Volume 31 Issue 9

HOH-LD-News
Vol. 31, Issue 9
June 2, 2007

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Table of Contents
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- Article 1: Say What Club Cochlear Implant Presentation - Part One

- Article 2: Acceptable Noise Levels (ANL) - Part 3

- Article 3: Some Children Born with "Temporary Deafness"

- Article 4: Short Takes

Our advertisers make it possible for us to provide HOH-LD-News as a free service. Please let them know you appreciate their support, and please mention that you saw their message in HOH-LD-News.

- Advertisers in this Issue
First Premium Placement:
VRS can be better for voice users!
Second Premium Placement:
Super Savings at Harris Communications
Third Premium Placement:
Hearing Aid Repairs from Hearing Haven
National University's Masters Program in Deaf and HOH Education
Fourth Premium Placement:
Switch to Sprint
Fathers Day Sale at Sound Clarity Inc.
Classified Section:
Two online stores, one poker tournament and three employment opportunities

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Contact information and disclaimers are at the end of this newsletter.
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- Article 1: Say What Club Cochlear Implant Presentation - Part One
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The cochlear implant presentation at the 2007 Say What Club conference was especially interesting because representatives of Advanced Bionics and Cochlear Corporation shared a workshop. It was wonderful to see these representatives working together, especially in light of some of bickering and deceptions that have sometimes been associated with brand loyalists.

Our full coverage of this wonderful convention is available at http://www.hearinglossweb.com/res/hlorg/swc/cn/2007/2007.htm

This is part one of two parts.

Advanced Bionics

Tina Childress from Advanced Bionics started the presentation by proclaiming that she has the best job in the world, because she gets to meet lots of people and help educate them about how CI technology can help them deal with hearing loss. She noted that she is something of a technogeek and has all the gadgets. And she volunteered to help people with hooking up various devices to their CIs.

Tina was nearly ready to graduate as an audiologist when her hearing loss began. She completed her education as autoimmune disease quickly destroyed her hearing. She got her first implant in 2000, just a couple of years after her hearing loss was first diagnosed; her second implant was added in 2005.

She was able to talk on the phone and understand speech without lipreading with her first implant; her second improved her ability to localize sound and to hear in the presence of noise.

Tina gave a brief explanation of how we hear, what the most common cause of hearing loss is, and how cochlear implants bypass that cause. We've provided this information on numerous occasions and will refrain from doing so again.

The current Advanced Bionics cochlear implant consists of three parts: (1) the internal hi-res 90k component, (2) the external processor, and (3) the Fidelity 120 computer software that runs the CI.

Advanced Bionics has been using the hi-res 90k internal component since 2003. It includes 16 electrodes which stimulate different regions of the cochlea. The magnet (which holds the headpiece on) can be surgically removed to allow an MRI. And the entire internal component is designed with lots of "head room" to accommodate future software upgrades.

Consumers can choose either the ear level external processor (which resembles a BTE hearing aid) or a body worn processor. Both can use either rechargeable or disposable batteries.

The ear level processor is called Harmony. It looks much like the previous processor (Auria), except that it has a light that provides information about the status of the CI. All of the Auria accessories are compatible with the Harmony, and battery life has been improved by up to 50%. The Harmony includes a T-Mic that sits at the entrance to the ear canal. This improves with sound directionality and also allows users to use a standard telephone or headphones in a normal manner. The Harmony has a second earhook that provides for a direct connection to various electronic devices, such as an iPod. A third earhook, called IConnect, is compatible with the Phonak FM system, and the addition of a SmartLink allows the device to interface with Bluetooth enabled cellular phones.

The body processor, called the Platinum or PSP, is larger and more rugged than the ear level device. It is worn on the clothing and can be wrapped in protective materials for participation in athletics. Some people also find it very comfortable, because there is nothing on the ear.

