Tag Archive: hyperacusis

One teen’s efforts to update the Americans With Disabilities Act

by Daniel Fink, MD, Chair, The Quiet Coalition

I recently wrote about Bryan Pollard’s efforts to bring hyperacusis to the attention of the ENT research community, asking the question, “Can one person make a difference?” The answer clearly was, “Yes.”

Today I’m writing about another single-handed effort to bring about change, also about hyperacusis.

Hyperacusis is a condition that causes a person to be unable to tolerate everyday noise levels without discomfort or pain. And a teen named Jemma-Tiffany with this condition is trying to get another section, Title VI, added to the Americans with Disabilities Act.

As she writes, “[t]his addition to the ADA would Require that all services, facilities, activities either provide a person who has a condition who would otherwise be in pain, ill, or unable to participate due to the sensory and other environmental factors with either an accessible virtual option, modify the sensory or other environmental factors to meet their needs, or provide them with a separate specialized environment to meet their needs.*”*

She has met with one of her senators and will meet the other, and her congressional representative, soon.

Environmental modifications intended specifically to help those with disabilities really make life better for all. Two examples are the ADA lever-style door handle, which makes doors easier for everyone to open, and curb cuts and wheelchair ramps that make life easier for parents pushing a baby stroller, or delivery workers with a cart of packages, or repair technicians with heavy equipment on wheels.

And a more accessible or quieter world mandated by an ADA Title VI will be a better and more enjoyable place for all.

We hope Jemma-Tiffany is successful in her efforts.

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.

One person can make a difference

Photo credit: Ave Calvar Martinez from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

I once attended a lecture where the speaker asked the audience, “Can one person make a difference?” He cited examples of Mahatma Gandhi, the Reverend Martin Luther King, Jr., and Nelson Mandela. Peering into the darkened auditorium, he continued, “I don’t see any of them in the audience today. But if you have ever tried to sleep on a summer night while one mosquito buzzes around your head, you know that one tiny little thing can make a difference. If you want to change things, you need to be like that mosquito.”

I didn’t think about that lecture for many years, but when I became a noise activist a Google search for “safe noise level” invariably had the occupationally-derived 85 decibel sound level as the most common search result.

After I published an editorial in the American Journal of Public Health about 70 decibels daily exposure being the only evidence-based sound level to prevent noise-induced hearing loss, that changed. Now a Google search shows many links to that article or publications citing it, including one from Hyperacusis Research with a picture of me and Bryan. It turned out that the speaker was right, one person could make a difference.

But I think what Bryan Pollard has accomplished proves that point even better than anything I have accomplished.

As Bryan writes in the Summer 2020 issue of Hearing Health magazine, the publication of Hearing Health Foundation, he developed hyperacusis some years ago after tree trimmers took down a large tree extending over his house and then used a noisy wood chipper to pulverize the entire tree, thick trunk included. Hyperacusis is a condition that causes a person to be unable to tolerate everyday noise levels without discomfort or pain. I also have hyperacusis, which developed after a one-time exposure to loud noise in a restaurant at a New Year’s Eve party in 2007.

When Bryan found that not much was known about hyperacusis, he started Hyperacusis Research, Ltd. to raise funds to support research into this poorly understood condition. Through his efforts, including organizing a dinner of interested researchers at the annual Association for Research in Otolaryngology meeting, the ENT research community has made great progress in understanding what Bryan has dubbed “noise-induced pain.”

Bryan partnered with Hearing Health Foundation, and then with many others, so his success hasn’t been a solo effort, but it’s clear that nothing would have happened with hyperacusis if Bryan hadn’t taken the initiative to try to do something.

In this summer of our discontent, when demonstrations fill the streets in American cities and cities around the world, it’s clear that public expressions of discontent can make a difference.

If enough individuals make noise about noise, maybe the world can become a quieter, healthier, more peaceful place, 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 loud noise affects your health

by Daniel Fink, MD, Chair, The Quiet Coalition

This article, online and in the print version of Prevention magazine, discusses noise pollution and how loud noise can affect health. Loud noise causes auditory problems–hearing loss, tinnitus, and hyperacusis–but also has less known non-auditory health effects as well. These include sleep disturbances, hypertension, obesity, diabetes, and cardiovascular disease, leading to increased mortality.

It’s relatively easy to protect one’s ears from auditory damage: avoid loud noise or use hearing protection if one can’t.

Protecting populations from the non-auditory health effects of noise will take concerted political effort to get legislation requiring quieter planes, vehicles, and trains passed and enforced.

But I believe if enough people complain to enough elected officials, a quieter world is possible.

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.

A noise control cure for noise-induced tinnitus and hyperacusis

Photo credit: Owen Barker from Pexels

by Jan L. Mayes, MSc, Audiologist

In a 2019 article titled “Why is there no cure for tinnitus?” the authors looked at whether studies had dentified if participants have a history of significant noise exposure that could cause decreased sound tolerance, like hyperacusis or tinnitus. A cure for noise-induced tinnitus and hyperacusis, the authors noted, could be very different from a cure for tinnitus or hyperacusis from other causes, like aging or head injury.

The article shows that it’s important for research to identify noise sub-types when evaluating potential cures. The underlying hearing health damage for sudden high level noise like acoustic trauma is different than damage from chronic moderate level noise over time. That is, the cure for noise-induced tinnitus and hyperacusis from bomb blasts or firearms is likely different than the cure for noise-induced tinnitus and hyperacusis from being exposed to unhealthy noise at school, on public transit systems, or at noisy workplaces.

