The Hear and Now
Street scene in Mysore, India |
A
couple summers back, I began to notice that more people were mumbling and that
conversations were fading into the din of background noise. While I knew the
world was becoming noisier and enunciation wasn’t as popular as it used to be,
I could scarcely believe how fast the world was changing. Thankfully, years of
teaching and practicing yoga had helped me learn to read body language pretty
well, and I also seemed to have a knack for reading lips. On the continuum of
problems, slight hearing loss didn’t seem too pressing, and I embarked on
various regiments of self-healing.
I’ve long believed that food is medicine, and I began to mess around with my diet.
Historically I’ve gotten pretty plugged up when I ate dairy foods and gluten,
so I assiduously parsed these from my diet. This change in diet seemed to help
a bit, though I still relied heavily on context and body language to figure out
what was being said.
I then began looking at other foods as possible inflammation triggers and
embarked on a strict elimination diet. I believed inflammation was the root
cause of my hearing loss, and believed that eliminating these trigger foods
would help my hearing.
I found a number of foods that seemed to plug me up, and by further eliminating
carrageenan and tapioca starch from my diet, I found my hearing did improve a
bit.
The improvement was incremental, though, and I was still was faking it in a lot of
conversations, and nodding politely far more than was indicated.
I then turned my attention to acupuncture. I work with a great acupuncturist, and
she immediately identified some blockages and imbalances that could have
contributed to my hearing deficit. Many months into an ongoing course of
acupuncture treatments, I was feeling more energetic and filled with vitality. But,
while I felt like I had reverse-aged about fifteen years, I was still
conversing largely through body language, piecing syllables together, and
reading lips. I wasn’t fully out of the loop in social interactions but many
details were getting lost in the shuffle.
The changes in diet and acupuncture made incremental improvements but almost one
year had gone by since I’d heard birds singing or even the sound of many
passing cars. Denial
is not just a river in Egypt,
and I was pretty resistant to accepting the extent of my hearing loss.
By
this time, despite my penchant for optimism, the reality was that my hearing
was getting worse. In addition to diet and acupuncture, I received some great
bodywork, and continued to practice yoga and meditation each day. While I was
feeling very good, more people were mumbling and I was starting to pull back
socially. I have always been pretty outgoing but now I was finding the effort
to piece together conversations was sometimes too much. The latter was the
convincer that finally motivated a visit to my general practitioner. The GP
immediately referred me to an Ear, Nose and Throat (ENT) specialist; the red,
puffy scene inside my ears wasn’t the result of a typical ear infection or
injured eardrum – something else was amiss.
The
first step in seeing the ENT was a comprehensive hearing exam. There were so
many tests! There were tests with headphones, transmitters on my mastoid bones,
tests that injected air against my eardrums, and a battery of speech
recognition exercises. After all sorts of poking and prodding, the conclusion
was that I had moderate to severe hearing loss. Thankfully, I hear almost
normally in a small band of frequencies around 1,000 Hertz, which allowed me to
somewhat hold my own in conversations. Outside of that bandwidth of
frequencies, my hearing loss was severe, which explained why people with
unusually high or low voices were the hardest for me to understand.
While
this report certainly fell under the subheading of bad news, the ENT
quickly pointed out that this sort of hearing loss, called conductive, is
highly treatable. At worst there’s a surgical repair, and at minimum, a course
of nasal steroids may be able to knock back the inflammation that’s keeping my
eardrums from moving normally. While the full treatment is probably somewhere
between the two extremes of nasal spray or surgery, the otolaryngologist
assured me I will ultimately be able to hear normally, once again.
After
two weeks of nasal steroids, I continue having eureka moment where I hear
sounds I haven’t heard in awhile. The upstairs neighbor’s footfalls, passing
cars and insistent crows have never sounded so good! I’m also still aware of
how much I’m missing, and am trying to remain aware of how my optimism, which
often contributes to my happiness, can also be a deceiver.
For
example, while at a writing workshop this afternoon, I could hear other
participants laughing at someone’s story, though I could not hear the story
that was the cause of their laughter. There’s a long way to go in restoring my
hearing, though I’m glad to live in a time and place where I have ready access
to both complementary and Western medicine.
I’m
committed to fully restoring my hearing, as listening is a key component of
teaching. As this situation unfolds, I’ll be posting periodic updates.
Thanks
for listening!
Comments
After the first visit with the ENT doctor, I was prescribed nasal steroids to combat the inflammation that was presumed to be present in my nasal cavity. After three months of this treatment, my hearing was re-tested. And there was virtually no change in my hearing!
This led the ENT to suggest getting tubes (grommets) installed in my ears. This is the same technology that's often used with little kids, and they deliver the promise of fully restoring hearing that's related to chronic congestion. I was up for anything - getting my hearing back was sounding better and better.
Once I was placed on the treatment table and a microscope was focused on my eardrums, the ENT thought better of it. It turned out there was a lot of scarring on both eardrums, and it wasn't reasonable to assume my hearing loss was related to a chronic congestion that the nasal steroids had failed to address. Something else was likely amiss.
I ended up getting a CT scan, which verified that there was little, if any, congestion... and that my eardrums have significant scarring. In a couple weeks I see another ENT who specializes in eardrums, and I hope to learn what options are available.
In the interim, I'm using hearing aids to facilitate the day-to-day. I never would have imagined loving hearing aids, but I sure do enjoy being more connected to the world, again.