Friday, October 2, 2020

A Word in Your Ear

 For as long as I can remember, I have been somewhat deaf. My right ear performs well, but my left one significantly less so. I can’t remember what first triggered me to realize this, because it is possible to live with partial deafness without being aware of it, a bit like living with a weakened sense of smell: the only gauge I have really is myself, so as long as there is no change, how can I tell of any disability?

 

One of my favourite books is Deaf Sentence by David Lodge. Funny and touching, the book chronicles exploits of a character of about my age, and I can empathise with all of it. I recommend it as reading for anybody who might be deaf or who interacts with somebody who is – I suppose that encompasses most of us.

 

More men have hearing impairment than women, and for most it is correlated with ageing. I suppose I am rather lucky that my hearing appears very stable.

 

The clearest symptom of deafness is in some ways the opposite of what we might assume. True, it can be revealing when somebody struggles to make out what you are saying. But I find that usually deaf people talk more loudly than others.

 

Have you noticed how you always shout into your mobile phone, especially when outdoors? We all do, and on a subway carriage it can be both annoying and funny to witness people screaming into a device. Our bodies are reacting to a difficulty in hearing the other end of a conversation. Somehow we assume that the other side is talking too quietly, so we react by talking louder ourselves as a signal to them. In my experience, most of the deaf people I meet are the ones who habitually talk louder. I include myself on this list.

 

One sad effect of the pandemic has been to exclude us from the old people’s home where we volunteer. There nearly everybody is deaf, simply because they are so old. They can’t hear, so they shout. Often I will serve a table of residents with their dinner and walk away but continue to hear their conversation clearly. They might not be so candid if they knew I could hear them. It may be true that I have no idea how to serve a sandwich, but most of them would be ashamed to tell me to my face, yet that is what they are effectively doing.

 

Hearing is a poor relation among the senses, at least compared with sight. We are all encouraged to test our eyes regularly through our lives, and technology has evolved to offer effective, though overpriced, remedies. I took Lasik eye surgery about fifteen years ago and would also recommend that. By contrast, most deaf people don’t even know they are deaf, and until recently hearing aids were awkward, ineffective and very expensive.

 

I am happy to report that this is changing, and I’m delighted that eighteen months ago I checked what was available, something I’ve done from time to time for a while. The diagnostic process was efficient and my doctor was kind enough to whisper that I should visit Costco, of all places, to buy a hearing aid. Specialists are still charging thousands, but Costco has the same or better technology and better service for a tiny fraction of the price. My single hearing aid was $800, not trivial but perhaps my best investment of the last few years considering the benefits to everyday living. I love it, and it is so unobtrusive that the only people who ever notice I am wearing it are other people who use hearing aids.

 

For me, a singer, the biggest benefit was in how I was able to hear music in a choral setting. I had always experienced that I could hear the singer on my right loud and clear, sometimes too loud and too clear, might sound from the one on my left was barely audible. I expected the hearing aid to remedy this but it did far more. The actual effect was a bit like the difference between listening in mono and stereo. The whole sound came to life for me thanks to my hearing aid, and I am convinced it has made me a much better singer.

 

All of this is preamble. The pandemic has been tough for all of us, but spare a thought for those of us who are hard of hearing.

 

The pandemic will have made it obvious to most of us how much we listen with our eyes. But listening has become so much harder lately with everybody wearing masks. Firstly, the mask itself obscures the sound of the talker, especially clarity of consonants. Next, we often have additional hurdles such as standing farther apart and Perspex screens. But the worst part is that we can’t read the lips of our interlocutor, but have only our ears to rely on.

 

For the most part I suppose I am no worse off than anybody else because my hearing aid corrects most of the deficiency. But the correction is not total, and in the summer I sometimes did not wear my hearing aid, because the one thing it does not like at all is moisture, and humid weather makes ears and everything else more moist. None of this helps outdoor dining, with all its ambient noise. Furthermore, I suspect I am a better lip reader than most people, simply because I have had more recourse to using it than people with perfect ears, so my disadvantage in not seeing somebody else’s mouth may be greater.

 

I have noticed one other disadvantage. I’m sure anybody who wears glasses have noticed how masks make them fall off more, simply because there is more clutter on the face and around the ears. Now imagine adding a hearing aid to that equation! I’m so happy to be singing again, with a mask on, as volunteer cantor at a local church. But I’m sure the congregation are taking much amusement from the sight of me trying to stop my glasses falling off, as my left ear is completely overloaded with devices and objects.

 

I concede this has been a very convoluted way to relate a modest anecdote. But there may be a few other takeaways available.

 

Firstly, now may be a very good time to establish if you are a bit deaf. Understanding through a mask is a handicap for everybody, but do you find you are really struggling? If so check your experience with others and test out different things, such as standing to favour one ear then the other. Ask people if you shout down your phone more than most people.

 

If you come away with some doubts then get a hearing test. In most developed countries the costs have come down and the remedies have improved.

 

Next, try to be tolerant of people who are struggling to understand what you are saying. And try to annunciate consonants more clearly than usual. I promise you we are doing our best and it is not easy.

 

Next, I wonder if there is an opportunity here for producers of masks and of spectacles. Asia’s experience suggests that masks are here to stay in our lives. I see people putting effort into fashion, but not yet into design.

 

Finally I wonder if deafness is part of the cause of some other things we are witnessing. I watched the gruelling and depressing Presidential debate on Tuesday. True, they were not wearing masks, but here were three old dudes standing farther apart than they usually would. I wonder how many of them are a bit deaf? I wonder how many even know? Certainly they were shouting enough. Biden in particular seemed a little slow to pick up what was being said in the cacophony.

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