Tag Archive: Dr. Daniel Fink

How to “rock out” with headphones without damaging your hearing? You can’t!

Photo credit: bruce mars from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

In this article from the Cleveland Clinic, Sandra Sandridge, PhD, Director of Clinical Services in Audiology, offers advice on protecting hearing when using ear buds or headphones to listen to music.

She first notes that hearing loss is 100% preventable, and this might be the only statement that is accurate. Unfortunately, the advice she gives to prevent noise-induced hearing damage is not.

This piece is like an article fifty years ago advising smokers on how to smoke safely. One can’t! There is no such thing as a safe cigarette, and there is no such thing as safe headphone or ear bud use.

Dr. Sandridge notes that many headphones and ear buds can be too loud–most personal music players put out 100-110 decibel sound and some player-headphone combinations can reach 120 to 130 dB–but she implies that 85 decibels is the sound level at which auditory damage begins.

That’s not the cutoff between safe and unsafe sound levels. It’s derived from the NIOSH recommended exposure level for occupational noise, an exposure level that doesn’t prevent hearing loss.

Even in children age 9-11, who haven’t been using headphones very long, auditory damage is already present.

The only way to prevent auditory damage is not to use ear buds or headphones. Or to use Dr. Sandridge’s language:

The only way to rock out with ear buds or headphones without damaging your hearing is not to rock out with them!

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.

Is there sound on Mars?

Image credit: NASA/JPL-Caltech (not subject to copyright protection)

by Daniel Fink, MD, Chair, The Quiet Coalition

This fascinating article by Kenneth Chang in the New York Times describes Martian winds rattling the solar panels on the recently landed InSight lander. The sounds weren’t picked up by a microphone, Chang writes, rather they were captured by seismometers, instruments “designed for measuring the shaking of marsquakes picked up vibrations in the air — sound waves, in other words.” Said Chang, “[t]he seismometers act as the cochlea, the parts of your ears that convert the vibrations into nerve signals.”

It’s not clear to me if a human could hear the wind on Mars–the atmosphere is very thin, and of course a human would have to be wearing some sort of space suit, unlike in the Star Wars movies or Star Trek television shows–but provides an interesting sidelight (or side sound?) to space exploration.

You can listen to the sound, but Chang suggests that you “hook up a subwoofer or put on a pair of bass-heavy headphones. Otherwise, you might not hear anything.”  We advise that you skip the headphones and opt for NASA’s enhanced version:

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 loss associated with depression

by Daniel Fink, MD, Chair, The Quiet Coalition

I’m not sure this new report on the association between hearing loss and depression in older Hispanic people in JAMA Otolaryngology adds much to our knowledge of how hearing loss affects people. It has been known for some years that hearing loss is associated with depression in older people. The report extends the research to Hispanic people in several large cities, but as best as I can tell, that’s the only new information. The authors claim that this study’s importance is that it measured hearing loss rather than relying on reports of hearing difficulties, but some earlier studies did that, too.

In older people it’s hard to tell if the hearing loss was caused by noise or not, because over time changes indicating hearing loss from noise lose specificity as hearing loss becomes worse. But my analysis of the literature suggests that what is commonly called age-related hearing loss, as in the JAMA Otolaryngology article, is really noise-induced hearing loss, which is entirely preventable.

Now that the connection between hearing loss and depression is clear, doesn’t it make sense for government and the medical community to commit resources to educate the public about the dangers of noise-induced hearing loss? A host of health concerns will diminish or disappear if we focus on stopping noise-induced hearing loss.

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.

Hidden hearing loss

Photo credit: Daria Shevtsova from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

Hidden hearing loss is the term used to describe nerve damage in the inner ear (cochlear synatptopathy) which causes hearing loss detected only by special research techniques, not by standard hearing testing (pure tone audiometry). That’s why it’s called “hidden.” The clinical manifestation of hidden hearing loss is thought to be difficulty understanding speech in a noisy environment, but auditory training might help improve understanding of speech in noisy places.

This article describes a survey of adults who were asked if they would be willing to participate in auditory training. What’s of interest to me is that 22% of adults surveyed report having difficulty understanding speech in a noisy environment. That fits with other reports I’ve seen, but I think it’s an underestimate.

Many people with hearing loss think their hearing is excellent, and I think the same is true for people asked about difficulty understanding speech in a noisy environment. Due to the stigma of hearing loss, no one wants to admit that he or she has a problem.

More importantly, if people have difficulty understanding speech in noisy environments, it would seem to be much easier to make those environments quieter, rather than offering auditory training to those with the problem.

