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"She IS a graduate student."
Every year a campus-wide health fair is organized and the graduate students are allowed to provide free hearing screenings under the professors' supervision. We were required to wear department-assigned shirts and dress pants/skirts during our shifts to make us easily identifiable.
During my shift, a guy I recognized as one of the DPT (Doctor of Physical Therapy) students appeared for a hearing screening. He was sent in my direction. I kid you not, he eyed me up and down in front of the professors and asked, "Can I have one of the graduate students screen me?"
Almost simultaneously, two of the professors responded, "She IS a graduate student." He looked at them and then back at me in disbelief, but still followed me to the room where the audiometer was set up.
I completed the screening and answered all the questions he asked me about the results, but he seemed dissatisfied with my answers. It was quite clear to me that he saw me as more of an undergraduate freshman who didn't know what she was talking about. Yes, I was a first-year grad student, but we were ALL first-year graduate students performing screenings. I was annoyed but kept my composure. I gave him the option of speaking to the audiologist in my department if he sought verification. It was very satisfying to see my professor give him the same answers I had given him. He looked at her, back at me, and then back at her before saying a quiet "thank you" and leaving the department.
The next few minutes were spent listening to my professors tell me how I will appreciate my youthful appearance when I am older. *sighs*
Improper Diagnosing of Tinnitus, High-Frequency or Hidden Hearing Loss
According to research both older and newer, testing frequencies beyond 10kHz is necessary for obtaining useful information for tinnitus patients who report higher frequency pitches. Drawing conclusions based on audiograms that only show typical speech frequencies up to 8kHz is inadequate and leads to higher rates of "idiopathic" diagnoses, and is leaving out the opportunity to collect important data for research on tinnitus and hearing loss.
You may want to print out a copy or email this to your audiologist, ENT, or even general practitioner to update their knowledge:
"Best-Practices" Flowchart of Tinnitus Diagnosis and Management:
If you suspect hearing loss AND tinitus, this is a multi-disciplinary resource that covers many angles.
Extended High Frequency testing:
The above article contains relevant research justifying the need for ENT and Audiology clinics to utilize audiometry that ranges between 8kHz all the way up to 20kHz, and contains strategies and suggestions for dealing with concerns of repeatability and testing duration.
Audiometer headphones for good repeatability:
Tinnitus and Range of Frequency Loss:
Although the conclusion of this particular research project said that the exact (or close approximation) frequency of tinnitus wasn't significantly correlated with the edge of the high-frequency loss, it was reported that patients had tinnitus frequencies that were higher than the edge of the hearing loss on the audiograms. This shows that we can at least get some useful information through extended high-frequency audiometry. Newer research is expanding upon these findings mentioned below.
Hidden Hearing Loss:
The above article suggests that "speech-in-noise" tests are more useful than typical pure-tone audiometry (only going up to 8kHz) for diagnosing problems of hearing in noisier, social environments. "Threshold assessment at high frequencies (from 10k - 20 kHz) should be considered for inclusion in test batteries when patients report difficulties understanding speech-in-noise despite audiometrically normal thresholds up to 8 kHz. Although there are no clear causal relationships between high frequency hearing and speech-in-noise test performance, high-frequency hearing loss in relatively more noise-exposed participants has been reported by multiple teams (citations 33,36,37) and may be one of the first changes among long-time users of personal audio systems.(75)... Empirical data are needed to assess this specific suggestion, and determine the strength of any potential relationships between high-frequency hearing and speech-in-noise performance. Regardless, documentation of deficits to the high frequency regions of the cochlea will provide a tool for counseling patients on the importance of protecting their ears from loud sound to reduce the risk of further damage."