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Hearing Matters Podcast

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Welcome to the Hearing Matters Podcast with Blaise Delfino, M.S. - HIS and Dr. Douglas Beck! We combine education, entertainment, and all things hearing aid-related in one ear-pleasing package!

In each episode, we'll unravel the mysteries of the auditory system, decode the latest advancements in hearing technology, and explore the unique challenges faced by individuals with hearing loss. But don't worry, we promise our discussions won't go in one ear and out the other!

From heartwarming personal stories to mind-blowing research breakthroughs, the Hearing Matters Podcast is your go-to destination for all things related to hearing health. Get ready to laugh, learn, and join a vibrant community that believes that hearing matters - because it truly does!

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About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son, Blaise Delfino, M.S. – HIS, and Dr. Gregory Delfino, Au.D., CCC-A, who treat patients at Audiology Services in Bethlehem, Nazareth, and East Stroudsburg, PA. On this episode, Blaise Delfino talks with Marybeth Lauderdale, chief engagement and collaboration officer at the Western Pennsylvania School for the Deaf (WPSD) in Pittsburgh.A Focus on ChildrenMarybeth knew from the time she was in junior high school that she wanted to be a teacher. She talked to her history teacher, who had a deaf daughter, and she suggested Marybeth teach the deaf. She decided to do exactly that. She taught for many years and has been in her current position for two years. She works with the faculty and students’ parents on programs at the school in Pittsburgh and throughout the state. She came from Illinois, where she was the superintendent of the School for the Deaf and Visually Impaired there.A Varied DayMarybeth loves working with children because it’s so varied. About 25 percent of the students have cochlear implants, so there is a continuum of communication modes at the school. Along with American Sign Language, the school also may use spoken English or a combination of the two. Students of all AgesThere are children at WPSD as young as 5, and there are residential students, who come to school on Monday morning and leave on Friday at noon. Marybeth works with the staff to ensure the acoustics in the classroom are the best to optimize students’ residual hearing. There are five speech and language pathologists, an audiologist, psychologists, and counselors. Together they work on American Sign Language, speech, and audition to maximize every type of communication there is. During COVID, students learned via Zoom. Often the parents would sit in on the Zoom classes as well. The school use spoken English, sign language and captioning to teach during that time. Only about five percent of the students’ have deaf parents. The rest have hearing parents, which is a unique situation. Often the deaf child is the parents’ first baby. These parents, who are usually shocked and upset, take time to grieve. They have experienced a loss. But they are told that getting intervention for their child as soon as possible will be invaluable. Parents are also strongly encouraged to learn sign language, and to include the child in family activities as a participant, not as an observer.Plans for Every StudentWPSD has a Zero to Three-Years Old program. Every baby has a Family Service Plan, and every student has an Individual Education Plan (IEP) that sets up goals. There is also a transition program for high school students to help them transition into the working world. A team works with them on soft skills, work skills and academic skills. Students go to work placements while they’re in school. Eventually they go to college, get jobs and live lives like everyone else. Schools like WPSD help deaf and hard of hearing people achieve all their goals, even with hearing loss. Sign Language for AllBlaise Delfino encouraged everyone withSupport the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S. - HIS and Dr. Gregory Delfino, CC, located in Bethlehem, Nazareth, and East Stroudsburg, PA. C-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services.Over-the-Counter (OTC)President Biden recently signed an executive order calling on the Department of Health and Human Services (HHS) to consider issuing proposed rules for hearing aids to be OTC within 120 days. These devices are a new category of hearing aids that consumers will be able to buy directly, without visiting a hearing health professional. They are intended to help adults who believe they have mild-to-moderate hearing loss, at budget friendly prices. However, lower prices often result in lower quality of care.​Hearing loss is unique to each individual, which is why it’s important that licensed, trained hearing health professionals continue to play a key role in a patient’s hearing loss journey.​It is critical OTC hearing aids are properly regulated and labeled to protect Americans’ long-term hearing health.In the absence of proper regulations, companies are currently marketing unregulated, low-quality amplification devices as hearing aids. This has prompted more than 17 states’ attorneys general (AGs) – both Democrats and Republicans – to warn consumers about these harmful products.Listen Carefully A person’s hearing affects all aspects of their life — whether it is listening to the bustling city or cherishing a birthday song from loved ones. Protecting this vital gift should be done with care. If it is damaged, people should be able to access effective, safe devices that help them.Listen Carefully is committed to facilitating greater connection between hearing health professionals and lawmakers to ensure thoughtful, quality solutions for the over 44 million Americans suffering from some degree of hearing loss. Life is loud, so you must listen carefully.Why Now?Recent conversations in Washington discussing access to, and utilization of, hearing aids have narrowly focused on cost, rather than the many factors that keep people from seeking help, such as they believe they can hear well enough, believe they are too young to need hearing aids, or are embarrassed to wear them. Listen Carefully aims to shed a light on all aspects of hearing loss to better inform our leaders as they formulate solutions directly impacting the long-term health of millions of Americans living with hearing loss.Hearing Healthcare Model Getting your hearing checked should be routine, like getting your teeth cleaned. Because each ear is unique, hearing loss requires personalized care through a trained, licensed hearing health professional. With an abundance of hearing health options coming to market and varied information being shared, it is important that individuals affected by hearing loss are provided the right tools to make informed decisions. After all, hearing health is directly connected to overall health and well-being. Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S. - HIS and Dr. Gregory Delfino, CC, located in Bethlehem, Nazareth, and East Stroudsburg, PA. C-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services.In this episode, Blaise Delfino speaks with Mary Ann Stefko, an interventionist at the Scranton School for the Deaf & Hard of Hearing Children. A Lifelong PassionAs a child, Mary Ann had a deaf friend at the Scranton School for the Deaf, whom she visited regularly. It was there she learned ASL. She knew then she wanted to work with the deaf and hard of hearing, particularly babies.Teaching Babies to SignMary Ann says teaching what’s known as “baby sign language” to children with hearing loss is vital. The non-verbal child learns simple words using hand signals, such as “milk,” “mommy” and “daddy.” By teaching baby sign language, the neural pathways needed to communicate are created. Speech is a neuro muscular process, while language is a code of shared ideas. Newborn Hearing Screenings are CriticalNewborn screenings were a pivotal point in the hearing healthcare field. 30 years ago, it was not uncommon for a child to be diagnosed with hearing loss for the first time at age 3, 4 or even 5. These screenings have made a huge difference for children with unilateral hearing loss. Often this type of hearing loss wasn’t diagnosed until grade school when background noise became an issue. Now children can get appropriate amplification and families learn sooner how hearing loss effects learning. Children are meeting milestones they would not have met without newborn screenings.  Technology Has BoomedThe technology of hearing instruments has changed dramatically over the years, from large hearing aids worn on the body to today’s small, inconspicuous hearing instruments that fit in the ear. In addition, technology in general has leveled the playing field for those who have hearing loss. Deaf and hard of hearing students learn to use computers and other technology when they are in preschool. They become quite techno-savvy and have the same opportunities in all areas of life as their hearing peers.Dr. Gregory Delfino adds that children who are identified very early and get amplification during the critical language learning period are doing great things with their lives. They don’t let their hearing loss stop them, and go on to live full, happy productive lives, including getting advanced degrees, having loving families and great jobs.A Team ApproachIt is essential that parents of hard of hearing or deaf children understand that helping their children is a team effort. Very few heard of hearing children are born to parents who expect this. Parents are encouraged to go through the process with hearing healthcare professionals. They need to work with an audiologist to get their child the best amplification possible. They also need to understand that they should not lower their expectations for their child. Given the righSupport the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S. - HIS and Dr. Gregory Delfino, CC, located in Bethlehem, Nazareth, and East Stroudsburg, PA. C-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services.In this episode, Blaise Delfino speaks with Audiology Services patient Richard Taylor about hearing loss and getting hearing instruments. A Lifetime in the Printing IndustryMr. Taylor spent his entire career, 50 years, in the printing business. He did not use hearing protection, although as the owner of a printing company, he encouraged his workers who ran the presses to do so. They would wear headphones or some form of hearing protection when he was there, but we he went on sales calls, they would take them off. They claimed they couldn’t adjust to wearing them, and that they were uncomfortable.In the NavyMr. Taylor also spent several years in the Navy aboard aircraft carriers, where he says, it was impossible to get away from the noise. It was noisy 24/7.Mr. Taylor didn’t think much about his hearing loss, until his daughter, Pam, made him aware of it. Also a patient at Audiology Services, Pam took her father to see the practitioners at the age of 90. He put off getting hearing aids because of vanity.Most People Delay Getting HelpDr. Gregory Delfino says most people delay getting hearing instruments because of the way they look and the stigma that “only old people get hearing aids.” Usually once people get hearing instruments and find out how wonderful it is to hear again, they no longer care about how the hearing aids look.  Mr. Taylor says he is so happy to have gotten hearing instruments. He can’t say enough good things about them. He says it’s like having a whole new life. He encourages everyone who has hearing problems to get help. He adds that if a person has financial problems, that can be worked out with the audiologist. There are a number of payment plans and a variety of prices to fit every budget. Audiology Services now offers a leasing plan, with the lowest costing hearing aids at $15/month.Blaise adds that the cost of untreated hearing loss is much greater than that of hearing aids. Untreated hearing loss has a number of comorbidities, including dementia, diabetes, heart disease and many other chronic diseases.A Whole New WorldMr. Taylor says he’ll never forget the day he left Audiology Services with his new hearing instruments. He heard a bird chirping and was just delighted. He says it was an emotional moment. He waited 90 years but now can hear. He strongly advises anyone who is having trouble hearing to get fitted with hearing instruments. He says, “Don’t ignore hearing loss another day.”Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters PodcastThe Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S., HIS and Dr. Gregory Delfino, CCC-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services, located in Bethlehem, Nazareth, and East Stroudsburg, PA. What are Best Practices?Dr. Beck explains that best practices are not set by individuals in the hearing healthcare profession. They are determined and codified by a group of national organizations. The International Hearing Society, the American Academy of Audiology, and the American Speech and Language Hearing Association assemble groups of experts, who come together and decide what practitioners need to do for their patients. They use outcomes-based research to make their determinations.Best practices include, but are not limited to: air and bone conduction, word recognition, speech reception thresholds, otoacoustic missions, ipsi and contralateral reflexes, tympanometry, speech in noise testing, and communication and listening assessments.Why are Best Practices Important?Best practices follow the primary thought used by physicians: diagnose first, treat second. A physician will not prescribe antibiotics simply because a person has a cold. The cold could be caused by a virus, and antibiotics would not help. As with medical care, hearing healthcare is not one size fits all. Research has shown that people who go to practitioners who use best practices do much better than those who do not. Audiology Service strictly adheres to best practices, and only one percent of patients return because they are unhappy with their hearing instruments.Real Ear MeasurementA procedure known as real ear verifies that the fitting the practitioner does is meeting the standards and is giving the patient the best possible hearing experience and meeting his/her goals. About 50 percent of hearing healthcare practitioners use real ear, but only about one in five use it on every patient. To do real ear the practitioner inserts an incredibly small microphone into the ear canal within five millimeters of the ear drum. A measurement is taken to determine how the patient’s ear canal responds to sound. The measurement is taken again with the hearing aid in the patient’s ear. The practitioner measures to determine if the hearing aid is producing the sound curve that is correct. If not, the patient may hear loud noises too loudly and soft noises not loud enough. The practitioner wants to get the most power for the quietest sounds and not increase the power when a sound is normally loud to the patient. If a hearing aid is not adjusted properly with real ear, the patient may suffer damage to his/her auditory system.Discussions with the PatientDr. Beck explains that having a discussion with the patient is far better than giving him/her a questionnaire to fill out. It helps the patient feel secure with the practitioner’s expertise and gives the practitioner the chance to fully understand what the patient is experiencing and how best to fix the problem(s).Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S., HIS, and Dr. Gregory Delfino, CCC-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services, located in Bethlehem, Nazareth, and East Stroudsburg, PA. Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S., HIS, and Dr. Gregory Delfino, CCC-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services, located in Bethlehem, Nazareth, and East Stroudsburg, PA. In this episode, Blaise Delfino discusses the importance of hearing protection for those who are in bands and/ or those who got to live concerts with Dr. Douglas Beck, vice president of academic sciences at Oticon.Dr. Beck explains that he plays several instruments. He was first runner-up for the part of Ringo Starr in the musical Beatlemania on Broadway. He played in a band that made several albums. In the past, most band members had no idea that they were causing hearing loss simply by wearing in-ear monitors.OSHA (Occupational Safety and Health Administration) has set guidelines for hearing loss. It says listening to 90 decibels of sound for eight hours causes hearing loss. It goes up from there. Listening to 95 db for four hours, 100 db for two hours, 110 db for 30 minutes and 115 db for15 minutes cause hearing loss. People who leave a concert with ringing in their ears have caused temporary hearing loss that could become permanent. Dr. Beck encourages practicing and playing musicians to wear musician earplugs. While they are expensive, they take out the highest and lowest frequencies, allowing the wearer to converse. They also protect the wearer from hearing loss. Over-the-counter ear plugs are better than nothing, but custom-made earplugs are the best.In-ear monitors are worn by singers in a band so he/she can hear his/her own voice over the other musicians. Custom in-ear monitors are made to prevent hearing loss from loud noise. The person first gets an audiometric evaluation, a custom mold is made and a measure of the noise level the wearer will experience is taken. Dr. Beck says it’s very important to use in-ear monitors safely so they do the job. Whatever costs are incurred, it is worth saving your hearing. Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S., HIS, and Dr. Gregory Delfino, CCC-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services, located in Bethlehem, Nazareth, and East Stroudsburg, PA. In this episode, Blaise Delfino discusses Cognition, Audition and Amplification with Dr. Douglas L. Beck, Vice President of Academic Sciences at Oticon.Dr. Beck explains that the connection among cognition, audition and amplification is the human brain. The three are intertwined and cannot be separated. There are 26 million Americans who have no hearing loss but still cannot understand speech in noise. This can be caused by a traumatic brain injury, dyslexia, and many other conditions. An audiologist can determine if the problem is central auditory processing. Dr. Beck explains the term “cross-modal recruitment.” It occurs when one area of the brain is not stimulated, and another area of the brain takes it over. In a study done by Drs. Sharma and Glick, titled “Frontiers of Neuroscience,” the area of the brain that processes sound was not stimulated, and the part of the brain that processes sight took it over. Drs. Sharma and Glick found that by fitting patients who have hearing loss with hearing instruments reversed the cross-modal recruitment that had taken place in their brains. Hearing screenings are not something that Dr. Beck advocates. He believes that they are usually not done in sound-proof booths, the instructions are not well presented, and headphones are generally not used. He is in favor of Universal Newborn Screenings, however, which tests the hearing of all babies born in hospitals and birthing centers. He is also in favor of cognitive screenings in older adults who are having difficulty with speech in noise. He says once people reach a certain age there are many conditions that can cause hearing loss. Among them are neurovascular conditions that reduce blood flow to the brain.Dr. Gregory Delfino adds that he has seen many patients over the past 20 years who have central auditory processing problems and have significantly improved with low-level amplification. Buying hearing instruments online or over the counter is not something Dr. Beck advises. He says a person may be experiencing hearing loss for any number of reasons, from a hair up against the ear drum or the bones in the ear malfunctioning to a brain tumor. The rule in medicine he says is first diagnose then treat. Without a diagnosis by a trained hearing healthcare professional, a person could do more harm than good by buying over-the-counter hearing aids. He adds that a person can get well-made hearing aids provided by a professional for as little as $1,000 per pair.      