Category: audiogram


“Gael, did you know Digby has fleas?” asked my friend as he looked into the fridge for snacks.
“That’s too bad,” I said.
My friend turned back to me, puzzled. “What’s too bad?”
“That the dog has fleas.”
“Who said that?
“You just did.”
“I asked if you’d like a diet pepsi.”
“Oh. Thanks…and glad to hear Digby has no fleas.”   (Not really; the hairy hound had eaten my $1000 hearing aid the year before.  A few fleas would have been a fair payback.)

But, Digby-pepsi, this is the story of my life:  if I can’t see your face, I can’t understand you. I might hear you making words, but I won’t necessarily know what they are.  But look me in the eye, and I’m with you all the way.

It’s a myth that one sense becomes stronger to compensate for a weakened one.  I had an otherwise intelligent friend who asked if my acute sense of smell was the result of my hearing loss.   have absolutely no idea how my nose helps my ears,  but I do know my sense of sight helps fill in what I can’t hear.   And my vision hasn’t improved because of my hearing loss – it’s not so hot either – I just depend on it more.

No matter how good my hearing aids, or how perfect the listening environment, I still need to read faces to “get” what’s being said.   All faces, all the time.  At a dinner party, I need to see the face of each person as  he or she speaks in order to remain totally involved.  If I can’t see speech, I can’t discriminate the consonants – tuck will sound like duck, which will sound like…etc.  Do you have any idea how difficult it is to convince a group of slightly inebriated people to speak one at a time, or put their hand up when they wish to speak?  I get whiplash trying to keep up, and every once in a while, I have to thump the table and say, “What the hell we talking about now?”

Most people with hearing loss, regardless of severity, depend on speechreading and other visual cues to some degree.    My 84 year-old dad just got hearing aids, and was shocked to discover that they haven’t cured his hearing loss and that he still needs to use the closed captioning on TV.

Speechreading is a skill that improves with practice. Some people may be naturally better at it, just as some people have a knack for carpentry or music.  Research suggests that women tend to be better speechreaders than men.  (I’m just saying, this is what I read.  Next week’s blog, “Man-Lips”, has more on this.)   But for all people with hearing loss, whether congenital or acquired, speechreading is a skill worth developing.

I learned from an early age, and on my own, to “read” physical clues.   Speechreading is a bit like a live-action puzzle, which we solve by asking a few questions.  What do I see on her face?  What do I hear her saying?  What’s the subject we’re discussing (context)?

Lips – Are they forming consonants or vowels?   Singular or plurals?  Accents?
Eyes – Are they narrowed, or wide? What emotions?
Teeth – Are they clenched or apart? Are they clean?  (Speechreaders really notice this!)
Facial expression – Stern? Calm? Are eyebrows up or down?
Body language – Relaxed? Hands on hips?  Arms folded? Fists clenched?
Gestures – Hands laced or stabbing the air?
Tone of voice – Sharp or giggly?

Put it all together and – eureka!   Comphrehension! This process happens almost without our realizing it, and the more we practice, the better we get.   But listening with hearing loss involves a large energy output, so after a long day of speechreading, people with hearing loss are often exhausted.

I pride myself on being a good speechreader, able to understand most people, most of the time, if they’re facing me.  What’s my worst speechreading nightmare?  A Scotsman, fresh off the boat from the highlands, talking with beer foam on his bushy mustache.  No matter how slowly the wee man might speak, I can nae understand a word!

Becoming hard-of-hearing a few years ago really turned my world upside down.  Before the hearing loss, I was a real outgoing person in social settings.  Now, I find myself being left out (unintentionally) of some great conversations.  The reason I’m left out is because I cannot hear the conversation.  In a group of people, instead of asking the speaker to face me during the conversation or ask them to repeat what they said, I nod and smile and play along as if I can keep up with the conversation.  When the group laughs, that’s my cue to laugh as well (even though I have no idea what is so funny).   If I am having a one-on-one conversation with someone – say the cashier at the grocery store or the waitress at the coffee shop, I will ask them to repeat what is said.  If I cannot understand them after two tries, I give up.  The reason I give up is because for some unknown reason, I worry too much about whether I’ll irritate them and/or frustrate them in their needing to repeat, repeat, repeat.  My hearing loss, if you were to look at me, is “invisible”. You see, looking at me, you cannot see my hearing aid.  I look like a person with no medical issues or problems, so why would I need you to keep repeating yourself?

This being said, I have decided to be more honest with myself and with people I don’t know re: my hearing impairment.  I’ve decided that it is perfectly OK to tell the cashier, the waitress or whomever I’m speaking to that I have a hearing impairment, and could they please talk slower and speak up for me?  I have tried this new-found approach just this week.  I met a girlfriend for lunch, and I arrived first.  I went up to the hostess and requested a table that was not located in the center of the restaurant (booths work well for me as far as blocking out noise in restaurants).  I said “I have a hearing impairment, and it is better for me to sit at a table or a booth that is not in the open, but against a wall.”  The hostess then took me to the quietest area of the restaurant and sat me in a corner booth (perfect!) as I waited for my friend.   When I went to the grocery store later that day, the cashier asked me a question.  I asked her to repeat it, but still no comprehension on my part.  I then just said to her “I have a hearing impairment, and it’s very hard for me to understand what you are saying.”  She then talked a little louder and slower and just asked “Coupons?”  I got it that time!  In my experience, I’ve also discovered that when you are honest with people and tell them why they need to repeat what they said or word it differently for you, they are more than accommodating in the request.   I am learning to give people more credit than I did in the past, which has allowed me a more positive view of the world.

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