New member, with lots of questions

#1

Hi all,

I just joined up today. Male, and going to be 51 in April. Hoping that you guys will be able to point me in the right direction and that I may get some useful information from someone with a similar hearing loss as I do.

My story is, I have had worse hearing in my right ear for as long as I can remember. Ive always favoured my left ear for answering the phone for example. Not sure why I had the extreme right sided loss, only reason jumps to mind was that I used drive with my window down on the right for hours - could that have caused it?

My GP referred me to an ENT to have my ears checked a year ago. The ENT prescribed steroids, I tried them, no success, but then I understand now as my loss was long term, it wouldn’t have made a difference.

Next was a hearing test, and an MRI to rule out an Acoustic Neuroma as one side was much worse than the other. That was all clear anyway.I wasn’t happy with my ENT, she didn’t recommend hearing aides or anything so time passed and in December, I visited another ENT and had a further hearing test, the results of which are in my signature and below.

250hz 500hz 1000hz 2000hz 4000hz 8000hz
L 15 15 20 40 30 45
R 75 80 80 75 70 95

So, I accept that I need hearing assistance for sure, but heres where I was hoping for input from your experienced folk, so I will throw out a few questions.

  • Would you imagine that my right ear is aidable? I believe its loss is in the Severe range. I do have some distortion in it at the moment when loud noises are present , for example the base noise while driving in a car, loud music.
  • Does wearing a hearing aid, and find tuning it, relearn your brain to hear through the distortion?
  • Does it look like my better ear needs aiding also? is it wise to do this, as it could save further hearing loss?
  • What would be the recommended brand of hearing aid for my type of losses? I assume the in canal types are too weak for my right ear for sure.

Thanks in advance, Id be grateful for your wisdom.

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#2

What are your word recognition numbers?

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#3

I wasn’t tested for them, on either occasion…

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#4

I would think it HIGHLY unlikely that driving with the window down would cause damage. I just don’t think it is loud enough. I’m not a professional, but your L ear probably doesn’t need that much aiding. Like you, I have asymmetric loss. No one can figure a reason why, though may have something to do with a fever I had as a child. I do wear HA’s on both sides, but my left is worse than yours. You’re hearing in speech range just isn’t that bad. Mild to moderate loss at worse. Your right ear definitely needs help. The question is what kind of loss is it? HA’s may or may not help, depending on the type.

If they do help, then a RIC style hearing aid would work fine. The receivers have different levels of power and your audi can pick the one that is correct for you.

Hearing aids due ultimately effect how you hear. So, they may affect the distortion you describe. You won’t know until you’ve lived with them for a while…assuming they work for you.

Good luck.

Evil.

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#5

Thanks for replying :slight_smile:

The distortion is my main worry - not sure how thats fixable - I was hoping my brain would relearn and overcome the distortion - not sure if thats possible - does anyone know? Or is it because I have low frequency loss?

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#6

I expect you’ll need to try hearing aids to find out what they do for the distortion. I have some distortion in my worse ear if I listen to ear buds, but not when my hearing aids are in.

Did they test both air conduction and bone conduction when they did your audiogram? If your ENT gave you steroids, that might be because they saw some conductive loss (in a conductive loss the bone conduction results are much better than the air conduction results), but I’m just guessing.

They really should have given you some numbers for your Speech Recognition Threshold (SRT) and Word Recognition Score (WRS). That would help determine if you need a hearing aid in your good ear. When people speak, a lot of the consonants are in the 2000 - 40000 Hz range where you have a mild to moderate loss. Since consonants are said softly (you can’t shout an sssssss sound), that degree of loss could affect your ability to understand people, and the WRS score would let you put a number on that.

I think all brands make hearing aids for a large range of hearing loss. It’s the model that’s important, I think. Your loss is not too severe to be aided. They might want you to wear two aids so the aids will help you regain the ability to hear what direction sounds are coming from.

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#7

you have a tough situation. don’t let people trick you into thinking you need some kind of surgical solution.

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#8

I think the steroids were just a hail mary, to cover all bases, with not much hope of success.

I might get the WRT next Friday when i visit the hearing aid specialist perhaps?

