Trying to understand Audiograms

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adio.schaeffer

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Hi!
I'm working on a case study of a patient who experienced hearing improvement under a specific treatment & I've been sent copies of her audiograms, but I have NO clue how to interpret them... :-/
Can anyone tell me what it means when the Dr.'s comments include:
R ear 90% @ 95 dB
L ear 100% @ 55 dB???

Any help would be MASSIVELY appreciated!
 
adio.schaeffer said:
Hi!
I'm working on a case study of a patient who experienced hearing improvement under a specific treatment & I've been sent copies of her audiograms, but I have NO clue how to interpret them... :-/
Can anyone tell me what it means when the Dr.'s comments include:
R ear 90% @ 95 dB
L ear 100% @ 55 dB???

Any help would be MASSIVELY appreciated!
Click to expand...

Speech understanding?
 
adio.schaeffer said:
Apparently initially not in the right ear. But she does now.
Click to expand...

What are you talking about. The numbers you put up shows 90 percent at 95 db.

So if you are playing some game, I am not interested.

If you had more information and did not give it all, that is just childish.
 
I'm honestly not trying to play at anything. Those were the notes at the bottom of the patient's 2010 audiogram. I'm in the healthcare industry but have NO background in hearing loss/deafness. The patient's audiograms from 2007-2009 include additional comments that spell out what the problem is but the 2010 & 2011 readings have no additional comments...which are of course the 2 I need to understand the most.
 
adio.schaeffer said:
I'm honestly not trying to play at anything. Those were the notes at the bottom of the patient's 2010 audiogram. I'm in the healthcare industry but have NO background in hearing loss/deafness. The patient's audiograms from 2007-2009 include additional comments that spell out what the problem is but the 2010 & 2011 readings have no additional comments...which are of course the 2 I need to understand the most.
Click to expand...

Put a copy of the whole audiogram, of course minus the patient's name and someone will read it for you.
 
You're working on a study that pertains to hearing loss without having any knowledge about reading an audiogram......................

(Parents, take notice, these are your experts doing case studies.)
 
Bottesini said:
What are you talking about. The numbers you put up shows 90 percent at 95 db.

So if you are playing some game, I am not interested.

If you had more information and did not give it all, that is just childish.
Click to expand...

And what kind of a case study? From what field? None of this is logical.:wave:

How can anyone do a case study on an audiological impairment without knowing anything about audiology or the impact of such on the individual? Sounds like someone is outside their scope of practice.
 
posts from hell said:
You're working on a study that pertains to hearing loss without having any knowledge about reading an audiogram......................

(Parents, take notice, these are your experts doing case studies.)
Click to expand...

Damned frightening, isn't it?
 
adio.schaeffer said:
I'm honestly not trying to play at anything. Those were the notes at the bottom of the patient's 2010 audiogram. I'm in the healthcare industry but have NO background in hearing loss/deafness. The patient's audiograms from 2007-2009 include additional comments that spell out what the problem is but the 2010 & 2011 readings have no additional comments...which are of course the 2 I need to understand the most.
Click to expand...

You seriously need to refer this case to someone who can handle it properly. You are obviously outside your scope of practice, and therefore, are incapable of acting in this patient's best interest. Remember, first and foremost, do no harm.

Unless of course, you are one of those undereducated pencil pushers that process insurance claims and are looking for a way to deny this patient. In that case, no answers for you!
 
Ok folks, lets not start attacking!

The case is this: A patient who was completely deaf (her words) in her right ear & losing hearing in her left came to a chiropractor after her E.N.T. was unable to determine why she was going deaf & was unable to provide her with any solutions for the past several years. (she had no speech understanding in her right ear & was losing speech understanding in her left).
After approximately 40 visits in 3 months, the patient reports being able to hear a person speaking in her right ear & her most current audiology report from 2 weeks ago shows that her right hear has improved from severe to moderately severe.
Those are the facts.

Now I am not the Dr. who treated her. I am a chiropractic student who was handed the chiropractors notes & the E.N.T.'s notes & asked to write up a case study & literature review. Hence I have no background in reading the E.N.T.'s reports. I was simply asking for a little help from individuals who might have more of an understanding of the medical side of hearing loss, so i could accurately report the findings.
 