The Fidelity 120 CI software allows users to hear much more acoustic information than previous versions. An example is the ability to process a wide range of sound volume without having to change programs. It also includes a rapid stimulation rate to increase the information available to the acoustic nerve. It provides for 120 virtual channels, which provides the user with greater frequency discrimination. The large number of channels is obtained from just 16 physical electrodes by accommodating the simultaneous stimulation of adjacent electrodes.

Advanced Bionics also has a lot of rehabilitation materials that you can use to practice listening, things like workbooks, a listing of different websites that are good for listening practice, our Connection, Advocacy, Resources, and Education (CARE) program, and Tools for Schools. They have audiologists on call from 7AM to 7PM CST Monday through Friday to help you with CI issues. And they have an online community called HearingJourney.com that is much like the SayWhatClub.

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Super Savings at Harris Communications
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Just in time for Father's Day, we are super-sizing your savings at
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Save 25% on these products:
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3) 2.4Ghz Amplified Cordless Phone with Answering Machine (HC-PHONE4)
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*25% discount specials will end June 14, 2007. Some product restrictions will apply to 15% discounts (see website for details).

Check back every week for more big sales!
Go to: http://www.harriscomm.com/link/?www.harriscomm.com?sr=hlw
or contact us at mailto:info@harriscomm.com
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- Article 2: Acceptable Noise Levels (ANL) - Part 3
By Mark Ross, Ph.D.
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Editor: Many of us know Mark Ross, a hard of hearing audiologist who has for decades been at the forefront of researching and explaining how people deal with hearing loss. In this article he explores a concept called Acceptable Noise Level (ANL). Never heard of it, you say? Well I hadn't either, but it's a very important factor in why some people are more willing than others to use hearing aids.

This article originally appeared in HLAA's publication "Hearing Loss" and is reprinted with the author's kind permission. This is part 3 of 3 parts.

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Noise Management in Hearing Aids

Many current hearing aids include what is described as a "Noise Management" or "Noise Reduction" feature. Although accomplished differently, all of them have the goal of reducing the unpleasant impact of background sounds. For people whose ANL scores fall in the mid-range (about 7 to 13 dB) and whose chance of a successful hearing aid fitting is 50% (according to the Nabelek study), this type of aid should noticeably increase their chances of becoming full-time hearing aid users. Hearing aids that include such a feature can and do decrease the perception and annoyance of background sounds. Because, however, desired speech signals will often occur at the same time as interfering noises (likely to be other people speaking), when a noise management program is activated, the intensity of both the desired and the undesired sounds will be reduced. In other words, these aids are not able to just "peel away" the interfering speech noises from the desired speech signals. But a noise management feature can reduce the overall perception of noise, thus making hearing aid listening more pleasant. So while they do not directly increase speech perception scores through the hearing aid, they can increase the likelihood that someone with a mid-range ANL score will accept the need for a hearing aid and become a full-time user.

Directional Microphones

Directional microphones, on the other hand, will directly decrease the intensity level of background sounds - those emanating from the sides and rear of a listener. By not also reducing the intensity of the speech signals arriving from directly in front of the listener, hearing aids with these microphones effectively increase the speech-to-noise ratio. In the directional mode, therefore, directional microphone hearing aids can decrease the perception, and thus the possible annoyance, of background sounds. As with the noise suppression feature, this effect can increase the chances of people with mid-range ANL scores accepting hearing aids and becoming full-time users.

Although we know that hearing aids with directional microphones can increase speech perception scores, a finding that has been demonstrated repeatedly in laboratory research, a few caveats are in order. In the real world, it is necessary for users to place themselves in a position where the speech source of interest is directly in front of them with the undesired sound signals to their rear and sides. This is not always easy or possible. Fortunately, some of the newer two- and three- microphone adaptive directional microphone arrays can make many of these decisions for users. These microphones will automatically modify their directional characteristics depending upon the source of the noise and whether the noise is stationary or moving. Some include provisions for dealing with background noises that arrive simultaneously from several different directions. However, directional microphones will not work well in highly reverberant rooms and do require that the listener be relatively close to a talker (within the so-called "direct-field"). How close depends upon the amount of reverberant noise (with more reverberant situations requiring closer positioning). But even with all these caveats the directional microphone is a desirable hearing aid feature - one that I do recommend.

