufacturer after reading several reviews and being offered a $300 discount. The long trial period, repair and lost coverage for three years were also important factors.

      Hearing more clearly is apparently a factor in avoiding dementia, too.

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  3. I have worn one hearing aid for about 10 years and finally added the second one six months ago. I had sudden hearing loss (and tinnitus) in my right ear but my left one was fine. Just happened overnight with no explanation from doctors. Anyway, mine sound similar to yours in terms of looks and functionality. I haven't used them yet for the phone or my iPad but I really should, just so I know what difference it does make. Mine are charged each night which has been so much better than having to change batteries. Because of my hair, no one even sees them. But they've also made it impossible for me to put my hair behind my ears!! Some days, I really miss that. I can definitely tell a difference when I first put them in, but I'm not sure they are helping me as much as I'd like. Guess I'll see about adjusting them at my next visit. Good luck with yours!!

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    1. Thank you, Linda. I am learning how to wear glasses with this style of hearing aid. It seems best to put on the aids and then the glasses.

      At the moment I hear notifications and phone calls in the aids but haven't figured out how to answer the call or talk without the phone. This will not be a big deal for me since I get very few calls. I have a video appointment next week with an audiologist who may be able to solve this problem.

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    2. My wife has worn hearing aids in both ears for a couple of decades. She has had hearing loss since she was a teenager but put off wearing hearing aids for many years ("Hearing aids are for old people!" was her thinking as a young woman) but she did get good at lip reading. During the pandemic really struggled with hearing aids, glasses and mask all hooked over her ears at the same time, it was quite a jumble and often they got tangled together. Just glasses and hearing aids is no problem now!

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    3. Twenty+ years of working on an aircraft carrier flight deck left Brett with diminished hearing. It was obvious to me that his ability to hear was diminishing, but he insisted he could hear just fine ("I heard all three tones on the test!" "Brett, there were five tones." "Oh."). It took nearly another twenty years though for him to finally admit he needed help and to get fitted for aids though. Military insurance didn't cover hearing aids but, as Kathy said above, we found the best selection and prices at Costco. He plans to "upgrade" in another couple of years; getting them over the counter will provide major savings.

      I am very, very fortunate and grateful that I have had zero loss of hearing (so far) although my mother had lost most of her hearing at my age, and I believe my sister's hearing has also diminished. I occasionally have to deal with wax buildup, but that's all.

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    4. David: my wife can relate to the Covid situation. Taking off her face mask would often dislodge her hearing aids. More than once they dropped to the ground, creating a worried moment. And her excellent lipreading skills were useless.

      Laura: I just thought Betty was talking more softly as my ability to hear her worsened.

      What finally prompted me to take the plunge was my inability to hear my granddaughters talk to me in church or at the family dinner table.

      I had been tested several times over the years; it was always the mid range that showed erosion. Since that is the area of human speech, the solution was clear.

      But, not until OTC hearing aids became available did I agree.

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  4. Please keep us updated on how you are doing with the aids when you get them. I hadn't thought about the problem with glasses, which I do wear all day. That would affect which ones I try.

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  5. Bob, I hope you have a good experience with your new hearing aids. I'm in my 6th year of using them. My wife encouraged me for years to get the aids. My only regret is that I didn't follow her advice sooner. Right after I got them I was so happy to hear the birds sing, the grandchildren talking, and the actors in a Broadway play. No doubt about it, the aids have led to an improvement in quality of life.

    I'm fortunate that my retiree health insurance pays 50% of the cost of the aids, up to $2500. Keep in mind that it is common for hearing aids to significantly deteriorate after several years. I'm using my 2nd pair.

    Although more expensive, I prefer to buy my aids from a local clinic because I like quick and convenient service for getting supplies, cleaning the aids, ease of making simple repairs, and consultations.

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    1. As I age I expect my hearing will get to the point where I will need the more expensive custom hearing aids.

      These OTC aids are proving to me the value of help, so I will not worry about the extra cost when the time comes to upgrade.

