Volume 20 Issue 4

HOH-LD-News
Vol. 20, Issue 4
July 24, 2004

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Table of Contents
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- Article 1: SHHH Exhibit Floor - Part 2
- Article 2: Otoprotective Agents Sought for Noise-Induced Hearing Loss
- Article 3: Cordless Phone Incompatibility and What to Do About It
- Article 4: Hearing Aid Uses Artificial Intelligence
- Classifieds
- Contact Information and Disclaimers

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Contact information and disclaimers are at the end of this newsletter.
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- Article 1: SHHH Exhibit Floor - Part 2
By Cheryl Heppner
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Editor: One of the best things about hearing loss conventions is the exhibit floor, where vendors of hearing loss products display their wares. Cheryl Heppner is a master at exploring the booths to discover all the new stuff. Here's the second of several parts of her report on this year's exhibits at the SHHH convention.

This report discusses:
Deaf and Hard of Hearing in Government (DHHIG)
Advanced Bionics
Widex

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Deaf and Hard of Hearing in Government (DHHIG)

I had a chance to talk with Betty Dodds, who is active in the national Deaf and Hard of Hearing in Government organization. She told me that DHHIG is now expanding and reaching out beyond federal employees. They welcome state and local government employees who are deaf or hard of hearing to become members and be actively involved.

DHHIG will have a National Training Conference from May 9-11, 2005. This three-day conference will focus on the employment, advancement, retention and culture of government employees who are deaf and hard of hearing, as well as hearing employees with an interest in the deaf and hard of hearing community. The conference will also seek to foster communication among hearing and Deaf individuals, regardless of communication modes such as sign language or spoken English.

Attendees will have the opportunity to hear from nationally recognized speakers and trainers. They will address current realities and future trends, and the assessment and use of leadership. DHHIG's goal for the conference is to increase awareness of issues that challenge government employees who are deaf, hard of hearing, or hearing people with an interest in the deaf and hard of hearing community.

For more information:
www.dhhig.org/ntc
ntc@dhhig.org

***************

Advanced Bionics
I spoke with Jennifer Raulie to try to get a definitive answer to the question of whether equipment associated with cochlear implants is covered by health insurance. In the past four years I've shelled out a good chunk of money on four things: replacement cords for my body processor, patch cords to use with my CapTel, specially adapted VTech phone from Audex, and various assistive listening devices, and replacement rechargeable batteries. I've put off the big one, replacement of my headpiece, for far too long.

In talking with other cochlear implant users who have health insurance through my provider, Kaiser Permanente, I've found that all of them seem to have different information about what can be covered. Jennifer told me that batteries and parts are covered under a policy's "durable medical equipment". It's a good idea to contact your cochlear insurance manufacturer when you need such equipment and ask to talk to the insurance reimbursement specialist. They can help to serve as your advocate and facilitate your request.

I also asked Jennifer about changing the cords on my cochlear implant's body-worn processor. I was quite proud at being frugal and making my first cord last for over a year. When I bragged about this to my audiologist, she chastised me. She said that cords should be replaced as they age, even if they are still working, because the quality of sound can deteriorate. The next time I decided to change my cord, I just happened to be trying to learn how to follow a certain Christmas carol. Upon using a new cord, I couldn't believe the difference in quality; suddenly the words seemed clearer and sharper. But when I talked to other cochlear implant users, they'd never been told this information.

Jennifer confirmed that it's best to change cords every 6 to 12 months. Their chief enemy is body oil, which will cause them to slowly break down and the wiring inside will deteriorate.

I also got more information about the new rechargeable PowerCels batteries for their BTE models. Advanced Bionics says these will last for years and will hold their charge longer than the original ones.

For insurance info: insurance@bionics.com
www.bionicEar.com

***************

Widex
Denise Haight of Widex gave me some information about their hearing aid lineup. They have a brochure that lays it out, "Consumer Guide to Fully Digital Hearing Instruments" and their slogan is "the world leader in 100% digital hearing technology."

