HearVu: A New Tool for Understanding Hearing Loss
November 16, 2021

HearVu: A New Tool for Understanding Hearing Loss

A new tool for understanding what your loved one 's hearing lobe sounds like

“When I first meet a new patient, I spend time getting to know them and drawing out how they would answer this question: Is hearing optional or a necessity?” said Dr. Megan Johnson, audiologist and owner of Johnson Audiology. “That gives me insight into how ready the person is to embrace that they have hearing loss and begin the journey to healthy hearing. Over the course of my 18-year career as an audiologist, I’ve learned that those who are primed and ready to address their hearing loss are the ones who will be the most successful with hearing aids.”


How important is your hearing?

Humans have five basic senses: sight, hearing, touch, smell, and taste. Eyesight provides the most information to the brain at roughly 10 million bits per second, which is similar to an Ethernet connection. The second most information-rich sense is hearing, with your ears not only in charge of transmitting sounds to the brain but also in controlling your body’s balance and equilibrium. Notably, your vision and hearing work closely together, allowing you to target where sounds are coming from; therefore, both those senses need to be in good working order.


With vision problems, most people quickly address the health issue and get glasses. “By contrast, people wait up to 10 years from the time they first notice hearing loss,” Dr. Johnson said. “I encourage people to begin assigning hearing its proper place of importance. Addressing hearing loss should be a health necessity, not something you finally seek help for when the loss is severe.”


Here are some good reasons why hearing should be a health priority.


Healthy hearing can keep your brain active and functioning

You know the adage “use it or lose it” applied to keeping your heart and muscles healthy. The same applies to your brain. Hearing is a function of your ears and your brain working together to process sound. Failing to treat hearing loss results in auditory deprivation. Over time, the parts of your brain responsible for hearing can shrink—or atrophy—from lack of use. This tissue loss changes your brain’s structure and puts a person at higher risk for dementia-related disorders like Alzheimer’s. Over the course of a 12-year study, Johns Hopkins’ researchers tracked 639 people and found that mild hearing loss doubled dementia risk. Moderate loss tripled risk, and people with a severe hearing impairment were five times more likely to develop dementia.


Healthy hearing can lead to more career opportunities

Various studies over many years have shown that severe to profound hearing loss has a tremendous impact on a person’s education and employment success. Why? Hearing well in an educational or work setting makes it possible to detect and recognize meaningful sounds around you, to identify the source and location of a sound, and, most important, to understand spoken language. For example, in a large work meeting, a person with hearing loss may struggle to hear instructions or to be a part of the dialog. They may miss out on being a part of the exchange of ideas and problem solving that is occurring, putting them at a disadvantage compared to workmates with typical hearing. This can translate into lower wages and less advancement potential. Statistically, a person with untreated hearing loss makes 25% less than a person without hearing loss. Here is the good news: treating hearing loss by wearing hearing aids and using other assistive devices can reverse those negative impacts, reducing the risk of income loss by up to 100% for those with milder hearing loss and up to 77% for those with moderate to severe hearing loss.


Healthy hearing can mean greater physical safety

In a very practical way, healthy hearing can mean greater physical safety as a person who hears well will respond appropriately when they hear, for example, a car beeping a warning in traffic, an ambulance approaching across a busy city street or a fire alarm sounding.


Additionally, since balance and equilibrium are controlled by your inner ear, hearing impairment upsets the normal workings of that body system. A person with even mild hearing loss is three times more likely to have a history of falling than someone who has addressed hearing loss. Falls can have a domino effect, leading to hospitalizations, stays in a short- or long-term care facility and a potential loss of independence. 


Healthy hearing can mean more energy

When a person struggles to hear, the brain is taxed. The term listening fatigue has been coined to describe the process. Imagine this example: A person with hearing loss is at a large family gathering. The intense concentration needed to decipher many voices and noises coming from different directions is mentally exhausting. Rather than leaving the party refreshed and uplifted from the time spent with loved ones, a person feels as if he or she has run a marathon. 


