SayWhatClub

Hope

Photograph taken by Gail Solomon
Angie receives blood while using AVA on her phone to transcribe the phlebotomist’s comments. Photograph taken by Gail Solomon

I Don’t Speak Mask (or Mock); I Speak HOPE.

As hearing loss advocate, I couldn’t stay silent about pandemic-inspired masks. But I’m a procrastinator. I’m glad I waited to write about them until today, as I was vividly reminded of the underlying problem.

Masks on the Masses

Our world has never been so “masked-up.” Deaf and hard of hearing people knew masks would bring communication problems, as we’ve dealt with past surgeries and dental procedures that require masks. We automatically lipread, some of us without realizing it. We read expressions and gestures to help us understand what others say. We guess a lot and miss a lot. We have experience, just not on this scale.

As a safety professional, I’m fearful for the safety issues that might arise because of misread and feigned understandings of safety communications made verbally under masks, in high-noise environments; in heightened stresses and fears of the pandemic; in the societal unrest and upheaval we’re experiencing as a result of racism. That’s another article, or more. So are discussions about health, mask efficacy, when to wear or not to wear, individual rights, personal responsibility to yourself and loved ones, etc.

The issue I’m concerned with is how we treat each other while relating, or retreating, behind the masks.

Power in My Purse

I faced my own fears at my first masked-up blood donation. I arrived early at the cross-town synagogue where the blood drive was to be held. Seeing no activity, cars, or Bloodmobile, I checked my email again, realizing that because of the pandemic, the location had been changed from the synagogue to the Red Cross facility nearer to my home. So now I’d be late and encounter hearing struggles! I drove like a banshee to the correct location and wondered if my blood pressure would be too high to donate.

I met the first volunteer at the door, telling him I was hard of hearing and wouldn’t hear well inside. He told me he was a veteran with PTSD. Understanding the tempo of those letters as he spoke them, I thanked him for his service and for sharing that with me. His resonance and candor calmed me.

A room-full of volunteers was another story. At a reception table, synagogue members (I later learned) were thrilled that a non-synagogue member showed up. By this time, I was cranky due to my lateness, dazed by moving masks, and desperate to hear the person talking to me over a constant murmur I could but didn’t want, to hear. Synagogue members helped me figure out a check-in process on my cell phone. A Red Cross employee let me answer questions onscreen. I wasn’t as patient as I could’ve been; despite this fact, my blood pressure was fine. But it seemed to rise as I turned toward the donation chair.

You see, I routinely give blood from my left arm (my deaf side), where a bold vein screams “prick me!” to any phlebotomist in earshot. So, I envisioned the next struggle – a blood collecting process minus lips. Thankfully, a few minutes into pint-giving, I realized the power in my purse. Grabbing it with my free right arm, I pulled out my phone with the Ava speech-to-text app loaded on it. As I began speaking into the phone, my attending blood collector came over. I showed him my words now appearing onscreen and asked him to speak his directions into the phone. His words appeared too. We were both jazzed.

After my donation, I shared Ava with the reception table volunteers and apologized for my previous impatience. They were more than gracious and asked if I’d like to be invited to their next blood drive eight weeks later, which hopefully, will be at their synagogue. “I’d be delighted!” Ava and I replied.

The Power in Me

“There’s an app for that!” we always say. So yes, there’s an app or several (Connect-Hear.com); there’s also good old-fashioned paper and pen, or blackboard and chalk, or white board and marker. The most meaningful solution for me though, is to control my anxiety and realize my inner power – when I can – to take charge of situations and use the tools I have at hand and in me to make them always-positive ones.

At my next appointment, a bevy of health care workers hovered near the entrance to a medical building. Masks began to move as I crossed the threshold. This time, I was in a good mood, announcing as soon as I pulled in close, “Wait! I don’t speak mask!” They all burst out laughing, with one warning she needed to take my temperature as she brought a thermometer to my forehead. I guessed that she also asked if I knew where I was going; so quickly, I made a funny, yet not crude, gesture informing them I’d come in for a mammogram. Laughter is always a good solution. And it makes everyone’s burdens a little lighter.