Auditory Training

Non-technical solutions to hearing aid usage and benefit are not much in vogue and haven't been emphasized for years. Still, for people with severe communication difficulties (as reported by either themselves or a loved one) who reject or are unable to adapt to hearing aids because of intolerable background noise, a regime of auditory training may be very beneficial. If technical solutions are inadequate or not helpful, then such training may well bridge the gap between hearing aid acceptance and non-acceptance. The training need not be involved or elaborate. Based on my own experiences as a professional and as a long-time consumer, I have little doubt but that with perseverance most people can learn to adapt to slightly higher levels of noise. They may not like it (which I can understand), but they also may be able to derive sufficient benefits from hearing aid amplification to make the effort worthwhile. I would suggest regularly scheduled increasingly loud sound exposures while wearing well-adjusted hearing aids, the goal being not to improve comprehension (which would be a nice bonus) but to increase the person's tolerance of loud sounds in the environment. Before engaging in this activity, I would strongly recommend consultation with a professional audiologist; sometimes, tolerance problems also relate to the nature of the amplified sounds being delivered by the hearing aid.

In summary, the Acceptable Noise Level (ANL) is an easily understood phenomenon which can help explain why some people seem to show an inordinate degree of difficulty in accepting and using hearing aids. However, it should be regarded merely as a challenge - not as an insuperable barrier to benefiting from hearing aid amplification. Technical and non-technical help is available for those people with low tolerance for background noises.

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National University's Masters Program in Deaf and HOH Education
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Enrich the lives of children who are deaf and hard-of-hearing. Enroll for National University's Masters in Special Education with emphasis in Deaf and Hard-of-Hearing Education. Not only will you gain new opportunities in education, you'll work with DHH children or those with special needs.

The program is accredited by the State of California, making it one of the leading programs of its kind. You'll enjoy a number of benefits including a unique one-course-per-month format and the flexibility of online learning - study whenever it's convenient while balancing work and family time. Prepare for an in-demand career that benefits everyone. Enroll today.

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- Article 3: Some Children Born with "Temporary Deafness"
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Editor: Israeli scientists have discovered that some children are born deaf because of malfunctions in the hearing mechanisms, but regain their hearing as they develop. This seems to be a new and unexpected discovery. Here's the press release from the University of Haifa,

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Clinical research conducted in the Department of Communication Disorders at the University of Haifa revealed that some children who are born deaf "recover" from their deafness and do not require surgical intervention. To date, most babies who are born deaf are referred for a cochlear implant. "Many parents will say to me: 'My child hears; if I call him, he responds'. Nobody listens to them because diagnostic medical equipment did not register any hearing. It seems that these parents are smarter than our equipment," said Prof. Joseph Attias, a neurophysiologist and audiologist in the Department of Communication Disorders at the University of Haifa, who made the discovery.

There are two causes of congenital deafness among children. One is the lack of hair cells, receptors in the inner ear that convert sounds into pulse signals that activate the auditory nerve. The second cause is a malfunction of the nerves. A child may be born with what appears to be a normal inner ear, but the hair cells do not "communicate" with the auditory nerves and the child cannot hear. To date, doctors have recommended the same treatment for all children born deaf. Once a child has been diagnosed as deaf, doctors recommend a cochlear implant, a surgically- implanted electronic device that bypasses the hair cells and directly stimulates the auditory nerve. Prof. Attias stresses that a cochlear implant is an excellent treatment for children with congenital deafness whose hearing does not improve over time. However, it appears that some children are born with "temporary deafness" - a condition previously unidentified.