Widex offers five styles of 100% digital hearing aids: completely in the canal, canal, half concha, full custom, and mini and power behind-the-ear. There are three Widex selections for hearing aids. The Senso Diva is their premium model with all the bells and whistles. The Senso Plus is their mid-range model and the Bravo is their lower-cost model.

A new addition to their lineup is the Senso Vita, which is available as a behind-the-ear or completely-in-canal model. The latter is for mild to moderate hearing losses. The three behind-the-ear models are the Vita SV-9 dual microphone directional hearing aid for mild to severe hearing losses, the Vita SV-19 dual microphone directional hearing aid for moderate to severe hearing losses, and the Vita Super Power SV-38 for severe to profound hearing losses. Many of the models are available with a volume control if desired.

For info: www.widexusa.com

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- Article 2: Otoprotective Agents Sought for Noise-Induced Hearing Loss
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Editor: We've been following the development of a "hearing pill" that is intended to protect people from noise induced hearing loss. It looks like that product is rapidly becoming a reality. What about more "natural" techniques to prevent hearing loss? Are there foods or behaviors that can help protect our fragile hair cells (other than the obvious behavior of avoiding loud noises)? You may be surprised by what you read in the following article.

Reprinted with permission from The ASHA Leader, May 11, 2004. Copyright by the American Speech-Language-Hearing Association.

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by Kathleen C. M. Campbell

Given the large number of patients with noise-induced hearing loss (NIHL) that audiologists see every day, there is an intense search for agents that could protect or rescue cochlear hair cells from excessive noise exposure. Although no drugs are currently approved by the U.S. Food and Drug Administration (FDA) to prevent or treat NIHL, several hold promise.

A variety of approaches are on the horizon for NIHL. This article focuses on otoprotective agents which are likely to gain FDA approval before cochlear hair cell regeneration ultimately becomes a reality.

Hair Cell Life and Death

An unhealthy lifestyle increases the risk of noise-induced hearing loss. For example, a high fat diet can reduce blood flow. Smoking increases free radicals-molecules with only one electron in the outer shell-which can oxidize and damage other cells. Both have been implicated in increasing the risk of NIHL and have been shown to do so in animal studies. Thus, antioxidants, which detoxify free radicals, or other agents that increase blood flow may also serve to protect or rescue from NIHL.

Some natural otoprotection for NIHL may occur every day. Moderate alcohol consumption inversely correlates with the odds of having NIHL, whereas heavy alcohol consumption increases the risk. Since the 1970s, musicians have been observed to have lower than expected levels of NIHL. Exposure to music that is enjoyable, as opposed to music that is not enjoyable, decreases risk of NIHL. However, the underlying mechanisms are unclear and many musicians still get significant NIHL.

Some otoprotective agents reveal the mechanisms of NIHL in laboratory studies, but pose safety issues for humans. For example, the glutathione pathway is one of our major antioxidant defense systems present throughout the body, but directly administering glutathione systemically may be inadvisable. It is not readily taken up into cells and in some forms and at some high doses, glutathione may have its own toxicities. R-PIA (R-N6-phenylisopropyladenoisine), which increases antioxidant enzyme levels and neurotrophic factors with antioxidant properties, have shown some otoprotection in animal studies but may not be safe for systemic administration in humans because they have multiple actions in the body.

Other agents such as MK801 and carbamathione, which block the neurotransmitter glutamate, can reduce NIHL, but blocking a major neurotransmitter like glutamate has obvious safety issues. Agents that prevent programmed, apoptotic cell death have shown efficacy, but sometimes these cells die for a reason. In many cases, apoptosis (programmed cell death) is a normal and needed process and generally inhibiting it may not be the best clinical approach.

A Look Into the Diet

Interestingly, many of the most promising otoprotective agents are antioxidants that occur naturally in the diet, although not usually in amounts sufficient to provide effective otoprotection against high-level noise. For example, diets rich in vitamins A, C, and E and in selenium have been shown to reduce NIHL in animals.