A No-Mask Mock

I expected mocking from masked hearing people. Sadly, in the health field where I work and serve, I’ve experienced mocking from health care and public health professionals. But tittering, nervous laughs from people who don’t know what to do to help me were the most I’d gotten in the past few months – – until today.

Today, the mask-less neighbor of a friend drove up to us as we returned from a walk. I met this neighbor a few years ago and hadn’t seen him since. When he stopped, he waved his arms in mocking gestures at me. It seemed he only remembered my partial deafness, instead of anything else important about me. I wasn’t shocked, since I knew of this neighbor’s coarseness. A bit rattled with PTSD rising in me, I locked eyes with his, a “Why?” in mine, and walked silently past. Later, in his kitchen, my friend reported to me that after I walked by he asked his neighbor how he thought any person who couldn’t hear would feel if they were treated that way. He told me his neighbor just stared back at him blankly, wordlessly.

Real Problem; Right Language

It seems the real problem is fear in all of us in this brave new multi-masked world: fear of what to do and what to say, as well as our own insecurities hurled at each other in hurtful ways. Masks, and fears, are easy to hide behind. Even mockers are insecure, else they wouldn’t resort to such boorish behaviors.

So, to me, the right language to speak (or sign, for those who don’t speak) is always: HOPE

Help me help you! is Tom Cruise’s plea in Jerry McGuire. Help each other the way they ask you to do so.

Other = Focus on the Other, whether you are the Deaf or hard of hearing person, or the hearing person.

Prepare: Be prepared with your words. Be prepared with your solutions; be willing to use the other’s.

Empathy: Let everything be done with empathy, especially your responses. Even for boorish neighbors.

Issues such as racism are complex and deep-rooted. Yet, in simple terms, they’re based on sight, judging others by skin color or a blood line. If all of us were blind, would these issues exist? What if we were all Deaf? What if all of us used a visual language instead of a spoken one? Throughout history, people have found ways to discriminate against each other based on perceived differences. As with racism, we can easily treat others with disrespect and judgment based on hearing or lack thereof. Masked or not, in a pandemic or not, seeing, hearing, or neither: choose to help; focus on the other’s communication needs; be prepared for interactions; and be empathetic. Speak HOPE! Be another’s help and each other’s hope.

About me: Angie (Fugo) Fuoco is the local chair for the Say What Club 2020, now 2021 convention. She has worked in federal government for more than 33 years in a variety of roles. In March, she joined the EPA’s San Francisco Office of Community Involvement and has since been busy making sure the agency’s engagement activities include people with disabilities, and those of us with hearing loss. She’s excited to host our 2021 Convention next year in Pittsburgh, hopefully without masks!

 

How To Enjoy The Holidays With Hearing Loss

Guest blogger Paisley Hansen discusses how to enjoy the holidays with hearing loss.

Tips for Having a Joyous Holiday With Hearing Loss

The holidays can be a stressful time for anyone, but if you experience hearing loss, they can be especially difficult. As much as you want to be a part of the festivities, hearing problems can present a special challenge for both sufferers and the people that surround them. This holiday
might be the perfect time to change that. Here are several tips on hearing loss and how to survive this magical time of year for you or someone you love.

Hearing Loss Affects All Ages

Many people associate hearing loss with the elderly. Although seniors can lose a portion of their hearing due to aging, there are also a lot of young men and women dealing with the same. You may have been surprised to see young people out and about wearing hearing aids. There’s no
age group that’s excluded, and anyone can feel the detachment that comes as a result of missing out on meaningful conversations.

Difficulties for the Sufferer

The feeling of isolation that comes from not hearing properly may, in some ways, be worse than the actual hearing loss itself. Some people tend to withdraw from activities and dialogues leaving them feeling awkward and vulnerable to misunderstandings. Holiday time can be especially tough with so much going on, and you want to avoid that at all cost.

Frustration for Loved Ones

Hearing loss can also be difficult for friends and loved ones in several different ways. First, the fact that you might not be able to be part of holiday discussions can be heartbreaking. They want you to be included and miss talking to you. Second, a family may push for you to get help
before you’re ready. This can create tension even in the closest of families.

Dementia in Older People

When a person suffers hearing loss, their brain works overtime to pick up the slack. Not only is this taxing on a person, but it can lead to depression and further isolation. In a worst case scenario, many people are left to their own thoughts and perceptions and, in some cases, this can lead to earlier than usual onset of dementia.