Healthy hearing can keep you connected and mentally thriving

Humans are social beings, and most people are happiest when they are communicating and connected with others. Hearing loss, on the other hand, can lead to social isolation as the listening fatigue mentioned earlier begins to affect the person’s willingness to continually struggle to hear conversation. As the isolation mounts, studies have shown that adults 50 and older with untreated hearing loss are more likely to report depression, anxiety, anger, frustration, and paranoia compared to those with typical hearing or those who wear hearing aids.


A new tool benefitting Johnson Audiology patients and family members

Dr. Johnson also mentioned a second question she asks new patients: Do you have a strong support system? “I’ve learned that a patient’s success drastically improves when a strong circle of friends, family and/or workmates are aware of the person’s hearing loss and are motivated to offer understanding and encouragement as the person adjusts to their new hearing aids,” she said. With this in mind, Dr. Johnson recently invested in a new technology tool for the practice that helps patients better understand their own hearing loss and gives family members and friends the chance to hear for themselves what their loved one’s hearing loss sounds like. Called HearVu, this groundbreaking, tablet-based software program allows Dr. Johnson to interactively plot a person’s hearing loss on a digital display. Dr. Johnson said, “In the past, we have always shown patients and family members the hearing test results, called an audiogram, on paper. It was a static representation of the patient’s hearing loss. HearVu really brings an audiogram to life in the way a paper audiogram doesn’t.” The software also contains video animations of the ear so Dr. Johnson can visually explain how sound travels through the ear and how damage to the ear’s structure can lead to hearing loss. One of the most exciting components of HearVu is a program that takes a person’s individual hearing test results and presents spoken sentences that mimic what speech sounds like for that person. “It can be eye and ear opening for a family member who never fully grasped how much their loved one was struggling to hear,” she said. The experience helps the person with hearing loss feel validated for seeking help and builds empathy from family members to be supportive. “It’s one more way to help people understand that hearing is a necessity not optional,” she concluded. 


Take the next step

Take the next step to healthy hearing for you or a loved by calling Johnson Audiology today to make an appointment for a diagnostic hearing exam and ask your audiologist to use the HearVu program to better explain your hearing loss. Hearing well makes life better in far-reaching ways so vow now to make it a necessity rather than an option.




 