This discovery, like other revolutionary discoveries, was made by chance. A child who was born with malfunctioning hair cells and was scheduled for a cochlear implant was referred to Prof. Attias for a pre-surgical evaluation. The evaluation found that the child's brain and auditory nerves exhibited beginning responses to sound stimuli. The surgery was postponed. Follow-up visits showed increasing function of the hair cells and eventually the child reached a state of normal hearing. Prof. Attias, who is part of a cochlear implant team at Schneider Children's Medical Center, looked in the department archives and found other, similar cases. "Because these children go through a series of tests and evaluations by different doctors, a process that often takes months, there are cases of children who were initially referred for the procedure who didn't have it done. Sometimes parents decide not to do the surgery; sometimes they do it elsewhere. I called parents and found another seven cases of children who were diagnosed as deaf, did not have the procedure done, and began to hear," said Prof. Attias.

Prof. Attias then found another five children who had been referred to him for pre-operative testing who had begun to hear. At the end of his clinical research, he identified a "window of opportunity" of 17 months during which deaf children may begin to hear. "A child whose deafness is caused by a malfunctioning connection between hair cells and the auditory nerve should not have a cochlear implant in the first 17 months of life. Research results show the possibility that at least some of these children undergo the procedure for nothing," explained Prof. Attias.

He added that some of the children only develop partial hearing, which can be augmented with external hearing aids. Prof. Attias is now researching "temporary deafness" among young children, looking to find a way to identify those who will recover and those who will not.

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- Article 4: Short Takes
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Editor: Here are our picks of some additional stories that you may find interesting. For more, please point your browser to: http://www.hearinglossweb.com/news/curr.htm

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Hearing Loss Becoming an Epidemic in Canada

Due to the prevalence of noise in today's society, the number of people with hearing loss is expected to grow faster than the rate of increase of the senior population itself. A Canadian Hearing Society Awareness survey indicated five years ago that 25 per cent of people with hearing loss are under 40, and 70 per cent are under 60. The average age of those experiencing hearing loss was 51. And 16 per cent of 6 to 19 year olds have early signs of hearing loss at the range most affected by loud sounds.

http://preview.tinyurl.com/2z45jz

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ALDs: It's Not Just About the Hearing Aid

Assistive listening devices (ALDs) often provide a positive impact on people's lives, while also introducing them to the value of hearing care products or completing a hearing care package that improves the patient experience and increases satisfaction. "A model that incorporates communication technology besides just the hearing aid, and that considers a patient's lifestyle, can provide a complete package of solutions," says Michele Ahlman, president of ClearSounds(r) Communications, Burr Ridge, Ill. Today, more than ever before, there are more ALDs available to meet users' specific needs and situations. "Hearing loss is often like a fingerprint," Ahlman says. As such, each user needs to find the product that works best for him or her-the one that fills their specific hearing gaps.

http://preview.tinyurl.com/293dep

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Sounds from the Bionic Ear Within!

There's lots of excitement about digital hearing aids, cochlear implants and other amazing advances in technology that are bringing great benefits to people who are deaf or hard of hearing (D/HH). But they are all just copies of nature's original creation - our biological hearing aid, called the cochlear amplifier, that is a key part of every healthy inner ear. Without it, about half of our hearing would disappear.

http://preview.tinyurl.com/2v2l64

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- Classifieds
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Two online stores, one poker tournament and three employment opportunities appear in this issue. (Ads appear after this brief table of contents.)

WCI. Providing Solutions for People with Hearing Loss.
15% OFF ALL SPEECH AIDS AND VOICE ACTIVATED DIALERS
http://www.weitbrecht.com

Potomac Technology. Everything You Need Under One Roof!
FREE SHIPPING & 15% OFF CLARITY PHONES!
http://www.potomactech.com

Las Vegas World Deaf Poker Tournament
Saturday, October 13, 2007
Las Vegas, NV

Employment Opportunity 1
Various Positions
GLAD
Various Southern California Locations

Employment Opportunity 2
Online Customer Service Representative
LunarPages Web Hosting
Work From Home

