Ah, beloved – it’s been eight weeks, since I wrote my first article about certain effects of mask-wearing on communication with the hard of hearing; time to log some more ideas and experiences.
All praise and glory to God for healing and protection during this time as ever; prayers for the world (leaders and regular folks), and realization of our need to turn back to God. May we be humble and repentant in these days.
Shout out to essential workers (this includes everyone, even those not “working”), former CDC colleagues (whom I’m not ripping every time I post something related to its’ institutional failures), my new and old buds at EPA, and beloved with hearing loss and other disabilities. I’m thankful for you all.
Thankful I could contribute to my country’s work in the professional realm too. A CDC friend reached out to me in April, because s/he knew CDC’s renowned hearing loss communications expert (me!) had only recently left to seek better working conditions. S/he knew who to call, so I gave my “free” expertise to inform CDC’s phone contact tracing, considering people with hearing loss, Deaf, and late deafened, and various communication possibilities (paid for by my trials, but glad to finally be effective for my tribe!).
We have to LIVE during this pandemic, so I’ve gone about my business, practicing the safety and health principles I know and seeking to learn and share knowledge. I’ve traveled safely and with purpose and sought to keep my own health paramount. That old adage: “put on your mask first, before putting one on another” is something to take to heart in every situation, not just when flying or in a pandemic.
Also, living among multitudes of masked others, I’ve had to pray daily for more grace, patience, and love – both to give and receive. Say and DO Shema! Love the Lord Your God… and neighbor as self, Ange!
So thankful for these people, because they helped me learn – and teach them, for those who’d listen long enough for a nugget of communication improvement we might use in the future or with another:
– For a postal worker’s kind rescue from a fearful coworker’s refusal to write down instructions, as well as rescue from the scene created by the fearful coworker’s “able-ist” reactions to my need. All I wanted to do was get my mail off, not gain ADA/Rehab Act lawsuit fodder that day. Also, I’m thankful for the “fearful” postal worker creating the opportunity to know she needs prayer!
– For the young lady at REI who re-rung my order to attach to my membership number, graciously receiving my gentle feedback that next time, she should ensure the hard of hearing customer understands her questions (such as, for my member number, which she asked once, but I missed, and that would not have given me credit for the purchase under my membership).
– For many who realize they can safely stand 6 or 10 feet away (outside or when other barriers are present) and pull down their mask for a moment to let me lipread them. (That’s the range of a hearing aid – 6 to 10 feet – but we who wear them, and the kind people who “get it” know that a hearing aid has so much more power when a user’s eyes are focused on faces and lips.)
– For another young lady named Katie (mom’s name!) at a business, who learned a bit about hard of hearing mask-readers after I called her Kayla and she’d assured me that I could hear her… Getting her name wrong was the clincher! I helped her realize how disrespectful she was by challenging me, and asked her to do better by giving the next customer the benefit of doubt.
– For a security guard who reminded me to respond faster to “attitudes” behind masks, especially when mask-owner is armed. (I stayed outside a farmer’s market at closing, drinking my $1-decaf as I’d done another day, but this guard had a different attitude than the other… with his soft voice, I tried to hear him (as I thought he was asking about my welfare), until he yelled, “Leave!”
– For a Sport Clips hair stylist who cut my hair after 5 months (a pandemic-in-its-own-right), using Ava (ava.me), my trusty speech-to-text app, so we could communicate behind our masks. Here’s me and my new “do” thanks to her. (Note: I asked for a socially-distanced photo; she declined.) Nonetheless, I was happy I could actually stand looking in the mirror at myself to take this selfie!
So there you have it; lessons, love, and learning, and a bit of leaving, when necessary. Love each other peeps, regardless of our ideologies, shades of skin, cultures, abilities and/or any absences thereof. We will embrace and shake and hold each other’s hands when this thing is over or when each individual is ready. In the meantime, fight institutional and social injustice. Use your voice to speak out against it. Just don’t do violence.
Angie (Fugo) Fuoco
“The views and opinions expressed by the author does not necessarily represent the views of the SayWhatclub administrators and/or subscribers, and are provided solely for informational and educational purposes. The SayWhatclub is not responsible and does not verify for accuracy any of the information provided.”