Several other micronutrients have shown efficacy in preventing NIHL. For example, magnesium, which is found in fish, almonds, spinach, shrimp, bran, chocolate, seeds, whole grains, avocados, bananas, dark green leafy vegetables, and potatoes, is showing some promise. It may act by increasing blood flow or acting on the calcium channels.

Some micronutrients may function primarily as antioxidants. D-methionine (D-Met), which is found in fermented proteins such as cheese and yogurt, may act by increasing glutathione levels within the cell and as a direct antioxidant by scavenging free radicals. N-acetyl cysteine (NAC), present in brussel sprouts, may act in a similar fashion. Recent research has also shown that resveratrol, present in red wine, may also provide some protection against NIHL. Although not a nutritional supplement, there is some evidence that aspirin may also provide some protection, although further research is needed on all of these agents.

The most promising agents approaching clinical trials appear to be D-Met, acetyl L-carnitine (ALCAR), and N-acetyl cysteine (NAC). All three show good protection in animal studies when administered before noise exposure, although D-Met and ALCAR have shown somewhat better hair cell protection than NAC. D-Met and NAC also show some efficacy in preventing permanent NIHL when administered within one hour after noise exposure.

A Note of Caution

Audiologists and their patients shouldn't rush to the Web or health food store to prevent hearing loss. Before audiologists suggest menus for the prevention of NIHL or recommend any dietary pills or supplements beyond recommending a healthy lifestyle and diet, they should wait until a drug is approved by the FDA specifically for prevention or rescue of NIHL. Even then, any medication or dietary supplement should only be recommended by the patient's physician who can consider the patient's other medications and/or medical conditions. Many nutritional and herbal supplements available to the general public over the counter can interact with medications, may have side effects, may not be effective, or may be contraindicated in certain patients.

Prevention will always be the best treatment for NIHL, but for those who experience unavoidable or unexpected noise exposure, the future holds promise of an FDA -approved drug that may one day be available to reduce the incidence of NIHL.

Kathleen C. M. Campbell is professor and director of audiology research at Southern Illinois University School of Medicine in Springfield. She authored Essential Audiology for Physicians and serves on the AAA Board of Directors. Campbell is also a prolific researcher and lecturer, focusing on ototoxicity and NIHL. She holds two patents for otoprotective agents and is preparing for clinical trials. Contact her by e-mail at kcampbell@siumed.edu.

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- Article 3: Cordless Phone Incompatibility and What to Do About It
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We've been hearing for awhile that many cordless phones are not hearing aid compatible, despite federal regulation that requires compatibility (the Hearing Aid Compatibility Act of 1989). To be sure we're all on the same page, cordless phones are NOT the same as wireless (cell) phones. Cordless phones are the ones that have a base station that plugs into the phone jack in the wall, and a separate receiver that you can pick up and carry around your house.

Here's a report from SHHH-News on phones that have been reported to be incompatible and what you should do if you discover one.

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From the Desk of Brenda Battat, Director of Public Policy and States

On July 14th, 2004 Brenda Battat and other consumer representatives met with Colleen Heitkamp, chief of the FCC Enforcement Bureau, members of her staff and staff of the Consumer and Government Affairs Bureau of the FCC, to discuss the very serious issue of cordless phones not being accessible to hearing aid telecoil users. At the meeting we asked the FCC take action with companies that are violating the Hearing Aid Compatibility (HAC) Act of 1989. Cordless phones are not wireless phones. They are landline phones and have been covered by the HAC Act since 1989. By law, every cordless phone should have the capability to couple with a telecoil-equipped hearing aid and should be labeled as such.

