Fear and Anxiety prior to and during hearing tests

Not quite what I said (:wink:).

WRS do have a role. BIG changes are certainly relevant, especially in establishing whether your hearing resolution is slipping. The whole ‘I lost 5% in my WRS since last year’ thing is what gets my goat though. Using WRS like this is performative nonsense - especially when it’s combined with the economic argument about upgrading Hearing Aids.

However, if you want a reasonable instantaneous A:B test in a controlled environment, WRS is fine and it gives the client confidence in the fitting.

If you want an objective result this year and next, use REAR and actual speech.

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thanks for this - what is “REAR?” and do you mean have the audiologist talk instead of that recording that sounds like Rod Serling (Twilight Zone) in the 50s?

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Thanks all for the awesome replies. I want to , and need to, work on relaxing, not trying to control what I can’t, seeing these tests merely as a baseline for HA efficacy, and allowing things to unfold as they will. I am grateful today for the hearing I do have. Some people have no hearing loss and many have much worse hearing loss, and mostly everybody adapts in time, in their own way. I’m grateful for this community and for the supportive responses.

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Agreed @Um_bongo :grin: I am probably reading too much between the lines, but I stand corrected… As always :upside_down_face:

I totally understand the anxiety of the tests and dread that your results will show further hearing loss. You didn’t mention your music as the source of your concern, but rather the potential isolation and inability to communicate. We are living with ever-improving technological advances in hearing, so much so that every three or four years new HAs offer improvement - sometimes even despite a decline in our hearing. Your hearing is your hearing regardless of how it shows on the test, so you don’t improve it or make it worse by working hard on the testing. The testing is just to find the best fit for your HAs. It took me a while to realize that. I went for a test after realizing my hearing had been worse for a while. My left ear had tanked and I was devastated Then I realized nothing in my life had changed, I just had printed evidence. I was functioning, and finding ways to adapt already. Eventually I decided to look for hope for the next step in the journey and started researching cochlear implants just to know there was an option out there for later. It helped to know there was a next step that allowed me to stay engaged. There is no doubt hearing loss is a tough road, but you are doing everything right by learning about options, trialing HAs, asking questions. Glad you reached out.

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It’s a form if REM, stands for; Real Ear Aided Response.

It’s the full dB SPL output of the aid. When you use this with a speech related target (aka Live Speech Mapping) and actual speech and speech noise/noise in the background, you can objectively improve fittings.

Otherwise, it’s pretty much a case of tweaking and asking ‘Does that sound better?’

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Relaxing…I need to as well. I’ve done lots of work and learned a little.

Holistic–
I use a liquid called Passion Flower. It’s available at health food stores. It really settles me down. It smells bad…Dr Oz recommended it on his show years ago for stress relief. I buy a small bottle with an eye dropper dispenser
Rescue Remedy is one of the Bach Flower essences. Health food stores. Comes in a smaller bottle. It also comes as a lozenge, and that works really well in my car. My holistic vet recommended it years ago, and I’ve used it ever since. Bach Flower has a number of products. I use another of theirs called Mimilus. Fear of known things.

Please PM me if you wish to learn more.

Oh…I used to work really hard to hear all those frequencies…I understand.

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I have found, as I’ve gotten older, that there’s really no point in stressing out over something I have no control over. And I’m a guy who sits in that sound proof both for stretches at a time just twiddling my thumbs. Accept the fact that you have a loss and deal with as best you can. Remember, it’s that kind of thinking that prevents some people from ever seeing a doctor

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I do the same.
A Zen Monk taught me a saying…“That’s not a thought I want in my head”.

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This entire post was extremely helpful. wise words, and a caring feeling. Thank you.

So glad. FYI, I am 3 months post activation for my Advanced bionics brand cochlear implant and having great success. Together with my linked HA, music sounds wonderful. I took the leap early rather than waiting. My audiogram shows my hearing prior to my CI.