Chelle:This article will not only help those who lipread, but it will help all hard of hearing people and the hearing people who communicate with them. You cannot talk to hard of hearing people the same way you do a hearing person. I realize you talk to more hearing people than you do hard of hearing people so it’s a habit of sorts, however, a few minor adjustments will help the hard of hearing a great deal.
Michele:Yes, we can all use pointers for better communication. Hearing people have various reactions when encountering someone who is different. Some are uncomfortable because they’re not sure how to accommodate someone with hearing loss to make themselves understood, while others seem to be more intuitive and mindful about what is needed and they accommodate automatically without anyone having to ask or inform.
Chelle:Even hard of hearing people are used to living in the hearing world and talking to hearing people. I’ve witnessed them forgetting the good rules of communication when talking to me. I volunteer for several hearing loss causes, go to hearing loss conventions, plus I work part time at the state Deaf and Hard of Hearing Center, so I’ve hung around with hard of hearing people over the last four or so years. My home life is, however, in the hearing world so when I started working and volunteering, it was hard for me to remember to switch to the different modes of communication. It became easier and after about six months I can now switch between modes easier and talking to people who are hard of hearing is habit now. If I can do this, you can too.
Michele:Attending my first SayWhatClub convention in Baltimore, Maryland in 2011 was an eye-opener. I found that I was terrible at giving the accommodation that I need myself. When you don’t know others in your real life with hearing loss, and you mostly communicate with hearing people, you are habituated to expect that everyone else can hear, just as a hearing person is. So, it does take some time and training to get into a new habit of communicating in a way that someone with a barrier needs, and we hope our tips help you do that. Chelle:Most hard of hearing people use some lipreading whether they know it or not. Lipreaders and hard of hearing people get stuck on a word, if not a string of words. That is the main frustration between hearies and the hard of hearing. We are trying our best to hear but our ears are broken. Maybe the hard of hearing person knows what to ask for, but many do not know or are afraid to be troublesome and ask straight out. If you are in doubt, ask the hard of hearing person, “What helps you understand me better?” In the meantime, here are some suggestions from Michele and me which also includes a few hints for hard of hearing people.
Michele:Chelle’s right, everyone lipreads to a certain degree, they are just not aware of it… the same way in which people with hearing loss are not aware of how much our hearing informs us in our everyday lives, until we talk to others in our shoes. Who would have thought being hard of hearing would complicate the use of elevators, indoor plumbing (we often leave water running), and driving a stick shift? Right again, Chelle, when in doubt, ASK! It’s not offensive for a hearing person to ask someone who is different how best to communicate with them, and it’s also not offensive for lipreaders to define what they need for understanding. Chelle:First and foremost, before speaking, get the person’s attention even if you are in the same room. Call their name, give a little wave and pause until their eyes are on you then start talking. Be within 4 to 6 feet when talking, as distance makes lipreading more difficult. If I’m too far away…My husband calls out ‘whoop’ in a tone he knows I can hear (such as when we are skiing) to get my attention.
Michele:Getting the person’s attention first is so important! If you don’t, then the lipreader is already behind and confused… they’re trying to figure out what the subject is, whether you’re telling them something, asking a question, or just interacting. Give the person with hearing loss as much info as you can right off the bat. Instead of starting in with a thought, say something like, “Hey, I want to talk to you about _______.” and then expand on the subject. If it’s a question, say “Can I ask you something?” Premise your conversation start as much as possible.
Don’t be rude while getting someone’s attention. Years ago, a dad on one of my kid’s soccer teams was very self-conscious at getting my attention, so he’d kick my foot when he wanted to talk to me. I was nice the first time I let him know there were better ways to get my attention, but eventually I had to tell him if he kicked me one more time I was going to deck him. If you’re unsure about how to get someone’s attention, ask them what they prefer. I guarantee no one will ever say “Oh, just kick me.” Chelle:Slow downa little but not too much, going slow motion distorts lipreading. On the flip side, talking too fast is hard to keep up with. There’s a happy medium in there somewhere. Take more time to enunciate. Some people don’t move their mouth much when talking, making lip-shapes harder to read. Ask your hard of hearing friend if this might be a problem. At a lipreading class, we all had a hard time understanding one particular lady. I caught her on the side once and confessed it was hard for us because she didn’t move her lips much. After that she worked on moving her mouth more to form the words and we could understand her better. *HOH people, it’s awkward to ask people to move their mouth more but it can help.
