Volume 50 Issue 4

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- Advertisers in this Issue
First Premium Placement:
Your Ad Here
Second Premium Placement:
CaptionCall - A Captioned Telephone for Hearing Loss
Third Premium Placement:
Hearing Aid Repairs and Reduced Price Hearing Aids from Hearing Haven
Classified Section:
One Online Store, one Book and three Employment Opportunities

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Contact information and disclaimers are at the end of this newsletter.
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Your Ad Here
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If you're interested in getting your message out to people who are hard of hearing or late deafened, and to the people who serve them, you might consider a premium ad in this newsletter! Our rates are surprisingly affordable and we reach the movers and shakers in the hearing loss world. And this newsletter (unlike some of the others) is strictly "opt-in", which means that everyone who receives it WANTS to receive it!

For more information please point your browser to: http://www.hearinglossweb.com/res/pub/nsltr/hln/adv.htm

or contact larry@hearinglossweb.com
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- Article 1: Marine Corps mandates yearly hearing test for all
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Editor: As you probably know, many of our military personnel are returning from Iraq and Afghanistan with hearing loss. So it's great news that the Marines will begin requiring an annual hearing test for all personnel. Here's their press release.

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Mandatory annual hearing tests for all Marines start now under a new policy aimed at putting some muscle behind the Corps' hearing conservation program.

The goal of the new policy is "100 percent hearing readiness," according to Marine administrative message 010/12. The MARADMIN states that Marines who haven't had a hearing test in the past year must get one before May 5.

Active-duty units also are required to have a hearing-readiness training standdown within four months of the MARADMIN. Reserve units have six months.

Marines, sailors and civilians working with the Marine Corps must be enrolled in the hearing conservation program, said Mike Miller, head of the Occupational Safety and Health Branch of the Marine Corps' Safety Division. Requiring a test for all Marines is new, Miller said. Tests already are required for Marines who work in noisy environments such as aviation, artillery, infantry and armor. Most Marines follow through with the requirement, but some fall through the cracks for various reasons.

That includes recruits, who are supposed to get a baseline test upon entry, as well as others who have worked in noisy environments but stop receiving regular checkups when they leave to take another job. And some jobs are noisier than you might think. Kitchen work, for example, requires Marines to spend a lot of time around blenders and other loud machines. Marine bands, where instruments can be blasted near musicians' heads, also pose some risk.

Anything above 85 decibels, Miller said, can cause hearing loss. A normal conversation hits about 60 decibels, according to statistics provided by the Marine Corps, and a generator reaches about 95 decibels. At 150 decibels, which an M16 can register, it's possible for an eardrum to rupture.

The MARADMIN also requires units to conduct baseline inventories of noise levels and mitigation measures, including proper fittings of ear protection for Marines.

The new polices are an effort to boost early detection, and prevent further hearing loss, with regular exams, Miller said.

"Even if you're an office worker, it doesn't mean you're not going to fly in a helicopter sometime or ride in a truck or, if you're deployed to Afghanistan, be exposed to explosive noises," he said. "We suspect we'll get better outcomes if we continually remind Marines that loud noise is as damaging to your ears as secondhand smoke is to your lungs. Just like we send them all to dental exams and health assessments, good hearing is part and parcel of a holistic view of a Marine's health."

A Government Accountability Office report published last January concluded the cost to the Veterans Affairs Department in 2009 for hearing loss and injury compensation exceeded $1 billion paid to more than a million claimants from all services.

This prompted the Navy Audit Service to take a closer look at its own programs. That study showed Marines who left the service in 2007 and 2008 submitted more than 9,000 claims with associated long-term costs climbing past $404 million.

In addition to the injured Marines, the audit found that the Corps' hearing programs were not considered a priority and were being administered exclusively at the unit level.

"We weren't centrally managing hearing conservation programs from Headquarters Marine Corps," Miller said. "Medical wasn't connected with the safety aspect."

