It should be no surprise that whether you are listening to music or media, a long length of time spent listening plus a high volume level can eventually lead to hearing loss.
This can happen to anyone, at any age and at any time.
Across the globe, children, teens, and young adults spend time listening to music for several hours each day. The volumes often surpass the recommended limits for each person. Awareness of this issue, and actions taken against it, is the best way to practice self-care.
The previous threshold for listening was 85 decibels (dB), but that has currently been lowered to 70 dB by the National Institutes of Health (NIH).
According to the World Health Organization (WHO), approximately 50 percent of people between the ages of 12 to 35 are susceptible to hearing loss after long and disproportionate exposure to powerful sounds from music playing through earbuds or headphones.
It’s important to remind readers that serious levels of hearing loss are not signs of normal aging. It’s a result of noise-induced hearing loss (NIHL).
It’s similar to how many falsely believe that large wrinkles and dark spots of skin are signs of normal aging. They are the result of harmful exposure to solar and UV rays.
Important Hearing Statistics
Anyone who frequently uses a personal listening device, along with earbuds or headphones, is damaging their hearing health.
The younger population tends to have listening devices that come with earbuds or headphones. While others can’t hear their chosen media, they are doing serious harm to their hearing.
Many of these young people will begin to notice difficulty with their hearing by the time they reach their mid-40s. They will struggle with hearing just as much as their grandparents, who are at least in their 70s.
Hearing loss not only impacts your ability to hear and communicate but as frequently mentioned in this blog, cognitive decline and risks of dementia become more serious.
In a study from 2011, people with hearing loss had a higher chance of having dementia symptoms if:
Research indicates that anyone who does not receive treatment for their hearing loss promptly is at higher risk of dementia.
There have been studies that showed hearing loss that was treated with hearing aids reduced risks of cognitive decline and dementia.
Even though this information is important, the key to healthy hearing is preventative care. General health habits like diet and exercise help your overall health, which can impact your hearing health.
Follow Healthy Limits to Noise
As frequently mentioned in this blog, hearing loss from noise can occur instantly or gradually over time.
Some people live in bustling cities or work in loud environments, causing recurring exposure to unsafe levels of noise which could impact long-term health.
Here are tips on how to keep your hearing health safe:
Hearing health in children and teens is particularly important. Their bodies are still developing. They need to hear to learn and acquire social skills. Hearing loss impedes that process for social development and education, which can negatively impact work performance and income.
Sound Level Meter App
You may use a free or inexpensive sound level meter app to measure noise levels in any environment and determine whether you should leave the area for a quieter space.
Detect Warning Signs of Hearing Loss
It’s important to know what the warning signs of hearing loss are so that you can immediately seek help. Oftentimes, it’s family members, friends, or co-workers who notice your hearing loss before you do. Here are some common signs:
This rounds up our work of raising awareness for Protect Your Hearing Month.
If you are noticing hearing loss, or if you haven’t had your hearing checked in a long time, contact us at Pure Sound Hearing for a free hearing test and consultation. We offer a variety of hearing aids and some assistive listening devices for a wide range of hearing loss.
Have you ever wondered if you heard a real noise, or if it was all in your head?
If you are hearing a beeping, buzzing, ringing, or whistling sound that nobody else around you hears, there’s a possibility that it is tinnitus. You should get it checked immediately by a hearing healthcare professional. After going over your medical history with them, they will examine your ear canal with an otoscope and check for earwax build-up. After carefully cleaning out the earwax, your hearing may be restored. If it’s not caused by earwax obstruction, a hearing test will be conducted.
If there is an obstruction or tinnitus, you may be referred to a physician. If there are no other obstructions present, i.e. a foreign object, and no other possible causes are found, you may have hearing loss. Tinnitus and hearing loss usually go hand-in-hand. If you are experiencing tinnitus, chances are that hearing loss is inevitable. Nearly 90% of individuals who have tinnitus, also have some range of noise-induced hearing loss (NIHL).
Tinnitus Assessments from a Hearing Healthcare Professional
At Pure Sound Hearing, our hearing care providers may conduct a pure tone audiometry test. This test would have a high chance of being administered if your tinnitus is single-sided (unilateral) or if you also experience hearing loss. The pure tone audiometry test will play a range of frequencies at different volume levels. Even if you cannot detect any difference in your hearing, this test can show areas where your hearing has weakened. Remember, hearing loss occurs gradually over time and you might not notice the loss until it becomes very severe. Catching your hearing problems early can potentially slow down the loss. You may be asked to repeat words back to your hearing healthcare provider so that they can hear how accurately a patient repeats these words.
Tinnitus is the perceived noise that a person hears, which cannot be heard by anyone else. Our specialists will use sound matching to determine what the patient experiences. This practice involves playing audio clips to recognize which sound is closest to the sound that the person hears internally.
Our hearing instrument specialists may use a minimal level of masking to conclude whether a patient experiences tinnitus. This will also determine how loud a sound is conveyed. Our providers will play an audio clip at gradually increasing volume levels until the patient indicates that the external noises completely cover up the phantom sounds.
Your Experiences with Tinnitus
By discussing your tinnitus with our hearing instrument specialists, they will be able to help you understand how your symptoms are negatively affecting your daily life and overall well-being.
Tinnitus is not a disease, but the symptom of an underlying health condition. If you are noticing a beeping, buzzing, ringing, or whistling sound, contact us at Pure Sound Hearing to talk about the problems you are experiencing and we'll help you find a solution.
This blog has covered various causes of hearing loss. There’s noise-induced hearing loss (NIHL), presbycusis, hearing loss that is caused by illness, infection, or may be present at birth. While playing sports is a great form of exercise and helps build teamwork skills, it may also lead to a higher risk of hearing loss and tinnitus. Athletes are more prone to injuries and tend to be exposed to excessive noises.
Hearing Loss in relation to Sports Injuries
Hearing injuries while engaging in sports on the field are one of the highest risks to an athlete. Damage to the ear or auditory system of the brain can be caused by a head or neck injury, which may lead to permanent hearing loss. In contact sports, like football, the injuries in athletes are more frequent. The majority of football players have experienced at least one concussion throughout their professional career. A number of them have had multiple head injuries, and endured damage to the inner ear or ear canal.
These head injuries do not only affect cells in the inner ear, but they could also cause harm to the bones in the middle ear, or obstruct the ear canal. This creates challenges for sounds to reach the inner ear. Concussions and head injuries may also induce symptoms of tinnitus.