Included here is a list of phones that we have received complaints about as not being hearing aid compatible:

Panasonic
KX-TC1713B
KX-TG2237S
KX-TG2235B
KX-TCS970B
KX-TC1871B
KX-TG2730S
KX-TG5100M 5.8 GHz expandable systems
KX-TGA510M

Uniden
DCT5285-2
TRU8885-3HS
DCT648-3HS 2.4 GHz expandable systems
TRU8885-3HS 5.8 GHz expandable systems

Vtech
i5881

Siemens
4010 2.4 GHz
4000 series

AT&T
5.8 GHz series

We need to find out if there are other cordless phones that are not designed as required by law and are inaccessible to you. If you have tried other cordless phones that do not work with your hearing aid on the telecoil setting please send the information to the FCC. Be very specific giving the following information:
Your name and contact information
Make and model of the telephone
Place where you purchased the phone or tried to purchase it
Date of purchase
What the problem is
What you would like to see done to resolve the problem

Send your complaint by email to Jenifer.Simpson@fcc.gov and fccinfo@fcc.gov and please copy battat@hearingloss.org

The FCC has indicated that they will be following up on these violations but they MUST hear from you. Thank you.

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- Article 4: Hearing Aid Uses Artificial Intelligence
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You probably already know that I'm pretty skeptical of some claims by hearing aid manufacturers. It seems that the big claims for the latest breakthrough are often followed by user reports that the newest gizmo is nice, but really doesn't help them hear better in their everyday life.

This press release discusses the use of artificial intelligence to improve hearing aids performance. I'll have to hear reports from users to be convinced that this technology works, but I do believe it has the potential to make a difference in what people hear. So I'm holding my breath to see how it works, and I'd love to get feedback from those who try this new technology.

Here are portions of the press release.

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From the newsroom of the PRNewswire, Tuesday, July 20, 2004 .....

New Thinking Hearing Aid Is First Ever to Use Artificial Intelligence to Mimic the Brain's Natural Ability to Process Sound

SOMERSET, N.J. -- Artificial Intelligence is used in many state-of-the-art products -- from cameras and computers games to car navigation and communication systems. Now, a new hearing aid with Artificial Intelligence is the first to mimic the brain's natural ability to automatically detect and optimize speech while turning down the volume on distracting sounds, an important function lost to many people with hearing impairment.

New Oticon Syncro continually scans the environment for voices and other sounds and reacts instantly to variations in sound signals, making thousands of calculations per second.

For a hearing impaired person, the split-second decisions made by Oticon Syncro deliver significantly improved hearing even in noisy environments that are the most challenging for hard of hearing people, such as busy streets, social gatherings and crowded restaurants. The tiny processor also uses Artificial Intelligence to instantly determine the direction that a sound is coming from, whether it is voice or noise, how loud a sound is and even whether the wind is blowing.

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- Classifieds
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Two Events and three Employment Opportunities appear in this issue. (Ads appear after this brief table of contents.)

Event 1
National Asian Deaf Conference
Honolulu, Hawaii
August 4 - 8, 2004

Event 2
Cruise for CI Users
From Los Angeles to Hawaii
January 19 to February 3, 2005

Employment Opportunity 1
Health Care/Mental Health
The Jewish Foundation for Group Homes
Rockville, MD

Employment Opportunity 2
Various Positions
The Learning Center for Deaf Children
Various Locations in Massachusetts

Employment Opportunity 3
Executive Assistant
Washington State Department of Social and Health Services
Office of the Deaf and Hard of Hearing
Olympia, Washington

~~~~~~~~~~~~~~~~~~~
Event 1
National Asian Deaf Conference
Honolulu, Hawaii
August 4 - 8, 2004
~~~~~~~~~~~~~~~~~~~

The Deaf of the Pacific Rim in Honolulu Hawaii will be hosting the 4th National Asian Deaf Conference. The site of the Conference will be at the Ilikai Hotel, Pacific Ballroom on August 4th to 8th 2004. Our Pageant Committee has a Search for Ladies 18-27 to compete in the Miss NADC Competition. Our Special Events Committee has a Search for "Asian/Pacific Comedians" and "Asian/Pacific Folklore Storytellers". We have Exhibit space available for those interested in selling their special items. Contact us at mailto:dpr2k3@aloha.net for further information.

~~~~~~~~~~~~~~~~~~~
Event 2
Cruise for CI Users
From Los Angeles to Hawaii
January 19 to February 3, 2005
~~~~~~~~~~~~~~~~~~~

