Hyperacusis

Motorcycle noise can damage riders’ hearing

Photo credit: Sourav Mishra from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

Motorcycle noise is a problem for people in many cities, interrupting conversations, disrupting sleep, and being loud enough to cause auditory damage. But motorcycle noise is also a problem for riders. This online piece from a UK insurance agent discusses the dangers of motorcycle noise for riders’ hearing.

Noise comes from both the engine and from air moving past the riders’ ears. Wind screens reduced the noise somewhat, but it is still loud enough to cause hearing loss.

Many motorcycle riders aren’t aware that the noise can damage their hearing. But many of those who know about the dangers of wind and engine noise on their ears don’t want to wear earplugs because they want to hear what’s going on around them.  Riding a motorcycle is hazardous, and riders want to hear other vehicles that may or may not see them.

Filtered ear plugs, which allow transmission of lower frequency sounds while blocking high frequency wind noise, might be a good solution.  The best solution, of course, is to avoid the source of damaging noise, which will also benefit anyone who would rather not be exposed to motorcycle noise.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

How to treat people with disabilities, visible and invisible

Photo credit: Anas Aldyab from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

Having tinnitus and hyperacusis has made me more aware of what it’s like to have a disability. I am fortunate that my symptoms are mild and not life-limiting, but noise does bother me. When my wife asks for a quiet table at a restaurant, “because my husband has issues with noise” or “because noise bothers my husband,” I feel embarrassed and different. That gives me a very small insight into how difficult life can be for those with serious disabilities.

This piece by David Pogue in the New York Times discusses what different-looking people would like us to know before we stare. The bottom line, it seems, is that except for children it’s not okay to make comments about someone’s disability. It is okay if it appears that someone needs help to ask, “May I help you? If so, what can I do to help?”

Reading the article made me think about what those of us who have invisible disabilities, including auditory disorders like hearing loss, tinnitus, and hyperacusis, as well as disorders like PTSD or autism spectrum disorder, might like others to know.

For those of us with tinnitus and hyperacusis, I think we would like people to know that noise bothers us. It makes our symptoms worse, and can be downright painful.

For those with hearing loss, we need low ambient noise levels to be able to understand speech. Please look at us when you speak with us. Adequate lighting helps those who lip read understand what is being said. Speak slowly and distinctly, but don’t shout. That doesn’t help us understand what you are trying to say, and it can also be painful.

For those with PTSD and other psychological or psychiatric or developmental disorders, and indeed for anyone with a disability and actually for everyone, with or without a disability, just be gentle and kind.

And the world will be a better place for all.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

Doctors with disabilities? Yes, we are people too

by Daniel Fink, MD, Chair, The Quiet Coalition

This piece from NPR discusses how doctors and researchers with disabilities are changing medicine. When a problem is a secret, it is a source of shame and can’t be dealt with. If it is disclosed and discussed, however, it may still be a problem, but it can be dealt with and it is less of a source of shame.

When I spoke at the 2017 meeting of the Institute for Noise Control Engineering in Grand Rapids, Michigan, across the river from the Gerald R. Ford Presidential Library, I noted that his wife Betty Ford was a pioneer in discussing two formerly kept secrets–that she had breast cancer and had developed an addiction to prescription drugs. She fortunately survived her breast cancer to live many years more, and successfully dealt with her addiction. I then noted that I would publicly disclose that I had two auditory disabilities, tinnitus and hyperacusis, both fortunately mild and not life-limiting, but disabilities nonetheless.

I have mild hearing loss, too, again fortunately not life-limiting except in terms of understanding speech in a noisy environment.  Prof. Margaret Wallhagen in San Francisco has written about the stigma of hearing loss. Hearing loss should be destigmatized.

More importantly, noise-induced hearing loss should be prevented.

So avoid noise or use hearing protection if you can’t avoid it, because noise-induced hearing loss is 100% preventable.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

New NIDCD Director announced

Photo credit: Debara L. Tucci, M.D., M.S., M.B.A. courtesy of the National Institutes of Health

by Daniel Fink, MD, Chair, The Quiet Coalition

This blog post from the American Speech-Hearing-Language Association contains an interview with the incoming Director of the National Institute on Deafness and Other Communication Disorders (NIDCD), Dr. Debara Tucci.  We hope that prevention of hearing loss, tinnitus, and hyperacusis will be among Dr. Tucci’s priorities for NIDCD.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

What to do if you hear sounds that others do not

Photo credit: bruce mars from Pexels

Finally, David M. Sykes, Vice Chair, The Quiet Coalition, addressed a query from a woman who said she heard a sound in her living space that her partner insists wasn’t there:

by David M. Sykes,Vice Chair, The Quiet Coalition

The Quiet Coalition recently received an inquiry from a woman who said she hears “a nearly imperceptible high-pitched sound” in her living space. She states that she can hear the sound, but her partner insists there is no sound. “Could a smartphone-based sound-meter app isolate and identify this sound?” she asked, adding “if so, which one do you recommend?”

