After the sudden, dramatic drop in temperatures overnight, today was beautiful in North Texas. It seems two things happened overnight with our trees—some decided to shed all their leaves almost at once, while others suddenly burst into color that would rival the best New England has to offer (well, maybe). I sometimes go two or three days without seeing the front of our house, so I was astounded today to see that the new Chinese pistache is a brilliant red gold, while the oak towering behind it is a deep, rich red. Wish I’d taken a picture. Meanwhile, my patio is literally ankle-deep in pecan fronds—that’s right, not individual leaves but fronds. The patio was blown clear twice yesterday and this morning it was covered again.
A
bookstore sandwich board photographed in an online newsletter this morning
referred to this as the season when we transition from spooky anxiety to
festive anxiety. I really liked that.
Today
I have named myself the unofficial poster child for hearing aids. I had an
overdue appointment with Tracy, the audiologist at TCU’s Miller Speech and
Hearing Clinic. She tested my hearing, though she didn’t say much about the
results, and I suspect there’s little change in the two years since I last saw
her. What she did say, and has said countless times before, is that it’s
important that I wear my hearing aids even when I’m alone and not listening to
anything. My brain needs to adjust to using them. If I take them off, say after
supper, my brain shrugs and says, “What’s the use of trying?” A hearing
challenge is not just an auditory problem—it involves brain function, and
everyone reacts differently.
We
talked about things and situations that make hearing difficult—no louder is not
better. And yes, sometimes, I can hear words distinctly but not comprehend
them. That too is a matter of brain function. I think maybe she was trying
tactfully to say something about slowing down with aging, but I told her it’s
not any worse now than it was seven years ago when I first saw her. I don’t
have an exact figure, but I suspect I’ve worn aids for twenty years or more.
I
asked about the new ruling that lets companies sell aids over the counter, and
she compared those to readers. If you need just a little help, they’re great;
if your hearing loss leans toward major, you need more sophisticated—and expensive—devices.
And if you have problems with your devices—like a tinny sound—an audiologist
can often adjust them to meet your needs. I mentioned that one of mine keeps
falling out of my ear—she not only said she’d noticed that, she adjusted it.
About fifteen
percent of Americans (some 37 million of us) suffer some degree of hearing
loss. It can be sudden or slow in developing, temporary or permanent. Mine
developed because of a combination hormonal therapy—I saw note of a study that
determined it in the paper one morning and was the first to tell my doctor. He
confirmed it by reading medical journals.
Too
many people refuse to get hearing aids. You know them--they say they can hear
fine, thank you very much, or it’s too expensive and their insurance won’t
cover up. Or it’s too complicated and they couldn’t manage adjusting them, cleaning
them, etc. Speak up, they tell you, and stop mumbling. It’s puzzling but many
people stubbornly resist the idea of hearing aids when they have no qualms
about wearing eyeglasses. I think it’s ego driven, maybe associating hearing
loss with aging, but it’s a dangerous denial (and some two or three of every
hundred children have hearing loss to some degree, so it’s not for the elderly alone).
The biggest complication of untreated hearing loss is social isolation which
can, especially in the elderly, lead to depression, anxiety, and dementia. Seems
logical that lack of social stimulation opens the gate for those problems. Too
many who can’t hear sit back, withdraw, and end up not participating in the
world around them. What begins as slow mental deterioration accelerates without
stimulation. Statistics tell us untreated hearing loss is also related to cardiovascular
disease, diabetes, even stroke.
For
the last six years, since surgery necessitated that I use a walker, I’ been an
advocate of mobility devices, especially for those of us who are aging—cane,
walker, transport chair, scooter. Use those things. To walk without balance is
to risk falling. And one bad fall can tip an older person down that slippery
slope to invalid status or worse. I’m also an advocate of alarm devices—a watch
a pendant, whatever—for those who live alone. So now I’m adding hearing aids.
When, if ever, did you have your hearing tested?
You
don’t want to go into this festive season saying, “Pardon me?” every time
someone wishes you “Happy Holidays”