By Jan Hollingsworth June 4, 2025
Like anything new in life, adjusting to hearing aids can take time and perseverance to achieve the best results. Yet many people are too quick to give up, not allowing the brain the chance to relearn how to hear or not giving themselves the opportunity to become accustomed to the use and maintenance of their devices. “We meet so many people who wait—who convince themselves their hearing is not ‘bad enough’ or that they can just get by. But untreated hearing loss quietly steals moments, connection, and joy. At Johnson Audiology, we understand the fear, the frustration, and the doubt. That is why we offer more than hearing aids—we offer compassion, answers, and a partner you can trust. You don’t have to do this alone. Let us help you hear your life again,” says Dr. Megan Johnson, audiologist and owner of Johnson Audiology. “Hearing aids should never be an experience where a person is fit with devices and then they never see their hearing care provider again. To ensure patient success, Johnson Audiology seeks to be a lifelong partner on a person’s journey to healthy hearing, someone who is there at every turn,” says Dr. Megan Johnson, audiologist and owner of Johnson Audiology. What are the most common reasons why people give up on hearing aids and why is it important to stick with it? Reasons why people might give up on hearing aids An adjustment period It is your brain that hears, not your ears. The ears transmit sound to the brain where it is interpreted. Dr. Johnson explains, “When a person’s brain has not been stimulated by sound because of hearing loss and then sound is restored with hearing aids, it can take some getting used to. For some people, it takes more than one appointment to get them up to full sound prescription, stair stepping up gradually to let the brain adjust. The brain’s capacity to do this is called neural plasticity .” Research by the University of Colorado Boulder’s Hearing Epidemiology and Research Diagnostic Laboratory has revealed that what the brain can experience impacts within weeks rather than years when hearing loss reaches a certain level. Dr. Johnson says, “The brain’s temporal lobe is where much of hearing and sound interpretation happens. Electroencephalogram (EEG), which is a medical test that measures the electrical activity of the brain, shows that in the presence of hearing loss, the brain will recruit areas assigned to other tasks—like vision—to compensate. The trouble is that this extra cognitive load can tax those areas. However, after treatment with hearing aids, brain recruitment is shown to reverse, partially or fully.” The adjustment period for hearing aids tends to be more seamless for those who have not been without sound for years and years. Dr. Johnson says, “I always encourage people to get their hearing checked when they first notice they are struggling. Sooner is always better.” An investment in quality of life People often make an investment in their health and well-being—for example, purchasing glasses, getting a knee replacement, straightening their teeth—and yet many relegate hearing to the backburner because of cost. Dr. Johnson says, “I’ve seen many patients struggle with hearing aids after buying inferior products in an attempt to save money. Without the guidance of a hearing care provider, even the best device can quickly become ineffective and frustrating.” Dr. Johnson encourages making hearing a priority and budgeting for your hearing health. Perceived benefits and ease of use Getting in the routine of putting hearing aids in each day and being diligent about regular cleaning and maintenance might be a challenge that some face and which deters them from being successful with their aids. “At Johnson Audiology, we offer a plan for regular in-office cleaning and maintenance, easing the task of upkeep for patients. Plus, our offices have dedicated walk-in hours that do not require an appointment. We are here to answer questions, make hearing aid adjustments, and much more as we seek to help people safeguard their investment in hearing technology and make the process easy and convenient.” Family attitudes and support When it comes to hearing aids, having a support system can be crucial to success. “In my 20 years as an audiologist, I have seen the immense benefits when a person’s family members show patience and support during the adjustment period with new hearing aids,” said Dr. Johnson. What about patients who do not have that familial encouragement? Dr. Johnson says, “We are your support system. That’s where our caring and professional audiologists, audiology assistants, and patient care coordinators can lend a helping hand. Success with hearing aids is our goal for every patient, so we promise to be there every step of the way.” Why is healthy hearing so important Hearing loss is a family affair The positive impact of treating hearing loss is often manifested most significantly through improved relationships with family and friends. Hearing loss leads to miscommunication. It can also cause mounting frustration as family members must constantly repeat every sentence. Dr. Johnson comments, “Living with the TV blaring can put a strain on others living in the same household. Untreated hearing loss can quietly tear at the fabric of your relationships. When words go unheard and conversations fade, love and connection start to suffer, and that pain is felt by all involved.” Healthy hearing can help the brain stay sharp and pliable For many years, researchers at Johns Hopkins University have been studying the relationship between hearing loss and dementia. While there is still much left to discover, increasingly scientists recognize healthy hearing as a key factor in maintaining a healthy brain and potentially decelerating the risk of dementia, like Alzheimer’s disease. Dr. Johnson says, “It seems logical that when certain areas of the brain are not stimulated by sound, they atrophy. In fact, research suggests an actual reduction in the physical size of the brain, especially in areas where sound processing and memory take place.” She goes on to say that “while there are many risk factors that individuals cannot control about the effects of aging on the brain, hearing is definitely one that can and should be addressed.” Healthy hearing keeps a person engaged in life Humans are social beings. Since hearing loss can impair effective communication, it is not difficult to understand how it also could lead to social isolation, which can cause increased