Have questions? Let's hear em'! Email: Blaise@audiologyservicesllcpa.com Phone: 610.694.0141Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S., HIS, and Dr. Gregory Delfino, CCC-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services, located in Bethlehem, Nazareth, and East Stroudsburg, PA. The Benefits of Deep Neural Networks in Hearing AidsIn this episode, Blaise Delfino discusses the deep neural network in the new Oticon More hearing aid with Dr. Douglas L. Beck, vice president of academic sciences at Oticon. Dr. Beck explains that in Oticon’s newest hearing aid, the Oticon More, there is a deep neural network, or DNN, which enables a wearer to have an even better hearing experience than before.  He explains that artificial intelligence (AI) is as simple as a thermostat in the refrigerator. It senses when it needs to adjust the temperature and then does so. DNN is a much more sophisticated form of AI. It learns in the same way the human brain does. It’s used in a variety of everyday tasks, for example buying something on Amazon. Once you buy a certain item, Amazon will let you know when similar items become available. The general idea of a DNN is that it learns through repetitive action from a collection of samples. In a hearing aid, the DNN is trained with millions of real-life sound scenes – a restaurant, train station or busy street. The DNN learns to identify and balance each sound within it, so the wearer can access the sounds most important to you.The Oticon More was trained with 12 million complex real-life sound, which it then learned to analyze, organize, and balance. This hearing device can utilize the DNN’s intelligent capabilities when balancing and prioritizing the sounds that are important to the wearer.The benefit of the DNN is that the wearer’s brain has access to the full sound scene, so he/she can hear the person next to him/her, as well as other environmental sounds, all balanced and amplified in a true-to-life way.This is because a DNN provides the brain with more meaningful sound information, which makes sound much clearer and speech easier to follow. In fact, research shows that Oticon More delivers 30 percent more sound to the brain and increase speech understanding by 15 percent. Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S. - HIS and Dr. Gregory Delfino, CCC-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services, located in Bethlehem, Nazareth, and East Stroudsburg, PA.About Dr. Phillip ZazoveOn this week’s episode, Blaise Delfino talks to Dr. Phillip Zazove, the George A. Dean Chair and Professor of Family Medicine at the University of Michigan. Dr. Zazove is Deaf.Dr. Zazove explains that he was not diagnosed with profound hearing loss until he was four years old. At that time children who were deaf were put in state schools for the deaf. His parent however believed that he could compete in a regular school setting, so he was in mainstreamed. He was the first deaf child to be mainstreamed in the northern Chicago suburbs. His parents were great advocates for him. When he was a child, there were no cell phones or other technology to help deaf children. Hearing aids were big and bulky. He refused to wear hearing aids because he didn’t want to be different. Today’s children have greater advantages than kids even 25 years ago. Dr. Zazove says he got his passion and grit from his parents, who were both doctors. He adds that getting to know other people with disabilities also drove him to want to help others, especially those with disabilities.Advocating for yourself as a deaf person is especially important. If a deaf or hard of hearing person doesn’t tell his doctors, for example, that he can’t hear, he may not get the best care. The doctor needs to know so he/she can be sure the patient understands what’s going on. He adds that people need not be embarrassed that they have a hearing loss and should think about wearing hearing aids the same as wearing glasses. Dr. Zazove did studies that show a doctor will treat a hearing patient differently when it comes to recommending having colonoscopy, mammogram, cancer screening, etc. Another study demonstrated that a deaf or hard of hearing patient is more likely to be readmitted to the hospital within 30 days than a hearing person. He says processes and procedures need to be set in place, so doctors know to ask patients if they have hearing loss.Dr. Zazove applied to about 30 medical schools and was only accepted to Rutgers, The State University of New Jersey. He was the third deaf person to go through medical college.He believes there are four things that can help an individual who is Deaf the most: 1. Parent advocacy when the child is going through school. 2. Learning a language by age three, whether it’s sign language, English, Russian, etc. 3. Make whatever accommodations are needed, whether it’s sitting at the front of the class, getting hearing aids or a cochlear implant or having an interpreter. 4. Join support groups.Dr. Zazove runs a foundation for Deaf high school  students who wish to go to college. It is known as the Louise Tumarkin Zazove Medical Foundation and is in its 17th year. It generally pays for a deaf or hard of hearing student’s full tuition for four years.  Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S., HIS, and Dr. Gregory Delfino, CCC-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services, located in Bethlehem, Nazareth, and East Stroudsburg, PA. The Newest TechnologyIn this episode Blaise Delfino discusses the newest hearing technology with Scott Bunnell, senior global product manager of Sonic Innovation. Scott says the newest hearing aid is called the Radiant. It uses a new technology platform known as Extend. This latest processing chip has more power and more memory than Sonic's previous chip. It also has a new way of processing sound, new compression technology and noise management and reduction. It uses 24 bands, whereas the old platform used only 16.Joint Compression SystemScott says the new technology uses a combined compression system that has both fast and slow capability. The slow compression handles the narrow band noises, such as vacuum cleaners and blenders, and keeps them at bay. The fast compression emphasizes every part of speech and puts the emphasis where it is needed.  