Michele:Even hearing people know what it’s like to not understand fast talkers, mumblers, and those who do not enunciate well or who have a thick accent. Give what you would like others to give you in conversation—a slower but normal pace, no overly exaggerated lip movements, and clear enunciation while speaking from your diaphragm. Example: My oldest son can be a mumbler and I have a heck of time lipreading him, but when he’s reading literature out loud to his girlfriend I can understand him perfectly because he’s projecting and focusing on enunciation more. So, I asked him, “Can you please talk to me as if you’re reading literature aloud, I can understand you so much better in that voice?”
It’s also okay to tell someone when they are not a good lipreading subject. You’re telling them because you want understanding, not because you’re trying to criticize. However, people can be offended if you come across as blaming them. Practice at putting people at ease while asking them to adjust their speaking for success. Example:“Your accent is lovely, but it makes my ability to lipread a little harder… if you could go a bit slower that would help.”; or “I love that you’re such a passionate and animated speaker, but when you turn your head while talking or motion with your hands in front of your face I have a hard time following you. Looking me in the eye while you are speaking is helpful.” If someone has told you that you are hard to lipread, don’t take it personally and go watch yourself speak in the mirror in your normal delivery; then concentrate on improving your lip movements for better understanding. Can you see the difference?
Chelle:Nice addition Michele, thank you.
My next item is to rephrase rather than repeat. There’s nothing worse to a hard of hearing person than someone who repeats it all in exactly the same way all three times. There’s the same rise and fall of tones with certain words exaggerated in exactly the same way. Instead say it a little differently; either shorten what you said, find a different word or lengthen the description to give more clues. Take the stress/exaggeration off words and say them in a normal tone of voice. *HOH people, we need to learn to ask for a rephrase instead of a repeat. *Also, tell people the parts you heard so they will only say what you missed, it might help.
Michele:Yep, repeats often don’t work. Say it in a different way and add more where appropriate. However, remember, we are all different and some feel that less is better and like to stick to basics, so it is best to ask each person what they find helpful.
Don’t Use Contractions or one word sentences
I tell my family “No one-word answers and don’t use contractions!” If the answer is “yes” or “no” then use it in a sentence—”No, I am not.” vs. “Yes, I am.” changes up the syllables… people don’t realize how we lipreaders really are grabbing onto every little detail of what we do hear to help us figure out conversation. We are sudoku masters of conversation—filling in what’s known and eliminating possibilities through reason, except lipreading is harder and we have to do it fast enough to keep up with each new thing that is said.
And, don’t restrict use of these tips to the person with hearing loss, practice them with everyone you are talking to in a group, as the person with hearing loss is trying to follow and lipread everyone so they can interject and participate in the group conversation. Plus, applying these tips to all of your conversations will help you become a much better communicator with everyone. I even do this with my granddaughter when we play “Go Fish”… if I don’t have the card she asks for I say, “No, I do not have a ______, go fish.” She started out just saying a simple “yes” or “no” to my asking for a card, but now she speaks in full sentences like I do, but sometimes I have to remind her.
Adding more words is what I prefer. My husband might have mentioned he was going to town earlier in the day (maybe I heard him, maybe I didn’t?), and then later he will say something out of the blue like “Are you going with me?”, and I’ll have to figure out where “with me” is… it would be much better if he said “I’m getting ready to leave for town, are you going to go with me?” Talk in whole thoughts and use more describing words to make sentences clearer and to give them more meaning.
Noun before pronoun please
The other big thing I come up against is someone using a pronoun right off the bat. Generally, a pronoun should follow the word it refers to, so you shouldn’t use a pronoun until you’ve used the noun first unless you intend to leave your listener in suspense. Yes, I’m a grammar whore, but also it makes lipreading and understanding harder when you start off referring to someone or something without naming them/it first… not only do we have to follow what is said, we also have to figure out who I, me, mine, you, yours, his, her, hers, we, they, or them might be. Or, what that, this, those, or these is referring to. It becomes too much. Repeating a whole phrase when you’re not getting one word is really irritating, and that’s why a person with hearing loss needs to tell people what they need if they don’t get it on the first repeat—“Say that in a different way, please, and be more descriptive.”