The obvious loud noises that are associated with sports stadiums can also cause hearing loss. Athletes and fans express excitement over scores during live games. In addition to the music that plays during the games or at halftime shows, fans will cheer, shout, and stomp their feet. This can be overwhelming for the ears and cause hearing loss for athletes and fans.
Hearing loss usually goes unnoticed at first, so there’s a risk for athletes who participate in games where the noise is intense.
If You’re an Athlete, Protect Your Hearing
It’s important for athletes to wear hearing protection, when they are in high risk situations. It’s also important for them to avoid injuries while playing on the field. Wear earplugs that are customized for your ears, so that they don’t fall out while engaging in sports.
If You’re a Sports Fan, Protect Your Hearing
If you’ve been to live gaming events, there’s a chance that you have been exposed to harmful levels of noise. If you have left an arena and notice everything sounds muffled or hear a buzzing/ringing sound, that indicates the environment was too loud and there may be damage to your hearing.
Protect your hearing when you go to sports games, and encourage friends and family to do the same. You can easily purchase earplugs made from foam, plastic, or wax. You can tell if your environment is too loud if you find yourself shouting in order to communicate with someone who is sitting or standing right next to you.
Get Your Hearing Tested
There’s a higher risk of hearing loss among athletes, so regular hearing screenings and hearing tests need to be administered during their healthcare check-ups. Sports fans who regularly attend live sporting events, or even watch them on loud TVs, should also be conscious of their hearing health.
Start by getting a baseline hearing test. This will show you your specific hearing range. When you go to follow-up appointments, you can use the baseline hearing test results and compare them with your latest hearing test results. Getting treatment for your hearing loss can help you keep the hearing abilities you still have while slowing down further loss. It will also be easier to adjust to your hearing aid or assistive listening devices, to improve your overall hearing and health.
Contact us at Pure Sound Hearing if you are experiencing hearing loss. Our providers will patiently work with you to find the best solutions.
The ripple effect of hearing loss on your life and the life of your loved ones is serious, which is why it’s important to be aware of potential ways that you can lose your hearing.
If you or a loved one are experiencing hearing loss, please get in touch with us at Pure Sound Hearing for a free hearing test and consultation.
The only avoidable type of hearing loss is noise-induced hearing loss (NIHL). Being in a loud environment, like a concert or a noisy workplace, could pose a danger to your hearing health.
It’s important to practice preventative measures because once you lose your hearing, you cannot get it back.
Ears have tiny hair cells that help you hear. Once the hair cells are damaged, they cannot be reconstructed and hearing cannot be restored. This is why it’s so important to start protecting your ears at a young age. If you already have difficulty with hearing, it's still important to take precautions in order to slow down or prevent worsening symptoms of hearing loss or tinnitus.
3 Hearing Loss Facts
Decibels: A Unit of Noise Measurement
Noise is measured in decibels (dB). Listening to sounds that are 85 dB or higher can eventually lead to hearing loss or tinnitus. Consider this “equation”:
volume level + length of time spent listening = risk of damage to your hearing health
Examples of Sounds and their Decibel Levels
Whispering - 30 dB (Safe noise level)
A humming refrigerator - 40 dB (Safe noise level)
Dishwasher - 45 to 65 dB (Safe noise level)
A conversation (with your normal speaking voice at arm’s length) - 65 to 80 dB. This is considered a safe noise level, but if you need to yell at someone during your conversation who is at arm’s length, the background noise is probably too loud.
Lawnmower - 80 to 100 dB. You may lose some of your hearing, so wear earplugs or earmuffs to protect your hearing.
A movie playing in the theater - 70 to 104 dB. Protect your ears by sitting far away from the speakers, and wear earplugs.
Motorcycles - 80 to 110 dB. Riding or being around a motorcycle after an hour can lead to hearing loss. Wear earplugs and then put on a helmet before you start your ride.
Sports events - 94 to 110 dB. Hearing loss can occur in less than half an hour at a sports game. A combination of a cheering and/or stomping crowd, and blaring music can lead to hearing loss. Wear earplugs.
Headphones - 96 to 110 dB. If you listen to music through headphones at the highest volume, you could lose some of your hearing within a few minutes. Protect your hearing by lowering the volume.
Rock concerts, parties, or nightclubs - 95 to 115 dB. Hearing loss can occur within a few minutes, so it’s important to wear earplugs. The band wears them as they play. Don’t stand near the speakers.
Sirens - 110 to 129 dB. The sirens from an ambulance, police car, or fire truck can cause some hearing loss in under a minute. When you see one of these vehicles approaching, get away from the noise, if it’s possible (you can close your car windows.) If you are outdoors, simply plug your fingers in your ears until after they pass by.
Fireworks - 140 to 160 dB. Fireworks are fun to watch, but they can harm your hearing. If a firecracker explodes close to your ear, you can completely lose your hearing. Protect your ears by wearing earplugs or earmuffs, and watch from a safe distance.
Hearing Loss Warning Signs
Warning signs, such as pain or ringing in the ears, don’t occur until there is hearing damage. If you notice that loud noises aren’t as aggravating as they used to be, this indicates that you have lost some of your hearing.
You can figure out whether your environment is dangerous to your hearing if you need to yell at someone who is standing just a couple of feet away, in order to communicate with them. This means you should put your earplugs in, or go to a quieter space.
If you or a loved one are experiencing hearing loss, contact us at Pure Sound Hearing for a complimentary hearing test and consultation.
Just about everyone has experienced getting a song stuck in their head. But have you ever heard a tune that isn’t actually playing?
You could have a condition known as, musical ear syndrome (MES) or musical tinnitus. This is similar to tinnitus, except you hear music or singing when there’s no actual source for the sounds.
If you are experiencing this, be aware that this is NOT an early sign of dementia. However, it may be the result of hearing loss.
Let’s learn a little more about MES, treatment options, and whether there are tricks to lower the volume.
Musical Ear Syndrome: An Explanation
MES is a chronic condition that causes musical auditory hallucinations. It’s actually fairly common but rarely diagnosed. It’s derived from hearing loss, but the basic details of this condition are still unknown.
The brain gathers information from your five senses to help you understand your environment. When you have complications with your hearing, the brain won’t completely shut off its functioning. Instead, the brain will find something to replace the lack of ability to hear with a sound that will stimulate it. It essentially fills in the void with noises that it has heard in your different environments. An assortment of sounds can be produced. When it comes to MES, the brain will replace the void with music.
