interview with Marie-Josée Taillefer
Transcription
interview with Marie-Josée Taillefer
Pl ea se FR Volume 5, Number 2, 2012 EE ta ke The magazine that’s all about your hearing The hearing test… How do I persuade a loved one to book a consultation? page 8 Hearing aids: even more effective! page 13 Interview with Marie-Josée Taille fer Making deafness vis ible! page 3 Treat yourself to wireless for watching TV page 20 ENT’s report Cholesteatoma page 5 o ne Editorial TM Volume 5, Number 2, 2012 Editor Martin Cousineau, President [email protected] Editor-in-Chief Sabrina Grégoire [email protected] Pay attention hearing loss can creep up on you! At Lobe Magazine, we have made it our mission to raise awareness about the importance of taking good care of your hearing. It is always sad to see people isolate themselves from their families simply because they can no longer follow conversations. Once again, this issue focuses on the various telltale signs of hearing loss. It is full of tips to help you assist your hearingimpaired loved ones as they take the necessary steps to maintain their quality of life. An aging ear is a natural phenomenon. Just as presbyopia often appears in aging eyes, presbycusis is the result of the hearing system’s normal aging process. The biggest problem with presbycusis is its gradual onset. Because it develops so slowly, a person may not be aware they have the condition, at least not in its early stages. People often blame their hearing problem on Lobe Magazine www.lobe.ca others and complain that those around them are not speaking clearly, not enunciating properly or are not loud enough. Certain conditions will make it more obvious that a person is having trouble making out speech: noisy environments (a lively meal, a crowded pub, public transportation); conversations that take place at a distance (such as from one room to another); several people talking at the same time (meetings, debates); large and sparsely furnished spaces (churches, conference halls). If you see these signs in a loved one, friend or co-worker, it is a good idea to approach them about having their hearing tested. Happy reading! Columnists Cédric Bégnoche, Audioprosthetist Simon Dufort, Audioprosthetist Paul Fontaine, Audioprosthetist Martin Fortin, MOA, Audiologist Sébastien Lanthier, Audioprosthetist France Morrissette, Audioprosthetist Jonathan Plouffe, Audioprosthetist Michèle Veilleux, MPA, Audiologist Advisory committee Josée Boulanger Annie Dumontier Michelle Fournier Martin Fortin Natacha Ioannoni Francine Morrissette Michèle Veilleux Rafif Zarka Graphic designer Véronique Labbé Novalux Conception Impression inc. Rights and responsibilities Any translation, reproduction or adaptation of texts, illustrations and photos in this work, for any reason whatsoever, in whole or in part, is strictly prohibited without written permission from the editor. The opinions expressed in articles published by Lobe Publications are the responsibility of the author. Legal deposit ISSN 1913-0287 Bibliothèque nationale du Québec, Montréal National Library of Canada, Ottawa Lobe Publications 3520, rue de l’Hêtrière, bureau 103 Saint-Augustin-de-Desmaures QC G3A 0B4 Tel.: 418 877-7222 Fax: 418 872-1451 Email: [email protected] www.lobe.ca Lobe Magazine is published in English three times per year by Lobe Publications. Printed in Canada Martin Cousineau Subscribe to INFO-Lobe The e-newsletter that keeps you up to date with the latest news on hearing health, speech and language. Visit www.lobe.ca All rights reserved 2 3 Interview with Marie-Josée Taillefer: Making deafness visible! M object fell on the floor, it would startle him—not because of the noise, but because he could feel it. After a while, Marie-Josée and René realized that they were not able to calm their son’s crying with their voices alone. Olivier would only quiet down at the sight of his parents. That was when they decided to have him tested. At 11 months, Olivier’s deafness was diagnosed. As the inspirational parents of two deaf children, Marie-Josée Taillefer and her husband René Simard understand better than anyone the importance of our awareness campaign, which seeks to inform people about the impact hearing has on our daily lives. When Olivier was born, MarieJosée and René thought he was simply a very calm baby. An extremely calm baby. Far from silent, Olivier’s babble served to mask his deafness. But over time, his small sounds became more and more infrequent. Since he couldn’t hear them, he did not develop the habit of repeating after them. However, like all babies, he could sense vibrations. If an Early childhood intervention is critical! When Rosalie was born two years later, it was a completely different story. At that time, the hospital was testing a new device for detecting deafness in newborns, and they soon diagnosed Rosalie as being deaf as well. For the couple, the news came as a shock. Their experience with Olivier had shown them how important it is to act quickly, equipping the child with hearing aids and adopting appropriate behaviours right away to avoid developmental delays. Early intervention is crucial because language develops in a child before the age of three. “For example, if a arie-Josée Taillefer is the spokesperson for the inaugural fundraising campaign for the Fondation Sourdine pour l’École oraliste de Québec pour enfants malentendants ou sourds, and she met our interview request with enthusiasm. child begins to talk at one year old, it’s because he’s been hearing words for a whole year,” says Marie-Josée. “Imagine the delays a child would experience if he only started to hear at the age of five!” Marie-Josée points to the hidden nature of deafness, which is not an easily detected disability. “People don’t usually think their child’s hearing could be deficient; parents take it for granted that their child can hear well from birth. Imagine—we were with our son 24 hours a day, and even though Olivier is deaf, we had to piece together all these little signs before we became suspicious and decided to have his hearing tested. Think of what it would be like with a child who has mild or moderate deafness. Often, parents will become aware of their child’s hearing loss only once he or she starts school and displays difficulty with reading and writ ing. If you have even the slightest suspicion, you should consult an audiologist to make sure,” advises Marie-Josée. All rights reserved René and Marie-Josée have agreed to be the spokespeople for the first fundraising campaign for the Fondation Sourdine pour l’École oraliste de Québec pour enfants malentendants ou sourds. Over a period of five years, this major campaign will raise 2.5 million dollars to go towards acquiring a building that will house the École oraliste de Québec. The money will also be used to create an endowment fund to ensure the school can continue to provide services and to build an intensive education program for students. “We decided to support this campaign because we know that for deaf or hearing-impaired children, proper education is crucial to their development. This is why we are very happy to lend our support to this extraordinary school,” says Marie-Josée. When we asked Marie-Josée to tell us what her ultimate goal was, she replied without hesitation: “To make deafness visible!” Indeed, the disability receives scant attention. Throughout our interview, MarieJosée displayed an incredible gener osity of spirit, and we would like to thank her from the bottom of our hearts for this enriching and enlight ening encounter. , To read the full interview a. visit www.lobe.c www.sourdine.qc.ca Lobe Magazine www.lobe.ca 4 TM ll. Just one care. e listen. We ca TM W Volume 5, Number 2, 2012 TM OUR mission The professionals who practice in Lobe Santé auditive et communication multidisciplinary clinics share the goal of offering people who have hearing, language, or speech challenges every possible means of improving their quality of life by using the most current technologies and by applying a multidisciplinary patient-centered approach. Cédric Bégnoche Audioprosthetist Natacha Ioannoni Audioprosthetist Joëlle Bélanger MPA, Audiologist Tanya Béliveau Specialized Educator Nathalie Bisson Audioprosthetist Francis Laflamme Audioprosthetist Élise Boucher-Doddridge MPA, Audiologist