Stigma and Listening Devices

Unfortunately, there’s still a stigma today that surrounds wearing a hearing instrument in that it somehow makes a person look old. This is not true. Today’s devices are far more advanced than the clunky, old models of yesteryear. They’re smaller, colorful and some even work off
Bluetooth. Certain models can’t even be seen. Others look like over-the-ear Bluetooth pieces, so instead of looking out of place, they actually look very trendy.

Communication Is Essential

If you know that your family is worried, holding a serious talk regarding your hearing loss is essential. If they’re pestering you to seek help before you’re ready, it can cause resentment. It’s important to let them know your feelings and fears, and for you to understand them as well. Being on the same page can help avoid strain in the relationship and you can all agree on a
plan of action.

People May Shy Away

Some people may react to hearing loss by shying away at holiday gatherings. They may not want to speak loudly for fear of offending you or calling a lot of attention to the conversation. This can be especially trying if the discussion is personal or in a small setting.
Tell People You’re Hard of Hearing. If you’re headed out for a celebration and feel anxious, never be afraid to tell others that you are
hard of hearing. People are a lot more understanding than you think and will make every effort to make sure you’re comfortable. Being upfront can really help to avoid misunderstandings
within your group.

Avoid Cramped and Crowded Places

Attending events in small, enclosed areas with a lot of people can make for a background noise nightmare. People with unilateral hearing loss especially don’t do well in this type of setting. This includes bars and busy restaurants where the sound of clanging dishes and loud voices can be
overwhelming. Holiday shopping in crowded malls can be much the same. Instead, plan on small-scale shopping or dining in a quieter location.

Position Yourself

When you’re at a party or dinner, be sure to position yourself where you can see everyone. This makes it easier to be in the middle of an exchange, and will help for making eye contact as well as picking up on cues and gestures.

Take a Co-Pilot

If you’re nervous about social settings, it always helps to take a trusted friend to back you up. Sometimes it’s just easier to get involved in chit-chat when you have a familiar face who can relay things to you that you might miss.

Navigating Loud Parties

Attending a party with loud music makes it hard for anybody to hear, even if they don’t experience hearing loss. If you’re headed to a large festivity with someone that has a degree of hearing loss, keep in mind that not only is it difficult to hear, but a combination of music and yelling produces sensory overload which can cause headaches and even dizziness.

Children and the Holidays

If you have children or grandchildren, the holidays are even more fun! Naturally, you want to take part in their gift opening and merry-making. Small children don’t understand hearing loss,
they just want you in on the fun, too. You don’t want to miss a child’s joy and laughter, or hearing their questions if you tell them a holiday story.

Christmas Music

Is there any part of Christmas quite as nostalgic as music? Christmas tunes can be very sentimental. Getting help for your hearing can allow you to enjoy and relive the wonderful memories that Christmas music brings.

Get Decked Out

While you’re getting yourself decked out for a holiday event, if you’ve gotten an ear piece, it’ll be your best accessory! If you’re feeling apprehensive about wearing it, remember these instruments are designed to blank out annoying noises so you can enjoy normal dialogue. Your
hosts will be thrilled to see you taking part again, and you can be proud of yourself for taking charge of your life.

The Holidays Alone

What if you don’t have a large family or holiday plans? If you’re more of a loner, there are still a lot of things you could improve if you have hearing loss. Think of your favorite TV shows and specials and of course, Christmas carols. Taking care of your hearing is much better for your
well-being. You need to know what’s going on around you. It can also give you the confidence to be more social.

A Holiday Gift for Yourself

If you’re ready for a change this year, why not give yourself the best gift you can and find out about getting help for your hearing loss. You deserve to be included in celebrations, dinners and memorable conversations. Don’t let another holiday season go by without allowing yourself to relish every minute.

Listen to What You’ve Been Missing

What have you missed hearing the most? It could be music, the sound of a thunderstorm or the rustling of wind through the trees. You may not realize how much you’ve been missing, not just at holiday time, but all the time. Hearing means being part of an important family discussion. It
means voicing your opinion and listening to everyone else. It also means laughing at jokes and being included in decision-making. It can even mean hearing someone say they love you. It’s time to listen to what you’ve been missing.