Do we know the causes of Musical Ear Syndrome?
Even though the logistics of MES are still being researched and studied, some causes of the syndrome have been identified.
1. Hearing Loss
Disregarding other hallucinatory or cognitive symptoms, hearing music that is not actually playing may be caused by hearing loss. It is possible to have MES and other conditions like dementia.
2. Wearing a Cochlear Implant
Some reported cases that caused MES includes the insertion or removal of a cochlear implant.
The connection between cochlear implants and MES has not been thoroughly analyzed, so there is insufficient information. A study on 82 patients, showed that 22 percent had developed MES - 7 prior to implantation and 11 post-implantation.
Some medications can induce hallucinations, which include auditory hallucinations. These instances generally include hearing voices or noises.
It is very uncommon that medications would cause MES. If you do notice that your medication is causing any type of hallucinations, mention it to your healthcare provider.
What are treatments for Musical Ear Syndrome?
1. Hearing Aids
Getting treatment for hearing loss could reduce the symptoms. If your hearing can be improved with hearing aids, that could help stop your brain from trying to fill in the blanks.
If your MES is not being induced by your medication and you have run out of options, other medications might help. Here are some medications that have been used to treat MES:
There are possible side effects to every medication, so talk to your healthcare provider before selecting a treatment option.
Changes in Your Lifestyle
Other things that you can do, besides hearing aids and medical treatments, are little changes to your daily routine that may reduce the impact of MES.
If you can hear, whether it’s with or without a hearing aid, add some external noises. This may seem unusual or unhelpful, but listening to music or background noise might deter your brain from creating its own noise.
Strategies to practice if the music is distracting you:
Activities to practice in order to lower stress in connection to MES:
MES happens when you hear music even when there’s no outer source that is creating it.
It is created in your brain. It is NOT a psychological problem or symptom of dementia. It’s generally caused by some range of hearing loss, but it’s difficult to pinpoint the exact origin.
Treating hearing loss with hearing aids could be a solution to MES. If you have MES, find out whether you have hearing loss by contacting us at Pure Sound Hearing for a free hearing test and consultation.
It’s important to protect your hearing health. Poor hearing can negatively impact your daily life, interactions with other people, your job, your income, and your overall health. This is why it is crucial to learn the difference between earplugs and earmuffs. Both of them can protect your ears, but they help in very different ways. It all comes down to your personal preferences. Before selecting hearing protection, do some research.
Protection for Your Hearing
Hearing protection can help preserve your hearing health and the health of your ears. They are meant to be worn either in or around your ears when you are in an environment with noise levels that exceed the average human’s hearing threshold of 80-85 decibels.
Devices used for hearing protection are made to decrease the risks of noise-induced hearing loss, which can be annoying and in some instances irreversible. Equipment used for hearing protection can help shield your ears from noise-related syndromes such as overall discomfort, hypertension, stress, and tinnitus. There are two primary types of hearing protection: earplugs and earmuffs. Let’s learn about their differences and similarities.
Earplugs will provide the most protection for those who wear them. Generally, they are small, shaped like a tube, and can be inserted in your ear canal. There are disposable and reusable versions. You may select foam earplugs, custom molded or preformed earplugs, musician earplugs, electronic earplugs, or non-linear acoustic earplugs that are filtered.
Earplugs are easy to take with you when you’re on the go, because they are small and lightweight. They are more affordable than earmuffs, and disposable earplugs are even less expensive than reusable ones. Earplugs are comfortable to wear, especially if you have to work in a hot, humid environment or an area that has confined space.
The downside of earplugs (both reusable and disposable) is that it takes extra time to place them in your ears correctly. They need to be properly placed in your ears in order for them to function at an optimal level. It is recommended that you place the earplugs in your ear’s canal, then use your fingers to dig them in and out of the canal until they feel comfortably fitted.
Good hygiene is important while touching your earplugs. Your hands should be clean whenever you handle your earplugs, otherwise, they can become infected or irritated with dirt and bacteria. Keep your earplugs in a case or purchase a pair with cords attached, so that you don’t misplace them.
Earmuffs have a basic design that is intended to block out noise. It looks like a headband that features ear cups on each end. The ear cups are donned on the outer part of the ear while utilizing the headband’s clenching force to ensure that it fits comfortably on the head as it obstructs loud sounds. You may select the standard earmuffs, click-onto helmet earmuffs, active electronic earmuffs, or active noise reduction earmuffs.
Earmuffs are easier to wear and remove than earplugs. They are usually worn in environments with an irregularity of noise. They are also designed to fit most head shapes. No matter what size your head is, you can find earmuffs that will fit. It’s easier to find and keep track of where your earmuffs are since they are larger than earplugs.
The less convenient aspects of earmuffs are that they are heavier and not easily portable. Due to their size and difficulty to travel with, earmuffs can also be a hassle to wear along with your current personal protective equipment (PPE). Earmuffs also tend to be uncomfortable to wear in warmer weather.
If you, or a loved one, are experiencing hearing loss, get in touch with us at Pure Sound Hearing for a free hearing test and consultation with one of our hearing instrument specialists. We offer hearing aid solutions, assistive listening devices, and hearing protection for your individual needs.
A study conducted on American adults explored the possible connection between hearing loss and Chronic Obstructive Pulmonary Disease (COPD).
COPD is a chronic inflammatory lung disease that blocks airflow from entering the lungs. When oxygen levels in your blood drop, this can harm your hearing by preventing healthy blood flow to your ears. Like all of the organs in your body, your ears need healthy blood flow to function properly.
Symptoms of COPD:
Causes of COPD include long-term exposure to:
Complications related to COPD:
When you have poor blood flow, this can negatively impact your hearing health. Just like all of the organs in your body, your ears need healthy blood circulation to function properly.
The best way to prevent COPD is to:
If you or a loved one are experiencing hearing loss caused by COPD, or any other reason, please contact us at Pure Sound Hearing for a free hearing test and consultation.
According to a 2016 study from the JAMA Otolaryngology-Head & Neck Surgery, wearing earplugs is effective in preventing temporary hearing loss that is caused by exposure to loud music over the course of several hours.