Sound-level meters regularly are used in noisy work environments to determine decibel levels, and industrial hygienists at Navy hospitals and Marine Corps installations routinely survey work areas, sometimes by hanging a sound-level meter on an individual worker.

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- Article 2: TruHearing to Provide Discount Hearing Services to 56 Million VSP Vision Care Members
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Editor: It seems that we see an article nearly every week about some organization acting to reduce the price of hearing aids. I don't know how much of this is just marketing hype, but I hope that some of these will actually result in more affordable hearing aids. Here's a press release from TruHearing describing their program.

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TruHearing, the nation's first discount medical health organization to provide significant savings on hearing aids, will now offer its discount hearing services to VSP(R) Vision Care members. VSP Vision Care is the largest not-for-profit vision benefits and services company in the United States.

VSP Vision Care members and their covered dependents have access to TruHearing's ValueAdd(R) program, which provides discounts up to 35 percent off retail prices on digital hearing aids. Members can also upgrade to TruHearing's new MemberPlus(R) program to receive discounts of up to 68 percent.

"TruHearing ValueAdd and MemberPlus programs are a perfect fit with the VSP eyecare benefit," said TruHearing CEO and founder Lindsay Atwood. "The need for affordable eyecare and hearing products and services has never been greater. And they often go hand-in-hand." Studies show age-related hearing loss tracks almost one-to-one with age-related vision loss. According to a survey by the Better Hearing Institute, more than 65 percent of Americans age 55 and over with hearing loss report that affordability is a key reason for not wearing hearing aids. In another study, researchers at Duke University also cited that hearing aids are being underused largely because of cost.

The TruHearing MemberPlus program also provides the opportunity to add up to four extended family members not covered by members' insurance (parents, siblings, uncles/aunts, grandparents) for a reduced annual membership fee.

"We're excited to provide our members this exclusive opportunity to take advantage of deep discounts on some of the most popular digital hearing aids on the market, as well as hearing services," said Melody Healy, Vice President of Product Strategy and Integration at VSP Vision Care. "We're committed to helping our members experience life to the fullest by not only seeing well, but being well." According to Healy, one of the chief benefits of TruHearing's programs is the one-on-one support VSP Vision Care members can receive through TruHearing's extensive network of hearing healthcare professionals nationwide.

TruHearing works with a contracted nationwide network of more than 1,800 audiologists and hearing instrument specialists who provide expert advice and professional services at discounted rates. The company also provides significant savings through direct purchasing of state-of-the-art digital hearing aids from four leading manufacturers (Unitron, ReSound, Phonak and Rexton--a division of Siemens), as well as its own private-label aids. VSP Vision Care members can find out more details about the TruHearing offer at http://specialoffers.vsp.com/truhearing .

ABOUT TRUHEARING TruHearing is breaking new ground as the nation's first discount medical organization that provides health plan and employer group members deep discounts on the latest hearing aid technology. TruHearing also provides access to expert advice and discounted professional hearing services, delivered through a contracted network of more than 1,800 hearing professionals. Founded in 2003 and based in Utah, TruHearing provides significant savings through direct purchasing from four leading manufacturers (Unitron, ReSound, Phonak and Rexton--a division of Siemens). TruHearing also has contracts with more than 45 health plans (including Blue Cross Blue Shield Blue 365 program and Humana). This provides discounted hearing aids to more than 100 million participating health plan members, their families and extended families. TruHearing is not available to the general public. Individuals can access TruHearing programs through participating health plans and employer groups. For more information, visit www.truhearing.com or www.truhearingmemberplus.com . Hearing care professionals can learn more about joining the TruHearing network of providers by contacting Mark Stringer: mark.s@truhearing.com.

Lindsay Atwood founded TruHearing in 2003 with the goal of delivering brand-name hearing aids and professional hearing services at affordable prices, improving quality of life for more than 100 million TruHearing members nationwide. In 2010, TruHearing members saved more than $14.5 million through the ValueAdd Program.