Myriam Bouchard Specialized Educator Josée Boulanger Audioprosthetist Sonia Lamarche Audioprosthetist Kathia Faust MPA, Audiologist Valérie Boucher Specialized Educator Julie Caya Audioprosthetist Sébastien Lanthier Audioprosthetist Martin Fortin MOA, Audiologist Myriam Boulanger Specialized Educator Joey Champagne Audioprosthetist Étienne Lefebvre Audioprosthetist Linda Gagnon MOA, Audiologist Marie-Julie Carbonneau Specialized Educator Paul Côté Audioprosthetist Stéphanie Marceau-Dugal Audioprosthetist Audrey Goulet MPA, Audiologist Stéphanie Desjardins Specialized Educator Martin Cousineau Audioprosthetist France Morrissette Audioprosthetist Joanie Lessard MPA, Audiologist Émilie Fournier Specialized Educator Skueda Dessureault-Tremblay Audioprosthetist Francine Morrissette Audioprosthetist Marie-Ève Lessard MPA, Audiologist Isabelle Galarneau Specialized Educator Karl Drouin Audioprosthetist André Ouellet Audioprosthetist Justine Ratelle MPA, Audiologist Marie-Pier Gervais Specialized Educator Simon Dufort Audioprosthetist Jonathan Plouffe Audioprosthetist Nadine Tougas MPA, Audiologist Marie-Ève Guay Specialized Educator Annie Dumontier Audioprosthetist Jacinthe Poitras Audioprosthetist Jessica Tremblay MPA, Audiologist Stéphanie Guillemette Specialized Educator Janie Durette Audioprosthetist Annie Potvin Audioprosthetist Michèle Veilleux MPA, Audiologist Estelle Lamonde Specialized Educator Paul Fontaine Audioprosthetist Nicole Tourigny Audioprosthetist Ann Yuile-Campbell M.S. Aud (C), Audiologist Marie-Christine Lavoie Specialized Educator Michelle Fournier Audioprosthetist Audrey Tremblay Audioprosthetist Rafif Zarka MPA, Audiologist Audrey Racine Specialized Educator Elaine Gagnon Audioprosthetist Michel Zalatan Audioprosthetist Annick Rousseau Specialized Educator Christophe Grenier Audioprosthetist Hugues Baril MOA, Audiologist Marie-Claude Fortier MOA, Speech-language Pathologist Stéphanie Hamel Audioprosthetist Hélène Beaucher MOA, Audiologist Sylvie Thivierge MOA, Speech-language Pathologist Sarah Roy Specialized Educator Marianne Vermette Specialized Educator Our Partners Association québécoise de défense des droits des personnes retraitées et préretraitées Lobe Magazine www.lobe.ca DRE ! À REVEN RGIE ’ÉNE DE L lace des aînés All rights reserved Association québécoise de défense des droits des personnes retraitées et préretraitées HEARING ent’s report Cholesteatoma The human ear is susceptible to a thousand and one problems: ear infections are common among children while the elderly often experience presbycusis (age-related hearing loss). Cholesteatoma, on the other hand, is a disease marked by cysts on the eardrum and in the middle ear. Cholesteatoma is a type of chronic ear infection or long-term inflammation of the eardrum or middle ear. It consists of a cyst or retraction pocket on the eardrum. Cholesteatoma is sometimes congenital, but most often it results from chronic tympanic membrane retraction or a perforated eardrum. Cholesteatoma is more frequent among children under 15, but it can occur at any age and usually appears in only one ear. An ENT can perform a microscopy exam to diagnose problems of the eardrum and the middle ear, including cholesteatoma. A computed tomo graphy (CT) scan of the ear is also often useful. Cholesteatoma must be surgically treated by an ENT specialist. The condition often requires longterm monitoring. It should be treated quickly to avoid certain complications such as infections (mastoiditis, meningitis), permanent deafness, dizziness or facial paralysis. If you are experiencing prolonged ear discharge, do not hesitate to consult an ENT doctor. Patients with cholesteatoma may experience hearing loss or ear discharge, but symptoms are sometimes very mild. All rights reserved Dr. Yanick Larivée Ear, nose and throat (ENT) specialist Head and neck surgeon President of the Association of Oto-rhino-laryngology and Maxillo-facial Surgery of Quebec Lobe Magazine www.lobe.ca 5 Hearing audioprosthetist’s report Two ears: two cerebral hemispheres The brain acts as headquarters for the central nervous system, controlling our ideas and thoughts. It is home to over a hundred billion interconnected nerve cells that transmit and receive messages from different parts of the body. These cells are the seat of intellectual, sensory and motor functions. Each hemisphere is subdivided by fissures forming several lobes: the limbic lobe, the insula, the frontal lobe, the parietal lobe, the occipital lobe and the temporal lobe containing the taste, memory and hearing centres. The auditory cortex is responsible for analyzing the information we receive through hearing. The brain is divided into two hemispheres, and as a general rule, these are organized in the following way: Hearing (temporal lobe) The left hemisphere The right hemisphere The left hemisphere: The brain’s left hemisphere is the rational side, the primary centre for language, computation and analysis. The right hemisphere: The right hemisphere excels in everything visual and spatial, perception and intuition. The right hemisphere of the brain is associated with creativity and music. Each cerebral hemisphere processes information according to its speciality, and then forwards its results to the other half of the brain. For example, to stretch the right leg, the left hemisphere is what triggers the movement. Binaural hearing Nature has equipped us with two ears and two cerebral hemispheres. Each cerebral hemisphere analyzes the messages transmitted by both ears, which means it is important that each ear is functioning well. References: *See the article “La privation sensorielle,” Lobe Magazine, Vol. 7, No. 1, p. 8. - Mariebs, Elaine N. Principes d’anatomie et de physiologie humaines, Éditions du renouveau pédagogique. - Tortora, Gerard J., and Sandra Reynolds Grabowski. Principes d’anatomie et de physiologie. - Purves, Dale (2003). Neurosciences, 2nd edition, trans. J. M. Coquery (De Boeck). - Revue Audio info (April 2004). Lobe Magazine www.lobe.ca Studies show that hearingimpaired people with bilateral hearing aids describe sounds as having more clarity, intensity, proximity and softness, and report an improvement in their ability to understand conversation in noisy environments. In short, binaural hearing provides a better hearing experience than monaural hearing. Not only do our two ears allow us to hear, they also let us locate sounds in our environment. For example, your ears don’t just let you know a car is coming, they also tell you the direction from which it is arriving. With his eyes closed, a person with bilateral hearing aids (both ears corrected) is able to tell if a vehicle is arriving from the left or the right. In addition, hearing aids stimulate the reorganization mechanisms of the auditory cortex (brain plasticity) and improve cognitive and social performance.* Hearing aids “re-educate” hearing, even in the very elderly. So it is never too late to reap the benefits of modern digital technology! To learn more, do not hesitate to consult an audioprosthetist at any Lobe Santé auditive et communication multidisciplinary clinic. France Morrissette Audioprosthetist Boisbriand and Laval • Sainte-Dorothée All rights reserved 6 HEARING AIDS audioproStheTIST’S REPORT Brain plasticity You have undoubtedly already heard of books or memory games that are bursting with various problems to test our memories and mental skills. They engage our brain’s ability to maintain its malleability. This phenomenon is referred to as brain plasticity. In essence, our central nervous system is perpetually reorganizing itself regardless of our age. The idea is simple: the more stimuli the brain receives, the more it reorganizes itself to better manage those stimuli. A good example of this is how sometimes the blind develop a sense of touch or hearing that is stronger than the average person’s. Many scientific experiments and studies have shown this observation to be true. Some researchers even believe that brain plasticity could be at the centre of slowing down symptoms of Alzheimer disease in some subjects, as if the brain were compensating for having the disease. In other words, the brain continuously remodels itself. Brain plasticity is extremely important to a successful hearing aid fitting; it should definitely not be