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Above, mikeinarvada mentioned slow, deep breathing. He is quite correct and I wish to add a name and process that might help.

I am not a doctor or any sort of medical professional. Retired engineer.

There is a technique called “4-7-8 breathing” that is useful for relaxing and lowering BP and anxiety. You can google it but basically it involves slowly inhaling through your nose - inflating your abdomen rather than chest (diaphragm breathing) for a count of four. Hold that breath for a count of seven, then let it out through your mouth (some say - with your tongue tip behind your eye-teeth) for a count of 8 - without forcing, just allowing it to escape.

If you do this 2, 3, 4 times (not to get light-headed) you will find your anxiety flowing out with the breath you are releasing. It sounds corny, silly, stupid, and crazy - but it works.

My hearing is poor enough that I avoid interpersonal interaction as much as possible. Many people speak too rapidly, fail to enunciate, do not face the person to whom they are speaking (no lip reading) and generally are too difficult to understand for the effort to be worthwhile. When forced by circumstances to interact with them, I do a lot of 4-7-8 breathing and it saves me no end of heartache and anxiety.

If you watched a TV show called Saturday Night Live in the '60s, you may recall a skit in which the interpreter for hard-of-hearing people did not sign, he simply shouted - repeating what had been said at a ridiculously high volume as if speaking louder was what was required. If you can laugh, you can survive.

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I think it was the QuickSIN test that knocked my self-esteem the most. I had expected the pure-tone profile to show severe high-freq loss and indeed it did. But somehow not being able to distinguish words in QuickSIN made me feel stupid, as if my brain should have been performing better. This thread has been most supportive and empathetic, thank you to earlier posters.

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The reason I searched out this forum a year or so ago is that I was feeling very apologetic about my loss and how it inconvenienced others. Reading about others’ experiences helped me learn to accept it and advocate for myself. We are not stupid, we have a hearing disability. It’s not our fault.

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I did this yesterday and am finding it quite helpful, thank you!!!

This is such powerful and to the point wisdom, and I appreciate it greatly. thank you!!

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I think that may be the REM I had. Test audio paragraph at normal volume, quiet, and loud. Also a test at the maximum tolerated sound level frequency sweep. I was told the speech percentages were word recognition scores.

Depending on the level it was presented, many of the critical speech sounds may have been literally inaudible to you. You can’t blame your brain for being unable to recognize something that it actually cannot hear.

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I get a bit anxious & unconsciously find reasons to avoid test updates. My biggest issue I guess is my unrealistic hope or expectation that “one” day it won’t be a case of relative, unscientific, “tell us what you hear” & more of a case of attach a few wires & “you” tell me what my hearing audiogram is… Beyond that maybe even wave a tricorder over my head :smiley:

Many years ago I read some advice that seemed wise to me, and I’ve generally followed the advice ever since:
“Therefore I tell you, do not be anxious about your life, what you will eat or what you will drink, nor about your body, what you will put on. Is not life more than food, and the body more than clothing? Look at the birds of the air: they neither sow nor reap nor gather into barns, and yet your heavenly Father feeds them. Are you not of more value than they? And which of you by being anxious can add a single hour to his span of life? And why are you anxious about clothing? Consider the lilies of the field, how they grow: they neither toil nor spin, yet I tell you, even Solomon in all his glory was not arrayed like one of these. But if God so clothes the grass of the field, which today is alive and tomorrow is thrown into the oven, will he not much more clothe you, O you of little faith? Therefore do not be anxious, saying, ‘What shall we eat?’ or ‘What shall we drink?’ or ‘What shall we wear?’ For the Gentiles seek after all these things, and your heavenly Father knows that you need them all. But seek first the kingdom of God and his righteousness, and all these things will be added to you. Therefore do not be anxious about tomorrow, for tomorrow will be anxious for itself. Sufficient for the day is its own trouble." (Matthew 6:25-34)

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