The ASL Alphabet can help. Just signing the first letter of a word can clarify the difference between two words that rhyme.
Chelle:Learn the American Sign Language (ASL)alphabet at the very least. Many hard of hearing people are familiar with it and if not, you can both learn. Go to www.lifeprint.com to learn the ASL alphabet. Then if that one word stumps the hard of hearing person you can start spelling it with your fingers. Most of the time you won’t have to spell the whole word, just the first two or three letters. It’s extremely helpful and can be used anywhere, any time. This works great for spelling out names too. People who are hard of hearing have the toughest time getting names right (Was it Terri or Cheri?). It helps them to remember the names too. But go slow! We are not fast fingerspelling readers generally.
Michele: I’ve known how to fingerspell since early childhood, as my deaf grandmother taught my sister and me. It was the only sign language she knew. We used it often to aid communication when Grandma would get stuck by what we were saying. My kids (daughters, not so much sons) are good to use fingerspelling with me when I get stuck on a word, especially when introducing someone. I’ve been wanting to at least learn PSE (Pidgin Signed English is a combination of American Sign Language (ASL) and English), sometimes called CASE (Conceptually Accurate Signed English), as I notice how much it helps when I’m talking with someone who uses it.
Chelle: I also suggest learning the ASL numbers too because hearing numbers can be hard and numbers can be so important; was that 15 or 50? It comes in handy for addresses and phone numbers too.
Gestures can aid communication and sink words in faster than repeating. It might feel awkward at first but after a while it becomes second nature and can be quite entertaining. Use facial expressions as needed too. ASL and the Deaf community use a lot of expression while communicating and I think the the Hard of Hearing community could benefit from that as well.
Michele: I love gestures, and because I began losing my hearing in childhood I’ve always been the recipient of some sort of gesturing. In my immediate family we even have family sign language for things/words we use a lot. Think of playing charades and what you can do to help your team make the right guess for the win!! It works the same with gesturing for someone with hearing loss.
Chelle: Here are some other things that make lipreading harder; smiling too much. When I get around other hard of hearing people I tend to smile a lot because I’m so happy to be within in my tribe. I think this might have made it hard for Michele to lipread me at first. While I teach lipreading classes we get to laughing and smiling (I try to make it fun) then I end up covering my cheeks with my palms and wiping the smile off my face before continuing. Michele: <laughing> I had forgotten that I used to have such a hard time lipreading Chelle, and I think she might be right, smiling lips impede lipreading ability. I’m probably the opposite… over many years, I’ve concentrated so hard to enunciate and project my voice, in order to keep my speech clear, that I tend to come across pretty serious at times, especially if I’m meeting someone for the first time, though I’m sure I do my share of smiling while talking.
My best grade school friend told me once, “You were so serious and studious at school, but outside of school you were funny, cheerful and full of laughter,” and I think that’s why, I had to try so hard in school to keep up and stay on top of what the teacher was saying that I looked serious much of the time.
Don’t talk with your mouth full of food or while chewing on a pen
Chelle: Fingers, hands or items such as a pen or pencil in front of the mouth make it really hard to lipread. Chewing gum, or eating in general, is distracting. It’s hypnotizing, in a warped way, watching the wad of pink go around so focus on the lips is lost. When the person is eating, it’s the same except we are waiting to see if food comes flying out at us too. *Don’t be afraid to ask people to spit out their gum or candy, or lower their hands from their mouth.
Michele:Anything covering or distorting a person’s mouth will be a distraction. I’ll add: Braces, facial oddities, bad teeth, etc. These things are hard to mention without offending, but I have done it successfully, though I’d probably never tell someone their bad teeth are tripping me up. Just yesterday I explained to a young girl at a concession stand, “Braces really wreck my lipreading skills, so I’m struggling here, but that’s not on you, it’s on me. Lipreading doesn’t work 100% of the time,” always said with a smile. Chelle: Seeing is hearing, the eyes are the ears. Make sure there is good lighting to make lipreading easier. It may create ‘atmosphere’ to dim the lights but it will also bring communication to a halt or isolate the hard of hearing person. *As a hard of hearing person, do not be afraid to ask people to turn up the lights or switch places so their face isn’t in the shadows. Start it with humor, “I can’t hear in the dark, can you…” Everyone has laughed and turned the lights back up for me. *Both the hearing and Hard of Hearing can ask for lights to be turned back up at bars or restaurants when this happens too. Usually the business will accommodate the request.