In a study on 51 adults (with an average of people who were 27 years old), researchers randomly selected 25 people and asked them to wear earplugs that were provided by the researchers while attending an outdoor concert. The other 26 concert attendees did not wear earplugs. The earplugs had a reduced rate of 18 decibels (dB). Before and after the 4.5-hour concert, a standard hearing test was conducted on each participant.
The authors of the report concluded that eight percent of the participants who wore earplugs for the duration of the concert had some temporary hearing loss; whereas 42 percent of the participants who did not wear earplugs experienced some hearing loss.
Tinnitus - a beeping, buzzing, hissing, ringing, etc. noise that can be caused by exposure to loud noises - was diagnosed in 12 percent of participants who donned earplugs, compared to 40 percent of participants who did not wear earplugs.
Hearing loss can be caused by a number of reasons from machinery used in a work environment to leisure activities. The only way to prevent noise-induced hearing loss (NIHL), is by wearing hearing protection - such as earplugs or earmuffs - or limiting the amount of time you are exposed to dangerous noise levels.
If you or a loved one experiences hearing loss caused by exposure to loud noises or any other reason, please contact us at Pure Sound Hearing for a free hearing test and consultation. We offer many hearing aid styles and some assistive listening devices for your specific hearing needs.
When experiencing a health problem, you want to quickly get answers for it so that you can begin treatment options as soon as possible. The best and timely treatment can help get better and quicker results.
When you have a cold or allergy, you treat them with different medications. The same thing goes with hearing loss. When you give more details about your experiences and problems, it makes it easier to narrow down the possible causes and treatments. You can think about:
When thinking about these things, you can address the specific issues with your hearing loss, discuss the best treatment options for you, and then go back to living your best life.
What type of hearing loss am I experiencing?
Hearing loss can be classified under three categories: sensorineural hearing loss, conductive hearing loss, or mixed hearing loss.
Sensorineural hearing loss
Sensorineural hearing loss is the most prevalent type of hearing loss. It occurs when the inner ear nerves and hair cells have deteriorated - as a result of age, exposure to excessive noise, an injury, or an illness. This type of hearing loss cannot be corrected with medication or surgery, but it can be treated with hearing aids.
Conductive hearing loss
Conductive hearing loss is caused by a blockage in the outer or middle ear. The blockage can be from earwax, fluid, a tumor, or even the way your ear is naturally formed. This obstruction prevents noise from traveling into the inner ear. Treatment options for conductive hearing loss include surgery or medication.
Mixed hearing loss
Mixed hearing loss is simply a combination of sensorineural and conductive hearing loss.
Causes of hearing loss
There are a number of causes for hearing loss. The top two causes are aging and exposure to loud noises. Age-related hearing loss (presbycusis) and noise-induced hearing loss (NIHL) are causes of sensorineural hearing loss.
Here’s a list of other less common forms of hearing loss:
How severe is my hearing loss?
The only way to find out is to get a hearing test by a trained professional on an audiogram. A number of tests will be administered, and there will be a record of your hearing thresholds. Your hearing instrument specialist will make note of the softest sounds that you are able to hear at various frequencies and tones. The results will be recorded on an audiogram - a visual depiction of the sounds you struggle to hear and how severe your hearing loss is.
Schedule an appointment A.S.A.P.
To get answers to these three questions, contact us at Pure Sound Hearing and schedule an appointment. Our providers will give you a hearing test, go over your results, and treatment options.
Did you know that you can experience noise-induced hearing loss, without even knowing it?
Our environments are getting louder and louder every year. Whether it’s due to traffic noises, machinery that’s used on the job, or attending a concert. Taking the proper precautions to prevent noise-induced hearing loss (NIHL) is not only easy to do once you know how, but you can protect yourself from future health problems that are linked to hearing loss.
As mentioned on this blog, there is a different segment of the population that is experiencing NIHL: Millennials. This generation is constantly using their smartphone to listen to music and podcasts, watch videos, and stream Netflix. And they are listening at dangerous volume levels.
According to the World Health Organization (WHO), NIHL is considered a global public health emergency. One in every 5 teens between the ages of 12-19, has quantitative hearing loss due to loud noise exposure. Currently, those who are at risk of NIHL are significantly high. The WHO estimates about 1.1 billion young people around the world experience NIHL. It’s important to raise awareness about this issue because NIHL is the only type of preventable hearing loss. Other forms of hearing loss can be present at birth, caused by different diseases, or can be the result of taking certain medications.
The Consequences of Untreated Hearing Loss
As frequently mentioned in this blog, hearing loss that goes untreated can harm the heart and brain; lead to mental health problems such as depression, disrupt sleep patterns, and cause cognitive decline.
These things can affect your school and work performance, which can negatively impact your income. Don’t put your life or future at risk, especially when there are preventative measures that you can take.
Hearing loss can happen to anyone, at any age, at any time in their life. A one-time exposure to very loud noise - or even exposure to loud noises over a long period of time. Be aware of the noise levels in your environment, and protect yourself with earplugs, earmuffs, or by simply moving away from the source of the noise.
Damage to your auditory system can build up over time. The louder the noise and the longer you are exposed to it, the higher risk you are at permanently damaging your hearing.
There are ways to protect yourself.
Keep the Volume Low
Previously, dangerous noise levels were considered to start at 85 dB. But recently that’s changed to anything over 70 dB (normal conversational tone). The Centers for Disease Control and Prevention (CDC), considers any sounds that are at 70 dB or lower to be safe.
Turn the volume down on your smartphone, record player, mP3 player, or whatever you prefer listening to your entertainment on. Sounds that reach 100 dB or more, can lead to permanent hearing loss in 15 minutes. You can change your settings to make your devices only reach 70 dB at the maximum level. Others even recommend listening at 50 percent of the overall volume range. It would be best to start out at the lowest setting, and gradually raise the volume to a comfortable setting.
Take breaks in between listening to rest your ears. These breaks can just be for a few minutes every hour. Stay as far away from speakers as possible, when attending a concert.
If there’s a noise you cannot control, simply walk away. If that’s not possible, use earplugs to block out noise. This includes using them in mundane settings like in a kitchen with a very loud oven timer, at a restaurant, in bars, at the subway, or when working out in a gym.
Try out some different earplugs, and test them out until you find a pair that you like and work for you.
Always be aware of your surroundings. It’s the best way to prevent possible hearing loss.
If you or a loved one are in need of hearing aids, please contact us at Pure Sound Hearing for a free hearing test and consultation. If you don’t have a way to protect your hearing, stop by one of our offices and get a pair of earplugs.