High level public noise pollution in daily life can impact hearing health of all ages from babies to elders. Fortunately, the solution for tinnitus and hyperacusis caused by public noise pollution is not a cure–it’s better than a cure, as the solution is preventing the noise from happening in the first place.

How? There must be noise control for human manufactured unhealthy noise sources like personal listening devices, aircraft, road vehicles, railways, consumer products, and even MRI machines. There is no need for a cure if the source noise is never manufactured to be loud enough to cause decreased sound tolerance in the first place.

Controlling the source of noise would have other positive effects. Moderate levels of public noise pollution can significantly affect the quality of life for people with tinnitus and hyperacusis by causing poor sleep and making it significantly harder to understand speech in the presence of background noise. This, in turn, can increase stress levels, making it harder to cope and potentially interferring with available treatment.

Noise control is not impossible. Protecting the general public from unhealthy noise must cost less than the combined healthcare costs of diagnosing and treating tinnitus, hyperacusis, and other hearing health damage. And new noise prevention materials are constantly being invented. Examples include an acoustic material invented by Boston University that silences or cancels out 94% of sound waves without blocking light or airflow. A Canadian company is making noise barriers that absorb noise and air pollution. Quiet electric passenger planes could be in regional operation by 2021.

But nothing will change about public noise pollution until authorities and decision makers make health and hearing health a priority. This includes real time city and transportation noise mapping and reporting to identify locations with unhealthy noise. Noise prevention and control is necessary to protect public health and it should be mandatory.

Dr. Daniel Fink describes implications for acoustic engineering and design considerations for structures and enforced noise emission regulations and restrictions. Examples could include muffling school and public hand dryers, hour restrictions or night curfews at airports, quieter leaf blowers, quiet defaults on consumer products like microwaves with an option to turn on audible alerts, quiet solutions to replace vehicle back-up beeps, or preventing new imposed noise from delivery drones or noisy audible vehicle alert systems on electric cars. New technology needs to be quietly accessible for everyone.

Preventing public noise pollution won’t stop all cases of tinnitus and hyperacusis, but it could stop millions of cases around the world. Safe soundscapes without unhealthy noise are best for everyone from newborns to elders. And prevention is always better than trying to treat the problem or find a cure for noise-induced hearing damage after it occurs.

Jan L. Mayes is an international Eric Hoffer Award winning author in Non-Fiction Health. She is also a blogger and newly retired audiologist still specializing in noise, tinnitus-hyperacusis, and hearing health education. You can read more of Jan’s work at her site, www.janlmayes.com.

 

 

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.

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.

Restaurant noise in the news

by Daniel Fink, MD, Chair, The Quiet Coalition

I became a noise activist because I have tinnitus and hyperacusis and find loud restaurants unpleasant, so it was gratifying to see these two articles about restaurant noise. One is about restaurant noise in Austin, Texas, and the other more broadly reports about a study on restaurant noise sponsored by hearing aid manufacturer Oticon.

Both articles point out that the noise levels in many restaurants are loud enough to cause hearing loss, and that restaurant patrons have difficulty conversing due to the high ambient noise levels.

What the articles don’t mention is that restaurant noise is a major problem for older Americans, half of whom have hearing loss.

As long as the restaurants are busy, I don’t think they will voluntarily bother to make themselves quieter. As with smoke-free restaurants, this is something that will require enough voters complaining often enough to their elected officials to get regulations requiring quieter restaurants. Until that happens, speak up. If you go to a restaurant that is too loud, ask the manager or wait staff to lower it. If they won’t, leave.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He serves on the board of the American Tinnitus Association, is the interim chair of Quiet Communities’s Health Advisory Council, and 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.

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.

MRIs are dangerously noisy

Photo credit: liz west licensed under CC BY 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

MRI noise is in the news in two recent reports.

People magazine reported the story of a woman who suffered permanent auditory damage from an MRI, developing hyperacusis (a sensitivity to noise, which causes pain) and tinnitus. The Quiet Coalition’s Bryan Pollard, an expert on hyperacusis, is quoted in the article.

And researchers from SUNY Buffalo and China wrote about MRI noise in The Hearing Journal.

Standard MRIs produce noise in the 110-115 decibel range, and newer more powerful MRIs are even louder. Knowing this, I have several quibbles with the information in The Hearing Journal article. Namely, the article cites occupational noise exposure standards, but these use A-weighted decibels (dBA) to reflect the frequencies of human speech. MRI noise is low frequency noise, so occupational noise limits may not protect hearing adequately. And occupational standards are not safe standards for the public. At least 25% of workers exposed to sound at occupational noise exposure standards will develop hearing loss.

Most importantly, for many people the auditory damage caused by MRI noise isn’t hearing loss but tinnitus and hyperacusis, as in the People magazine article. Exactly how noise causes tinnitus and hyperacusis isn’t yet known, but the mechanisms are likely different from cochlear hair cell damage causing noise-induced hearing loss.

Finally, the authors talk about temporary auditory damage, but many researchers think that any temporary auditory changes indicate that permanent damage has been done.

I can’t find any large-scale studies of auditory problems after MRIs–the equipment manufacturers wouldn’t be excited about funding such a study, and radiologists are interested in the image, not in the patient’s hearing–but anecdotal reports from audiologists indicate that this is a problem for too many people undergoing diagnostic MRIs.

So if you need an MRI, be sure to ask for “dual protection”– ear plugs and ear muffs. NIOSH recommends dual protection for noise exposure over 100 dBA.

And if you suffer auditory damage from an MRI, be sure to file a report with the FDA. That’s the only way the government will be induced to issue appropriate patient safety regulations.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He serves on the board of the American Tinnitus Association, is the interim chair of Quiet Communities’s Health Advisory Council, and 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.