Michele:Seeing is hearing for anyone with hearing loss. I explain this to my 5 year-old granddaughter, “If Mim can’t see you, she can’t hear you,” and she understands. I think I get better accommodation from her than some of my adult family members. I’m always torn about lighting in some situations, as I don’t want to take away from others if the low-lighting is intended to create a mood, but I do often point out that I can’t hear if I can’t see clearly. You really have to gauge each situation and decide those instances where you want to ask for the lights to be left on. However, if you’re lucky, some wonderful friends and family do step in for you, and that lessens what can seem like a burden of always asking to be accommodated—I admit, sometimes I feel like a killjoy. Example: My husband and I did a houseboat trip with several other couples from high school. Late nights on the water were nice, with the lights down low, over dinner, but if the lights were turned off I wasn’t part of the conversation. I didn’t feel I could assert my need for light the first night. Turns out I didn’t have to, a good friend stepped in when someone turned down the lights, saying “Michele needs the lights on to hear.” I was so grateful for an intuitive friend.
However the person who turned the lights down at dinner was up on the deck of the boat with me later that same evening, star-gazing and chatting away, just the two of us. After about five minutes of non-stop talk, he paused, and I said in a joking tone, “Mike, you’ve gotta know that I have no idea what you’ve been saying. I really am deaf.”
The above is a perfect example of how some friends get it and you never have to mention your hearing loss to them again, while others can’t remember that you can’t hear from one moment to the next.
The one area I’m not shy about is backlighting, which is a lipreader’s nemesis. I always ask to switch places so the people I’m with are not backlit. I’ll even tell wait staff they are backlit and ask them to move to better light so I can lipread them better, and I’ve never had anyone refuse or react negatively.
Which brings up another point: The necessity of people with hearing loss constantly having to remind others about what they need. If someone you know has a hearing loss and lipreads, and they’ve taken the time to explain how best to communicate with them, it’s likely that those things will also aid you in all of your conversations and exchanges, so try to remember and practice them. If you see the lipreader only occasionally, they will be more understanding when you don’t remember their instruction, vs. someone they see every day. And another thing: The person you know with hearing loss is likely the only person you communicate with who is different. For the person with hearing loss, you are one of many that they need to ask for accommodation from every single day, and it does get tedious to have to constantly remind the same people over and over about what they can do to facilitate better communication with us.
We get weary.
Chelle: An example that encompasses a little of all of these strategies happened just the other night on our patio with my husband and another couple. I got stuck on a word while the conversation was aimed at me with laughter (not about my hearing). Instead of bluffing, I fessed up, “I’m missing the one word.” Nothing was making sense because of the one missing word. I looked to my husband who made a “G” for me with his fingers. He didn’t spell out anymore, maybe because we were with others or he was stuck spelling at the moment, so I was still stuck. Our friend said it a couple of more times it was still not visible/audible for me. He grabbed his shirt (gesture) and still made no sense; his shirt was blue, not green. I looked back at my husband who added another word and I got it! “Under garmet,” and I got it. They were saying garment. There was no frustration between us, they saw how hard I was trying and the kept going until I got it. It took all of us to make it work, no one was left out or frustrated and we all got to laugh.
Michele:Good example, Chelle, that demonstrates how a lipreader’s mind works. I think it’s really useful to share these examples of good practices that work in real life. It’s the best way I know of to help others who want to be more successful lipreaders and communicators identify areas where they can improve.
People often ask me how I lipread so well, and I’m not sure how to explain something that I’m hardwired to do? How do you explain something you learned while not even being aware you were learning it? Collaborating on these lipreading articles forces me to think more about what makes lipreading successful and useful for me, which, in turn, helps both hearing and hard of hearing gain a better understanding of lipreading and its potential.