15 Day Cruise-Hawaiian Islands for Adult Cochlear Implant Users
*****SPECIAL FARE FOR THIS CI USER GROUP CRUISE
Leaving from Los Angeles January 19 to February 3, 2005

Join Auditory Verbal Therapist William and Carol Beitzel for an unique experience combining CI therapy with social interaction on a cruise. Learn to develop and enhance your effective comfort level skills using your cochlear implant. Come along with your spouse/SO for fun/relaxation while participating in an exciting complimentary individual/group therapy program.

Contact Bill at wave307@shaw.ca .

Cruise starts at $2099 USD (pp/dbl.occ)

Info/book-contact Evelyn Sinclair at CRUISE WORLD, INC. 101-1090 Waverley St., Winnipeg, MB,CANADA R3T 0P4
1-204-925-2120 or 1-800-463-2120
FAX 1-204-475-7171
EMAIL evelyn@cruiseworld.mb.ca

LUNCHEON AND TOUR AT ADVANCED BIONICS CORP.

~~~~~~~~~~~~~~~~~~~
Employment Opportunity 1
Health Care/Mental Health
The Jewish Foundation for Group Homes
Rockville, MD
~~~~~~~~~~~~~~~~~~~

Are you looking for a career that will make a difference in the lives of others?

The Jewish Foundation for Group Homes is the place for you. JFGH, a non-profit organization that provides residential services for adults with disabilities, is seeking highly motivated and creative individuals to fill our Full-time Weekend residential counselor positions in one of our Rockville Group Homes. Qualified applicants MUST BE FLUENT IN AMERICAN SIGN LANGUAGE. Minimum requirements include: High School Diploma, at least one year experience in the area of mental health or human services, and a valid drivers license when required for job-related duties.

Hours available are:
weekend:
Friday 3:00pm - 11:00pm,
Saturday & Sunday 7:00am - 11:00

Sleepover required for this position
Friday 3:00pm - 11:00pm,
Saturday & Sunday 7:00am - 10:00
Monday 6:00am - 8:00am

We are also looking for individuals to work on an as needed (PRN) basis.

Qualified applicants send resume to:
Human Resources
Attention: Noreen McCurdy
JFGH, 6010 Executive Blvd., Suite 800,
Rockville, MD 20852

Fax to (240)290-0203
Or email to: mailto:nmccurdy@jfgh.org
Voice: 301-984-3839 ext 118 TTY 301-984-3449

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Employment Opportunity 2
Various Positions
The Learning Center for Deaf Children
Various Locations in Massachusetts
~~~~~~~~~~~~~~~~~~~

Position Announcements
School Year 2004 - 2005

FRAMINGHAM CAMPUS
Teachers of the Deaf
Must be Massachusetts Teacher Certified or have the ability to become certified. ASL fluency essential.

Staff Interpreters
Preferred 1-2 years interpreting experience. State screened or nationally certified.

Occupational Therapist
Masters Degree preferred. Certified and eligible for licensure. Basic ASL skills required. 1-2 years of pediatric experience.

Speech/Language Pathologist
CCC and MA license required. ASL fluency required.

RANDOLPH CAMPUS
Teachers of the Deaf
Must be Massachusetts Teacher Certified or have the ability to become certified. ASL fluency essential.

WALDEN SCHOOL
Teacher of the Deaf
Must be Massachusetts Teacher Certified or have the ability to become certified. ASL fluency essential.

Child Care Workers
BA in Human Services or AA in Child Care,
1-2 years in direct child care experience. ASL fluency. Understanding of mental health and children's issues.

Breakfast Cook (summer)
Hours 6:00-9:00 M-F. Must be able to pass a CORI (criminal background check).
Must be dependable and reliable.

Overnight Child Care Workers
High School diploma and/or equivalent work experience. Strong communication skills, including ASL. Knowledge of mental health issues.

Overnight Child Care Supervisors
BA/BS. ASL fluency. 2 years direct child care experience in residential treatment program with Deaf children.

Please send resumes/references to:
The Learning Center for Deaf Children
Attn: Lynn Marshall
848 Central Street
Framingham, MA 01701
www.inquiries.com
Phone: 508-879-5110
Fax: 508-875-9203