First, I must note that the fact that this woman hears noise but her partner does not means nothing at all. Her partner could simply have much less sensitive hearing!

We at The Quiet Coalition agree that the best step is to try to measure the sound. There are free or inexpensive sound meter apps that you can install on your smartphone, so start there. Some are better than others, but thankfully, experts at the U.S. Centers for Disease Control and Prevention have tested and rated smartphone sound-meter apps, which we reported on last year.

But a smartphone app may not be sensitive enough to pick up the sound. What should you do if this is the case? The only alternative could be to find an acoustics engineer to visit your residence and use professional equipment to identify the noise and then help you identify the source. That person can also suggest some ways to address the problem—which could be a neighbor’s electronics. The National Council of Acoustical Consultants offers advice on how to select a professional, licensed acoustical engineer.

There is, however, another possibility that must be considered: hearing a high-pitched sound that no one else hears COULD mean that you have a hearing disorder called tinnitus or an acute sensitivity to sounds called hyperacusis. Tinnitus can be identified by first finding a truly quiet place, such as a library, or on a weekend retreat in the countryside, to see if you still hear the noise when you are away from the circumstances where you are aware of the sound.

40 million Americans have tinnitus (myself included), so it’s quite common. And many of us spent years assuming that the “background noises” we heard were actually coming from the environment and that everybody heard the same thing!

So we recommend that you pursue both of these steps, because exposure to noise can be stressful, can cause sleep loss, and can have other health effects.
First try to determine where an unseen source of high-pitched sound in your environment is coming from. If the sound cannot be isolated, then consider that the cause of the sound could be tinnitus or another hearing disorder that should be attended to.

Frankly, the best result would be that there really is an unseen source of high-pitched sound in the immediate environment. Why? Because that can be fixed once the source is identified. But tinnitus cannot be cured, though there are techniques for managing it—which include avoiding the kinds of exposures that may have caused it in the first place. And know that the onset of tinnitus can be quite sudden.

To learn more about tinnitus check out the American Tinnitus Association‘s website and the Clinical Practice Guideline for Tinnitus published in 2014 by the American Academy of Otolaryngology–Head & Neck Surgery.

In addition to serving as vice chair of the The Quiet Coalition, David Sykes chairs several professional organizations in acoustical science: The Acoustics Research Council, American National Standards Institute Committee S12, Workgroup 44, The Rothschild Foundation Task Force on Acoustics, and the FGI Acoustics Working Group—a partner of the American Hospital Association. He is the lead author of “Sound & Vibration 2.0 (2012, Springer-Verlag), a contributor to the National Academy of Engineering report “Technology for a Quieter America,” and to the US-GSA guidance “Sound Matters”, and co-founded the Laboratory for Advanced Research in Acoustics (LARA) at Rensselaer Polytechnic Institute. He recently retired from the board of directors of the American Tinnitus Association. A graduate of the University of California/Berkeley with graduate degrees from Cornell University, he is a frequent organizer of and speaker at professional conferences in the U.S., Europe, Asia, and the Middle East.

Is the New York Philharmonic dangerously loud?

Photo credit: Shinya Suzuki licensed under CC BY-ND 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

One usually associates loud music with rock concerts and not classical music played by one of the world’s leading symphony orchestras, but that has changed. This report by Corinna da Fonseca-Wollheim, a New York Times music critic, says the New York Philharmonic is playing too loudly. Her concern is the effect loud playing has on the quality of the music, not preventing noise-induced hearing loss.

When I attend a concert, my concerns are about both.

I have hyperacusis, a condition where sound levels not bothersome to others cause discomfort and pain for me. And I know that noise causes hearing loss, tinnitus, and hyperacusis.

When Essa-Pekka Salonen was music director, the Philharmonic’s sound levels weren’t a problem. But under his successor, the wonderful Gustavo Dudamel, they are.