A study from Geriatrics Healthcare Professionals concluded that there is a connection between osteoporosis and a greater risk of hearing loss. This study indicated that individuals who had moderate or high levels of hearing loss were 40% higher in the group who had osteoporosis. The test subjects (more than 144,000 women) were part of the research over several years. If you have osteoporosis, you should consider getting an annual hearing test.
Results from the Study
The research was conducted by the Brigham and Women’s Hospital as part of the Conservation of Hearing Study (CHEARS). They looked over data from about 144,000 women for up to 34 years. Data from two extensive Nurses’ Health Studies (NHS and NHS II were utilized. The studies were observing two large groups of female registered nurses. One group was established in 1976 and the other in 1989.
The study concluded that the risk of hearing loss was greater in women who had osteoporosis or LBD (Low Bone Density). Taking bisphosphonates did not lower the higher risk. They discovered that the risk of moderate or worsened hearing that occurred later was up to 40% higher in participants with osteoporosis or LBD.
Having a history of fractures in the vertebrae was linked to a 40 percent risk of hearing loss. This was not the same in the case of hip fractures.
There is still ongoing research on this subject. Future studies will observe whether the intake of calcium and Vitamin D has any impact on hearing loss since these are commonly used supplements to help prevent osteoporosis.
If you have osteoporosis - or notice hearing loss, you should regularly get a hearing test. Contact us at Pure Sound Hearing to schedule a hearing test and consultation.
Hearing loss is prevalent among 1 in 5 children, who are under 18 years old. Without treatment, hearing loss can have serious negative impacts on the brain, speech, language acquisition, education, socializing, and overall development.
Onsets of Hearing Loss and Treatment Options
Hearing loss can be present at birth, caused by genetic factors, or noise-induced. A hearing evaluation should be conducted if there is any suspected hearing loss that is based on a possible diagnosis, type of hearing loss, whether it’s unilateral or bilateral, the range of hearing loss, age of onset, and any other possible causes like cranial radiation - this can induce sensorineural hearing loss (SNHL). Rehabilitating a child’s hearing loss may include wearing hearing aids, cochlear implants, bone-anchored devices, or using assistive listening devices.
Since hearing loss has become very common in children, there has been a lot of progress in identifying and treating them. Discovering the loss in the early stages can significantly help with treatment, and guide family members so that they can adequately help the patient and give the patient the best possible outcome.
Here’s a list of articles on the negative impacts of not getting treatment for a child with hearing loss:
Hearing Loss: Struggling Students
Hearing Loss and Your Child’s Academic Performance
Children and Adolescents with Hearing Loss can Experience Friendship and Loneliness
If you or a loved one are experiencing hearing loss, please contact us at Pure Sound Hearing for a hearing test and consultation.
It’s rare to experience sudden hearing loss after getting dental care, but there have been some instances where this has happened. It’s important to seek help if any hearing problems suddenly come up, whether they are noticed shortly after your dentist visit. Early detection and treatment can help to prevent worsening symptoms.
Experiencing sudden hearing loss, which could also come with tinnitus, feelings of fullness in the ear, or dizziness, can be caused by inflammation after receiving dental work. There’s a very low chance that the issue was caused by an ear infection, but it’s possible that an existing infection was irritated by drilling or deep cleanings.
There’s a chance that the hearing loss could be caused by not receiving regular dental care. Tooth decay, abscesses, and inflamed gums have been linked to temporary hearing loss and tinnitus. Medications that are taken to reduce tooth pain can also lead to hearing loss.
Hearing Loss caused by Toothaches and Pain Relievers
Pain relievers like aspirin, acetaminophen, and ibuprofen are safe and effective when taken as directed for temporary relief. But if you are trying to relieve the pain in your gums and decaying teeth due to not being able to afford dental care, you might give in and take more than the recommended dosage.
High doses of aspirin, or even moderate doses that are taken frequently, can cause temporary hearing loss and tinnitus.
Causes and Treatments for Tinnitus
Tinnitus is associated with phantom sounds of buzzing, ringing, or whistling noises. There is no exterior source for these noises. In some instances, the sounds of tinnitus may throb at the same pace as the person’s heartbeat. The sounds might sound loud or faint, could be heard continuously or on occasion, and might be heard in one ear or both ears.
Nearly 1 in 5 people have some form of tinnitus. Tinnitus itself is not a health condition, rather it’s a symptom of a condition. For example, it could be a symptom of an ear injury, a problem with your circulatory system, damage to the inner ear, dental inflammation or gum infections, exposure to loud noises, or presbycusis (age-related hearing loss).
If you or a loved one experiences hearing loss and/or tinnitus, contact us at Pure Sound Hearing for a free hearing test and consultation from one of our hearing instrument specialists.
We’re all feeling a bit stressed these days. Throughout the pandemic, approximately 4 in 10 American adults reported feelings of anxiety and depression. That number was lower before these current circumstances with just 1 in 10 adults who felt these symptoms in 2019.
A Kaiser Family Foundation (KFF) - an independent source of health policy information - discovered that many adults have reported poor states of mental health and overall well-being. These included struggling to sleep (36%), a rise in alcohol consumption/substance abuse (12%), and a decline in chronic conditions (12%) due to anxiety and stress caused by the pandemic.
Tinnitus does not Pair well with Stress
Reports of tinnitus (a ringing sound in the ears) have surged since the beginning of the pandemic. This was inevitable, as stress is a contributor to tinnitus.
Several studies in the past have shown that tinnitus symptoms can be exacerbated due to stress, insomnia, and a poor diet. Consuming too much alcohol or caffeine can also make tinnitus symptoms worse. Day-to-day worries about dealing with family, security in your job, interpersonal relationships, and contracting the virus have raised stress levels and feelings of pessimism.
Dealing with tinnitus can be problematic and induce stress. It becomes a vicious cycle.
Hearing Loss Caused by Stress
Depending on your age, you may not consider stress when it comes to your hearing health or your overall health. But stress can induce hearing loss.
When your body responds to stress, adrenaline overproduces which lowers blood flow to the ears. This affects your hearing. The hair cells in your ears need constant blood flow to get the proper level of oxygen and other nutrients. When recurring moments of stress build up, this can disrupt blood circulation throughout the body. The lack of constant blood flow to the hair cells can lead to damage. In some cases, this can cause permanent hearing loss.