ignored. Put another way, you need to give yourself some time. Adapting to hearing aids is a process, not an innate ability. Today, hearing aid miniaturization allows us to brush aside most pejorative stereotypes about the devices. The adaptation period remains essential to the success of a hearing aid fitting. People can take days or weeks to find their auditory markers and reorganize the processing of this new information by the various nerve endings. Your audioprosthetist and specialized educator will support you during this adaptation period. In addition, always keep in mind that time is a determining factor in this process, so give yourself a chance to see the positive changes over time. Brain plasticity from another angle It can work the other way too: a brain receiving a reduced quantity of information will slowly lose the ability to process that information. This phenomenon is referred to as sensory deprivation. People who have been hearing-impaired and without a hearing aid for several years will face a greater challenge during the period in which they are adapting to their hearing aid. Therefore, it is imperative to proceed with a hearing aid fitting as soon as hearing loss is diagnosed. Considering that a person with hearing loss takes an average of seven years before consulting a professional, it is not surprising that the adaptation period will be longer. Do not hesitate to consult an audioprosthetist at any Lobe Santé auditive et communication multidisciplinary clinic for more information. All rights reserved Simon Dufort Audioprosthetist Montréal • Saint-Laurent References: -ARLINGER, S. “Negative consequences of uncorrected hearing loss−a review,” International Journal of Audiology (2003); 42(2), 17-20. -PHILIBERT, B., et al. “The auditory acclimatization effect in sensorineural hear ing-impaired listeners: Evidence for functional plasticity,” Hearing Research (2005); 131-142. -TREMBLAY, Jessica, MPA, Audiologist. - “À la découverte de la plasticité cérébrale,” http://www.psychologies.com, page consulted on January 22, 2012. -“Les personnes à risques d’Alzheimer peuvent désormais espérer retarder l’apparition des premiers symtômes,” http://www.nouvelles.umontreal.ca, page consulted on January 22, 2012. Lobe Magazine www.lobe.ca 7 HEARING audiologist’S REPORT The hearing test… How do I persuade a loved one to book a consultation? It is not easy to convince the people in our lives to consult an audiologist. Deafness is commonly associated with old age, and who wants to admit to getting older with the accompanying loss of abilities? Telling someone they “don’t hear well” can therefore feel somewhat confrontational. Deafness can sneak up on people. Because it often occurs very gradually, many don’t even realize that anything is wrong with their hearing. People who fail to notice their hearing loss will often lay blame on those around them: “ Everyone else mumbles—they don’t speak clearly!” is a common argument. It is hard for a person to realize they are missing sounds they can no longer hear. Bear in mind that before hearing impaired people come to terms with their deafness, they typically go through a fairly long period of denial. It can be a frustrating experience. On aver age, it is usually five to seven years between the time someone starts to notice a problem and the time they consult an audiologist. Some will even wait up to 15 years. There is no magic formula for persuading someone to book a consultation. Every person will react differently to the suggestion. For some, it is important to approach the topic very gently, while others will respond to a more direct approach. It can be helpful to appeal to a person’s emotions; for example, by asking them if they are bothered by their inability to understand others during family get-togethers or when they play with their grandchildren. You can Lobe Magazine www.lobe.ca also bring up your own feelings by talking about how it makes you sad when the person avoids taking part in conversations, or frustrated when you constantly need to repeat yourself. Make sure to choose an appropriate time when the person is likely to be receptive. Above all, avoid bringing up the topic when a third person is present. Be respectful when broaching the subject and you will have a better chance of being heard. Stick to the facts, and avoid using a harsh tone or accusatory words so the person does not feel as if they are being attacked. Avoid the following expressions: “You don’t understand anything,” “You always make me repeat everything” or “Your responses don’t make any sense!” It is better to use the “I” formula: “I have the impression that you are more tired after group gatherings,” or “I think you are having more trouble understanding people than you used to.” It is important to let the person know that you only want what is best for them and that your goal is to improve their quality of life. Be an active listener and try to understand their point of view. Don’t force the issue. Hearing health profession als are there to help people cope with hearing loss. You can let your loved one know they have nothing to lose and everything to gain by booking a consultation! You can even offer to make the process easier by arranging the appointment or accompanying them to the audiologist. For people who are dealing with hearing loss, gestures like these will certainly reduce their stress. Here are a few other helpful tips: Leave some Lobe Magazine issues lying around to demystify the issue. Find a reason to bring up a recently published article that may be of interest. Make a positive comment about a neighbour’s hearing aids. Etc. Lastly, just like our eyes, our ears need regular preventative check-ups throughout our lives, and hearing tests are recommended, especially after the age of 50. If you have any questions, please do not hesitate to contact an audi ologist at a Lobe Santé auditive et communication multidisciplinary clinic. Michèle Veilleux, MPA Audiologist Québec All rights reserved 8 HEARING aids audiologisT’S REPORT Did you know that the type of hearing aid you wear is based on your individual profile? All rights reserved Wh e n d e c i d i n g i f a person should wear a hearing aid, there are several factors to consider. An individual’s personality and their environment bear more or less equal consideration in determining hearing aid needs. First of all, it is important to understand that the audiogram represents only one factor. This graphic, generated by the audiologist, illustrates the degree and type of hearing loss present. It forms the basis of any hearing assessment, certainly, but bear in mind that two people with the same type of deafness can each face very different challenges. These challenges vary depend ing on the hearing-impaired person’s level of activity. For example, people who do not lead busy social lives and who are not working will interact less frequently with others, and therefore will run up against fewer communication challenges. In addition, if they know the people with whom they usually communicate, their needs will be less acute. People who are hard of hearing will usually find it easier to communicate with friends and family as opposed to strangers. It is also important to consider the type of work a person performs. People who engage in manual labour and who have little need to communicate with others may feel less inclined to use hear ing aids than a person who attends meetings frequently, interacts with the public or who works in cus tomer service. The actual work environment can be a factor as well. Quiet workplaces such as closed offices make it easier for hearingimpaired people to understand conversation, in contrast to noisy environments like open concept spaces that are shared with several colleagues. Recreational activities also come into play. Life does not only happen at work—what a person does in their free time is also an important consideration. To take full advantage of leisure activities, it is important to take stock of what is required. People who participate in numerous social activities (bingo, bridge, etc.) will have greater need for a hearing aid than those who engage in solitary pastimes such as reading, sewing or embroidery. It is important to note that the ability to adapt to hearing loss varies greatly