It seems every week there is a new report linking hearing loss to a host of diseases and conditions. Why did it take us so long to realize whatever happens to one part of the body often affects other areas?
Homeostasis– The tendency toward a relatively stable equilibrium between interdependent elements, especially as maintained by physiological processes (www.dictionary.com)
For starters, most of us who have worn hearing aids have foot the bill out of our own pockets for decades. It seems the insurance industry did not make the connection between hearing loss and how it can affect overall health. That is unfortunate. Expensive for us, and perhaps in the end expensive for them if you count the number of people who have not treated hearing loss over the years because it was cost-prohibitive if the connection to disease is correct. Everything we do, every emotion, every small action contributes to our homeostasis.
There are studies going as far back as the 1960s that have studied hearing loss and coronary heart disease. Samuel Rosen and Pekka Olin working out of The Mount Sinai Hospital and New York Eye and Ear Infirmary published an article entitled Hearing Loss and Coronary Heart Disease. They studied members of the Mabaan tribe in southeast Sudan and compared them to Americans in industrial areas of the United States. Diet and stress in America were compared to the simple life and diet of the Mabaan tribe and their quiet surroundings.
In 2014 Dr. Frank Lin, M.D. Ph.D published an article Hearing Loss Linked to Accelerated Brain Tissue Loss. In this article, Dr. Lin discussed the link between dementia and “fast-track” brain shrinkage in older adults.
According to the American Diabetes Association (www.diabetes.org), hearing loss is twice as common in people with diabetes as it is in those who don’t have the disease. With 86 million adults in the U.S. who have pre-diabetes, the rate of hearing loss is 30 percent higher than those with normal blood glucose. Still, the connection remains unknown.
In a WEBMD article penned by Kathleen Doheny, hearing loss is associated with depression in American adults, especially women and in both sexes younger than age 70.
If that isn’t enough, some statin drug studies have implied a possible connection between hearing loss and using the drugs. Some diuretics such as hydrochlorothiazide are suspected of increasing the chances of diabetes as well as one beta blocker drug. So the new question would be, is there also a prescription drug connection to inducing these conditions and/or hearing loss? Either way, these drugs are often life-saving solutions to an immediate and bigger danger.
So what can we do to be proactive?
It seems the same healthy diet for heart disease, diabetes and other conditions is prescribed for overall health. What role does sugar, salt, unhealthy fats play in hearing loss and other conditions? There are many books out there that discuss these conditions and optimum health. Some of my favorite ones are by Dr. Andrew Weil (drweil.com), Dr. Mark Hyman (drhyman.com), Dr. Dean Ornish (www.deanornish.com), Dr. David Perlmutter (drperlmutter.com) and Dr. William Davis (wheatbellyblog.com). Mark Bittman (markbittman.com) has written some good cookbooks with healthy recipes.
Get a complete physical.
Exercise not only keeps the arteries healthy, it helps to move glucose into the right places and out of your body. In addition, it has been shown to improve mood and lessen depression.
Meditate. Find a quiet place after a busy day. This may seem odd to say as choosing amplification over silence is theoretically one of the best ways to keep an active and healthy brain. But at the end of the day, amplification can be tiring as anyone with either hearing aids or cochlear implants will tell you. Controlling stress is equally important.
Stay connected. We are so lucky to be living at a time when there are captioned phones, captioned TVs, amplifying and flashing devices, captioned Broadway shows and movies, amplifying devices in museums and state-of-the art accessories for both hearing aid and cochlear implant users.
Take a chance. Try something new. Be an active participant in your own story. Keep a journal. Read good books that inspire you to be your best you.
Get a dog. Some preliminary studies have shown having a dog can affect blood pressure positively, improve mood and overall well being. You might want to look into getting a service dog with Canine Companions for Independence (www.cci.org) or Dogs for the Deaf (www.dogsforthedeaf.org).
Don’t get discouraged. People with hearing loss have the same needs as those who don’t, — family connections and positive interpersonal relationships, good friends, good times, respect in the workplace and last but not least, a good belly laugh. Find a reason to laugh every single day.
The best way we can use this information connecting these conditions to hearing loss is to consider it a heads up and do everything we can to prevent or control these conditions and be positive.
Meet Melanie Riordan, a woman with quite a story to tell!