Increased ConnectivityThe new Radiant hearing aid is also now able to be connected to an Android phone. In the past it was only able to connect to an iPhone. Audiologists can also do remote fittings and fine adjustments. This is especially important for those who are physically unable to come to the office and those who are out of town. The Radiant also has a new open/closed dome that keeps its shape better in the ear canal and is more comfortable because of changes in venting.Great for MusiciansScott, who is a musician himself, explains that hearing aids were first made for people to be able to hear speech. Listening to music was not something companies considered. He says the wave lengths of speech are predictable as are the frequency ranges. Music however has a wider range of frequencies and an extended range. Because of that the new Radiant has a smart music program that enables wearers to really enjoy music. Final AdviceAfter giving a brief history of his musical life as a singer and guitar player, Scott offered the following advice. “If you have hearing loss, don’t wait to do something,” he says. “The longer you wait the worse the hearing loss becomes. Untreated hearing loss is the number one risk factor for acquiring dementia. Don’t listen to the horror stories about hearing aids. They are nothing like they used to be. They’re great.”  Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S. - HIS and Dr. Gregory Delfino, CCC-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services, located in Bethlehem, Nazareth, and East Stroudsburg, PA.Becoming an AudiologistOn this episode Blaise Delfino discusses the emergence of hearing technology with Scott Bunnell of Sonic Innovation. Scott explains that he was in a dead-ed job when he decided to go back to school to become an audiologist. He got a master’s degree and a doctoral degree in audiology. He practiced as a clinician in a hospital for 6 years. He was laid off when the hospital closed its audiology unit.Moving into Industry While looking for another job, he got a call from Sonic Innovations, asking him if he wanted to become a tech support audiologist. He enjoyed learning things that were not part of his job in the hospital. HE was put on a marketing team and is now a senior product manager. Sonic in its Early YearsScott explains that Sonic began with three brilliant scientist-engineers. Dr. Thomas Stockham, who was a pioneer of digital recording and a master of digitizing and processing sound. Dr. Douglass Chabries designed Navy sonar systems and developed algorithms that simulated how the human ear and brain process sound.  Both had lifelong interests in how sound is produced and how the human brain processes it. They were later joined by Dr. Carver Meade, who is considered the father of microelectronics. He reduced a bench-top prototype to a single tiny chip. Using digital technology and the latest microchip manufacturing techniques, they created the first Sonic product in 1998. It was a completely digital hearing aid that fit inside the human ear. The company first tried to manufacture the hearing aids in Utah, but found it was easier to do so in Minnesota. Today R and D is located in Salt Lake City and manufacturing is done in Minnesota.Sonic’s 4S FoundationOver the years, Sonic has consistently improved and refined each generation of hearing devices. They developed algorithms that separate speech from noise and bring it to the foreground. They learned how to reduce background noise in many diverse environments. Scott says Sonic products and accessories are true to the company’s 4S Foundation: Sound That’s Natural, Speech Understanding in Noise, Simplicity in Everything We Do, and Style That Stands Out Sonic is a Leader in Noise ManagementMost patients struggle with speech in noise. Sonic hearing aids use two microphones in one. One picks up the sound from the person who the wearer is talking to, and the other picks up other noises and mutes them. These microphones do this every time the wearer moves his/her head. Compression is Important.Scott explains that compression in a hearing instrument is its ability to cut off the peaks of a sound wave that are too high (loud). He uses the example of a sailboat going under a bridge. If the sail is too high, its sails need to be compressed so it can fit. By using just, the r Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S. - HIS and Dr. Gregory Delfino, CC, located in Bethlehem, Nazareth, and East Stroudsburg, PA. C-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services. The Effects of Hearing Loss on Literacy Development In this episode Blaise Delfino discusses how hearing loss affects a child’s ability to learn to speak with Lindy Powell, a teacher of the deaf and a reading specialist. The ability to hear is imperative to learning to speak and read. There are five areas in reading development. They are phonological/phonemic awareness, phonetics, vocabulary, fluency, and comprehension. Phonological/phonemic awareness enables a child to hear the syllables through listening. They apply those listening skills to developing a vocabulary. When they are fluent, they use the same skill set to speak with the correct inflection and at the correct rate of speed. Eventually the learn to comprehend what they are reading. Each step builds on the next. Missing Certain SoundsIf a child has a high-frequency hearing loss, he/she may not hear important consonant sounds, like f, s, or t, for example. Because these sounds don’t get to the brain, the child may think the word Frank is really Ank. Also if the s on the end of a word is missing, the entire meaning of the word may change. An example is if a child asks for more than one thing. A child with hearing loss does not get the input they need for phonetic development.What Can Parents Do?There is a lot of research that shows children should have access to sound as early as possible. Some mothers even talk/read to their babies in utero. Sound helps develop speaking and listening skills and social skills. Strong vocabulary skills set children up for success. If a child is not developing speaking skills, intervention as early as possible is recommended.Reading actual books at least 20 minutes a day with your child is also a way to enhance language skills. Reading online is not as effective. It’s recommended that children’s screen time should be limited, even if he/she is reading. There are simple steps to providing early listening.1.     