ABOUT VSP GLOBAL VSP Globala" includes VSP Vision Care, the largest not-for-profit vision benefits and services company in the United States with 56 million members; Marchon(R) Eyewear Inc., one of the world's largest manufacturers, designers and distributors of quality fashion and technologically-advanced eyewear and sunwear; Eyefinity(R) which offers innovative solutions and the premier management software and technology to improve overall practice management and patient experience; VSP Optics Group, industry leaders in new technologies, production processes, service and logistics.

To date, through VSP community outreach programs such as VSP Mobile Eyes(R) and Sight for Students(R), and through relationships including those with the American Red Cross and Prevent Blindness America, VSP has invested more than $142 million in free eyecare and eyewear for close to 745,000 adults and children in need throughout the United States.

THIS IS NOT INSURANCE. TruHearing provides discounts to contracted health care plans and enrolled employer groups for hearing aid sales and professional services. Professional services for fitting, programming and three adjustment visits, are included in the price of the aids. The customer is obligated to pay for testing, and all other post-fitting hearing care services, but will receive a discount from those health care providers who have contracted with TruHearing.

For Florida and Oklahoma residents: The Member may cancel membership within 30 days, and receive a full refund of fees. The Member must return hearing aids within 30 days of purchase to receive a full refund of the purchase price. In Florida, the DMPO does not make payments directly to providers. As with all Members nationwide, fitting fees, programming fees and first three adjustment visits are included in the price of the aids. VSP and Vision care for life are registered trademarks of Vision Service Plan.

SOURCE: TruHearing

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- Article 3: TeleAudiology Program to Improve Followup on Newborn Hearing Screening
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Babies who do not pass newborn hearing screening tests require immediate diagnosis and intervention, but that can be a challenge for families living in the vast expanse of rural Northern California, where a dearth of pediatric hearing specialists, geographic isolation and the topography all conspire to create obstacles.

Those obstacles meant that in 2007, 40 percent of rural Northern California newborns who needed additional testing for a potential hearing loss did not receive it and were "lost to follow-up" care -- giving Northern California the poorest lost-to-follow-up rate in the state, where the overall average was 8 percent.

Infant Jack James rests in his mother Michelle's arms while undergoing audiology testing via a telemedicine arrangement between Mercy Medical Center, Redding and UC Davis.

"Bringing these babies back for testing is imperative to optimize their development, especially the speech development critical to acquiring language and learning," said Anne Simon, senior pediatric audiologist in the UC Davis Department of Otolaryngology.

But Simon also said she understands that there are substantial barriers that discourage families in rural communities from making the trek to the audiologist so that their infant can receive additional testing.

"Making the three- or four-hour-long trip to a big city medical center with a four-week-old baby and may not be possible for many families," Simon said.

To meet those families' needs and improve the numbers of Northern California infants receiving follow-up care for hearing loss, UC Davis has entered into a unique new partnership with the State of California and Mercy Medical Center, Redding. It will allow infants located throughout Northern California to be seen by a pediatric audiologist at UC Davis -- via telemedicine.

Among the first of its kind in the nation, the new pilot program is funded by a three-year, $354,242 grant from the U.S. Health Resources and Services Administration Maternal and Child Health Bureau through the state Department of Health Care Services (DHCS), Children's Medical Services.

"We are thrilled to be implementing this innovative approach to more quickly identify infants with hearing loss in Northern California," said DHCS Director Toby Douglas. "UC Davis is a leader in telehealth and pediatric audiology, and we are fortunate to have them as partners in this endeavor."

Early identification of deaf and hard-of-hearing infants before 3 months of age and starting early intervention services before 6 months of age are the most important factors in developing age-appropriate language skills, whether families communicate using sign language or spoken language.

The program focuses primarily on infants living inland in the far northern counties in California adjacent to Shasta County where Redding is located, such as Glenn, Butte, Trinity, Tehama, Lassen, Modoc and Siskiyou counties. Participation in the program is by referral from the state Hearing Coordination Center.