Chelle: We’re happy to bring more basic lipreading techniques to light and much of it is sound sense rather than only seeing shapes on lips (which we’ll get to later). Teaching speechreading in Utah has helped me focus more on what it takes to make it happen. I’ve probably been doing it the same way Michele has (only not as well she does) for a number of years. Focusing on all the elements that go into lipreading has bumped me up to the next level where I’m a little better and I realize that advocating for myself is a good portion of what it takes. Michele and I make a good team because we’ve both been lipreaders for decades, and we want to share what we know and learn with others too.
Speechreading Tips & Hints (also called Lipreading)
By Chelle Wyatt
I teach speechreading tips at work and it’s becoming a popular class. The classes become a support group of sorts and we all share any insights we might have about lip shapes. They teach me as much as much as I teach them. I enjoy leading this class and sometimes I talk about it on Facebook. I have lots of hard of hearing friends thanks to attending hearing loss conventions. A number of those friends reply to my posts saying they wished they could take the class so I thought maybe I’d start sharing some of what I do here.
You’re going to see me swap out the terms speechreading and lipreading. It’s the same thing but someone thought speechreading was better since it’s not lipreading alone. We rely on facial expressions, body language, gestures and situational cues as an aid to reading lips.
I an a good speechreader, but not an expert
First of all, the best speechreading tip I can share is that I am not the best lipreader. My students have witnessed me bomb…which I think actually helps them. It keeps it real, lowering expectations for themselves. It’s not something that just snaps in – it takes time, practice and patience, which is why I also try to make the class fun. Having a sense of humor is a great help. So I’m not the best and I’m not the worst either. I fall somewhere in between. The students see my confidence and they know I don’t fear social situations and maybe that’s enough to encourage them.
Without hearing aids or my eyes I have a 30% word discrimination. With hearing aids and no eyes I have a 60% word discrimination. With my eyes and hearing aids I catch about 90% of what’s said. Without hearing aids and my eyes I’d guess I’m somewhere around 70%. Lipreading fills in the gaps hearing aids miss. I still get stuck on words but I have ways around that now too. I use my remaining hearing to aid speechreading, they work together.
My speechreading ability depends on a few things:
~Advocating for my needs and making sure the other person knows I use lipreading. I often tell grocery store clerks, “I hear enough to know you are talking but I use lipreading to hear.” ~Whether or not I’m tired. My brain works lightning fast piecing together what I heard and saw all while using deduction to make sure it fits into a proper sentence/thought. If I’m tired, or sick, it’s hard penetrate the brain fog and I can’t keep up. ~How well I know the person. I have a harder time with new people but as I get used to people I do better and better. ~How long I’m lipreading. After a two hour meeting my brain is fried and then I go into shutdown mode for an hour or so afterward to recuperate. ~Am I relaxed or uptight? The more relaxed I am the better I do. The harder I try, the worse I get.
It also depends on the speaker, here are some examples…. ~Do they talk too fast or too slow? Yes there’s such a thing as too slow and I call it monkey lips. That’s when people over exaggerate their words in slow motion. ~Do they have a mustache that covers their lips? ~Do they keep turning their head? Some people habitually turn away while giving me directions. ~Did they get my attention before speaking? If everyone did this, it would cut down on many a repeat. ~Do they have an accent? Accents shape words a little differently. After a while I can get used to that too but it takes more time.
Hints for extra practice
I think all hard of hearing people use lipreading to a degree but taking the class brings it up to the next level. During my first class I encourage the students to start focusing on lips and tell people they are reading lips, even if they are just starting. Get in the habit of it. For practice, watch the news with low volume and try reading reporters lips. Use captions (which are usually slightly behind) to figure it out. Some reporters are going to be easier to understand than others simply because they form their words better than others. You might surprise yourself with how much you catch. To prove that point in class, I’ll turn my back and read a paragraph. How much did they get? Very little. When I turn back around, they get a lot more. Go forth, and become aware of your speechreading habits. I’ll be back with more speechreading tips.
If you are interested in learning more about speechreading or lip reading, the SWC Hearing Loss Resources page has a few links that lead to cool websites where you can practice your skills online.