Don’t get me wrong. I love Dudamel’s conducting, and most of the time the orchestra’s sound is exquisite. But he plays some pieces about 10 decibels louder than Maestro Salonen did, e.g., Stravinsky’s Firebird Suite.

Now I make sure to bring a pair of earplugs with me when we go.

Because if something sounds too loud, it IS too loud.

And with louder symphony orchestras, hearing loss and other auditory problems aren’t just a worry for the musicians. They might be problems for the audience, too.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

Hearing noise? Here’s how to find out where it’s coming from

Photo credit: bruce mars from Pexels

by David M. Sykes,Vice Chair, The Quiet Coalition

The Quiet Coalition recently received an inquiry from a woman who said she hears “a nearly imperceptible high-pitched sound” in her living space. She states that she can hear the sound, but her partner insists there is no sound. “Could a smartphone-based sound-meter app isolate and identify this sound?” she asked, adding “if so, which one do you recommend?”

First, I must note that the fact that this woman hears noise but her partner does not means nothing at all. Her partner could simply have much less sensitive hearing!

We at The Quiet Coalition agree that the best step is to try to measure the sound. There are free or inexpensive sound meter apps that you can install on your smartphone, so start there. Some are better than others, but thankfully, experts at the U.S. Centers for Disease Control and Prevention have tested and rated smartphone sound-meter apps, which we reported on last year.

But a smartphone app may not be sensitive enough to pick up the sound. What should you do if this is the case? The only alternative could be to find an acoustics engineer to visit your residence and use professional equipment to identify the noise and then help you identify the source. That person can also suggest some ways to address the problem—which could be a neighbor’s electronics. The National Council of Acoustical Consultants offers advice on how to select a professional, licensed acoustical engineer.

There is, however, another possibility that must be considered: hearing a high-pitched sound that no one else hears COULD mean that you have a hearing disorder called tinnitus or an acute sensitivity to sounds called hyperacusis. Tinnitus can be identified by first finding a truly quiet place, such as a library, or on a weekend retreat in the countryside, to see if you still hear the noise when you are away from the circumstances where you are aware of the sound.

40 million Americans have tinnitus (myself included), so it’s quite common. And many of us spent years assuming that the “background noises” we heard were actually coming from the environment and that everybody heard the same thing!

So we recommend that you pursue both of these steps, because exposure to noise can be stressful, can cause sleep loss, and can have other health effects.
First try to determine where an unseen source of high-pitched sound in your environment is coming from. If the sound cannot be isolated, then consider that the cause of the sound could be tinnitus or another hearing disorder that should be attended to.

Frankly, the best result would be that there really is an unseen source of high-pitched sound in the immediate environment. Why? Because that can be fixed once the source is identified. But tinnitus cannot be cured, though there are techniques for managing it—which include avoiding the kinds of exposures that may have caused it in the first place. And know that the onset of tinnitus can be quite sudden.

To learn more about tinnitus check out the American Tinnitus Association‘s website and the Clinical Practice Guideline for Tinnitus published in 2014 by the American Academy of Otolaryngology–Head & Neck Surgery.

In addition to serving as vice chair of the The Quiet Coalition, David Sykes chairs several professional organizations in acoustical science: The Acoustics Research Council, American National Standards Institute Committee S12, Workgroup 44, The Rothschild Foundation Task Force on Acoustics, and the FGI Acoustics Working Group—a partner of the American Hospital Association. He is the lead author of “Sound & Vibration 2.0 (2012, Springer-Verlag), a contributor to the National Academy of Engineering report “Technology for a Quieter America,” and to the US-GSA guidance “Sound Matters”, and co-founded the Laboratory for Advanced Research in Acoustics (LARA) at Rensselaer Polytechnic Institute. He recently retired from the board of directors of the American Tinnitus Association. A graduate of the University of California/Berkeley with graduate degrees from Cornell University, he is a frequent organizer of and speaker at professional conferences in the U.S., Europe, Asia, and the Middle East.

My 4th Noise Activist Anniversary

by Daniel Fink, MD, Chair, The Quiet Coalition

Anniversaries are special. We celebrate wedding anniversaries. Alcoholics Anonymous celebrates the anniversaries of those who are in recovery. Wounded military veterans celebrate their Alive Day, the day on which they were wounded. And yesterday was my anniversary, the fourth anniversary of my becoming a noise activist.