from one indi- vidual to another. Some people are limited in their ability to compensate, such as through lip-reading or by signalling that they have missed what was said. People who are less inclined to employ good communication strategies experience more severe consequences as a result of hearing loss, which increases the need for hearing aids. Furthermore, a person’s capac ity to make mental adjustments hinges on their language as well as their degree of general knowledge; these make a big dif ference in one’s ability to under stand. In addition, when the language a hearing-impaired person hears is not their mother tongue, difficulties increase, along with the need to wear hearing aids. For example, if you are learning French or enjoy frequent travel, you may find these activities very challeng ing once you experience hearing loss and feel a greater need for hearing aids. Always keep in mind that to reap all the benefits of hearing aids and to facilitate their regular usage, it is important to recognize one’s own unique challenges and feel motivated to make the necessary effort! Do not hesitate to consult an audiologist at a Lobe Santé auditive et communication clinic for more information. Michèle Veilleux, MPA Audiologist Québec facility (syntax and vocabulary) Lobe Magazine www.lobe.ca 9 Questionnaire Hearing and Listening difficulties screening For each question, place a checkmark in the circle under the answer that best describes your listening and hearing experiences. Please only use one checkmark per question and answer all the questions. Never Occasionally Often Always 0 point 2 points 4 points 6 points Questions 1. I have difficulty understanding a conversation when I am speaking with someone and there is background noise present (example: in a shopping mall, in a restaurant, in the car). 2. I have to turn up the volume of the television or the radio in order to understand better. 3. I have difficulty understanding conversations when a number of people are talking at the same time. 4. I have difficulty hearing someone knocking at the door or hearing the doorbell ringing. 5. I have difficulty hearing the telephone ringing from another room at home. 6. I have difficulty understanding speech if I cannot see the face of the person talking to me. 7. I have difficulty understanding speech when people talk too quickly. 8. I have difficulty understanding on the phone. 9. I have difficulty identifying where sounds are coming from. 10. I have difficulty understanding speech when someone talks to me from another room at home. 1. Add up your points. 2. Add: • Below 60 years of age:0 • Betwen 60 and 64: 6 • 65 years or more: 12 3. Add boxes 1 and 2. If your total score is 24 or more, the following steps are recommended: Make an appointment with an audiologist for a complete hearing evaluation. 1 If a hearing loss is identified; you will be referred to either, your family doctor, an ear-nose-throat specialist or an audioprosthetist. 2 Upon your request, a copy of your hearing evaluation will be sent to your family doctor. This questionnaire was designed by Martin Fortin, MOA, audiologist, in conjunction with Lobe Santé auditive et communication. No part of this document can be reproduced without the written permission of Lobe Santé auditive et communication. To find the multidisciplinary clinic nearest you: 1 866 411-5623 • www.lobe.ca Lobe Magazine www.lobe.ca All rights reserved 10 Hearing aids audioprosthetist’s report Myths surrounding the use of hearing aids Are you embarrassed to wear glasses because you want to keep others from knowing you have vision problems? Are you always pushing off correcting your vision until later? Do you use a magnifying glass to read the newspaper instead of wearing your glasses? Then why keep your hearing problems a secret? If you have a hearing loss, why are you embarrassed about wearing hearing aids? Could it be the myths surrounding hearing aids and deafness? If so, let’s demystify them. Following are a few examples of myths that hearing health professionals often encounter. 1. Hearing aids are too big; everyone will see I have them. So? What’s important is that you hear and understand better. There are hearing aids that can be placed at the bottom of the ear canal. However, for people whose degree of hearing loss or size of auditory canal do not allow the wearing of this style of hearing aid, devices worn behind the pinna (ear flap) are much smaller and more dis creet and comfortable than before. Matched to hair colour, they are essentially hidden. All rights reserved 2. Hearing aids produce feedback all the time. Feedback is increasingly rare in new hearing aids, which are much improved in this regard, with their anti-Larsen system (which eliminates feedback as soon as the hear ing aid perceives it). If there is feedback, it is likely because the hearing aid is not properly positioned in the auditory canal or the wearer has a ear wax plug.* 3. I don’t want two; I’ll look even deafer! Wearing two hearing aids is nothing but positive, offering better under standing in noisy situations and better spatial sound localization. The reason is simple: in most cases, hearing loss occurs in both ears. In fact, Dr. Sergei Kochkin of the Better Hearing Institute tells us that in 90% of cases, hearing loss occurs in both ears and therefore, two hear ing aids are needed! 4. I don’t need them; at my age it’s normal to be hard of hearing. Presbycusis is the degeneration of the cells of the inner ear. Therefore, it is normal that with age presbycusis affects your ears. What is not normal is not doing anything about it! It’s a bit like someone suffering from presbyopia (degeneration of the cells of the eye) telling you he no longer reads the newspaper because he doesn’t see well. That makes no sense! A simple correction can fix everything and improve your quality of life in one step. 5. I won’t like it. A study shows that 92% of hearingimpaired people who wear hearing aids are satisfied with them. This References: * See the article “Mes appareils sifflent, est-ce normal?”, Lobe Magazine dated August 15, 2008. - KOCHKIN, S. “MarkeTrak VII: Consumer satisfaction with hearing instruments in the digital age,” The Hearing Journal, September 2005, Vol. 58, No. 9: 30-43. - www.hear-it.org study, conducted by Dr. Kochkin, also reveals that nine out of ten people agree that their quality of life has improved since they have hearing aids. You know, the best way to find out if you’d like wearing hearing aids is to try them! Because of these myths, you are depriving yourself of the joy of hearing your grandchildren, birds singing or understanding what people are saying to you. When you meet hearing health profes sionals and they recommend you to wear hearing aids, understand that it is because you need them. The goal of a hearing aid is not to show everyone that you have a hearing problem, but to clearly understand the people talking to you, to help you appreciate your time with family members and friends. It simply means that you are taking care of your hearing and that you are solving a problem a lot of people have, starting with yourself. For more information, do not hesitate to contact an audioprosthetist at a Lobe Santé auditive et communication multidisciplinary clinic. Sébastien Lanthier Audioprosthetist Sainte-Foy - KOCHKIN, S. “MarkeTrak VII: Hearing loss population tops 31 million,” The Hearing Journal, July 2005, 12: 16-29 and Fördergemeinschaft Gutes Hören. - http://www.french.youth.hear-it.org/Les-appareils-auditifs-ameliorent-la-qualite-de-vie. - BETTER HEARING INSTITUTE, www.betterhearing.org. - CARMEN, Richard, and Shelley URAM. “The Consumer Handbook on Hearing Loss & Hearing Aids: A Bridge to Healing,” The Hearing Journal, April 2012. Lobe Magazine www.lobe.ca 11 Hearing aids audioprosthetist’s report K MO D I L QN HP The negative effects P of diminished auditory discrimination on the performance of your hearing aids W hen getting fitted for hear ing aids, certain obstacles can influence the expected results (hearing aids + % discrimi nation = expected results). One such obstacle is diminished auditory discrimination, represented as a percentage on your hearing test results. A E F B C D Take the example of a form of hearing loss common to many hearingimpaired people, whereby