Make reading a priority. Make sure your child sees and hears you read things like the mail, magazines, and cookbooks. Also let them see you writing things, like notes for the store or daily reminders.2.     If you can’t find 20 minutes a day, which is often the case, be sure the time you spend reading/talking with your child is quality time. Set it aside and use it without interruption.3.     Don’t compare your child’s reading/listening skills to other kids, especially if he/she is not as advanced as kids the same age. Celebrate the progress the child makes.4.     Lean on the professionals. They are there to help you. Ask questions and follow their advice, and most importantly, try to limit your anxiety and your child’s. For more information on improving listening/reading skills go to “listenlittles” on InsSupport the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son, Blaise Delfino, M.S., HIS and Dr. Gregory Delfino, CCC-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services, located in Bethlehem, Nazareth, and East Stroudsburg, PA. Philanthropy in the Hearing Healthcare CommunityIn this episode Blaise Delfino discusses philanthropic giving with Dr. Amit Gosalia, of the West Valley Hearing Center in Los Angeles. Dr. Gosalia defines philanthropy as the desire to help others. He says that the foundation for wanting to help those in need is built in childhood. His father, who was a cardiologist, had Amit volunteer in the hospital during his summers.He encourages everyone to go beyond their four walls and either volunteer or donate to worthy causes. He points out, however, that doing so to build up a business is not a good idea and is usually counterproductive.The More You Give, the More You Receive Blaise points out that there is no such thing as giving without a reward. That reward is the wonderful feeling you get by helping others. Dr. Gosalia adds that if you give because you’re looking for something tangible in return, it is manipulation. He says people should give humbly and with the understanding that you are not doing it for praise but to make a difference in the world.Who is giving in the Hearing Healthcare Community?Dr. Gosalia says many big companies that manufacture hearing aids give through their foundations, including Oticon and Starkey. These companies donate hearing aids to countries around the world and across the U.S. They also do missions in foreign countries. Many celebrities join these missions to help promote prevention of hearing loss and the benefits of wearing hearing aids. At the local level Lion’s Clubs across the country donate hearing aids to those in need. What can Individual Practitioners Do?Audiologist can volunteer to give free screenings in their offices or in the community. They can also donate hearing aids and batteries to those who cannot afford them. He gives the example of a team of healthcare practitioners who teamed up to do a health fair in Arizona. People could have free hearing, dental, eye, and blood pressure screenings. A screening takes about five minutes. If five audiologists worked together for a day, they could help hundreds of people.Blaise says that Audiology Services has done many outreach programs in the community, including free screenings. During COVID-19, Audiology Services donated packages of different types of hearing aid batteries to the senior homes in the Lehigh Valley. The staff at Audiology Services always looked forward to those days. Where to go to if you Need a Hearing Aid and Can’t Afford One?If you or someone you know needs a hearing test or hearing aids and can’t afford them, tell them to visit a reputable audiologist. Don’t rely on Google, as you may not get someone who is ethical. The FutureAudiology Services and Dr. Gosalia are hoping to team up with audiologists across the country to Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
In this episode, Blaise Delfino  speaks with Dr. Amit Gosalia about what to expect from amplification, more commonly known as hearing aids.The StatisticsDr. Gosalia explains that hearing loss is known as the invisible disease. The person experiencing it can’t feel or see it. Usually, family and friends notice and let the person know. Hearing loss is not uncommon. According to the NIH and the WHO, 15 percent of all Americans over 18, not only the elderly, suffer from some form of hearing loss. It can be caused by exposure to noise, genetics, or the environment, among other things. He adds that every year the Veteran’s Administration publishes a report on the disabilities suffered by veterans. Each year hearing loss is either number 2 or 3. Most people would guess that post-traumatic stress disorder would be at the top of the list for veterans returning from war. However, number one is almost always tinnitus, or ringing in the ears. Lost WagesEach year there is a $1 billion loss in wages because of hearing loss. Dr. Gosalia explains that it is the result of misinterpretation and misinformation by people who can’t hear well. A recent market track survey demonstrated that among the thousands with hearing loss in the workplace, for every 10 decibels of hearing loss there is a reduction in salary. He explains that because a person’s brain has to go into overdrive to distinguish between the letter “t” and the letter “p,” for example, his/her cognitive energy is taken away from the ability to do other things. This is particularly difficult in meetings and when working with a team. The Types of Hearing LossThere are four types of hearing loss. To understand the different types, Dr. Gosalia gives a basic anatomy lesson on the ear. The outer ear, which is on the outside of the head, funnels sound into the ear canal. At the end of the ear canal is the ear drum. Connected to that are three small bones commonly known as the hammer, anvil, and stirrup. Those bones are connected to the cochlea, which looks like a snail shell. Inside the cochlear are millions of hair cells that pick up the sound and send it to the auditory nerve. It is then sent to the brain for interpretation. The most common type of hearing loss is sensorineural. This is when a significant number of hair cells in the cochlea die off. They cannot be regenerated; however, a hearing aid provides extra energy to stimulate the remaining hair cells. This is considered hearing loss in the middle ear.The second type of hearing loss is call conductive. This happens when the ear canal is clogged with debris and wax, or when there is a hole in the ear drum, and it cannot vibrate correctly. Often children suffer from fluid in the middle ear. This is treated by inserting tubes into the child’s eustachiantube. The third type of hearing loss is called mixed. This is a combination of conductive and neurosensory loss. The last type and least common is known as central hearing loss, which takes place in the brain.  