It’s easy for many of us to know when anxiety interrupts our well-being, but the idea that our hearing might be affected may not be very obvious. As frequently mentioned in this blog, hearing loss can lead to or even worsen symptoms of anxiety and depression.
Hypertension, commonly known as high blood pressure, is also problematic for hearing health. High blood pressure can lead to damaged blood vessels. This deterioration doesn’t just impact one part of the body. Your whole body, including your ears, is affected.
Ways You Can Reduce Your Stress Levels
Everyone can use some awareness and coping mechanisms to help themselves and their loved ones.
Take these small steps to reduce feelings of stress. You may find that it can make a big difference! Healthy habits can improve your overall well-being.
If you or a loved one are experiencing hearing loss and/or tinnitus, please contact us at Pure Sound Hearing for a free hearing test and consultation.
Could there be a connection between Tinnitus and COVID-19?
There is possible evidence that shows this is the case. A study from the University of Manchester reported that 6.6% of patients claimed to develop tinnitus after being hospitalized for COVID-19.
It’s important to note that tinnitus can worsen in people when they are under too much stress. A global study found that some who already experienced tinnitus felt their symptoms had become worse due to lockdown and new pandemic regulations.
Could there be a connection between Tinnitus and long-COVID?
There have been reports of tinnitus as one of the side effects of long-COVID. Again, stress may also be a cause for the onset or worsening symptoms of tinnitus.
Please know that there are many ways to manage tinnitus. Simple techniques such as:
Have Your symptoms of Tinnitus worsened since working from Home?
Working from home has been a change for some and a challenge for others. Usually, it gives you a quieter environment. This means there’s less distraction in general, and also less distraction from tinnitus. It also means less face to face interactions and more video calls, which can cause additional anxiety and stress. When possible, relax when you can. When you’re not working, do things that bring you joy.
Is the frequent use of Headsets giving you Anxiety and Negatively impacting your Tinnitus?
If you are using headsets more often while working from home, you may be concerned that it’s making your tinnitus worse.
Here are some simple tips for safely using headsets to protect your hearing:
Do You Feel Anxious about Navigating through the Pandemic and Post-Pandemic?
We are currently in between continuing to live through the pandemic while trying to ease into a post-pandemic life. You may still notice feelings of anxiety and stress, which can impact your symptoms of tinnitus.
Please be aware that no one knows what the future is going to look like, and we can’t worry about things that are beyond our control. It’s absolutely normal to feel anxious due to these significant changes. So when it’s possible, take time out to do things that you enjoy.
Tinnitus and hearing loss often go hand in hand. If you have recently developed tinnitus, and/or notice hearing loss, contact us at Pure Sound Hearing for a free consultation.
As more people are getting back to traveling by plane, ear pain caused by air pressure may be inevitable for some.
Usually, the pain that you feel in your ears is a minor discomfort. In other cases, it can turn into a serious issue. In rare occurrences, ear pain and pressure can result in hearing loss.
More Ear Pressure
The shifts in air pressure affect the pressure in your ears. Generally, the air pressure in the inner ear and the air pressure outside are nearly identical. When you walk up a large mountain, the slow speed of your ascent gives your body time to distribute the pressure, which equalizes it while walking. The discomfort you feel, due to increased ear pressure only happens during a quick shift in altitude. The pressure inside your inner ear and the pressure coming from outside do not have enough time to equalize. This is known as ear barotrauma.
When the airplane that you aboard take flight, it starts its ascent, and the air pressure in the inner ear quickly passes the pressure outside. The eardrum swells outward, like a loaf of bread that rises as it bakes in an oven.
On the contrary, when the air pressure in the inner ear quickly gets lower than the air pressure outside, the tympanic membrane will get suctioned inward like a vacuum. The Eustachian tube becomes flat and needs your help to bring airflow into the inner ear so that it can function properly. It doesn’t matter if you are rapidly going into a high altitude or low altitude, when the eardrum stretches it can be painful.
When experiencing this, since the eardrum cannot vibrate you will also notice some hearing loss and muffled noises.
3 Ways to Prevent Ear Pain in Flight
When flying on an airplane, you may have felt the shifting altitudes on your ears, i.e. feelings of fullness in the ear and popping. Pressure needs to be equalized by presenting as much air as possible through the Eustachian tube. Here’s how to do that:
1. Swallow or yawn - Doing this will help airflow through the nose to the middle ear, which will equalize the pressure. When you swallow, the clicking or popping noise that you might hear is actually a tiny air bubble that drifted from the back of the nose and into the middle ear through the Eustachian tube. This tube makes sure that there is regular airflow in the middle ear. This air becomes absorbed into the inner ear’s membranes and the cycle repeats. This continuous air flow makes sure that the pressure on each side of the ears remains equal. Swallow or yawn as many times as necessary. When flying on an airplane, make sure the Eustachian tubes are working more than usual and open them up more often in order to adapt to the pressure change.
2. Chew gum or suck on hard candy - Doing this will encourage you to frequently swallow, which helps to equalize air pressure.
3. The Valsalva Maneuver - To do this maneuver, inhale air and hold your breath. Then close your mouth and pinch your nose shut. Gently release the air out until your ears pop. This will open up the Eustachian tubes. This maneuver is not meant to be used if you have allergies or a cold, because it may lead to a severe ear infection. You should use the Toynbee maneuver. This is when you close your mouth and nose while swallowing several times until you reach equalized pressure. Repeat either technique as necessary.
6 Additional Tips
Airplanes and Ear Pain in Children
The Eustachian tubes in children are significantly smaller and narrower than in an adult. This is why a change in air pressure is much more painful for them. Sucking on a bottle or pacifier is helpful in order to increase the number of times the child swallows, especially when the plane is about to descend.
Older kids can suck on a lollipop, drink through a straw or blow bubbles through a straw in order to relieve pain in the ears. Before the plane ride, you may talk to your pediatrician about ear drops for pain relief.
The Risk of a Ruptured Eardrum
If you have allergies, a cold, flu, or any other similar illness, you may want to change travel plans. It would be considerate to the other people on the plane, and your illness may include a blockage of the Eustachian tube, which would prevent pressure equalization. If your eardrum becomes ruptured or if you have a severe infection, either one may lead to hearing loss or permanent damage to your ear.
If you experience hearing loss due to a plane flight, and your hearing has not gone back to normal, within several days after your flight, contact us at Pure Sound Hearing to schedule an appointment at one of our offices in Elizabethtown, Lititz, Mt. Joy, or Strasburg.