The teleaudiology program is unique because, rather than consulting with audiologists or other clinicians at the remote location, who then diagnose and treat the patient, the UC Davis audiologists actually perform the hearing screening and make the diagnosis.

"We are very, very excited about providing this program, because central Northern California has the highest lost-to-follow-up rate in the state for newborn hearing screening," said James Marcin, professor of pediatric critical-care medicine and director of the UC Davis Pediatric Telemedicine Program.

"But with this model, and with Redding being a very central location for families in Northern California, we hope to eventually eliminate the lost-to-follow-up rate and provide the excellent care that these infants and their families deserve," Marcin said.

Through the program, an electroencephalogram (EEG) technician in Redding, such as Dawn Deines or Debbie Nickell, places electrodes on an infant's head and earpieces in his or her ears. Then audiologist Simon controls the screening equipment remotely from Sacramento.

The telemedicine connection also allows Simon to switch camera views in order to see the infant and their parent, as well as the technician and the screening room, and to view the child's ear canal and eardrum with the information being recorded by the device during the two- to four-hour-long testing period.

Simon administers three tests to determine whether a child does indeed have hearing loss, and if so, its source.

In the auditory brainstem response (ABR) test, an electrical signal is evoked from the brainstem as a response to an auditory stimulus. It tests whether the child may have a conductive hearing loss, which may be caused by obstruction of the middle ear, a sensory loss in the cochlea, or neurological issues. The second test, otoacoustic emissions (OAEs), tests inner-ear health and can indicate the site of a lesion for hearing loss in infants. Typanometry tests the health of the middle ear and the mobility of the ear drum.

Simon and Marcin said that the goal is to have children return for diagnostic testing and follow-up care by the time they reach 3 months old, at the latest.

"The sooner the better," Simon said. "We find that about 6 months of age is when we start to see developmental differences between infants who have not had diagnostic testing and intervention and those who have," adding that she has fitted infants as young as 2 months with hearing aids.

"If we intervene by 6 months we find that children have a much better chance of acquiring age-appropriate language," she said. "So we want to get hearing aids on them by 6 months."

UC Davis Children's Hospital is the Sacramento region's only nationally ranked, comprehensive hospital for children, serving infants, children, adolescents and young adults with primary, subspecialty and critical care. It includes the Central Valley's only pediatric emergency department and level I pediatric trauma center, which offers the highest level of care for critically ill children. The 118-bed children's hospital includes the state-of-the-art 49-bed neonatal and 24-bed pediatric intensive care units. With more than 120 physicians in 33 subspecialties, UC Davis Children's Hospital has more than 74,000 clinic and hospital visits and 13,000 emergency department visits each year. For more information, visit children.ucdavis.edu.

Source: UC Davis

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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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Churches File for New Closed-Caption Exemptions

Around 80 religious programmers have filed for new financial-hardship exemptions from closed-captioning rules. The Federal Communications Commission changed the qualifications for exemptions last October, and notified 590 programmers they would have to file new petitions for exemptions granted under rules established in 2006. The deadline for those petitions was last Wednesday. Those who failed to petition the FCC for a new exemption had to start providing closed captions by the next day, Thursday, Jan. 19. Previously, closed-captioning exemptions were based on the Anglers Order, which arose from a petition filed by "The Christian Angler Outdoors Television Show." The Anglers order granted exemptions based on the "noncommercial nature and lack of remunerative value" of the programming. Anglers, and another petitioner, New Beginning, received permanent exemptions, while another 300 programmers were granted a blanket exemption based on the Angler criteria. Advocacy groups for the deaf and hard-of-hearing pushed and subsequently won a review the Anglers order. The commission's October ruling said it should have considered "all of the petitioners' available resources.... not just the resources allocated for the programs for which the exemptions were sought." It rescinded the permanent exemptions and required the rest to demonstrate financial hardship.

http://tinyurl.com/83czog3

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Is There a Link Between Obstructive Sleep Apnea and Sudden Sensorineural Hearing Loss?