high frequencies are affected and low frequencies are normal. Let’s analyze the frequency structure of the word sunset. The “s” and “t” are sharp (high frequencies) and the “un” and “e” are low frequencies. The hearing-impaired person will therefore have difficulty perceiving the “s” and “t.” The figure below illustrates the concept. sunset: Perceived by a normally hearing person To determine this percentage, the Perceived by a hearing-impaired person audiologist has the patient listen to with sensorineural hearing loss several words and repeat them. The purpose of this test is to measure the Perceived by a hearing-impaired person patient’s ability to recognize words with sensorineural hearing loss at a comfortable loudness level and with hearing aids therefore determine word clarity to the patient’s ear. Typically, the audiologist uses a list of 25 monosyllabic words. Every time the patient makes With the results of your hearing test conducted by the audiologist, the a mistake when repeating a word, audioprosthetist will be able to explain what benefits you can expect from 4% gets subtracted. your hearing aids. The role of your hearing aids is to maximize residual hearing, i.e. stimulate the intact parts of the auditory system, not repair them. Discrimination For hearing-impaired people with diminished auditory discrimination, qualification scale it is important to be aware of the specific solutions for maximizing resid (this scale may vary ual hearing. Among these, using two hearing aids (binaural hearing aids), depending on the author): choosing hearing aids with more advanced technology, and using listening Excellent discrimination: and communication strategies make it possible to obtain the maximum 90% or higher amount of information from the sound environment. Very good: 80% to 89% In conclusion, patients who have diminished speech discrimination Good: 70% to 79% abilities must have realistic expectations in terms of the results they will Fair: 50% to 69% achieve with their hearing aids. Weak: 20% to 49% Do not hesitate to consult an audioprosthetist at any Lobe Santé audiAlmost nil: 0% to 19% tive et communication clinic for more information. Diminished auditory discrimination translates into a difficulty in differentiating between the various sounds of speech. As such, some words may be distorted or altered. To illustrate this, suppose you were listening to your favourite radio station and the reception was bad. Turning up the volume won’t eliminate the sound distortion. This phenomenon applies to someone with a hearing impairment whose auditory discrimination is diminished. Lobe Magazine www.lobe.ca Jonathan Plouffe Audioprosthetist Saint-Hubert Cédric Bégnoche Audioprosthetist Saint-Jean-sur-Richelieu References: - LESHOWITZ, B., and R. LINDSTROM (1979). “ Masking and speech-to-noise ratio ,” Audiol. Deaf Educ. 6, 5-8. - PLOMP, R., and A.M. MIMPEN (1979). “ Speech-reception threshold for sentences as a function of age and noise level ,” J. Acoust. Soc. Am. 66, 1333-1342 All rights reserved 12 G Hearing aids audioprosthetist’s report Hearing aids: even more effective! Hearing problems are increasingly wide spread. People suffering from deafness are looking for hear ing aids that match their lifestyle. Through science, our auditory knowledge continues to grow, which lets us develop even more effective hearing aids. One of the problems the hard of hearing most often cite is hearing in noisy environments. Hearing and understanding are two different, but interrelated, things. Hearing loss means that people perceive words less distinctly, which means understanding is reduced considerably. This is why they hear the words, but don’t really understand them. Using hearing aids earlier in our lives enables us to better adapt to hearing amplification. All rights reserved Today’s hearing aids use several systems to help users understand in noisy environments. left ear), which increases the ability to understand in a noisy place. The noise reduction system works in the canal where ambient noise is present without altering the other bands, thus providing better sound quality. Using interactive microphones, the systems available in hearing aids ensure that the hearing aid opposite the main vocal source focuses on that same vocal source. Connectivity features are available to connect the hearing aids to the telephone or TV so that the sound source is perceived directly in the hearing aids. Hearing aids with mid level technology use less developed systems. They have fewer channels, and the noise reduction systems and microphones are less flexible than those in hearing aids with premium and advanced technology. They do not share sound information, but they can work together for directional microphone action or for adjusting volume. Lastly, hearing aids with economy and entry level technology provide fewer options as they have fewer channels and less effective noise reduction systems. They can, however, communicate interaurally for volume adjustment and directional microphone action. Do not hesitate to consult your audioprosthetist at one of the Lobe Santé auditive et communication multidisciplinary clinics for assistance selecting the right hearing aids for you. Paul Fontaine Audioprosthetist Lac-Mégantic and Saint-Georges References: Hearing aid manufacturers’ data sheets. Thank you to the following companies: Starkey, Oticon and Phonak. A wide selection is available on the market and can be categorized into five levels of technology: premium, advanced, mid level, entry level and economy. Hearing aids using premium and advanced technology provide for the most effective correction systems. They break the sound into several fragments, which allows for intervention on small sound bands. These hearing aids are equipped with the latest generation computer system. Noise reduction systems work alongside the interactive microphones and the interaural communication systems (right and Lobe Magazine www.lobe.ca 13 Hearing aids PERFORMANCES USUALLY OBSERVED IN VARIOUS LISTENING ENVIRONMENTS BASED ON TECHNOLOGY LEVEL * Calm ECONOMY ENTRY LEVEL MID LEVEL ADVANCED PREMIUM One on one Listening environments Family dinner Theatre/ Concert Outdoor activities Meetings Restaurant Noisy Parties Social activities Comfortable * These levels of performance presuppose that the person is wearing binaural hearing aids and has strong speech recognition capabilities. CONNECTIVITY (Bluetooth, FM, infrared) HOME TELEPHONE Lobe Magazine www.lobe.ca MOBILE TELEPHONE TV OTHER AUDIOVIDEO SYSTEMS CONFERENCE All rights reserved 14 15 Lobe Maintenance Products To ensure both the comfort and longevity of your hearing aids TM Quick and se Easy to u Use Directions VapoLobe Daily Cleaner Cleans hearing aids and reduces the risk of ear canal infection while helping to keep repair costs down. Spray the VapoLobeTM solution on a tissue and gently wipe each hearing aid’s earmold, shell or dome. Can also be used to clean protective ear wear (e.g. earplugs for musicians, swimmers, etc.). ServiLobeTM Daily Cleaning and Disinfectant Towelettes Cleans hearing aids and reduces the risk of ear canal infection while helping keep repair costs down. Take a packet from the ServiLobeTM box and open it to remove the towelette. Carefully wipe the earmold, shell or dome of your hearing aid. Can also be used to clean protective ear wear (e.g. earplugs for musicians, swimmers, etc.). IntraLobeTM Deep Cleaner Deep cleans earmolds. Light pressure is all that’s needed to wet the brush. Apply the cleaner to the earmold and brush lightly until the product has evaporated. Nightly Protector for Everyday Care Open the battery compartment, remove the battery and place hearing aids in the ProtecLobeTM container. TM ProtecLobe TM Eliminates excess moisture, which is the main cause of hearing aids malfunction. The ProtecLobeTM tablet must be replaced every three months. Tip: write the date on the tablet. TestLobe TM Immediately indicates whether your battery is still good or needs replacing. : Battery OK : Battery OK : Battery needs changing : Battery needs changing SoluLobe Effervescent Tablets for Earmolds Deep cleans and disinfects earmolds. Fill the container with warm water and drop in a tablet. Disconnect the earmolds from the hearing aids and place them in the container. Soak