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  6. I have continual tinnitus. But, the tinnitus is white noise which is quite comforting in an odd way. I also have continual ear and sinus infections that I know affect my hearing. On the other hand, Tommy tells me the reason he cannot hear me is that I talk too softly. No, I don't...lol. I saw an ad on tv for $99 hearing aids. Have you seen or heard of these? He acted interested when I told him about these. The price appealed to him. I think he will go for a more expensive pair if he tries these cheap ones and sees any difference. MYPOWEREAR.COM is the ones I see advertised. Do you know if these are actually any good?
    People who cannot hear well also have dementia sooner because they lose social contact. That would be a very good reason to attend to hearing loss.

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    1. The very inexpensive versions are not considered hearing aids. They are classified as personal amplification devices because they only control how loud the sound is.

      There is no ability to customize the sound to the wearer's needs. Every noise is amplified.

      I would guess they would help while watching TV, but not in noisy or any type of public setting.

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  7. My mom got hearing aids at 90 and was immediately amazed by how much she had been missing. She was surprised to hear her own feet when she walked across her apartment. A few other things took adjustment for her, because they seemed loud. But two great things happened. She turned down her TV, which was deafening when I visited. And the best part is that they work with her iPhone via Bluetooth. She answers the phone wherever she is and she can hear everything on the phone. As for me, I'm really happy to not keep hearing, "What?" "What did you say?" and having to repeat everything. ;-)

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    1. Over time I will get used to the sound of my own chewing! And, yes, it is nice to not have the TV so loud it can be heard outside.

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  8. I asked my primary care practitioner for a hearing test when I was in my late sixties. As someone who lives alone, I didn't realize just how loud I had the television and radio set, but I did notice that I was having trouble understanding people on the telephone. Nevertheless, I was taken aback when the hearing test showed that I had moderate hearing loss and the audiologist told me that I was a good candidate for hearing loss. I might have been tempted to put off the hearing aids for a few more years, but the audiologist gave me scientific research to read showing how untreated hearing loss is a risk factor for both falls and dementia, two things that could seriously impair my quality of life.
    I was particularly fascinated by research showing that, when hearing loss is untreated and our brains have to work harder to process sound, we run out of space in the auditory cortex and our brains "recruit" additional brain cells from other parts of the brain, most notably the part that is normally used for executive function. Those problems with executive function caused by hearing loss were reversed in six months after those with untreated hearing loss began wearing hearing aids.
    It only took me about a week or two to adjust to my hearing aids (about the same amount of time it takes me to adjust to a new pair of glasses). The greatest benefit of hearing aids seems to come from wearing them through all the waking hours, even when we're alone. The new over-the-counter availability of good quality hearing aids is a boon for the health of older adults!

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    1. The brain's ability to recuit additonal cells to make up for hearing loss is amazing. The link between diminished hearing and things like dementia has received enough research to be accepted as reality.

      I have had these aids for almost a week and feel pretty comfortable with them. I am using the phone app to experiment and fine tune what I am hearing.

      The receiver wire on the left side seems a bit tight, but the company will send me a longer one if I request it.

      I agree that OTC hearing aids are a major advancement for anyone with a mild to moderate loss, or anyone who wants to try out a pair before investing $5,000 or more on customized aids.

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  9. Bob, can you tell us what product you bought? I feel I need to get hearing aids but feel overwhelmed and don’t know where to start…..any input would be wonderful.

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    1. Jabra Enhance Pro 200. It is a behind the ear style with a thin wire that carries the sound into the ear canal. It can be completely controlled by a smartphone.

      This company offers a 100 day test period with full refund as well as a 3 year warranty and replacement for damaged or lost hearing aids for 3 years.

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    2. Thank you for those details. Do you wear glasses all day? I do, and am concerned about the added weight of aids on my ears, since I'm already very particular about the temple adjustments on my glasses.

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    3. I do wear glasses all day. I have found it best to put on the hearing aids first and then the glasses.

      Occasionally I have problem with the glasses hitting the microphones on the hearing aids. If I place the glasses so the ear pieces are between the aids and my ears the noise goes away. But, there is some getting used the the best placement and how the receiver wire is placed.

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