Fear of Hearing Aids Dr. Gosalia says people experiencing hearing loss wait an average of seven years to get help. They’re afraid of the cost, or fear that they’ll hear too much background noise. Others have heard stories of people who have had, say, five hearing aids in six years and none of them worked. About 99 percen Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S. - HIS and Dr. Gregory Delfino, CC, located in Bethlehem, Nazareth, and East Stroudsburg, PA. C-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services.What exactly is Audiology?  Dr. Gosalia explains that audiology is science of hearing and balance. He explains that ii is relatively a new field that started after WWII when many of the veterans came home from war with varying degrees of hearing loss. That is about the time that people who wanted to enter the field had to study and meet certain academic requirements.What are the Requirements to Become an Audiologist?Dr. Gosalia explains that before 2012, a person who wished to become an audiologist had to complete a bachelor’s degree and a master’s degree. Beginning in 2012, a person had to complete a bachelor’s degree and then apply to an audiology program.Most audiology programs are four years, however, there are accelerated programs that are three years.Students learn the theory of audiology in the college classroom and the practical side of the field on site with a practicing audiologist. An audiologist who completes the program is an Au.D.Are the Requirements to get a License the Same in Every State?  The requirements differ from state to state, with some being very rigid and some being rather loose. And like the medical professional, there are a number oof subspecialties. Some audiologists focus on pediatric patients, some on balance issues, and some on tinnitus for example.Audiologists are working with government regulators on what is known as an interstate compact. This will allow audiologists who are licensed in one state to treat patients in other states. Receiving the Best CareMany people don’t realize that hearing aids are medical devices. Dr. Gosalia points out that a person would not want to buy a pacemaker over the counter. While pacemakers are surgically implanted and hearing aids are not, there are still many things that can go wrong if hearing aids are not dispensed properly.  Another reason to visit an audiologist is that there may be underlying medical problems causing the hearing loss. Examples are middle ear effusion and acoustic neuromas. In these cases, medically intervention is necessary, and an audiologist will send the patient to a physician.Most audiologists have what is known as a patient-centric practice. That means that the audiologist focuses solely on the patient when he/she is working. If a patient needs an hour or 15 minutes, the audiologist gives whatever time is needed while employing best practices. Dr. Gosalia says, “Patients don’t care how much you know, until they know how much you care.” The Problem with OTC Hearing AidsDr. Gosalia explains that there are many problems with buying over the counter hearing aids. Because the person buying the hearing aid does not see an audiologist, they are not necessarily getting the hearing aid that is right for his/her hearing loss. He explains that a person doesSupport the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S. - HIS and Dr. Gregory Delfino, CC, located in Bethlehem, Nazareth, and East Stroudsburg, PA. C-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services.The Experiences of an Audiology Services PatientIn this episode Blaise Delfino and Dr. Gregory Delfino discuss the journey to better hearing with a patient, mentor and friend, Gerald Ephault. Blaise asks Mr. Ephault, who has been wearing hearing instruments for more than 10 years, to describe when he knew he need hearing aids. Mr. Ephault explains that he finally came to the realization that he wasn’t hearing what he should. He was having difficulty hearing what people were saying and the sounds of the environment. Eating in Restaurants was Difficult.Mr. Ephault says that it was especially hard to go out to eat. Pre-COVID, people sat close together, making it hard for him to decipher what his dining partners were saying. Also, the background noises interfered with any conversation he wanted to have. He described going out to eat as “extremely uncomfortable.”He and his wife of 40-plus years, Darlene, made a pact that Gerald would look her directly in the eye and concentrate on what she was saying to him, and after that he was accountable for what she said. He adds that most men will say “yes” to their wives even though they really haven’t heard or comprehended what she said.Hesitating to get Help      Mr. Ephault waited for a long time to finally get help for his hearing loss. He was in the military, he worked in a extremely noisy printing /binding facility and is a hunter. All of those environments damage hearing, but years ago it was simply accepted that you would lose some of your hearing as a member of the military and in manufacturing. No one thought to use hearing protection. He knew he was suffering from hearing loss but wasn’t sure exactly what to do.Accommodating for Hearing Loss Mr. Ephault explains what he would do when he was in important meetings/situations that required him to hear. In a business meeting for example, he would try to sit next to the main speaker. If he couldn’t, he would take notes and then fill in the blanks when he got back to his office. When he became a college professor, he realized how tremendously important it was to be able to hear. Some students spoke softer than others, each articulated differently, and several had accents. He did not want to diminish the students’ classroom experience. That was when he decided to go to Audiology Services for help.Life with Hearing InstrumentsWhen Blaise and Dr. Delfino fit Mr. Ephault with hearing aids, his first response was “I can hear!” He says it was like a revelation in his brain. He had hearing aids from another audiologist, but they weren’t helping much at all. When Blaise inserted the instruments, Mr. Ephault felt that life was now “normal.”  