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Without his hearing aids, Dr. Don Thaler has trouble holding a conversation in a crowded restaurant. With the devices in, however, the ambient noise -- the clinking of dishes, the shuffling of feet, the drone of table talk throughout the room -- can be intolerable.
"I just hate 'em," Thaler, a retired dentist in Amagansett, N.Y., said of his hearing aids -- digital ones that fit completely inside the ear canal and cost more than $7,000 for the pair.
He wears them only when going out with company. Even then, he said, "I always carry a leather pouch because inevitably I end up pulling them out of my ears."
Thaler's wife, Cabot Paley, on the other hand, embraced hearing aids from the moment she tried them more than 10 years ago.
"All of a sudden, the world around you is just filled with sound," she said, "and it's a wonderful feeling to be able to take part in it."
Only about 22 percent of 30 million people with hearing impairments in the United States get hearing aids, according to Sergei Kochkin, executive director of the Better Hearing Institute, a nonprofit organization financed by hearing aid makers.
Yet they offer the best way for many people to maintain a social life and connection to the world. But hearing aids can also disappoint new users because even the most expensive kinds do not restore normal hearing.
"It's not like putting on a pair of glasses and getting 20/20 vision," said Bevan Yueh, an otolaryngologist at the University of Washington, "because hearing loss is about more than just amplification of sound. It also affects the way we process sound."
Many people who try hearing aids are, like Thaler, dissatisfied with them. Doctors say that is partly because they have unrealistic expectations and partly because it takes time to adapt to a new way of hearing.
In nine of 10 cases, hearing loss is caused by a deterioration in the hair cells of the inner ear because of age or exposure to loud noises.
These same hair cells are what we use to zero in on the sounds we want to pay attention to and screen out what is uninteresting. So when hearing goes, the ability to focus on favored sounds goes with it.
One reason people neglect even to ask their doctors about hearing aids is that they do not realize their hearing has deteriorated.
"It happens gradually and it can be very, very subtle," Yueh said. "And other people in a position to notice often attribute problems not to hearing loss but to the person being a little clueless."
Hearing aids cost anywhere from $800 to $3,500 each. Health insurance usually does not cover hearing aids, or if it does, it pays only part of the cost.
About 20 companies make hearing aids. The six biggest brands are GN ReSound, Oticon, Phonak, Siemens, Starkey and Widex.
Hearing aids that fit entirely inside the ear canal are popular because many wearers want to avoid the stigma of having plastic visible in their ears.
"People will readily wear glasses, which change your appearance more," said Robert Jackler, chairman of otolaryngology at Stanford. "But with hearing aids, the perception is that the person is old and maybe has diminished intellectual capacity."
The downside of the hidden devices is that their components are tiny. "The batteries are very, very little," Thaler said, from personal experience, "and the dexterity you need to replace them is incredible."
Digital hearing aids are gradually supplanting the old analog type because they can enhance the clarity of sound and cut back on feedback -- the whistling that plagues wearers of older devices.
The most advanced ones are capable of recognizing human voices so that they can selectively enhance speech.
It can be less expensive to buy hearing aids over the phone or on the Internet, but doctors advise patients to consult audiologists or other licensed hearing aid dispensers to make sure the devices are right for wearers' hearing loss and daily needs, and to get a good fit.
(An audiologist is required to have a master's degree or doctorate, but states also license hearing aid dispensers who have been trained on the job.)
Many states require that consumers be allowed to return hearing aids within 30 days. Some sellers will extend the trial period further.
Audiologists are also beginning to provide training to help new hearing aid users adapt to a different way of hearing.
After three years with his hearing aids, Thaler admits that even he is slowly learning to appreciate what they can do.
"Every now and then," he said, "I hear a bird, which I may not have heard before, and I think, Wow, I like to hear that."
From World News
"I just hate 'em," Thaler, a retired dentist in Amagansett, N.Y., said of his hearing aids -- digital ones that fit completely inside the ear canal and cost more than $7,000 for the pair.