In 2004, Melanie discovered that she had a brain tumor and her whole world came crashing down on her. All the “what ifs” ran through her mind. Suddenly, she felt it necessary to determine what she would do if her life came to a crashing halt.
She was in a relationship with a good man. The thought of dragging him into her crisis led her to confront him and end the relationship. He refused to let her go. He said he was in the relationship for the long haul, and besides he loved her. Not only did Melanie survive, but she thrived.
Melanie’s hearing was affected by the brain tumor, and she received a BAHA implantable device by Cochlear Corporation www.cochlear.com two years ago. She also enlisted the help of Canine Companions for Independence, www.cci.org, and received her first dog, Noah. Noah passed away in 2016, and Melanie received a second service dog named Bartram in 2016 as well. Both Noah and Bartram were always acutely attuned to Melanie and her environment. Noah, who was with her since 2004, always sensed the onset of a migraine headache related to her brain tumor. During one period, Bartram constantly nudged her to go outside the house, and he would even sit in front of the door so she wouldn’t be able to get back in. Shortly thereafter, it was discovered there was a slow gas leak in the house.
What follows is a question and answer session regarding her experience with dogs for the deaf. Even if you are not considering getting a service dog, this is an amazing tale.
As a recipient of a CCI Service Hearing Dog, can you tell us approximately how many commands the dogs are capable of responding to?
There are about 25 BASIC CCI dog commands that all CCI dogs know. Then depending upon the placement during/after advanced training will determine how many commands the CCI dog will respond to depending upon job role for the CCI dog.Some basic commands are as follows:
Bed: dog lies down on target
Car: dog loads into car
Here: dog returns to you
Down: dog lies down
Hurry: dog toilets
Jump: dog places whole body on top of object
Kennel: Dog will go into kennel
Let’s go: Dog moves forward with you
No/Don’t: Verbal correction to your dog
Off: dog will return all 4 paws to ground
Ok: dog is permitted to eat or drink
Quiet: dog stops barking
Release: dog is permitted to take break while performing (like to say hello to someone)
Shake: dog will extend paw towards person
Sit: dog places rear end on ground
Wait: dog will not move forward until you give command “here”
Some Alerting Sounds May Be As Follows:
Timer on Microwave
Beeper on Stove/Oven
Go get “name:”
With CCI hearing dogs you can use ASL as well. You must make sure you have eye contact when giving hand gestures to a CCI hearing dog.
As time goes on, you can add an unlimited number of commands.
Notable, CCI hearing dogs are the only dogs that are trained on escalators. This is good to know because many persons with hearing loss have balance issues. Also, the dog can help the recipient tell which direction a sound is coming from.
The CCI website describes a two-week training period for the recipient. Can you tell us what happens during those two weeks?
Classes run from Monday through Friday from about 9:00am to 4:30 pm. Saturday and Sunday are usually free days. The first day covers introductions, campus information, tour and expectations.
Classes are offered in both voice and ASL. If you don’t require ASL your chances of getting into a class sooner is sometimes possible. The wait list for training is two months to two years. CCI tries to match a recipient with an appropriate dog. Once in awhile a potential recipient is not considered an appropriate candidate. Essentially, participation does not guarantee the participant will be awarded a canine companion.
During the two-week training period the participant will have an opportunity to work with different dogs to see which one works best for him. Towards the end of the first week, he will be assigned a dog that will stay in the room with him. Each day there will be lectures, the recipient will be given a handbook and quizzes are given at the end of the day. There are practice field trips to get the potential recipient used to being out with the dog.
CCI provides free housing for recipients during the two week training. All campuses and rooms are handicap accessible, there is free WiFi and TV in every room and there is a central meeting room with a TV, — and there are washers and dryers. There is a gated patio area as well. They provide lunch, but you are responsible for breakfast and dinner and airfare to the site. They have campuses in both Santa Rosa, CA and Orlando, FL. There are kitchens provided if you prefer cooking to eating out. Each dorm has a dorm keeper that will be available to you by email/phone/text if needed. This person will be one of your first contacts when you arrive.
After a final exam, there is a graduation ceremony that will touch your heart. Here is a link.
You will be given the contact information of your puppy raiser with the option for you to contact them. Remember, the puppy raiser was with the puppy for 8 weeks and cared for them completely. You will also be given the contact information of the instructor and assistant if needed.