for several hours or overnight. Rinse with clean water. Dry with VentiLobeTM. VentiLobeTM Air Blower for Earmolds Eliminates moisture from earmold tubes. Disconnect the earmolds from the hearing aids. Insert the air blower tip into the tube and squeeze until all moisture or condensation is gone. InserLobe Lubricating Gel Makes hearing aid insertion easier. Apply a small amount of InserLobeTM lubricating gel on the earmold or in-the-canal part of the shell. Avoid getting gel on the receiver and microphone. TM All rights reserved Battery Tester Insert the battery into the TestLobeTM tester. Slide the battery over the gold-coloured part of the tester, being sure to keep the “+” side upwards. The result: TM Lobe Magazine www.lobe.ca Hearind aids The Wi Series 110: Hearing aids designed for better speech intelligibility in noisy environments Starkey is introduc ing its brand-new line of Wi Series wireless hearing aids design e d to make your life easier, especially when it comes to hearing! The Wi family is available in three technology levels: entry level (Wi Series 70), mid level (Wi Series 90) and advanced (Wi Series 110). The Wi Series 110 was developed for active people who experience ambient noise levels of variable intensity. Thanks to its programming flexibility and unique background noise reduction algorithm, these high-end hearing aids provide optimal sound and performance in challenging listening and communication environments. Most hearing losses involve a diminished capacity to perceive high frequencies. Those frequencies, generally above 3 kHz, account for some 25% of the speech cues required to recognize spoken language (ANSI S3.5-1997). The Spectral iQ option that comes with the Wi Series 90 and Wi Series 110 restores the audibility of highfrequency speech sounds without introducing any distortion. Spectral iQ uses a technique called “spectral identification” to identify incoming acoustic signals in the hearing aids, recognizing and classifying the acoustic characteristics of high frequencies. Once that’s done, it uses a sophisticated technical process to replicate those high-frequency Lobe Magazine www.lobe.ca characteristics at a lower frequency, leading to enhanced audibility and speech intelligibility. The Wi Series 110’s advanced technology also opens the door to a very useful function for hearingimpaired individuals: binaural synchronization. The principle is very simple: the hearing aids exchange information every six milliseconds to establish an accurate portrait of your acoustic environment. Then, that map of the acoustic environment is used to adjust the hearing aids’ noise reduction levels and microphones, providing the best possible sound quality for that environment. What’s more, when you turn up the volume on one hearing aid, binaural coordination reproduces the action on the other, providing balanced, optimal hear ing at all times. In addition to helping you hear better in noisy settings, the Wi Series line can also relay audio signals from your television, radio or computer directly to your hear ing aids through the wireless Surf Link Media transmitter. You don’t have to install anything complicated or wear any special accessories: just connect the transmitter to your TV set or other device using the audio cables provided, and you’re all set! The transmitter will stream the audio signal from your entertainment device directly to your hearing aids, making sure you don’t miss a word while those around you can continue to watch their programs at a volume they find comfortable. Wi Series Remote Control Artone SurfLink Media Julie-Catherine Ste-Marie, M.Sc.S. Audiologist Starkey Canada www.starkey.com rmation or want to know If you’d like further info aring aid or accessory whether this type of he an audioprosthetist at is right for you, consult et communication ive a Lobe Santé audit ay! multidisciplinary clinic tod All rights reserved 16 Hearing aids Bernafon Chronos 7 All rights reserved When it comes to hear i ng aids, the challenge has always been to fit hearingimpaired people with hearing aids that provide appropriate amplification along with comfortable sound. The difficulty in achieving this balance becomes complex: 1. If the person has hearing loss due to working in a noisy environment for an extended period; or 2. If the person’s audiogram shows an atypical hearing loss; or 3. If the person suffers from tinnitus; or 4. If the person has difficulty in terms of tolerating loud sounds (recruitment). Bernafon Chronos 7 hearing aids provide adjustment flexibil ity, making it possible to program hearing aids to correct the most problematic hearing losses. These devices, along with all the others in the family of Chronos hearing aids, were developed to provide clear and comfortable sound. Audio Efficiency™ technology synergetically combines the processing of the ChannelFree™ signal and directivity for improved speech comprehension, with optimal elimination of acoustic feedback (hissing) and effective noise management. The technology speed of ChannelFree™ signal processing combined with phonemic compression ensures that appropriate gain is phonetically applied while eliminating any spectral blurring, resulting in enhanced sound quality. With the growing popularity of open hearing aids, particularly for people with ski slope hearing loss (where low to medium frequencies are often normal), a good system for counteracting acoustic feed- back is very important. The Adaptive Feedback Canceller (AFC) Plus, designed in conjunction with the Chronos family, detects and eliminates feedback while it is still inaudible, allowing for open hearing aids with no acoustic feedback for the majority of high frequency hearing losses. Chronos 7 hearing aids have a great deal of adjustment flexibility: Ability to set up to four programs including telephone, automatic telephone setting and Bluetooth DAI (direct audio input), for maximum flexibility for your hearing needs. Choice of four hearing aid formulas (NAL NL1, DSL i/o, Bernafit and Bernafit Comfort) to satisfy amplification needs. Full range of styles and matrices for fitting a wide variety of people with different audiogram con figurations and aesthetic pref erences. Choice of different shells for behind-the-ear products, includ ing the standard colour hook and Spira Flex thin tube available in two diameters. Expanded scope of domes for maximum hearing-aid fitting flexibility for all ear sizes. Data collection/recording of vol ume changes. Connectivity via remote control and Soundgate (Bluetooth). Martin Lusignan Bernafon www.bernafon.ca thetist at one Consult your audiopros ditive et au nté Sa be of the Lo isciplinary communication multid product this clinics to see whether eds. ne g arin he r is right for you Lobe Magazine www.lobe.ca 17 hearing aids Pure Carat from Siemens: An innovative solution As a manufacturer specializing in innovative, practical and environmentally friendly concepts, Siemens has devel oped Pure Carat, a rechargeable hearing aid. The handy eCharger recharging case is easy to use and spares you the hassle of purchasing and handling batteries. It also serves as a drying kit at night, drying your hearing aids to reduce the risk of internal corrosion that could result from exposure to moisture—including natural perspiration generated by normal activity. Pure Carat has earned a reputation for its flexibility, including a case that comes in a variety of interchangeable colours so you can personalize your hearing aids whenever you wish, and a switch that can be used to set the volume or change listening programs, as required. Equipped with Siemens’ BestSound technology, the Pure Carat hearing aid delivers truly natural Lobe Magazine www.lobe.ca sound quality. What’s more, the built-in TruEar function helps you determine where sounds come from. The SoundBrilliance feature restores the rich, round sound of music and Bluetooth audio feeds, thanks to the Tek and miniTek remote controls. Pure Carat can also play a part in tinnitus management programs, helping to alleviate a common after-effect of noise- related hearing loss. Pure Carat is a RIC (receiverin-canal) hearing aid featuring a size 13 battery for longer battery life without sacrificing the case’s tiny size. Its telecoil enables you to connect your hearing aids