If you’re a city dweller, you are probably used to the bustling sounds in the streets. All traffic that occurs throughout the day and into the night can put your hearing health at risk. Whether the noises come from nearby airports, sports arenas, highways, or construction zones, neighborhoods in the city produce a lot of noise pollution that impacts a vast amount of people.
The Noisiest Neighborhoods
Los Angeles, New York City, and Chicago are some of the loudest cities in the U.S. Residents are exposed to at least 80 decibels (dB) of noise from transportation per day! There are even heavily traversed areas that emit more than 90 dB. You should wear earplugs or earmuffs to protect your hearing in those areas, especially if these are places you travel through daily.
You can look at this map to get a better picture of what we’re talking about.
Is there a Negative Impact on Property Value for Noisy Neighborhoods?
It’s difficult to avoid loud areas, especially in a big city or suburban area with highways or an airport nearby. It’s important to spread awareness about potential hearing loss, so that others may take preventative measures. Realtor.com has reflected on noise levels vs. property value. They have indicated that more people prefer quieter environments, so the prices of homes will reflect that.
Noise in the Workplace
Exposure to dangerous noise levels while on the job should concern you. If you do not currently protect your hearing health, you should talk to your manager about being provided with earplugs or industrial ear muffs. Check the noise levels in your work environment by using a decibel meter app. Anything over 85 dBs is considered to be a dangerous level of noise exposure.
Talk to family, coworkers, and friends about their exposure to noise in heavy traffic, construction, and concerts while working with power tools, operating heavy machinery, using common electric appliances around the home, etc. All of these interactions could lead to hearing loss. To be safe, always carry around a pair of foam earplugs with you. They can easily be stored in your pocket or handbag. Get your hearing tested at least once a year.
How Would You Know If You Had Hearing Loss?
Hearing loss happens very slowly over time. Most people won’t catch it early. This is especially true if you are constantly exposed to loud noises, whether it’s in a workplace environment or if you live in a bustling city. If you find yourself turning up the volume on your devices, moving closer to people to hear them better, asking others to speak up, or it's challenging to hear others in noisy environments, you might have hearing loss.
If you need a hearing test, please contact us at Pure Sound Hearing to schedule an appointment at one of our office locations in Lititz, Elizabethtown, Mt. Joy, or Strasburg.
It’s time to look forward to sunny weather and summer holiday gatherings! And with these get-togethers, you’ll want to make sure you can still enjoy conversations by hearing your best. Here are some tips on how to protect your hearing health and, if you are a hearing aid user, get the most out of your hearing aids.
According to the National Institute of Deafness and Other Communication Disorders (NIDCD), one in three Americans between 20 to 69 years old, experience noise-induced hearing loss (NIHL).
NIHL is the only preventable type of hearing loss, so you should always carry a pair of foam earplugs with you.
Inserting the earplugs into your ears, while being in loud environments - such as watching a fireworks display or going to a sporting event - can reduce the noises and the chance of permanent damage to your ears.
Be aware of Swimmer’s Ear
This condition can be painful and may cause temporary hearing loss. The Centers for Disease Control and Prevention (CDC) advise that you should:
Hearing Aid Users
If you are a hearing aid user, be aware that you will probably come in contact with more humidity and moisture caused by sweat and hotter temperatures this summer. As with any electronic device, water can damage your hearing aids.
This is why it’s so important to keep your hearing aids dry. You may get a hearing aid dehumidifier, which has desiccant and place the devices inside to extract moisture due to condensation, humidity, or sweat.
If you or a loved one are a Lancaster County resident who experiences hearing loss, contact us at Pure Sound Hearing for a hearing test and consultation.
According to the Cleveland Clinic, 75% of Farmers experience hearing loss as they age. Other jobs that induce hearing loss include construction work, factory work and musicians.
Driving or working around an operated tractor, for hours at a time without hearing protection can lead to noise-induced hearing loss (NIHL). Hopefully, by raising awareness about this issue, preventative measures can be addressed among the farming community.
Whether you or someone who you know is a farmer, reach out to us at Pure Sound Hearing and schedule a free hearing test and consultation.
Did you know that the month of June is dedicated to men’s health?
On average, men tend to ignore their health at a higher rate than women, which leads to so many other health problems down the road.
It’s important to raise awareness on men’s health, particularly preventative health measures that can be detected and treated if it’s caught in the early stages.
Hearing loss is more common in men, due to the fact that they are more likely to work in an environment that’s louder than the average work setting - including construction zones, mines, industrial areas, etc.
Hearing loss that goes untreated can lead to more risks of falls, lower opportunities for employment, lower salaries due to an inability to accurately perform tasks, social isolation which can lead to depression and dementia.
Preventative care isn’t the only reason to treat your hearing loss.
Healthy hearing is good for your overall health. Being included in conversations or enjoying music or TV, and not missing out on things like a good joke and laughter is important for your mind, body, and spirit.
The old stigma of wearing hearing aids is no longer valid among the younger generations. Many people wear their devices proudly, but if you’re still uncomfortable with visible hearing aids Pure Sound has discreet hearing aids available.
Get back to enjoying the sounds of music, fun, and laughter. Contact us at Pure Sound to schedule a hearing test and consultation.
Are You Hearing a Rumble in Your Ear? You may be Experiencing Tonic Tensor Tympani in addition to Hearing Loss.
Are you hard of hearing and experienced a vibrating sensation and the sounds of rumbling in your ear? You may not be able to completely describe this new feeling, as it may not resemble your average type of tinnitus.
The rumbling is actually a common symptom of tinnitus. It tends to occur as a way of protecting your ears from noises that are too loud. There are some treatable conditions that may cause this rumbling.
What causes the sound of rumbling in your ears?
In some cases, the rumbling sound resembles rushing water or wind that’s whisking through the air and into your ear.
As mentioned, a rumbling sound is used to safeguard your ears. The ears protect themselves by tightened muscles in the inner ear, which suppress sounds. These muscles are known as “tensor tympani”.
These muscles can pull the malleus (a bone that helps with the ability to hear) in the ear away from the eardrum. Therefore, the eardrum cannot vibrate as much as it normally should. This stifles the ear, causing the rumbling noise.
This could happen while:
It’s important to note that these sounds are not experienced by everyone, but some people do notice the rumbling sounds during these occasions.