In addition, CCI will be available to the recipient for the life of your puppy. They will follow up with you to ensure the dog is receiving good healthcare and is generally well cared for. For instance, CCI is very strict on weight. If they feel a dog is being neglected they will take him back. Remember, CCI owns the dogs.
How do I connect to other CCI recipients?
Facebook and Yahoo groups are great connections to the CCI community. Once you graduate you can join the various support groups on Facebook. They have specific groups just for CCI hearing dogs and other service teams. They all share information, support, pictures, progress and help each other out no matter how far apart we may be.
The website states the average service life of a dog is 8 years. When the dog becomes “retired” is he or she returned to CCI or does the recipient keep him until his death?
If you feel your CCI dog can continue to work after 8 years then you can continue to be a team. My first service dog worked for 12 years. I retired Noah when I applied for my successor CCI dog. The option at retirement is that you can keep the dog as your family pet now or CCI will take back the dog and usually the puppy raiser will get first choice to keep or live with those that CCI has on a waiting list for a released service dog. Of course Noah, my first CCI hearing dog lived with us until he was ready to cross the rainbow bridge. He truly was an amazing dog. He passed away June 2016. He is missed every day!
CCI is always informed even after retirement of the dog’s passing and any issues as they keep all medical records up to date on all liters.
If a recipient is no longer able care for the dog due to illness or death, does CCI assume care?
If for any reason that the recipient can no longer care for the CCI dog then CCI will take back the dog. Depending upon the situation and timeframe the dog could either be placed back into training for another recipient or given back to the puppy raiser or someone on the waiting list for a released CCI dog.
You will sign a contract agreement with CCI on your last day stating all this.
Regarding healthcare and personal care of your dog, what might a recipient want to know?
You are entitled and allowed by law to write off on his or her taxes anything related to the service dog as part of YOUR medical care. So all vet visits, pet insurance, food, toys, dog beds, medicine grooming, etc. are covered. Even the trip to CCI including airfare/car rental are covered. If you decide to put up a fence, you can write that off as well. It is recommended the recipient get a good accountant and keep all receipts.
If you purchase pet insurance, there is usually a discount for service dogs.
What are some of the activities recipients and their dogs can enjoy to network, get involved and further spread the word about this wonderful organization?
CCI has various presentations that you can attend. Various seminars are held throughout the year that you can attend at your closest region or any region you wish. NJ and NY just recently had a “DogFest” that raised money for CCI. In NY it was held at the Medford Campus and in NJ it was held at the Edison Roosevelt Park.
CCI holds campus seminars that you are free to attend during various times and at any location. Instructors will be there if more help or reinforcements are needed. You can always reach out to CCI and if more additional help is needed they will work with you to make certain that you are always working towards a successful service team.
Is there anything else you feel is important to know before considering taking on the responsibility of a service dog?
Some may say wow! Two weeks of my time… Well it may sound like a lot to you but in reality it really isn’t enough time. You have to remember CCI dogs are learning from day one to be service dogs. For about 2 or 3 years they are being trained for their special roles. You then only get 2 weeks (really 9 days) to make that connection. Classes are intense and long even with breaks. Prepare yourself to the lead up time. Get enough sleep and rest while in training class. Don’t over do it a few days before you leave for team training as you feel it during team training. If there are time zone changes try to arrive a day earlier if available at the dorms to get settled in.
With that said, — be prepared to probably have the BEST thing that has ever happened to you ever when you get teamed with your CCI hearing dog. Your world will forever be changed! Who in the world would think that four paws and floppy ears would be your new lifeline to the hearing world. Can’t even describe the tremendous feeling that will fill your heart!
And oh yeah, be prepared for what I call the “magical fibers” of doggie hair that will soon become part of your home and daily wardrobe! Embrace it!!!
Thank you for being with us today Melanie and Bartram.
If you will be in Southern Westchester on Saturday, November 5, come meet Melanie and Bartram. Melanie will be a guest speaker for the Hearing Loss Association of America, Westchester Chapter www.hlaawestchester.org, Mercy College, Lecture Hall, 555 Broadway, Dobbs Ferry, NY. The meeting begins at 1:00 pm.
For those of you who already have a dog for the deaf, please feel free to share your experience with us by replying below.