~~~~~~~~~~~~~~~~~~~
Employment Opportunity 3
Executive Assistant
Washington State Department of Social and Health Services
Office of the Deaf and Hard of Hearing
Olympia, Washington
~~~~~~~~~~~~~~~~~~~

JOB ANNOUNCEMENT

Classification: Administrative Assistant 5
Working Title: Executive Assistant
Salary Range: $38,580 - $49,380 plus benefits

Deadline: Until Filled

ODHH Profile: ODHH is organized under the Health and Rehabilitative Services Administration (HRSA) located within the Department of Social and Health Services, in Olympia, Washington. ODHH provides an array of services to the deaf, hard of hearing and deaf-blind communities throughout Washington State. Services include Telecommunication Relay Services, telecommunication equipment distribution, Region Service Centers on Deaf and Hard of Hearing contracts, videoconferencing sites, information & referral, outreach & training. There are approximately 506,000 individuals with a hearing loss in Washington, including 12,600 individuals who are profoundly deaf.

Duties: The Executive Assistant's responsibilities include, in brief, acting as the principal assistant for administrative matters to the Director of the Office of the Deaf and Hard of Hearing. Accomplishes varied and complex projects; makes decisions and acts for supervisor in administrative matters. Conducts and coordinates the preparation of comprehensive studies on major projects within the agency including service integration initiatives and cross-administration collaboration, coordinating project teams Supervises clerical support personnel and delegate duties to provide clerical support to program and administrative areas. Coordinate the administrative functions of the strategic planning and budgeting process. Prepares and completes legislative bill analyses. Performs as the HR representative including responsibilities for the succession plan and employee development plan. Performs as the Interpreter Coordinator for the Director and ODHH. Act as the American Sign Language interpreter to the Director and other staff as needed. Make interpreter/captioning arrangements for both ODHH and Advisory Committee activities/functions. Serve as the Director's liaison to the ODHH/TAS Advisory Committee and any other committees/focus groups formed in association with ODHH. Qualifications: BA degree in business administration, public administration or closely- related field desired. Three years of increasing responsibilities in office administration and/or supervisory experience. Human resource experience desired.

Special Requirement: Fluency in American Sign Language and ability to interpret is required. May require interpreter certification. Must have three years full-time working experience and/or living with deaf and hard of hearing individuals in an environment of a cultural/linguistic minority: deaf culture.

Application: To apply, applicants need to follow the on-line application system through the Department of Personnel's website.

Applicants will need to complete both the application and the on-line exam. Be sure to indicate having Sign Language proficiency (Code 031).

About the position / completing application / taking online test:
http://hr.dop.wa.gov/statejobs/bulletins/CURRENT/AA5_ASL_highlightflyer.htm
http://hr.dop.wa.gov/statejobs/bulletins/CURRENT/13395_96_97oc.htm

Please also submit a Washington State employment application and current resume to:
Director Office of the Deaf and Hard of Hearing
PO Box 45300
Olympia, Washington 98504-5300
email: rafferic@dshs.wa.gov

The state of Washington is an equal opportunity employer. Persons with a disability who need assistance in the application or testing process, or those needing the application or testing information in an alternate format may call (360) 664-1960 or (360) 664-6211 TTY.

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- Contact Information and Disclaimers
~~~~~~~~~~~~~~~~~~~

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