Life is not only easier, it’s more fun.    The Importance of Real Ear MeasurementDr. Delfino explains the Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S. - HIS and Dr. Gregory Delfino, CC, located in Bethlehem, Nazareth, and East Stroudsburg, PA. C-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services.Redux, the Latest Technology for DryingIn this episode, Blaise Delfino speaks with Matt Hay, director of marketing and sales for Redux, the company that makes the newest system for drying hearing instruments. Matt lives in Indiana, where Redux is located, and travelled to Nazareth for this episode.Matt explains that Redux is a professional in-office hearing instrument dryer for hearing aids and implants. Hearing aid dryers have been around for a long time and they basically just use hot air and a fan. Matt Relates his Journey to Better Hearing  When Matt was in college, he began to notice that he had trouble hearing in one ear. He tried to ignore it. But with time, his hearing continued to get worse. He went to an audiologist, who recommended he get an MRI. It showed that Matt, now 19 years old, had bilateral acoustic neuromas, or tumors on the hearing nerve. He was diagnosed with neurofibromatosis 2, or NF2. Matt went through the grieving process about losing his hearing. He first was in denial, but after getting reinforcement from others that his hearing loss was profound, he got hearing aids. He was thrilled to be able to hear. He remembers hearing the bird chirping and his feet hitting the sidewalk. But eventually he needed an auditory brain stem implant, or ABI. Because his nerves were damaged by the tumors, hearing aids or a cochlear implant could not help. Doctors surgically implant electrodes into his brain stem. The surgery is extraordinarily complex and often causes adverse side effects, however Matt was fortunate to have very few.Learning to Hear Again Matt had devised ways to cope with hearing loss before getting the implant, so he able to adapt with the support of his family and friends. He used music as therapy. He asked himself, “What songs do I want to hear in my head for the rest of my life, in case I never hear again?” He created a play list of songs that he listened to over and over. After the implant, Matt says everything sounded like a gravel truck. He listened to music because he knew how each song was supposed to sound. He made progress, and after the first year, he became better at differentiating sounds. He has had the implant now for 16 years and believes music helped him to be able to differentiate speech. He is now totally deaf, but has 95 percent speech recognition, thanks to the implant, his music therapy and the support of wife, parents, immediate/extended family and his colleagues.A New CareerAfter working for the same company for 20 years, Matt was feeling that he wanted a change. He was involved with hearing healthcare as a volunteer, raising money and awareness for nonprofits. However, he genuinely wanted a job that would enable him to feel that he was helping people each da Support the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
About the Hearing Matters Podcast The Hearing Matters Podcast discusses hearing technology (more commonly known as hearing aids), best practices, and a growing national epidemic - Hearing Loss. The show is hosted by father and son - Blaise Delfino, M.S. - HIS and Dr. Gregory Delfino, CC, located in Bethlehem, Nazareth, and East Stroudsburg, PA. C-A. Blaise Delfino and Dr. Gregory Delfino treat patients with hearing loss at Audiology Services. Moving Forward with Hearing TechnologyIn this episode Dr. Gregory Delfino and Blaise Delfino speak with Nazareth native David Smith, a longtime family friend. David explains that the tipping point for him to move forward with hearing technology came when he was 55 years old. He realized he was asking his coworkers, family members and peers to continually repeat themselves. He knew others were becoming very frustrated with him. His wife would often help him when ordering in a restaurant, when he didn’t hear the waitress. If he was in a noisy coffee shop alone, for example, he’d become nervous about having to order and not hearing questions/comments from the waiter. His children thought he was ignoring them when, in fact, he simply couldn’t hear them. At work he would say “yes” to his boss’s request, even though he didn’t know what was being asked of him. When COVID-19 came along, he could no longer read lips because everyone was wearing masks.  He tried hearing aids but after one week took them out. He told Blaise he was just not ready. He was primarily worried about his image. At 55 he believed he “shouldn’t be in this situation.” He felt there was a stigma attached to wearing hearing aids.The Denial ProcessDr. Gregory Delfino explains that many people feel like Dave. There is a complete denial process that some people go through. They have a preconceived notion that hearing instruments are large and bulky and wearing them means they’re old. They struggle with the inability to hear and live with this silent disability. Practitioners often wonder how they can help these people.Moving ForwardAfter a visit to Audiology Services Dave finally realized exactly how poor his hearing was. He moved forward with hearing technology, knowing that his improved quality of life was more important than his image. Once he began to wear the hearing instruments again, he couldn’t say enough positive things. He has a new level of confidence and enjoys life so much more.Lost IncomeThere is a total of $1.2 billion in lost income every year due to untreated hearing loss. Dr. Delfino explains that often in the workplace an employee will be disciplined for a poor attitude when he/she simply can’t hear. Their pride stops them from telling their bosses and coworkers they have haring loss and from having a hearing screening. Co-morbidities with Hearing LossBlaise explains that our sense of hearing is the gateway to our bodies. People with untreated hearing loss are at a greater risk of experiencing cognitive decline, cardiovascular disease, diabetes, anxiety, and depression. He recommends that anyone who thinks he/she may have hearing loss seek out a hearing healthcare professional.Dr. Delfino adds that teaming uSupport the showConnect with the Hearing Matters Podcast TeamEmail: hearingmatterspodcast@gmail.com Instagram: @hearing_matters_podcast Twitter: @hearing_mattasFacebook: Hearing Matters Podcast
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