Everybody Loses Their Hearing

What? You heard that right.

We won’t get too existential here, but it is simply a part of life that we age. And, as we age, the many different processes of our body slow down, wear out, and deteriorate. The same goes for our sense of hearing. You can see it in the numbers: hearing loss is currently the third most common physical condition in the United States, following heart disease and arthritis.

While some 48 million Americans, or 20% of the population, have a hearing loss, the bulk of people who experience this condition are older than 65. Approximately one in three people over 65 and 50% of people over 75 experience some degree of hearing loss.

With the understanding that everyone loses their hearing, we take a look at presbycusis (age-related hearing loss), how hearing loss and brain function are related, and why it is important to take an annual hearing test – no matter how young you are.

 

Understanding Presbycusis

Presbycusis, or age-related hearing loss, is a form of sensorineural hearing loss. Sensorineural hearing loss is one of the three main types of hearing loss. Deep inside your inner ear, there are several thousand tiny inner hair cells. These cells are responsible for translating sound waves into neural signals, and then sending these signals to your brain to be registered as sound.

Presbycusis – and sensorineural hearing loss – occurs when structures of the inner ear deteriorate or when there is damage to inner ear hair cells (which do not regenerate once they have died). Presbycusis occurs with the natural process of aging: inner ear hair cells naturally deteriorate and do not regenerate with presbycusis. As a result, sound signals may be muddled and are not sent to the brain in an efficient and clear manner.

Unlike other forms of hearing loss, presbycusis occurs naturally and gradually over time. According to Dr. Justin S. Golub, presbycusis is often undiagnosed and undertreated, with under 20% of people receiving treatment for age-related hearing loss. Even more distressing is that “this statistic has not changed in over 40 years,” according to Dr. Golub.

If left untreated for a long period of time, presbycusis could lead to other issues that affect different areas of your life and overall well-being.

 

Consequences of Untreated Age-Related Hearing Loss

As an invisible condition, hearing loss often goes untreated. Age-related hearing loss, in particular, goes untreated simply because the symptoms are often relegated to the idiosyncrasies of older people. When hearing loss is “just a part of growing old,” there isn’t much motivation to do anything about it.

Unfortunately, if left untreated, age-related hearing loss (and other kinds too) could lead to a number of negative consequences in different parts of your life. People with untreated hearing loss tend to withdraw socially, as communication becomes challenging. Rather than going through the awkward motions of asking people to repeat themselves or to please turn up the volume, people with untreated hearing loss may end up avoiding social gatherings altogether. This social isolation becomes a risk factor of developing dementia. Coincidentally, untreated hearing loss is also a risk factor for developing dementia.

Numerous studies from Johns Hopkins University have found links between untreated hearing loss and a higher risk for developing dementia. When the brain struggles to make sense of sound, its cognitive load is heavier and thus detracts from the brain’s focus on other functions, such as memory or concentration.  Over time, this heavier cognitive load to lead to dementia.

 

Schedule an Annual Hearing Test

Indeed, the signs of hearing loss are subtle and often, hearing loss develops gradually, which means that we find ways to accommodate our diminishing hearing abilities. With the understanding that everyone loses their hearing, we counter with the fact that hearing loss is treatable.

Treating hearing loss is a simple way to restore your abilities and reconnect yourself to your loved ones and the world around you. It is recommended that people schedule annual hearing tests at the age of 50. If you are younger than 50, it wouldn’t hurt to take an annual hearing test anyway – people of all ages experience hearing loss.

The Hearing Loss Association of America estimates that people wait an average of seven years from the time they first notice changes in their hearing to the time they decide to seek treatment for hearing loss. By scheduling an annual hearing test, you are committing to your overall health and well-being at every age.

About our guest writer Gabe Nelson

Gabriel Nelson is a man of 31 years old. He is the kind of guy that loves to watch superhero movies, to read Harry Potter, and play video games. Gabe enjoys freelance content writing occasionally and tends to write about his passions. Gabriel also loves water, streams, brooks, lakes and oceans, which is probably due to once being a crab fisherman in Alaska for a couple of years.