Employment Opportunity 3
Total Communication Early Childhood Instructor of the Deaf and Hearing Impaired
Idaho School for the Deaf and the Blind
Meridian, ID

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WCI. Providing Solutions for People with Hearing Loss.
15% OFF ALL SPEECH AIDS AND VOICE ACTIVATED DIALERS
http://www.weitbrecht.com
-------------------

Save big during June with 15% off all Speech Aids & Voice Activated Dialers. There are several choices like the TruTone, the only electronic speech aid with tone control in a single button. Or consider the Vocally Freedom: with this Voice Activated Dialer you don't have to worry remembering phone numbers, just say the person's name and the number is dialed automatically. Order these specials by calling toll free at 1-800-233-9130 V/TTY or visit us online at http://www.weitbrecht.com (use code WCIH607 when ordering).

If you'd like a copy of our new WCI catalog, all you have to do is email sales@weitbrecht.com to request it.

WCI. Providing Solutions for People with Hearing Loss.

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Potomac Technology. Everything You Need Under One Roof!
FREE SHIPPING & 15% OFF CLARITY PHONES!
http://www.potomactech.com
-------------------

During the entire month of June all Clarity Phones are 15% off plus free shipping on orders over $50.00! Fill your shopping cart with all the wonderful items Potomac Technology has to offer. Start with a Clarity phone like the CLS45i that not only is cordless but also has speakerphone capabilities both in the handset and on the phone base, or choose from several corded and cordless telephones available. Whatever your needs, we have a Clarity Phone to fit your lifestyle. Use code "PTEC607H" for special pricing.

Visit us online at http://www.potomactech.com or call 1-800-433-2838 (V/TTY)..

Potomac Technology. Everything You Need Under One Roof!

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Las Vegas World Deaf Poker Tournament
Saturday, October 13, 2007
Las Vegas, NV
-------------------

The 3rd annual Las Vegas World Deaf Poker Tournament will be held on Saturday, October 13, 2007, 10 AM, at the world famous Palms Casino Resort, Las Vegas, Nevada. The tournament will be the popular "No Limit Texas Hold'Em".

Please note our web site has changed. Go to WWW.LASVEGASDEAF.ORG/POKER for additional information and entry forms.

For a bit of history, below is a list of the past 1st place winners.

1st annual-Robert Brooke, Colorado $11,620.
2nd annual-Hubert Ruessman, Michigan $15,977.
3rd annual-- ?????

Southern Nevada Silver Knights congratulate all the past participants and looking forward meeting again. It is certain that it is an experience to play "big time", especially in Las Vegas.

See you all in "Vegas".

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Employment Opportunity 1
Various Positions
GLAD
Various Southern California Locations
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GLAD is an Affirmative Action Employer with equal opportunity for men, women and people with disabilities. For more information on the following positions, please go to: www.gladinc.org. The status of all positions is: Regular, Full-time, Non-Exempt, Full Fringe Benefits unless otherwise noted. All positions are open until filled.

* Regional Director - Riverside
* Director of LIFESIGNS - Los Angeles
* Community Interpreter 1 - Riverside
* Community Interpreter 2 (2 positions open) - Riverside
* Community Advocate - Los Angeles
* Placement Coordinator - Crenshaw
* Lead Dispatcher - Los Angeles
* Hard of Hearing Specialist (Temporary) - Los Angeles and Riverside
* Community Advocate (Temporary) - Riverside
* Community Advocate - Riverside

If interested for any of these positions then please submit resume and application to:

Jeff Fetterman
Human Resources Specialist
Greater Los Angeles Agency on Deafness, Inc.
2222 Laverna Avenue
Los Angeles, CA 90041
V/TDD: (323) 550-4207
Fax #: (323)550-4204
E-mail: jfetterman@gladinc.org

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Employment Opportunity 2
Online Customer Service Representative
LunarPages Web Hosting
Work From Home
-------------------

We are looking for people who love working on their computers from home, have the time and the motivation to have a real career in customer service with a company offering daily challenges and a stable and secure future.