I’d be ok with two, one would be easier I suppose but two would be liable with if it made everything ‘better’ overall…

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#9

Ok, i don’t want to go any deafer in my right ear if I can help it. I suppose I do worry that at 80db, its almost gone already?

I didn’t even know there was a surgical option - I am not well informed at all despite visiting two ENTs. I got the impression, from both, that it was kinda " Yeah, its gone, don’t worry about it…"

I asked the first if I should investigate hearing aids, and her reply was that i could try it if I liked. I get the impression from reading on here that its better to aid early rather than acting time - I’m disappointed she didn’t flag that to me, and thats why i went for a second ENT opinion.

I think my audi who Im seeing next Friday does all of those brands, hopefully she will advise me wisely.

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#10

People who have a large conductive loss might have a surgical option. It depends on the cause of the conductive loss. My left ear had lost 80 to 100 db due to otosclerosis. I had the surgery last spring which eliminated the conductive loss. I still have sensorineural loss, but thanks to the surgery my ears are about equal now. Nobody “tricked” me into the surgery.

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#11

Contrary to dd’ s opinions as daisy depending surgery could help. 80db with today’s aids is not problem to correct. Get a pair.

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#12

Hi all again,

Today I called to where I had my first audiogram done and i got a copy of my first hearing test carried out in November 2014.

I seem to have had a significant change in my right ear between then and December 2015. Any ideas what could have caused that? I accept there could be variances between equipment and my own perception also, but not as much as 40dB?

Also, the distortion I have in my right ear at certain frequencies, with music and my own voice sometimes, is that curable or filterable out by a hearing aid?

Dec-15
250hz 500hz 1000hz 2000hz 4000hz 8000hz
L 15 15 20 40 30 45
R 75 80 80 75 70 95
Nov-14
250hz 500hz 1000hz 2000hz 4000hz 8000hz
L 10 15 20 30 35 40
R 40 45 55 65 60 90
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#13

The steroids were prescribed as they can be successful in reversing sudden sensorineural loss.

I’d contend that it’s likely there’s little or no conductive portion within the Asymmetry or the ENTs would be talking about middle ear function. Another thing to note is that the loss isn’t indicative of typical noise damage.

The fact that the loss is progressive is a bit worrying.

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#14

Yeah, the progression worry me too. Its not something that has been present in any of my family to date, my parents both lived to old age hearing reasonably well. Hopefully its a fluke - fingers crossed…

I can’t understand how I could have dropped 30 dB in one year…

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#15

Just checking, have you seen anything similar in your experience?

I can remember clearly when the change happened, it was over one weekend, after I had been in hospital. I was being checked for chest pain, had a Nexium and Aspirin administered - I assume thats coincidental, but I did recall reading somewhere that some antibiotics are bad for hearing?

Or is that internet mythology?

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#16

A degree of ototoxicity is known side effect of both Aspirin and certain antibiotics. However you’d likely see the same effect on both ears, unless there’s an underlying issue in the pathology.

I have seen progression of significant asymmetry over the course of years, there might be an underlying neural or blood supply issue. This might be due to a congenital disorder, disease or non-organic (trauma) issue. It’s referrable as acoustic neuroma can occur and although sometimes benign the pressure they put on the auditory nerve causes this kind of issue. Unfortunately they are very small and sometimes difficult to see even with high resolution scans due to the relative density of the bone surrounding them.

If you are able to get a second opinion, it might be worthwhile: monitoring the loss in the short term would be a definite.

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#17

I bet your hospital stay was a big part of your hearing loss.

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#18

Jesus to buggery can you stop posting this shit!

Ototoxicity does not affect one ear more than the other unless it’s under the terms I outlined above OR you are topically applying the poison directly to one ear.

Where do you get off claiming to be knowledgeable in this area, when you clearly aren’t? Any Lawyer/Audiologist would eat this argument for breakfast.

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#19

DD take break dude… I just can’t figure out how a guy living in his mom’s basement thinks he knows so much… have your mom get your meds refilled.

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#20

Jakey, when you resort to insult, the good info you impart gets seriously discounted. Think about it. You may enjoy it but it isn’t serving you well.

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