Hidden Medical Reasons
In some cases, there are underlying medical issues that can lead to a rumbling sensation to the ear. These causes can include:
There are treatments for both of these conditions.
Some people can consciously generate these sounds.
In some instances, you can control this rumbling sound. There’s a small subdivision of people who have the ability to contract their tensor tympani muscles in their inner ear whenever they want.
Some people create the sounds subconsciously.
One way to notice whether you are creating the sound is if you anticipate hearing the rumbling sound when you are about to do a specific thing, such as yawn.
If you have the ability to control when the tensor tympani muscles contract, this could be useful for protecting your ears from louder inner noises. If you can tense your muscles, you may also be able to shield against low-frequency noises so that you can hear higher (and usually more difficult to hear) sound frequencies that are higher in pitch.
Being able to contract these tensor tympani muscles isn’t something that you should be worried about.
Tonic Tensor Tympani Syndrome (TTTS)
This is a rare type of tinnitus. This is a form of objective tinnitus, meaning that both the person with the condition and others can hear a sound. Patients with TTTS hear sounds in a different way.
TTTS is also considered a form of pulsatile tinnitus. This means that the condition is related to irregular blood flow. Individuals with high blood pressure, blood vessels with calcifications, and other conditions can have this type of tinnitus.
Is Tonic Tensor Tympani associated with Tinnitus?
As frequently mentioned in this blog, tinnitus is the sensation of hearing a noise when there isn’t an identifiable source of the sound nearby. People have often described it as a chirping, clicking, hissing, ringing, roaring, or whooshing noise.
The impact of tinnitus on hearing health varies from person to person. Some experience tinnitus due to irregularities in their blood vessels. Others encounter issues with muscles in their ears, including the tensor tympani muscles.
There’s a possibility that the rumbling noise is tinnitus, particularly if it doesn’t happen when chewing or yawning.
If you or a loved one are experiencing tinnitus and/or hearing loss, please contact us at Pure Sound Hearing for a free hearing test and consultation.
Healthy hearing is important in the development and quality of a child’s life. Without proper treatment, children with hearing loss can fall behind when it comes to establishing their communication, language acquisition, learning abilities, and social skills. Some parents or teachers may mistake a child’s hearing loss for a learning disability or a stubbornness when it comes to learning new things.
Today, more and more hospitals screen newborns for hearing loss. When an infant is born with hearing loss, this is known as congenital hearing loss. This type of hearing loss is usually genetic.
Temporary Hearing Loss
Some children may experience temporary hearing loss. If this type of hearing loss frequently occurs, it can be harmful to children’s speech and language acquisition as they age. It can also cause deterioration to the eardrum, bones inside your ears, or auditory nervous system which can lead to sensorineural hearing loss, which is a type of permanent hearing loss.
A Parental/Guardian’s Guide to Children’s Hearing Loss
Normally, parents or guardians will not immediately notice hearing loss in their child until other problems arise. If there is no immediate treatment for the child, the condition could get worse and become more difficult to manage. Your child will most likely receive a hearing test in school, and if they do not they should be receiving one at their annual doctor’s visit.
Based on how severe the hearing loss is and what the cause was, hearing aids may be recommended.
What are Hearing Aids?
Hearing aids are powerful electronic devices that can help make sounds clearer for people with a wide range of hearing loss. It essentially hones in on the sounds that a person wants to hear, using directional microphones while reducing less important background noises.
If you have a child or grandchild who experiences hearing loss, please contact us at Pure Sound Hearing for a free hearing test and consultation.
Newborns in Australia who fail their routine hearing screening test, have been asked to enter an experimental trial to determine the most common growing cause of the hearing loss.
The study is being conducted by Murdoch Children’s Research Institute, the University of Melbourne, and four maternity hospitals. The objective of this research is to explore methods to determine whether hearing loss is found in young infants, who were born with cytomegalovirus (CMV) infection at a faster rate.
Congenital CMV may be innocuous but it can also potentially cause hearing loss, along with additional neurodevelopmental disorders like cerebral palsy and vision loss in some infants. Providing a saliva swab testing kit to parents of newborns will help researchers discover the virus in the baby during the first three weeks of being born. Researchers from the Murdoch Children’s Research Institute and the University of Melbourne would like to screen 200 babies for the trial study, where three or four may have congenital CMV.
If this study is seen as a way to conduct timely diagnostic testing for congenital CMV, the team may use this screening nationwide.
If there’s a child in your family who you think may be experiencing hearing loss, please contact us at Pure Sound for a free hearing test and consultation. We offer hearing aid solutions for people of all ages and ranges of hearing loss.
After a man from Texas contracted Covid-19, he suffered from a number of symptoms. One of these symptoms was tinnitus.
It is uncertain as to whether tinnitus has a direct link to Covid-19. The World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) describe tinnitus as a symptom, but hearing issues are linked to other viruses.
The United Kingdom’s National Health Service (NHS), listed tinnitus, dizziness, fatigue, shortness of breath, etc. as symptoms of long Covid.
The Journal of International Audiology studied about 60 cases. The data uncovered that 15 percent of adults who had Covid-19 reported experiencing tinnitus. The researchers concluded that the participants in the study were detailing the symptoms of a new ailment or an existing one that was getting worse.
There has been some confirmation that Covid-19 could provoke symptoms of people with tinnitus, prior to becoming infected with the virus. According to a study published in the Frontiers in Public Health journal, in a survey from 3,100 individuals who had tinnitus, 40 percent of the 237 respondents who contracted Covid-19 reported that their symptoms were “significantly exacerbated” after becoming infected.
As mentioned in our previous blog posts, many viruses can poorly impact our hearing health. This includes measles, mumps, and rubella. Medications that are taken to reduce the spread of Covid, might worsen symptoms of tinnitus. We are well aware of the vicious cycle that can occur from stress-induced tinnitus. The study mentioned how an increase in stress for just about everyone due to fear of catching the virus, or social distancing have intensified feelings of isolation and loneliness. Home-schooling has also increased levels of stress, as have people over consumption of coffee and/or alcohol.
There are nearly 200 causes of tinnitus, some of which include exposure to loud noises, hearing loss, stress, and perforated eardrums. There is no cure for tinnitus, but therapy for cognitive behavior - or talk therapy that’s meant to refocus your thoughts and behavior - or training on how to acclimate yourself to the condition is available.
If you or a loved one are in need of treatment for tinnitus, contact us at Pure Sound Hearing.