At Lunarpages Web Hosting supporting our customers in an efficient, responsive and friendly manner is our primary goal. At this time along with our phone support, we provide email support and open community forums.

We also intend to offer live chat support 24/7 and we need smart, reliable and technically savvy people. If you love spending time online, and are willing to learn all that we are willing to teach, please contact us as we would love the opportunity to interview you.

At Lunarpages we are aware that within our society there are limitations for job choices for many people due to impairments, social disorders and accessibility issues. We welcome and encourage applications from everyone and we will provide the training and support you need to excel in customer service.

JOB DESCRIPTION:
1. Level I technical support issues via email support, chat and Lunarforums.
2. Utilizes Level I security access to Account Management System to assist customers.
3. Transfers static customer accounts from previous web host to Lunarpages' servers.
4. Supports sales and billing as a secondary role.
5. Escalates or flags tickets and calls to senior personnel when necessary.
6. Adds features to accounts via billing manager when requested.
7. Assists customers in Lunarpages support chat.
8. Answers Help Desk tickets as a secondary responsibility.
9. Reads, troubleshoots and answers Lunarforums threads.
10. Continues development of Lunarpages and systems knowledge to more effectively answer calls.
11. Answers all Level I technical questions.
12. Performs miscellaneous job-related duties as assigned.

SKILLS:
* Ability to communicate effectively.
* Skill in the use of personal computers and related software applications.
* Ability to work productively and efficiently to meet deadlines and quotas.
* Attention to detail.
* Analytical skills.
* Knowledge of customer service principles, techniques, systems and standards.
* Ability to work in a team environment.
* Internet and computer skills to include but limited to:
* General knowledge of the Internet including surfing and how to search terms using search engines such as Google.
* Operating Systems.
* Email clients.
* General knowledge of HTML Editors
* Ability to use an HTML editor a plus.
* Knowledge and ability to use Internet Browsers such as Internet Explorer, Netscape or Firefox.
* MS Office Applications: Word, Excel.
* Web forums, blogs or bulletin boards.
* Familiarity with Cpanel or other web hosting tools a plus
* Familiarity with HTML or other scripting languages a plus
* Familiarity with file transfer via the Internet (FTP) a plus.

Interested applicants should apply for position by emailing jobsonline@lunarpages.com

-------------------
Employment Opportunity 3
Total Communication Early Childhood Instructor of the Deaf and Hearing Impaired
Idaho School for the Deaf and the Blind
Meridian, ID
-------------------

Idaho School for the Deaf and the Blind
Department of Human Resources, 1450 Main St, Gooding, ID 83330 208.934.4457

Begin Date: August 2007

Nature of Work: Work with staff to develop and provide a continuum of educational activities throughout the curriculum; attend IEP meetings and other meetings required for the delivery of educational services; other duties as assigned.

Minimum Qualifications: Idaho Standard Exceptional Child Certification with a Hearing Impaired Endorsement; Early Childhood Endorsement preferred; Experience teaching deaf children in Total Communication Settings; Bachelor's degree acceptable, Master's degree preferred.

Salary: Commensurate with education and experience

Benefits: Comprehensive fringe benefit package included; Employees and spouses receive reduced tuition at state universities ($5 per credit hour).

To Apply: Interested persons are to submit a letter of application, resume, official transcripts, copies of certification and three letters of recommendations to:

Idaho School for the Deaf and the Blind
ATTN: Human Resources
1450 Main St
Gooding, ID 83330

Location: ISDB Outreach Office in Meridian at River Valley Elementary.

Closing Date: Open until filled.

Successful candidate will be required to furnish a background check within three months of employment per Idaho Code 33-130.

Hiring is done without regard to race, color, religion, national origin, gender, age or disability. In addition, preference may be given to veterans who qualify under state and federal laws and regulation. If you need special accommodation to satisfy testing requirements, please contact the Human Resources Department.

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- Contact Information and Disclaimers
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