I developed tinnitus and hyperacusis after a one-time exposure to loud noise in a restaurant on New Year’s Eve, 2007. As midnight approached, they kept turning up the music louder and louder. My wife could tell that the noise was bothering me and suggested that we leave, but I didn’t want to offend our friends who had arranged the dinner. As soon as it was polite to leave, maybe 12:30 a.m., we did. My ears were ringing when we left, and the ringing never stopped.

I also found that noise that didn’t bother others hurt my ears: Movie soundtracks, the grind of a food processor, loud exhausts and sirens, and especially noise in restaurants. I’m a doctor and have always done what I could to stay healthy. But I had no idea that a one-time exposure to loud noise could cause tinnitus and hyperacusis for the rest of my life. When my wife would suggest an evening out, I would ask, “Can’t we eat at home?”

On December 2, 2014, I read an article about hyperacusis in the New York Times science section, written by journalist Joyce Cohen, who has since become a friend. I circled it in red and gave it to my wife, saying, “Honey, this is why I don’t want to go to restaurants any more. They are all too noisy. The noise hurts my ears. Just like it says in this article.” My wife finally understood that while I might have been getting grumpier with age, my dislike of noisy restaurants was caused by an auditory disorder.

So I decided to do something to make the world a quieter place. I reached out via email to the four experts cited in Joyce’s article. One thing led to another, and I ended up serving on the board of the American Tinnitus Association and helping create The Quiet Coalition, where I am the board chair.

I learned that I wasn’t the only person in the world with auditory disorders. Hearing loss, tinnitus, and hyperacusis are all too common. But auditory disorders are invisible, and largely occur in older people, who themselves are largely invisible in our society. Except for congenital deafness, auditory disorders tend to be ignored.

It’s been quite an odyssey. I found that via the internet, I could communicate with experts in various areas of noise, across the country and even around the world. At the urging of one of them, I submitted abstracts to scientific meetings about noise. Those were accepted for presentation, and I spoke at national and international scientific meetings. I have had publications based on my talks appear in peer-reviewed medical and scientific journals, and I have been quoted in articles and have advised national and international health authorities about noise. And I have learned, through the nonprofit Hyperacusis Research, how truly life-limiting noise-induced hearing problems can be. All because I read an article and decided to do something to make the world quieter.

The world is still too noisy, and I still can’t find a quiet restaurant, but apps like iHEARu and SoundPrint are now available.

And as more evidence becomes available about noise as a health and public health hazard, I am confident that an informed public will push legislators and public health officials to eliminate unnecessary noise.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

Noise kills

Photo credit: Pete G licensed under CC BY 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

Most people, including most doctors, don’t know that noise causes both hearing damage–hearing loss, tinnitus and hyperacusis–as well as a whole host of non-auditory health problems, including hypertension, diabetes, obesity, heart attack, stroke, and death.

These non-auditory health effects are discussed in this article that reviews the current literature.

The European Union understands the dangers that noise exposure poses, and it is taking steps to protect the public via the Environmental Noise Directive.

If enough Americans make sure their elected representatives know that they are worried about how noise affects us, maybe the U.S. will become quieter and healthier, too.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

How a YouTube-inspired prank ruined a young girl’s life

 

photo credit: Edvvc licensed under CC BY-SA 3.0

Laurie Redmond writes about how a stupid prank by YouTube “trickster” Rick Lax inspired a miscreant to copy a video the aptly named Lax posted of his “prankster pal,” Ryan Hamilton, blasting his girlfriend with an air horn to get her to put down her phone.  Redmond notes that the video “entitled ‘How to get your girlfriend to put her phone down,’ has an astounding 246m views.” Sadly, one of the viewers was her 12-year old daughter Cindy’s friend’s ex-stepfather, who decided to play the prank on Cindy.

But after this miscreant played his prank, things fell apart for Cindy who eventually was diagnosed with “hyperacusis, or noise-induced pain.” As a result of this “prank,” Cindy has a “burning pain in her ears all the time…[and] [w]ith all noise louder than ordinary conversation, she feels like she is being stabbed in the ear. Her ears ring.”

Redmond has since learned that another “YouTube prankster, an F-list celebrity named Jake Paul, was sued for wrecking someone’s ears with an air horn.”  And yet the air horn “prank” videos remain on YouTube and Facebook, even though they “recently removed Tide Pod challenge videos so as not to encourage dangerous stunts.” Redmond asks what it will take to have these dangerously stupid and vile videos off of social media.  We would suggest litigation might do the trick, while recognizing how terrible things are when the only option is litigation.