Jillo, for the record, the D.C. was not operating outside scope of practice because they were not attempting to change the patient's hearing. They simply assessed the patient for spinal subluxation & corrected it. They made no promises or indications that they were going to correct the patient's hearing. That was simply the result.
 
adio.schaeffer said:
Ok folks, lets not start attacking!

The case is this: A patient who was completely deaf (her words) in her right ear & losing hearing in her left came to a chiropractor after her E.N.T. was unable to determine why she was going deaf & was unable to provide her with any solutions for the past several years. (she had no speech understanding in her right ear & was losing speech understanding in her left).
After approximately 40 visits in 3 months, the patient reports being able to hear a person speaking in her right ear & her most current audiology report from 2 weeks ago shows that her right hear has improved from severe to moderately severe.
Those are the facts.

Now I am not the Dr. who treated her. I am a chiropractic student who was handed the chiropractors notes & the E.N.T.'s notes & asked to write up a case study & literature review. Hence I have no background in reading the E.N.T.'s reports. I was simply asking for a little help from individuals who might have more of an understanding of the medical side of hearing loss, so i could accurately report the findings.
Click to expand...

That is not unusual. Chiropractic no doubt displaced the fluid. Many losses are known to be fluctuating. Can't credit chiropractic with the change unless you have done a scientific research design on this case.
 
adio.schaeffer said:
Jillo, for the record, the D.C. was not operating outside scope of practice because they were not attempting to change the patient's hearing. They simply assessed the patient for spinal subluxation & corrected it. They made no promises or indications that they were going to correct the patient's hearing. That was simply the result.
Click to expand...

But you, in attempting to credit chiropractic with the change, most certainly are.:cool2:
 
I'm reporting results. That's it....that's the point of a case study report. The patient came in for care, got unique results over the course of care & no other variables to their health were modified..I'm not saying that the chiropractor was perfect or that it's the cure all for everyone. I'm presenting everything that was done & trying to understand it. In no way am I acting out of scope of practice. I think you need to review what scope of practice is....& clearly you have no understanding of what chiropractic is or what our scopes are.

Sorry you find my quest to better understand the human condition & improve the lives of others around me offensive. Hope you have a blessed life. :)
 
adio.schaeffer said:
I'm reporting results. That's it....that's the point of a case study report. The patient came in for care, got unique results over the course of care & no other variables to their health were modified..I'm not saying that the chiropractor was perfect or that it's the cure all for everyone. I'm presenting everything that was done & trying to understand it. In no way am I acting out of scope of practice. I think you need to review what scope of practice is....& clearly you have no understanding of what chiropractic is or what our scopes are.

Sorry you find my quest to better understand the human condition & improve the lives of others around me offensive. Hope you have a blessed life. :)
Click to expand...

You too.
 
adio.schaeffer said:
I'm reporting results. That's it....that's the point of a case study report. The patient came in for care, got unique results over the course of care & no other variables to their health were modified..I'm not saying that the chiropractor was perfect or that it's the cure all for everyone. I'm presenting everything that was done & trying to understand it. In no way am I acting out of scope of practice. I think you need to review what scope of practice is....& clearly you have no understanding of what chiropractic is or what our scopes are.

Sorry you find my quest to better understand the human condition & improve the lives of others around me offensive. Hope you have a blessed life. :)
Click to expand...

No, you are not reporting results. You can only report results as cause and effect when they are the results of a scientific research design. You don't even have enough control over this to assign correlation, much less results.

You don't know that there are no other variables. You don't know anything about hearing loss or audiology. I can think of several reasons why her audiogram has changed, and not a single one of them has to do with chiropractic. However, they are changes that have been scientifically researched and documented.

I understand fully what chiropractic is and what your scope of practice is. Audiology or otolaryngology is not in your scope of practice. Nor am I very impressed with your research techniques. You come to a deaf message board when you should have been in the medical library pouring over text books to find the answers you seek.

Deluding a patient into believing that cracking her spine caused her to see improvement in her hearing loss is not improving her life. It is lying to her to keep her coming back to the chiropractic office.
 
My stepmother's mother almost died from following a chiropractor's medical advice instead of an MD.

Luckily my parents found out what was going on and she lived for several more years.
 
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