Can you hear me now?

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From left, Dr. Bruce Karlin, Dr. Theodore Mason, and Dr. Jeffrey Brown, this month on Physician Focus discussing hearing loss

If you have trouble hearing, you are not alone. Hearing loss is one of the most prevalent medical conditions affecting Americans of all ages.

More than 30 million Americans age 12 and older have some level of impaired hearing. Among older Americans, hearing impairment is the third most common chronic condition, and can lead to social isolation, functional decline, and depression. And an increasing number of young people are experiencing hearing loss due to exposure to loud noises, many from personal listening devices.

For most of us, hearing loss is something we can’t avoid: as we age, our hearing begins to deteriorate.

“Hearing starts to deteriorate naturally at about age 30,” says Jeffrey S. Brown, M.D., a physician with ENT Consultants at Winchester Hospital and President of the Massachusetts Society of Otolaryngology-Head and Neck Surgery.

“But there’s no magic number at which loss occurs,” he adds. “We expect senior citizens to have some amount of hearing loss, but other factors are at play as well, such as ear infection, ear damage, loud-noise exposure, or genetic factors.”

Dr. Brown and his colleague, Theodore Mason, M.D., a physician with Ear, Nose and Throat Surgeons of Western New England in Springfield and President-Elect of the Society, appear as guests on the November edition of Physician Focus with the Massachusetts Medical Society to discuss hearing loss – its signs, symptoms, and causes; what people can do to prevent hearing loss; and what remedies are available for those who do experience such a loss. Hosting this edition is Hopkinton resident Bruce Karlin, M.D., a primary care physician in Worcester.

Besides aging, common causes of hearing loss include exposure to loud noises, principally through work or loud music; ear infection or injury; head injury; and genetic factors. The physicians note that noise-induced hearing loss is becoming much more frequent, especially among young people, even as young as 16 or 17, who use personal listening devices. The loud noises gradually destroy the nerve endings in the inner ear, and the damage becomes permanent. It cannot be medically or surgically corrected.

For those who do experience hearing loss, some remedies are available.

“There have been some major changes in technology that have really changed hearing aids,” says Dr. Mason. “They are so much better than they use to be.” The key, he says, is to find someone who knows hearing aids well and can fit the right hearing aid to the patient.

For patients with severe to profound hearing loss, the doctors suggest cochlear implants, an outpatient procedure that entails implanting an electronic device into the inner ear.

Dr. Mason notes that “they are amazingly well-tolerated,” and says that they have transformed the lives of many people, particularly elderly, who had become isolated or depressed because of their severe lack of hearing. He notes, too, that many elderly who could benefit from such a procedure, which is covered by insurance, may not know they are eligible for it.

The physicians’ most important message about hearing, however, is one that’s heard throughout many other areas of medicine.

“The most important thing to emphasize is prevention,” says Dr. Brown. “People who are exposed to loud noise at work or play should really protect their ears to prevent hearing loss in the first place.”

Please join us in November on Physician Focus. You’ll learn how you can prevent and minimize hearing impairment, how to filter and reduce the sound of personal listening devices, the details of decibel levels of sound, and information on hearing aids and cochlear implants. This month’s show is worth seeing – and hearing.

Photo: From left, Dr. Bruce Karlin, Dr. Theodore Mason, and Dr. Jeffrey Brown, this month on Physician Focus discussing hearing loss