Audiology Outside the Box PLLC (@AudOTB) header
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A deaf-owned counseling and rehab-focused audiology telepractice: MA, MD, VA, and DC. Opinions my own, not medical advice, unrelated to outside organizations.

Joined November 2020
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Today's question: "My daughter's audiologist didn't do an audiogram with her hearing aids on. Why not?" There's a good reason that an audiologist might not do this. Read on to learn more!
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When an audiologist tests a person's hearing in the test booth with their hearing aids on, they might have the person respond to tones ("beeps"). The results of this test would be shown on an aided audiogram.
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Is your family working on language and communication planning for your DHH child? Or, are you learning a second language or communication modality and wanting to ensure enough time for practice? Check out this free tool packet for communication planning: audiologyoutsidethebox.com/p…
Today's question: "Can audiology tests tell me how I will hear in the real world?" Keep reading for the answer!
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First, it's important to understand *why* audiologists perform certain tests. During the part of the hearing test where you are listening to beeps, we are looking for the softest sounds that you can hear.
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Today's question: "My child is in kindergarten and was just identified as hard of hearing. Has she been this way her whole life? Why did she pass the newborn hearing screening?" Complicated topic! Let's discuss.
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If your school-age child was recently identified as DHH, these are a few possibilities for why they passed the newborn hearing screening:
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Conductive reduced hearing sensitivity (what most audiologists refer to as "conductive hearing loss") occurs when sound is blocked from getting all the way to the inner ear. Want to learn more? Download this free handout: audiologyoutsidethebox.com/p…
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What causes auditory processing disorder? There are many possibilities! Both adults and children can have APD, and for many different reasons. Download this free handout to learn more: audiologyoutsidethebox.com/p…
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Today's question: "Do hearing aids only make sound louder, or can they do more?" Let's discuss that!
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Hearing aids (HAs) are wonderful devices, but they have limitations. They do not provide perfect hearing ability. When describing the limitations of HAs, it might be tempting to say that they just make sound louder but don't make it clearer. However, this isn’t true.
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If your child has been referred for a hearing test, you probably have questions! You might be wondering why your child was referred. This free handout explains the most common reasons that children are referred to audiologists for hearing tests: audiologyoutsidethebox.com/p…
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Today's question: "When did audiology get started? Was it when the first deaf schools opened?" Excellent question! Believe it or not, audiology originally had nothing to do with deaf education. In fact, deaf people were not the first patient population for audiologists!
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Audiology began in the 1940s following World War II. Many veterans experienced noise-induced hearing loss following their military service. Rehabilitation programs were created by the United States government to serve the needs of veterans and members of the military.
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Interested in learning more about the ear? How does hearing happen? Did you know that the ear has more organs for balance than it does for hearing? Check out Audiology Outside the Box's free Ears and Hearing Educational Packet: audiologyoutsidethebox.com/p…
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October is National Audiology Awareness Month! There are so many myths and misconceptions about audiology, communication, hearing, and other related topics. That's why Audiology Outside the Box is dedicating this month's posts exclusively to *your* questions.
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Ever wondered, "Why do audiologists do that?" Now is your opportunity to ask! Feel free to contact me privately or post your questions here. I will do my best to address all of them this month.
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Deaf people, including signers, deserve to know *all* of our options for hearing devices. Not just one option -- not just cochlear implants. And about CIs: we deserve information about those too, if we are interested and they might be a good fit for our goals.
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As a CI user and an audiologist, I'd like to ask my audiologist colleagues to consider different ways of discussing hearing technologies with deaf people -- particularly with signers who are part of Deaf culture.
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Deaf and hard of hearing (DHH) people often experience misunderstandings when someone talks to us and we did not hear them. The other person assumes that we are rude or not paying attention. I experience this at times, whether I have my cochlear implant processors on or not.
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A person at the grocery store might be saying, "Excuse me," and trying to get around me in the aisle, but I don't hear them. Maybe they will realize that I didn't hear them, but sometimes they shove me and then glare as they walk by.
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Cochlear implant users have a variety of perspectives on the technologies that we use. There is no reason that a CI user has to view their technology as a fix for something that's broken or a cure for deafness.
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There is no reason that a CI user has to avoid sign languages, use CIs for 100% of communication, or give up being part of Deaf culture. How an individual CI user approaches these topics is entirely up to *them* and no one else.
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Not long ago, I was asked this question at an event where I chose to sign American Sign Language (ASL) rather than speak English. This question was asked by a person who seemed genuinely curious, and maybe you are too.
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I was already fluent in spoken English before I lost my hearing. When others don't know this, they often remark on my speech being amazing.
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You might be surprised to learn that balance problems affect many children: according to a study from Li et al. (2016), more than 1 in every 20! Deaf and hard of hearing (DHH) children are twice as likely to have balance problems compared to hearing children.
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Even if a child doesn't seem off-balance in everyday life, they might still have a problem with the balance organs in their inner ears. This can have negative impacts on their development.
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If you have concerns about dizziness and balance, how can you discuss those with your audiologist? This free handout offers some tips: audiologyoutsidethebox.com/p…
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This is a common question for audiologists who provide vestibular and balance services. Many people use the term "vertigo" to describe when they are dizzy. But did you know that not all dizziness is vertigo? Keep reading to learn more!
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Vertigo is a specific type of dizziness. It's a sensation that the room or the person themselves is spinning. If there is no spinning sensation, then the dizziness is not true vertigo: it's a different experience such as disequilibrium, presyncope, or non-specific dizziness.
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