to compatible telephones and take advantage of magnetic induction loop systems found at establishments like museums, churches and theatres. Provided certain requirements are met, the CSST will cover the cost of this model for workers suffering from occupational hearing loss. thetist at Consult your audiopros ditive et au one of the Lobe Santé iplinary isc ltid mu n communicatio product this er eth wh rn clinics to lea he r aring is a good match for you . profile Michèle Dostaler, M.Sc.S. Audiologist Product Support Siemens www.siemens.com All rights reserved 18 Hearing aids Acto Pro from Oticon: Hearing aids designed for noisy environments For most hearing aid users, noisy environments always pose a challenge. A survey of 3,000 hearing aid wearers conducted by Dr. Kochkin in 2005 showed that only 59% of hearing aid users were satisfied with their hearing aids’ overall performance in noisy environments. With the arrival of new technologies like wireless communication between hearing aids and extended bandwidth, Oticon is now focusing on speech perception in complex hearing environments. Oticon’s Acto Pro hearing aids are part of a product line that incorporates some of the best technologies on the market, including multiband adaptive directionality, TriState noise management and binaural synchronization. These features improve speech intelligibility in noisy, difficult environments, and they should be on your must-have list when the time comes to choose your hearing aids. All rights reserved Binaural synchronization is a function that allows two hearing aids to communicate with each other. Our ears naturally work together to acquire spatial information on the sounds around us, based on factors like time lag (a sound reaches one ear before the other) and difference in intensity (the sound is stronger in the ear closer to the source). To accomplish that same result, hearing aids must have considerable bandwidth because some spatial information comes from higher frequencies. In the case of Oticon’s Acto Pro, the bandwidth is 8,000 Hz. Binaural synchronization and bandwidth size are essential features, not only for pinpointing the sources of the sounds around us, but also for understanding speech in noisy settings. They help produce a sound picture of the surrounding environment that is richer, more detailed and more balanced. In a recent study (Oticon/Sagepub, 2010), 36 adults with symmetrical sensorineural hearing loss (18 expe- Connect Phone Connect TV rienced hearing aid users and 18 inexperienced users) were fitted in both ears with hearing aids, either models with an extended bandwidth and wireless communication capability or models with a narrower bandwidth and no wireless capability. The goal was to compare the performance of each pair of hearing aids in two listen ing and speech intelligibility tests: a quick speech-innoise (QuickSIN) test and a hearing-in-noise (HINT) test. Hearing aids with broader bandwidth and wireless communication capability achieved better results in both tests and all noise conditions than digital hearing aids without wireless communication capability. Acto Pro is also on the CSST’s list of eligible prod ucts. If you have an occupational hearing loss and a hard time understanding speech in noisy conditions, ask your audioprosthetist whether Oticon’s Acto Pro is right for you! Connect mic To see the Oticon/Sagepub study (Kreisman, et al., 2010), visit www.lobe.ca. Josée Guillemette Audiologist Business Development Manager, Adult and Pediatric Trainer Oticon Canada www.oticon.com Streamer product is To find out whether this , consult file pro g right for your hearin Santé be Lo a at tist the an audiopros n tio auditive et communica ic. clin y multidisciplinar Lobe Magazine www.lobe.ca 19 hearing aids When I sat down to write this article, I started pondering the phenomenon of hearing loss. My first thought was that most people do not even notice that it’s happening, and unfortunately, it’s usually their family and friends who suffer because of it! This week, I was Skyping with my parents in Florida when I realized that my father was starting to have a bit of trouble understanding what I was saying. My mother also complained that he kept turning up the volume on the TV to an annoying level. This set off alarm bells in my head. Please take a few minutes to answer the following questions. This exercise might allow you to recognize any changes in your hearing: Do you set the TV volume at a higher level than those around you? If you do not turn up the TV volume, do you have to make an effort to hear and understand what is being said? Do the people around you, your children, friends or spouse complain that the volume of your TV or music is too high? Does your spouse complain that you speak too loudly? FEATURES: Wireless noise-isolating headphones. Adjustable, comfortable headband. Effective range of 20 feet. Compact portable transmitter with multiple receivers (up to four people can listen to the same audio source simultaneously). No installation required—just plug and play. Nadine Girard Business Director Retail Strategy Consumer, Audiology and Communication Division Sennheiser Canada inc. www.sennheiser.ca RS 160 headphone system RS 160 headphones offer an affordable solution that can improve the quality of life for you and your loved ones. A high-fidelity stereo system, it consists of a wireless headset powered by two rechargeable NiMH batteries and a transmitter that connects to your sound source. With its clear, well-balanced sound, it delivers a high-quality listening experience. It is ideal for your TV, sound system and computer, or even for talking on Skype. And you can carry it with you wherever you go! product is To find out whether this , consult file pro g right for your hearin Santé be Lo a at tist an audioprosthe n tio ica un mm co et auditive ic. clin multidisciplinary Lobe Magazine www.lobe.ca All rights reserved 20 aqdr’s report Age-related hearing loss Age-related hearing loss is known as presbycusis. Several studies have revealed that hearing loss has many adverse consequences that should give cause for concern. All rights reserved When someone loses their hear ing, it can affect relationships with loved ones and service providers alike. Hearing loss sufferers may shy away from interactions, avoid discussion, and reduce their participation in recreational activities. Even family dynamics can deteriorate if loved ones fail to understand the impact of hearing loss. People with hearing loss may also experience a lower level of physical and social activity com pared with those who hear normally. Some studies have even revealed an increase in symptoms of depression. It can take several years before a person with hearing loss seeks help by a professional. Although several studies have looked at ways that hearing-impaired persons adjust to their situation, a recent study focused on the experience of seniors with hearing problems in order to pinpoint the individual and environmental factors that facilitate or limit their adaptation. For this age group, the study’s authors identified four main stages of progress, ranging from the first awareness of hearing loss to successful adaptation. The authors also compared certain positive and negative personal factors, such as whether a person has a confident or a defeatist outlook. Having the emotional support of loved ones and employing good listening and communication strategies can also help an elderly person move through these stages, as they cope with the reality of hearing loss and achieve a certain level of wellbeing. Do not hesitate to seek assist ance from a hearing health professional in order to help your elderly loved ones. Their well-being depends on it! To receive a copy of Vie et vieillissement magazine from the Association québécoise de gérontologie, please visit www.aqg-quebec.org. Martine Gagnon Association québécoise de défense des droits des personnes retraitées et préretraitées Reference: -POULIOT, Louis-Marie, et al. “L’adaptation à la perte auditive chez la personne aînée: une transformation profonde insoupçonnée,” Vie et vieillissement, Vol. 9, No. 3. Lobe Magazine www.lobe.ca 21 22 Good hearing for a good quality of life Our quality of life is dependent on many factors, not the least of which is our