anxiety and depression. “Conversely, addressing hearing loss can keep a person engaged in life and connected to family and friends,” Dr. Johnson says. Falls and other health risks The ears have two main functions. Hearing is one that most of us learn as youngsters, but the ears also play a major role in helping a person maintain their balance and knowing where their body is in space. “The fluid, or endolymph, in the ear’s semicircular canals is what helps a person do things like stand up from a seated position without falling, walk a straight line, and not run into a door frame when turning a corner into a room,” says Dr. Johnson. In the presence of hearing loss, the reduction in acoustic signals impairs a person’s ability to process spatial information and can mean a higher risk for falling. In turn, falling can lead to broken bones and other injuries and a cascading effect of hospital stays and loss of independence. If you have been unsuccessful with hearing aids in the past, call Johnson Audiology, a hearing health clinic comprised of caring and professional staff. The team can bring a range of options to the table to help people hear better, including hearing aids from all six of the major manufacturers, custom fit products, cochlear implants, and Lyric, the world’s only extended wear hearing aid. Call your office of choice today or schedule online.
A man is wearing a cochlear implant in his ear.
March 6, 2025
Chipper Gocke, 28, has had many poignant moments in the last six weeks since his cochlear implant surgery. “A workmate commented recently that my speaking voice is the appropriate volume now. Not being able to hear myself, I probably often talked too loud before. It seems like a small thing, but it is a way to be more normalized in my professional and other settings.” His mother, Amy Gocke, also has noticed the changes. “Chipper has never called me on the phone before. With his profound lifelong hearing loss and even using powerful hearing aids, he simply couldn’t communicate by phone. Now I look forward to his calls every day after he gets off work.” These daily experiences that people often take for granted—communicating with a workmate or calling a family member to say hello—are now possible for Chipper because of his cochlear implant. Hearing loss has been a part of Chipper’s life since he was a small child. Chipper’s father, Ted Gocke, relates, “From the time he was 18 months old, Chipper had ear infections that had us in and out of the hospital. That led to tubes in his ears and the diagnosis that he had a significant hearing loss.” As a youngster, Chipper received early intervention services before he even reached school age. He also got established with local audiologist, Darnell Scafe, and they reconnected recently when Chipper sought out Darnell for hearing health care services as an adult. Darnell, who joined the Johnson Audiology team in 2018, says, “I remember Chipper as a sweet little boy who didn’t let his hearing loss slow him down. It’s wonderful to get to know the fine, capable young man he has grown into.” Last year, Darnell encouraged Chipper to consider a cochlear implant, and she referred him to Johnson Audiology’s Cochlear Implant Program Director, Dr. Hannah Dearth. Dr. Dearth then was able to complete cochlear implant candidacy testing. In November of last year, Chipper’s surgery was performed at Murfreesboro Medical Clinic (MMC) in Middle Tennessee by an otolaryngologist (ENT). A native of Chattanooga, Chipper traveled for the initial surgery since there is not currently an ENT in Chattanooga who performs CI surgeries. However, Chipper then had his cochlear implant activated at Johnson Audiology (JA) by Dr. Dearth in early January. Also, there to celebrate activation day was Darnell. “It felt like a full circle moment when Dr. Dearth activated Chipper’s cochlear implant, and he began to have those first sound perceptions.” Dr. Dearth explains, “People often wonder how a hearing aid and a cochlear implant are different. Cochlear implants are designed for patients whose hearing aids are no longer assisting them in understanding in both quiet and noisy environments. A hearing aid is designed to provide amplification for speech sounds that are unintelligible without said amplification. Cochlear implants are a surgical option for those who are no longer able to achieve meaningful understanding with a traditional hearing aid. Hearing aids rely on the ear’s natural pathway for hearing to accomplish this and so may not work well for someone with severe damage to the inner ear. A cochlear implant, on the other hand, bypasses the damaged parts of the ear by stimulating the auditory nerve directly with a mild electrical current that sends the sound signal to the brain.” Chipper is committed to his own success with his cochlear implant and in addition to listening to the speech of those around him, he is also tuning in to podcasts and audiobooks that give him even more speech exposure. Dr. Dearth says that is a huge factor in any patient’s ability to thrive with the device. “The patients who are committed to the aural rehabilitation as prescribed experience faster progress and higher success rates long term.” Chipper will continue regular follow-up appointments for the rest of his life to maintain successful progress with his CI. He gets emotional talking about the social isolation that can be a common side effect of profound hearing loss and, also, mentions the spatial awareness that better hearing offers. “Being able to pinpoint sound and localize stimuli from both sides of the head has positive effects for living a safe life,” Dr. Dearth says. Dr. Megan Johnson, audiologist, founder, and owner of JA, says, “Johnson Audiology has provided support for cochlear implant patients since 2017 with care offered through the practice’s location on Lee Highway in the East Brainerd area. After implantation, every other part of a CI patient’s hearing journey can be accomplished at Johnson Audiology—from initial activation to routine mapping.”  Chipper and his parents encourage people to explore the possibility of cochlear implants since it can make such a difference in a person’s daily life and function. Johnson Audiology is accepting new patients who currently wear hearing aids but would like to pursue cochlear implant candidacy as well as those who already have a cochlear implant. Call Johnson Audiology at 423.556.7185 or visit www.johnsonaudiology.com/schedule for more information or to schedule an appointment.