Researchers in Taiwan have conducted a retrospective study that appears to link having obstructive sleep apnea (OSA) and subsequently being diagnosed with sudden sensorineural hearing loss (SSNHL). The results of the study were reported in the January edition of the Archives of Otolaryngology-Head & Neck Surgery. Jau-Jiuan Sheu, MD, MPH, and two other researchers utilized a large Taiwan health insurance database. They identified 3192 patients diagnosed with SSNHL for the study group. For the control group, they randomly extracted the data of 15,960 subjects matched by sex, age, and year of first SSNHL diagnosis. Cases of OSA included were identified by having been diagnosed as OSA prior to the index date of SSNHL diagnosis. Also, conditional logistic regression matched on age group and sex was used to assess the possible association between SSNHL and OSA among the sampled patients.

http://www.hearingreview.com/news/2012-01-24_02.asp

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Let's focus on giving people access to hearing, not brand wars

So, why am I writing this post? I have seen enough of brand wars on various forums that it has caused some of the most prominent advocates who have years worth of experiences in utilizing cochlear implants and listening and spoken language to step down and leave the forum because they don't want to be bothered by brand wars. As a result, the forums are left without important voices of people who can provide a wealth of useful information relating to hearing loss in general. I also saw messages written by recipients of other brands stating that it's too bad that I am not utilizing other brands and also messages telling other candidates that they're crazy to choose xyz brand. No one should ever feel uncomfortable about the choices they make.

http://tinyurl.com/86koj9u

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- Classifieds
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One Online Store, one Book and three Employment Opportunities appear in this issue. (Ads appear after this brief table of contents.)

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HOH? A Book on Hearing Loss
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Employment Opportunity 1
Exciting Career Opportunities at GLAD
Various Southern California Locations

Employment Opportunity 2
Job Developer
DHHARC
Las Vegas, NV

Employment Opportunity 3
Therapeutic Staff Support-TSS Professionals
Warwick Family Services/MCC, Inc,
Bensalem, PA

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HOH? A Book on Hearing Loss
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IF YOU HAD A CHOICE, WOULD YOU BE HARD OF HEARING?
OF COURSE NOT!!!

None of us would make that choice. None of us LIKE the adjustments we had to make when we lost hearing ability - including ME. I am also HOH and decided to write about the process, the adjustments, people's reaction to the high pitched ringing that only a hearing aid can make and the changes that had to happen to continue to make myself comfortable as a HOH. Some of the changes were difficult, some of the incidents were odd or funny but none of them took away from who I was.

MY BOOK IS CALLED "HOH?" AND IS AVAILABLE ON AMAZON.COM YOU CAN FIND IT UNDER "BOOKS" AND THEN UNDER HOH CARLSON.

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Employment Opportunity 1
Exciting Career Opportunities at GLAD
Various Southern California Locations
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Exciting Career Opportunity at GLAD

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.

* HIV Educator - Los Angeles, CA
* Staff Interpreter - Los Angeles, CA
* Job Developer/Interpreter - Norwalk, CA
* Job Developer/Interpreter - Pacoima, CA

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

Jeff Fetterman
Human Resources Manager
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
Job Developer
DHHARC
Las Vegas, NV
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POSITION ANNOUNCEMENT: JOB DEVELOPER

ORGANIZATION: The Deaf and Hard of Hearing Advocacy Resource Center (DHHARC) is a statewide advocacy, resource, telecommunications distribution, and direct service center offering advocacy, referral and community education services throughout Nevada. DHHARC has two offices: one in Las Vegas and one in Reno/Sparks.