Quieter environments would make it easier for everyone to converse, and would prevent auditory damage in those without it.

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.

Why hospitals should let you sleep

Photo credit: Ivan Obolensky from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

This piece by Austin Frakt in the New York Times discusses the need for hospital patients to get more sleep, and the many things that disrupt a patient’s sleep when they are in the hospital. The list of culprits is obvious: alarm noise, carts in the hall, blood draws, vital signs measurements, and so on.

Uninterrupted sleep is important for everyone, not just hospital patients. Anything that interrupts sleep–horns, sirens, road traffic noise, train horns, aircraft noise, horn-based alerts, patrons exiting a nightclub or bar at closing time–is a health hazard.

I have no doubt that if enough people complain to enough elected officials about health problems caused by noise, governments at the local, state, and national levels will take action to make our cities and towns quieter.

It worked for smoke-free restaurants, workplaces, airplanes, and in some states even smoke-free beaches and parks.

Let’s all resolve to work together for a quieter world in the New Year.

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.

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.

How restaurants got so loud

by Daniel Fink, MD, Chair, The Quiet Coalition

Kate Wagner, writing for The Atlantic Monthly, discusses the architectural and interior design changes that make restaurants so loud. At the moment, restaurants are full so there is no economic incentive for restaurateurs to make them quieter. Just as there was no economic incentive for restaurateurs to make restaurants smoke-free.

In many restaurants, ambient noise is high enough to cause auditory damage. And in most others, it is high enough to make it impossible for anyone with hearing loss, which includes most Americans over age 65, to participate in conversations.

I used to think that if enough patrons complained about restaurant noise, the restaurateurs would make restaurants quieter. But now I think that, as with getting smoke-free restaurants, legislation is needed.

Think globally, act locally. If anyone has a friend or family member serving on a local city council or town meeting, please ask them to take action to make restaurants quieter.

I can guarantee that people will still patronize restaurants when they are quieter. In fact, I think business will probably increase when people see that they can enjoy their steak frites without a side order of hearing loss.

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.

Girl scout receives national honor for work on hearing health

Photo credit: Elizabeth Goodspeed licensed under CC BY-SA 4.0

by Daniel Fink, MD, Chair, The Quiet Coalition

Christina Mayo, The Miami Herald, reports about Girl Scout Kelly Culhane, who was honored for being an exceptional leader for her work with the Ear Peace Foundation. It’s a heartwarming story.

Mayo reports that Culhane was named a National Gold Award Girl Scout, the highest honor awarded by the Girl Scouts–and she’s the first Girl Scout from Miami to win this award. She won this distinction for her “Gold Award-winning project in which she partnered with the Ear Peace: Save Your Hearing Foundation.”  Says Mayo:

Kelly wrote the script, filmed and edited an educational video called “Band Together to Protect Your Hearing,” which is used in the foundation’s teacher training workshops for 392 schools in Miami-Dade County.

You can see Culhane’s video and learn more here.

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.

Where children live shapes their lives. Could noise be a factor?

by Daniel Fink, MD, Chair, The Quiet Coalition

This report in the New York Times describes a new study in which detailed information at the census tract level was correlated with future economic and social attainment of children growing up in those neighborhoods. Neighborhoods that appeared similar on the surface had far different outcomes for the children living there.

I haven’t tracked down the whole report, but one wonders if the researchers included noise levels in their research. Noise has multiple adverse effects on humans exposed to it, including hearing loss, interference with concentration and learning, increased levels of stress hormones, and psychological problems like anxiety and depression.

Perhaps the census tract maps developed by the researchers can be superimposed on the noise map recently developed by the US Department of Transportation?  Though I doubt the study’s researchers considered ambient neighborhood noise levels in their work, it would sure be interesting to see the map overlay and see what it might show.

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.

More evidence that headphone use causes hearing loss

Photo credit: Patrick Pielarski licensed under CC by 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

This isn’t a scientific study, but a news report from Ireland. An audiologist recommends that parents limit children’s headphone use to one hour daily. She notes that, “ten years ago, around 5pc of people aged under 45 were fitted with hearing aids. Now, 23pc of our hearing aids are for people under 45.”

That’s a shame. Hearing aids are costly, and even the best are a poor substitute for preserved natural hearing. It takes decades for noise-induced hearing loss to become bad enough that people are willing to use hearing aids.

A Dutch study earlier this year found auditory damage from headphone use in children age 9-11, and the damage only gets worse over time.

Parents–and indeed everyone–should limit headphone use, or better yet just put the headphones in the drawer.

One doesn’t need a continuous audio track to life! But if you do, for your own sake, for your ears, please turn down the volume.

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.