ability to hear. When we hear well, we are able to take part in conversations and communicate with people around us. In short, our hearing keeps us connected with life. If you notice any of these signs, keep in mind that the person may not be aware of any hearing loss. You can help by speaking to them about the importance of having their hearing checked to pinpoint any prob lems. It really is the best gift you can give them! It is important to remain vigilant and be on the lookout for evidence of hearing loss in our loved ones. Here are a few signs to watch out for: You need to repeat yourself frequently; The TV volume is abnormally high; The person takes part less often in family discussions, as if they are unable to follow the conversation. Suzanne Belzile Vice-president of the Table de concertation des personnes aînées de la Capitale-Nationale The FQCC is pleased to make the Lobe-Access hearin g health program available to its membe rs. We are listening Our 45,000 member-families are already enjoying the many benefits we provide, including the Lobe-Access program, exclusive to FQCC members. A passion for camping 365 days a year DISCOUNTS ACTIVITIES AND TRIPS SERVICES Lobe Magazine www.lobe.ca Join today! www.fqcc.ca All rights reserved For information and membership PUBLICATIONS pharmacist’s report Preventing age-related disease and disabilities “The Canadian population is aging. People over 65 are part of the most rapidly growing age demographic. In 2010, it was estimated there were 4.8 million Canadians age 65 and over, and this number is expected to double over the next 25 years, reaching 10.4 million by 2036. By 2051, about one in four Canadians will fall into this age category.” As the body ages, it becomes more prone to the effects of illnesses such as cardiovascular disease, cancer, the loss of sensory perception, dementia and osteoporosis. However, it is possible to maximize healthy aging by adopting behaviours that help prevent and control disease. Age-related health problems are the result of major physiological changes that come with aging. The heart weakens, joints wear down, neurons grow less efficient at transmitting information and bones become brittle. But it is a known fact that a healthy lifestyle can help prevent or reverse age-related diseases. Physical exercise will help maintain roud The AQRP is p ers the b m to offer its me program h lt a e h g hearin a healthy heart, strong bones and a proper weight. And you don’t need to be a marathon runner to enjoy the benefits of an active lifestyle. Simple things like choosing a parking spot further away from the store or taking the stairs instead of the elevator are excellent habits that can help you stay fit. Quitting smoking will keep your lungs in good shape. A healthy diet will not only help you control your weight, it will provide your body with the nutrients it needs to function properly (for more help, consult the Canada Food Guide). In addition, certain medications can decrease the risk of falls and help prevent injury. “Gradual hearing loss often goes unnoticed. Yet it is the most common sensory disability among seniors, affecting more than 30% of people age 65 and over. It is a serious problem—not only does it affect the elderly’s ability to hear, it also impacts their overall well-being. Hearing loss creates difficulties in communication and can lead a person to isolate themselves from family and friends and avoid social activities.” There is a clear link between cardiovascular problems and hearing loss. Hearing problems can be caused by insufficient blood flow to the hearing organ, which is yet another excellent reason to maintain good cardiovascular health. Other causes of deafness in the elderly include noise exposure, heredity, middle ear problems, certain medications, neurological disease or stroke, head injury and inner-ear infection. It is never too late to adopt habits that promote healthy aging, and you will reap the benefits at any age. Visit your pharmacist for tips on how to lead a healthier lifestyle. Francis Turgeon, Pharmacist Pharmacie Fleury, Charest & Guilbert References available on www.lobe.ca Your rights aren’t retired All rights reserved There are plenty of good reasons to join the AQRP: · · · · Exciting association activities and culture Substantial savings Exclusive, high-quality services Ongoing lobbying for seniors' rights 1 800 653-2747, ext. 10 • www.aqrp.qc.ca Lobe Magazine www.lobe.ca 23 multidisciplinary clinics ENT • Audiologists • Audioprosthetists Specialized Educators • speech-language pathologists* Saint-Augustinde-Desmaures Complexe médical l’Hêtrière 3520, rue de l’Hêtrière Bureau 103 Saint-Augustin-de-Desmaures (Québec) G3A 0B4 Tel.: 418 780-3007 Fax: 418 780-3016 Centre-du-québec new clinic Drummondville Across from Hôpital Sainte-Croix 110, rue Saint-Jean, bureau 300 Drummondville (Québec) J2B 7T1 Tel.: 819 472-7676 Fax: 819 850-4181 Are you a member? AQRP • CAA Réseau FADOQ FQCC • RPCU Exclusive benefits! Saint-Georges 2nd floor, Uniprix drugstore 14640, boulevard Lacroix Saint-Georges (Québec) G5Y 7G8 Tel.: 418 228-2970 Fax: 418 228-6722 Sainte-Marie 733, boulevard Vachon Nord Sainte-Marie (Québec) G6E 1M3 Tel.: 418 387-7988 Fax: 418 387-7918 Thetford Mines Place 611 611, boulevard Frontenac Est Bureau 201 Thetford Mines (Québec) G6G 6Y7 Tel.: 418 338-8777 Fax: 418 338-3673 Estern township Lac-Mégantic Carrefour Lac Mégantic 3560, rue Laval, bureau 123 Lac-Mégantic (Québec) G6B 2X4 Tel.: 819 583-6633 Fax: 819 583-4690 Sherbrooke • LSQ Clinique de santé Jacques-Cartier 1815, rue King Ouest Bureau 200 Sherbrooke (Québec) J1J 2E3 Tel.: 819 348-4334 1 866 348-4334 Fax: 819 542-1883 Sherbrooke • Rock Forest Clinique Médicale Rock Forest 4870, boulevard Bourque Sherbrooke (Québec) J1N 3S5 Tel.: 819 348-4334 1 866 348-4334 Fax: 819 542-1883 Laval • Chomedey Centre professionnel Cité de l’Avenir 1575, boulevard de l’Avenir Bureau 120 Laval (Québec) H7S 2N5 Tel.: 450 934-2614 Fax: 450 934-2615 Laval • Sainte-Dorothée Centre médical Sainte-Dorothée 3, boulevard Samson, bureau H Laval (Québec) H7X 3S5 Tel.: 450 969-3335 Fax: 450 969-3566 Mauricie Shawinigan 3222, boulevard des Hêtres Shawinigan (Québec) G9N 3B6 Tel.: 819 539-8666 Fax: 819 731-9922 Trois-Rivières 4870, boulevard des Forges Bureau 101 Trois-Rivières (Québec) G8Y 1W9 Tel.: 819 378-7477 Fax: 819 840-8382 MONTérégie Longueuil 1215-165, chemin Du Tremblay Longueuil (Québec) J4N 1R4 Tel.: 450 448-4544 Fax: 450 448-4504 Saint-Hubert 4025, boulevard Taschereau Bureau 1200 Saint-Hubert (Québec) J4T 2G6 Tel.: 450 890-3781 Fax: 450 890-3782 Saint-Jean-sur-Richelieu 600, boulevard du Séminaire Nord Saint-Jean-sur-Richelieu (Québec) J3B 7B4 Tel.: 450 349-4343 Fax: 450 348-4884 MONTRÉAL Montréal • Saint-Laurent 1605, boulevard Marcel-Laurin Bureau 120 Saint-Laurent (Québec) H4R 0B7 Tel.: 514 788-7751 Fax: 514 788-7754 Montréal • Saint-Léonard Les Terrasses Langelier 6383, rue Jean-Talon Est Saint-Léonard (Québec) H1S 3E7 Tel.: 514 798-0915 Fax: 514 798-0916 Pointe-Claire Corner of Saint-Jean Blvd. and Holiday Avenue 18, place Triad, bureau 210 Pointe-Claire (Québec) H9R 0A2 Tel.: 514 782-0482 Fax: 514 782-0480 Northern QuEbec Tel.: 819 378-7477 All trademarks are the property of Lobe Santé auditive Inc. / Bulletin produced by Lobe Publications. Québec • Sainte-Foy Clinique médicale Saint-Louis (Parking: 75 min. free) 3165, chemin Saint-Louis Bureau 420 Québec (Québec) G1W 4R4 Tel.: 418 781-1733 Fax: 418 781-1736 new address Lévis Complexe Lévis 1 1655, boul. Alphonse-Desjardins Bureau 210 Lévis (Québec) G6V 0B7 Tel.: 418 830-5623 Fax: 418 830-5624 Laurentides and Laval Boisbriand Polyclinique 640 2000, cours Le Corbusier Bureau 105 Boisbriand (Québec) J7G 3E8 Tel.: 450 437-4343 Fax: 450 437-1719 Litho Canada Québec • Neufchâtel Clinique médicale DuChatel 9465, boulevard de l’Ormière Bureau 102 Québec (Québec) G2B 3K7 Tel.: 418 843-5244 Fax: 418 843-0885 Chaudière-appalaches ll. Just one care. e listen. We ca TM W 1 866 411-5623 www.lobe.ca TM Head office • Saint-Augustin-de-Desmaures : Tel.: 418 877-7222 • Fax: 418 872-1451 * The types of professionals may vary from clinic to clinic. Québec city area Québec • Lebourgneuf Polyclinique Lebourgneuf 777, boulevard Lebourgneuf Bureau 120 Québec (Québec) G2J 1C3 Tel.: 418 780-3007 Fax: 418 780-3016