He wears them only when going out with company. Even then, he said, "I always carry a leather pouch because inevitably I end up pulling them out of my ears."
Thaler's wife, Cabot Paley, on the other hand, embraced hearing aids from the moment she tried them more than 10 years ago.
"All of a sudden, the world around you is just filled with sound," she said, "and it's a wonderful feeling to be able to take part in it."
Only about 22 percent of 30 million people with hearing impairments in the United States get hearing aids, according to Sergei Kochkin, executive director of the Better Hearing Institute, a nonprofit organization financed by hearing aid makers.
Yet they offer the best way for many people to maintain a social life and connection to the world. But hearing aids can also disappoint new users because even the most expensive kinds do not restore normal hearing.
"It's not like putting on a pair of glasses and getting 20/20 vision," said Bevan Yueh, an otolaryngologist at the University of Washington, "because hearing loss is about more than just amplification of sound. It also affects the way we process sound."
Many people who try hearing aids are, like Thaler, dissatisfied with them. Doctors say that is partly because they have unrealistic expectations and partly because it takes time to adapt to a new way of hearing.
In nine of 10 cases, hearing loss is caused by a deterioration in the hair cells of the inner ear because of age or exposure to loud noises.
These same hair cells are what we use to zero in on the sounds we want to pay attention to and screen out what is uninteresting. So when hearing goes, the ability to focus on favored sounds goes with it.
One reason people neglect even to ask their doctors about hearing aids is that they do not realize their hearing has deteriorated.
"It happens gradually and it can be very, very subtle," Yueh said. "And other people in a position to notice often attribute problems not to hearing loss but to the person being a little clueless."
Hearing aids cost anywhere from $800 to $3,500 each. Health insurance usually does not cover hearing aids, or if it does, it pays only part of the cost.
About 20 companies make hearing aids. The six biggest brands are GN ReSound, Oticon, Phonak, Siemens, Starkey and Widex.
Hearing aids that fit entirely inside the ear canal are popular because many wearers want to avoid the stigma of having plastic visible in their ears.
"People will readily wear glasses, which change your appearance more," said Robert Jackler, chairman of otolaryngology at Stanford. "But with hearing aids, the perception is that the person is old and maybe has diminished intellectual capacity."
The downside of the hidden devices is that their components are tiny. "The batteries are very, very little," Thaler said, from personal experience, "and the dexterity you need to replace them is incredible."
Digital hearing aids are gradually supplanting the old analog type because they can enhance the clarity of sound and cut back on feedback -- the whistling that plagues wearers of older devices.
The most advanced ones are capable of recognizing human voices so that they can selectively enhance speech.
It can be less expensive to buy hearing aids over the phone or on the Internet, but doctors advise patients to consult audiologists or other licensed hearing aid dispensers to make sure the devices are right for wearers' hearing loss and daily needs, and to get a good fit.
(An audiologist is required to have a master's degree or doctorate, but states also license hearing aid dispensers who have been trained on the job.)
Many states require that consumers be allowed to return hearing aids within 30 days. Some sellers will extend the trial period further.
Audiologists are also beginning to provide training to help new hearing aid users adapt to a different way of hearing.
After three years with his hearing aids, Thaler admits that even he is slowly learning to appreciate what they can do.
"Every now and then," he said, "I hear a bird, which I may not have heard before, and I think, Wow, I like to hear that."
From World News

I was living in baltimore i was HOH and i wasnt allowed to go to a normal high school. I loved hearing aids i done very well with a hearing aid. But i cannot stand attending to a special school full of retards. But i was upgraded once went to MSD but i hated there cause i didnt know sign. I was the only one HOH in MSD so i find a way to get kicked outta there and so i went back to a school full of retards again. I wish my family moved the north carrolina so perhaps i might had settled with a girl and got married by now.

u should try dating with miss p...hehehe