GENERAL INFORMATION:
Type of appointment: Full-time/40 hours a week/Non-Exempt
Location: Las Vegas
Posting Date: January 20th, 2012
Closing Date: February 10th, 2012

GENERAL DESCRIPTION: Provides advocacy training and support for Deaf and Hard of Hearing clients to develop or maintain a level of independence and ensure higher quality of life. Employee will conduct accurate assessments and develop service plans based on clients' needs and goals. Focus is on specific areas of job and career development but is not limited to: literacy, employment preparation, budget management, time management, job referral, career guidance, skill set training, and adult education classes. In addition, the employee will work closely with Vocational Rehabilitation Specialists to develop programs or classes based on perceived needs of Deaf and Hard of Hearing clients. Employee will also participate in technology/ equipment distribution programs and any community education workshops they develop and facilitate for DHHARC. When needed, employee will work on evening and weekends and also may need to travel to rural areas.

SALARY: $36,224-$39,202 Based on Experience, plus customary benefits.

REQUIREMENTS:
* Knowledge of advocacy techniques
* At least 2 years' experience working with Deaf and Hard of Hearing individuals in areas of job development, advocacy, and community outreach
* Ability to communicate using American Sign Language
* Ability to facilitate group discussions
* Knowledge about key issues within the Deaf and Hard of Hearing communities
* Ability to assess clients' interests and abilities based on testing provided by Vocational Assessment Professionals and discussions with consumers
* Have a clear understanding of all telecommunications equipment, relay systems and related services
* Knowledge of Civil Rights laws
* Ability to carry out projects independently and be a team player
* Valid drivers' license and reliable transportation is required
* Knowledge of basic computer skills and ability to maintain effective record keeping practices

EDUCATION REQUIREMENTS: At least High School Diploma/GED plus experience of working in the Deaf and Hard of Hearing communities

TO APPLY: All applicants must submit a resume, application form and references to DHHARC at 2575 Westwind Rd Suite C Las Vegas, NV 89146. Contact the Las Vegas office for the application form.

ALL APPLICATIONS MUST BE RECEIVED BY 5PM ON OR BEFORE THE CLOSING DATE (February 10th, 2012)

For further information, please contact Acting Director Anne Urasky at anne.urasky@dhharc.org or at 702-475-4751 (VP) or 702 363-3323 (V/ TTY) or 702 685-0324 (FAX)

DHHARC selects applicants for employment based on job related knowledge, skills and abilities without regard to race, color, gender, national origin, religion, age, disability, sexual orientation, or political affiliation.

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Employment Opportunity 3
Therapeutic Staff Support-TSS Professionals
Warwick Family Services/MCC, Inc,
Bensalem, PA
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Looking for an enticing job that challenges your character and skills? Look no further! Working with children in an apprenticeship role will instill you with new skills that can be used in fields such as: psychology, education, business and government.

You will learn the magical art of healthy working relationships in the classroom, conjuring boundaries with children and learn the valuable trade of managing children's behaviors.

You will be provided with resources and support from the behavior specialist on a weekly basis. Have strong "people's person skills? You will find this job to be a good fit, and for those who strive to be a "people's person" the behavior specialist s will teach you valuable skills to help you be successful in the workplace environment.

TSS candidates must possess a bachelors degree in Psychology, Social Work, Human Services or related field and one year previous work experience with children or at minimum 60 college credits and three years work experience with children.

TSS Aide candidates must possess a high school diploma and two years of verified volunteer or paid work experience with children.

All applicants must be proficient in American Sign Language (ASL).

Case assignments are generally in a school setting, however some clients require services in the home. Work hours vary from ten to thirty hours per week based on approved client hours and staff flexibility to accept more than one assignment. Work is available in Philadelphia and Bucks County.

For immediate consideration please email your resume to mstoll@warwickfamilyservices.com or via fax to 267-525-7014.

For additional information about our company log on to our website
www.warwickfamilyservices.com

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- Contact Information and Disclaimers
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We are very interested in your comments concerning the content and format of this newsletter. We want this publication to be useful to you. Please send your comments and suggestions to: hearinglossweb@hearinglossweb.com

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